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ST-246

Phase 4

Orthopoxviral Disease | Small molecule | Infectious Disease |SIGA Technologies Inc.|Trials Updated: Sep 14, 2026

ST-246 development status

Highest phase Phase 4 (NCT04485039)
Phase scored for SIGAPhase 2
Registered trials 5 across 2 sponsors since Feb 2007

ST-246 target and mechanism

ModalitySmall molecule

Also known as tecovirimat

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials3
Total Enrollment656

FDA Designations

No designations recorded

ST-246 clinical trials

ST-246 · 3 trials · 2 indications

Phase 3 1Phase 2 2
NCT02474589A Trial to Assess the Safety, Tolerability, and Pharmacokinetics of the Anti-Orthopoxvirus Compound TecovirimatSmallpox
COMPLETED449 Analytics
PHASE3COMPLETED
A Trial to Assess the Safety, Tolerability, and Pharmacokinetics of the Anti-Orthopoxvirus Compound Tecovirimat
SmallpoxUnlock trial analytics

Study Endpoints

Primary Endpoints

To Determine the Number of Participants With Adverse Events
45 days

To determine the safety and tolerability of oral tecovirimat

Adverse Events
59 Days

Number of participants with adverse events when TPOXX or TPOXX Placebo is coadministered with JYNNEOS

Immunogenicity
Day 43

Least squared geometric mean

Number of Study Participants Who Tolerated a Single Daily Oral ST-246 Dose as Determined by Safety Parameter Changes According to the DAIDS (Division of Acquired Immunodeficiency Syndrome) Adverse Events (AE) Grading Table.
Days 1 to 14; then 24, 48, 72, 96 and 120 hours and 4 weeks after final dose

Subjects were administered a single, daily oral dose of ST-246 (400 or 600 mg)and changes in safety parameteres were monitored. Safety parameters included adverse events, vital signs, physical examinations, laboratory tests (hematology, blood chemistry, and urinalysis) and electrocardiograms. The DAIDS AE grading table is a list of common terms and severity (intensity) of parameters used to describe adverse events occurring in NIAID-sponsored clinical studies/trials.

Secondary Endpoints

Evaluation of Pharmacokinetic Parameters to Assess Interventions: Cmax
Day 1 post-dose
Evaluation of Pharmacokinetic Parameters to Assess Interventions: Tmax
Day 1 post-dose
Evaluation of Pharmacokinetic Parameters to Assess Interventions: AUCtau
Day 1 post-dose
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ActiveACTIVE_COMPARATOR600 mg tecovirimat capsules BID to assess safety and tolerability and pharmacokinetics of the anit-orthopoxvirus compound Tecovirimat when administered orally in healthy subjects
PlaceboPLACEBO_COMPARATORmatching placebo capsules BID to assess safety and tolerability and pharmacokinetics of the anit-orthopoxvirus compound Tecovirimat when administered orally in healthy subjects
JYNNEOS + TPOXXACTIVE_COMPARATORAn oral dose of 600 mg (3 × 200 mg capsules) TPOXX BID (every 12 hours \[±30 minutes\]) for 28 days and a single AM SC dose of 0.5 mL JYNNEOS on Day 1 and Day 29. JYNNEOS will be administered with TPOXX concomitantly on Day 1
JYNNEOS + matching TPOXX placeboPLACEBO_COMPARATORAn oral dose of placebo (3 capsules identical to TPOXX) BID (every 12 hours \[±30 minutes\]) for 28 days and a single AM SC dose of 0.5 mL JYNNEOS on Day 1 and Day 29. JYNNEOS will be administered with TPOXX placebo concomitantly on Day 1.
ST-246 400 mgEXPERIMENTALST-246 400mg (2 x 200 mg Capsules) Orally Once Daily for 14 days
ST-246 600 mgEXPERIMENTALST-246 600 mg (3 x 200 mg Capsules) Orally Once Daily for 14 days

Interventions

NameTypeDescription
tecovirimatDRUGStudy is based on Animal Regulatory Rule
PlaceboOTHERDoes not apply
Smallpox and Mpox VaccineDRUGvaccine
ST-246 400 mgDRUGCapsules, 400 mg daily for 14 days
ST-246 600 mgDRUGCapsules, 600 mg daily for 14 days
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Eligibility Criteria

Age Range18 Years to 80 Years
SexALL
Healthy VolunteersYes
Study Sites11

Inclusion Criteria: * 18 to 80 years old, inclusive * Available for clinical follow-up for the duration of the study * Able and willing to give informed consent * In good general health without clinically significant medical history; not have been hospitalized for a chronic medical condition for th...

Countries:United States
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Recent Changes (Last 90 Days)

MEDIUMOct 12, 2026NCT00907803TRIAL_REMOVED: changed
MEDIUMOct 12, 2026NCT02474589TRIAL_REMOVED: changed
MEDIUMOct 12, 2026NCT00907803TRIAL_REMOVED: changed
MEDIUMOct 12, 2026NCT02474589TRIAL_REMOVED: changed
MEDIUMOct 12, 2026NCT00907803TRIAL_REMOVED: changed
MEDIUMOct 12, 2026NCT02474589TRIAL_REMOVED: changed
LOWSep 15, 2026NCT04957485lastUpdatePostDate: changed
LOWSep 15, 2026NCT04957485lastUpdatePostDate: changed
LOWSep 15, 2026NCT04957485lastUpdatePostDate: changed

Frequently asked questions about ST-246

What is ST-246?

ST-246 is an investigational small molecule antiviral developed by SIGA Technologies Inc. (ticker: SIGA) for orthopoxviral disease. It has been studied in a Phase 2 clinical trial and is not approved; it remains in clinical development. The program's completed trial enrolled 107 participants.

What is ST-246 used for in orthopoxviral disease?

ST-246 is being developed for the treatment of orthopoxviral disease, a category of viral infections that includes smallpox. Its clinical evaluation has focused on safety, tolerability, and pharmacokinetics in this indication. It is investigational and has not been approved for any use.

Who makes ST-246?

ST-246 is developed by SIGA Technologies Inc., which trades under the ticker SIGA. The company is the sponsor of the drug's clinical program in orthopoxviral disease.

What phase is ST-246 in?

ST-246 is in Phase 2 development. One Phase 2 trial has been completed, and no trials are currently active. The drug is investigational and has not been approved by the FDA.

What clinical trials is ST-246 in?

ST-246 has been studied in one completed Phase 2 trial, NCT00907803, titled "Safety, Tolerability, Pharmacokinetics (PK) of the Anti-Orthopox Drug, ST-246." It was a randomized, double-blind, placebo-controlled study of 107 healthy volunteers aged 18 years and older, conducted in the United States.