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CD388

Phase 3

Influenza | Small molecule | Infectious Disease |Cidara Therapeutics, Inc.|Last Updated: Jun 1, 2026

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-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment12,630
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07159763A Study to Evaluate the Safety and Efficacy of CD388 for Prevention of InfluenzaPHASE3 RECRUITING 7,500Sep 25, 2025Jan 1, 2027Jun 1, 2026181 United States, Argentina +3
NCT06609460Study of CD388 for the Prevention of Influenza in Subjects Not at Risk for Influenza ComplicationsPHASE2 COMPLETED 5,071Sep 20, 2024Sep 19, 2025Oct 20, 202557 United States, United Kingdom
NCT05523089The Effectiveness of CD388 to Prevent Flu in an Influenza Challenge Model in Healthy AdultsPHASE2 COMPLETED 59Sep 9, 2022Jul 17, 2023Sep 19, 20241 United Kingdom
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Study Endpoints
Primary Endpoints
Percentage of Participants Experiencing Protocol-defined Influenza-like Illness (ILI) Occurring ≥7 Days after and up to 24 Weeks after Administration of Study Drug
From Day 8 up to 24 weeks after study drug dosing

Percentage of participants experiencing protocol-defined ILI occurring after administration of CD388, with influenza infection confirmed by a reverse-transcriptase polymerase chain reaction positive (RT-PCR+) result based on a nasopharyngeal (NP) swab assayed at a central laboratory (first occurrence only), as compared to placebo.

Incidence and Severity of Treatment-Emergent Adverse Events (TEAEs) after Administration of Study Drug
From Day 1 through Day 197/End of Study (EOS) after study drug dosing

Safety and tolerability of CD388, as compared to placebo, will be evaluated by assessing the number of participants with incidences of TEAEs following the administration of study drug. TEAEs include but are not limited to adverse events (AEs), serious adverse events (SAEs), injection site reactions (ISRs), and any potentially clinically significant changes from baseline seen in vital signs, 12-lead electrocardiograms (ECGs), and clinical laboratory parameters.

Mean Area Under the Viral Load-Time Curve (VL-AUC) After Influenza Viral Challenge
Day 1 (evening [pm]); Days 2, 3, 4, 5, 6, and 7 (morning [am] and pm); Day 8 (am)

Evaluation of the prophylactic effect of CD388, when compared to placebo, on VL-AUC of influenza challenge virus as determined by quantitative reverse transcriptase-polymerase chain reaction (qRT-PCR) on nasal samples starting 1 day post viral challenge.

Median Area Under the Viral Load-Time Curve (VL-AUC) After Influenza Viral Challenge
Day 1 (evening [pm]); Days 2, 3, 4, 5, 6, and 7 (morning [am] and pm); Day 8 (am)

Evaluation of the prophylactic effect of CD388, when compared to placebo, on VL-AUC of influenza challenge virus as determined by quantitative reverse transcriptase-polymerase chain reaction (qRT-PCR) on nasal samples starting 1 day post viral challenge.

