Worked example

Merck & Co. at CA2

As of the edition of 20 October 2026, Merck & Co. is on route B at CA2 (carbonic anhydrase 2), position 14 of 2,016 on that route, with a score of 0.777.

Sources: ClinicalTrials.gov, approval registers, ChEMBL, FDA Orange Book and Purple Book.

Route and score

Route B  Score 0.777

Biology proven in humans0.84
How much the company cares0.83
Room, and a reason to act now0.67

Each part runs from 0 to 1; 0.5 is neutral, and an unknown fact counts as neutral.

What moved the score

Proof in humans at the target+0.294
Took its own drug far in human testing+0.225
Few other companies active at the target+0.128
Active at the target or its disease area recently+0.106
Trials at the target more often meet than miss their main endpoint+0.048
The company’s own follow-on drug+0.044
Why its own drug stopped0.000

The facts that decided the route

  • Does the company have its own row at this target, rather than being counted under a drug that acts on many targets? The company has its own row at this target As of 20 October 2026.
  • Has the company not been dissolved without a successor? The company still exists or has a successor As of 12 December 2008.
  • Does the company have a marketed drug at this target? The company has a marketed drug at this target As of 9 December 1994.
  • Does the company have no approved follow-on drug at this target? The company has no approved follow-on of its own As of 9 December 1994.
  • Is the protein the drug acts on identified, and not only a complex it belongs to? The protein the drug acts on is on record, not only its complex As of 20 October 2026.
  • Does a source say which of the drug's many targets it is designed for? The target the drug is designed for is established As of 20 October 2026.

The drugs

DrugStatusFurthest phaseTrialsUS protection
DorzolamideMarketedPhase 432none listed
DichlorphenamideMarketedPhase 31none listed

The trials behind it

TrialDrugPhaseStatusYearsParticipantsResult
NCT00545064DorzolamidePhase 4Completed2007 to 2008176Mixed result
NCT00449956DorzolamidePhase 3Completed2007 to 2008474Result could not be read
NCT00546286DorzolamidePhase 3Completed2006 to 2007170No results posted

All companies at CA2 · Merck & Co.’s page