search
Back to results

A Study to Assess the Clinical Effects of Navarixin in Participants With Psoriasis (MK-7123-009)

Primary Purpose

Psoriasis

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Navarixin 10 mg
Placebo
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Psoriasis

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Body Mass Index (BMI) 19 to 34, BMI = weight (kg)/height (m^2).
  • Must have a diagnosis of psoriasis vulgaris (PASI >8) present for at least 1 year. Participants with an on-therapy PASI <=8 at Screening may be considered for inclusion. Participants must be discussed with the Sponsor prior to enrollment and the subject must have indicated that they are not satisfied with current therapy. To be included, participants must have a PASI >8 following washout of their current psoriasis therapy.
  • Target lesion selected must be located on the head, trunk, arms or legs and be at least 10 cm^2 in size. The lesion's total numerical ratings for erythema, infiltration, and desquamation must be at least 6 out of the possible 12. Severity score for desquamation must be at least 2.
  • Vital sign measurements (taken after ~3 minutes in a supine position) must be within the following ranges: oral body temperature between 35.0°C to 37.5°C; systolic blood pressure, 90 to 160 mm Hg; diastolic blood pressure, 45 to 90 mm Hg; pulse rate, 40 to 100 bpm.
  • Have stable disease (ie, off treatment PASI during Screening period and Baseline PASI should not differ by more than 40%).
  • Clinical laboratory tests (CBC, blood chemistries, and urinalysis) must be within normal limits or clinically acceptable to the investigator/sponsor. Participants must have a neutrophil count of at least 2 x 10^9/L to be included.
  • Free of any clinically significant disease (other than psoriasis).
  • Willing to give written informed consent and able to adhere to dose and visit schedules.
  • For female participants: Negative serum pregnancy test (beta-hCG) and urine pregnancy test. Agree to use medically accepted methods of contraception during and for an appropriate pre-study period while receiving protocol specified medication, and for 1 month after stopping medication. Female participants of non-childbearing potential must be surgically sterilized or be postmenopausal.
  • Male subject must agree to use an adequate form of contraception for the duration of the study.
  • At Screening, ECG conduction intervals must be within gender specific normal range (ie, QTc for males <430 msec and females <450 msec) or if not within the normal range, the values must be considered clinically insignificant by the investigator and sponsor.

Exclusion Criteria:

  • Female participants who are pregnant, intend to become pregnant (within 3 months of ending the study), or are breastfeeding.
  • Participants who, in the opinion of the investigator, will not be able to participate optimally in the study.
  • Any surgical or medical condition which might significantly alter the absorption, distribution, metabolism or excretion of any drug.
  • History of any infectious disease within 4 weeks prior to drug administration and/or are positive for hepatitis B surface antigen, hepatitis C antibodies or human immunodeficiency virus (HIV).
  • Immunocompromised participants.
  • Positive screen for drugs with a high potential for abuse or have a history of drug or alcohol abuse in the past 2 years.
  • History of mental instability or who have been treated for mood disorders.
  • Donated blood in the past 60 days.
  • Previous treatment with study medication.
  • Currently participating in another clinical study or have participated in a clinical study within 30 days.
  • Part of the study staff personnel or family members of the study staff personnel.
  • Demonstrated clinically significant (requiring intervention) allergic reactions or who are known to be allergic to components of local anesthetics.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    Navarixin

    Placebo

    Arm Description

    Navarixin 30 mg administered orally once daily for 28 days.

    Matching placebo to Navarixin administered orally once daily for 28 days.

    Outcomes

    Primary Outcome Measures

    Mean Percent Change From Baseline in the Psoriasis and Activity Severity Index (PASI) Score at Day 29
    PASI score is a means to qualify the extent and severity of psoriatic lesions. The total score is calculated as the sum of the extent and severity of lesions on the head, arms, trunk, and legs and the score can range from 0 (no symptoms) to 72 (maximum symptoms).

