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IDX184

Phase 2

Chronic Hepatitis C Infection | Small molecule | Infectious Disease |Merck & Company, Inc.|Last Updated: Aug 19, 2016

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials1
Total Enrollment81

FDA Designations

No designations recorded

Clinical trial landscape

IDX184 · 4 trials · 4 indications

Phase 2 2Phase 1 2
NCT01371604Safety and Antiviral Activity of IDX184 in Combination With Pegylated Interferon and Ribavirin for 12 Weeks (MK-2355-005)Hepatitis C, Chronic
COMPLETED68 Analytics
NCT01011166Safety and Antiviral Activity of IDX184 in Combination With Pegylated Interferon and Ribavirin (MK-2355-004)Chronic Hepatitis C Infection
COMPLETED81 Analytics
PHASE2COMPLETED
Safety and Antiviral Activity of IDX184 in Combination With Pegylated Interferon and Ribavirin for 12 Weeks (MK-2355-005)
Hepatitis C, ChronicUnlock trial analytics
PHASE2COMPLETED
Safety and Antiviral Activity of IDX184 in Combination With Pegylated Interferon and Ribavirin (MK-2355-004)
Chronic Hepatitis C InfectionUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of participants who experience a serious adverse event
Up to Week 16 and end of treatment (Weeks 24 or 48)
Percentage of participants who experience an adverse event
16 weeks
Percentage of participants who experience a grade 1-4 laboratory abnormality
16 weeks
Percentage of participants who achieve undetectable HCV ribonucleic acid (RNA) viral levels at Week 12
Week 12
Change in HCV ribonucleic acid (RNA) level from Baseline to Day 15
Baseline and Day 15
Percentage of participants experiencing adverse events (AEs)
Up to 28 days
Percentage of participants experiencing serious adverse events (SAEs)
Up to 28 days
Percentage of participants experiencing dose-limiting toxicities (DLTs)
Up to 28 days
Percentage of participants experiencing Grade 1-4 laboratory abnormalities
Up to 28 days
Number of Subjects With Any Adverse Event (Side Effect) and the Severity of Those Adverse Events
17 days

Monitoring of adverse events, physical examination, routine safety laboratory parameters and electrocardiograms. 1=mild, 2=moderate, 3=severe, 4=potentially life-threatening

Percentage of participants experiencing AEs
Up to Day 6
Percentage of participants experiencing dose-limiting toxicity (DLTs)
Up to Day 6

