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MK-8226 ,

Phase 1

Hypertension | Small molecule | Cardiovascular |Merck & Company, Inc.|Last Updated: Aug 12, 2019

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-BlindCONTROLLED
Total Trials1
Total Enrollment40
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01096160A Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of MK8266 in Hypertensive Men (MK-8266-002)PHASE1 COMPLETED 40Mar 1, 2010Nov 1, 2010Aug 12, 2019 -
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Study Endpoints
Primary Endpoints
Participants Receiving MK-8266 or Placebo Who Experienced At Least One Adverse Event (AE) During Treatment and Postdose Follow-up
Up to 24 days

Assessment of the number of participants with at least one clinical or laboratory AE in those receiving multiple oral doses of MK-8266. An AE is 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.

Participants Receiving MK-8266 or Placebo Who Discontinued Treatment Due to an AE
Up to 10 days

Assessment of the number of participants receiving MK-8266 who discontinued therapy due to an AE over 10 days of treatment. An AE is 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. The number of participants in any treatment group who discontinued therapy due to an AE was primarily assessed for Days 0-10.

Change From Baseline in Systolic Blood Pressure (SBP) Following Multiple Oral Doses of MK-8266 or Placebo
Baseline and Day 10

Assessment of the change from baseline in SBP, obtained using a validated, semi-automated oscillometric device. Evaluated for MK-8266 relative to placebo in participants, as measured by the time weighted average change over 24 hours postdose (TWA\^0-24hrs) on dosing Day 10. Panel D and Panel E had identical treatments (MK-8266 0.8 mg TID), which were combined for this analysis.

Heart Rate (HR) on Day 10 Following Multiple Oral Doses of MK-8266 or Placebo
Day 10 (24 hours postdose)

Assessment of HR (beats/min) on Day 10 (24-hours postdose) with MK-8266 relative to placebo in participants, as measured by the time weighted average change over 24 hours postdose (TWA\^0-24hrs). Panel D and Panel E had identical treatments (MK-8266 0.8 mg TID), which were combined for this analysis. Baseline HR values are shown in the Baseline Characteristics section for Panels A, B, C, D, E.

Secondary Endpoints
Aortic Augmentation Index (AIx) on Day 10 Following Multiple Oral Doses of MK-8266 or Placebo
Day 10
Change From Baseline in Cyclic Guanosine Monophosphate (cGMP) Following Multiple Oral Doses of MK-8266 or Placebo
Baseline and Day 10
Percent Inhibition of Platelet Aggregation Induced by Adenosine Diphosphate (ADP) Following Multiple Oral Doses of MK-8266 or Placebo
Baseline and Day 10 (5 hours postdose)
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Panel A: MK-8266 BID, 1 mg/PlaceboEXPERIMENTALMK-8266 1 mg (0.7 mg in the morning \[AM\] + 0.3 mg in the evening \[PM\]), or as matching placebo BID.
Panel B: MK-8266 BID, 1.8 mg/PlaceboEXPERIMENTALMK-8266 1.8 mg (1 mg in the AM + 0.8 mg in the PM), or as matching placebo BID.
Panel C: MK-8266 TID, 1.8 mg/PlaceboEXPERIMENTALMK-8266 TID, 1.8 mg (0.6 mg every 6 hours \[q6hr\]), or as matching placebo TID.
Panel D: MK-8266 TID, 2.4 mg/PlaceboEXPERIMENTALMK-8266 TID (Panel D), 2.4 mg (0.8 mg q6hr), or as matching placebo TID. Panel D was completed prior to initiation of Panel E.
Panel E: MK-8266 TID, 2.4 mg/PlaceboEXPERIMENTALMK-8266 TID (Panel E), 2.4 mg (0.8 mg q6hr), or as matching placebo TID. Panel E was initiated after completion of Panel D.
Interventions
NameTypeDescription
MK-8226 BID, 1 mgDRUGMK-8266 1 mg administered as oral capsules (0.7 mg + 0.3 mg), BID for 10 consecutive days. Panel A was completed prior to initiation of Panel B.
MK-8266 BID, 1.8 mgDRUGMK-8266 1.8 mg administered as oral capsules (1 mg + 0.8 mg), BID for 10 consecutive days. Panel B was completed prior to initiation of Panel C.
MK-8266 TID, 1.8 mgDRUGMK-8266 1.8 mg administered as oral capsules (0.6 mg), TID for 10 consecutive days. Panel C was completed prior to initiation of Panel D.
MK-8266 TID, 2.4 mgDRUGMK-8266 TID (Panel D), 2.4 mg administered as oral capsules (0.8 mg), TID for 10 consecutive days. Panel D was completed prior to initiation of Panel E.
Placebo BID (Panel A)DRUGPlacebo administered as oral capsules BID for 10 consecutive days. Panel A was completed prior to initiation of Panel B.
Placebo BID (Panel B)DRUGPlacebo administered as oral capsules BID for 10 consecutive days. Panel B was completed prior to initiation of Panel C.
Placebo TID (Panel C)DRUGPlacebo administered as oral capsules TID for 10 consecutive days. Panel C was completed prior to initiation of Panel D.
Placebo TID (Panel D)DRUGPlacebo administered as oral capsules TID for 10 consecutive days. Panel D was completed prior to initiation of Panel E.
Placebo TID (Panel E)DRUGPlacebo administered as oral capsules TID for 10 consecutive days. Panel E was initiated after completion of Panel D.
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Eligibility Criteria
Age Range18 Years — 55 Years
SexMALE
Healthy VolunteersNo

Inclusion Criteria: * Participant is male with essential hypertension (high blood pressure) * Participant is in good general health (with the exception of hypertension) * Participant has a Body Mass Index (BMI) \<= 33 kg/m\^2 at the Screening visit * Participant has a platelet count \>= 150,000 cu/...

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