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Navarixin

Phase 2

Asthma | Small molecule | Respiratory |Merck & Company, Inc.|Last Updated: Aug 28, 2024

Success Probability

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials1
Total Enrollment19

FDA Designations

No designations recorded

Clinical trial landscape

Navarixin · 4 trials · 7 indications

Phase 2 4
NCT03473925Efficacy and Safety Study of Navarixin (MK-7123) in Combination With Pembrolizumab (MK-3475) in Adults With Selected Advanced/Metastatic Solid Tumors (MK-7123-034)Solid Tumors
COMPLETED107 Analytics
NCT00688467Efficacy and Safety of Navarixin (SCH 527123) in Participants With Allergen-Induced Asthma (P05363)Asthma
COMPLETED19 Analytics
NCT00632502Neutrophilic Asthma Study With Navarixin (MK-7123, SCH 527123) (MK-7123-017)(COMPLETED)Neutrophilic Asthma
COMPLETED37 Analytics
NCT00684593A Study to Assess the Clinical Effects of Navarixin in Participants With Psoriasis (MK-7123-009)Psoriasis
COMPLETED31 Analytics
PHASE2COMPLETED
Efficacy and Safety Study of Navarixin (MK-7123) in Combination With Pembrolizumab (MK-3475) in Adults With Selected Advanced/Metastatic Solid Tumors (MK-7123-034)
Solid TumorsUnlock trial analytics
PHASE2COMPLETED
Efficacy and Safety of Navarixin (SCH 527123) in Participants With Allergen-Induced Asthma (P05363)
AsthmaUnlock trial analytics
PHASE2COMPLETED
Neutrophilic Asthma Study With Navarixin (MK-7123, SCH 527123) (MK-7123-017)(COMPLETED)
Neutrophilic AsthmaUnlock trial analytics
PHASE2COMPLETED
A Study to Assess the Clinical Effects of Navarixin in Participants With Psoriasis (MK-7123-009)
PsoriasisUnlock trial analytics

Study Endpoints

Primary Endpoints

Objective Response Rate (ORR) Based on Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)
Up to approximately 2 years

ORR is defined as the percentage of participants who have a Complete Response (CR: Disappearance of all target lesions) or a Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1. ORR was estimated using an exact method based on the binomial distribution, and the 95% confidence interval was estimated by the method of Clopper-Pearson.

Number of Participants With Dose-limiting Toxicities (DLTs) During Treatment Cycle 1
Up to 21 days

The following toxicities are considered a DLT, assessed as related to study treatment: Grade 4 non-hematologic toxicity, Grade 4 anemia, Grade 3 anemia lasting \>7 days or requiring transfusion, Grade 4 hematologic toxicity lasting ≥7 days, except thrombocytopenia, a) Grade 4 thrombocytopenia of any duration, b) Grade 3 thrombocytopenia associated with bleeding, Grade 3 non-hematologic toxicity lasting \>3 days, any Grade 3 or Grade 4 non-hematologic laboratory value if: medical intervention is required or the abnormality leads to hospitalization or persists for \>72 hours, Liver test abnormalities: Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) \>3X Upper Limit of Normal (ULN) with total bilirubin (TBL) \>2X ULN with no elevation in alkaline phosphatase (AP \<2X ULN), Grade 3 or Grade 4 febrile neutropenia, inability to administer ≥75% of the planned navarixin dose due to drug-related tolerability, delay in Cycle 2 start by \>2 weeks due to toxicity

Number of Participants Who Experience at Least One Adverse Event (AE)
Up to approximately 27 months

An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study treatment.

Number of Participants Who Discontinue Study Treatment Due to an AE
Up to approximately 2 years

An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study treatment.

Percent Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve From 3 to 7 Hours (AUC3-7hr) After Allergen Challenge Following 9 Days Pretreatment With Navarixin
Baseline and between 3 and 7 hours after allergen challenge

This is a measure of the Late Asthmatic Response (LAR) between 3 and 7 hours after allergen challenge. Allergen challenge was administered 1 hour after the ninth daily dose of study drug in each treatment period. Baseline FEV1 was defined as the prechallenge FEV1 in the treatment period. A percent change \>0 indicates a fall in FEV1 after allergen challenge. The reported standard deviations (SDs) are pooled across all treatment groups. The rationale for the use of an analysis of variance using pooled SD values is the assumption that the SDs are similar across treatment groups. The pooled SD values were used in the calculation of test statistics to assess treatment differences (p-value generation).

