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Short ragweed pollen allergen extract

Phase 3

Rhinitis, Allergic, Seasonal | Monoclonal antibody | Other |Merck & Company, Inc.|Last Updated: Sep 6, 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-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment1,025
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02478398Efficacy and Safety Study of RAGWITEK™ (MK-3641) in Children With Ragweed-Induced Rhinoconjunctivitis With or Without Asthma (MK-3641-008)PHASE3 COMPLETED 1,025Jul 20, 2015Nov 19, 2018Sep 6, 2019 -
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Study Endpoints
Primary Endpoints
Total Combined Score (TCS) During the Peak Ragweed Season (RS)
The 15-day period during the ragweed season with the highest moving pollen average

TCS is daily symptom score (DSS) plus daily medication score (DMS), assessed in the peak RS (15 consecutive RS days with the highest 15-day average pollen count). The rhinoconjunctivitis (RC) DSS assesses 6 allergy symptoms measured on a scale of 0 to 3 (0=no symptoms, 3=severe symptoms; score range: 0-18). Lower DSS indicates less RC symptoms. The RC DMS is based on use of RC rescue medications (loratadine, olopatadine, mometasone), with different rescue medications being assigned different scores/dose unit (score range: 0-20). Lower DMS indicates less RC medication use. Summed RC DSS+DMS could range from 0 to 38; a lower score indicates less RC symptoms and medication use. Components that contribute to DSS and DMS endpoints are collected in an electronic diary (e-diary) completed by the participant/parent/guardian. Evaluation is based on average TCS during peak RS.

Secondary Endpoints
Average TCS During the Entire RS
Up to 13 weeks
Average Rhinoconjunctivitis (RC) DSS During the Peak RS
The 15-day period during the ragweed season with the highest moving pollen average
Average Rhinoconjunctivitis (RC) DMS During the Peak RS
The 15-day period during the ragweed season with the highest moving pollen average
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Short ragweed pollen allergen extractEXPERIMENTALParticipants receive one sublingual tablet containing 12 units of Ambrosia artemisiifolia major allergen number 1 (Amb a 1-U), once daily (QD) for up to 35 weeks. Participants may use study-provided rescue medication(s) as needed to treat rhinoconjunctivitis symptoms.
PlaceboPLACEBO_COMPARATORParticipants receive one placebo sublingual tablet, QD for up to 35 weeks. Participants may use study-provided rescue medication(s) as needed to treat rhinoconjunctivitis symptoms.
Interventions
NameTypeDescription
Short ragweed pollen allergen extractBIOLOGICALOne sublingual tablet containing 12 units of Amb a 1-U, once daily (QD) for up to 35 weeks.
PlaceboBIOLOGICALOne placebo sublingual tablet, QD for up to 35 weeks.
Self-injectable epinephrineDRUGIntramuscular (IM) injection with suggested doses of 0.15 mg for participants weighing 15-30 kg (33-66 pounds) or 0.3 mg for participants weighing ≥30 kg (≥66 pounds), as needed for severe allergic reactions. Epinephrine was only provided in countries/study sites where it was a regulatory requirement.
Albuterol/SalbutamolDRUGInhalation of albuterol 90 mcg/puff or salbutamol 100 mcg/puff metered dose inhaler (MDI), as needed as asthma rescue medication for those participants with asthma
LoratadineDRUG5 mg (1 mg/mL syrup or 5 mg tablet) for participants 5 years old or 10 mg (1 mg/mL syrup or 10 mg tablet) for participants 6 to 17 years old, as needed for rhinoconjunctivitis symptoms
OlopatadineDRUGOpthalmic solution, 1 drop (0.1%) per affected eye twice daily (BID), as needed for rhinoconjunctivitis symptoms
Mometasone furoate monohydrateDRUGIntranasal spray, at doses of 1 spray (50 mcg/ spray) per nostril for participants 5 to 11 years old or 2 sprays (50 mcg/spray) per nostril for participants 12 to 17 years old, as needed for rhinoconjunctivitis symptoms
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Eligibility Criteria
Age Range4 Years — 17 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Is between the ages of 4 and 17 years (inclusive) at enrollment in this study and is at least 5 years old at randomization * Has a clinical history of significant ragweed pollen-induced allergic rhinitis/rhinoconjunctivitis of ≥1 year (at least 1 season for ages 4 to 6 years) ...

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