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Vicriviroc

Phase 3

HIV Infections | Small molecule | Infectious Disease |Merck & Company, Inc.|Last Updated: Nov 21, 2024

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials6
Total Enrollment1,364

FDA Designations

No designations recorded

Clinical trial landscape

Vicriviroc · 8 trials · 4 indications

Phase 3 2Phase 2 5Phase 1 1
NCT00523211Vicriviroc in HIV-Treatment Experienced Subjects (Study P04405AM5)HIV Infections
COMPLETED506 Analytics
NCT00474370Vicriviroc in HIV-Treatment Experienced Subjects (Study P04889AM8)(COMPLETED)HIV Infections
COMPLETED400 Analytics
PHASE3COMPLETED
Vicriviroc in HIV-Treatment Experienced Subjects (Study P04405AM5)
HIV InfectionsUnlock trial analytics
PHASE3COMPLETED
Vicriviroc in HIV-Treatment Experienced Subjects (Study P04889AM8)(COMPLETED)
HIV InfectionsUnlock trial analytics

Study Endpoints

Primary Endpoints

Proportion of subjects with undetectable plasma HIV-1 RNA (<50 copies/mL)
48 weeks
Objective Response Rate (ORR) Based on Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST 1.1)
Up to ~32 months

Objective response rate (ORR) was defined as the percentage of participants who experienced a complete response (CR; disappearance of all target lesions) or a partial response (PR; at least a 30% decrease in the sum of diameters of target lesions) and was assessed using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 by the investigator. ORR was estimated and analyzed using Clopper-Pearson interval.

Number of Participants Who Experienced Dose-Limiting Toxicities (DLTs)
Up to Day 21 of Cycle 1 (each cycle is 21 days)

DLTs were assessed during the first cycle (21 days) \& were defined as: Grade (Gr) 4 nonhematologic toxicity; Gr 4 hematologic toxicity lasting ≥7 days, except thrombocytopenia, Gr 4 thrombocytopenia of any duration, Gr 3 thrombocytopenia associated with bleeding; nonhematologic adverse event (AE) ≥ Gr 3 (with exceptions); Gr 3 or 4 nonhematologic lab abnormality (if medical intervention was required, lead to hospitalization, or persisted for \>72 hours); Gr 3 or 4 febrile neutropenia; inability to receive ≥75% of the planned vicriviroc dose because of drug-related tolerability; drug-related toxicity that caused a \>2 week delay in Cycle 2 initiation; elevated aspartate aminotransferase or alanine aminotransferase lab value that is \>3× upper limit of normal (ULN) \& an elevated total bilirubin value \>2× ULN \& an alkaline phosphatase value \<2× ULN, in which no alternative reasons were found.

Number of Participants Who Experienced an Adverse Event (AE)
Up to ~28 months

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 intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The number of participants with at least one AE was assessed.

Number of Participants Who Discontinued Study Treatment Due to an AE
Up to ~25 months

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 intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. The number of participants who discontinued treatment due to an AE was assessed

Mean change from baseline in log10 HIV RNA
Week 48
Change from baseline in HIV RNA (log10 copies/mL)
At Week 48
Change From Baseline in Log10 Human Immunodeficiency Virus (HIV) Ribonucleic Acid (RNA) at Week 48 of the Double-blind Period
Baseline and Week 48 of the Double-blind Period

HIV RNA was measured by AMPLICOR HIV-1 MONITOR Standard assay. For participants who had HIV RNA below the lower quantification of the Standard assay (LOQ of 400 copies/mL), the AMPLICOR HIV-1.5 UltraSensitive assay was performed. If the HIV RNA measurement was below the lower quantification of the UltraSensitive assay (LOQ of 50 copies/mL), a value of 49 was imputed. If a continuing participant has a missing HIV RNA value at the time point of interest, the geometric mean of immediately preceding and following values was used. If the participants had no subsequent following value or discontinued study treatment before the time point of interest, then the change from baseline was set to zero. Analysis was performed with a variance (ANOVA) model that adjusted for the treatment and stratification factors (intended enfuvirtide (T20) use in current newly-optimized background regimen (OBT) (Y/N) and HIV RNA at Screening (\> or ≤100,000 copies/mL)).

Percentage of Participants With ≥1 Adverse Events (AEs)
Up to discontinuation of commercial VCV availability (up to approximately 5.5 years)

An AE is any untoward medical occurrence in a participant administered a pharmaceutical product, biologic (at any dose), or medical device, which does not necessarily have a causal relationship with the treatment.

Percentage of Participants Discontinuing Study Therapy Due to AEs
Up to discontinuation of commercial VCV availability (up to approximately 5.5 years)

An AE is any untoward medical occurrence in a participant administered a pharmaceutical product, biologic (at any dose), or medical device, which does not necessarily have a causal relationship with the treatment.

