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MK-5478

Phase 1

Hypertension | Small molecule | Cardiovascular |Merck & Company, Inc.|Last Updated: Sep 21, 2018

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials1
Total Enrollment20

FDA Designations

No designations recorded

Clinical trial landscape

MK-5478 · 1 trial · 1 indication

Phase 1 1
NCT01025843Safety and Tolerability of MK-5478 in Participants With Hypertension (5478-001)Hypertension
COMPLETED20 Analytics
PHASE1COMPLETED
Safety and Tolerability of MK-5478 in Participants With Hypertension (5478-001)
HypertensionUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With One or More Adverse Events (AEs)
Up to 14 days after administration of last dose of study drug (up to Day 52)

An AE is 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 (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which is temporally associated with the use of the SPONSOR's product, is also an AE.

Number of Participants Who Discontinued Treatment Due to an AE
Up to 24 hours after administration of study drug

An AE is 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 (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which is temporally associated with the use of the SPONSOR's product, is also an AE.

Secondary Endpoints

Area Under the Plasma Concentration Versus Time Curve (AUC 0-infinity) of MK-5478 and Candesartan
Pre-dose and up to 48 hours postdose
Change From Baseline in Aortic Augmentation Index (AIx) of MK-5478 and Candesartan
Baseline and 1 to 3 hours postdose
Maximum Plasma Concentration (Cmax) of MK-5478 and Candesartan
Pre-dose and up to 48 hours postdose
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Pbo → 5 mg → Candesartan → 24 mg → 38 mgEXPERIMENTALPlacebo in Period 1; 5 mg MK-5478 in Period 2; Candesartan in Period 3; 24 mg MK-5478 in Period 4; and 38 mg MK-5478 in Period 5. There was a minimum 7 days washout between periods.
1 mg → 5 mg → 12 mg → Candesartan → PboEXPERIMENTAL1 mg MK-5478 in Period 1; 5 mg MK-5478 in Period 2; 12 mg MK-5478 in Period 3; Candesartan in Period 4; and Placebo in Period 5. There was a minimum 7 days washout between periods.
1 mg → Candesartan → Pbo → 24 mg → 38 mgEXPERIMENTAL1 mg MK-5478 in Period 1; Candesartan in Period 2: Placebo in Period 3; 24 mg MK-5478 in Period 4; and 38 mg MK-5478 in Period 5. There was a minimum 7 days washout between periods.
1 mg → 5 mg → 12 mg → Pbo → CandesartanEXPERIMENTAL1 mg MK-5478 in Period 1; 5 mg MK-5478 in Period 2; 12 mg MK-5478 in Period 3; Placebo in Period 4; and Candesartan in Period 5. There was a minimum 7 days washout between periods.
Pbo→ 8 mg→ 18 mg → 2 mg fed→CandesartanEXPERIMENTALPlacebo in Period 1; 8 mg MK-5478 in Period 2; 18 mg MK-5478 in Period 3; 2 mg MK-5478 in Period 4 with a high fat meal; and Candesartan in Period 5. There was a minimum 7 days washout between periods.
2 mg→Pbo → Candesartan → Pbo fed→38 mgEXPERIMENTAL2 mg MK-5478 in Period 1; Placebo in Period 2; Candesartan in Period 3; Placebo in Period 4 with a high fat meal; and 38 mg MK-5478 in Period 5. There was a minimum 7 days washout between periods.
2 mg→Candesartan→Pbo→Candesartan fed→38 mgEXPERIMENTAL2 mg MK-5478 in Period 1; Candesartan in Period 2; Placebo in Period 3; Candesartan in Period 4 with a high fat meal; and 38 mg MK-5478 in Period 5. There was a minimum 7 days washout between periods.
2 mg → 8 mg → 18 mg → 2 mg fed → PboEXPERIMENTAL2 mg MK-5478 in Period 1; 8 mg MK-5478 in Period 2; 18 mg MK-5478 in Period 3; 2 mg MK-5478 in Period 4 with a high fat meal; and Placebo in Period 5. There was a minimum 7 days washout between periods.
Candesartan→8 mg→ 18 mg →2 mg fed→38 mgEXPERIMENTALCandesartan in Period 1; 8 mg MK-5478 in Period 2; 18 mg MK-5478 in Period 3; 2 mg MK-5478 in Period 4 with a high fat meal; and 38 mg MK-5478 in Period 5. There was a minimum 7 days washout between periods.
Candesartan→Pbo → 12 mg → 24 mg→38 mgEXPERIMENTALCandesartan in Period 1; Placebo in Period 2; 12 mg MK-5478 in Period 3; 24 mg MK-5478 in Period 4; and 38 mg MK-5478 in Period 5. There was a minimum 7 days washout between periods.

Interventions

NameTypeDescription
MK-5478DRUGIn Part I: Single dose administration of MK-5478 oral capsules, total doses of 1, 2, 5, 8, 12, 18, 24 or 38 mg.
Comparator: Candesartan cilexetilDRUGSingle dose administration of candesartan, 32 mg oral tablet
Comparator: PboDRUGPlacebo
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Eligibility Criteria

Age Range18 Years to 50 Years
SexMALE
Healthy VolunteersYes

Inclusion Criteria: Part I: * Is a male between 18 to 50 years of age * Is in good health * Is a non-smoker Part II: * Is male of non-child bearing potential between 18 and 50 years of age * Has hypertension (high blood pressure) Exclusion Criteria: Part I and Part II: * Has a history of stro...

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Frequently asked questions about MK-5478

What is MK-5478 used for?

MK-5478 is an investigational small molecule being studied for the treatment of hypertension. It is in Phase 1 clinical development, and a completed trial evaluated its safety and tolerability in participants with hypertension.

Who makes MK-5478?

MK-5478 is being developed by Merck & Company, Inc., which trades on the New York Stock Exchange under the ticker MRK.

What phase is MK-5478 in?

MK-5478 is in Phase 1 clinical development. It is an investigational drug and has not been approved by the FDA. A Phase 1 trial has been completed.

What clinical trials is MK-5478 in?

MK-5478 has one completed Phase 1 trial, NCT01025843, titled "Safety and Tolerability of MK-5478 in Participants With Hypertension (5478-001)." The trial enrolled 20 male participants aged 18 years and older, including healthy volunteers.

Is MK-5478 the same as 5478-001?

No, MK-5478 is the drug, while 5478-001 is the identifier for its Phase 1 clinical trial. The trial is formally registered as NCT01025843 and is titled "Safety and Tolerability of MK-5478 in Participants With Hypertension (5478-001)."