Merck Annual Report 2001
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Products
Merck Products* at a Glance: Our key drivers of growth have significant potential to help more patients.
Vioxx® rofecoxib
• osteoarthritis
• acute pain

Cozaar® losartan potassium
• high blood pressure

Hyzaar® losartan potassium and hydrochlorothiazide
• high blood pressure
Fosamax® alendronate
sodium
• treatment and prevention of postmenopausal osteoporosis
• reduce osteoporotic fracture risk
in postmenopausal women
• treatment of male osteoporosis to increase bone mass
• treatment of glucocorticoid-induced osteoporosis
• Paget’s disease of the bone
Zocor® simvastatin
• elevated cholesterol
• associated total/coronary mortality1
• raise HDL cholesterol
• reduce triglycerides
• reduce stroke risk1

Singulair® montelukast sodium
• chronic asthma–adults and in children as young as age 2
Our broad product line helps reduce suffering across a wide spectrum of diseases.
Aggrastat® tirofiban hydrochloride
• unstable angina
• non-Q-wave myocardial infarction

Cancidas® caspofungin acetate
• treatment of invasive aspergillosis in patients who did not respond to or were intolerant of other antifungal therapies

Comvax® Haemophilus b conjugate and hepatitis B (recombinant) vaccine
Haemophilus influenzae type b disease and hepatitis B disease

Cosopt® dorzolamide hydrochloride and timolol maleate
• lower intraocular pressure

Crixivan® indinavir sulfate
• HIV infection

Invanz® ertapenem sodium
• treatment of many aerobic and anaerobic bacteria, particularly community acquired, such as complicated intra-abdominal and complicated skin and skin structure infections
Maxalt® rizatriptan benzoate
• acute migraine

Pepcid AC®2 famotidine
• heartburn

Propecia® finasteride
• treatment of male pattern hair loss

Proscar® finasteride
• treatment of symptomatic benign prostate enlargement

Stocrin®3 efavirenz
• HIV infection




Merck’s efforts in HIV research reflect our long-standing commitment to the development of life-saving medicines and vaccines: We are in early clinical trials for a gene-based HIV vaccine. Daniel Freed, research immunologist, removes an HIV vaccine clinical sample from liquid nitrogen freezer storage at our West Point, Pa., laboratories.
Trusopt® dorzolamide hydrochloride
• lower intraocular pressure

Timoptic-XE® timolol maleate
ophthalmic gel forming solution
• lower intraocular pressure

Vaqta® inactivated hepatitis A vaccine
• hepatitis A

Varivax® varicella virus
vaccine live [Oka/Merck strain]
• chickenpox



Daniel Freed, research immunologist

*This list excludes a number of older Company products introduced before 1990
1 In patients with coronary heart disease and elevated cholesterol
2 Marketed by the Johnson & Johnson • Merck Consumer Pharmaceuticals Co.
3 Efavirenz is marketed by Bristol-Myers Squibb as Sustiva in the U.S., Canada and
certain European countries and by Merck in the rest of the world as Stocrin
Merck Product Pipeline: We thrive on the challenge of inventing breakthrough medicines.
Major filings made in 2001 or expected in 2002

ArcoxiaTM (etoricoxib)4
• osteoarthritis, rheumatoid arthritis, acute pain, chronic pain and dysmenorrhea (menstrual pain)

Substance P antagonist5
• prevention of chemotherapy-induced nausea and vomiting

ZetiaTM (ezetimibe)6 monotherapy and co-administration with statins
• elevated cholesterol levels

Cozaar (supplemental indication)
• reduction in progression of renal disease in Type 2 diabetes

Cancidas (supplemental indications)
• esophageal Candida infection
• invasive Candida infection

Singulair (supplemental indication)
• allergic rhinitis

Zocor (supplemental indication)
• reduce the risk of heart attack and stroke in a broad range of high-risk patients, including diabetics (Oxford Heart Protection Study)


Upcoming new chemical entity filings expected in 2003 through 2006

GABA-Aagonist
• anxiety

Zetia/Zocor fixed combination
• elevated cholesterol levels


Substance P antagonist
• depression

Phosphodiesterase-4 inhibitor
• asthma and pulmonary disease

KRP-297
• diabetes and diabetic dyslipidemia


Rotavirus vaccine
• prevention of infant diarrhea and dehydration caused by rotavirus

HPV vaccine
• human papillomavirus (HPV infection can lead to the development of cervical cancer)

HIV integrase inhibitor
• HIV/AIDS


Selected compounds in the pipeline

Herpes zoster vaccine
• herpes zoster (shingles) in adults


HIV vaccine
• HIV/AIDS

Key Merck Licensing Arrangements – 1999-2001: We aggressively pursue external relationships to complement our internal research.
Arrangements complementing current therapeutic areas

Cholesterol (Schering-Plough)

Respiratory (Schering-Plough)

HIV (Cambridge Antibody Technology, Crucell, CytRx)

Antibacterials (Elitra)

Osteoporosis (Celera)

Ophthalmics (Cole Eye Institute)


Arrangements expanding into new, large therapeutic areas


Diabetes (Kyorin)

Neuroscience (NeuroTargets)


Influenza (Biodiem)

Hepatitis C (ISIS)


Arrangements for cutting-edge research technologies


Pharmacogenomics (Rosetta Inpharmatics7)

Genomics/Proteomics (DoubleTwist, LifeSpan, Amersham Pharmacia, Proteome)

Gene Tools/Targeting (Lexicon, Sangamo, Affymetrix)


Lead Identification (NeoGenesis)

Assay Development (Chromagen)

Chemical Libraries (Array Biopharma, Chembridge, Discovery Partners)

Knock Out Mice (Deltagen, Lexicon)


Arrangements for cutting-edge biologics and drug delivery technologies

Drug Delivery (Elan/Nanosystems, Flamel, Symyx)

Biologics (ProBioGen)


4 Merck plans to submit an expanded New Drug Application (NDA) for Arcoxia to the U.S. Food and Drug Administration in order to include new efficacy data that will better position the product to compete successfully in the coxib class, where there already are three entrants. Accordingly, on March 13, 2002, Merck withdrew the original U.S. NDA for the investigational medicine. Merck is submitting the additional efficacy data to support a new indication for ankylosing spondylitis, which is a chronic, inflammatory disorder primarily involving the spine. Timing of the expanded submission has not been determined. In addition to the indications listed above, Merck is seeking an indication for acute gouty arthritis. The regulatory process for Arcoxia outside the United States continues uninterrupted.
5 Scheduled for filing in 2002
6 Ezetimibe is under development around the globe (except in Japan) through
a joint venture between Merck and Schering-Plough Corporation
7 Purchased by Merck on July 19, 2001




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Merck Annual Report 2001
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