An Overview of INCB-9471
May 29, 2013
Other Names: INCB 9471, INCB-009471
What is an investigational drug?
An investigational drug is one that is under study and is not approved by the U.S. Food and Drug Administration (FDA) for sale in the United States. Medical research studies are conducted to evaluate the safety and effectiveness of an investigational drug. These research studies are also called clinical trials. Once an investigational drug has been proven safe and effective in clinical trials, FDA may approve the drug for sale in the United States.
What is INCB-9471?
INCB-9471 is an investigational drug that is being studied for the treatment of HIV infection.
INCB-9471 belongs to a class (group) of HIV drugs called entry and fusion inhibitors.2 Entry and fusion inhibitors block HIV from getting into and infecting certain cells of the immune system. This prevents HIV from multiplying and can reduce the amount of HIV in the body.
INCB-9471 works by attaching to one of two proteins on the surface of the immune cells. These proteins are called the CCR5 and CXCR4 coreceptors. INCB-9471 attaches to the CCR5 coreceptor. When INCB-9471 attaches to the CCR5 coreceptor, certain strains of HIV -- called R5-tropic virus -- cannot attach to, enter, or infect the cell.3
Research may prove that INCB-9471 is a safe and effective option for treating people with R5-tropic virus, including those for whom other entry and fusion inhibitors, such as maraviroc (brand name: Selzentry), are not working.3
How are clinical trials of investigational drugs conducted?
Clinical trials are conducted in "phases." Each phase has a different purpose and helps researchers answer different questions.4
In most cases, an investigational drug must be proven safe and effective in a Phase III clinical trial to be considered for approval by the FDA for sale in the United States. Some drugs go through the FDA's accelerated approval process and are approved before a Phase III clinical trial is complete. After a drug is approved by the FDA and made available to the public, researchers track its safety in Phase IV trials to seek more information about the drug's risks, benefits, and optimal use.4
In what phase of testing is INCB-9471?
INCB-9471 has been studied in Phase II clinical trials.2
What have recent studies shown about INCB-9471?
In a 14-day Phase II study, INCB-9471 taken once daily was compared with placebo in HIV-infected adults who had R5-tropic virus. (A placebo is an inactive drug that is identical in appearance to the active drug being studied.) Some of participants had never taken HIV medicines before entering the study (treatment-naive), and others had taken HIV medicines previously (treatment-experienced). The treatment-experienced adults had been off therapy for at least 3 months. Participants did not receive additional HIV medicines as part of a background regimen. (A background regimen is a combination of drugs that are not being studied as the investigational drug[s] in the clinical trial, but are being given to help control a participant's HIV infection.)5,6
In this study, INCB-9471 showed substantial antiviral activity against R5-tropic HIV. Prolonged anti-HIV activity was apparent, with viral load suppression continuing 2 weeks past the last dose. (Viral load is the amount of HIV in the blood.) In terms of safety, INCB-9471 was generally safe and well tolerated.6
An additional Phase II study of INCB-9471 in treatment-naive and treatment-experienced adults with R5-tropic HIV has been completed. In this study, three different strengths of once-daily INCB-9471 monotherapy were compared with placebo. Results indicated that at the two higher strengths studied, INCB-9471 had significant antiviral activity.7
What side effects might INCB-9471 cause?
In the first study discussed under the previous question, which was a 14-day Phase II study of INCB-9471 in HIV-infected adults, INCB-9471 was safe and well tolerated.5,6
Because INCB-9471 is still being studied, information on possible side effects of the drug is not complete. As testing of INCB-9471 continues, additional information on possible side effects will be gathered.
Where can I get more information about clinical trials studying INCB-9471?
More information about INCB-9471-related research studies is available from the AIDSinfo database of ClinicalTrials.gov study summaries. Click on the title of any trial in the list to see the ClinicalTrials.gov trial summary and more information about the study.
I am interested in participating in a clinical trial of INCB-9471. How can I find more information about participating in a clinical trial?
Participating in a clinical trial can provide benefits. For example, a volunteer participant can benefit from new research treatments before they are widely available. Participants also receive regular and careful medical attention from a research team that includes doctors and other health professionals. However, clinical trials may also involve risks of varying degrees, such as unpleasant, serious, or even life-threatening side effects from the treatment being studied.4
Your health care provider can help you decide whether participating in a clinical trial is right for you. For more information, visit NIH Clinical Research Trials and You.
This article was provided by AIDSinfo. Visit the AIDSinfo website to find out more about their activities and publications.
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