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MK-7625A

Phase 3

Intra-abdominal Infection | Small molecule | Infectious Disease |Merck & Company, Inc.|Last Updated: Feb 5, 2019

Success Probability

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Trial Design

UNCONTROLLED
Total Trials1
Total Enrollment100

FDA Designations

No designations recorded

Clinical trial landscape

MK-7625A · 2 trials · 6 indications

Phase 3 2
NCT02728089Study of Ceftolozane/Tazobactam (MK-7625A) in Japanese Participants With Uncomplicated Pyelonephritis and Complicated Urinary Tract Infection (MK-7625A-014)Urinary Tract Infection (UTI)
COMPLETED115 Analytics
NCT02739997Study of Ceftolozane/Tazobactam (MK-7625A) in Combination With Metronidazole in Japanese Participants With Complicated Intra-abdominal Infection (MK-7625A-013)Intra-abdominal Infection
COMPLETED100 Analytics
PHASE3COMPLETED
Study of Ceftolozane/Tazobactam (MK-7625A) in Japanese Participants With Uncomplicated Pyelonephritis and Complicated Urinary Tract Infection (MK-7625A-014)
Urinary Tract Infection (UTI)Unlock trial analytics
PHASE3COMPLETED
Study of Ceftolozane/Tazobactam (MK-7625A) in Combination With Metronidazole in Japanese Participants With Complicated Intra-abdominal Infection (MK-7625A-013)
Intra-abdominal InfectionUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With Microbiological Response of Eradication at Test of Cure (TOC)
Day 14 (14 days post first dose of study drug)

The per-pathogen microbiological outcome was determined for each uropathogen isolated at baseline at TOC (14 days post first dose). Microbiological outcome was classified as "eradication", "persistence" or "indeterminate." A successful microbiological response was "eradication" which was defined as urine culture showed all uropathogens found at baseline at ≥10\^5 colony-forming unit (CFU)/mL were reduced to \<10\^4 CFU/mL. If the outcome for any uropathogen was" persistence" (CFU/mL not reduced the result was classified as unsuccessful. Participants with responses reported as "indeterminate" were excluded.

Percentage of Participants Who Report 1 or More Adverse Event (AE)
Up to 42 days post first dose of study drug

An AE was defined as any untoward medical occurrence in a participant which does not necessarily have a causal relationship with the treatment. An AE was any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with use of a medicinal product, regardless of whether or not it was considered related to the medicinal product. The percentage of participants that reported at least 1 AE was summarized.

Percentage of Participants Discontinuing Study Drug Due to an AE
Up to 7 days after the first dose of study drug

An AE was defined as any untoward medical occurrence in a participant which does not necessarily have a causal relationship with the treatment. An AE was any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with use of a medicinal product, regardless of whether or not considered related to the medicinal product. The percentage of participants that had study drug discontinued during the study due to an AE was summarized.

Percentage of Participants With Clinical Response (Clinical Cure, Clinical Failure, or Indeterminate) at Test of Cure (TOC)
Day 28 (28 days after initiating study therapy)

The percentage of participants with clinical responses (cure, failure, or indeterminate) at TOC was determined. Clinical cure was defined as "complete resolution or significant improvement in signs and symptoms of the index infection, such that no additional antibacterial therapy or surgical or drainage procedure is required". Clinical failure was defined as "death related to IAI at any time point; persisting or recurrent infection within the abdomen requiring additional intervention to cure; need for treatment with additional antibiotics for ongoing IAI symptoms; or post-surgical wound infection that requires additional antimicrobial therapy and/or non-routing wound care". Indeterminate was defined as "study data are not available for evaluation for any reason, including death during the study period unrelated to the index infection; or extenuating circumstances that preclude classification as cure or failure".

Percentage of Participants With Adverse Events (AEs)
Up to Day 42 (up to 28 days after completing study therapy)

The percentage of participants with ≥1 AEs was determined. 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.

Percentage of Participants Discontinuing Study Drug Due to AEs
Up to Day 14

The percentage of participants withdrawing from study therapy due to an AE was determined.

Secondary Endpoints

Percentage of Participants With Microbiological Response of Eradication at End Of Therapy (EOT)
Day 7 (7 days post first dose of study drug)
Percentage of Participants With Microbiological Response of Eradication at Late Follow-up (LFU)
Day 42 (42 days post first dose of study drug)
Percentage of Participants With Clinical Response of Clinical Cure at TOC
Day 14 (14 days post first dose of study drug)
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
MK-7625AEXPERIMENTALMK-7625A 1.5 g (ceftolozane 1 g/tazobactam 0.5 g) administered as an intravenous (IV) infusion every 8 hours for 7 days. The dose may be reduced to 750 mg (ceftolozane 500 mg/tazobactam 250 mg) for participants with a creatinine clearance (CrCl) of 30-50 mL/min.
MK-7625A + metronidazoleEXPERIMENTALMK-7625A 1.5 g (ceftolozane 1 g/tazobactam 0.5 g) plus metronidazole 500 mg administered as an intravenous (IV) infusion every 8 hours for 4 to 14 days. The dose may be reduced to 750 mg (ceftolozane 500 mg/tazobactam 250 mg) for participants with a creatinine clearance (CrCl) of 30-50 mL/min.

Interventions

NameTypeDescription
MK-7625A 1.5 g (ceftolozane 1 g/tazobactam 0.5 g)DRUGMK-7625A 1.5 g (ceftolozane 1 g/tazobactam 0.5 g) administered as an intravenous (IV) infusion
metronidazole 500 mgDRUGmetronidazole 500 mg administered as an IV infusion
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Japanese males or females who need hospitalization * Clinical signs and/or symptoms of urinary tract infection (UTI) at screening visit, either one of the following: * Pyelonephritis (uncomplicated or complicated) * Complicated lower UTI (cUTI) * Has a pretreatment baseli...

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Frequently asked questions about MK-7625A

What is MK-7625A used for?

MK-7625A is an investigational small molecule being developed for infectious disease indications, specifically complicated urinary tract infections (UTI), pyelonephritis, and complicated intra-abdominal infections. It is studied in combination with metronidazole for intra-abdominal infections. The drug is in Phase 3 clinical development.

Who makes MK-7625A?

MK-7625A is being developed by Merck & Company, Inc., which trades under the ticker symbol MRK. The company is conducting Phase 3 clinical trials for this investigational drug in infectious disease indications.

What phase is MK-7625A in?

MK-7625A is in Phase 3 clinical development. It is an investigational drug and has not been approved by regulatory authorities. Two Phase 3 trials have been completed, one in urinary tract infections and one in intra-abdominal infections.

What clinical trials is MK-7625A in?

MK-7625A has been studied in two completed Phase 3 trials. NCT02728089 evaluated the drug in Japanese participants with uncomplicated pyelonephritis and complicated urinary tract infection, enrolling 115 participants. NCT02739997 evaluated it in combination with metronidazole in Japanese participants with complicated intra-abdominal infection, enrolling 100 participants.

Is MK-7625A the same as ceftolozane/tazobactam?

Yes, MK-7625A is the same as ceftolozane/tazobactam. The clinical trials for MK-7625A are titled as studies of ceftolozane/tazobactam, indicating that MK-7625A is an alternative name for this combination antibiotic.