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Gefapixant twice daily

Phase 3

Chronic Cough | Small molecule | Other |Merck & Company, Inc.|Last Updated: Jan 12, 2024

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-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment161
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04525885A Study of Gefapixant (MK-7264) in Adult Participants With Chronic Cough (MK-7264-030)-China ExtensionPHASE3 COMPLETED 161May 17, 2019Sep 15, 2022Jan 12, 20248 China
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Study Endpoints
Primary Endpoints
Model-Based Geometric Mean Ratio (GMR) of 24-Hour Coughs Per Hour at Week 24
Baseline, Week 24

24-hour coughs per hour was defined as the average hourly cough frequency based on 24-hour sound recordings using a digital recording device (cough monitor). A longitudinal analysis of covariance (ANCOVA) model was applied to log-transformed cough data to determine geometric mean (GM) 24-hour coughs per hour at baseline and week 24. The GMR (Week 24 GM 24-hour coughs per hour divided by Baseline GM 24-hour coughs per hour) is reported.

Percentage of Participants Who Experienced At Least One Adverse Event (AE) During Treatment and Follow-up
Up to 54 weeks

Assessment of participants who have at least one AE during the main study period (24 weeks), the treatment extension period (28 weeks), and during 2 weeks of follow-up by telephone.

Percentage of Participants Who Discontinued Treatment Due to an AE
Up 52 weeks

Assessment of participants who stop study treatment due to an AE during the main study period (24 weeks) or the treatment extension period (28 weeks).

Secondary Endpoints
Model-Based GMR of Awake Coughs Per Hour at Week 24/Baseline
Baseline, Week 24
Percentage of Participants With a ≥1.3-point Increase From Baseline in the Leicester Questionnaire (LCQ) Total Score at Week 24
Baseline, Week 24
Percentage of Participants With a ≥30% Reduction From Baseline in 24-hour Coughs Per Hour at Week 24
Baseline, Week 24
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Gefapixant 45 mg BIDEXPERIMENTALParticipants will receive a gefapixant 45 mg tablet BID during the main study period (24 weeks) and also during the extension period (28 weeks).
Gefapixant 15 mg BIDEXPERIMENTALParticipants will receive a gefapixant 15 mg tablet BID during the main study period (24 weeks) and also during the extension period (28 weeks).
PlaceboPLACEBO_COMPARATORParticipants will receive a matching placebo tablet BID during the 24-week main study period and during the 28-week extension period.
Interventions
NameTypeDescription
Gefapixant 45 mg twice daily (BID)DRUGGefapixant 45 mg tablet to be administered orally BID
Gefapixant 15 mg BIDDRUGGefapixant 15 mg tablet to be administered orally BID
PlaceboDRUGPlacebo tablet administered orally BID
Gefapixant 45 mg BIDDRUGGefapixant 45 mg tablet to be administered orally BID
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites8

Inclusion Criteria: * Chest radiograph or computed tomography scan of the thorax (within 5 years of Screening/Visit 1 and after the onset of chronic cough) not demonstrating any abnormality considered to be significantly contributing to the chronic cough or any other clinically significant lung dis...

Countries:China
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