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EDP-235

Phase 2

COVID-19 | Small molecule | Infectious Disease |Enanta Pharmaceuticals, Inc.|Last Updated: Aug 19, 2024

Development status

Highest phase Phase 2
Registered trials 4 across 1 sponsor since Feb 2022

Target and mechanism

Molecular target3CL protease
Target classProtein
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials3
Total Enrollment291

FDA Designations

No designations recorded

Clinical trial landscape

EDP-235 · 4 trials · 2 indications

Phase 2 1Phase 1 3
NCT05616728A Study to Evaluate EDP-235 in Non-hospitalized Adults With COVID-19COVID-19
COMPLETED231 Analytics
PHASE2COMPLETED
A Study to Evaluate EDP-235 in Non-hospitalized Adults With COVID-19
COVID-19Unlock trial analytics

Study Endpoints

Primary Endpoints

Number of Adverse Events as a Measure of Safety and Tolerability
Day 1 through Day 33
Cmax of EDP-235 with and without coadministration with Itraconazole
Day 1 through Day 19
AUC of EDP-235 with and without coadministration with Itraconazole
Day 1 through Day 19
Cmax of EDP-235 with and without coadministration with Carbamazepine
Day 1 through Day 26
AUC of EDP-235 with and without coadministration with Carbamazepine
Day 1 through Day 26
Cmax of EDP-235 with and without coadministration with Quinidine
Day 1 through Day 13
AUC of EDP-235 with and without coadministration with Quinidine
Day 1 through Day 13
Cmax of midazolam, caffeine, and rosuvastatin with and without the coadministration of EDP-235
Up to 17 Days
AUC of midazolam, caffeine, and rosuvastatin with and without the coadministration of EDP-235
Up to 17 Days
Safety measured by adverse events
Up to 8 Days in HV SAD Cohorts

Secondary Endpoints

Change From Baseline in SARS-CoV-2 RNA Viral Load
Day 3, Day 5, Day 9 and Day 14
Change From Baseline in Infectious SARS- CoV-2 Viral Load
Day 3, Day 5, Day 9 and Day 14
Proportion of Participants With COVID-19 Signs/Symptom Improvement
Day 1 through Day 33
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
EDP-235 200mgEXPERIMENTALOnce a day orally for 5 days
EDP-235 400mgEXPERIMENTALOnce a day orally for 5 days
PlaceboPLACEBO_COMPARATOROnce a day orally for 5 days
EDP-235 and Itraconazole interaction (Part 1)EXPERIMENTALSubjects will receive EDP-235 and Itraconazole on respective dosing days
EDP-235 and Carbamazepine interaction (Part 2)EXPERIMENTALSubjects will receive EDP-235 and Carbamazepine on respective dosing days
EDP and Quinidine interaction (Part 3)EXPERIMENTALSubjects will receive EDP-235 and Quinidine on respective dosing days
EDP-235, midazolam, rosuvastatin and caffeineEXPERIMENTALSubjects will receive EDP-235, midazolam, rosuvastatin and caffeine throughout the treatment period on respective dosing days
EDP-235 SAD CohortsEXPERIMENTALEDP-235 Dose 1, Dose 2, Dose 3, Dose 4 and Dose 5, orally, once daily in one single administration
EDP-235 MAD CohortsEXPERIMENTALEDP-235 Dose 1, Dose 2 and Dose 3 orally, once daily for 7 days
EDP-235 SAD Placebo CohortsPLACEBO_COMPARATORMatching placebo, orally, once daily in one single administration
EDP-235 MAD Placebo CohortsPLACEBO_COMPARATORMatching placebo, orally, once daily for 7 days

Interventions

NameTypeDescription
EDP-235DRUGcapsule
PlaceboDRUGcapsule
ItraconazoleDRUGSubjects will receive itraconazole QD Days 5-18
CarbamazepineDRUGSubjects will receive carbamazepine BID Days 5-23 and Days 24-27
QuinidineDRUGSubjects will receive quinidine BID Days 5-12
MidazolamDRUGSubjects will receive midazolam once daily on Days 1 and 12
RosuvastatinDRUGSubjects will receive rosuvastatin once daily on Days 2 and 13
CaffeineDRUGSubjects will receive caffeine once daily on Days 1 and 12
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Eligibility Criteria

Age Range18 Years to 64 Years
SexALL
Healthy VolunteersNo
Study Sites23

Inclusion Criteria: * SARS-CoV-2 infection confirmed by positive test ≤24 hours before randomization * COVID-19 symptom onset within 5 days prior to randomization and at least 2 signs/symptoms attributable to COVID-19 present and one of at least moderate severity at Screening Exclusion Criteria: ...

Countries:United StatesRomania
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Frequently asked questions about EDP-235

What is EDP-235 used for?

EDP-235 is an investigational antiviral being developed for the treatment of COVID-19 and SARS-CoV-2 infection. It is a small molecule oral drug candidate studied in non-hospitalized adults with COVID-19. Enanta Pharmaceuticals is developing it as a direct-acting antiviral for respiratory viral infections.

What does EDP-235 target?

EDP-235 targets the SARS-CoV-2 3CL protease, a viral enzyme essential for coronavirus replication. By inhibiting this protease, the drug aims to block processing of viral polyproteins needed for the virus to multiply. The 3CL protease is a well-characterized antiviral target in coronavirus drug development.

Who is developing EDP-235?

EDP-235 is being developed by Enanta Pharmaceuticals, Inc., which trades on the Nasdaq under the ticker ENTA. Enanta is a clinical-stage biotechnology company focused on small molecule drugs for viral infections and immune disorders, and EDP-235 is its oral antiviral candidate for COVID-19.

What phase is EDP-235 in?

EDP-235 has completed Phase 2 clinical development. Its lead study was a Phase 2 trial in non-hospitalized adults with COVID-19, and supporting Phase 1 studies have also been completed. The drug is investigational and has not been approved by the FDA for any indication.

What clinical trials is EDP-235 in?

EDP-235 has been studied in four completed trials: NCT05616728, a Phase 2 study in non-hospitalized adults with COVID-19; NCT05246878, a Phase 1 study in healthy subjects; and two Phase 1 drug-drug interaction studies, NCT05594615 and NCT05594602, in healthy volunteers. Total enrollment across these studies was 291 participants.

Is EDP-235 approved by the FDA?

No, EDP-235 is not FDA approved. It remains an investigational drug that has completed Phase 2 testing in COVID-19. Any potential regulatory submission would depend on further clinical development, and no approval has been granted for the treatment of COVID-19 or SARS-CoV-2 infection.