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Daplusiran/Tomligisiran

Phase 2

Chronic Hepatitis B Virus Infection | Small molecule | Infectious Disease |GSK plc|Last Updated: Jul 7, 2026

Success Probability

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials1
Total Enrollment283

FDA Designations

No designations recorded

Clinical trial landscape

Daplusiran/Tomligisiran · 1 trial · 2 indications

Phase 2 1
NCT06537414A Study of Sequential Therapy With Daplusiran/Tomligisiran (DAP/TOM) Followed by Bepirovirsen in Participants Living With Chronic Hepatitis B (CHB)Chronic Hepatitis B Virus Infection
ACTIVE NOT_RECRUITING283 Analytics
PHASE2ACTIVE NOT_RECRUITING
A Study of Sequential Therapy With Daplusiran/Tomligisiran (DAP/TOM) Followed by Bepirovirsen in Participants Living With Chronic Hepatitis B (CHB)
Chronic Hepatitis B Virus InfectionUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of participants achieving functional cure
Up to 100 Weeks

The functional cure for HBV is defined as sustained suppression (24 weeks or longer) of HBV deoxyribonucleic acid (DNA) \<lower limit of quantification (LLOQ) and HBsAg not detected with or without HBsAb after a finite duration of therapy and off all HBV treatment. The number of participants achieving functional cure after discontinuation of all chronic HBV treatments (DAP/TOM, bepirovirsen, and NA treatment) will be reported.

Secondary Endpoints

Number of participants achieving functional cure with high Baseline HBsAg level
Up to 100 Weeks
Number of participants achieving functional cure with low Baseline HBsAg level
Up to 100 Weeks
Number of participants achieving functional cure with low Baseline HBsAg level compared against placebo + bepirovirsen arm
Up to 100 Weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Treatment Arm 1A: DAP/TOM + BepirovirsenEXPERIMENTALParticipants with high Hepatitis B surface antigen (HBsAg) level will receive dose level 1 of DAP/TOM in Treatment Stage 1. After DAP/TOM Treatment, eligible participants will receive bepirovirsen in Treatment Stage 2. All participants will continue background NA treatment throughout these treatment stages. After bepirovirsen Treatment Stage, participants will be observed during the NA Only Stage, while maintaining background NA treatment. Eligible participants will then discontinue background NA treatment.
Treatment Arm 1B: DAP/TOM + BepirovirsenEXPERIMENTALParticipants with high HBsAg level will receive dose level 2 of DAP/TOM in Treatment Stage 1. After DAP/TOM treatment, eligible participants will receive bepirovirsen in Treatment Stage 2. All participants will continue background NA treatment throughout these treatment stages. After bepirovirsen Treatment Stage, participants will be observed during the NA Only Stage, while maintaining background NA treatment. Eligible participants will then discontinue background NA treatment.
Treatment Arm 2A: DAP/TOM + BepirovirsenEXPERIMENTALParticipants with low HBsAg level will receive dose level 1 of DAP/TOM in Treatment Stage 1. After DAP/TOM treatment, eligible participants will receive bepirovirsen in Treatment Stage 2. All participants will continue background NA treatment throughout these treatment stages. After bepirovirsen Treatment Stage, participants will be observed during the NA Only Stage, while maintaining background NA treatment. Eligible participants will then discontinue background NA treatment.
Treatment Arm 2B: DAP/TOM + BepirovirsenEXPERIMENTALParticipants with low HBsAg level will receive dose level 2 of DAP/TOM in Treatment Stage 1. After DAP/TOM treatment, eligible participants will receive bepirovirsen in Treatment Stage 2. All participants will continue background NA treatment throughout these treatment stages. After bepirovirsen Treatment Stage, participants will be observed during the NA Only Stage, while maintaining background NA treatment. Eligible participants will then discontinue background NA treatment.
Treatment Arm 2C: Placebo + BepirovirsenEXPERIMENTALParticipants with low HBsAg level will receive Placebo in Treatment Stage 1. After Placebo treatment, eligible participants will receive bepirovirsen in Treatment Stage 2. All participants will continue background NA treatment throughout these treatment stages. After bepirovirsen Treatment Stage, participants will be observed during the NA Only Stage, while maintaining background NA treatment. Eligible participants will then discontinue background NA treatment.

Interventions

NameTypeDescription
Daplusiran/Tomligisiran Dose Level 1DRUGDaplusiran/Tomligisiran dose level 1 will be administered
Daplusiran/Tomligisiran Dose Level 2DRUGDaplusiran/Tomligisiran dose level 2 will be administered
BepirovirsenDRUGBepirovirsen will be administered
PlaceboDRUGPlacebo will be administered
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites80

Inclusion Criteria: * Age: At least 18 years of age at the time of signing the informed consent * Documented chronic HBV infection greater than or equal to (\>=) 6 months prior to Screening AND currently receiving stable NA therapy defined as receiving an NA regimen form at least 6 months prior to ...

Countries:United StatesAustraliaBelgiumBrazilCanadaChinaFranceGermanyGreeceHong KongItalyJapanNew ZealandSingaporeSouth AfricaSouth KoreaSpainTaiwanUnited Kingdom
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Recent Changes (Last 90 Days)

MEDIUMJul 7, 2026NCT06537414Completion: 2027-05-31 → 2030-05-17
MEDIUMJul 7, 2026NCT06537414Completion: 2027-05-31 → 2030-05-17

Frequently asked questions about Daplusiran/Tomligisiran

What is Daplusiran/Tomligisiran Dose Level 1 used for?

Daplusiran/Tomligisiran Dose Level 1 is being studied for the treatment of chronic hepatitis B virus infection. It is an investigational small molecule siRNA therapy given as part of a sequential treatment regimen that is followed by bepirovirsen in adults living with chronic hepatitis B.

How does Daplusiran/Tomligisiran Dose Level 1 work?

Daplusiran/Tomligisiran Dose Level 1 is a small molecule siRNA therapy. Small interfering RNA agents are designed to target and reduce specific RNA transcripts, which is the mechanism this investigational candidate uses in chronic hepatitis B. It is being evaluated as part of a sequential regimen followed by bepirovirsen.

Who is developing Daplusiran/Tomligisiran Dose Level 1?

GSK plc, which trades under the ticker GSK, is the developer of Daplusiran/Tomligisiran Dose Level 1. The company is running the clinical program evaluating this siRNA candidate for chronic hepatitis B virus infection.

What phase is Daplusiran/Tomligisiran Dose Level 1 in?

Daplusiran/Tomligisiran Dose Level 1 is in Phase 2 clinical development. It is an investigational therapy and has not been approved for commercial use. The Phase 2 study is currently active and no longer recruiting participants.

What clinical trial is Daplusiran/Tomligisiran Dose Level 1 in?

Daplusiran/Tomligisiran Dose Level 1 is being evaluated in the Phase 2 trial NCT06537414, titled A Study of Sequential Therapy With Daplusiran/Tomligisiran (DAP/TOM) Followed by Bepirovirsen in Participants Living With Chronic Hepatitis B. The study is active but not recruiting and has enrolled 283 participants across multiple countries.

How is the Daplusiran/Tomligisiran Dose Level 1 trial designed?

The Phase 2 trial NCT06537414 is a randomized, double-blind, controlled study of Daplusiran/Tomligisiran Dose Level 1 followed by bepirovirsen in adults with chronic hepatitis B. It enrolled 283 participants aged 18 years and older and is being conducted across sites in the United States, Europe, Asia, and other regions.