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MK-4646

Phase 1

HIV Infection | Small molecule | Infectious Disease |Merck & Company, Inc.|Last Updated: Aug 25, 2026

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLED
Total Trials1
Total Enrollment15

FDA Designations

No designations recorded

Clinical trial landscape

MK-4646 · 3 trials · 2 indications

Phase 1 3
NCT07785830A Clinical Trial to Evaluate the Effects of MK-4646 on Rosuvastatin in Healthy Participants (MK-4646-007)Healthy
NOT YET_RECRUITING16 Analytics
NCT07199452A Study of Rifabutin and MK-4646 in Healthy Participants (MK-4646-004)Healthy
COMPLETED18 Analytics
NCT07042945MK-4646 Multiple Dose Trial in Participants With Human Immunodeficiency Virus Type 1 (HIV-1) (MK-4646-003)HIV Infection
COMPLETED15 Analytics
PHASE1NOT YET_RECRUITING
A Clinical Trial to Evaluate the Effects of MK-4646 on Rosuvastatin in Healthy Participants (MK-4646-007)
HealthyUnlock trial analytics
PHASE1COMPLETED
A Study of Rifabutin and MK-4646 in Healthy Participants (MK-4646-004)
HealthyUnlock trial analytics
PHASE1COMPLETED
MK-4646 Multiple Dose Trial in Participants With Human Immunodeficiency Virus Type 1 (HIV-1) (MK-4646-003)
HIV InfectionUnlock trial analytics

Study Endpoints

Primary Endpoints

Area Under the Concentration-Time Curve from Time 0 to Infinity (AUC0-Inf) of Rosuvastatin When MK-4646 is Coadministered with Rosuvastatin
At designated timepoints (up to approximately 72 hours post dose)

Blood samples will be collected to determine the AUC0-Inf of rosuvastatin when MK-4646 is coadministered with rosuvastatin.

Maximum Plasma Concentration (Cmax) of Rosuvastatin When MK-4646 is Coadministered with Rosuvastatin
At designated timepoints (up to approximately 72 hours post dose)

Blood samples will be collected to determine the Cmax of rosuvastatin when MK-4646 is coadministered with rosuvastatin.

Area Under the Concentration-time Curve from Time 0 Extrapolated to Infinity (AUC0-inf) of MK-4646 in Plasma
At designated timepoints (up to approximately 3 days post dose)

Blood samples will be collected to determine the AUC0-inf of MK-4646 in plasma.

Participants with averse events (AEs)
14 days post last dose (Up to Day 23)

Percentage of participants with one or more AEs

Participants who discontinued study medication due to an AE
Up to Day 7

Percentage of participants who discontinued study medication due to an AE

Viral load decline of plasma HIV-1 ribonucleic acid (RNA)
Predose, 1,2, 3, 4 and 5 days postdose

Time course of plasma HIV-1 RNA viral load decline.

Secondary Endpoints

Number of Participants Who Experience an Adverse Event (AE)
Up to approximately 26 days
Number of Participants Who Discontinue Study Treatment Due to an AE
Up to approximately 9 days
Area Under the Concentration-Time Curve from Time 0 to Last (AUC0-last) of Rosuvastatin When MK-4646 is Coadministered with Rosuvastatin
At designated timepoints (up to approximately 72 hours post dose)
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeBASIC_SCIENCE

Treatment Arms

ArmTypeDescription
Treatment A: RosuvastatinACTIVE_COMPARATORParticipants will receive a single oral dose of rosuvastatin.
Treatment B: Rosuvastatin + MK-4646EXPERIMENTALParticipants will receive a single oral dose of rosuvastatin coadministered with MK-4646.
MK-4646EXPERIMENTALOn Period 1 Day 1, a single oral dose of MK-4646 will be administered.
MK-4646 with RifabutinEXPERIMENTALRifabutin will be administered orally once daily from Period 2 Day 1 through Period 2 Day 16. A single oral dose of MK-4646 will be administered on Period 2 Day 14.
MK-4646 Panel AEXPERIMENTALMK-4646 160 mg every 24 hours (q24h) for 7 days
MK-4646 Panel BEXPERIMENTALMK-4646 ≤460 mg q24h for 7 days
MK-4646 Panel CEXPERIMENTALMK-4646 ≤460 mg q24h for 7 days
MK-4646 Panel DEXPERIMENTALMK-4646 ≤460 mg every 12 hours (q12h) for 7 days

Interventions

NameTypeDescription
RosuvastatinDRUGOral tablet
MK-4646DRUGOral capsule
RifabutinDRUGOral Capsule
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Eligibility Criteria

Age Range18 Years to 60 Years
SexALL
Healthy VolunteersYes

Inclusion Criteria: * Is in good health before randomization * Has a body mass index (BMI) between 18 and 32 kg/m\^2, inclusive Exclusion Criteria: * Has a history of clinically significant endocrine, gastrointestinal (GI), cardiovascular, hematological, hepatic, immunological, renal, respiratory...

Countries:United StatesMoldovaRomania
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Recent Changes (Last 90 Days)

LOWAug 25, 2026NCT07785830NEW_TRIAL: changed
LOWAug 25, 2026NCT07785830NEW_TRIAL: changed
MEDIUMJul 23, 2026NCT07042945TRIAL_REMOVED: changed
MEDIUMJul 23, 2026NCT07042945TRIAL_REMOVED: changed
MEDIUMJul 23, 2026NCT07042945TRIAL_REMOVED: changed
HIGHJun 22, 2026NCT07042945Status: RECRUITING → COMPLETED
HIGHJun 22, 2026NCT07042945Status: RECRUITING → COMPLETED

Frequently asked questions about MK-4646

What is MK-4646 used for?

MK-4646 is an investigational small molecule being developed by Merck & Company, Inc. for the treatment of HIV infection. It is also being studied in healthy participants for drug interaction trials. The drug is currently in Phase 1 clinical development and is not yet approved by regulatory authorities.

What does MK-4646 target?

The molecular target of MK-4646 has not been disclosed in available information. The drug is being studied for its effects in HIV infection, but its specific mechanism of action is not publicly detailed. It is a small molecule modality under investigation by Merck.

Who makes MK-4646?

MK-4646 is being developed by Merck & Company, Inc., which trades on the New York Stock Exchange under the ticker symbol MRK. The company is conducting Phase 1 clinical trials to evaluate the drug's safety and pharmacokinetics in HIV-infected participants and healthy volunteers.

What phase is MK-4646 in?

MK-4646 is in Phase 1 clinical development. It is an investigational drug and has not been approved by the FDA or any other regulatory agency. The drug is being studied in early-stage trials to assess safety, tolerability, and drug interactions in both HIV-infected participants and healthy individuals.

What clinical trials is MK-4646 in?

MK-4646 has been studied in three Phase 1 trials. NCT07042945 evaluated multiple doses in participants with HIV-1 and is completed. NCT07199452 studied the drug with rifabutin in healthy participants and is completed. NCT07785830 is a not-yet-recruiting trial evaluating effects on rosuvastatin in healthy participants.

Is MK-4646 the same as any other drug?

No alternative names for MK-4646 have been disclosed. The drug is identified solely by its code name MK-4646 in clinical trial registries. It is an investigational compound and is not known to be marketed under any other brand name.