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Shared Strengths: The Merck And Schering Pipelines

This article was originally published in The Pink Sheet Daily

Executive Summary

Merck’s acquisition of Schering-Plough brings much-needed late-stage assets, including potential blockbusters like TRA and bocepravir; the combined pipelines also strengthens existing footholds in neuroscience and respiratory drugs.

Shared Strengths: The Merck And Schering Pipelines


For a company that has takes pride in the strength of its R&D organization, Merck's late-stage pipeline has needed an infusion for some time. High-risk products such as Cordaptive and the CETP inhibitor anaceptrapib have suffered clinical setbacks while drugs like the CB-1 antagonist taranabant have been outright failures, leaving a thin Phase III pipeline (1"The Pink Sheet" Oct. 6, 2008, p. 22). The proposed acquisition of Schering-Plough brings Merck some of what it needs - a range of late-stage opportunities that round out the Whitehouse, NJ-based drugmaker's existing portfolio, strengthening its positions in neuroscience and respiratory drugs. Thanks to Schering, the company will have three pending NME products at FDA this year, where it previously had none. It also gives Merck potential blockbuster drugs if TRA and bocepravir deliver in clinical trials. Much of the credit for Schering's pipeline goes to CEO Fred Hassan, who has focused on rebuilding that pharma's pipeline via licensing and acquisition. In particular, the 2007 takeover of Organon BioSciences, which central nervous system and women's health assets, was critical to Merck's desire to purchase the company. Organon assets now comprise three-quarters of Schering's pipeline. Here's a closer look at the combined Merck-Schering pipeline, with an emphasis on novel products or combinations in mid- to late-stage development.

Status

Merck

Schering-Plough

ONCOLOGY

Phase III

Deforolimus, oral mTOR inhibitor for metastatic soft tissue and bone sarcomas (partnered with Ariad) [filing in 2010]

None

Phase II

MK-0646, anti-IFG-1r antibody for various cancers (from Pierre Fabre)

Robatumumab, anti-IGF-Ir antibody for various cancers, including Ewing's sarcoma;

Two cell-cycle inhibitors (CDK inhibitor and CHK-1 inhibitor) for various cancers;

Rolapitant, NK-1 inhibitor for chemotherapy-induced nausea and vomiting

CARDIOVASCULAR

Phase III

Rolofylline (MK-7418/KW3902), adenosine A1 antagonist for acute heart failure (from Kyowa Hakko, via NovaCardia) [filing in 2009];

MK-0524A and B (laropiprant/niacin, Tredaptive, formerly Cordaptive) for atherosclerosis [re-filing in 2012 after outcomes trial completed];

Anacetrapib (MK-0859), CETP inhibitor for atherosclerosis [filing beyond 2014]

Thrombin Receptor Antagonist for acute coronary syndrome and secondary prevention of ischemic events;

Acadesine, injectable adenosine regulating agent for prevention of ischemia-reperfusion injury during CABG (in-licensed from Pericor)

Phase II

MK-1903 for atherosclerosis;

MK-6213 for atherosclerosis

None

IMMUNOLOGY

Pending

None

Golimumab, humanized monoclonal antibody against tumor necrosis factor-alfa for rheumatoid arthritis, ankylosing spondylitis and psoriatic arthritis (partnered with Johnson & Johnson)

DIABETES

Phase III

MK-0431C (combination of Januvia (sitagliptin) and pioglitazone) [filing in 2011]

None

Phase II

MK-0893;

MK-0941;

MK-8245

None

INFECTIOUS DISEASE

Phase III

V503, a 9-valent vaccine for human papillomavirus [filing in 2012]

Boceprevir, protease inhibitor for hepatitis C;

Vicriviroc, oral chemokine CCR5 co-receptor antagonist for treatment-experienced HIV

Phase II

Three compounds (including V710, an S. aureus vaccine with Intercell, starting Phase III in 2009 and filing in 2011)

SCH 900518, protease inhibitor for hepatitis C;

Topical antifungal for onychomycosis (in-licensed from Anacor);

Pleconaril for prevention of common cold (also for asthma exacerbations)

NEUROLOGIC AND PSYCHIATRIC CONDITIONS

Pending

None

Asenapine (Saphris), atypical antipsychotic for treatment of schizophrenia and bipolar mania disorder (from Organon)

Phase III

Telcagepant, oral calcitonin gene-related peptide receptor antagonist for migraine [filing in 2009]

Esmirtazapine, serotonin and histamine receptor antagonist for primary insomnia (also for hot flashes) (from Organon)

Phase II

One neurologic compound;

One insomnia compound;

One compound for psychiatric disease

AMPAkine, glutaminergic for attention deficit/hyperactivity disorder and depression (from Cortex, via Organon)

ORG-25935, glycine uptake inhibitor for alcohol dependence and schizophrenia (from Organon);

Preladenant for Parkinson's disease

RESPIRATORY/ALLERGY

Phase III

None

Mometasone/formoterol combination for asthma and COPD (partnered with Novartis)

Allergy immunotherapy for grass pollen allergies (from ALK-Abello)

Phase II

MK-0476C

MK-0633, once-daily 5-LO inhibitor for asthma and COPD [moving into Phase III in 2009, filing in 2011]

CXCR2 chemokine receptor antagonist for COPD;

Mometasone / oxymetazoline for allergic rhinitis;

Pleconaril for asthma exacerbations (also for common cold);

QAB 149 (LABA) / mometasone combination for asthma and COPD

Allergy immunotherapies for dust mite allergies and for ragweed allergies (from ALK-Abello)

OSTEOPOROSIS AND WOMEN'S HEALTH

Pending

None

Corifollitropin alfa for assisted reproduction, in Europe (from Organon)

Phase III

Odanacatib, cathespin K inhibitor for treatment of osteoporosis [filing in 2012]

Esmirtazapine for hot flashes (also for insomnia) (from Organon);

NOMAC/E2 (nomegestrol acetate and estrogen estradiol) combination oral contraceptive (in-licensed from Theramex, via Organon)

Phase II

MK-5442/JTT-305 bone growth stimulator for treatment of osteoporosis (partnered with Japan Tobacco)

None

OTHER

Pending

None

Sugammadex, selective relaxant binding agent to reverse neuromuscular blockade following surgical procedures

Phase II

MK-2866 for sarcopenia

n/a

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