The Wall Street Journal

December 12, 2006 11:35 a.m. EST

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Merck Gives Glimpse
At Its Drug Pipeline

By PETER LOFTUS
December 12, 2006 11:35 a.m.

WHITEHOUSE STATION, N.J. -- Merck & Co. said Tuesday it expects to file for regulatory approval in 2007 for proposed new treatments for HIV, insomnia and heart disease.

The drug maker is currently awaiting Food and Drug Administration action on pending applications for three other drugs, including Arcoxia, an arthritis medication whose approval has been delayed for several years. Merck disclosed Tuesday the FDA plans to hold an advisory meeting for Arcoxia, but it hasn't yet been scheduled. The FDA typically schedules advisory meetings when it wants advice from outside experts about a drug's safety or effectiveness.

Merck also confirmed for the first time that it's developing a cholesterol drug in the same class as torcetrapib, the once-promising compound for which Pfizer Inc. halted development earlier this month due to a higher-than-expected death rate in a patient trial. The study's halt raised concerns that other so-called CETP inhibitors in development would have safety problems.

But the Merck compound, MK-0859, showed no serious cardiovascular problems in an eight-week mid-stage trial, Peter Kim, president of Merck's research arm, told analysts and investors gathered at the company's headquarters here. Also, it met the company's development criteria of at least a 50% increase in good cholesterol levels and a 20% decrease in bad cholesterol, Mr. Kim said. He said the drug's effect on blood pressure was similar to a fake pill, or placebo. An elevation in blood pressure had been seen in early Pfizer trials of torcetrapib.

"MK-0859 was generally safe and well tolerated and we do not have cardiovascular events in patients taking those drugs," Mr. Kim said. Merck is evaluating the data for MK-0859 to finalize its future plans for the compound.

Merck has launched five new products during 2006, including three vaccines. It's counting on continued pipeline success to help replenish sales lost to drug-patent expirations as well as to the 2004 withdrawal from the market of the painkiller Vioxx due to safety concerns.

Merck said it expects to have four drugs in late-stage studies by mid-2007. These include a proposed weight-loss medication and treatments for migraine headaches and osteoporosis. In total, Merck said it has five development programs in late-stage, or Phase III, development; 21 programs in Phase II; and 28 programs in Phase I. It's not unusual, however, for Phase I programs to fail to progress to later-stage trials.

"We've advanced strong products in our pipeline at every stage in development," Merck Chief Executive Richard Clark said Tuesday.

In 2007, Merck expects to file for FDA approval of MK-0518, an HIV integrase inhibitor; Gaboxadol, an insomnia treatment developed with H. Lundbeck A/S; and MK-0524A, a niacin-based compound designed to raise good cholesterol while minimizing a skin-related side effect of niacin. Merck said it plans to submit for regulatory approval in 2008 a combination of MK-0524A with simvastatin, an existing drug that lowers bad cholesterol and that Merck sells under the brand Zocor.

In addition to Arcoxia, the other Merck compounds under FDA review are Janumet for the treatment of Type 2 diabetes and Emend IV, an intravenous therapy for nausea and vomiting associated with chemotherapy.

Merck's experimental weight-loss medicine, MK-0364, would compete with Sanofi-Aventis's Acomplia, which has received European regulatory approval but is awaiting FDA approval. Mr. Kim said Merck's compound was safe and generally well tolerated in early studies, but also was associated with adverse psychiatric experiences. Psychiatric disorders also have been linked to Acomplia.

Separately, Merck reiterated the financial forecast for 2007 and beyond that it provided last week. Also, the company said that as of Nov. 30, 27,200 lawsuits had been filed against the company in Vioxx litigation.

Write to Peter Loftus at peter.loftus@dowjones.com1

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