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MK-0941

Phase 2

Type 2 Diabetes Mellitus | Small molecule | Metabolic |Merck & Company, Inc.|Last Updated: Aug 24, 2016

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_CONTROLLEDBiomarker
Total Trials4
Total Enrollment351
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00792935A Study to Test MK-0941 in Patients With Type 2 Diabetes Mellitus With Inadequate Glycemic Control on Metformin (MK-0941-017)PHASE2 COMPLETED 143Jan 1, 2009Feb 1, 2010Dec 17, 2015 -
NCT00824616A Study to Test MK-0941 in Adults With Type 2 Diabetes Mellitus With Inadequate Glycemic Control on Insulin (MK-0941-018)PHASE2 COMPLETED 68Jan 1, 2009May 1, 2010Jul 28, 2015 -
NCT00511472An Investigational Drug Study in Adults With Type 2 Diabetes on Basal Insulin (MK-0941-006)PHASE1 COMPLETED 70Jul 1, 2007Apr 1, 2008Jul 15, 2015 -
NCT00511667A Multiple Dose Investigational Drug Study in Patients With Type 2 Diabetes (MK-0941-005)PHASE1 COMPLETED 70May 1, 2007Apr 1, 2008Aug 24, 2016 -
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Study Endpoints
Primary Endpoints
Change From Baseline to Week 6 in 24-hour Weighted Mean Glucose
Baseline and Week 6

Weighted Mean Glucose (WMG) is a measure of the amount of glucose in the blood over a period of 24 hours. The WMG was derived from multiple glucose values collected during both fasting and post-meal periods. The "weighted" mean was used to avoid over-representation of post-meal glucose values.

Number of Participants Who Experienced One or More Episodes of Hypoglycemia (Symptomatic or Asymptomatic)
Baseline to Week 6

Hypoglycemic episodes are defined as either a fingerstick glucose measurement of ≤70 mg/dL \[3.9 mmol/L\] with or without symptoms or symptomatic hypoglycemia.

Change From Baseline in Hemoglobin A1c (HbA1c) Level
Baseline (Day 1) and End of Treatment (Week 20)

HbA1c level is a blood test measurement of the amount (percent) of hemoglobin that is glycated (or has glucose on it). HbA1c level is related to the average blood glucose concentration over the previous 2-3 months, with a higher HbA1c level indicating a higher amount of average plasma glucose. A negative number for change from baseline in HbA1c level means a reduction in HbA1c level and indicates better control of average plasma glucose levels.

Number of Participants Who Experienced an Adverse Event During the Study
39 days
Participants With Any Clinical Adverse Experience
Approximately 30 days after last dose of study drug (14 days for participants receiving MK0941 40 mg before each meal)
Participants Discontinued Because of Any Clinical Adverse Experience
Approximately 30 days after last dose of study drug (14 days for participants receiving MK0941 40 mg before each meal)
Secondary Endpoints
Number of Participants Who Experienced an Adverse Event - Titration Scheme 1
25 days
Number of Participants Who Experienced an Adverse Event - Titration Scheme 2
25 days
24-Hour Weighted Mean Blood Glucose Levels (mg/dL) by Treatment Group on Day 7
24 hours
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
MK-0941EXPERIMENTAL -
GlimepirideACTIVE_COMPARATOR -
PlaceboPLACEBO_COMPARATORParticipants receiving placebo tablets three times daily plus insulin injection once daily
MK0941EXPERIMENTAL -
Interventions
NameTypeDescription
MK-0941DRUGMK-0941 will be taken three times a day (TID), within 15 minutes before each meal. MK-0941 will be titrated to a maximally effective dose. The treatment period will be 6 weeks.
GlimepirideDRUGGlimepiride will be taken once a day (QD) in the morning, within 15 minutes before the breakfast meal. Glimepiride will be titrated to a maximally effective dose. The treatment period is 6 weeks.
MetforminDRUGThe study will include an up to 4-week metformin dose titration/dose stabilization period. Once a participant has reached the maximum tolerated dose of metformin \[(i.e., ≥1500 mg/day and ≤2550 mg/day (or ≤3000 mg/day, where the maximum dose of metformin per the local label is 3000 mg/day)\], the participant should remain on the same metformin dose throughout the study.
PlaceboDRUGPlacebo tablets, taken 3 times daily.
InsulinDRUGInsulin glargine (rDNA origin) injection solution for subcutaneous (SC) injection, taken once daily.
LANTUS insulinDRUGLANTUS insulin dose will be similar to participant's previous dose of immediate or long-acting insulin
MK0941DRUGMK0941 10 mg, 20 mg, 30 mg, or 40 mg before each meal or before 2 meals each day, or 60 mg before 2 meals each day
Comparator: PlaceboDRUGPlacebo 10 mg, 20 mg, 30 mg, or 40 mg before each meal or before 2 meals each day, or 60 mg before 2 meals each day
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Eligibility Criteria
Age Range18 Years — 70 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Patient has type 2 diabetes mellitus * Between the ages of 18 and 70 Exclusion Criteria: * Patient has a history of type 1 diabetes mellitus or ketoacidosis. * Patient is on a weight loss program and is not in the maintenance phase or is taking weight loss medication. * Pati...

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