Number of Participants Who Maintained an Absolute Peripheral Blood Neutrophil Count >=1500/µL
Up to 4 weeks

Peripheral blood neutrophil counts were performed on Day 2 and Weeks 1, 2, 3, and 4 of the treatment period

Mean Percent Change From Baseline in the Psoriasis and Activity Severity Index (PASI) Score at Day 29
Baseline and Day 29

PASI score is a means to qualify the extent and severity of psoriatic lesions. The total score is calculated as the sum of the extent and severity of lesions on the head, arms, trunk, and legs and the score can range from 0 (no symptoms) to 72 (maximum symptoms).

Secondary Endpoints

Objective Response Rate (ORR) Per Modified RECIST 1.1 for Immune-based Therapeutics (iRECIST)
Up to approximately 2 years
Progression-free Survival (PFS) Per RECIST 1.1
Up to approximately 2 years
PFS Per iRECIST
Up to approximately 2 years
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Navarixin 30 mg + Pembrolizumab 200 mgEXPERIMENTALParticipants received 30 mg navarixin via oral capsules once daily, plus 200 mg pembrolizumab via IV infusion on Day 1 of each 3-week cycle for up to 35 administrations (up to approximately 2 years
Navarixin 100 mg + Pembrolizumab 200 mgEXPERIMENTALParticipants received 100 mg navarixin via oral capsules once daily, plus 200 mg pembrolizumab via IV infusion on Day 1 of each 3-week cycle for up to 35 administrations (up to approximately 2 years).
Navarixin → PlaceboEXPERIMENTALNavarixin 30 mg capsule to be taken once daily in the morning for 10 days in Treatment Period 1, followed by a 2-4 week washout period, followed by matching placebo capsule to be taken once daily in the morning for 10 days in Treatment Period 2
Placebo → NavarixinEXPERIMENTALMatching placebo capsule to be taken once daily in the morning for 10 days in Treatment Period 1, followed by a 2-4 week washout period, followed by navarixin 30 mg capsule to be taken once daily in the morning for 10 days in Treatment Period 2
NavarixinEXPERIMENTALNavarixin (MK-7123, SCH 527123) 30 mg capsule, to be taken by mouth once daily in the morning for 4 weeks
PlaceboPLACEBO_COMPARATORPlacebo capsule to match navarixin, to be taken by mouth once daily in the morning for 4 weeks

Interventions

NameTypeDescription
NavarixinDRUGOral capsules
PembrolizumabBIOLOGICALIntravenous infusion
PlaceboDRUGMatching capsule to be taken once daily in the morning for 10 days during Treatment Period 1 or Treatment Period 2
Rescue medicationDRUGParticipant choice of short-acting beta-2 agonist (salbutamol/albuterol), anticholinergic, or combination medication as needed for asthma symptoms
Navarixin 10 mgDRUGNavarixin capsules orally, once daily for 28 days.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites14

Inclusion Criteria: All Participants * Has one of the following histologically- or cytologically-confirmed advanced/metastatic solid tumors: NSCLC, CRPC, or MSS CRC, by pathology report and has received, or been intolerant to, or has been ineligible for all treatment known to confer clinical benef...

Countries:United StatesAustraliaCanadaIsraelSouth Korea
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Frequently asked questions about Navarixin

What is Navarixin used for?

Navarixin is an investigational small molecule being studied for use in neutrophilic asthma, asthma, psoriasis, and selected advanced or metastatic solid tumors, including non-small cell lung cancer, castration resistant prostate cancer, and microsatellite stable colorectal cancer. It is in Phase 2 clinical development.

Who makes Navarixin?

Navarixin is being developed by Merck & Company, Inc., which trades under the ticker symbol MRK. The company is conducting clinical trials to evaluate the drug's safety and efficacy across several indications.

What phase is Navarixin in?

Navarixin is in Phase 2 clinical development. It is investigational and has not been approved by regulatory authorities. All completed trials listed are Phase 2 studies, and the drug remains under clinical investigation.

What clinical trials is Navarixin in?

Navarixin has been studied in several completed Phase 2 trials, including NCT00632502 for neutrophilic asthma, NCT00684593 for psoriasis, NCT00688467 for allergen-induced asthma, and NCT03473925 for solid tumors in combination with pembrolizumab.

Is Navarixin the same as MK-7123 or SCH 527123?

Yes, Navarixin is also known as MK-7123 and SCH 527123. Clinical trial records reference these alternative names, such as in the study titles for neutrophilic asthma and solid tumors.