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EP547

Phase 2

Pruritus | Small molecule | Gastrointestinal |Incyte Corporation|Trials Updated: Aug 8, 2025

EP547 development status

Highest phase Phase 2
Registered trials 2 across 1 sponsor since Aug 2020

EP547 target and mechanism

Molecular targetMRGPRX4
Target classReceptor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment151

FDA Designations

No designations recorded

EP547 clinical trials

EP547 · 2 trials · 3 indications

Phase 2 1Phase 1 1
NCT05525520Study to Evaluate EP547 in Subjects With Cholestatic Pruritus Due to Primary Biliary Cholangitis or Primary Sclerosing CholangitisPruritus
COMPLETED62 Analytics
PHASE2COMPLETED
Study to Evaluate EP547 in Subjects With Cholestatic Pruritus Due to Primary Biliary Cholangitis or Primary Sclerosing Cholangitis
PruritusUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in the Worst Itch Numeric Rating Scale (WI-NRS) Score up to Week 6
Baseline; up to Week 6

Participants were asked to rate the severity of their worst level of itching in the past 24 hours using the daily WI-NRS, an 11-point scale ranging from 0 (no itching) to 10 (worst itching imaginable). Itching severity scores collected via the WI-NRS have been categorized in the as mild (\<4), moderate (≥4 to \<7), or severe (≥7). The average WI-NRS score using the daily values from the week before the first dose of study drug (including the WI-NRS score captured on Study Day 1 of dosing) served as the Baseline score. A weekly score was determined based on the average of all available daily scores of the week. Change from Baseline was calculated as the post-Baseline score minus the Baseline score.

Incidence of Adverse Events
Measured from Day 1 to End of Study or Early Termination (up to 3 weeks)

To assess safety and tolerability of EP547 following single and multiple oral administration

Secondary Endpoints

Change From Baseline in the 5-D Itch Scale Total Score at Week 6
Baseline; Week 6
Percentage of Participants With Improvement in Pruritus as Defined by Patient Global Impression of Change (PGI-C) at Week 6
Baseline; Week 6
Percentage of Participants With Improvement in Pruritus Severity From Baseline as Defined by Change in Patient Global Impress of Severity (PGI-S) at Week 6
Baseline; Week 6
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
EP547 100 mgEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
EP547 Single DoseEXPERIMENTALSingle doses of EP547
EP547 Multiple DosesEXPERIMENTALMultiple doses of EP547
Placebo Single DosePLACEBO_COMPARATORSingle doses of placebo
Placebo Multiple DosesPLACEBO_COMPARATORMultiple doses of placebo

Interventions

NameTypeDescription
EP547DRUGOnce daily
PlaceboDRUGOnce daily
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Eligibility Criteria

Age Range18 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites52

Inclusion Criteria: * Age 18 to 80 years * Documented primary biliary cholangitis (PBC) or primary sclerosing cholangitis (PSC) * Presence of consistent moderate to severe pruritus * Use of anti-pruritic and anti-cholestatic (including UDCA and obeticholic acid) medication allowed if meeting additi...

Countries:United StatesBelgiumCanadaFranceIsraelNetherlandsSpainUnited KingdomAustraliaNew Zealand
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Frequently asked questions about EP547

What is EP547 used for?

EP547 is an investigational small molecule being studied for the treatment of pruritus, or itch. Its clinical trials have focused on cholestatic pruritus associated with primary biliary cholangitis or primary sclerosing cholangitis, as well as uremic pruritus. It is not approved for any indication and remains in clinical development.

What does EP547 target?

EP547 targets MRGPRX4, a receptor in the mas-related G protein-coupled receptor family. By acting on this receptor, EP547 is designed to interfere with itch signaling. MRGPRX4 is a receptor target, and the drug is a small molecule.

Who is developing EP547?

EP547 is being developed by Incyte Corporation, which trades on the Nasdaq under the ticker INCY. Incyte is the sponsor of the clinical trials evaluating EP547 in pruritus.

What phase is EP547 in?

EP547 is in Phase 2 clinical development. Two trials have been completed: a Phase 2 study in cholestatic pruritus and a Phase 1 study in healthy subjects and subjects with cholestatic or uremic pruritus. No active trials are currently listed.

What clinical trials is EP547 in?

EP547 has been evaluated in two completed trials. NCT05525520 was a Phase 2 study of EP547 in subjects with cholestatic pruritus due to primary biliary cholangitis or primary sclerosing cholangitis, enrolling 62 participants. NCT04510090 was a Phase 1 study of safety, tolerability, and pharmacokinetics in healthy subjects and subjects with cholestatic or uremic pruritus, enrolling 89 participants.