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Efprezimod alfa

Phase 3

Coronavirus Disease 2019 (COVID-19) | Small molecule | Infectious Disease |Merck & Company, Inc.|Last Updated: Jan 23, 2024

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment234

FDA Designations

No designations recorded

Clinical trial landscape

Efprezimod alfa · 3 trials · 5 indications

Phase 3 1Phase 2 1Phase 1 1
NCT04317040Efprezimod Alfa (CD24Fc, MK-7110) as a Non-antiviral Immunomodulator in COVID-19 Treatment (MK-7110-007)Coronavirus Disease 2019 (COVID-19)
COMPLETED234 Analytics
PHASE3COMPLETED
Efprezimod Alfa (CD24Fc, MK-7110) as a Non-antiviral Immunomodulator in COVID-19 Treatment (MK-7110-007)
Coronavirus Disease 2019 (COVID-19)Unlock trial analytics

Study Endpoints

Primary Endpoints

Time to Improvement in Coronavirus Disease 2019 (COVID-19) Clinical Status
Up to Day 29

Time to improvement in COVID-19 clinical status: defined as time (days) required from start of treatment to improvement of clinical status severe - moderate/mild or improvement from score 2-4 to ≥5 sustained without drop below 5 within 28 days from randomization, total follow-up period 29 days (Randomization Day 1 + 28 days follow up) per National Institute of Allergy \& Infectious Diseases (NIAID) ordinal scale graded: 1=Death; 2=Hospitalized, on invasive mechanical ventilation (IMV)/extracorporeal membrane oxygenation (ECMO); 3=Hospitalized, on non-invasive ventilation (NIV)/high flow oxygen devices; 4=Hospitalized, require supplemental oxygen; 5=Hospitalized, no supplemental oxygen, require medical care; 6=Hospitalized, no supplemental oxygen, don't require medical care; 7=Not hospitalized, limitation on activities \&/or require home oxygen; 8=Not hospitalized, no limitations on activities. Median time \& 95% confidence intervals (CIs) were reported using Brookmeyer-Crowley method.

Number of Participants Who Experience an Adverse Event (AE)
Up to 30 days

An AE was defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it is considered related to the medical treatment or procedure, that occurs during the course of the study. Per protocol, only AEs with Common Terminology Criteria for AE (CTACAE) grade ≥3 were included. The number of participants who experienced an AE were reported.

Number of Participants Who Experienced an Adverse Event (AE)
Up to approximately 32 days for the Placebo, CD24Fc 240 mg, and CD24Fc 480 mg arms. Up to approximately 62 days for the CD24Fc 960 mg arm.

An AE was defined as any untoward medical occurrence in a participant administered study treatment and which did not necessarily have to have a causal relationship with this treatment. The number of participants who experienced an AE is presented. As described in the protocol, AEs reported after the protocol-specified timeframe were not analyzed in this outcome measure: 1 day prior to hematopoietic stem cell transplantation (HCT) through either 30 or 60 days post-HCT, depending on arm as defined in the Time Frame section.

Number of Participants Who Discontinued Study Treatment Due to an AE
1 day for the Placebo, CD24Fc 240 mg, and CD24Fc 480 mg arms. Up to approximately 30 days for the CD24Fc 960 mg arm.

An AE was defined as any untoward medical occurrence in a participant administered study treatment and which did not necessarily have to have a causal relationship with this treatment. The number of participants who discontinued study treatment due to an AE is presented.

Number of Participants Who Experienced a Dose-Limiting Toxicity (DLT)
Up to 32 days for the Placebo, CD24Fc 240 mg, and CD24Fc 480 mg arms. Up to 62 days for the CD24Fc 960 mg arm.

A DLT was defined as: any Grade III or higher non-hematologic toxicity not clearly related to the underlying malignancy, intercurrent infection, or the hematopoietic stem cell transplantation conditioning regimen; any death not related to relapse or intercurrent infection; and failure to engraft by day 30. Event grading was based on the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v4.03 criteria. Hypersensitivity reactions and other infusion-related reactions were not considered DLTs.

Open Label Expansion Arm Only: Grade III-IV Acute Graft-Versus-Host Disease (GVHD) Free Survival (AGFS)
Up to 181 days

AGFS was defined as the time from the date of hematopoietic stem cell transplantation (HCT) to the earliest of Grade III-IV acute GVHD or death due to any cause, whichever occurred first. Event grading was based on the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v4.03 criteria. Participants were censored at 181 days.

Assessment of Safety Based Primarily on the Frequency and Nature of Adverse Events, Clinical Laboratory Assessments (Chemistry, Hematology, and Urinalysis), Physical Examinations, Vital Signs, 12-lead Electrocardiograms (ECGs), and Telemetry Monitoring
Up to 42 days after treatment

List of adverse events in the form of frequency and grade. Assessment of safety based primarily on the frequency and nature of adverse events, clinical laboratory assessments (chemistry, hematology, and urinalysis), physical examinations, vital signs, 12-lead ECGs, and telemetry monitoring from pre-dosing to day 42 visits. The data include all treatment-emergent adverse events (TEAEs) including specific drug-related TEAEs.

