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anacetrapib

Phase 3

Dyslipidemia | Small molecule | Metabolic |Merck & Company, Inc.|Last Updated: Jun 1, 2017

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-BlindCONTROLLEDBiomarker
Total Trials5
Total Enrollment809
FDA Designations
No designations recorded
Clinical Trials (5)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01760460A Study of the Safety and Efficacy of Anacetrapib (MK-0859) When Added to Ongoing Statin Therapy in Japanese Participants With Dyslipidemia (MK-0859-051 AM1)PHASE3 COMPLETED 307Mar 14, 2013Mar 4, 2015Jun 1, 2017 -
NCT00977288A Study of Safety and Efficacy of MK0859 (Anacetrapib) in Japanese Patients With Dyslipidemia (0859-029)PHASE2 COMPLETED 408Sep 1, 2009Apr 1, 2014May 6, 2015 -
NCT01122667Pharmacokinetics of Anacetrapib (MK0859) in Subjects With Impaired Renal Function (MK-0859-038)PHASE1 COMPLETED 24Jun 1, 2010Jun 1, 2011Aug 14, 2015 -
NCT01114490Pharmacokinetics of Anacetrapib (MK0859) in Patients With Hepatic Insufficiency (MK-0859-039)PHASE1 COMPLETED 24May 1, 2010Jul 1, 2010Oct 14, 2015 -
NCT00990808The Effect of MK0859 on Lipoprotein Metabolism in Patients With Dyslipidemia (0859-026 AM3)PHASE1 COMPLETED 46Nov 1, 2009Jul 1, 2011Jun 4, 2015 -
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Study Endpoints
Primary Endpoints
Percent Change from Baseline in LDL-C (beta-quantification [BQ] method)
Baseline and Week 24
Percentage of Participants who Experience at Least One Adverse Event (AE)
64 weeks
The percent change from baseline in Low Density Lipoprotein -Cholesterol at week 8
8 weeks
Area Under the Curve (AUC(0 to infinity)) of anacetrapib
through 168 hours post dose
Difference in Production Rate (PR) and Fractional Catabolic Rate (FCR) of Low Density Lipoprotein (LDL) apoB100 following treatment with MK0859 and atorvastatin versus atorvastatin alone
12 weeks
Secondary Endpoints
Percent Change from Baseline in High-density Lipoprotein-cholesterol (HDL-C)
Baseline and Week 24
Percent Change from Baseline in Non-HDL-C
Baseline and Week 24
Percent Change from Baseline in Apolipoprotein B (Apo-B)
Baseline and Week 24
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
AnacetrapibEXPERIMENTALParticipants will receive 100-mg anacetrapib, orally, once-daily for 24 weeks. Participants will continue on once-daily 100-mg anacetrapib during 28 week open-label extension.
PlaceboPLACEBO_COMPARATORParticipants will receive placebo tablet, orally, once daily for 24 weeks. Participants will be switched to once-daily 100-mg anacetrapib during 28 week open-label extension.
1EXPERIMENTALMK0859 10 mg + placebo
2EXPERIMENTALMK0859 40 mg + placebo
3EXPERIMENTALMK0859 100 mg + placebo
4EXPERIMENTALMK0859 300 mg + placebo
5EXPERIMENTALMK0859 10 mg + atorvastatin 10mg
6EXPERIMENTALMK0859 40 mg + atorvastatin 10mg
7EXPERIMENTALMK0859 100 mg + atorvastatin 10mg
8EXPERIMENTALMK0859 300 mg + atorvastatin 10mg
9PLACEBO_COMPARATORPlacebo + atorvastatin 10mg
10PLACEBO_COMPARATORPlacebo
Part 1 - Panel AEXPERIMENTALSubjects with severe renal impairment
Part 1 - Panel BEXPERIMENTALHealthy matched control subjects
Part 2 - Panel CEXPERIMENTALSubjects with moderate renal impairment
Part 2 - Panel DEXPERIMENTALHealthy matched control subjects
Part 2 - Panel EEXPERIMENTALSubjects with mild renal impairment
Part 2 - Panel FEXPERIMENTALHealthy matched control subjects
Part 1 - Group 1EXPERIMENTALModerate Hepatic Patients
Part 1 - Group 2EXPERIMENTALHealthy Subjects
Part 2 - Group 1EXPERIMENTALMild Hepatic Patients
Part 2 - Group 2EXPERIMENTALHealthy Subjects
Panel AEXPERIMENTALPeriod 1: atorvastatin + placebo to MK0859; Period 2: atorvastatin + MK0859
Panel BEXPERIMENTALPeriod 1: placebo to atorvastatin + placebo to MK0859; Period 2: MK0859 + placebo to atorvastatin
Interventions
NameTypeDescription
AnacetrapibDRUG -
Placebo for anacetrapibDRUG -
Comparator: atorvastatinDRUGatorvastatin tablet, 10mg, once daily for 8 weeks
Comparator: PlaceboDRUGPlacebo tablet, once daily for 8 weeks
Comparator: placebo to MK0859DRUGPlacebo to MK0859 once daily for 4 weeks.
Comparator: placebo to atorvastatinDRUGPlacebo to atorvastatin once daily for 4 weeks in Period 1 and 8 weeks in Period 2.
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Eligibility Criteria
Age Range18 Years — 80 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: * If female, cannot be of reproductive potential * Treatment with an appropriate, stable dose of statin ± other lipid modifying therapy for at least 6 weeks and who is not at LDL-C goal per their category in the Japan Atherosclerosis Society guidelines Exclusion Criteria: * Pr...

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