Percentage of Participants With ≥1 Serious Adverse Events (SAEs)
Up to discontinuation of commercial VCV availability (up to approximately 5.5 years)

An SAE is any adverse occurrence that results in death; is life-threatening; results in a persistent disability; requires in-patient hospitalization or prolongs hospitalization; or is a congenital anomaly/birth defect.

Percentage of Participants With HIV Ribonucleic Acid (RNA) <50 Copies/mL
Every 12 months up to 60 months

The percentage of participants with HIV RNA \<50 copies/mL at each time point is reported. For this measure, "month" was defined as each 28-day period on study treatment. The Roche Amplicor® HIV-1 monitor test was used to quantify HIV RNA.

Percentage of Participants With HIV RNA >50 to <400 Copies/mL
Every 12 months up to 60 months

The percentage of participants with HIV RNA \>50 to \<400 copies/mL at each time point is reported. For this measure, "month" was defined as each 28-day period on study treatment. The Roche Amplicor® HIV-1 monitor test was used to quantify HIV RNA.

Percentage of Participants With HIV RNA ≥400 Copies/mL
Every 12 months up to 60 months

The percentage of participants with HIV RNA ≥400 copies/mL at each time point is reported. For this measure, "month" was defined as each 28-day period on study treatment. The Roche Amplicor® HIV-1 monitor test was used to quantify HIV RNA.

Number of Participants With Coreceptor Tropism Shifts From Baseline
Baseline (Week 48 of ACTG study A5211) and time of VF in P4100, assessed up to approximately 5.5 years

The number of participants with non reportable (NR) tropism, CCR5 (R5) tropism, or dual/mixed CCR5/CXCR4 (DM/X4) tropism at baseline, who had NR, R5, or DM/X4 tropism at the time of virologic failure (VF) is reported. The definition of VF is an increase in HIV RNA level \>0.5 log10 copies/mL compared to the baseline HIV RNA level.

Mean Change From Baseline in CD4/CD8 Cell Counts
Baseline (Week 48 of ACTG study A5211) and up to time of VF in P4100, assessed up to approximately 5.5 years

The mean change from baseline in CD4/CD8 counts throughout P4100 until the time of VF is reported. "Month" was defined as each 28-day period on study treatment. A fluorescent-activated cell sorter (FACS) analysis was used to quantify CD4/CD8 lymphocytes. The definition of VF is an increase in HIV RNA level \>0.5 log10 copies/mL compared to the baseline HIV RNA level.

Number of Participants With Reduced Susceptibility to VCV
Up to time of VF in P4100, assessed up to approximately 5.5 years

The total number of participants with viruses having phenotypic resistance to VCV is reported. Viruses exhibiting both maximum percent inhibition (MPI) plateau values of \<85% and relative MPI (R-MPI) values of \<0.9 (based on the PhenoSense HIV entry assay) were considered to have phenotypic resistance to VCV.

Number of Participants With AIDS-defining Events (ADEs)
Up to discontinuation of commercial VCV availability (up to approximately 5.5 years)

The number of participants with ADEs is reported. An ADE is an SAE that is expected in the course of disease and not considered related to study intervention. The sponsor identified events that met ADE criteria based on the 1993 Centers for Disease Control (CDC) Revised Classification System.

Number of Participants With New Infections
Up to discontinuation of commercial VCV availability (up to approximately 5.5 years)

The number of participants with new infections is reported.