Secondary Endpoints

Percentage of participants who achieve undetectable HCV RNA viral levels at Week 4
Week 4
Percentage of participants who achieve undetectable HCV RNA viral levels at the end of treatment
Weeks 24 or 48
Percentage of participants who achieve sustained virologic response (SVR)
24 weeks after the last dose (Weeks 48 or 72)
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
IDX184 50 mg + Peg-IFN/RBVEXPERIMENTALIDX184 50 mg and matching placebo once daily plus peginterferon alfa-2a (Peg-IFN) weekly and ribavirin (RBV) daily for 12 weeks followed by Peg-IFN weekly and RBV daily for an additional 12 or 36 weeks.
IDX184 100 mg + Peg-IFN/RBVEXPERIMENTALIDX184 100 mg once daily plus Peg-IFN weekly and RBV daily for 12 weeks followed by Peg-IFN weekly and RBV daily for an additional 12 or 36 weeks.
IDX184 50 mg QD + Peg-IFN/RBVEXPERIMENTALParticipants randomized 4:1 (active:placebo) to receive IDX184 50 mg or placebo once daily (QD) in combination with Peg-IFN/RBV on Days 14-28 and Peg-IFN/RBV on Days 14-28.
IDX184 100 mg QD + Peg-IFN/RBVEXPERIMENTALParticipants randomized 4:1 (active:placebo) to receive IDX184 50 mg or placebo QD in combination with Peg-IFN/RBV on Days 1-14 and Peg-IFN/RBV alone on Days 14-28.
IDX184 100 mg BID + Peg-IFN/RBVEXPERIMENTALParticipants randomized 4:1 (active:placebo) to receive IDX184 100 mg or placebo twice daily (BID) in combination with Peg-IFN/RBV on Days 1-14 and Peg-IFN/RBV alone on Days 14-28.
IDX184 150 mg QD + Peg-IFN/RBVEXPERIMENTALParticipants randomized 4:1 (active:placebo) to receive IDX184 150 mg or placebo QD in combination with Peg-IFN/RBV on Days 1-14 and Peg-IFN/RBV on Days 14-28.
IDX184 200 mg QD + Peg-IFN/RBVEXPERIMENTALParticipants randomized 4:1 (active:placebo) to receive IDX184 100 mg or placebo QD in combination with Peg-IFN/RBV on Days 1-14 and Peg-IFN/RBV on Days 14-28.
IDX184 200 mg BID + Peg-IFN/RBVEXPERIMENTALParticipants randomized 4:1 (active:placebo) to receive IDX184 200 mg or placebo BID in combination with Peg-IFN/RBV on Days 1-14 and Peg-IFN/RBV on Days 14-28.
Cohort AEXPERIMENTALSubjects randomized 8:2 (active:placebo) to receive one 25 milligrams (mg) capsule of IDX184 per day for 3 days. Fourteen days after treatment, subjects were offered a course of pegylated interferon and ribavirin according to local standard of care.
Cohort BEXPERIMENTALSubjects randomized 8:2 (active:placebo) to receive two 25 mg capsules of IDX184 per day for 3 days. Fourteen days after treatment, subjects were offered a course of pegylated interferon and ribavirin according to local standard of care.
Cohort CEXPERIMENTALSubjects randomized 8:2 (active:placebo) to receive three 25 mg capsules of IDX184 per day for 3 days. Fourteen days after treatment, subjects were offered a course of pegylated interferon and ribavirin according to local standard of care.
Cohort DEXPERIMENTALSubjects randomized 8:2 (active:placebo) to receive four 25 mg capsules of IDX184 per day for 3 days. Fourteen days after treatment, subjects were offered a course of pegylated interferon and ribavirin according to local standard of care.
IDX184 5 mgEXPERIMENTALHealthy participants will be administered a single 5 mg dose of IDX184.
IDX184 10 mgEXPERIMENTALHealthy participants will be administered a single 10 mg dose of IDX184.
IDX184 25 mgEXPERIMENTALHealthy participants will be administered a single 25 mg dose of IDX184.
IDX184 50 mgEXPERIMENTALHealthy participants will be administered a single 50 mg dose of IDX184.
IDX184 75 mgEXPERIMENTALHealthy participants will be administered a single 75 mg dose of IDX184.
IDX184 100 mgEXPERIMENTALHealthy participants will be administered a single 100 mg dose of IDX184.
PlaceboPLACEBO_COMPARATORHealthy participants will be administered placebo matching IDX184.

Interventions

NameTypeDescription
IDX184DRUGIDX184 50 mg tablet administered orally
Peginterferon alfa-2a (Peg-IFN)BIOLOGICALPeginterferon alfa-2 180 microgram prefilled syringe administered subcutaneously once weekly
Ribavirin (RBV)DRUGRibavirin 200 mg tablets administered orally as a divided dose twice daily. Total daily dose to administered will be 1000 or 1200 mg based on body weight.
PlaceboDRUGMatching placebo to IDX184 50 mg tablet administered orally
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Males and females with documented genotype 1, chronic hepatitis C infection. * Must agree to use double-barrier method of birth control for at least 6 months after the last dose of study drugs. * Has not received prior antiviral treatment for HCV. * Written informed consent by...

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Frequently asked questions about IDX184

What is IDX184 used for?

IDX184 is an investigational small molecule being developed for the treatment of chronic hepatitis C infection, including chronic hepatitis C (HCV) and hepatitis C. It has been studied in clinical trials as a monotherapy and in combination with pegylated interferon and ribavirin for patients with chronic hepatitis C.

Who makes IDX184?

IDX184 is being developed by Merck & Company, Inc., which trades under the ticker symbol MRK. The drug is an investigational small molecule in clinical development for the treatment of chronic hepatitis C infection.

What phase is IDX184 in?

IDX184 has completed Phase 1 and Phase 2 clinical trials. It is an investigational drug, meaning it is not approved by the FDA and is still in clinical development. All trials listed for IDX184 have been completed, with no active trials currently ongoing.

What clinical trials is IDX184 in?

IDX184 has been studied in four completed clinical trials: NCT00730431, a single-dose escalation study in healthy volunteers; NCT00807001, a dose-escalation study in treatment-naive chronic hepatitis C subjects; NCT01011166, a safety and antiviral activity study in combination with pegylated interferon and ribavirin; and NCT01371604, a 12-week combination study.

How does IDX184 work?

IDX184 is a small molecule designed to treat chronic hepatitis C infection. While the specific molecular target is not disclosed in the available data, it is being studied for its antiviral activity against hepatitis C virus, both alone and in combination with standard therapies.

Is IDX184 the same as MK-2355?

IDX184 is also referred to as MK-2355 in clinical trial titles. The trials NCT00730431, NCT01011166, and NCT01371604 include MK-2355 in their official titles, indicating that IDX184 and MK-2355 are alternative names for the same investigational drug.