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ABI-5366

Phase 1

Recurrent Genital Herpes Simplex Type 2 | Small molecule | Infectious Disease |Assembly Biosciences, Inc.|Trials Updated: Mar 30, 2026

ABI-5366 development status

Highest phase Phase 1
Registered trials 1 across 1 sponsor since Apr 2024

ABI-5366 target and mechanism

Molecular targetHSV helicase-primase
Target classProtein
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment115

FDA Designations

No designations recorded

ABI-5366 clinical trials

ABI-5366 · 1 trial · 1 indication

Phase 1 1
NCT06385327A Study to Assess the Safety, Pharmacokinetics, and Antiviral Activity of ABI-5366 in Healthy Participants and Participants Seropositive for HSV-2 With Recurrent Genital HerpesRecurrent Genital Herpes Simplex Type 2
COMPLETED115 Analytics
PHASE1COMPLETED
A Study to Assess the Safety, Pharmacokinetics, and Antiviral Activity of ABI-5366 in Healthy Participants and Participants Seropositive for HSV-2 With Recurrent Genital Herpes
Recurrent Genital Herpes Simplex Type 2Unlock trial analytics

Study Endpoints

Primary Endpoints

Area Under the Plasma Concentration Time Curve (AUC) of ABI-5366
SAD Cohorts: before and at pre-specified time points up to 168 hours after dosing. MAD Cohorts: before and at pre-specified time points up to 8 hours after dosing.
Maximum Observed Plasma Concentration (Cmax) of ABI-5366
SAD Cohorts: before and at pre-specified time points up to 168 hours after dosing. MAD Cohorts: before and at pre-specified time points up to 8 hours after dosing.
Time to Cmax (Tmax) of ABI-5366
SAD Cohorts: before and at pre-specified time points up to 168 hours after dosing. MAD Cohorts: before and at pre-specified time points up to 8 hours after dosing.
Apparent Terminal Elimination Half Life (t 1/2) of ABI-5366
SAD Cohorts: before and at pre-specified time points up to 168 hours after dosing. MAD Cohorts: before and at pre-specified time points up to 8 hours after dosing.
Apparent Systemic Clearance (CL/F) of ABI-5366
SAD Cohorts: before and at pre-specified time points up to 168 hours after dosing. MAD Cohorts: before and at pre-specified time points up to 8 hours after dosing.
Apparent Volume of Distribution (Vz/F) of ABI-5366
SAD Cohorts: before and at pre-specified time points up to 168 hours after dosing. MAD Cohorts: before and at pre-specified time points up to 8 hours after dosing.
Dose normalized AUCs and Cmax of ABI-5366
SAD Cohorts: before and at pre-specified time points up to 168 hours after dosing. MAD Cohorts: before and at pre-specified time points up to 8 hours after dosing.
Proportion of subjects with adverse events (AEs), premature treatment discontinuation due to AEs, and abnormal laboratory results
Up to 98 days after last dose

Secondary Endpoints

SAD Cohorts: Comparison of plasma AUC and Cmax between fasted and fed treatments
SAD Cohorts: before and at pre-specified time points up to 168 hours after dosing.
MAD Cohorts: If applicable, comparison of plasma PK profiles and parameters with and without loading doses
MAD Cohorts: At pre-specified time points from Days 8 to 36.
MAD Cohorts: Difference in viral shedding rate (number of anogenital swabs positive for HSV-2 DNA/total number of swabs) across treatments
MAD Cohorts: At pre-specified time points from Days 8 to 36.
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part A: SAD Cohorts 1-5, ABI-5366EXPERIMENTALSingle dose of ABI-5366 (tablet) in Part A for Cohorts 1-5
Part A: SAD Cohorts 1-5, PlaceboPLACEBO_COMPARATORSingle dose of matching placebo (tablet) in Part A for Cohorts 1-5
Part A: SAD Fed Cohort 6, ABI-5366EXPERIMENTALSingle dose of ABI-5366 (tablet) in Part A for Cohort 6, food effect
Part B: MAD Cohorts 1-4 ABI-5366EXPERIMENTALWeekly or monthly dose of ABI-5366 (tablet) in Part B for Cohorts 1-4. May have a loading dose.
Part B: MAD Cohorts 1-4 PlaceboPLACEBO_COMPARATORWeekly or monthly dose of matching placebo (tablet) in Part B for Cohorts 1-4. May have a loading dose.

Interventions

NameTypeDescription
ABI-5366DRUGOnce daily tablet dosing (SAD) or weekly or monthly tablet dosing over the 29-day treatment period (MAD)
ABI-5366 PlaceboDRUGOnce daily tablet dosing (SAD) or weekly or monthly tablet dosing over the 29-day treatment period (MAD)
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Eligibility Criteria

Age Range18 Years to 60 Years
SexALL
Healthy VolunteersYes
Study Sites15

Part A: Inclusion Criteria: * Subject has a body mass index (BMI) between ≥ 18.0 and \< 32.0 kg/m2 * In good health (as determined by the Investigator) based on medical history, physical examination, ECG, and clinical laboratory results. * Female subjects must be non-pregnant and have a negative se...

Countries:AustraliaNew Zealand
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Frequently asked questions about ABI-5366

What is ABI-5366 used for?

ABI-5366 is an investigational small molecule being developed for recurrent genital herpes simplex type 2, caused by HSV-2. It is not approved for any use and remains in clinical development. Assembly Biosciences is evaluating it as a potential treatment option for people who experience recurrent genital herpes outbreaks.

What does ABI-5366 target?

ABI-5366 targets the HSV helicase-primase, a protein complex the herpes simplex virus needs to replicate its DNA. By acting on this viral enzyme, the drug is designed to interfere with viral replication. This mechanism differs from that of nucleoside-based antivirals that target the viral DNA polymerase.

Who is developing ABI-5366?

ABI-5366 is being developed by Assembly Biosciences, Inc., which trades on the Nasdaq under the ticker ASMB. The company is advancing the compound as part of its antiviral research pipeline, with recurrent genital herpes simplex type 2 as the lead indication studied to date.

What phase is ABI-5366 in?

ABI-5366 is in Phase 1 clinical development. It is investigational and has not been approved by the FDA or any other regulatory agency. The completed Phase 1 study enrolled 115 participants and assessed safety, pharmacokinetics, and antiviral activity in healthy volunteers and in people seropositive for HSV-2 with recurrent genital herpes.

What clinical trials is ABI-5366 in?

ABI-5366 has been studied in one Phase 1 trial, NCT06385327, titled a study to assess the safety, pharmacokinetics, and antiviral activity of ABI-5366 in healthy participants and participants seropositive for HSV-2 with recurrent genital herpes. The trial enrolled 115 participants across Australia and New Zealand and is now completed.

Was the ABI-5366 Phase 1 trial randomized and placebo controlled?

Yes. The Phase 1 trial of ABI-5366, NCT06385327, was randomized, double blind, and placebo controlled. It enrolled 115 participants, including healthy volunteers and individuals seropositive for HSV-2 with recurrent genital herpes, and evaluated safety, pharmacokinetics, and antiviral activity. The study has been completed.