A Phase 2 interventional study of MK-1942 and Placebo in Alzheimer's Disease, sponsored by Merck Sharp & Dohme LLC. Terminated at 74 sites in 11 countries. Open to participants aged 55 Years to 90 Years. Per ClinicalTrials.gov, last updated 2024-12-10.
Sponsored by Merck Sharp & Dohme LLC · Phase 2, Interventional, and Treatment
The main purpose of this study was to assess the safety and efficacy of MK-1942 as adjunctive therapy in participants with mild to moderate Alzheimer's Disease (AD) dementia.
3,678 studies on the registry are indexed under Alzheimer Disease; 872 are open to participants now.
This study's enrollment of 99 is above the median of 70 across 2,808 interventional studies indexed under Alzheimer Disease.
Browse Alzheimer Disease studies →Merck Sharp & Dohme LLC is the lead sponsor of 2,114 studies on the registry; 133 are open to participants now.
Of its 489 completed or terminated interventional studies of FDA-regulated products, 362 (74%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Participants will receive a single 5 mg MK-1942 capsule twice daily (BID), taken orally for 12 weeks. A mock titration will be done to maintain the study blind despite no changes in dose.
Drug: MK-1942
Participants will receive a single 8 mg MK-1942 capsule twice daily (BID), taken orally for one week. Then the dose is titrated up to 15 mg MK-1942 capsule twice daily (BID), taken orally for up to 11 weeks.
Drug: MK-1942
Participants will receive a placebo capsule twice daily (BID), taken orally for 12 weeks. A mock titration will be done to maintain the study blind despite no changes in dose.
Drug: Placebo
MK-1942 oral capsule
Placebo oral capsule
Change From Baseline in the Alzheimer's Disease Assessment Scale-11-item Cognitive Subscale (ADAS-Cog11) Score at Week 12
The change from baseline in ADAS-Cog11 score is presented. ADAS-Cog11 is a structured scale that evaluates memory, orientation, attention, reasoning, language, and constructional praxis. ADAS-Cog11 measures cognition by assessing 11 metrics impaired in AD: word recall; commands; constructional praxis; naming objects and fingers; ideational praxis; orientation; word recognition; remembering test instructions; spoken language ability; word-finding difficulty; and comprehension of spoken language. The total possible score ranges from 0 to 70, with higher scores indicating greater cognitive impairment. Negative values indicate improvement relative to baseline, and vice versa.
Time frame: Baseline and Week 12
Number of Participants Experiencing an Adverse Event (AE)
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. 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 intervention.
Time frame: Up to ~ 14 Weeks
Number of Participants Discontinuing Study Medication Due to an Adverse Event
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. 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 intervention.
Time frame: Up to ~ 12 Weeks
Alzheimer's Disease Cooperative Study Clinical Global Impression of Change (ADCS-CGIC) Overall Score at Week 12
The overall score in ADCS-CGIC is presented. ADCS-CGIC is a global scale assessing cognition and function based on structured interviews of both the participant and study partner. ADCS-CGIC focuses on clinicians' observations of change in the patient's cognitive, functional, and behavioral performance since the beginning of the study. Improvement in the ADCS-CGIC overall score, with a score of 1, 2, or 3 indicates improvement. The ADCS-CGIC is a clinician-rated measure of global severity at baseline scored from 1 (normal, not at all ill) to 7 (among the most extremely ill patients); and global change at follow-up scored from 1 (marked improvement) to 7 (marked worsening), where 4 indicates no change.
Time frame: Week 12
Mean Change From Baseline in The Alzheimer's Disease Cooperative Study Activities of Daily Living (ADCS-ADL) Total Score at Week 12
The change from baseline in ADCS-ADL score is presented. The ADCS-ADL is an informant-based measure of the participant's functional ability in activities of daily living. The ADCS-ADL assesses the competence of participants with AD dementia in basic and instrumental ADLs. The ADCS-ADL is a 23-item scale that includes 6 basic ADL items and 17 instrumental ADL items that provide a total score ranging from 0 to 78, with a lower score indicating greater severity.
Time frame: Baseline and Week 12
| Milestone | MK-1942 5 mg | MK-1942 15 mg | Placebo |
|---|---|---|---|
| Started | 35 | 31 | 33 |
| Completed | 13 | 8 | 12 |
| Not completed | 22 | 23 | 21 |
| Withdrew: Physician decision | 0 | 1 | 0 |
| Withdrew: Randomized by mistake without study medication | 1 | 0 | 0 |
| Withdrew: Study termination by sponsor | 18 | 15 | 19 |
| Withdrew: Withdrawal by subject | 2 | 1 | 1 |
| Withdrew: Various reasons | 1 | 6 | 1 |
The change from baseline in ADAS-Cog11 score is presented. ADAS-Cog11 is a structured scale that evaluates memory, orientation, attention, reasoning, language, and constructional praxis. ADAS-Cog11 measures cognition by assessing 11 metrics impaired in AD: word recall; commands; constructional praxis; naming objects and fingers; ideational praxis; orientation; word recognition; remembering test instructions; spoken language ability; word-finding difficulty; and comprehension of spoken language. The total possible score ranges from 0 to 70, with higher scores indicating greater cognitive impairment. Negative values indicate improvement relative to baseline, and vice versa.
| Units on a scale | MK-1942 5 mg | MK-1942 15 mg | Placebo |
|---|---|---|---|
| Change From Baseline in the Alzheimer's Disease Assessment Scale-11-item Cognitive Subscale (ADAS-Cog11) Score at Week 12 | 2.9 (0.7 to 5.1) | -0.6 (-3.0 to 1.8) | 0.8 (-1.4 to 3.0) |
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. 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 intervention.
