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FDA Approves Hovilpri for Herpes Simplex Virus Lesions

The approval is based on a 101-patient trial that found 62.7% of treated patients healed within 28 days, compared with 34% in the control group.

  • On Friday, the FDA approved Asahi Kasei's pritelivir to treat persistent HSV lesions in immunocompromised adults who have not responded to existing antiviral therapies.
  • Older first-line drugs require activation by viral enzymes, and mutations disrupting this process cause resistance; pritelivir blocks proteins the virus needs to copy genetic material.
  • Data showed that 62.7% of patients receiving pritelivir experienced lesion healing within 28 days, compared to 34% in the control group using older off-label medicines.
  • This approval marks the first new HSV treatment in over 2 decades, with Asahi Kasei estimating the drug could serve about 15,000 patients with weakened immune systems.
  • The WHO estimates 3.8 billion people worldwide aged younger than 50 have HSV type 1, while Asahi Kasei projects peak annual sales of more than $400 million by the mid-to-late 2030s.
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Business Wire broke the news in Crystal River, United States on Friday, October 9, 2026.
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