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RSV InfectionPhase 2NCT03691623

A Phase 2a Study to Evaluate EDP-938 in the Virus Challenge Model

A Phase 2 study testing EDP-938 Dose 1, EDP-938 Dose 2 and EDP-938 Dose 3 in people with RSV Infection, run by Enanta Pharmaceuticals, Inc at 1 site in United Kingdom.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

A randomised, Phase 2a, double-blind, placebo-controlled study to evaluate the safety, pharmacokinetics and antiviral activity of multiple doses of orally administered EDP-938 in healthy subjects infected with RSV-A Memphis 37b. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
RSV Infection
What is being tested?
EDP-938 Dose 1, EDP-938 Dose 2 and EDP-938 Dose 3
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
179 participants
Where
1 siteUnited Kingdom
Study dates
15 Oct 2018to 18 Oct 2019
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • An informed consent document signed and dated by the subject
  • Age 18 to 55 years, inclusive
  • In good health with no history of major medical conditions
  • A total body weight ≥ 50 kg and Body Mass Index (BMI) ≥ 18 kg/m^2 and ≤ 30kg/m^2

Who cannot join

  • Pregnant or nursing females
  • Acute or chronic medical illness
  • Abnormal lung function
  • Positive for human immunodeficiency virus (HIV), active hepatitis A, B or C test
  • Nose or nasopharynx abnormalities
  • Receipt of any investigational drug within 3 months prior to the planned date of viral challenge/first dose of study drug

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • hVIVO Services Limited (hVIVO)

    London

Other trials in United Kingdom

About this study

Official title: A Randomised, Phase 2a, Double-Blind, Placebo-Controlled Study to Evaluate the Safety, Pharmacokinetics and Antiviral Activity of Multiple Doses of Orally Administered EDP-938 Against Respiratory Syncytial Virus Infection in the Virus Challenge Model.

A randomised, Phase 2a, double-blind, placebo-controlled study to evaluate the safety, pharmacokinetics and antiviral activity of multiple doses of orally administered EDP-938 in healthy subjects infected with RSV-A Memphis 37b. This study is designed to compare the antiviral effect of EDP-938 compared to a placebo control in the respiratory syncytial virus challenge model.

Conditions
RSV Infection
Being tested
EDP-938 Dose 1, EDP-938 Dose 2, Placebo, EDP-938 Dose 3, EDP-938 Dose 4
Keywords
challenge study, RSV, antiviral, RSV-A Memphis 37b
Medical subject headings
Respiratory Syncytial Virus Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • EDP-938 Dose 1Drug

    Oral suspension for 5 days

  • EDP-938 Dose 2Drug

    Oral suspension for 5 days

  • PlaceboDrug

    Oral suspension for 5 days

  • EDP-938 Dose 3Drug

    Oral suspension for 5 days

  • EDP-938 Dose 4Drug

    Oral suspension for 5 days

  • PlaceboDrug

    Oral suspension for 5 days

Study groups in NCT03691623
Study groupRoleWhat they receive
EDP-938 Arm AExperimentalSubjects will take EDP-938 Dose 1 oral suspension for 5 days
Receives: Drug: EDP-938 Dose 1
EDP-938 Arm BExperimentalSubjects will take EDP-938 Dose 2 oral suspension for 5 days
Receives: Drug: EDP-938 Dose 2
Placebo Arm CPlacebo comparatorSubjects will take matching placebo oral suspension for 5 days
Receives: Drug: Placebo
EDP-938 Arm DExperimentalSubjects will take EDP-938 Dose 3 oral suspension for 5 days
Receives: Drug: EDP-938 Dose 3
EDP-938 Arm EExperimentalSubjects will take EDP-938 Dose 4 oral suspension for 5 days
Receives: Drug: EDP-938 Dose 4
Placebo Arm FPlacebo comparatorSubjects will take matching placebo oral suspension for 5 days
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Area Under the Curve (AUC) of Respiratory Syncytial Virus (RSV) Viral Load

    Measured in nasal washes by quantitative reverse transcription polymerase chain reaction (RT-qPCR) in participants inoculated with respiratory syncytial virus-A (RSV-A) Memphis 37b.

    Measured: Twice daily on Day 2 through Day 11 and once on Day 12

Secondary outcomes (23)
  1. Area Under the Curve (AUC) of Total Symptom Score

    Total symptom scores (from the 10-item Diary Card) were used to calculate the AUC. Each individual symptom score was graded on a scale of 0-3, where Grade 0 is absence, Grade 1 is just noticeable, Grade 2 is bothersome but does not prevent participation in activities and Grade 3 is bothersome and interferes with activities:

    • Runny nose
    • Stuffy nose
    • Sneezing
    • Sore throat
    • Earache
    • Malaise (Tiredness)
    • Cough
    • Shortness of breath
    • Headache
    • Muscle/ joint ache/ stiffness

    Total symptom score is the sum of individual symptom scores with a potential range of 0 (best) to 30 (worst). Data presented is hours x score.

