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MK-8189

Phase 1

Schizophrenia | Small molecule | Psychiatry |Merck & Company, Inc.|Last Updated: Mar 29, 2021

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_CONTROLLEDBiomarker
Total Trials1
Total Enrollment75
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03565068A Safety, Tolerability, and Pharmacokinetics Study of MK-8189 in Participants With Schizophrenia and in Healthy Participants (MK-8189-007)PHASE1 COMPLETED 75Jun 20, 2018Apr 3, 2020Mar 29, 20211 United States
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Study Endpoints
Primary Endpoints
The Number of Participants Who Experienced One or More Adverse Events (AEs)
Up to ~32 days

An AE was defined as 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. Per protocol, safety was analyzed by panel and dose. The number of participants who experienced one or more AEs was reported.

The Number of Participants Who Discontinued Study Treatment Due to an AE
Up to ~18 days

An AE was defined as 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. Per protocol, safety was analyzed by panel and dose. The number of participants who discontinued study treatment due to an AE was reported.

Secondary Endpoints
Area Under the Plasma-concentration Curve at Zero to 24 Hours Post-dose (AUC0-24hr) of MK-8189
Pre-dose, 2, 6, 8, 10, 12, 16, 24 hours post-dose; no pre-dose on Day 18 (Panel A, B, C), Day 15 (Panel D); Panel A, B: Days 7, 10, 13, 16, 18; Panel C: Days 9, 12, 15, 18; Panel D: Days 1, 4, 7, 10, 13, 15
Maximum Observed Post-dose Plasma Concentration (Cmax) of MK-8189
Pre-dose, 2, 6, 8, 10, 12, 16, 24 hours post-dose; no pre-dose on Day 18 (Panel A, B, C), Day 15 (Panel D);additional 36, 48 hours post-dose on Days 18, 15; Panel A, B: Days 7, 10, 13, 16, 18; Panel C: Days 9, 12, 15, 18; Panel D:Days 1, 4, 7, 10, 13, 15
Plasma Concentration at 24 Hours Post-dose (C24hr) of MK-8189
24 hours post-dose; Panel A, B: Days 7, 10, 13, 16, 18; Panel C: Days 9, 12, 15, 18; Panel D: Days 1, 4, 7, 10, 13, 15
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Panel A (Healthy Participants): MK-8189 Monotherapy 4-24 mgEXPERIMENTALHealthy participants will receive MK-8189 monotherapy orally once daily (QD) in escalating doses from 4 mg to 24 mg, as follows: Days 1-3: 4 mg, Days 4-6: 8 mg, Days 7-9: 12 mg, Days 10-12: 16 mg, Days 13-15: 20 mg, Days 16-18: 24 mg, depending on safety and tolerability.
Panel A (Healthy Participants): Placebo MonotherapyPLACEBO_COMPARATORHealthy participants will receive MK-8189 monotherapy matching placebo orally QD on Days 1-18.
Panel B (Schizophrenia Participants): MK-8189 Monotherapy 4-24 mgEXPERIMENTALParticipants with Schizophrenia will receive MK-8189 monotherapy orally QD in escalating doses from 4 mg to 24 mg, as follows: Days 1-3: 4 mg, Days 4-6: 8 mg, Days 7-9: 12 mg, Days 10-12: 16 mg, Days 13-15: 20 mg, Days 16-18: 24 mg, depending on safety and tolerability.
Panel B (Schizophrenia Participants): Placebo MonotherapyPLACEBO_COMPARATORParticipants with Schizophrenia will receive MK-8189 monotherapy matching placebo orally QD on Days 1-18.
Panel C (Schizophrenia Participants): MK-8189 Add-on Therapy 4-24 mgEXPERIMENTALIn addition to background atypical antipsychotic (AAP) treatment, participants with Schizophrenia will receive MK-8189 add-on therapy orally QD in escalating doses from 4 mg to 24 mg, as follows: Days 1-3: 4 mg, Days 4-6: 8 mg, Days 7-9: 12 mg, Days 10-12: 16 mg, Days 13-15: 20 mg, Days 16-18: 24 mg, depending on safety and tolerability.
Panel C (Schizophrenia Participants): Placebo Add-on TherapyPLACEBO_COMPARATORIn addition to background AAP treatment, participants with Schizophrenia will receive MK-8189 add-on therapy matching placebo orally QD on Days 1-18.
Panel D (Schizophrenia Participants): MK-8189 Monotherapy 8-48 mgEXPERIMENTALParticipants with Schizophrenia will receive MK-8189 monotherapy orally QD in escalating doses from 8 mg to 48 mg, as follows: Days 1-3: 8 mg, Days 4-6: 16 mg, Days 7-9: 24 mg, Days 10-12: 36 mg, Days 13-15: 48 mg, depending on safety and tolerability.
Panel D (Schizophrenia Participants): Placebo MonotherapyPLACEBO_COMPARATORParticipants with Schizophrenia will receive MK-8189 monotherapy matching placebo orally QD on Days 1-15.
Interventions
NameTypeDescription
MK-8189DRUGMK-8189 4 mg tablet(s) will be administered orally QD for a total daily dose of 4 mg, 8 mg, 12 mg, 16 mg, 20 mg, 24 mg, 36 mg or 48 mg.
PlaceboDRUGMK-8189 dose-matching placebo tablets will be administered orally QD.
Background AAP TherapyDRUGParticipants with schizophrenia in Panel C will be on background therapy with an AAP medication (e.g., olanzapine, quetiapine, paliperidone, asenapine, iloperidone, aripirprazole, lurasidone, risperidone \[not to exceed daily dose of 6 mg\], or ziprasidone) throughout the study. Participants should be on a stable and well tolerated treatment regimen for at least 2 months prior to screening. NOTE: clozapine is not allowed.
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Eligibility Criteria
Age Range18 Years — 60 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria Panel A (Healthy Participants) \- If participant is of Japanese descent, both biological parents and all biological grandparents must be born in Japan. Panels B and D (Participants with Schizophrenia; MK-8189 or Placebo Monotherapy / 15-Day Titration Monotherapy) - Is able to d...

Countries:United States
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