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MK-2060

Phase 2

End-Stage Renal Disease | Monoclonal antibody | Nephrology |Merck & Company, Inc.|Last Updated: Feb 11, 2026

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_CONTROLLEDDMC
Total Trials3
Total Enrollment532
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05027074Global Study of MK-2060 (Anti-Factor XI Monoclonal Antibody) in Participants With End Stage Renal Disease Receiving Hemodialysis (FXI Hemodialysis Study) (MK-2060-007)PHASE2 COMPLETED 506Sep 17, 2021Feb 13, 2025Feb 11, 2026120 United States, Argentina +13
NCT05656040A Study of MK-2060 in Participants With Chronic and/or End-Stage Kidney Disease (MK-2060-011)PHASE1 COMPLETED 14Feb 8, 2023Aug 12, 2024Sep 10, 20254 United States
NCT05335005MK-2060 and Clopidogrel Co-administration Safety and Tolerability Study in Participants With End-Stage Renal Disease (ESRD) (MK-2060-008)PHASE1 COMPLETED 12May 30, 2022Feb 14, 2023Oct 17, 20243 United States, Israel +1
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Study Endpoints
Primary Endpoints
Time to First Arteriovenous Graft (AVG) Thrombosis Event
From date of randomization until the date of first occurrence of an AVG thrombosis event, assessed up to approximately 37 months

An AVG thrombosis event is defined as the sudden occlusion of the participant's AVG requiring thrombectomy/thrombolysis, or clinical evidence of thrombosis with surgical, radiological or pathological conformation of an AVG thrombosis. A blinded independent clinical adjudication committee (CAC) adjudicated AVG thrombosis events. A time-to-event methodology was used to evaluate the results. The incidence rate is presented.

Part 1: Number of Participants Who Experience One or More Bleeding Related Adverse Events (AE)
Up to approximately 104 days

Bleeding related AEs will include any sign or symptom of bleeding, even if not requiring intervention by a medical/healthcare professional, as well as clinically relevant nonmajor bleeding or major bleeding.

Part 2: Number of Participants Who Experience One or More Bleeding Related AEs
Up to approximately 144 days

Bleeding related AEs include any sign or symptom of bleeding, even if not requiring intervention by a medical/healthcare professional, as well as clinically relevant nonmajor bleeding or major bleeding.

Part 3: Number of Participants Who Experience One or More Bleeding Related AEs
Up to approximately 104 days

Bleeding related AEs will include any sign or symptom of bleeding, even if not requiring intervention by a medical/healthcare professional, as well as clinically relevant nonmajor bleeding or major bleeding.

Part 1: Number of Participants Who Experience One or More AEs
Up to approximately 104 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. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention.

Part 2: Number of Participants Who Experience One or More AEs
Up to approximately 144 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. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention.

Part 3: Number of Participants Who Experience One or More AEs
Up to approximately 104 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. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention.

Part 1: Number of Participants Who Discontinue Study Treatment to an AE
Up to approximately 104 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. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention.

Part 2: Number of Participants Who Discontinue Study Treatment Due to an AE
Up to approximately 144 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. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention.

Part 3: Number of Participants Who Discontinue Study Due to an AE
Up to approximately 104 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. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention.

Part 1: Area Under the Concentration-Time Curve From 0 to Infinity (AUC0-inf) of MK-2060
Day 1: pre-dose, 1 and 12 hours post-dose; once daily on Days 2, 3, 6, 8, 11, 14, 21, 28, 60, and 90 post-dose

Blood was collected to determine the AUC0-inf of MK-2060 in plasma.

Part 2: AUC0-inf of MK-2060
Days 1, 2, 4, 8, 15, and 22: pre-dose; once daily on Days 10, 17, 26, 29, 35, 42, 49, 63, 81, 111, and 130 post-dose

Blood was to be collected at pre-specified time points to determine the AUC0-inf of MK-2060 in plasma.

Part 3: AUC0-inf of MK-2060
Day 1: pre-dose, 1 and 12 hours post-dose; once daily on Days 2, 3, 6, 8, 11, 14, 21, 28, 42, 60, 90, and 120 post-dose

Blood was to be collected at pre-specified time points to determine the AUC0-inf of MK-2060 in plasma.