    Secondary Outcome Measures

    Number of Participants by Physician's Assessment of Global Improvement (PGA) Score At Day 29
    The PGA is a questionnaire that asks the treating physician to rate the participant's signs and symptoms on a scale where 0=worse, 1=unchanged, 2= slight improvement, 3= fair improvement, 4= good improvement, 5= excellent improvement, and 6=cleared, with higher scores indicating better outcomes.
    Mean Maximum Plasma Concentration (Cmax) of Navarixin at Day 28
    Participant blood samples were collected at 0, 0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 10, 12, and 24 hours following oral administration of Navarixin to determine the mean Cmax at Day 28. Blood samples were not collected from the placebo group to evaluate this endpoint.
    Mean Area Under the Plasma Concentration-Time Curve From Time 0-24 Hours (AUC [0-24]) of Navarixin at Day 28
    Participant blood samples were collected at 0, 0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 10, 12, and 24 hours following oral administration of Navarixin to determine the mean AUC(0-24) at Day 28. Blood samples were not collected from the placebo group to evaluate this endpoint.
    Mean Terminal Phase Half-life (T1/2) of Navarixin at Day 28
    Participant blood samples were collected at 0, 0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 10, 12, and 24 hours to determine the mean T1/2 of Navarixin following oral administration at Day 28. Blood samples were not collected from the placebo group to evaluate this endpoint.
    Median Time to Maximum Plasma Concentration (Tmax) of Navarixin at Day 28
    Participant blood samples were collected at 0, 0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 10, 12, and 24 hours following oral administration of Navarixin to determine the Mean Tmax at Day 28. Blood samples were not collected from the placebo group to evaluate this endpoint.

    Full Information

    First Posted
    May 22, 2008
    Last Updated
    January 17, 2019
    Sponsor
    Merck Sharp & Dohme LLC
    search

    1. Study Identification

    Unique Protocol Identification Number
    NCT00684593
    Brief Title
    A Study to Assess the Clinical Effects of Navarixin in Participants With Psoriasis (MK-7123-009)
    Official Title
    A Study to Assess the Clinical Effects of SCH 527123 in Psoriasis
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    January 2019
    Overall Recruitment Status
    Completed
    Study Start Date
    June 1, 2007 (Actual)
    Primary Completion Date
    October 1, 2007 (Actual)
    Study Completion Date
    October 1, 2007 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Merck Sharp & Dohme LLC

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This study was conducted: 1) to assess the clinical effect of Navarixin on the Psoriasis Activity and Severity Index (PASI), 2) to determine the effects of Navarixin on the Physician's Global Assessment (PGA), 3) to evaluate the safety and tolerability of Navarixin, and 4) to determine the multiple-dose pharmacokinetics of Navarixin.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Psoriasis

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    31 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Navarixin
    Arm Type
    Experimental
    Arm Description
    Navarixin 30 mg administered orally once daily for 28 days.
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    Matching placebo to Navarixin administered orally once daily for 28 days.
    Intervention Type
    Drug
    Intervention Name(s)
    Navarixin 10 mg
    Intervention Description
    Navarixin capsules orally, once daily for 28 days.
    Intervention Type
    Other
    Intervention Name(s)
    Placebo
    Intervention Description
    Matching placebo capsules to Navarixin orally, once daily for 28 days.
    Primary Outcome Measure Information:
    Title
    Mean Percent Change From Baseline in the Psoriasis and Activity Severity Index (PASI) Score at Day 29
    Description
    PASI score is a means to qualify the extent and severity of psoriatic lesions. The total score is calculated as the sum of the extent and severity of lesions on the head, arms, trunk, and legs and the score can range from 0 (no symptoms) to 72 (maximum symptoms).
    Time Frame
    Baseline and Day 29
    Secondary Outcome Measure Information:
    Title
    Number of Participants by Physician's Assessment of Global Improvement (PGA) Score At Day 29
    Description
    The PGA is a questionnaire that asks the treating physician to rate the participant's signs and symptoms on a scale where 0=worse, 1=unchanged, 2= slight improvement, 3= fair improvement, 4= good improvement, 5= excellent improvement, and 6=cleared, with higher scores indicating better outcomes.
    Time Frame
    Day 29
    Title
    Mean Maximum Plasma Concentration (Cmax) of Navarixin at Day 28
    Description
    Participant blood samples were collected at 0, 0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 10, 12, and 24 hours following oral administration of Navarixin to determine the mean Cmax at Day 28. Blood samples were not collected from the placebo group to evaluate this endpoint.
    Time Frame
    Day 28
    Title
    Mean Area Under the Plasma Concentration-Time Curve From Time 0-24 Hours (AUC [0-24]) of Navarixin at Day 28
    Description
    Participant blood samples were collected at 0, 0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 10, 12, and 24 hours following oral administration of Navarixin to determine the mean AUC(0-24) at Day 28. Blood samples were not collected from the placebo group to evaluate this endpoint.
    Time Frame
    Day 28
    Title
    Mean Terminal Phase Half-life (T1/2) of Navarixin at Day 28
    Description
    Participant blood samples were collected at 0, 0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 10, 12, and 24 hours to determine the mean T1/2 of Navarixin following oral administration at Day 28. Blood samples were not collected from the placebo group to evaluate this endpoint.
    Time Frame
    Day 28
    Title
    Median Time to Maximum Plasma Concentration (Tmax) of Navarixin at Day 28
    Description
    Participant blood samples were collected at 0, 0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 10, 12, and 24 hours following oral administration of Navarixin to determine the Mean Tmax at Day 28. Blood samples were not collected from the placebo group to evaluate this endpoint.
    Time Frame
    Day 28

