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MK-0517

Phase 1

Chemotherapy-Induced Nausea and Vomiting | Small molecule | Other |Merck & Company, Inc.|Last Updated: Aug 19, 2015

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-BlindCONTROLLED
Total Trials1
Total Enrollment188
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00990821A Study to Investigate the Safety and Tolerability of MK-0517 in Healthy Subjects (MK-0517-012)PHASE1 COMPLETED 188Jan 1, 2005Jan 1, 2006Aug 19, 2015 -
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Study Endpoints
Primary Endpoints
Area Under the Plasma-Time Curve (AUC[0 to Infinity]) for Aprepitant and MK-0517 for Study Part V
Up to 72 Hours Post Dose

AUC (0-inf) is the area under the plasma concentration-time curve from time zero extrapolated to infinite time. The AUC(0-inf) bioequivalence was evaluated for single doses of 100 and 115 mg MK-0517 PS80, IV and that of an oral 125-mg capsule of aprepitant. Period I to IV populations are not included in the outcome analysis because those were formulation and dose-finding/dose confirmation arms.

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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Part I, Panel AEXPERIMENTAL100 mg MK-0517 (nonpolysorbate 80 formulation \[non-PS80\]) or placebo → 150 mg MK-0517 (non- PS80) or placebo → 125 mg aprepitant
Part I, Panel BEXPERIMENTAL100 mg MK-0517 (PS80 formulation \[PS80\]) or placebo → 150 mg MK-0517 (PS80) or placebo → 125 mg aprepitant
Part I, Panel CEXPERIMENTAL40 mg MK-0517 (non-PS80) or placebo → 40 mg aprepitant
Part IIEXPERIMENTAL2 mg midazolam → 100 mg MK-0517 (PS80) + 2 mg midazolam
Part III, Panel 1, Treatment Sequence 1EXPERIMENTAL125 mg aprepitant → 90 mg MK-0517 (PS80)
Part III, Panel 1, Treatment Sequence 2EXPERIMENTAL40 mg MK-0517 (non-PS80) → 125 mg aprepitant
Part III, Panel 2EXPERIMENTAL40 mg MK-0517 (non-PS80)
Part IVEXPERIMENTAL40 mg MK-0517 (non-PS80 formulation)
Part V, Treatment Sequence 1EXPERIMENTAL125 mg aprepitant → 100 mg MK-0517 (PS80) → 115 mg MK-0517 (PS80 formulation)
Part V, Treatment Sequence 2EXPERIMENTAL100 mg MK-0517 (PS80) → 115 mg MK-0517 (PS80) → 125 mg aprepitant
Part V, Treatment Sequence 3EXPERIMENTAL115 mg MK-0517 (PS80) → 125 mg aprepitant → 100 mg MK-0517 (PS80)
Part V, Treatment Sequence 4EXPERIMENTAL125 mg aprepitant → 115 mg MK-0517 (PS80) → 100 mg MK-0517 (PS80)
Part V, Treatment Sequence 5EXPERIMENTAL100 mg MK-0517 (PS80) → 125 mg aprepitant → 115 mg MK-0517 (PS80)
Part V, Treatment Sequence 6EXPERIMENTAL115 mg MK-0517 (PS80) → 100 mg MK-0517 (PS80) → 125 mg aprepitant
Interventions
NameTypeDescription
90 mg MK-0517 (PS80)DRUGMK-0517 (PS80 formulation), 1 mg/mL, administered intravenous (IV) over 15 minutes
100 mg MK-0517 (PS80)DRUGMK-0517 (PS80 formulation), 1 mg/mL, administered IV over 15 minutes
100 MK-0517 (PS80) + 2 mg midazolamDRUGMK-0517 (Non-PS80 formulation), 1 mg/mL, administered IV over 15 minutes. Midazolam is co-administered as a single oral 2-mg dose of midazolam with MK-0517.
115 mg MK-0517 (PS80)DRUGMK-0517 (PS80 formulation), 1 mg/mL, administered IV over 15 minutes
150 mg MK-0517 (PS80)DRUGMK-0517 (PS80 formulation), 1 mg/mL, administered IV over 15 minutes
40 mg MK-0517 (non-PS80)DRUGMK-0517 (Non-PS80) is administered as single IV dose over 30 seconds.
100 mg MK-0517 (non-PS80)DRUGMK-0517 (Non-PS80) is administered as single IV dose over 30 seconds.
150 mg MK-0517 (Non-PS80)DRUGMK-0517 (Non-PS80) is administered as single IV dose over 30 seconds.
PlaceboDRUGPlacebo matching MK-0517
40 mg AprepitantDRUGAprepitant, oral, tablet, single dose
125 mg AprepitantDRUGAprepitant oral tablet, single dose
2 mg MidazolamDRUGMidazolam oral tablet, single dose
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Eligibility Criteria
Age Range18 Years — 45 Years
SexALL
Healthy VolunteersYes

Inclusion Criteria: * Subject is neither grossly overweight nor underweight for his/her height and body build * Subject is in good health -Subject is a nonsmoker * Subject is willing to avoid excessive alcohol consumption for the duration of the study * Subject is willing to avoid strenuous physica...

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