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MK-4618

Phase 1

Hypertension | Small molecule | Cardiovascular |Merck & Company, Inc.|Last Updated: Dec 24, 2018

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-BlindCONTROLLEDBiomarker
Total Trials1
Total Enrollment26
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01337674Co-Administration of MK-4618 With Antihypertensive Agents (MK-4618-010)PHASE1 COMPLETED 26Apr 1, 2011Nov 1, 2011Dec 24, 2018 -
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Study Endpoints
Primary Endpoints
Percentage of Participants With a Clinical or Laboratory Adverse Experience
Up to 42 days

An adverse experience was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the sponsor's product, whether or not considered related to the use of the product. Any worsening of a preexisting condition which is temporally associated with the use of the sponsor's product is also an adverse experience. The percentage of participants with a clinical or laboratory adverse experience was recorded.

Maximum Change From Baseline in Semi-recumbent and Standing Systolic Blood Pressure: Panel A
Baseline (predose) and up to 24 hours postdose on Day 1 and Day 7

Semi-recumbent and standing systolic blood pressure was measured predose and at intervals up to 24 hours postdose on Day 1 and Day 7. The baseline value is the average of measurements taken in the hour before dosing. Participants were to rest quietly in a semi-recumbent position for at least 10 minutes before each semi-recumbent measurement.

Maximum Change From Baseline in Semi-recumbent and Standing Systolic Blood Pressure: Panel B
Baseline (predose) and up to 24 hours postdose on Day 1 and Day 7

Semi-recumbent and standing systolic blood pressure was measured predose and at intervals up to 24 hours postdose on Day 1 and Day 7. The baseline value is the average of measurements taken in the hour before dosing. Participants were to rest quietly in a semi-recumbent position for at least 10 minutes before each semi-recumbent measurement.

Secondary Endpoints
Steady-state Area Under the Plasma Concentration Versus Time Curve (AUC0-24hr) for MK-4618
Predose and up to 24 hours postdose on Day 7
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelCROSSOVER
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Panel A: MK-4618 + Met → PBO + MetEXPERIMENTALOnce daily oral dose of MK-4618 (two 50-mg tablets) on Days 1 through 7 in Period 1 followed by once daily oral dose of placebo (two tablets) on Days 1 through 7 in Period 2. Participants receive previously prescribed daily dose of metoprolol (Met) for the duration of the study. A 2-week washout period follows Period 1.
Panel A: PBO + Met → MK-4618 + MetEXPERIMENTALOnce daily oral dose of placebo (two tablets) on Days 1 through 7 in Period 1 followed by MK-4618 (two 50-mg tablets) on Days 1 through 7 in Period 2. Participants receive previously prescribed daily dose of metoprolol (Met) for the duration of the study. A 2-week washout period follows Period 1.
Panel B: MK-4618 + Amlo → PBO + AmloEXPERIMENTALOnce daily oral dose of MK-4618 (two 50-mg tablets) on Days 1 through 7 in Period 1 followed by once daily oral dose of placebo (two tablets) on Days 1 through 7 in Period 2. Participants receive previously prescribed daily dose of amlodipine (Amlo) for the duration of the study. A 2-week washout period follows Period 1.
Panel B: PBO + Amlo → MK-4618 + AmloEXPERIMENTALOnce daily oral dose of placebo (two tablets) on Days 1 through 7 in Period 1 followed by MK-4618 (two 50-mg tablets) on Days 1 through 7 in Period 2. Participants receive previously prescribed daily dose of amlodipine (Amlo) for the duration of the study. A 2-week washout period follows Period 1.
Interventions
NameTypeDescription
MK-4618DRUGOnce daily oral dose of MK-4618 100 mg (two 50 mg tablets) on Days 1 through 7
Placebo for MK-4618DRUGOnce daily oral dose of placebo for MK-4618 100 mg (two 50 mg tablets) on Days 1 through 7
MetoprololDRUGPreviously prescribed daily dose of open-label metoprolol for the duration of the study
AmlodipineDRUGPreviously prescribed daily dose of open-label amlodipine for the duration of the study
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Eligibility Criteria
Age Range18 Years — 80 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Male or female not of childbearing potential * Not a nursing mother * Must be on stable dose of a beta blocker (Panel A only) or amlodipine (Panel B only) for the treatment of hypertension for at least 6 weeks prior to enrollment. Must take the designated daily dose of metopro...

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