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Drug information

Drug's link(s)

Not provided

Generic name

CD388

Brand names

investigational

Compound type

Biotherapeutic

Drug class/category

Not provided

Summary

CD388 is an antiviral drug–Fc conjugate (DFC), created by attaching multiple copies of the neuraminidase inhibitor zanamivir to an antibody Fc fragment recognizing a highly conserved target on the influenza surface. Due to its long-acting properties, this product could be suited for a pre-exposure prophylaxis approach to prevent seasonal influenza. Company representative described CD388 at IDweek2024 as a ""potential effective and well-tolerated DFC for single-dose, season-long prevention of influenza

Approval status

CD388 is an investigational candidate. A phase 3 trial was initiated in September 2025 (ANCHOR)

Regulatory authorities

U.S. Food and Drug Administration (FDA) has granted Breakthrough Therapy designation for CD388 for prevention of influenza A and B in adults and adolescents who are at higher risk of influenza complications due to underlying immunodeficiency, are at higher risk of severe influenza despite influenza vaccination, or those for whom vaccines are contraindicated.

Therapeutic area(s)

  • Other(s) : "influenza virus"
Use case(s)
  • Pre-Exposure Prophylaxis (PrEP)
  • Prevention

Administration route

Subcutaneous, Intramuscular

Associated long-acting platforms

Monoclonal antibodies and antibody drug conjugates

Use of drug

Ease of administration
  • Administered by a nurse
  • Administered by a specialty health worker
Frequency of administration
  • Every 6 months
User acceptance

To be determined - Stability demonstrated for 24 months at -20°C or 5°C

Dosage

Available dose and strength

investigational

Maximum dose

unknown

Recommended dosing regimen

investigated doses appear to be at 450mg (one single dose corresponds to 3 SQ injections of 150mg) for the phase 3 ANCHOR clinical trial

Additional comments

Stability demonstrated for 24 months at -20°C or 5°C

Dosage link(s)

Not provided

Associated technologies

Not provided

Comment & Information

Not provided

Developer(s)

Cidara Therapeutics
Originator
United States

Cidara Therapeutics

Cidara is developing targeted immunotherapies designed to save lives and improve the standard of care for patients facing serious diseases. The Company’s proprietary Cloudbreak® platform enables development of novel drug-Fc conjugates (DFCs) that inhibit specific disease targets while simultaneously engaging the immune system.

Drug structure

Scale-up and manufacturing prospects

Scale-up prospects

unknown

Tentative equipment list for manufacturing

unknown

Manufacturing

unknown

Specific analytical instrument required for characterization of formulation

unknown

Excipients

Proprietary excipients used

Not provided

Novel excipients or existing excipients at a concentration above Inactive Ingredient Database (IID) for the specified route of administration

Not provided

Residual solvents used

Not provided

Delivery device(s)

Not provided

Description

CD388 structure (linker + zanamivir dimer)

Brief description

Compositions and methods for the treatment of viral infections include conjugates containing inhibitors of viral neuraminidase and MoT influenza or parainfluenza,

Representative patent

WO2021046549

Category

Compound, combination

Patent holder

CIDARA THERAPEUTICS, INC.

Exclusivity

Not provided

Expiration date

September 8, 2040

Status

Granted: ZA, US, CO, AU, JP, NZ, CN Pending: HK, AE, BR, CA, CL, CR, EA, EC, EP (LMICs: AL, MK, TR, BA, ME, KH, MA, MD, TN, RS), ID, IL, KR, MX, MY, PE, PH, SA, SG, TH, TW, UA, VN, IN Withdrawn: AP

Description

Zanamivir compound

Brief description

Zanamivir compound (broad Markush, and specific structure as example 3) and method for treating influenza

Representative patent

WO1991016320

Category

Compound

Patent holder

BIOTA SCIENTIFIC MANAGEMENT PTY LTD

Exclusivity

Not provided

Expiration date

November 15, 2011

Status

Expired

Collaborate for development

Consider on a case by case basis, collaborating on developing long acting products with potential significant public health impact, especially for low- and middle-income countries (LMICs), utilising the referred to long-acting technology

Share technical information for match-making assessment

Provide necessary technical information to a potential partner, under confidentiality agreement, to enable preliminary assessment of whether specific medicines of public health importance in LMICs might be compatible with the referred to long-acting technology to achieve a public health benefit

Work with MPP to expand access in LMICs

In the event that a product using the referred to long-acting technology is successfully developed, the technology IP holder(s) will work with the Medicines Patent Pool towards putting in place the most appropriate strategy for timely and affordable access in low and middle-income countries, including through licensing