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Vicriviroc

Phase 3

HIV Infections | Small molecule | Infectious Disease |Merck & Company, Inc.|Last Updated: Aug 30, 2022

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials6
Total Enrollment1,364
FDA Designations
No designations recorded
Clinical Trials (6)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00523211Vicriviroc in HIV-Treatment Experienced Subjects (Study P04405AM5)PHASE3 COMPLETED 506Jul 1, 2007Mar 1, 2011Sep 25, 2015 -
NCT00474370Vicriviroc in HIV-Treatment Experienced Subjects (Study P04889AM8)(COMPLETED)PHASE3 COMPLETED 400May 15, 2007Oct 26, 2010Aug 30, 2022 -
NCT00551018Efficacy and Safety of VICRIVIROC in HIV-Infected Treatment-Naïve Subjects (Study P04875)PHASE2 COMPLETED 218Dec 1, 2007Oct 1, 2010Feb 6, 2015 -
NCT00551330Vicriviroc in HIV(R5/X4)-Treatment Experienced Subjects (Study P05057AM5)(COMPLETED)PHASE2 COMPLETED 111Sep 1, 2007May 1, 2010Dec 21, 2015 -
NCT00243230Vicriviroc (SCH 417690) in Combination Treatment With Optimized ART Regimen in Experienced Participants (VICTOR-E1) (MK-7690-020/P03672)PHASE2 COMPLETED 116Sep 19, 2005Mar 17, 2011Jun 8, 2021 -
NCT00632073Effect of Vicriviroc on HIV Ribonucleic Acid (RNA) Levels in Cerebrospinal Fluid (Study P05241)PHASE1 COMPLETED 13Mar 1, 2008Mar 1, 2010Feb 23, 2015 -
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Study Endpoints
Primary Endpoints
Proportion of subjects with undetectable plasma HIV-1 RNA (<50 copies/mL)
48 weeks
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)).

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
Proportion of subjects with plasma HIV RNA <50 copies/mL
Week 48
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Test ArmEXPERIMENTALVicriviroc 30 mg QD
Placebo Control ArmPLACEBO_COMPARATORPlacebo
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 + Failing HAARTEXPERIMENTALVicriviroc plus failing highly-active antiretroviral therapy
Interventions
NameTypeDescription
VicrivirocDRUGOne tablet of vicriviroc 30 mg once daily.
PlaceboDRUGOne tablet of placebo once daily.
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.
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Eligibility Criteria
Age Range16 Years — 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...

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