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ARCT-2138

Phase 1

Influenza, Human | Monoclonal antibody | Infectious Disease |Arcturus Therapeutics Holdings Inc.|Last Updated: Oct 3, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment139
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06125691Safety and Immunogenicity First-in-human Dose-ranging Study of Self-Amplifying RNA Seasonal Influenza Vaccine in AdultsPHASE1 COMPLETED 139Jan 22, 2024Jan 7, 2025Oct 3, 20252 Australia
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Study Endpoints
Primary Endpoints
Percentage of participants reporting local Adverse Events
14 Days following study vaccination

Solicited local AEs include injection-site pain, erythema and swelling

Percentage of participants reporting systemic Adverse Events
14 Days following study vaccination

Solicited systemic AEs include fatigue, headache, myalgia, arthralgia, nausea, chills, and fever.

Percentage of participants reporting unsolicited Adverse Events
29 Days following study vaccination

Spontaneously reported adverse events and as elicited by investigational site staff

Percentage of participants reporting laboratory or vital signs abnormalities
29 Days following study vaccination

Abnormal clinically significant values

Percentage of participants reporting serious adverse events, medically attended adverse events adverse events of special interest and adverse events leading early termination
29 Days following study vaccination

Spontaneously reported adverse events and as elicited by investigational site staff

Serum hemagglutination inhibition (HAI) antibody levels against the HA glycoprotein.
29 days following study vaccination

HAI antibody levels expressed as GMT, GMFI, SCRs and HAI titers.

Serum neuraminidase enzyme-linked lectin (ELLA) assay antibody levels against the NA glycoproteins.
29 days following study vaccination

ELLA antibody levels expressed as GMT, GMFI, SCRs and HAI titers.

Secondary Endpoints
Percentage of participants reporting serious adverse events, medically attended adverse events adverse events of special interest and adverse events leading early termination
181 days following study vaccination
Serum hemagglutination inhibition (HAI) antibody levels against the HA glycoprotein.
181 days following study vaccination
Serum neuraminidase enzyme-linked lectin (ELLA) assay antibody levels against the NA glycoproteins.
181 days following study vaccination
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
Cohort 1 of ARCT-2138, younger adultsEXPERIMENTALDose Level 1 of ARCT-2138 administered through intramuscular injection in the deltoid muscle. Interventions: Investigational Vaccine: ARCT-2138
Cohort 2 of ARCT-2138, younger adultsEXPERIMENTALDose Level 2 of ARCT-2138 administered through intramuscular injection in the deltoid muscle. Interventions: Investigational Vaccine: ARCT-2138
Cohort 3 of ARCT-2138, younger adultsEXPERIMENTALDose Level 3 of ARCT-2138 administered through intramuscular injection in the deltoid muscle. Interventions: Investigational Vaccine: ARCT-2138
Cohort 4 of ARCT-2138, younger adultsEXPERIMENTALDose Level 4 of ARCT-2138 administered through intramuscular injection in the deltoid muscle. Interventions: Investigational Vaccine: ARCT-2138
Low Dose, younger and older adultsEXPERIMENTALLow dose level of ARCT-2138 administered through intramuscular injection in the deltoid muscle. Interventions: Investigational Vaccine: ARCT-2138
Medium Dose, younger and older adultsEXPERIMENTALMedium dose level of ARCT-2138 administered through intramuscular injection in the deltoid muscle. Interventions: Investigational Vaccine: ARCT-2138
High Dose, younger and older adultsEXPERIMENTALHigh dose level of ARCT-2138 administered through intramuscular injection in the deltoid muscle. Interventions: Investigational Vaccine: ARCT-2138
Control Dose, younger adultsACTIVE_COMPARATORLicensed Quadrivalent Vaccine administered through intramuscular injection in the deltoid muscle. Interventions: Control Vaccine: Licensed Quadrivalent Vaccine for younger adults
Control Dose, older adultsACTIVE_COMPARATORLicensed Quadrivalent Vaccine administered through intramuscular injection in the deltoid muscle. Interventions: Control Vaccine: Licensed Quadrivalent Vaccine for older adults
Interventions
NameTypeDescription
ARCT-2138BIOLOGICALEach participant will receive one 0.5 mL intramuscular (IM) dose into the deltoid muscle.
Licensed Quadrivalent Vaccine for younger adultsBIOLOGICALEach participant will receive one 0.5 mL intramuscular (IM) dose into the deltoid muscle.
Licensed Quadrivalent Vaccine for older adultsBIOLOGICALEach participant will receive one 0.5 mL intramuscular (IM) dose into the deltoid muscle.
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Eligibility Criteria
Age Range18 Years — 85 Years
SexALL
Healthy VolunteersYes
Study Sites2

Inclusion Criteria: 1. Individuals are male, female, or transgender adults 18 to 49 years of age or 65 to 85 years of age. 2. Healthy participants or participants with pre-existing stable medical conditions. Pre-existing stable medical condition means a subject who: has full capacity of daily activ...

Countries:Australia
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