Change in HIV RNA levels in CSF
Pretreatment and Week 2 visits

Secondary Endpoints

Mean change from baseline in plasma HIV-1 RNA (log10 copies/mL); Proportion of subjects with <400 copies/mL of plasma HIV-1 RNA; Proportion of subjects with >=2log10 reduction from baseline in plasma HIV-1 RNA
48 weeks
Mean change from baseline in plasma HIV-1 RNA (log10 copies/mL); Proportion of subjects with <400 copies/mL of plasma HIV-1 RNA; Proportion of subjects with at least 2log10 reduction from baseline in plasma HIV-1 RNA
48 weeks
Objective Response Rate (ORR) Based on Modified Response Evaluation Criteria in Solid Tumors 1.1 for Immune-based Therapeutics (iRECIST)
Up to ~32 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Test ArmEXPERIMENTALVicriviroc 30 mg QD
Placebo Control ArmPLACEBO_COMPARATORPlacebo
Vicriviroc QD at Dose Level 1 (150 mg) + Pembrolizumab (200 mg)EXPERIMENTALParticipants receive vicriviroc 150 mg tablets per os (PO) every day (QD) of each 21-day cycle up to 35 cycles and pembrolizumab 200 mg as a 30-minute intravenous (IV) infusion on Day 1 of each 21 day cycle up to 35 cycles (cycle length: 21 days).
Vicriviroc QD at Dose Level 2 (250 mg) + Pembrolizumab (200 mg)EXPERIMENTALParticipants receive vicriviroc 250 mg tablets PO QD of each 21-day cycle up to 35 cycles and pembrolizumab 200 mg as a 30-minute IV infusion on Day 1 of each 21 day cycle up to 35 cycles (cycle length: 21 days).
Vicriviroc + Reyataz + ritonavirEXPERIMENTALvicriviroc 30 mg tablet QD + Reyataz® (atazanavir sulfate) 300 mg (1x300 mg capsule or 2x150 mg capsules) QD + Norvir® (ritonavir) 100 mg capsule QD
Truvada® + Reyataz + ritonavirACTIVE_COMPARATORTruvada® 200/300 combination tablet QD + Reyataz® (atazanavir sulfate) 300 mg (1x300 mg capsule or 2x150 mg capsules) QD + Norvir® (ritonavir) 100 mg capsule QD
1EXPERIMENTALVicriviroc 30 mg QD
2PLACEBO_COMPARATORPlacebo
Double-Blind - Vicriviroc 30 mgEXPERIMENTALVicriviroc 30 mg once daily (QD), orally (PO), plus an open-label optimized antiretroviral therapy (ART) regimen containing a ritonavir-boosted protease inhibitor (PI/r) for 48 weeks.
Double-Blind - Vicriviroc 20 mgEXPERIMENTALVicriviroc 20 mg QD, PO, plus an open-label optimized ART regimen containing a PI/r for 48 weeks.
Double-Blind - PlaceboPLACEBO_COMPARATORPlacebo QD, PO, plus an open-label optimized ART regimen containing a PI/r for 48 weeks.
Open-label - Vicriviroc 30 mgEXPERIMENTALVicriviroc 30 mg once daily (QD), orally (PO), plus an open-label optimized ART regimen containing a ritonavir-boosted protease inhibitor (PI/r) for up to 45 months.
VCV 30 mgEXPERIMENTALParticipants take VCV 30 mg once daily.
VCV + Failing HAARTEXPERIMENTALVicriviroc plus failing highly-active antiretroviral therapy

Interventions

NameTypeDescription
VicrivirocDRUGOne tablet of vicriviroc 30 mg once daily.
PlaceboDRUGOne tablet of placebo once daily.
PembrolizumabBIOLOGICALPembrolizumab administered by IV infusion at 200 mg every 3 weeks (Q3W), given on cycle day 1.
emtricitabine and tenofovir disoproxil fumarateDRUGone 200/300 combination tablet QD
Vicriviroc 30 mgDRUGThree tablets of vicriviroc 10 mg once daily for 48 weeks (Double-blind Period) or for up to 45 months (Open Label Period).
Vicriviroc 20 mgDRUGTwo tablets of vicriviroc 10 mg once daily for 48 weeks.
Background ART RegimenDRUGAn open-label ritonavir-boosted optimized background ART regimen containing ≥3 drugs (including a protease inhibitor \[PI\]) selected for each individual study participant by the investigator. The optimized regimens most commonly include new nucleoside analogs (NRTIs) and a PI, usually "boosted" with concomitant ritonavir.
Vicriviroc maleateDRUGVCV 30 mg tablet once daily by mouth.
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Eligibility Criteria

Age Range16 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Subject must be infected with HIV-1 virus. * Subject must have documented plasma HIV-1 RNA \>1000 copies/mL within 60 days of Visit 1/Day 1 (randomization) and must be either * on a stable regimen of 3 or more antiretrovirals (ART) for at least 4 weeks prior to the screeni...

Countries:United StatesCanada
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Frequently asked questions about Vicriviroc

What is Vicriviroc used for?

Vicriviroc is an investigational small molecule being studied for HIV infections and colorectal neoplasms. In clinical trials, it has been evaluated in combination with optimized antiretroviral therapy for HIV and with pembrolizumab for advanced or metastatic microsatellite stable colorectal cancer. It is not approved and remains in clinical development.

What does Vicriviroc target?

Vicriviroc is a small molecule that targets the CCR5 receptor, which is involved in HIV entry into cells. By blocking this receptor, it aims to prevent the virus from infecting immune cells. This mechanism is relevant to its use in HIV treatment.

Who makes Vicriviroc?

Vicriviroc is developed by Merck & Company, Inc., a pharmaceutical company traded on the New York Stock Exchange under the ticker MRK. Merck has sponsored clinical trials of the drug across multiple indications.

What phase is Vicriviroc in?

Vicriviroc is in Phase 2 clinical development. It has completed Phase 2 trials for HIV infections and colorectal cancer, as well as a Phase 1 trial for HIV. The drug is investigational and has not received FDA approval.

What clinical trials is Vicriviroc in?

Vicriviroc has been studied in six completed clinical trials. Key trials include NCT00243230 for HIV, NCT00632073 for HIV in cerebrospinal fluid, NCT00686829 as a rollover study for HIV, and NCT03631407 for colorectal cancer. All trials are completed with no active studies.

Is Vicriviroc the same as SCH 417690?

Yes, Vicriviroc is also known as SCH 417690 and MK-7690. These alternative names appear in clinical trial titles and protocols, such as NCT00243230 and NCT03631407, where the drug is referred to by these identifiers.