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V181

Phase 3

Healthy | Monoclonal antibody | Other |Merck & Company, Inc.|Last Updated: Sep 3, 2026

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment12,000

FDA Designations

No designations recorded

Clinical trial landscape

V181 · 2 trials · 2 indications

Phase 3 1Phase 2 1
NCT07013487A Study to Evaluate V181 Dengue Vaccine in Healthy Participants 2 to 17 Years of Age (V181-005/MOBILIZE-1)Healthy
RECRUITING12,000 Analytics
PHASE3RECRUITING
A Study to Evaluate V181 Dengue Vaccine in Healthy Participants 2 to 17 Years of Age (V181-005/MOBILIZE-1)
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Study Endpoints

Primary Endpoints

Percentage of Participants Experiencing a Medically Attended Adverse Event (MAAE)
Up to approximately 6 months postvaccination

A MAAE is an adverse event (AE) in which medical attention is received during an unscheduled, non-routine outpatient visit, such as an ER visit, office visit, or an urgent care visit with any medical personnel for any reason.

Percentage of Participants Experiencing a Serious Adverse Event (SAE)
Up to approximately 5 years postvaccination

An SAE is an AE that results in death, is life-threatening, requires or prolongs an existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly or birth defect, or is another important medical event deemed such by medical or scientific judgment.

Reactogenicity and Immunogenicity Subset: Percentage of Participants Experiencing Solicited Injection-site AEs
Up to approximately 5 days postvaccination

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study treatment. Solicited injection-site AEs will include pain/tenderness, erythema/redness, and swelling.

Reactogenicity and Immunogenicity Subset: Percentage of Participants Experiencing Solicited Systemic AEs
Up to approximately 28 days postvaccination

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study treatment. Solicited systemic AEs will include rash, headache, tiredness (fatigue), muscle aches all over body (myalgia), joint pain and fever (pyrexia).

Percentage of Participants Experiencing Symptomatic (Requiring Fever on at Least 2 of 3 Consecutive Days) VCD of Any Severity, Due to Any of the 4 Dengue Serotypes, Regardless of Dengue Serostatus at Baseline
Up to approximately 3 years postvaccination

Fever is defined as presence of body temperature ≥ 100.4 °F. Dengue status will be confirmed by wild type (WT) reverse transcription polymerase chain reaction (RT-PCR) or non-structural protein 1 (NS1) enzyme-linked immunosorbent assay (ELISA).

Dengue Virus (DENV)-Neutralizing Antibody Titers as Measured by Virus Reduction Neutralization Test (VRNT)
Day 28 post-vaccination

A dengue VRNT was conducted to assess neutralizing antibody geometric mean titers (GMTs) for each of the 4 dengue serotypes (DENV1, DENV2, DENV3, and DENV4) in specimens collected from participants on Day 28 post-vaccination

Percentage of Participants Who Seroconverted, as Measured by VRNT
Day 28 post-vaccination

A dengue VRNT was conducted to assess the percentage of participants who seroconverted for each of the 4 dengue serotypes (DENV-1, DENV-2, DENV-3 and DENV-4) at Day 28 post-vaccination. Seroconversion was defined as achieving a serotype-specific VRNT titer ≥lower limit of quantification (LLOQ) at Day 28 post-vaccination in the analysis population.

Percentage of Participants With Vaccine-related Serious Adverse Events (SAEs)
Up to 28 days post-vaccination

An SAE is an AE that results in death, is life-threatening, requires or prolongs an existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly or birth defect, or is another important medical event deemed such by medical or scientific judgment. Relatedness of an SAE to the study vaccine was determined by the investigator.

