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MK0524A

Phase 3

Flushing | Small molecule | Other |Merck & Company, Inc.|Trials Updated: Aug 31, 2018

MK0524A development status

Highest phase Phase 3
Registered trials 4 across 1 sponsor since Sep 2007

MK0524A target and mechanism

ModalitySmall molecule

Also known as CORDAPTIVE™

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindUNCONTROLLED
Total Trials6
Total Enrollment4,221

FDA Designations

No designations recorded

MK0524A clinical trials

MK0524A · 6 trials · 5 indications

Phase 3 3Phase 2 3
NCT00533611Effect of MK0524A on Flushing Caused by Niacin (0524A-056)Flushing
COMPLETED330 Analytics
NCT00376584Effect of an Investigational Compound on Tolerability of Extended Release Niacin (0524A-023)(COMPLETED)Hypercholesteremia
COMPLETED825 Analytics
NCT00289900Lipid Efficacy and Safety in Participants With Mixed Hyperlipidemia (MK-0524B-024)Mixed Hyperlipidemia
COMPLETED2,340 Analytics
PHASE3COMPLETED
Effect of MK0524A on Flushing Caused by Niacin (0524A-056)
FlushingUnlock trial analytics
PHASE3COMPLETED
Effect of an Investigational Compound on Tolerability of Extended Release Niacin (0524A-023)(COMPLETED)
HypercholesteremiaUnlock trial analytics
PHASE3COMPLETED
Lipid Efficacy and Safety in Participants With Mixed Hyperlipidemia (MK-0524B-024)
Mixed HyperlipidemiaUnlock trial analytics

Study Endpoints

Primary Endpoints

MK-0524A produces less flushing during the acute dosing period than niacin extended-release as measured by maximum Global Flushing Severity Score (GFSS) categorized as none/mild, moderate, severe, extreme.
Over 1 week
Global Flushing Severity Score (GFSS) during 7 days of treatment
during 7 days of treatment
Percentage Change From Baseline in the LDL-C/HDL-C Ratio
Baseline and Week 12

Blood samples taken at baseline and after 12 weeks of treatment to determine the LDL-C and HDL-C levels. The LDL-C/HDL-C ratio was then calculated for baseline and Week 12 and the change from baseline at Week 12 was recorded.

To assess the HDL-C raising efficacy of MK-0524A when compared with niacin extended release (NIASPAN) and placebo.
After 4 weeks
To determine the most effective daily dose and measurements to assess acute and chronic (long-lasting) Niacin Induce Flushing (NIF).
8 weeks
To determine the effect of MK0524A on lipids and blood glucose
17 Weeks

Secondary Endpoints

MK-0524A produces less flushing during the acute dosing period than niacin extended-release as measured by (a) maximum daily GFSS; and (b) percentage of patients with a maximum GFSS =4 (moderate or greater).
Daily
Percentage of Participants Who Experience at Least 1 Adverse Event
up to 10 weeks
Percentage of Participants Who Were Discontinued from the Study Due to an Adverse Event
up to 10 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Placebo → MK-0524A 2gPLACEBO_COMPARATORFollowing an 8-week active run-in (MK-0524A 1g (4 Weeks) then MK-0524A 2g (4 weeks) participants will be administered MK-0524A Placebo for 5 days (drug holiday) followed by MK-0524A 2 g for the remainder of the study (7 days).
Placebo → Extended Release (ER)-Niacin 2gACTIVE_COMPARATORFollowing an 8-week active run-in (MK-0524A 1g (4 Weeks) then MK-0524A 2g (4 weeks) participants will be administered MK-0524A Placebo for 5 days (drug holiday) followed by ER-Niacin 2g for the remainder of the study (7 days)
MK-0524A 2gEXPERIMENTALFollowing an 8-week active run-in (MK-0524A 1g (4 Weeks) then MK-0524A 2g (4 weeks) participants will be administered MK-0524A 2g for the remainder of the study (approximately 2 weeks).
MK-0524B 2g/20 mgEXPERIMENTALCo-administration of one tablet of MK-0524A (Extended Release \[ER\] niacin/laropiprant \[LRPT\] 1g + one tablet of simvastatin 10 mg for 4 weeks, then co-administration of two tablets of MK-0524A 1g + simvastatin 20 mg for 8 weeks
MK-0524B 2g/40mgEXPERIMENTALCo-administration of one tablet of MK-0524A 1g + one tablet of simvastatin 20 mg for 4 weeks, then co-administration of two tablets of MK-0524A 1g + simvastatin 40 mg for 8 weeks
Atorvastatin 10 mgACTIVE_COMPARATORAtorvastatin 10 mg, orally, once daily for 12 weeks
Atorvastatin 20 mgACTIVE_COMPARATORAtorvastatin 20 mg, orally, once daily for 12 weeks
Atorvastatin 40 mgACTIVE_COMPARATORAtorvastatin 40 mg, orally, once daily for 12 weeks
Atorvastatin 80 mgACTIVE_COMPARATORAtorvastatin 80 mg, orally, once daily for 12 weeks

