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V181

Phase 3

Dengue | Monoclonal antibody | Infectious Disease |Merck & Company, Inc.|Trials Updated: Sep 22, 2026

V181 development status

Highest phase Phase 3
Registered trials 2 across 2 sponsors since Jun 2025

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials2
Total Enrollment13,364

FDA Designations

No designations recorded

V181 clinical trials

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
ACTIVE NOT_RECRUITING12,000 Analytics
PHASE3ACTIVE NOT_RECRUITING
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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Competitive Landscape -Dengue 12 trials

Top 2 of 5 competitors

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Recent Changes (Last 90 Days)

MEDIUMSep 22, 2026NCT07013487Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMSep 22, 2026NCT07013487Status: RECRUITING → ACTIVE_NOT_RECRUITING
LOWSep 10, 2026NCT07013487lastUpdatePostDate: changed
LOWSep 10, 2026NCT07013487lastUpdatePostDate: changed
LOWSep 3, 2026NCT07013487lastUpdatePostDate: changed
LOWSep 3, 2026NCT07013487lastUpdatePostDate: changed
LOWAug 19, 2026NCT07013487lastUpdatePostDate: changed
LOWAug 19, 2026NCT07013487lastUpdatePostDate: changed
LOWAug 19, 2026NCT07013487lastUpdatePostDate: changed

Frequently asked questions about V181

What is V181?

V181 is an investigational dengue vaccine being developed by Merck & Company, Inc. (ticker MRK). It is a monoclonal antibody-based product in Phase 3 development for the prevention of dengue. Merck is evaluating it in healthy participants, including children and adults, across multiple countries in Asia, Latin America, and the Caribbean.

What is V181 used for?

V181 is being developed for the prevention of dengue, an infectious disease. It is intended for use in healthy participants, with clinical studies enrolling children as young as 2 years old as well as adults. It is investigational and has not been approved for any indication.

Who makes V181?

V181 is being developed by Merck & Company, Inc., which trades under the ticker MRK. Merck is running the clinical development program, including a Phase 3 study in healthy children and a completed Phase 2 bridging study in healthy adults in Brazil.

What phase is V181 in?

V181 is in Phase 3 clinical development. The Phase 3 trial is active but not recruiting, and a Phase 2 bridging study has been completed. V181 is investigational and has not been approved by the FDA or any other regulatory agency for the prevention of dengue.

What clinical trials is V181 in?

V181 has been studied in two clinical trials. The Phase 3 trial NCT07013487 (MOBILIZE-1) enrolled 12,000 healthy participants aged 2 to 17 years across Indonesia, Malaysia, the Philippines, Puerto Rico, Singapore, Thailand, and Vietnam. The completed Phase 2 bridging trial NCT05710224 enrolled 1,364 healthy adults aged 18 to 50 in Brazil.

Is V181 the same as the Butantan dengue vaccine?

No. V181 is Merck's dengue vaccine candidate, while the Butantan dengue vaccine (Butantan-DV) is a separate product developed by the Butantan Institute. A Phase 2 clinical bridging study, NCT05710224, compared V181 to the Butantan dengue vaccine in healthy adults in Brazil.