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MK-8931

Phase 1

Alzheimer's Disease | Small molecule | Neurology |Merck & Company, Inc.|Trials Updated: Oct 1, 2018

MK-8931 development status

Highest phase Phase 1
Registered trials 3 across 1 sponsor since Dec 2011

MK-8931 target and mechanism

ModalitySmall molecule

Also known as Verubecestat, SCH 900931

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials3
Total Enrollment60

FDA Designations

No designations recorded

MK-8931 clinical trials

MK-8931 · 3 trials · 3 indications

Phase 1 3
NCT02910739An Open-Label Study Investigating MK-8931 in Participants With Mild and Moderate Hepatic Insufficiency (MK-8931-016)Amnestic Mild Cognitive Impairment
COMPLETED16 Analytics
NCT01537757A Two-Part, Single-Dose Study of the Pharmacokinetics of MK-8931 in Subjects With Renal Insufficiency (MK-8931-009 [P08535])Alzheimer's Disease
COMPLETED12 Analytics
NCT01496170A Study of the Safety, Tolerability, and Pharmacodynamics of MK-8931 in Participants With Alzheimer's Disease (MK-8931-010 AM1 [P07820 AM1])Alzheimer's Disease
COMPLETED32 Analytics
PHASE1COMPLETED
An Open-Label Study Investigating MK-8931 in Participants With Mild and Moderate Hepatic Insufficiency (MK-8931-016)
Amnestic Mild Cognitive ImpairmentUnlock trial analytics
PHASE1COMPLETED
A Two-Part, Single-Dose Study of the Pharmacokinetics of MK-8931 in Subjects With Renal Insufficiency (MK-8931-009 [P08535])
Alzheimer's DiseaseUnlock trial analytics
PHASE1COMPLETED
A Study of the Safety, Tolerability, and Pharmacodynamics of MK-8931 in Participants With Alzheimer's Disease (MK-8931-010 AM1 [P07820 AM1])
Alzheimer's DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Area Under the Concentration Versus Time Curve of MK-8931 From 0 to Infinity (AUC0-∞)
Predose and 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96, and 120 hours after MK-8931 40 mg dose

Blood samples were collected at each pre-specified time point and plasma was isolated for analysis. Plasma MK-8931 concentration was then quantified at each time point to determine AUC0-∞, defined as the area under the MK-8931 concentration versus time curve from 0 (predose) extrapolated to infinity after a single oral dose of MK-8931 40 mg. Individual AUC0-∞ values were natural log (ln) transformed and evaluated with an analysis of covariance (ANCOVA) model containing a categorical factor for participant group (Moderate HI, Healthy Matched Control) and continuous covariates for age and BMI. This ANCOVA model was used to compute a geometric least-squares mean and 95% confidence interval for AUC0-∞ in each arm.

Maximum Observed Plasma Concentration of MK-8931 (Cmax)
Predose and 0.5, 1, 2, 3, 4, 6, 8, 12, 24, and 48 hours after MK-8931 40 mg dose

Blood samples were collected at each pre-specified time point and plasma was isolated for analysis. Plasma MK-8931 concentration was then quantified at each time point to determine Cmax, defined as the maximum plasma concentration of MK-8931 observed following oral dosing. Individual Cmax values were ln-transformed and evaluated with an ANCOVA model containing a categorical factor for participant group (Moderate HI, Healthy Matched Control) and continuous covariates for age and BMI. This ANCOVA model was used to compute a geometric least-squares mean and 95% confidence interval for Cmax in each arm.

Area Under the Concentration Versus Time Curve of MK-8931 From 0 to the Time of the Last Quantifiable (Above LLOQ) Sample (AUC0-last)
Predose and 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96, and 120 hours after MK-8931 40 mg dose

Blood samples were collected at each pre-specified time point and plasma was isolated for analysis. Plasma MK-8931 concentration was then quantified at each time point to determine AUC0-last, defined as the area under the MK-8931 concentration versus time curve from 0 (predose) to the time of the last sample with quantifiable MK-8931 (above the lower limit of quantification; LLOQ) after a single oral dose of MK-8931 40 mg. Individual AUC0-last values were ln-transformed and evaluated with an ANCOVA model containing a categorical factor for participant group (Moderate HI, Healthy Matched Control) and continuous covariates for age and BMI. This ANCOVA model was used to compute a geometric least-squares mean and 95% confidence interval for AUC0-last in each arm.

