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Isosorbide mononitrate

Phase 1

Hypertension | Small molecule | Cardiovascular |Merck & Company, Inc.|Last Updated: Jul 28, 2015

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials1
Total Enrollment64

FDA Designations

No designations recorded

Clinical trial landscape

Isosorbide mononitrate · 1 trial · 1 indication

Phase 1 1
NCT00871871Multiple Dose Effects of Hydrochlorothiazide and Isosorbide Mononitrate on Glucose Homeostasis (MK-0000-117)(Completed)Hypertension
COMPLETED64 Analytics
PHASE1COMPLETED
Multiple Dose Effects of Hydrochlorothiazide and Isosorbide Mononitrate on Glucose Homeostasis (MK-0000-117)(Completed)
HypertensionUnlock trial analytics

Study Endpoints

Primary Endpoints

Part I: Change in Insulin Secretion at Steady-state Compared to Placebo in Participants With Impaired Glucose Tolerance (IGT)
90 -120 minutes post-dose

Steady state was defined as 90-120 minutes post-dose. IGT was defined as a 2 hour plasma glucose \>= 140 and \<= 199 mg/dL during a 75g oral glucose tolerance test at screening.

Part I: Change in Insulin Secretion at Steady-state Compared to Placebo in Participants With Impaired Fasting Glucose (IFG)
90 -120 minutes post-dose

Steady state was defined as 90-120 minutes post-dose. IFG was defined as fasting plasma glucose (FPG) between 100 and 125 mg/dL at screening.

Part I: Change in Insulin Secretion at Steady-state Compared to Placebo in Participants Who Had Normal Glucose Tolerance (NGT)
90 -120 minutes post-dose

Steady state was defined as 90-120 minutes post-dose. NGT participants (FPG \<100 mg/dL \& 2 hour plasma glucose (PG) \<140 mg/dL during a 75g oral glucose tolerance test (OGTT) at screening) were neither Impaired Glucose Tolerant (IGT) nor Impaired Fasting Glucose (IFG). IGT was defined as a 2 hour plasma glucose \>= 140 and \<= 199 mg/dL during a 75g oral glucose tolerance test at screening. IFG was defined as FPG between 100 and 125 mg/dL at screening.

Part II: Ratio of Whole Body Glucose Disposal to Plasma Insulin at Steady-state
90 -120 minutes post-dose

Steady state was defined as 90-120 minutes post-dose. The ratio was the quantity of glucose disposed by the body per kg body weight per minute at steady state divided by the approximate steady state plasma insulin concentration. The approximate steady state plasma insulin concentration was estimated by the time-weighted average of the insulin concentration measured at 10 minute intervals in which time = 90, 100, 110, and 120 minutes.

Secondary Endpoints

Part I: Change in the Ratio of Whole Body Glucose Disposal to Plasma Insulin at Steady State in Participants With Impaired Glucose Tolerant (IGT)
90 -120 minutes post-dose
Part I: Change in the Ratio of Whole Body Glucose Disposal to Plasma Insulin at Steady State in Participants With Impaired Fasting Glucose (IFG)
90 -120 minutes post-dose
Part I: Change in the Ratio of Whole Body Glucose Disposal to Plasma Insulin at Steady State in Participants With Normal Glucose Tolerant (NGT)
90 -120 minutes post-dose
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part I, Placebo-HCTZEXPERIMENTALPlacebo in Period 1 followed by HCTZ in Period 2
Part I, HCTZ-PlaceboEXPERIMENTALHCTZ in Period 1, followed by placebo in Period 2
Part II, Placebo-ISMNEXPERIMENTALPlacebo in Period 1, followed by ISMN in Period 2
Part II, ISMN-PlaceboEXPERIMENTALISMN in Period 1, followed by placebo in Period 2

Interventions

NameTypeDescription
Hydrochlorothiazide (HCTZ)DRUGHCTZ 50 mg (two 25 mg capsules) once daily for 4 weeks per treatment period.
Comparator: Placebo to HCTZDRUGPlacebo to HCTZ two 0 mg capsules once daily for 4 weeks per treatment period
Isosorbide mononitrate (ISMN)DRUGISMN 60 mg extended release capsule once daily for 4 weeks per treatment period
Comparator: Placebo to ISMNDRUGPlacebo to ISMN 0 mg capsule once daily for 4 weeks per treatment period
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Eligibility Criteria

Age Range35 Years to 75 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Female participants must be post-menopausal * Body Mass Index (BMI) of at least 29 kg/m\^2 * Weight has been stable over the past 3 months * Has never been treated for hypertension or is diagnosed with hypertension taking up to 2 anti-hypertensive medications * Willing to stop...

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Frequently asked questions about Isosorbide mononitrate

What is Isosorbide mononitrate used for?

Isosorbide mononitrate is a small molecule being studied for the treatment of hypertension, a cardiovascular condition. It is currently in Phase 1 clinical development and is not yet approved for any use. The drug is being investigated for its effects on blood pressure in patients with hypertension.

Who makes Isosorbide mononitrate?

Isosorbide mononitrate is being developed by Merck & Company, Inc., a pharmaceutical company traded on the New York Stock Exchange under the ticker symbol MRK. The company is conducting clinical research to evaluate the drug's safety and efficacy in patients with hypertension.

What phase is Isosorbide mononitrate in?

Isosorbide mononitrate is in Phase 1 clinical development. It is an investigational drug and has not been approved by regulatory authorities. The Phase 1 trial has been completed, and the drug is being evaluated for its effects on glucose homeostasis in patients with hypertension.

What clinical trials is Isosorbide mononitrate in?

Isosorbide mononitrate has one completed Phase 1 clinical trial registered as NCT00871871. The trial, titled "Multiple Dose Effects of Hydrochlorothiazide and Isosorbide Mononitrate on Glucose Homeostasis (MK-0000-117)", enrolled 64 participants with hypertension. The study was randomized, double-blind, and controlled.

Is Isosorbide mononitrate FDA approved?

Isosorbide mononitrate is not FDA approved. It is an investigational drug currently in Phase 1 clinical development for hypertension. The completed Phase 1 trial evaluated the drug's effects on glucose homeostasis, but the drug has not yet received regulatory approval for any indication.