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Mirum Pharmaceuticals Announces Primary Endpoint Met in Phase 3 AZURE-1 Study of Brelovitug in Chronic Hepatitis Delta Virus

$MIRMPress releaseSep 28, 2026, 8:00 AM ETRead the release

Mirum Pharmaceuticals reported that brelovitug met the Phase 3 AZURE-1 primary endpoint in chronic hepatitis delta, with 56% (300 mg QW) and 45% (900 mg Q4W) of patients achieving combined virologic response and ALT normalization at Week 24 versus 0% in the delayed treatment arm (p<0.0001 for both). Forty-eight-week Phase 2b data showed deepening viral suppression, with HDV RNA below the limit of quantification rising to 80% (300 mg QW) and 40% (900 mg Q4W), and the primary endpoint reaching 55% in both arms. Safety was favorable with no new signals and zero treatment discontinuations in Phase 3 through Week 24. AZURE-1 is one of two pivotal studies supporting the U.S.

Key figures

Drug Name
brelovitug
Phase Of Trial
Phase 3
P value
<0.0001
Azure4 topline
Q4 2026
Bla submission
H1 2027
Phase3 enrolled
153
Potential us launch
Q4 2027
Week48 primary endpoint phase2b
55% both arms
Phase3 primary endpoint 300mg qw
56%
Phase3 primary endpoint 900mg q4w
45%
Delayed treatment arm primary endpoint
0%

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