Part 1: Area Under the Concentration-Time Curve From Time 0 to 168 Hours (AUC0-168) of MK-2060
Pre-dose, 1, 12, 24, 48, 120, and 168 hours post-dose

Blood was collected to determine the AUC0-168 of MK-2060 in plasma.

Part 2: AUC0-168 of MK-2060
Pre-dose, 24, 72, and 168 hours post-dose

Blood was to be collected at pre-specified time points to determine the AUC0-168 of MK-2060 in plasma from 0 to 168 hours.

Part 3: AUC0-168 of MK-2060
Pre-dose, 1, 12, 24, 48, 120, and 168 hours post-dose

Blood was to be collected at pre-specified time points to determine the AUC0-168 of MK-2060 in plasma from 0 to 168 hours.

Part 1: Maximum Plasma Concentration (Cmax) of MK-2060
Day 1: pre-dose, 1 and 12 hours post-dose; once daily on Days 2, 3, 6, 8, 11, 14, 21, 28, 60, and 90 post-dose

Blood was collected at pre-specified time points to determine the Cmax of MK-2060 in plasma.

Part 2: Cmax of MK-2060
Days 1, 2, 4, 8, 15, and 22: pre-dose; once daily on Days 10, 17, 26, 29, 35, 42, 49, 63, 81, 111, and 130 post-dose

Blood was to be collected at pre-specified time points to determine the Cmax of MK-2060 in plasma.

Part 3: Cmax of MK-2060
Day 1: pre-dose, 1 and 12 hours post-dose; once daily on Days 2, 3, 6, 8, 11, 14, 21, 28, 42, 60, 90, and 120 post-dose

Blood was to be collected at pre-specified time points to determine the Cmax of MK-2060 in plasma.

Part 1: Plasma Concentration at 168 Hours (C168) of MK-2060
168 hours post-dose

Blood was collected at 168 hours post-dose to determine the C168 of MK-2060 in plasma.

Part 2: C168 of MK-2060
168 hours post-dose

Blood was to be collected at 168 hours post-dose to determine the C168 of MK-2060 in plasma.

Part 3: C168 of MK-2060
168 hours post-dose

Blood was to be collected at 168 hours post-dose to determine the C168 of MK-2060 in plasma.

Part 1: Time to Maximum Plasma Concentration (Tmax) of MK-2060
Day 1: pre-dose, 1 and 12 hours post-dose; once daily on Days 2, 3, 6, 8, 11, 14, 21, 28, 60, and 90 post-dose

Blood was collected at pre-specified time points to determine the Tmax of MK-2060 in plasma.

Part 2: Tmax of MK-2060
Days 1, 2, 4, 8, 15, and 22: pre-dose; once daily on Days 10, 17, 26, 29, 35, 42, 49, 63, 81, 111, and 130 post-dose

Blood was to be collected at pre-specified time points to determine the Tmax of MK-2060 in plasma.

Part 3: Tmax of MK-2060
Day 1: pre-dose, 1 and 12 hours post-dose; once daily on Days 2, 3, 6, 8, 11, 14, 21, 28, 42, 60, 90, and 120 post-dose

Blood was to be collected at pre-specified time points to determine the Tmax of MK-2060 in plasma.

Part 1: Terminal Half Life (t1/2) of MK-2060
Day 1: pre-dose, 1 and 12 hours post-dose; once daily on Days 2, 3, 6, 8, 11, 14, 21, 28, 60, and 90 post-dose

Blood was collected at pre-specified time points to determine the terminal t1/2 of MK-2060 in plasma.

Part 2: t1/2 of MK-2060
Days 1, 2, 4, 8, 15, and 22: pre-dose; once daily on Days 10, 17, 26, 29, 35, 42, 49, 63, 81, 111, and 130 post-dose

Blood was to be collected at pre-specified time points to determine the terminal t1/2 of MK-2060 in plasma.

Part 3: t1/2 of MK-2060
Day 1: pre-dose, 1 and 12 hours post-dose; once daily on Days 2, 3, 6, 8, 11, 14, 21, 28, 42, 60, 90, and 120 post-dose

Blood was to be collected at pre-specified time points to determine the terminal t1/2 of MK-2060 in plasma.

Part 1: Apparent Total Clearance (CL/F) of MK-2060
Day 1: pre-dose, 1 and 12 hours post-dose; once daily on Days 2, 3, 6, 8, 11, 14, 21, 28, 60, and 90 post-dose

Blood was collected at pre-specified time points to determine the CL/F of MK-2060 in plasma.