Interventions

NameTypeDescription
MK0524A, /Duration of Treatment : 4 WeeksDRUG -
Comparator : niacin /Duration of Treatment : 1 WeeksDRUG -
MK-0524ADRUG -
ER NiacinDRUG -
PlaceboDRUG -
AtorvastatinDRUG -
SimvastatinDRUG -
Comparator : placebo (unspecified) / Duraton of Treatment: 4 WeeksDRUG -
MK0524A, niacin (+) laropiprant / Duration of Treatment : 4 WeeksDRUG -
Comparator : niacin / Duraton of Treatment: 4 WeeksDRUG -
MK0524A, /Duration of Treatment : 8 WeeksDRUG -
Comparator : placebo (unspecified) /Duration of Treatment : 8 WeeksDRUG -
Comparator: niacin / Duration of Treatment: 17 WeeksDRUG -
MK0524A, niacin (+) laropiprant / Duration of Treatment: 17 WeeksDRUG -
Comparator: placebo (unspecified) / Duration of Treatment: 17 WeeksDRUG -
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Eligibility Criteria

Age Range18 Years to 70 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Patient is male or female between 18 and 70 years of age * Females of reproductive potential must agree to take acceptable contraceptive precautions for the duration of the study Exclusion Criteria: * Patient has a history of hypersensitivity to niacin or niacin-containing p...

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Frequently asked questions about MK0524A

What is MK0524A?

MK0524A is an investigational small molecule combination developed by Merck & Company, Inc. (MRK). It combines extended-release niacin with laropiprant and was studied for flushing and lipid disorders, including hypercholesterolemia, hypercholesteremia, and mixed hyperlipidemia. It is not described as approved and remains in clinical development.

What is MK0524A used for?

MK0524A was studied for flushing and for cholesterol-related conditions: hypercholesteremia, hypercholesterolemia, and mixed hyperlipidemia. Its trials enrolled adults with flushing or hypercholesterolemia. The program is investigational, so these are studied indications rather than approved uses.

Who makes MK0524A?

MK0524A is developed by Merck & Company, Inc., which trades under the ticker MRK. Merck sponsored the clinical program, including the flushing and hypercholesterolemia studies registered as NCT00536237, NCT00533676, NCT00533611, and NCT00533312.

What phase is MK0524A in?

MK0524A reached Phase 3, with one Phase 3 trial among its registered studies. All three of its trials are completed and none are active, so the program is not currently enrolling. It is an investigational combination and is not described as FDA approved.

What clinical trials is MK0524A in?

MK0524A has been studied in completed trials including NCT00536237 and NCT00533676 in flushing, NCT00533611, a Phase 3 study of flushing caused by niacin, and NCT00533312 in hypercholesterolemia. Across these studies, total enrollment was 2,340 participants, all adults aged 18 and older.