Secondary Endpoints

Percentage of Participants Experiencing Symptomatic (Requiring Fever on at Least 2 of 3 Consecutive Days) VCD of Any Severity, Due to Each of the 4 Dengue Serotypes, Regardless of Dengue Serostatus at Baseline
Up to approximately 3 years postvaccination
Percentage of Participants Experiencing Symptomatic (Requiring Fever on at Least 2 of 3 Consecutive Days) VCD of Any Severity, by Dengue Serostatus at Baseline, Up to Approximately 3 Years Postvaccination
Up to approximately 3 years postvaccination
Percentage of Participants Experiencing Symptomatic (Requiring Fever on at Least 2 of 3 Consecutive Days) VCD of Any Severity, by Dengue Serostatus at Baseline, Up to Approximately 5 Years Postvaccination
Up to approximately 5 years postvaccination
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
V181EXPERIMENTALParticipants will receive a single 0.5 mL subcutaneous (SC) dose of V181 on Day 1.
PlaceboPLACEBO_COMPARATORParticipants will receive a single 0.5 mL SC dose of placebo on Day 1.
Butantan - DVEXPERIMENTALParticipants received a single 0.5 mL SC injection of Butantan - DV.

Interventions

NameTypeDescription
V181BIOLOGICALParticipants will receive a single 0.5 mL SC dose of V181 on Day 1.
PlaceboBIOLOGICALParticipants will receive a single 0.5 mL SC dose of placebo on Day 1.
Butantan - DVBIOLOGICAL0.5 mL SC dose of Butantan - DV
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Eligibility Criteria

Age Range2 Years to 17 Years
SexALL
Healthy VolunteersYes
Study Sites41

The key Inclusion Criteria include but are not limited to: * Is generally healthy based on medical history and physical examination. The key Exclusion Criteria include but are not limited to: * Has a known or suspected impairment of immunological function. * Has a history of congenital or acquire...

Countries:IndonesiaMalaysiaPhilippinesPuerto RicoSingaporeThailandVietnamBrazil
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Recent Changes (Last 90 Days)

LOWSep 3, 2026NCT07013487lastUpdatePostDate: changed
LOWSep 3, 2026NCT07013487lastUpdatePostDate: changed
LOWAug 19, 2026NCT07013487lastUpdatePostDate: changed
LOWAug 19, 2026NCT07013487lastUpdatePostDate: changed
LOWAug 19, 2026NCT07013487lastUpdatePostDate: changed
LOWJul 10, 2026NCT07013487lastUpdatePostDate: changed
LOWJul 10, 2026NCT07013487lastUpdatePostDate: changed
LOWJul 6, 2026NCT07013487lastUpdatePostDate: changed
LOWJul 6, 2026NCT07013487lastUpdatePostDate: changed
LOWJun 23, 2026NCT07013487lastUpdatePostDate: changed
LOWJun 23, 2026NCT07013487lastUpdatePostDate: changed

Frequently asked questions about V181

What is V181 used for?

V181 is an investigational dengue vaccine being developed for the prevention of dengue disease. It is being studied in healthy adults and children, with clinical trials evaluating its use in participants aged 2 to 50 years. The vaccine is designed to provide protection against dengue virus infection.

Who makes V181?

V181 is being developed by Merck & Company, Inc., a pharmaceutical company traded on the New York Stock Exchange under the ticker symbol MRK. Merck is conducting clinical trials to evaluate the safety and efficacy of V181 as a dengue vaccine.

What phase is V181 in?

V181 is in clinical development, with trials in Phase 2 and Phase 3. A Phase 2 study has been completed, and a Phase 3 study is currently recruiting participants. The vaccine is investigational and has not been approved by regulatory authorities.

What clinical trials is V181 in?

V181 is being evaluated in two clinical trials. NCT05710224 is a completed Phase 2 bridging study in healthy adults aged 18 to 50 in Brazil. NCT07013487 is a Phase 3 study in healthy participants aged 2 to 17, recruiting in multiple countries including Indonesia, Malaysia, and Thailand.

Is V181 the same as Butantan-DV?

V181 is a dengue quadrivalent vaccine being compared to Butantan-DV in a clinical bridging study. The Phase 2 trial NCT05710224 evaluated V181 against Butantan-DV in healthy adults to assess similarity. V181 is a live, attenuated dengue vaccine developed by Merck.

How does V181 work?

V181 is a live, attenuated dengue quadrivalent vaccine. It contains weakened forms of the four dengue virus serotypes to stimulate an immune response without causing disease. This approach aims to generate protective immunity against all four dengue serotypes.