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Bemnifosbuvir

Phase 3

Severe Acute Respiratory Syndrome Coronavirus 2 (SARS CoV 2 Infection) | Small molecule | Infectious Disease |Atea Pharmaceuticals, Inc.|Trials Updated: Oct 21, 2025

Bemnifosbuvir development status

Highest phase Phase 3
Registered trials 9 across 2 sponsors since Jul 2017

Bemnifosbuvir target and mechanism

ModalitySmall molecule

Also known as Bemnifosbuvir (BEM), AT-527, AT-527 fed, AT-527 single dose

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment2,560

FDA Designations

FAST_TRACK

Bemnifosbuvir clinical trials

Bemnifosbuvir · 2 trials · 7 indications

Phase 3 1Phase 2 1
NCT05629962SUNRISE-3: Efficacy and Safety of Bemnifosbuvir in High-Risk Outpatients With COVID-19Severe Acute Respiratory Syndrome Coronavirus 2 (SARS CoV 2 Infection)
COMPLETED2,285 Analytics
PHASE3COMPLETED
SUNRISE-3: Efficacy and Safety of Bemnifosbuvir in High-Risk Outpatients With COVID-19
Severe Acute Respiratory Syndrome Coronavirus 2 (SARS CoV 2 Infection)Unlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Subjects Hospitalized for Any Cause or Died Due to Any Cause
Day 1 through Day 29
Percentage of Subjects Achieving Sustained Virologic Response at 12 Weeks Post-treatment (SVR12)
Day 1 through 12 weeks after end of treatment

SVR12 defined as plasma hepatitis C virus (HCV) RNA less than the lower limit of quantitation (\<LLOQ) at 12 weeks post-treatment

Secondary Endpoints

Percentage of Subjects Hospitalized Due to COVID-19 or Died Due to Any Cause
Day 1 through Day 29
Percentage of Subjects Who Died Due to Any Cause
Day 1 through Day 29; Day 1 through Day 60
Percentage of Subjects With COVID-19-related Complications
Day 1 through Day 29
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Bemnifosbuvir (BEM)EXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
Bemnifosbuvir and RuzasvirEXPERIMENTALBemnifosbuvir (BEM; AT-527) Tablets Ruzasvir (RZR; AT-038) Capsules

Interventions

NameTypeDescription
Bemnifosbuvir (BEM)DRUGBEM tablets administered orally every 12 hours (twice a day) for a total of 5 days
PlaceboDRUGPlacebo tablets administered orally every 12 hours (twice a day) for a total of 5 days
BemnifosbuvirDRUG550 mg administered orally once a day (QD) for 8 weeks
RuzasvirDRUG180 mg administered orally once a day (QD) for 8 weeks
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites263

Inclusion Criteria: * Positive SARS-CoV-2 test conducted ≤ 5 days prior to randomization * Mild or moderate COVID-19 with symptom onset ≤ 5 days before randomization and at least one COVID-19 related symptom present at time of screening * Subject must be high risk, defined below: 1. Age ≥70 year...

Countries:United StatesArgentinaBrazilCanadaGermanyIndiaJapanLatviaMexicoNetherlandsPakistanPhilippinesRomaniaSouth AfricaSpainSwedenTunisiaTurkey (Türkiye)United KingdomMauritiusMoldovaSouth Korea
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Frequently asked questions about Bemnifosbuvir

What is Bemnifosbuvir used for?

Bemnifosbuvir is an investigational antiviral being studied for chronic hepatitis C virus infection and for SARS-CoV-2 infection (COVID-19). In hepatitis C it is being developed as part of a fixed-dose combination with ruzasvir. In COVID-19 it was studied as a single agent in high-risk outpatients. It is not approved for any use.

Who makes Bemnifosbuvir?

Bemnifosbuvir is being developed by Atea Pharmaceuticals, Inc., which trades on the Nasdaq under the ticker AVIR. Atea is the sponsor of the clinical program evaluating bemnifosbuvir both as a single agent in COVID-19 and in combination with ruzasvir for chronic hepatitis C.

What phase is Bemnifosbuvir in?

Bemnifosbuvir is in Phase 2 development for chronic hepatitis C virus, where it is being evaluated with ruzasvir as a fixed-dose combination. It has also been studied in a completed Phase 3 trial in high-risk outpatients with COVID-19. Bemnifosbuvir is investigational and has not been approved by the FDA.

What clinical trials is Bemnifosbuvir in?

Two trials are registered for bemnifosbuvir. NCT05904470 is a completed Phase 2 study of bemnifosbuvir and ruzasvir in 275 subjects with chronic HCV, run across the United States, Brazil, Canada, India, and other countries. NCT05629962, called SUNRISE-3, is a completed Phase 3 study of bemnifosbuvir in 2,285 high-risk COVID-19 outpatients.

What is Bemnifosbuvir used for in chronic hepatitis C?

In chronic hepatitis C, bemnifosbuvir is being developed as part of a fixed-dose combination with ruzasvir, abbreviated BEM/RZR. The completed Phase 2 trial NCT05904470 evaluated this combination in 275 adults with chronic HCV, including patients with hepatic cirrhosis, across multiple countries. The combination remains investigational.