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Peramivir

Phase 3

Influenza | Small molecule | Infectious Disease |BioCryst Pharmaceuticals, Inc.|Last Updated: Mar 23, 2021

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-BlindCONTROLLEDDMCBiomarker
Total Trials5
Total Enrollment708
FDA Designations
No designations recorded
Clinical Trials (5)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02635724Safety, PK and Effectiveness of IV Peramivir in Elderly and Higher Risk Subjects With Uncomplicated InfluenzaPHASE3 COMPLETED 74Dec 1, 2015Sep 1, 2018Mar 23, 202115 United States
NCT02369159Safety, PK and Effectiveness of IV Peramivir Versus Oseltamivir in Pediatric Subjects With Uncomplicated InfluenzaPHASE3 COMPLETED 137Mar 11, 2015May 14, 2020Mar 23, 202110 United States, South Africa
NCT02665351Peramivir Treatment Response in Adults Hospitalized for Influenza-associated Lower Respiratory Tract InfectionsPHASE2 COMPLETED 16Feb 1, 2011Mar 1, 2014Jan 29, 20161 China
NCT00453999Evaluation of Efficacy and Safety of Peramivir in Adults With Acute Serious or Potentially Life-threatening InfluenzaPHASE2 COMPLETED 137Jul 1, 2007Aug 1, 2009Feb 12, 201583 United States, Australia +5
NCT00419263Evaluation of the Efficacy and Safety of Peramivir in Subjects With Uncomplicated Acute Influenza.PHASE2 COMPLETED 344Jan 1, 2007Sep 1, 2007Feb 12, 201569 United States, Canada
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Study Endpoints
Primary Endpoints
Safety and Tolerability, as Measured by the Number of Adverse Events.
14 days

Safety was evaluated through assessment of Adverse Events (AEs).

Safety and Tolerability, as Measured by the Number of Participants Experiencing Adverse Events.
14 days

Safety evaluation included assessment of Adverse Events (AEs).

change in influenza RNA load
5 days

5-10 days

Time to Clinical Stability (Kaplan-Meier Estimate)
14 days

Time to clinical stability was summarized overall and for individual clinical signs for each treatment group using the method of Kaplan Meier. Subjects who did not experience clinical stability were censored at the date of their last non-missing assessment during the study (whether this assessment occurred as an inpatient or as an outpatient).

Time to Alleviation of Symptoms (Kaplan-Meier Estimate)
Up to 14 days

Descriptive statistics for the primary efficacy variables were tabulated by treatment group. Alleviation of symptoms was determined by data recorded in the Subject Diary. Treatment differences were assessed using a Cox Regression model with effects for current smoking behavior, treatment, and geographic region. Subjects who did not experience alleviation of symptoms were censored at the date of their last assessment. A Bonferroni adjustment for the primary comparisons of each active dose with placebo was performed.

Secondary Endpoints
Plasma Exposure of IV Peramivir as Measured by Drug Concentrations up to 3 Hours Post Infusion
up to 3 hours post peramivir infusion
Time to Resolution of Fever
14 days
Time to Resolution of Influenza Symptoms
14 days
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PeramivirEXPERIMENTALSingle dose 600 mg IV injection
Peramivir (IV)EXPERIMENTALSubjects randomized to peramivir will receive an age appropriate single dose, diluted to a maximum volume of 100 mL in normal saline, administered as a short intravenous infusion over a minimum of 15 minutes. * Subjects ≥12 years will receive a dose of 600 mg. * Subjects \<12 years will receive a dose of 12 mg/kg (to a maximum dose of 600 mg). * Subjects \< 6 months will receive a dose of 8 mg/kg.
OseltamivirACTIVE_COMPARATORSubjects randomized to oral oseltamivir will receive an age appropriate dose twice daily for 5 days. * Subjects ≥ 13 years will receive a 75mg dose administered as a capsule or oral suspension (twice daily for 5 days). * Subjects \< 13 years of age will receive a weight-based dose administered as a capsule or oral suspension (twice daily for 5 days).
Peramivir 300mg Q12HACTIVE_COMPARATORPeramivir 300 mg, administered intravenously, twice daily (every 12 hours)
Peramivir 600mg Q24HACTIVE_COMPARATORPeramivir 600 mg, administered intravenously, once daily (every 24 hrs)
Arm 1: Peramivir 200 mgEXPERIMENTALPeramivir 200 mg administered intravenously once daily for 5 days (5 doses)
Arm 2: Peramivir 400 mgEXPERIMENTALPeramivir 400 mg administered intravenously once daily for 5 days (5 doses)
Arm 3: OseltamivirEXPERIMENTALOseltamivir 75 mg oral suspension administered orally twice daily for 5 days (10 doses)
Peramivir 150 mgEXPERIMENTAL -
Peramivir 300 mgEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
Interventions
NameTypeDescription
PeramivirDRUG -
OseltamivirDRUG -
Peramivir 200 mgDRUGPeramivir (200 mg in 100 mL of solution) intravenous infusion (over 15 minutes) and an orally administered oseltamivir placebo suspension (6.25 mL) treatment
Peramivir 400 mgDRUGPeramivir (400 mg in 100 mL of solution ) intravenous infusion (over 15 minutes) and an orally administered oseltamivir placebo suspension (6.25 ml)
Peramivir 150 mgDRUGSingle dose administered as bilateral 2-mL intramuscular injections in each gluteal muscle (one injection of peramivir 150 mg and one injection of placebo).
Peramivir 300 mgDRUGSingle dose administered as bilateral 2-mL intramuscular injections in each gluteal muscle (2 injections of peramivir 150 mg).
PlaceboDRUGSingle dose administered as bilateral 2-mL intramuscular injections in each gluteal muscle (2 injections of placebo).
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites15

Inclusion Criteria: * A positive influenza Rapid Antigen Test (RAT) and/or a FDA-approved PCR test and at least one clinical sign or symptom consistent with acute influenza infection as listed below OR * Clinical signs and symptoms consistent with acute influenza infection consisting of an oral tem...

Countries:United StatesSouth AfricaChinaAustraliaCanadaHong KongNew ZealandSingapore
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