FDA Accepts New Drug Applications for Merck’s Doravirine, the Company’s Investigational Non-Nucleoside Reverse Transcriptase Inhibitor (NNRTI), for Treatment of HIV-1 Infection

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January 8, 2018 6:30 am ET

Merck (NYSE:MRK), known as MSD outside the United States and Canada,
today announced that the U.S. Food and Drug Administration (FDA) has
accepted for review two New Drug Applications (NDAs) for doravirine, the
company’s investigational non-nucleoside reverse transcriptase inhibitor
(NNRTI) for the treatment of HIV-1 infection in adults. The NDAs include
data for doravirine (DOR) as a once-daily tablet for use in combination
with other antiretroviral agents, and for use of doravirine with
lamivudine (3TC) and tenofovir disoproxil fumarate (TDF) in a once-daily
fixed-dose combination single tablet as a complete regimen
(DOR/3TC/TDF). The FDA has set a target action date of Oct. 23, 2018,
for both applications under the Prescription Drug User Fee Act (PDUFA).

“Since the earliest days of the epidemic, Merck has sustained our
commitment to research and meeting the needs of people living with HIV.
Doravirine was engineered by our research team to provide a meaningful
new treatment approach and address unmet medical needs in the treatment
of HIV-1 infection,” said Dr. George Hanna, associate vice president,
global clinical development, Merck Research Laboratories. “We have been
pleased with the clinical findings to date and look forward to working
with the FDA as it reviews our applications.”

The NDAs are based upon the findings at Week 48 of two ongoing Phase 3
trials, DRIVE-FORWARD and DRIVE-AHEAD, evaluating the efficacy and
safety of doravirine and the fixed-dose combination regimen of
DOR/3TC/TDF, respectively. These data were previously presented at CROI-2017
and IAS
2017
, respectively.

About Doravirine

Doravirine (MK-1439, DOR) is an investigational NNRTI being evaluated by
Merck for the treatment of HIV-1 infection. DOR is being evaluated in
several ongoing clinical trials both as a once-daily single-entity
tablet in combination with other antiretroviral agents in a tailored
regimen, and as a once-daily fixed-dose combination (DOR/3TC/TDF) in a
complete single tablet regimen. Phase 3 trials include DRIVE-FORWARD, a
trial comparing DOR to once-daily ritonavir-boosted darunavir (DRV+r),
each administered in combination with FTC/TDF or abacavir (ABC)/3TC, in
treatment-naïve adults; DRIVE-AHEAD, a trial comparing DOR/3TC/TDF to
EFV/FTC/TDF in treatment-naïve adults; and DRIVE-SHIFT, a trial
evaluating a switch to DOR/3TC/TDF in HIV-1 infected adults who are
currently virologically suppressed on another antiretroviral regimen.
Other ongoing Phase 2 clinical trials include an evaluation of
DOR/3TC/TDF in treatment-naïve adults with transmitted resistance to
NNRTIs and in individuals switching from EFV due to intolerability.

About DRIVE-FORWARD

DRIVE-FORWARD is a multicenter, double-blind, randomized non-inferiority
trial in which 769 treatment-naïve adults with HIV-1 infection received
either DOR (100 mg) or DRV+r (800 mg +100 mg), both administered orally
once-daily in combination with either TDF/FTC or ABC/3TC. The primary
endpoint of the clinical trial was the proportion of participants with
HIV-1 RNA less than 50 copies/mL at Week 48. Secondary endpoints
included an evaluation of the effects of DOR and DRV+r on fasting serum
lipids, change from baseline in CD4+ T-cell count, and evaluation of
safety and tolerability. The trial consists of a 96-week double-blind
treatment period (base study) and an open label extension after
participants complete the base study. For further information regarding
DRIVE-FORWARD please visit www.clinicaltrials.gov

clinical trial registry number NCT02275780.

About DRIVE-AHEAD

DRIVE-AHEAD is an ongoing Phase 3 multicenter, double-blind, randomized,
active comparator-controlled clinical trial evaluating the safety and
efficacy of a once-daily, single-tablet, fixed-dose combination
consisting of DOR/3TC/TDF (100mg/300mg/300mg) versus a once daily,
single-tablet, fixed-dose combination of EFV/FTC/TDF (600mg/200mg/300mg)
in treatment-naïve HIV-1 infected adults. The primary endpoint of the
clinical trial was the proportion of participants with HIV-1 RNA less
than 50 copies/mL at Week 48. The primary safety endpoint was the
proportion of participants with neuropsychiatric adverse events through
Week 48 in the following pre-specified categories: dizziness, sleep
disorders and disturbances, and the inability to think clearly or
concentrate. Secondary endpoints included an evaluation of the effects
of DOR/3TC/TDF and EFV/FTC/TDF on fasting serum lipids, change from
baseline in CD4+ T-cell count, and evaluation of safety and
tolerability. The trial consists of a 96-week double-blind treatment
period (base study) and an open label extension after participants
complete the base study. For further information regarding DRIVE-AHEAD
please visit www.clinicaltrials.gov

clinical trial registry number NCT02403674.

About Merck

For more than a century, Merck, a leading global biopharmaceutical
company known as MSD outside of the United States and Canada, has been
inventing for life, bringing forward medicines and vaccines for many of
the world’s most challenging diseases. Through our prescription
medicines, vaccines, biologic therapies and animal health products, we
work with customers and operate in more than 140 countries to deliver
innovative health solutions. We also demonstrate our commitment to
increasing access to health care through far-reaching policies, programs
and partnerships. Today, Merck continues to be at the forefront of
research to advance the prevention and treatment of diseases that
threaten people and communities around the world – including cancer,
cardio-metabolic diseases, emerging animal diseases, Alzheimer’s disease
and infectious diseases including HIV and Ebola. For more information,
visit www.merck.com
and connect with us on Twitter, Facebook, Instagram, YouTube and
LinkedIn. For more information, visit www.merck.com
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