Secondary Endpoints

Percentage of Participants Who Died or Had Respiratory Failure (RF)
Up to Day 29
Time to Disease Progression in Clinical Status of COVID-19
Up to Day 29
Number of Participants Who Died Due to Any Cause
Up to Day 29
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Efprezimod alfaEXPERIMENTALParticipants receive single dose of 480 mg efprezimod alfa, diluted to 100 ml with normal saline, intravenous (IV) infusion in 60 minutes on Day 1.
PlaceboPLACEBO_COMPARATORParticipants receive single dose of placebo as normal saline solution 100 ml, IV infusion in 60 minutes, on Day 1.
Efprezimod alfa 240 mgEXPERIMENTALEfprezimod alfa in 240 mg as intravenous (IV) infusion at Day -1 + Tacrolimus (begin on day -3. IV \[0.03 mg/kg/day\] or PO \[0.045 mg/kg/dose\] dosing is permitted) + Methotrexate (given intravenously at a dose of 15 mg/square meter/dose once daily on Day 1 after HCT, and at a dose of 10 mg/square meter/dose on days 3, 6, and 11 after HCT)
Efprezimod alfa 480 mgEXPERIMENTALEfprezimod alfa in 480 mg as intravenous (IV) infusion at Day -1 + Tacrolimus (begin on day -3. IV \[0.03 mg/kg/day\] or PO \[0.045 mg/kg/dose\] dosing is permitted) + Methotrexate (given intravenously at a dose of 15 mg/square meter/dose once daily on Day 1 after HCT, and at a dose of 10 mg/square meter/dose on days 3, 6, and 11 after HCT)
Efprezimod alfa 960 mgEXPERIMENTALEfprezimod alfa (480 mg (day -1), 240 mg (day +14) and 240 mg (day +28)) + Tacrolimus (begin on day -3. IV \[0.03 mg/kg/day\] or PO \[0.045 mg/kg/dose\] dosing is permitted) + Methotrexate (given intravenously at a dose of 15 mg/square meter/dose once daily on Day 1 after HCT, and at a dose of 10 mg/square meter/dose on days 3, 6, and 11 after HCT)
SalinePLACEBO_COMPARATORSingle dose of 100 ml normal saline is administrated as intravenous infusion in one hour.

Interventions

NameTypeDescription
Efprezimod alfaDRUGEfprezimod alfa is given on Day 1.
PlaceboDRUGPlacebo is given on Day 1.
MethotrexateDRUGAcute GVHD prophylaxis
TacrolimusDRUGAcute GVHD prophylaxis
SalineDRUG0.9% sodium chloride
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites10

Inclusion Criteria: * Diagnosed with coronavirus disease 2019 (COVID-19) and confirmed severe acute respiratory syndrome coronavirus 2 (SARS-coV-2) viral infection * Severe or critical COVID-19, or National Institute of Allergy and Infectious Diseases (NIAID) 8-point ordinal score 2, 3 or 4 (Scale ...

Countries:United States
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Frequently asked questions about Efprezimod alfa

What is Efprezimod alfa used for?

Efprezimod alfa is an investigational drug being studied for the treatment of Coronavirus Disease 2019 (COVID-19), the prevention of acute Graft Versus Host Disease (GVHD) following hematopoietic stem cell transplantation, and in healthy volunteers. It is developed by Merck & Company, Inc. (MRK) and is currently in Phase 3 clinical development.

How does Efprezimod alfa work?

Efprezimod alfa is a small molecule immunomodulator. In the context of COVID-19, it is being studied as a non-antiviral immunomodulator, meaning it aims to modulate the immune response rather than directly attacking the virus. Its mechanism involves targeting inflammatory pathways to potentially reduce disease severity.

Who makes Efprezimod alfa?

Efprezimod alfa is being developed by Merck & Company, Inc., which trades under the ticker symbol MRK. The company is conducting clinical trials to evaluate the drug's safety and efficacy across multiple indications, including COVID-19 and Graft Versus Host Disease.

What phase is Efprezimod alfa in?

Efprezimod alfa is currently in Phase 3 clinical development. The most advanced trial, NCT04317040, is a Phase 3 study evaluating the drug as a treatment for COVID-19. This trial has been completed, with 234 participants enrolled. The drug is investigational and not yet approved by regulatory authorities.

What clinical trials is Efprezimod alfa in?

Efprezimod alfa has been studied in three completed clinical trials. NCT02650895 was a Phase 1 safety study in healthy volunteers. NCT02663622 was a Phase 2 trial for the prevention of acute Graft Versus Host Disease. NCT04317040 was a Phase 3 trial for COVID-19 treatment, which enrolled 234 participants.

Is Efprezimod alfa the same as CD24Fc or MK-7110?

Yes, Efprezimod alfa is also known as CD24Fc and MK-7110. These alternative names appear in clinical trial titles and identifiers. For example, the Phase 3 COVID-19 trial is titled 'Efprezimod Alfa (CD24Fc, MK-7110) as a Non-antiviral Immunomodulator in COVID-19 Treatment (MK-7110-007)'.