    Measured: Three times daily on Day 0 to Day 11, once on Day 12

  2. Peak Total Symptom Score

    Peak total symptom score was defined as the highest total symptom score between first dose of study drug and Day 12. Values presented are a sum of individual symptom scores, with a potential range of 0 (best) to 30 (worst). Total symptom scores at the time of the first dose of study drug can be before or after dosing.

    Measured by the 10-item Diary Card. Each individual symptom score was graded on a scale of 0-3, where Grade 0 is absence, Grade 1 is just noticeable, Grade 2 is bothersome but does not prevent participation in activities and Grade 3 is bothersome and interferes with activities:

    • Runny nose
    • Stuffy nose
    • Sneezing
    • Sore throat
    • Earache
    • Malaise (Tiredness)
    • Cough
    • Shortness of breath
    • Headache
    • Muscle/ joint ache/ stiffness

    Measured: Day 2 to Day 12

  3. Total Symptom Score

    Measured by the 10-item Diary Card. Each individual symptom score was graded on a scale of 0-3, where Grade 0 is absence, Grade 1 is just noticeable, Grade 2 is bothersome but does not prevent participation in activities and Grade 3 is bothersome and interferes with activities. Total symptom score is the sum of individual symptom scores with a potential range of 0 (best) to 30 (worst).

    • Runny nose
    • Stuffy nose
    • Sneezing
    • Sore throat
    • Earache
    • Malaise (Tiredness)
    • Cough
    • Shortness of breath
    • Headache
    • Muscle/ joint ache/ stiffness

    Measured: Day 2 to Day 9

  4. Time to Peak Total Symptom Score

    Time to peak total symptom score was defined as the time in days to the highest total symptom score between first dose of study drug and Day 12. Total symptom scores at the time of the first dose of study drug can be before or after dosing.

    Measured: Day 2 to Day 12

  5. Time to Resolution From Peak Total Symptom Score

    Time to resolution from peak total symptom score was defined as the time in days from the highest total symptom score (between first dose of study drug and Day 12) until the start of the first 24-hour symptom-free period (after the highest total symptom score). Total symptom scores at the time of the first dose of study drug can be before or after dosing.

    Measured: Day 2 to Day 12

  6. Total Weight of Nasal Mucus Produced

    Measured via weighed paper tissues and reported as a mean total across all study days.

    Measured: Day 2 to Day 12

  7. Peak Viral Load

    Peak viral load was defined as the highest quantitative reverse transcription polymerase chain reaction (RT-qPCR) viral load value between first dose of study drug and Day 12. Measured by nasal wash RT-qPCR.

    Measured: Day 2 to Day 12

  8. Time to Peak Viral Load

    Time to peak viral load was defined as the time to the highest quantitative reverse transcription polymerase chain reaction (RT-qPCR) viral load value between first dose of study drug and Day 12. Measured by nasal wash RT-qPCR.

    Measured: Day 2 to Day 12

  9. Time to Resolution From Peak Viral Load

    Time to resolution from peak viral load was defined as the time from peak until first confirmed undetectable assessment between first dose of study drug and Day 12. Measured by by nasal wash quantitative reverse transcription polymerase chain reaction (RT-qPCR).

    Measured: Day 2 to Day 12

  10. Time to Cessation of Virus Detection

    Time to cessation of virus detection was measured by nasal wash quantitative reverse transcription polymerase chain reaction (RT-qPCR).

    Measured: Day 2 to Day 12

  11. Safety and Tolerability as Assessed by Number of Participants With Treatment-emergent Adverse Events (TEAEs)

    A TEAE was defined as any untoward medical occurrence in participants that happened after study drug administration. Any clinically significant physical examinations, vital signs, clinical laboratory tests (including biochemistry, hematology, coagulation [if required], cardiac enzymes and urine analysis), 12-lead electrocardiograms (ECGs) and spirometry results were recorded as adverse events.

    Measured: Day 2 to Day 28

  12. Maximum Plasma Concentration (Cmax) of EDP-938 and Its Metabolites

    The metabolites of EDP-938 that were assessed were EP-024636, EP-024594 and EP-024595.

    Measured: Day 2: pre-dose, and 0.5, 1, 2, 3, 4, 5, 6, 8, 10 and 12 hours post-dose; and Day 7: 15, 24, 30, 36, 48, 60, and 72 hours post-dose

  13. Time to Maximum Plasma Concentration (Tmax) of EDP-938 and Its Metabolites

    The metabolites of EDP-938 that were assessed were EP-024636, EP-024594 and EP-024595.

    Measured: Day 2: pre-dose, and 0.5, 1, 2, 3, 4, 5, 6, 8, 10 and 12 hours post-dose; and Day 7: 15, 24, 30, 36, 48, 60, and 72 hours post-dose

  14. Terminal Phase Half-Life (t1/2) of EDP-938 and Its Metabolites

    The metabolites of EDP-938 that were assessed were EP-024636, EP-024594 and EP-024595.

