Evidence map›Paper›PMID 27561272›Full record

ArticleJournal of the American Heart Association2016

Discovery and Clinical Evaluation of MK-8150, A Novel Nitric Oxide Donor With a Unique Mechanism of Nitric Oxide Release.

Clayton D Knox, Pieter-Jan de Kam, Karim Azer, Peggy Wong, Antwan G Ederveen, Diane Shevell, Christopher Morabito, Alan G Meehan, Wen Liu, Tom Reynders and 9 more

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01590810 phase1completednot on this map

A Single Rising Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of MK-8150

TypeinterventionalSponsorMerck Sharp & Dohme LLCRan2012 to 2013Enrolled34ConditionsHypertension, Isolated Systolic Hypertension (ISH)ArmsMK-8150 2.0 mg, MK-8150 10 mg, MK-8150 40 mg, MK-8150 90 mg, MK-8150 5.0 mg
NCT01656408 phase1completednot on this map

A Multiple Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of MK-8150

TypeinterventionalSponsorMerck Sharp & Dohme LLCRan2012 to 2013Enrolled103ConditionsHypertension, Isolated Systolic HypertensionArmsMK-8150, Placebo for MK-8150
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 2 institutions in 1 country.

Clayton D KnoxMerck & Co, Inc, Kenilworth, NJ.
Pieter-Jan de KamMerck & Co, Inc, Kenilworth, NJ.
Karim AzerMerck & Co, Inc, Kenilworth, NJ.
Peggy WongMerck & Co, Inc, Kenilworth, NJ.
Antwan G EderveenMerck & Co, Inc, Kenilworth, NJ.
Diane ShevellMerck & Co, Inc, Kenilworth, NJ.
Christopher MorabitoMerck & Co, Inc, Kenilworth, NJ.
Alan G MeehanMerck & Co, Inc, Kenilworth, NJ.
Wen LiuMerck & Co, Inc, Kenilworth, NJ.
Tom ReyndersMerck & Co, Inc, Kenilworth, NJ.
Jean Francois DenefMerck & Co, Inc, Kenilworth, NJ.
Anna MitselosMerck & Co, Inc, Kenilworth, NJ.
Daniel JonathanMerck & Co, Inc, Kenilworth, NJ.
David E GutsteinMerck & Co, Inc, Kenilworth, NJ.
Kaushik MitraMerck & Co, Inc, Kenilworth, NJ.
Shu Yu SunMerck & Co, Inc, Kenilworth, NJ.
Michael Man-Chu LoMerck & Co, Inc, Kenilworth, NJ.
Doris CullyMerck & Co, Inc, Kenilworth, NJ.
Amjad AliMerck & Co, Inc, Kenilworth, NJ amjad_ali@merck.com.
Merck & Co., Inc., Rahway, NJ, USA (United States) · USSheehan Medical (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNitric oxide donors are widely used to treat cardiovascular disease, but their major limitation is the development of tolerance, a multifactorial process to which the in vivo release of nitric oxide is thought to contribute. Here we describe the preclinical and clinical results of a translational drug development effort to create a next-generation nitric oxide donor with improved pharmacokinetic properties and a unique mechanism of nitric oxide release through CYP3A4 metabolism that was designed to circumvent the development of tolerance. METHODS AND

resultsSingle- and multiple-dose studies in telemetered dogs showed that MK-8150 induced robust blood-pressure lowering that was sustained over 14 days. The molecule was safe and well tolerated in humans, and single doses reduced systolic blood pressure by 5 to 20 mm Hg in hypertensive patients. Multiple-dose studies in hypertensive patients showed that the blood-pressure-lowering effect diminished after 10 days, and 28-day studies showed that the hemodynamic effects were completely lost by day 28, even when the dose of MK-8150 was increased during the dosing period.

conclusionsThe novel nitric oxide donor MK-8150 induced significant blood-pressure lowering in dogs and humans for up to 14 days. However, despite a unique mechanism of nitric oxide release mediated by CYP3A4 metabolism, tolerance developed over 28 days, suggesting that tolerance to nitric oxide donors is multifactorial and cannot be overcome solely through altered in vivo release of nitric oxide. CLINICAL

trial registrationURL: http://www.clinicaltrials.gov. Unique identifiers: NCT01590810 and NCT01656408.

Indexed as

AdolescentAdultAgedAnimalsBlood PressureCyclic GMPDogsHumansHypertensionIn Vitro TechniquesKidney Tubules, ProximalMaleMiddle AgedNitric Oxide DonorsTriazenesYoung AdultCyclic GMPMK-8150Nitric Oxide DonorsTriazenesblood pressurenitratenitrate tolerancenitric oxidevasodilation

Identifiers

PMID27561272
PMCPMC5079016
OpenAlexW2517258203

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.