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ALS-008176

Phase 2

Respiratory Syncytial Virus Infections | Small molecule | Respiratory |Vertex Pharmaceuticals Incorporated|Last Updated: Feb 4, 2025

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 Trials5
Total Enrollment367
FDA Designations
No designations recorded
Clinical Trials (5)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02673476A Phase 2a Study to Evaluate Orally Administered ALS-008176 in Adults Hospitalized With a Respiratory Syncytial VirusPHASE2 COMPLETED 9Feb 29, 2016Oct 31, 2016Feb 4, 202521 United States, Australia +3
NCT02094365A Phase 2a Study to Evaluate ALS-008176 in the Virus Challenge ModelPHASE2 COMPLETED 62Mar 1, 2014Jul 1, 2014Feb 3, 20251 United Kingdom
NCT02231671A Phase 1, Open-Label Study of the Absorption, Metabolism, Excretion and Absolute Bioavailability of ALS-008176PHASE1 COMPLETED 12Aug 31, 2014Nov 30, 2014Oct 31, 20171 United Kingdom
NCT02202356A Study of ALS-008176 in Infants Hospitalized With RSVPHASE1 COMPLETED 183Jul 23, 2014Feb 15, 2018Feb 3, 202577 United States, Australia +12
NCT01906164Study of Single and Multiple Doses of ALS-008176 in Healthy VolunteersPHASE1 COMPLETED 101May 31, 2013Nov 30, 2013Oct 31, 20171 France
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Study Endpoints
Primary Endpoints
AUC of RSV RNA
From prior to first dose to study day 7

Area under the curve (AUC) of RSV ribonucleic acid (RNA) from nasal swabs immediately prior to 1st dose of study drug (baseline) until Day 7.

Change in viral load measurements.
Baseline to day 12
Absolute Bioavailability
Days 1-8

Determination of the absolute bioavailability of ALS-008112

Mass Balance
Days 1 - 14

Mass balance recovery of total radioactivity in urine, faeces, and urine and faeces combined: amount excreted (Ae) and Ae as a percentage of the administered dose (%Ae)

Adverse Events
Baseline through 6 days post-dose
Physical Examinations
Baseline through 6 days post-dose
Vital Signs
Baseline through 6 days post-dose
12-Lead ECGs
Baseline through 6 days post-dose
Clinical Laboratory Results
Baseline through 6 days post-dose
Safety data including, but not limited to, tabulation of adverse events, physical exams, vital signs, 12-lead ECGs and clinical lab results (including chemistry, hematology, and urine)
11 days
Secondary Endpoints
Time from baseline to non-detectability of RSV from nasal swab
From prior first dose to study day 28
Percent of subjects with undetectable RSV by qPCR
From study day 3, and every two days until study day 7
Peak post-baseline viral load
From before first dose to study day 28
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PlaceboPLACEBO_COMPARATORIdentical Placebo Comparator
ALS-008176EXPERIMENTALALS-008176 tablets
vehicle alonePLACEBO_COMPARATORVehicle alone
Part 1: Absolute BioavilabilityEXPERIMENTALPart 1 of this study is an absolute bioavailability study where the IV (intravenous) microtracer dose of ALS-008112 is administered 15-30 minutes after the oral dose to determine the bioavailability of the oral dose compared to the IV dose. The maximum microtracer IV dose administered in Part 1 of this study will not exceed a single dose of 100 μg \[14C\]-ALS-008112 containing NMT (not more than) 37.0 kBq (1000 nCi) 14C. Based upon previous clinical observations, it is anticipated that the single oral dose and IV microdose to be utilised in Part 1 will provide acceptable PK data and will be safe and well tolerated.
Part 2: Mass BalanceEXPERIMENTALPart 2 of this study is an absorption, metabolism and excretion study, for which a single 375 mg \[14C\]-ALS-008176 (containing NMT 6.85 MBq (megabecquerel) (185 μCi) 14C) dose has been selected for evaluation based upon data from prior studies. Based upon previous clinical observations, it is anticipated that the dose to be utilised in Part 2 will provide acceptable PK data, will be safe and well tolerated and is within the therapeutic range.
ALS-008176 Single DoseEXPERIMENTALSingle dose of ALS-008176 administered orally as a suspension
Placebo Single DosePLACEBO_COMPARATORSingle dose of placebo administered orally as a suspension
ALS-008176 Multiple DosesEXPERIMENTALMultiple doses of ALS-008176 administered orally as a suspension
Placebo Multiple DosesPLACEBO_COMPARATORMultiple doses of placebo administered orally as a suspension
Interventions
NameTypeDescription
ALS-008176DRUGALS-008176 tablets
PlaceboDRUGIdentical placebo tablets
vehicleDRUG -
ALS-008112DRUG -
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Eligibility Criteria
Age Range50 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites21

Inclusion Criteria: 1. Subject is ≥50 years of age. 2. Female subjects of non-childbearing potential (i.e., surgically sterilized, post-menopausal \[amenorrhea for 1 year confirmed by negative hormone panel\]) who also have a negative pregnancy test at screening. 3. Male subjects must be either sur...

Countries:United StatesAustraliaNew ZealandSingaporeTaiwanUnited KingdomCanadaChileColombiaFranceJapanPanamaRomaniaSouth AfricaThailand
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