Area Under the Concentration Versus Time Curve of MK-8931 From 0 to 24 Hours (AUC0-24hr)
Predose and 0.5, 1, 2, 3, 4, 6, 8, 12 and 24 hours after MK-8931 40 mg dose

Blood samples were collected at each pre-specified time point and plasma was isolated for analysis. Plasma MK-8931 concentration was then quantified at each time point to determine AUC0-24hr, defined as the area under the MK-8931 concentration versus time curve from 0 (predose) until 24 hours after single oral dosing of MK-8931 40 mg. Individual AUC0-24hr values were ln-transformed and evaluated with an ANCOVA model containing a categorical factor for participant group (Moderate HI, Healthy Matched Control) and continuous covariates for age and BMI. This ANCOVA model was used to compute a geometric least-squares mean and 95% confidence interval for AUC0-24hr in each arm.

Plasma Concentration of MK-8931 at 24 Hours (C24hr)
24 hours after MK-8931 40 mg dose

Blood samples were collected 24 hours following oral dosing of MK-8931 and plasma was isolated for analysis. Plasma MK-8931 concentration was then quantified to determine C24hr, defined as the plasma concentration of MK-8931 at 24 hours after single oral dosing of MK-8931 40 mg. Individual C24hr values were ln-transformed and evaluated with an ANCOVA model containing a categorical factor for participant group (Moderate HI, Healthy Matched Control) and continuous covariates for age and BMI. This ANCOVA model was used to compute a geometric least-squares mean and 95% confidence interval for C24hr in each arm.

Apparent Clearance of MK-8931 After Extravascular Administration (CL/F)
Predose and 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96, and 120 hours after MK-8931 40 mg dose

Geometric mean apparent clearance of MK-8931 after extravascular administration (CL/F) was assessed. Blood samples were collected at each pre-specified time point and plasma was isolated for analysis. Plasma MK-8931 concentration was then quantified at each time point to determine CL/F, defined as the rate of MK-8931 elimination normalized to the bioavailability of MK-8931 in the plasma following oral MK-8931 administration.

Time to Maximum Observed MK-8931 Plasma Drug Concentration (Tmax)
Predose and 0.5, 1, 2, 3, 4, 6, 8, 12, 24, and 48 hours after MK-8931 40 mg dose

Median time to maximum observed MK-8931 plasma drug concentration (Tmax) was assessed. Blood samples were collected at each pre-specified time point and plasma was isolated for analysis. Plasma MK-8931 concentration was then quantified at each time point to determine Tmax, defined as the amount of time required following MK-8931 administration for the plasma concentration of MK-8931 to reach maximum observed concentration.

Apparent Terminal Half-Life of MK-8931 (t1/2)
Predose and 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96, and 120 hours after MK-8931 40 mg dose

Geometric mean apparent terminal half-life (t1/2) of MK-8931 was assessed. Blood samples were collected at each pre-specified time point and plasma was isolated for analysis. Plasma MK-8931 concentration was then quantified at each time point to determine t1/2, defined as the time required for the plasma MK-8931 concentration to decrease to 50% of maximum.

Apparent Volume of Distribution of MK-8931 During the Terminal Phase After Extravascular Administration (Vz/F)
Predose and 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96, and 120 hours after MK-8931 40 mg dose

Geometric mean apparent volume of distribution of MK-8931 during the terminal phase after extravascular administration (Vz/F) was assessed. Blood samples were collected at each pre-specified time point and plasma was isolated for analysis. Plasma MK-8931 concentration was then quantified at each time point to determine Vz/F, defined as the total amount of MK-8931 administered normalized to the bioavailability of MK-8931 in the plasma during the terminal phase following oral MK-8931 administration.