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    70 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Body Mass Index (BMI) 19 to 34, BMI = weight (kg)/height (m^2). Must have a diagnosis of psoriasis vulgaris (PASI >8) present for at least 1 year. Participants with an on-therapy PASI <=8 at Screening may be considered for inclusion. Participants must be discussed with the Sponsor prior to enrollment and the subject must have indicated that they are not satisfied with current therapy. To be included, participants must have a PASI >8 following washout of their current psoriasis therapy. Target lesion selected must be located on the head, trunk, arms or legs and be at least 10 cm^2 in size. The lesion's total numerical ratings for erythema, infiltration, and desquamation must be at least 6 out of the possible 12. Severity score for desquamation must be at least 2. Vital sign measurements (taken after ~3 minutes in a supine position) must be within the following ranges: oral body temperature between 35.0°C to 37.5°C; systolic blood pressure, 90 to 160 mm Hg; diastolic blood pressure, 45 to 90 mm Hg; pulse rate, 40 to 100 bpm. Have stable disease (ie, off treatment PASI during Screening period and Baseline PASI should not differ by more than 40%). Clinical laboratory tests (CBC, blood chemistries, and urinalysis) must be within normal limits or clinically acceptable to the investigator/sponsor. Participants must have a neutrophil count of at least 2 x 10^9/L to be included. Free of any clinically significant disease (other than psoriasis). Willing to give written informed consent and able to adhere to dose and visit schedules. For female participants: Negative serum pregnancy test (beta-hCG) and urine pregnancy test. Agree to use medically accepted methods of contraception during and for an appropriate pre-study period while receiving protocol specified medication, and for 1 month after stopping medication. Female participants of non-childbearing potential must be surgically sterilized or be postmenopausal. Male subject must agree to use an adequate form of contraception for the duration of the study. At Screening, ECG conduction intervals must be within gender specific normal range (ie, QTc for males <430 msec and females <450 msec) or if not within the normal range, the values must be considered clinically insignificant by the investigator and sponsor. Exclusion Criteria: Female participants who are pregnant, intend to become pregnant (within 3 months of ending the study), or are breastfeeding. Participants who, in the opinion of the investigator, will not be able to participate optimally in the study. Any surgical or medical condition which might significantly alter the absorption, distribution, metabolism or excretion of any drug. History of any infectious disease within 4 weeks prior to drug administration and/or are positive for hepatitis B surface antigen, hepatitis C antibodies or human immunodeficiency virus (HIV). Immunocompromised participants. Positive screen for drugs with a high potential for abuse or have a history of drug or alcohol abuse in the past 2 years. History of mental instability or who have been treated for mood disorders. Donated blood in the past 60 days. Previous treatment with study medication. Currently participating in another clinical study or have participated in a clinical study within 30 days. Part of the study staff personnel or family members of the study staff personnel. Demonstrated clinically significant (requiring intervention) allergic reactions or who are known to be allergic to components of local anesthetics.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Medical Director
    Organizational Affiliation
    Merck Sharp & Dohme LLC
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes
    IPD Sharing Plan Description
    http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf
    IPD Sharing URL
    http://engagezone.msd.com/ds_documentation.php
    Available IPD and Supporting Information:
    Available IPD/Information Type
    CSR Synopsis
    Available IPD/Information URL
    http://www.merck.com/clinical-trials/study.html?id=P04481&kw=7123-009&tab=access

    Learn more about this trial

    A Study to Assess the Clinical Effects of Navarixin in Participants With Psoriasis (MK-7123-009)

    We'll reach out to this number within 24 hrs