Merck halts lung cancer trial after futility and safety concerns

Published 08/08/2024, 11:56
Merck halts lung cancer trial after futility and safety concerns

RAHWAY, N.J. - Merck & Co., Inc. (NYSE: MRK) has terminated its Phase 3 KeyVibe-008 trial for the treatment of extensive-stage small cell lung cancer (ES-SCLC), following recommendations from an independent Data Monitoring Committee (DMC).

The study, which was comparing a fixed-dose combination of vibostolimab and pembrolizumab with chemotherapy to atezolizumab with chemotherapy, failed to meet the primary endpoint of overall survival and demonstrated a higher rate of adverse events.

The clinical trial enrolled 460 patients to evaluate the efficacy and safety of the vibostolimab and pembrolizumab combination, but the pre-planned analysis indicated that the trial would not achieve its primary goal. In addition to futility, the combination was associated with increased adverse and immune-related events compared to the control group.

As a result of the trial's discontinuation, Merck is advising study investigators to cease treatment with the investigational combination and offer patients the option to be treated with atezolizumab. The company plans to share the findings with the scientific community.

Despite the setback, Merck remains committed to advancing its extensive clinical development program in lung cancer, which includes multiple registration-enabling studies. The company is also collaborating with Daiichi Sankyo on the IDeate-Lung02 Phase 3 trial, evaluating investigational ifinatamab deruxtecan (I-DXd) in patients with relapsed SCLC, and expanding its agreement to include MK-6070, a delta-like ligand 3 (DLL3) targeting T-cell engager.

Small cell lung cancer is a particularly challenging disease to treat, with a low five-year survival rate and limited progress in treatment options. Merck's ongoing research efforts aim to improve patient outcomes through earlier disease detection and novel treatment combinations.

The termination of the KeyVibe-008 trial is a reminder of the complexities and uncertainties inherent in drug development, particularly in the field of oncology. Merck's decision to halt the trial was based on a press release statement, which serves as the source of this report.

In other recent news, pharmaceutical giant Merck & Co. reported a substantial rise in its second-quarter earnings and sales, driven by the global demand for its innovative drug portfolio. The company successfully launched its pulmonary arterial hypertension treatment, WINREVAIR, and received FDA approval for CAPVAXIVE, a vaccine for adults against pneumococcal disease. Moreover, Merck & Co. expanded its market reach by acquiring EyeBio and Elanco's aqua business.

Following these developments, Merck & Co. has raised its full-year revenue forecast to between $63.4 billion and $64.4 billion, indicating a year-over-year growth of 5-7%. The company's gross margin improved to 80.9%, and operating expenses decreased to $6.2 billion, excluding significant business development expenses.

In addition, Merck & Co.'s KEYTRUDA received approvals for various cancer treatments and is under priority review for malignant pleural mesothelioma. The company is also collaborating with Kelun-Biotech and Daiichi Sankyo to develop antibody-drug conjugates. These are recent developments that highlight the company's robust growth and expansion strategy.

InvestingPro Insights

Amid the news of Merck & Co.'s (NYSE: MRK) halted Phase 3 trial, the company's financial stability and market performance continue to be of interest to investors. According to recent InvestingPro data, Merck boasts a robust market capitalization of $285.14 billion, underscoring its significant presence in the pharmaceutical industry. The company's P/E ratio stands at 20.52, which reflects investor expectations of future earnings potential relative to current profits.

Investors may find comfort in the company's dividend track record, as Merck has not only raised its dividend for 13 consecutive years but has also maintained dividend payments for an impressive 54 consecutive years. This consistency, highlighted in the InvestingPro Tips, suggests a reliable return for shareholders, which may be particularly appealing during times of clinical setbacks. Moreover, the company's gross profit margin for the last twelve months as of Q2 2024 is a healthy 75.79%, indicating strong profitability in its operations.

Merck's financial resilience is further evidenced by its ability to sufficiently cover interest payments with its cash flows, a sign of financial health that may reassure investors in light of the recent trial discontinuation. For those interested in a deeper analysis, there are additional InvestingPro Tips available at https://www.investing.com/pro/MRK, which provide comprehensive insights into Merck's performance and forecasts.

This article was generated with the support of AI and reviewed by an editor. For more information see our T&C.

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