ABC
1Main
2Brand NameTPOXX, fka Arestvyr, fka ST-246
3Generic Nametecovirimat
4Purchases$705m "over the last decade" (Q122 PR). First courses delivered to BARDA 3/12/13 (investigational drug not yet approved).
5IndicationTreatment of smallpox
6IP / Expiry8802714 / Jul 2028 - Compounds, compositions and methods for treatment and prevention of orthopoxvirus infections and associated diseases
78530509 / Jul 2031 - Compounds, compositions and methods for treatment and prevention of orthopoxvirus infections and associated diseases
88124643 / December 2029 - Compounds, compositions and methods for treatment and prevention of orthopoxvirus infections and associated diseases
98039504 / April 2027 - Compounds, compositions and methods for treatment and prevention of orthopoxvirus infections and associated diseases
107956197 / April 2030 - Compounds, compositions and methods for treatment and prevention of orthopoxvirus infections and associated diseases
117737168 / December 2024 - Compounds, compositions and methods for treatment and prevention of orthopoxvirus infections and associated diseases
127687641 / April 2027 - Compounds, compositions and methods for treatment and prevention of orthopoxvirus infections and associated diseases
137067248 / September 2023 - Screening method for orthopoxvirus antivirals
14MechanismOrthopoxvirus replication inhibitor
15EconomicsJudge ruled 50% with PharmAthene after first $40M of net profits (for 10 years) - Siga appealing
16AdministrationOral (capsule), IV
17CompetitionSmallpox vaccines, cidofovir, manufacturers (Bavarian Nordic, Chimerix, Emergent BioSolutions) - there is enough vaccine stockpiled in the US for every citizen
18Clinical Trials
19Phase II, n=107
20n=107, Double-Blind, Randomized, Placebo-Controlled, Multi-Center Trial to Assess Safety, Tolerability, and PK
21met primary endpoint of safety and secondary endpoint of of pharmacokinetic parameters to assess interventions (Days 1 to 14; 24,48,72,96 and 120 hours and 4 weeks after final dose)
22
23Phase I, n=30
24n=30, Double-blind, Randomized, Placebo-controlled, Escalating, Multiple-dose, Phase I Trial to Assess Safety, Tolerability and Pharmacokinetics
25met primary endpoint of safety and secondary endpoint of of pharmacokinetic parameters to assess interventions (Days 1, 6, 14-16, 21-24, 28-31, and 51-53)
26safety parameters included physical examination/vital signs, electrocardiograms, laboratory safety tests and adverse events
27
28Phase I, n=12
29n=12, Randomized, Double-Blind, Crossover, Exploratory Study of the Pharmacokinetics of a Single Oral Dose of Form I Versus Form V Capsules
30met primary endpoint of pharmacokinetic parameters to assess interventions
31
32PapersAn Orally Bioavailable Antipoxvirus Compound (ST-246) Inhibits Extracellular Virus Formation and Protects Mice from Lethal Orthopoxvirus Challenge. Yang et al. J Virology 2005.
33CustomersProduct does not need to be approved to begin stockpiling.
34BARDA awarded $433M contract to deliver 1.7 million courses of ST-246
35In addition to $33M HHS contract to supply ST-246
36Cumulatively, as of the end of July 2014, Siga has delivered 1.3M courses of Tecovirimat since the beginning of 2013