An experimental antiviral drug, obeldesivir, is being tested in the Democratic Republic of Congo to assess whether it can prevent Ebola from developing further after a person has been exposed to the virus. As the country continues to fight the deadliest Ebola outbreak, more than 250 people have now enrolled in the EBO-PEP trial, which is testing obeldesivir, an oral antiviral developed by Gilead Sciences. The trial is being conducted in Ituri province, the epicentre where the outbreak caused by the Bundibugyo strain of Ebola is concentrated. According to Congolese health authorities, until now, more than 8,300 confirmed cases and 4,000 deaths across seven provinces have been recorded. More About Obeldesivir Trial Also read: Russia Plague Scare: Lab Worker Dies Of 'Unknown Infection' After Suspected Exposure; CDC Monitors The SituationObeldesivir is not being given to people who are already sick with Ebola in this trial. Instead, researchers are testing it as post-exposure prophylaxis, or PEP. PEP means treating someone after they have been exposed to an infection but before they develop symptoms. The EBO-PEP trial is enrolling people who have had high-risk contact with a confirmed Ebola patient within the previous five days but do not have symptoms. Participants are randomly assigned to receive either obeldesivir or a placebo and are monitored for 21 days, with follow-up continuing to 42 days. The obeldesivir study is designed to include 998 people. The ongoing Ebola outbreak in Ebola is caused by Bundibugyo ebolavirus, a strain for which there is currently no licensed vaccine or approved treatment. In May, WHO experts identified obeldesivir as a candidate for testing as post-exposure prophylaxis. They recommended that it be studied to establish whether it can actually prevent people exposed to the virus from developing Ebola. WHO chief scientist Dr Sylvie Briand said at the time, “This is a promising treatment drug, but it has still to be implemented under a very, very strict protocol.” The clinical trials are crucial as obeldesivir is still experimental for this Ebola strain. It was originally developed as an oral antiviral for COVID-19 and has shown promise against filoviruses, including Bundibugyo virus, in preclinical research. Trial Began Three Months Ago Also read: Congo Ebola Cases Top 8,000; Deaths Near 4,000 As Treatment Delays Remain A ConcernThe EBO-PEP trial began enrolling participants in July 2026, just after WHO experts recommended obeldesivir. By September 18, more than 200 high-risk participants had enrolled. According to latest numbers, there are now more than 250+ people in the trial. Gilead donated 2,400 bottles of obeldesivir to support the research. The company also donated remdesivir, which is being made available under a compassionate-use protocol for certain exposed children and pregnant or breastfeeding women who cannot participate in the obeldesivir trial. The obeldesivir study is separate from the PARTNERS trial, which is testing treatments for people who already have Bundibugyo Ebola disease. That trial is evaluating MBP134, a monoclonal antibody, and remdesivir, including whether the two can be combined to improve survival. WHO launched patient enrolment for the trial in July. WHO Director-General Dr Tedros Adhanom Ghebreyesus said, “Even without approved therapeutics, people are recovering from this disease, but of course, we could save many more lives with safe and effective therapeutics in our toolkit.” He added, “The PARTNERS trial, established with national authorities and scientific partners in record time, offers real hope that we can deliver concrete results for – and with – the communities at the heart of the outbreak.” The two trials therefore target different stages of infection. PARTNERS is studying treatment after Ebola develops, while EBO-PEP is asking whether obeldesivir can stop disease from developing after exposure. Obeldesivir Trial's Goals Participants are monitored closely to see if symptoms could emerge. The trial's goal is to determine whether people who receive obeldesivir are less likely to develop symptomatic Bundibugyo Ebola disease than those receiving placebo. Researchers will also assess the drug's safety. The study is being conducted by ALIMA with the Democratic Republic of Congo's National Institute of Biomedical Research and France's ANRS Emerging Infectious Diseases, alongside other national and international partners.