Merck & Co. on Thursday announced its decision
to cancel further investigation into its experimental obesity drug called taranabant
because of side effects uncovered in clinical trials.
The company said that both effectiveness
and side effects were dependent on dose levels; at more effective dosages, the
side effects climb too much. The side effects associated with the drug
taranabant were psychiatric, including anxiety and depression, Merck
spokeswoman Amy Rose said.
“Available Phase III data showed that both
efficacy and adverse events were dose related, with greater efficacy and more
adverse events in the higher doses,” John Amatruda, Merck’s senior vice
president and research head for diabetes and obesity, said in a statement.
“Therefore, after careful consideration, we
determined that the overall profile of taranabant does not support further
development for obesity.”
The company plans to present data from tarabant
clinical studies at a major obesity conference which is scheduled to begin this
weekend.
The drug maker’s shares were down $0.25, or
0.78 percent, to $31.84 in early afternoon trading, near the bottom of the
stock’s 52-week range between $30.34 and $61.62.
In 2007, Sanofi-Aventis’ anti-obesity drug,
generically known as rimonabant (Acomplia) was also rejected by the Food and
Drug Administration in the United States due to concerns about the risk of
suicidal thoughts and depression among some users. Sanofi subsequently withdrew
its application.
Taranabant is a cannabinoid-1 (CB-1)
receptor inverse agonist, which means it works by blocking cannabinoid
receptors in the brain and it suppresses appetite. Cannabinoid receptors are
the same receptors that make people hungry when smoking marijuana.
The experimental therapy was in a phase III
clinical trial and just one step away from being submitted for regulatory
approval. In a first study including 553 obese patients, who were divided in
more groups, which were administered either 0.5,2,4 or 6 milligrams daily, or a
placebo, the researchers found that those who took the drug taranabant ate 20
percent fewer calories than those who were given placebo. The drug also
increased resting energy expenditure or metabolism by 5 percent. But the
negative consequence of the treatment was that 30 percent of people who
received taranabant reported psychiatric-related adverse events including
depression and anxiety, compared with 18 percent in the placebo group. Larger
amounts also led to stomach upsets, nausea and vomiting and caused patients to
become more irritable.
After one year, a study involving over 2500
obese patients found that, in combination with diet and exercise, patients
given a 2 mg dose lost an average of 14.5 pounds (6.6 kg), compared with 5.7
pounds for the placebo group. With regards to some of the negative side
effects, 28.4% of those taking taranabant experienced some type of psychiatric
side-effects, versus 20.3% in the placebo group. There were also some
psychiatric problems reported such as depression, anxiety and irritability. The
company continued to study taranabant even after it became aware of the
psychiatric side effects in midstage studies. Merck has said the high rate of
obesity justified the continuation of studies. The company had planned to bring
the drug before the FDA approval by the 2nd half of 2008.