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MK0974

Phase 3

Migraine | Small molecule | Neurology |Merck & Company, Inc.|Last Updated: Nov 2, 2015

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-BlindACTIVE_CONTROLLED
Total Trials3
Total Enrollment2,173
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00432237Safety and Efficacy Study of MK0974 in the Acute Migraine (0974-016)PHASE3 COMPLETED 1,703Mar 1, 2007Dec 1, 2007Jul 3, 2015 -
NCT00246337A Dose-Finding Study of MK0974 in Acute Migraine (MK0974-004)PHASE2 COMPLETED 420Nov 1, 2005May 1, 2006Nov 2, 2015 -
NCT00966030Bioequivalence of the Tablet and Liquid-Filled Capsule Forms of MK0974 (0974-042)PHASE1 COMPLETED 50Mar 1, 2008May 1, 2008Jul 7, 2015 -
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Study Endpoints
Primary Endpoints
Number of Patients Reporting Pain Freedom at 2 Hours Postdose
2 hours post dose

Pain Freedom was defined as a reduction of a Grade 2 or 3 severity migraine at baseline to a no pain (Grade 0) at 2 hours post dose. Headache severity was recorded by the patient in a diary. 0=no pain; 1=mild pain; 2=moderate pain; 3=severe pain.

Number of Patients Reporting Pain Relief at 2 Hours Post Dose
2 hours post dose

Reduction of a Grade 2 or 3 severity migraine at baseline to mild or no pain (Grade 1 or 0) at 2 hours post dose. Headache severity was recorded by the patient in a diary. 0=no pain; 1=mild pain; 2=moderate pain; 3=severe pain.

Number of Patients Reporting Absence of Photophobia at 2 Hours Post Dose
2 hours post dose

Respective experience (yes/no) of migraine-associated symptoms (including photophobia) was recorded by the patient in a diary.

Number of Patients Reporting Absence of Phonophobia at 2 Hours Post Dose
2 hours post dose

Respective experience (yes/no) of migraine-associated symptoms (including phonophobia) was recorded by the patient in a diary.

Number of Patients Reporting Absence of Nausea at 2 Hours Post Dose
2 hours post dose

Respective experience (yes/no) of migraine-associated symptoms (including nausea) was recorded by the patient in a diary.

Pain Relief at 2 Hours
2 hours post dose

Pain severity was rated by the participants in a paper diary. Pain severity rating scale: 0 (no pain), 1 (mild), 2 (moderate), 3 (severe). Pain Relief is defined as participants reporting relief from moderate to severe migraine headache (Grade 2 or 3) to mild or none (Grade 1 or 0) in the setting of a typical migraine attack.

Area under the curve (AUC(0 to infinity)) following single dose administration of MK0974 tablet formulation and MK0974 liquid filled capsule formulation
Through 48 Hours Post Dose
Peak plasma concentration (Cmax) following single dose administration of MK0974 tablet formulation and MK0974 liquid filled capsule formulation
Through 48 Hours Post Dose
Secondary Endpoints
Number of Patients Who Have Sustained Pain-Freedom From 2 to 24 Hours Postdose
2 to 24 hours postdose
Number of Patients Who Have Total Migraine Freedom 2 to 24 Hours Postdose
2 to 24 hours postdose
Number of Patients Who Have Total Migraine Freedom 2 Hours Postdose
2 hours postdose
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
MK0974 50 mgEXPERIMENTALMK0974 50 mg; one orally-administered dose, plus an optional second dose (MK0974 50 mg) to treat a single moderate-to-severe migraine attack
MK0974 150 mgEXPERIMENTALMK0974 150 mg; one orally-administered dose, plus an optional second dose (MK0974 150 mg) to treat a single moderate-to-severe migraine attack
MK0974 300 mgEXPERIMENTALMK0974 300 mg; one orally-administered dose, plus an optional second dose (MK0974 300 mg or placebo) to treat a single moderate-to-severe migraine attack
PlaceboPLACEBO_COMPARATORPlacebo; one orally-administered dose, plus an optional second dose (placebo) to treat a single moderate-to-severe migraine attack
MK0974 25 mgEXPERIMENTALMK0974 25 mg; one orally-administered dose, plus an optional second dose (placebo) to treat a single moderate-to-severe migraine headache.
MK0974 100 mgEXPERIMENTALMK0974 100 mg; one orally-administered dose, plus an optional second dose (placebo) to treat a single moderate-to-severe migraine headache.
MK0974 200 mgEXPERIMENTALMK0974 200 mg; one orally-administered dose, plus an optional second dose (placebo) to treat a single moderate-to-severe migraine headache.
MK0974 400 mgEXPERIMENTALMK0974 400 mg; one orally-administered dose plus an optional second dose (placebo) to treat a single moderate-to-severe migraine headache.
MK0974 600 mgEXPERIMENTALMK0974 600 mg; one orally-administered dose plus an optional second dose (placebo) to treat a single moderate-to-severe migraine headache.
Rizatriptan 10 mgACTIVE_COMPARATORRizatriptan 10 mg; one orally-administered dose plus an optional second dose (placebo) to treat a single moderate-to-severe migraine headache.
1EXPERIMENTALMK0974 Tablet
2ACTIVE_COMPARATORMK0974 Liquid filled capsule
Interventions
NameTypeDescription
MK0974 50 mgDRUG -
MK0974 150 mgDRUG -
MK0974 300 mgDRUG -
Comparator: PlaceboDRUGMK0974 50 mg soft gel capsule Placebo; MK0974 150 mg soft gel capsule Placebo; MK0974 300 mg soft gel capsule Placebo.
MK0974DRUGMK0974 25 mg; one orally-administered dose
RizatriptanDRUGRizatriptan 10 mg; one orally-administered dose
MK0974 tabletDRUGMK0974 280 mg tablet in one of two treatment periods
Comparator: MK0974 liquid filled capsuleDRUGMK0974 300 mg liquid filled capsule in one of two treatment periods
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Patient has at least 1 year history of migraine (with or without aura) * Females of childbearing years must use acceptable contraception throughout trial Exclusion Criteria: * Patient is pregnant/breast-feeding (or is a female expecting to conceive during the study period) *...

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