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MK-1942

Phase 1

Alzheimer's Disease | Small molecule | Neurology |Merck & Company, Inc.|Last Updated: Aug 15, 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_CONTROLLEDBiomarker
Total Trials1
Total Enrollment27
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04308304MK-1942/Donepezil Interactions in Participants With Alzheimer's Disease (MK-1942-005)PHASE1 COMPLETED 27Feb 16, 2021May 18, 2022Aug 15, 20244 United States
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Study Endpoints
Primary Endpoints
Number of Participants With ≥1 Adverse Event (AE)
Up to Day 42

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.

Number of Participants Discontinuing From Study Therapy Due to an Adverse Event (AE)
Up to Day 28

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.

Number of Participants With Clinically Significant Abnormalities in 12-Lead Electrocardiogram (ECG) Findings
Up to Day 28

The number of participants with clinically significant 12-lead ECGs is presented. Recordings were made throughout the study, with the participant in a semi-recumbent position having rested in this position for at least 10 minutes beforehand.

Number of Participants With Abnormal (Impaired) Results on Targeted Neurological Exams
Up to 29 days

The number of participants with abnormal (impaired) results on targeted neurological exams will be presented. The targeted neurological exam contains Modules 1, 2 and 5 of the general examination, focusing on arousal, cranial nerve function, and gait and will be administered several times throughout the treatment period starting on Day 1 up until Day 29. The number of participants with abnormal (impaired) results on targeted neurological exams will be reported. Each exam will be graded as Normal or Impaired with the abnormality described.

Number of Participants Who Reported Suicidal Ideation and/or Behavior on Study Based on Responses to the Columbia Suicide Severity Rating Scale (C-SSRS)
Up to 42 days

The number of participants with suicidality using the C-SSRS is presented. The C-SSR will be used in this study only for the purpose of safety monitoring by measuring the incidence of different types of suicidality categories during treatment. C-SSRS assessment will be based upon a clinician's interpretation of the participant's responses to the C-SSRS questions, not by a numbered scale. Suicidal ideation and/or behaviors identified on the C-SSRS may not be considered an adverse event, based on the investigator's judgment. Participants who report at least one occurrence of suicidal behavior or suicidal ideation will be counted as having experienced suicidality. Suicidal behavior includes suicide attempt, aborted attempt, interrupted attempt, or preparatory behavior. Suicidal ideation include a wish to die or active suicidal thought with or without method, intent or plan.

Change From Baseline in Heart Rate (HR)
Baseline (Day -1) and Days 1, 8, 15, and 22: 2 hours postdose

The mean change from baseline in HR is presented. Change in HR was determined the first day of treatment with a new dose of MK-1942. A negative value indicates a decrease in HR relative to baseline, and a positive value indicates an increase.

Change From Baseline in Systolic Blood Pressure (SBP)
Baseline (Day -1) and Days 1, 8, 15, and 22: 2 hours postdose

The mean change from baseline in SBP is presented. Change in SBP was determined the first day of treatment with a new dose of MK-1942. Negative values represent a decrease in SBP relative to baseline, and positive values represent an increase.

Mean Change From Baseline in Diastolic Blood Pressure (DBP)
Baseline (Day -1) and Days 1, 8, 15, and 22: 2 hours postdose

The mean change from baseline in DBP is presented. Change in DBP was determined the first day of treatment with a new dose of MK-1942. Negative values represent a decrease in DBP relative to baseline, and positive values represent an increase.

Number of Participants With Abnormal Clinical Chemistry Test Results Reported as Adverse Events
Up to 42 days

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The number of participants with abnormal chemistry-related AEs is reported.

Number of Participants With Abnormal Clinical Hematology Test Results Reported as Adverse Events
Up to 42 days

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The number of participants with abnormal hematology-related AEs is reported.

Number of Participants With Abnormal Urinalysis Results Reported as Adverse Events
Up to 42 days

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The number of participants with an abnormal urinalysis results AE is reported.

Secondary Endpoints
Area Under the Plasma Concentration-Time Curve (AUC) From Dosing to 12 Hours Postdose (AUC0-12) of MK-1942
Days 1, 7, 14, and 21 (morning dose only): predose and 0.5, 1, 2, 3, 4, 6, and 12 hours postdose
AUC From Dosing to 24 Hours Postdose (AUC0-24) of MK-1942
Days 1, 7, 14, and 21 (morning dose only): predose and 0.5, 1, 2, 3, 4, 6, and 12 hours postdose
Maximum Plasma Concentration (Cmax) of MK-1942
Days 1, 7, 14, and 21 (morning dose only): predose and 0.5, 1, 2, 3, 4, 6, and 12 hours postdose
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
DonepezilEXPERIMENTALParticipants receive Dose Level 1: 8-mg MK-1942 twice daily (BID) x 7 days (7D), Day 1 to Day 7; Dose Level 2: 15-mg MK-1942 BID x 7D, Day 8 to Day 14; Dose Level 3: 30-mg MK-1942 BID x 7D, Day 15 to Day 21; Dose Level 4: ≤50-mg MK-1942 BID x 7D (Provisional Dose Level), Day 22 to Day 28 All participants to receive Donepezil once daily.
PlaceboPLACEBO_COMPARATORPlacebo to MK-1942 BID x 21 \[28\] D All participants to receive Donepezil once daily.
Interventions
NameTypeDescription
MK-1942DRUGMK-1942 1 mg, 5 mg, and/or 10 mg capsules taken twice daily (BID) by mouth.
DonepezilDRUGDonepezil 5 mg and/or 10 mg tablets taken once daily (QD) by mouth.
PlaceboDRUGPlacebo capsule matched to MK-1942 taken BID by mouth.
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Eligibility Criteria
Age Range50 Years — 85 Years
SexALL
Healthy VolunteersNo
Study Sites4

Inclusion Criteria: * Body mass index (BMI) ≥18 and ≤35 kg/m\^2, inclusive. * Is in good health based on medical history, physical examination, vital sign measures and electrocardiogram performed prior to randomization. * Have a negative urine drug screen prior to randomization. * Have a history of...

Countries:United States
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