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HerpV and QS-21

Phase 2

Herpes Simplex Type 2 | Small molecule | Infectious Disease |Agenus Inc.|Trials Updated: Jul 13, 2021

HerpV and QS-21 development status

Highest phase Phase 2
Registered trials 2 across 1 sponsor since Oct 2005

HerpV and QS-21 target and mechanism

Molecular targetHSV-2
Target classAntigen
ModalitySmall molecule

Also known as AG-707

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment115

FDA Designations

No designations recorded

HerpV and QS-21 clinical trials

HerpV and QS-21 · 2 trials · 2 indications

Phase 2 1Phase 1 1
NCT01687595Biological Efficacy Study of HerpV Vaccine With QS-21 to Treat Participants With Recurrent Genital HerpesHerpes Simplex Type 2
COMPLETED80 Analytics
PHASE2COMPLETED
Biological Efficacy Study of HerpV Vaccine With QS-21 to Treat Participants With Recurrent Genital Herpes
Herpes Simplex Type 2Unlock trial analytics

Study Endpoints

Primary Endpoints

Percent Change in Overall Viral Shedding Rate From Baseline (Week -7 to 0) to Post-treatment Period (Weeks 6 to 13)
Baseline, Weeks 6-13

The viral shedding rate was defined as the number of days with genital swab positive for herpes simplex virus (HSV) deoxyribonucleic acid (DNA), as measured by quantitative real-time polymerase chain reaction (PCR), relative to the total number of days with available swabs. The viral shedding rate was defined as the number of days with genital swab positive for herpes simplex virus (HSV) deoxyribonucleic acid (DNA), as measured by quantitative real-time polymerase chain reaction (PCR), relative to the total number of days with available swabs. Overall viral shedding rate = number of days with positive PCR/total number of days PCR results collected. Change in overall viral shedding rate was calculated within participants comparing baseline with post-treatment, and summarized across all participants. Percent change in viral shedding rate and 95% CI are reported.

Percent Change in Overall Viral Shedding Rate From Baseline (Week -7 to 0) to Post-treatment Period (Weeks 26 to 33)
Baseline, Weeks 26-33

The viral shedding rate was defined as the number of days with genital swab positive for HSV DNA, as measured by quantitative real-time PCR, relative to the total number of days with available swabs. The viral shedding rate was defined as the number of days with genital swab positive for herpes simplex virus (HSV) deoxyribonucleic acid (DNA), as measured by quantitative real-time polymerase chain reaction (PCR), relative to the total number of days with available swabs. Overall viral shedding rate = number of days with positive PCR/total number of days PCR results collected. Change in overall viral shedding rate was calculated within participants comparing baseline with post-treatment, and summarized across all participants. Percent change in viral shedding rate and 95% CI are reported.

Determine the overall safety profile of three different dose levels of AG-707 vaccination (with and without an adjuvant, QS-21) at 80, 240 and 400 µg compared to placebo and QS-21 alone in herpes simplex virus-2 (HSV-2) seropositive adults

Secondary Endpoints

Determine immune response to AG-707 vaccination (with and without QS-21) at dose cohorts of 80, 240, and 400 µg as compared to placebo and QS-21 alone
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
HerpV 240 μg + QS-21 50 μgEXPERIMENTALParticipants will receive a combination of HerpV 240 micrograms (μg) and QS-21 50 μg injection subcutaneously at Weeks 0, 2 and 4 in treatment period 1. At Week 24, participants who completed treatment period 1 will receive a booster dose of combination of HerpV 240 μg and QS-21 50 μg in treatment period 2. Each treatment period will be followed by a washout period of 1 week.
PlaceboPLACEBO_COMPARATORParticipants will receive a placebo injection subcutaneously at Weeks 0, 2 and 4 in treatment period 1 and at Week 24 in treatment period 2. Each treatment period will be followed by a washout period of 1 week.

Interventions

NameTypeDescription
HerpV and QS-21DRUGHerpV (recombinant human heat shock protein 70 \[rh-Hsc70\] polyvalent peptide complex) in combination with adjuvant QS-21
PlaceboDRUGphosphate buffered saline
AG-707DRUG -
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Eligibility Criteria

Age Range18 Years to 50 Years
SexALL
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: * Seropositive for herpes simplex virus type 2 (HSV-2) * Clinically active genital herpes defined as a history of 1-9 episodes per year for at least 1 year prior to screening or 1 year prior to beginning suppressive therapy. * Willing to either use an effective method of contrac...

Countries:United States
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Frequently asked questions about HerpV and QS-21

What is HerpV and QS-21 used for?

HerpV and QS-21 is an investigational vaccine combination being studied for the treatment of Herpes Simplex Type 2, the virus that causes recurrent genital herpes. It is designed for adults 18 years and older with recurrent genital herpes, not for healthy volunteers seeking prevention.

What does HerpV and QS-21 target?

HerpV and QS-21 targets HSV-2, the herpes simplex virus type 2 antigen. The HerpV component presents HSV-2 antigen, while QS-21 is an adjuvant included to enhance the immune response to that antigen. The combination is classified as a small molecule therapeutic approach against HSV-2.

Who is developing HerpV and QS-21?

HerpV and QS-21 is being developed by Agenus Inc., which trades under the ticker AGEN. Agenus is the sponsor behind the clinical program evaluating this vaccine combination for Herpes Simplex Type 2.

What phase is HerpV and QS-21 in?

HerpV and QS-21 is in Phase 2 clinical development. It is an investigational product and has not been approved by the FDA. The Phase 2 program consists of one completed trial, and no trials are currently active.

What clinical trials is HerpV and QS-21 in?

HerpV and QS-21 has been studied in one Phase 2 trial, NCT01687595, titled a Biological Efficacy Study of HerpV Vaccine With QS-21 to Treat Participants With Recurrent Genital Herpes. The trial enrolled 80 participants in the United States, was randomized, double-blind, and placebo-controlled, and is now completed.