Part 2: CL/F of MK-2060
Days 1, 2, 4, 8, 15, and 22: pre-dose; once daily on Days 10, 17, 26, 29, 35, 42, 49, 63, 81, 111, and 130 post-dose

Blood was to be collected at pre-specified time points to determine the CL/F of MK-2060 in plasma.

Part 3: CL/F of MK-2060
Day 1: pre-dose, 1 and 12 hours post-dose; once daily on Days 2, 3, 6, 8, 11, 14, 21, 28, 42, 60, 90, and 120 post-dose

Blood was to be collected at pre-specified time points to determine the CL/F of MK-2060 in plasma.

Part 1: Apparent Volume of Distribution (Vz/F) of MK-2060
Day 1: pre-dose, 1 and 12 hours post-dose; once daily on Days 2, 3, 6, 8, 11, 14, 21, 28, 60, and 90 post-dose

Blood was collected at pre-specified time points to determine the Vz/F of MK-2060 in plasma

Part 2: Vz/F of MK-2060
Days 1, 2, 4, 8, 15, and 22: pre-dose; once daily on Days 10, 17, 26, 29, 35, 42, 49, 63, 81, 111, and 130 post-dose

Blood was to be collected at pre-specified time points to determine the Vz/F of MK-2060 in plasma

Part 3: Vz/F of MK-2060
Day 1: pre-dose, 1 and 12 hours post-dose; once daily on Days 2, 3, 6, 8, 11, 14, 21, 28, 42, 60, 90, and 120 post-dose

Blood was to be collected at pre-specified time points to determine the Vz/F of MK-2060 in plasma

Number of Participants Who Experience One or More Bleeding Related Adverse Events (AE)
Up to approximately 104 days

Bleeding related AEs include any sign or symptom of bleeding, even if not requiring intervention by a medical/healthcare professional, as well as clinically-relevant non major bleeding or major bleeding.

Number of Participants Who Experience One or More AEs
Up to approximately 104 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. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention.

Number of Participants Who Discontinue Study Intervention Due to an AE
Up to approximately 8 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. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention.

Secondary Endpoints
Time to Each AVG Thrombosis Event (First and Recurrent)
Up to approximately 37 months
Number of Participants Who Experience One or More Adverse Events (AEs)
Up to approximately 40 months
Time to First Event of International Society on Thrombosis (ISTH) Major Bleeding Event or a Clinically Relevant Non-Major Bleeding Event
From date of first dose of study intervention until the first ISTH major bleeding event or a clinically relevant non-major bleeding event. assessed up to approximately 40 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
MK-2060 20 mgEXPERIMENTALMK-2060 20 mg administered via IV infusion during dialysis as a loading dose: QOD during week 1 (3 administrations), then QW after week 1
MK-2060 6 mgEXPERIMENTALMK-2060 6 mg administered via intravenous (IV) infusion during dialysis as a loading dose: Every other day (QOD) during week 1 (3 administrations), then once a week (QW) after week 1
PlaceboPLACEBO_COMPARATORPlacebo (normal saline) administered via IV infusion during dialysis as a loading dose: QOD during week 1 (3 administrations), then once a week after week 1
MK-2060 30 mgEXPERIMENTALParticipants received MK-2060 30 mg administered as a single subcutaneous dose on Day 1.
MK-2060EXPERIMENTALParticipants continued their established background therapy of daily 75 mg clopidogrel for 2 weeks (days -14 to 0). Participants then continued background therapy while receiving 25 mg MK-2060 intravenous (IV) infusion on days 1, 3, 5, and 8.
Interventions
NameTypeDescription
MK-2060DRUGMK-2060 lyophilized powder diluted in normal saline and administered via IV infusion
PlaceboDRUGNormal saline administered via IV infusion
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites120

Inclusion Criteria: * Current diagnosis of ESRD. * Receiving hemodialysis (including hemodiafiltration) ≥3 times per week for a minimum of 3 hours per session via a mature normally functioning, uninfected AVG with at least 75% of the sessions meeting these criteria over the 4 weeks prior to randomi...

Countries:United StatesArgentinaAustraliaBrazilBulgariaCanadaCzechiaGermanyGreeceItalyPortugalPuerto RicoRomaniaRussiaSwedenIsrael
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