    Measured: Day 2 and Day 6: Pre-dose, and 0.5, 1, 2, 3, 4, 5, 6, 8, 10, and 12 hours post-dose; Day 7 only: 15, 24, 30, 36, 48, 60, and 72 hours post-dose

  15. Apparent Systemic Clearance at Steady State (CLss/F) of EDP-938

    Measured: Day 2 and Day 6: Pre-dose, and 0.5, 1, 2, 3, 4, 5, 6, 8, 10, and 12 hours post-dose; Day 7 only: 15, 24, 30, 36, 48, 60, and 72 hours post-dose

  16. Terminal Phase Rate Constant Calculated by Linear Regression of the Terminal Loglinear Portion of the Concentration vs. Time Curve (λz) of EDP-938 and Its Metabolites

    The metabolites of EDP-938 that were assessed were EP-024636, EP-024594 and EP-024595.

    Measured: Day 2 and Day 6: Pre-dose, and 0.5, 1, 2, 3, 4, 5, 6, 8, 10, and 12 hours post-dose; Day 7 only: 15, 24, 30, 36, 48, 60, and 72 hours post-dose

  17. Volume of Distribution at Steady State (Vss/F) of EDP-938

    Measured: Day 2 and Day 6: Pre-dose, and 0.5, 1, 2, 3, 4, 5, 6, 8, 10, and 12 hours post-dose; Day 7 only: 15, 24, 30, 36, 48, 60, and 72 hours post-dose

  18. Plasma Concentration at 12 Hours (C12) of EDP-938 and Its Metabolites

    The metabolites of EDP-938 that were assessed were EP-024636, EP-024594 and EP-024595.

    Measured: Day 2 and Day 7; 12 hours post-dose

  19. Plasma Concentration at 24 Hours (C24) of EDP-938 and Its Metabolites

    The metabolites of EDP-938 that were assessed were EP-024636, EP-024594 and EP-024595.

    Measured: Day 2 and Day 7; 24 hours post-dose

  20. Area Under the Concentration Time Curve Time 0 to Time of Last Quantifiable Concentration (AUC0-last) of EDP-938 and Its Metabolites

    The metabolites of EDP-938 that were assessed were EP-024636, EP-024594 and EP-024595.

    Measured: Day 2: pre-dose, and 0.5, 1, 2, 3, 4, 5, 6, 8, 10 and 12 hours post-dose; and Day 7: 15, 24, 30, 36, 48, 60, and 72 hours post-dose

  21. Area Under the Plasma Concentration-Time Curve Over the Dosing Interval (AUC0-tau) of EDP-938 and Its Metabolites

    The metabolites of EDP-938 that were assessed were EP-024636, EP-024594 and EP-024595.

    Measured: Day 2 and Day 6: Pre-dose, and 0.5, 1, 2, 3, 4, 5, 6, 8, 10, and 12 hours post-dose; Day 7 only: 15, 24, 30, 36, 48, 60, and 72 hours post-dose

  22. Number of Participants With Correlation of Plasma Pharmacokinetic (PK) Area Under the Curve (AUC) and Viral Load AUC

    The overall criteria to define correlation was based on identifying a PK AUC associated with a less favorable viral load AUC i.e. a low PK AUC and a high viral load AUC indicated a correlation.

    Measured: Day 2 to Day 18

  23. Number of Participants With Correlation of Plasma Pharmacokinetic (PK) Area Under the Curve (AUC) and Total Symptom Score (TSS) AUC

    The overall criteria to define correlation was based on identifying a PK AUC associated with a less favorable TSS AUC, i.e. a low PK AUC and a high TSS AUC indicated a correlation.

    Measured: Day 2 to Day 18

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Oct 2018
  2. Study start15 Oct 2018
  3. Primary completion30 Sep 2019
  4. Study completion18 Oct 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
179 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03691623
Sponsor's protocol ID
EDP 938-101
Status last verified
Aug 2019
First submitted
28 Sep 2018
Last updated
3 May 2022
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Levene RE, DeVincenzo J, Conery AL, Ahmad A, Or YS, Rhodin MHJ. EDP-938 Has a High Barrier to Resistance in Healthy Adults Experimentally Infected with Respiratory Syncytial Virus. J Infect Dis. 2025 Feb 20;231(2):e290-e298. doi: 10.1093/infdis/jiae471.

    PubMed 39441691
  • Ahmad A, Eze K, Noulin N, Horvathova V, Murray B, Baillet M, Grey L, Mori J, Adda N. EDP-938, a Respiratory Syncytial Virus Inhibitor, in a Human Virus Challenge. N Engl J Med. 2022 Feb 17;386(7):655-666. doi: 10.1056/NEJMoa2108903.

    PubMed 35172056

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing EDP-938 Dose 1, EDP-938 Dose 2 and EDP-938 Dose 3 in people with RSV Infection, run by Enanta Pharmaceuticals, Inc at 1 site in United Kingdom.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 3 May 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 3 May 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Area Under the Curve (AUC) of Respiratory Syncytial Virus (RSV) Viral Load (time frame: Twice daily on Day 2 through Day 11 and once on Day 12). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03691623, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 May 2022.

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