ClinicalTrials.gg
Active, not recruitingNCT07225959NAVIGATE-2Updated Aug 20, 2026

A Study of Annual Doses of MK-1406/CD388 in Healthy Adults (MK-1406-006/CD388.SQ.2.07)

A Phase 2 interventional study of MK-1406 Injection in Healthy Participants, sponsored by Cidara Therapeutics Inc., a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA). Active, not recruiting at 6 sites in 2 countries. Open to participants aged 18 Years to 66 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-20.

Sponsored by Cidara Therapeutics Inc., a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA) (part of Merck & Co., Inc) · Phase 2, Interventional, and Prevention

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Phase
Phase 2
Study type
Interventional
Enrollment
400
Allocation
Not applicable
Ages
18 Years to 66 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 966 studies in Influenza, Human with a site in United States — 60 open to participants now, 85 under way, 7 of them phase 3. Influenza, Human · United States.

Planned enrollment
343rd of 843
400 · median 270
Started
2025
with 28 others
Phase 2
161 of 966
7 open now
Primary completion
2027-07
later than 41 of 83 live
Registered
942nd of 966
by date

Among the 966 studies in Influenza, Human with a site in United States, this one is the 343rd largest by planned enrollment of the 843 interventional ones that give a count, is one of 29 that started in 2025, is one of 161 in phase 2, reaches primary completion later than 41 of the 83 other live ones, and was the 942nd registered.

Influenza, Human

2,358 studies on the registry are indexed under Influenza, Human; 184 are open to participants now.

Browse Influenza, Human studies →

Open to participants now

60 of the 966 studies in Influenza, Human with a site in United States are open now. Recruiting first, the newest first:

55 more — sign in →

All 60 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 121 Influenza, Human studies recruiting now, 66 (55%) set no upper age limit and 45 (37%) stop at 75 or younger; 33 take children under 18; 67 take healthy volunteers.

This study: 18 Years to 66 Years · all sexes · healthy volunteers too.

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02

Study summary

The goal of this clinical study is to learn if giving repeated annual doses of MK-1406 (CD388) is safe and how the body reacts to it in healthy adults who have already received one dose without serious side effects. The study aims to determine if the body makes antibodies against MK-1406 after repeated doses, which might affect how the drug works or how safe it is, and to better understand the safety and tolerability of repeated doses. Participants will receive two doses of MK-1406 over two years and be monitored for 18 months. Researchers will check for immune responses against the drug, watch for any side effects, and measure how the drug behaves in the body over time. This study is based on the idea that people who tolerated MK-1406 well before will likely continue to tolerate it safely with repeated annual dosing, and that the risk of immune reactions will remain low.

Read the detailed description

This is a Phase 2, open-label, long-term study to evaluate the occurrence anti-drug antibodies (ADAs) directed to MK-1406 (CD388) following administration of 2 annual doses of MK-1406 in healthy participants during an 18-month period. All participants previously completed study CD388.SQ.2.05/MK-1406-004, having received a dose of the active drug without experiencing any serious adverse events (SAEs) during that study. This study will also evaluate the safety and tolerability of MK-1406 and the pharmacokinetics (PK) of MK-1406 following repeated annual dosing.

03

Conditions studied

  • Healthy Participants

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Keywords

  • Influenza
  • Antiviral Agents
04

Who can participate

Ages eligible
18 Years to 66 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

The main inclusion criteria include but are not limited to the following:

  • Be in stable health
  • Has previously completed participation in study CD388.SQ.2.05/MK-1406-004, and received a subcutaneous (SC) CD388/MK-1406 dose of either 150 mg, 300 mg or 450 mg.

Exclusion criteria

Exclusion Criteria:

The main exclusion criteria include but are not limited to the following:

  • Have a to subcutaneous (SQ) injections and venipunctures (eg, bleeding disorders).
  • Has a known or suspected allergy or history of anaphylaxis or other serious adverse events (SAEs) to zanamivir (following administration of inhaled or intravenous formulations), monoclonal antibodies, or any of the components of CD388/MK-1406.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
400 participants (estimated)

Study arms

  • Experimental
    MK-1406

    Participant will receive 450 mg dose of MK-1406 (CD388) by subcutaneous (SC) injection followed 1 year later by a repeat single 450 mg dose of MK-1406 administered by SC injection.