| Participants | MK-1942 5 mg | MK-1942 15 mg | Placebo |
|---|---|---|---|
| Number of Participants Experiencing an Adverse Event (AE) | 17 | 21 | 18 |
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. 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 intervention.
| Participants | MK-1942 5 mg | MK-1942 15 mg | Placebo |
|---|---|---|---|
| Number of Participants Discontinuing Study Medication Due to an Adverse Event | 4 | 6 | 3 |
The overall score in ADCS-CGIC is presented. ADCS-CGIC is a global scale assessing cognition and function based on structured interviews of both the participant and study partner. ADCS-CGIC focuses on clinicians' observations of change in the patient's cognitive, functional, and behavioral performance since the beginning of the study. Improvement in the ADCS-CGIC overall score, with a score of 1, 2, or 3 indicates improvement. The ADCS-CGIC is a clinician-rated measure of global severity at baseline scored from 1 (normal, not at all ill) to 7 (among the most extremely ill patients); and global change at follow-up scored from 1 (marked improvement) to 7 (marked worsening), where 4 indicates no change.
| Units on a scale | MK-1942 5 mg | MK-1942 15 mg | Placebo |
|---|---|---|---|
| Alzheimer's Disease Cooperative Study Clinical Global Impression of Change (ADCS-CGIC) Overall Score at Week 12 | 5.4 ± 0.7 | 5.8 ± 0.9 | 5.3 ± 0.8 |
The change from baseline in ADCS-ADL score is presented. The ADCS-ADL is an informant-based measure of the participant's functional ability in activities of daily living. The ADCS-ADL assesses the competence of participants with AD dementia in basic and instrumental ADLs. The ADCS-ADL is a 23-item scale that includes 6 basic ADL items and 17 instrumental ADL items that provide a total score ranging from 0 to 78, with a lower score indicating greater severity.
| Units on a scale | MK-1942 5 mg | MK-1942 15 mg | Placebo |
|---|---|---|---|
| Mean Change From Baseline in The Alzheimer's Disease Cooperative Study Activities of Daily Living (ADCS-ADL) Total Score at Week 12 | -1.7 (-4.8 to 1.4) | -3.0 (-6.4 to 0.4) | 1.2 (-2.0 to 4.4) |
Collected over Up to ~14 weeks. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| MK-1942 5 mg | 0/34 (0%) | 1/34 (2.9%) | 16/34 (47.1%) |
| MK-1942 15 mg | 0/31 (0%) | 2/31 (6.5%) | 16/31 (51.6%) |
| Placebo | 0/33 (0%) | 2/33 (6.1%) | 12/33 (36.4%) |
| Event | MK-1942 5 mg | MK-1942 15 mg | Placebo |
|---|---|---|---|
| Chest painGeneral disorders | 0/34 | 1/31 | 0/33 |
| FallInjury, poisoning and procedural complications | 0/34 | 1/31 | 0/33 |
| BradycardiaCardiac disorders | 0/34 | 0/31 | 1/33 |
| AstheniaGeneral disorders | 0/34 | 0/31 | 1/33 |
| SyncopeNervous system disorders | 0/34 | 0/31 | 1/33 |
| HemiparesisNervous system disorders | 1/34 | 0/31 | 0/33 |
| Event | MK-1942 5 mg | MK-1942 15 mg | Placebo |
|---|---|---|---|
| Alanine aminotransferase increasedInvestigations | 10/34 | 5/31 | 1/33 |
| NauseaGastrointestinal disorders | 1/34 | 5/31 | 0/33 |
| DizzinessNervous system disorders | 4/34 | 5/31 | 4/33 |
| FallInjury, poisoning and procedural complications | 3/34 | 0/31 | 4/33 |
| VomitingGastrointestinal disorders | 1/34 | 3/31 | 1/33 |
| DiarrhoeaGastrointestinal disorders | 3/34 | 0/31 | 0/33 |
| HeadacheNervous system disorders | 3/34 | 1/31 | 1/33 |
| FatigueGeneral disorders | 1/34 | 2/31 | 1/33 |
| Accidental overdoseInjury, poisoning and procedural complications | 0/34 | 2/31 | 0/33 |
| Aspartate aminotransferase increasedInvestigations | 1/34 | 2/31 | 1/33 |
| Age, Continuous(Years) | MK-1942 5 mg | MK-1942 15 mg | Placebo | Total |
|---|---|---|---|---|
| Mean | 74.1 ± 7.5 | 74.7 ± 8.0 | 72.3 ± 8.2 | 73.7 ± 7.9 |
| Sex: Female, Male(Participants) | MK-1942 5 mg | MK-1942 15 mg | Placebo | Total |
|---|---|---|---|---|
| Female | 25 | 21 | 23 | 69 |
| Male | 10 | 10 | 10 | 30 |
| Ethnicity (NIH/OMB)(Participants) | MK-1942 5 mg | MK-1942 15 mg | Placebo | Total |
|---|---|---|---|---|
| Hispanic or Latino | 2 | 6 | 2 | 10 |
| Not Hispanic or Latino | 33 | 25 | 31 | 89 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | MK-1942 5 mg | MK-1942 15 mg | Placebo | Total |
|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 |
| Asian | 6 | 3 | 6 | 15 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 1 | 1 |
| White | 29 | 28 | 26 | 83 |
| More than one race | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 |
Documents are hosted by the registry — open the source record to download them.
Plan to share: Yes — http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf
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Merck Sharp & Dohme LLC