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ST-246 Days 1- 3

Phase 4

Orthopoxviral Disease | Small molecule | Infectious Disease |SIGA Technologies Inc.|Trials Updated: Oct 1, 2026

ST-246 Days 1- 3 development status

Highest phase Phase 4 (NCT04485039)
Phase scored for SIGAPhase 1
Registered trials 4 across 2 sponsors since Jun 2015

ST-246 Days 1- 3 target and mechanism

ModalitySmall molecule

Also known as Tecovirimat

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials3
Total Enrollment561

FDA Designations

No designations recorded

ST-246 Days 1- 3 clinical trials

ST-246 Days 1- 3 · 3 trials · 3 indications

Phase 3 1Phase 2 1Phase 1 1
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

Pharmacokinetic Parameters for a Single Dose of ST-246 Form I vs. Form V: t½
Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs

Mean terminal half-life (t½; hrs) for Forms I and V were calculated from \[plasma\] vs time profiles.

Pharmacokinetic Parameters for a Single Dose of ST-246 Form I vs. Form V: AUC0-τ
Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs

Area under the drug concentration-time curve from time zero to time t, where t is the last timepoint with a drug concentration ≥ lowest obtainable quantification (AUC0-τ; ng\*hr/mL).

Pharmacokinetic Parameters for a Single Dose of ST-246 Form I vs. Form V: AUC0-∞
Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs

Area under the drug concentration-time curve from time zero to infinity (AUC0-∞; ng\*hr/mL).

Pharmacokinetic Parameters for a Single Dose of ST-246 Form I vs. Form V: Cmax
Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs

Maximum drug concentration in plasma, determined directly from individual concentration-time data (Cmax)

Pharmacokinetic Parameters for a Single Dose of ST-246 Form I vs. Form V: Tmax
Post-dose samples at 0.5,1,2,3,4,8,12,24,36,48,72 hrs

Time to maximum plasma concentration(Tmax; hrs) for Forms I and V were calculated from \[plasma\] vs time profiles.

Secondary Endpoints

Number of Study Participants Who Tolerated a Single Dose of ST-246 Form I vs. Form V as Determined by No Clinically Significant Changes in Safety Parameters
4 weeks
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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.
Group ST-246 Form I (followed by Form V)ACTIVE_COMPARATOREach of six subjects receive a single oral 400 mg dose (2×200 mg) of ST-246 Form I (monohydrate) in the first intervention period, followed 10 days later (3 days post-treatment monitoring and 7 days wash-out period) in the second intervention period by a single oral 400 mg dose (2×200 mg) of ST-246 Form V (hemihydrate). Both forms of drug are orally administered within 30 minutes after a standard light meal consisting of 400-450 calories and approximately 25% fat.
Group ST-246 Form V (followed by Form I)ACTIVE_COMPARATOREach of six subjects receive a single oral 400 mg dose (2×200 mg) of ST-246 Form V (hemihydrate) in the first intervention period, followed 10 days later (3 days post-treatment monitoring and 7 days wash-out period) in the second intervention period by a single oral 400 mg dose (2×200 mg) of ST-246 Form I (monohydrate). Both forms of drug are orally administered within 30 minutes after a standard light meal consisting of 400-450 calories and approximately 25% fat.

Interventions

NameTypeDescription
tecovirimatDRUGStudy is based on Animal Regulatory Rule
PlaceboOTHERDoes not apply
Smallpox and Mpox VaccineDRUGvaccine
ST-246 Days 1 - 3DRUGFirst Intervention is on Days 1 - 3, and includes 6 patients dosed once orally with ST-246 Form I (Arm 1), and 6 patients dosed once orally with ST-246 Form V (Arm 2).
ST-246 Days 11 - 13DRUGSecond Intervention is on Days 11 - 13 (after a 3 day post-treatment monitoring and 7 day wash-out period) where the 6 patients previously given ST-246 Form I (Arm 1) are now dosed once orally with ST-246 Form V, and the 6 patients previously given ST-246 Form V (Arm 2) are now dosed once orally with ST-246 Form I.
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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, 2026NCT02474589TRIAL_REMOVED: changed
MEDIUMOct 12, 2026NCT02474589TRIAL_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 Days 1- 3

What is ST-246 Days 1-3?

ST-246 Days 1-3 is an investigational small molecule antiviral being developed by SIGA Technologies Inc. for orthopoxviral disease, a category that includes smallpox and monkeypox. It is a Phase 1 candidate that has been studied in a single completed clinical trial. It is not an approved product.

What is ST-246 Days 1-3 used for?

ST-246 Days 1-3 is being developed for orthopoxviral disease, including smallpox and monkeypox. The completed Phase 1 study enrolled healthy adult volunteers rather than patients with active infection, so the program remains at an early stage of clinical development for these indications.

Who makes ST-246 Days 1-3?

ST-246 Days 1-3 is developed by SIGA Technologies Inc., which trades on the Nasdaq under the ticker SIGA. The company is the sponsor of the Phase 1 study of the candidate in orthopoxviral disease.

What phase is ST-246 Days 1-3 in?

ST-246 Days 1-3 is in Phase 1 development. One Phase 1 trial has been completed, and no trials are currently active. The program has not reached later-stage testing, and the drug is investigational rather than approved for any indication.

What clinical trials is ST-246 Days 1-3 in?

ST-246 Days 1-3 has been studied in one completed Phase 1 trial, NCT00728689, titled Phase I Trial of an Investigational Small Pox Medication. It enrolled 12 healthy adult volunteers in the United States, was randomized, double blind, and used an active control.

Is ST-246 Days 1-3 the same as ST-246 Days 1 - 3?

Yes. ST-246 Days 1-3 and ST-246 Days 1 - 3 refer to the same SIGA Technologies candidate for orthopoxviral disease. The two spellings differ only in spacing around the dash, so searches using either form point to the same Phase 1 program.