    Combination Product: MK-1406 Injection

Interventions

  • Combination productMK-1406 Injection

    MK-1406 liquid for injection administered subcutaneously

    Also known as: CD388

06

What researchers measure

Primary outcomes

  1. Number of Participants with Treatment-Induced Anti-Drug Antibodies (ADAs)

    Participants are evaluated for the occurrence of treatment-induced ADAs following administration of each annual dose of MK-1406.

    Time frame: Periods 1 and 2: Day 1, Day 29, Day 85, Day 169, and Day 197

  2. Number of Participants with Treatment-Boosted ADAs

    Participants are evaluated for the occurrence of treatment-boosted ADAs following administration of each annual dose of MK-1406.

    Time frame: Periods 1 and 2: Day 1, Day 29, Day 85, Day 169, and Day 197

Secondary outcomes

  1. Number of participants with ≥1 Adverse Event (AE)

    An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product temporally associated with the use of study treatment, whether or not considered related to the study treatment. The number of participants with ≥1 AE will be assessed.

    Time frame: Period 1: Up to approximately Day 280. Period 2: Up to approximately Day 197.

  2. Number of Participants Who Discontinued from the Study Due to an AE

    An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product temporally associated with the use of study treatment, whether or not considered related to the study treatment. The number of participants who discontinued the study because of an AE will be assessed.

    Time frame: Period 1: Up to approximately Day 280. Period 2: Up to approximately Day 197.

  3. Number of Participants with a Solicited Injection-site AE

    An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The solicited injection-site AEs assessed are redness/erythema, swelling, and tenderness/pain. The number of participants with a solicited injection-site AE will be assessed.

    Time frame: Up to approximately Day 8 post dose

  4. Number of Participants with a Serious Adverse Event (SAE)

    An SAE is an AE that results in death, is life threatening, results in a persistent or significant disability or incapacity, results in or prolongs an existing hospitalization, is a congenital anomaly or birth defect, is a cancer, is an overdose, or is another important medical event. The number of participants with an SAE will be assessed.

    Time frame: Period 1: Up to approximately Day 280. Period 2: Up to approximately Day 197.

  5. Plasma Concentration Following Administration of MK-1406

    Blood samples will be collected at multiple time points to assess the plasma concentrations of MK-1406.

    Time frame: Periods 1 and 2: Pre-dose, Day 8, Day 29, Day 85, Day 169, Day 197

  6. Plasma concentration of MK-1406 by anti-drug antibody (ADA) status.

    Blood samples will be collected to assess the plasma concentration of MK-1406 where ADAs are present in participants administered MK-1406.

    Time frame: Periods 1 and 2: Day 197

07

Study locations

6 sites
08

References and documents

Individual participant data

Plan to share: Yes — https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf

Data sharing details ↗ · externaldatasharing-msd.com

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Oct 2025 (actual). Primary completion is estimated for Jul 2027, 21 months after the start.

Of 86 industry-sponsored phase 2 interventional studies under Influenza, Human, half reached primary completion within 7 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 14. This study's planned 21 months is above that.

Counting every sponsor, half of 122 studies reached it within 10 months; a quarter within 5 and three quarters within 19.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 6, 2025
First posted
Nov 10, 2025
StartActual
Oct 29, 2025
Primary completionEst.
Jul 31, 2027
CompletionEst.
Jul 31, 2027
Last update
Aug 20, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07225959
Responsible party
Sponsor
First posted
Nov 10, 2025
Start date
Oct 29, 2025
Primary completion
Jul 31, 2027 (estimated)
Completion
Jul 31, 2027 (estimated)
Last update
Aug 20, 2026

Study contacts

Medical Director
study director · Merck Sharp & Dohme LLC

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: MK-1406

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