Secondary Endpoints
Incidence and Severity of Treatment-Emergent Adverse Events (TEAEs) after Administration of Study Drug
From Day 1 through Day 197/End of Study (EOS) after study drug dosing
Trough Plasma Concentration at 24 Weeks (C[trough24w]) Following Administration of CD388
Based on sampling done at onsite visits on Day 8 (±3 days), Day 29 (±3 days), and Day 197/EOS (±7 days)
Maximum Plasma Concentration (C[max]) Following Administration of CD388
At onsite visits done on Day 8 (±3 days), Day 29 (±3 days), and Day 197/EOS (±7 days)
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
CD388EXPERIMENTALParticipants are randomized to receive 450 milligrams (mg) CD388 by SQ injection. Participants are randomized at a 1:1 ratio between the 2 arms.
PlaceboPLACEBO_COMPARATORParticipants are randomized to receive placebo by SQ injection. Participants are randomized at a 1:1 ratio between the 2 arms.
CD388 Low DoseEXPERIMENTALParticipants are randomized to receive a low dose of CD388 by SQ injection. Participants are randomized at a 1:1:1:1 ratio across the 4 arms.
CD388 Medium DoseEXPERIMENTALParticipants are randomized to receive a medium dose of CD388 by SQ injection. Participants are randomized at a 1:1:1:1 ratio across the 4 arms.
CD388 High DoseEXPERIMENTALParticipants are randomized to receive a high dose of CD388 by SQ injection. Participants are randomized at a 1:1:1:1 ratio across the 4 arms.
Placebo (Arm 1)PLACEBO_COMPARATORIn Cohort 1, up to 30 participants will be randomized to receive a single dose of placebo, administered by subcutaneous (SQ) injection, prior to being inoculated with the influenza challenge virus. Based on an interim analysis to be performed on data collected from the evaluation of Cohort 1 participants who have completed the inpatient phase at the time the interim analysis is performed, additional participants (of a number to be informed by the interim analysis) may be randomized into Cohort 2 in an extension of this Arm 1, to receive a single dose of placebo by SQ injection prior to viral challenge.
CD388 High Dose (Arm 2)EXPERIMENTALIn Cohort 1, up to 30 participants will be randomized to receive a single dose of 150 milligrams (mg) CD388, administered by SQ injection, prior to being inoculated with the influenza challenge virus. Based on an interim analysis to be performed on data collected from the evaluation of Cohort 1 participants who have completed the inpatient phase at the time the interim analysis is performed, additional participants (of a number to be informed by the interim analysis) may be randomized into Cohort 2 in an extension of this Arm 2, to receive a single dose of 150 mg CD388 by SQ injection prior to viral challenge.
CD388 Low Dose 1 (Arm 3)EXPERIMENTALIn Cohort 1, up to 30 participants will be randomized to receive a single dose of 50 mg CD388, administered by SQ injection, prior to being inoculated with the influenza challenge virus. Based on an interim analysis to be performed on data collected from the evaluation of Cohort 1 participants who have completed the inpatient phase at the time the interim analysis is performed, additional participants (of a number to be informed by the interim analysis) may be randomized into Cohort 2 in an extension of this Arm 3, to receive a single dose of 50mg CD388 by SQ injection prior to viral challenge.
CD388 Low Dose 2 (Optional Arm 4)EXPERIMENTALBased on an interim analysis to be performed on data collected from the evaluation of Cohort 1 participants who have completed the inpatient phase at the time the interim analysis is performed, participants (of a number to be informed by the interim analysis) may be randomized into Cohort 2 in this Optional Arm 4, to receive a single dose of CD388 lower than 150 mg (TBD based on PK results obtained in the first-in-human study CD388.IM.SQ.1.01, as well as the interim analysis), administered by SQ injection, prior to being inoculated with the influenza challenge virus.
CD388 Low Dose 3 (Optional Arm 5)EXPERIMENTALBased on an interim analysis to be performed on data collected from the evaluation of Cohort 1 participants who have completed the inpatient phase at the time the interim analysis is performed, participants (of a number to be informed by the interim analysis) may be randomized into Cohort 2 in this Optional Arm 5, to receive a single dose of CD388 lower than 150 mg (TBD based on PK results obtained in the first-in-human study CD388.IM.SQ.1.01, as well as the interim analysis), administered by SQ injection, prior to being inoculated with the influenza challenge virus.
CD388 Low Dose 4 (Optional Arm 6)EXPERIMENTALBased on an interim analysis to be performed on data collected from the evaluation of Cohort 1 participants who have completed the inpatient phase at the time the interim analysis is performed, participants (of a number to be informed by the interim analysis) may be randomized into Cohort 2 in this Optional Arm 6, to receive a single dose of CD388 lower than 150 mg (TBD based on PK results obtained in the first-in-human study CD388.IM.SQ.1.01, as well as the interim analysis), administered by SQ injection, prior to being inoculated with the influenza challenge virus.
Interventions
NameTypeDescription
CD388 InjectionCOMBINATION_PRODUCTCD388 liquid for injection
PlaceboCOMBINATION_PRODUCTPlacebo to match
Saline placeboDRUGSterile normal saline for injection
CD388COMBINATION_PRODUCTCD388 liquid for injection
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Eligibility Criteria
Age Range12 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites181

Inclusion Criteria: 1. Must be 12 years of age or older at the time of signing the informed consent. 2. Written informed consent and any locally required authorization (e.g., Health Insurance Portability and Accountability Act \[HIPAA\] in the US) obtained from the participant before performing any...

Countries:United StatesArgentinaAustraliaSouth AfricaUnited Kingdom
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Recent Changes (Last 90 Days)
LOWJun 2, 2026NCT07159763lastUpdatePostDate: changed
LOWJun 2, 2026NCT07159763lastUpdatePostDate: changed
LOWJun 2, 2026NCT07159763lastUpdatePostDate: changed
LOWMay 27, 2026NCT07159763lastUpdatePostDate: changed
LOWMay 27, 2026NCT07159763lastUpdatePostDate: changed
LOWMay 26, 2026NCT07159763Status: ACTIVE_NOT_RECRUITING → RECRUITING
LOWMay 24, 2026NCT07159763studyFirstPostDate: changed