Area under the plasma concentration-time curve from time zero to infinity (AUC0-inf) of MK-8931
Predose through 120 hours post single dose of MK-8931
Mean population Inhibitory Concentration for 50% Effect (IC50) in cerebral spinal fluid (CSF) ß-amyloid peptide 40 (Aß40)
Hour 0 (predose) to 36 hours post-dose on Day 7

Secondary Endpoints

Number of Participants Experiencing an Adverse Event
Up to 14 days following MK-8931 40 mg administration.
Number of Participants Discontinuing Study Due to an Adverse Event
Up to 14 days following MK-8931 40 mg administration.
Renal clearance (CLr) of MK-8931
Predose through 120 hours post single dose of MK-8931
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part I: MK-8931 40 mg in Moderate HI ParticipantsEXPERIMENTALSingle oral dose of MK-8931 40 mg tablet in participants with moderate HI in fasted state (Part I)
Part I: MK-8931 40 mg in Healthy ParticipantsACTIVE_COMPARATORSingle oral dose of MK-8931 40 mg tablet in healthy matched participants in fasted state (Part I)
Part II: MK-8931 40 mg in Mild HI ParticipantsEXPERIMENTALSingle oral dose of MK-8931 40 mg tablet in participants with mild HI in fasted state (Part II)
Part II: MK-8931 40 mg in Healthy ParticipantsACTIVE_COMPARATORSingle oral dose of MK-8931 40 mg tablet in healthy matched participants in fasted state (Part II)
Part 1, Panel A - Severe Renal Impairment GroupEXPERIMENTAL -
Part 1, Panel B - Healthy Control Group to Match Panel AEXPERIMENTAL -
Part 2, Panel C - Moderate Renal Impairment GroupEXPERIMENTAL -
Part 2, Panel D - Healthy Control Group to Match Panel CEXPERIMENTAL -
Part 2, Panel E - Mild Renal Impairment GroupEXPERIMENTAL -
Part 2, Panel F - Healthy Control Group to Match Panel EEXPERIMENTAL -
Treatment A: MK-8931 12 mgEXPERIMENTALParticipants receiving 12 mg MK-8931 for 7 days
Treatment B: MK-8931 40 mgEXPERIMENTALParticipants receiving MK-8931 40 mg for 7 days
Treatment C: Placebo matching MK-8931 12 mg or 40 mgPLACEBO_COMPARATORParticipants receiving placebo matching MK-8931 12 mg or 40 mg for 7 days
Treatment D: MK-8931 60 mgEXPERIMENTALParticipant receiving MK-8931 60 mg for 7 days
Treatment E: Placebo matching MK-8931 60 mgPLACEBO_COMPARATORParticipants receiving placebo matching MK-8931 60 mg for 7 days

Interventions

NameTypeDescription
MK-8931DRUGMK-8931 40 mg
PlaceboDRUGPlacebo capsules, orally, once per day for 7 days
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Eligibility Criteria

Age Range45 Years to 85 Years
SexALL
Healthy VolunteersYes

Inclusion Criteria: Participants with HI 1. Adult male or female participants, 45-85 years of age, inclusive, at screening. 2. Body Mass Index (BMI) ≥ 19 and ≤ 40 kg/m\^2, at screening. 3. Continuous non-smokers or light smokers (\< 10 cigarettes/day or the equivalent). 4. Baseline health is judged...

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Frequently asked questions about MK-8931

What is MK-8931 used for?

MK-8931 is an investigational small molecule being studied for Alzheimer's Disease and Amnestic Mild Cognitive Impairment. It is in Phase 1 clinical development and is not approved by the FDA. The drug is being developed by Merck & Company, Inc. (MRK).

Who makes MK-8931?

MK-8931 is being developed by Merck & Company, Inc., which trades under the ticker symbol MRK. The drug is an investigational small molecule in Phase 1 clinical trials for Alzheimer's Disease and Amnestic Mild Cognitive Impairment.

What phase is MK-8931 in?

MK-8931 is in Phase 1 clinical development. It is an investigational drug and has not been approved by the FDA. Two Phase 1 trials have been completed, with a total enrollment of 44 participants across studies in Alzheimer's Disease and related conditions.

What clinical trials is MK-8931 in?

MK-8931 has completed two Phase 1 trials. NCT01496170 studied safety, tolerability, and pharmacodynamics in 32 participants with Alzheimer's Disease. NCT01537757 examined pharmacokinetics in 12 subjects with renal insufficiency. Both trials are completed.

Is MK-8931 the same as verubecestat?

MK-8931 is also known as verubecestat. It is an investigational small molecule being developed by Merck & Company, Inc. for Alzheimer's Disease and Amnestic Mild Cognitive Impairment. The drug is in Phase 1 clinical development.