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Safety, Tolerability and Pharmacokinetics of MK-0873 Following Patch Application in Healthy Participants and Psoriasis Participants (MK-0873-020)

Primary Purpose

Plaque Psoriasis

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
MK-0873 Patch
MK-0873 Cream
Placebo Patch
Placebo Cream
Plain patch
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Plaque Psoriasis

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

Part I, II and III:

  • Female participants of reproductive potential must test negative for pregnancy and agree to use two acceptable methods of birth control;
  • In good general health;
  • Nonsmoker;

Part III only:

  • Has diagnosis of plaque-type psoriasis, and has lesions covering at least 3% of total body surface area;

Exclusion Criteria:

Part I, II and III:

  • Has a history of stroke, chronic seizures or major neurological disease;
  • Has a history of cancer;
  • Is a nursing mother;

Part III only:

  • Has nonplaque forms of psoriasis;
  • Has current drug-induced psoriasis;
  • Has received phototherapy, systemic medications/treatments, or used topical medication that could affect psoriasis;
  • Has used any systemic immunosuppressants or biologics within the past 4 weeks.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm 6

    Arm 7

    Arm 8

    Arm 9

    Arm 10

    Arm Type

    Experimental

    Placebo Comparator

    Experimental

    Placebo Comparator

    Experimental

    Placebo Comparator

    Experimental

    Placebo Comparator

    Experimental

    Placebo Comparator

    Arm Label

    Panel A - MK-0873 5.1 mg

    Panel A - Placebo

    Panel B - MK-0873 25 mg

    Panel B - Placebo

    Panel C - MK-0873 100 mg

    Panel C - Placebo

    Panel D - MK-0873 200 mg

    Panel D - Placebo

    Panel E and Extension - MK-0873 200 mg

    Panel E and Extension - Placebo

    Arm Description

    In Part I, healthy participants received skin patches containing nothing (plain patch), placebo, and various potencies of MK-0873 cream (0.05%, 0.5%, or 2%; yielding a dose of 5.1 mg of MK- 0873) once daily for 21 days.

    In Part I, healthy participants received skin patches containing nothing (plain patch) or placebo once daily for 10 days.

    In Part II, healthy participants received skin application of 0.5% MK-0873 cream (yielding a dose of 25 mg of MK- 0873) twice daily for 10 days.

    In Part II, healthy participants received skin application of placebo cream twice daily for 10 days.

    In Part II, healthy participants received skin application of 2% MK-0873 cream (yielding a dose of 100 mg of MK-0873) once daily for 10 days.

    In Part II, healthy participants received skin application of placebo cream once daily for 10 days.

    In Part II, healthy participants received skin application of 2% MK-0873 (yielding a dose of 100 mg of MK-0873) twice daily for 10 days.

    In Part II, healthy participants received skin application of placebo cream twice daily for 10 days.

    In Part III, participants with mild psoriasis received skin application of 2% MK-0873 cream (yielding a dose of 100 mg of MK-0873) twice daily for up to 28 days.

    In Part III, participants with mild psoriasis received skin application of placebo cream twice daily for up to 28 days.

    Outcomes

    Primary Outcome Measures

    Number of Participants With an Adverse Event of Erythema in Part I of the Study
    Following topical administration of MK-0873 or matching placebo patches once daily for 21 days, the number of participants with an adverse event of erythema was recorded. An adverse event is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
    Mean Maximum Plasma Concentration (Cmax) of MK-0873 Following Topical Administration for 10 Days
    Participant blood samples were collected on Day 11 to determine the Cmax of MK-0873 following topical administration in healthy participants and participants with psoriasis
    Number of Participants With an Adverse Event
    An adverse event is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
    Number of Participants Who Discontinued Study Medication Due to an Adverse Event
    An adverse event is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.

    Secondary Outcome Measures

    Full Information

    First Posted
    June 7, 2010
    Last Updated
    January 17, 2019
    Sponsor
    Merck Sharp & Dohme LLC
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01140061
    Brief Title
    Safety, Tolerability and Pharmacokinetics of MK-0873 Following Patch Application in Healthy Participants and Psoriasis Participants (MK-0873-020)
    Official Title
    A 3-Part Study to Evaluate Safety, Tolerability, and Pharmacokinetics of MK-0873 Following Cumulative Patch and Repeated Max Area Applications in Healthy Subjects and Psoriasis Patients
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    January 2019
    Overall Recruitment Status
    Completed
    Study Start Date
    May 1, 2010 (Actual)
    Primary Completion Date
    March 1, 2011 (Actual)
    Study Completion Date
    March 1, 2011 (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 will evaluate the incidence of erythema and other local cutaneous irritation after administration of MK-0873 by patch or cream formulation in healthy participants and participants with mild psoriasis. Part I and Part II in healthy participants will be initiated prior to Part III in psoriasis participants. The primary hypotheses of the study are: 1) that MK-0873 is safe and well tolerated in healthy participants and participants with psoriasis and 2) that the maximum plasma concentration of MK-0873 is <20 nM in healthy participants and participants with psoriasis.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    42 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Panel A - MK-0873 5.1 mg
    Arm Type
    Experimental
    Arm Description
    In Part I, healthy participants received skin patches containing nothing (plain patch), placebo, and various potencies of MK-0873 cream (0.05%, 0.5%, or 2%; yielding a dose of 5.1 mg of MK- 0873) once daily for 21 days.
    Arm Title
    Panel A - Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    In Part I, healthy participants received skin patches containing nothing (plain patch) or placebo once daily for 10 days.
    Arm Title
    Panel B - MK-0873 25 mg
    Arm Type
    Experimental
    Arm Description
    In Part II, healthy participants received skin application of 0.5% MK-0873 cream (yielding a dose of 25 mg of MK- 0873) twice daily for 10 days.
    Arm Title
    Panel B - Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    In Part II, healthy participants received skin application of placebo cream twice daily for 10 days.
    Arm Title
    Panel C - MK-0873 100 mg
    Arm Type
    Experimental
    Arm Description
    In Part II, healthy participants received skin application of 2% MK-0873 cream (yielding a dose of 100 mg of MK-0873) once daily for 10 days.
    Arm Title
    Panel C - Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    In Part II, healthy participants received skin application of placebo cream once daily for 10 days.
    Arm Title
    Panel D - MK-0873 200 mg
    Arm Type
    Experimental
    Arm Description
    In Part II, healthy participants received skin application of 2% MK-0873 (yielding a dose of 100 mg of MK-0873) twice daily for 10 days.
    Arm Title
    Panel D - Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    In Part II, healthy participants received skin application of placebo cream twice daily for 10 days.
    Arm Title
    Panel E and Extension - MK-0873 200 mg
    Arm Type
    Experimental
    Arm Description
    In Part III, participants with mild psoriasis received skin application of 2% MK-0873 cream (yielding a dose of 100 mg of MK-0873) twice daily for up to 28 days.
    Arm Title
    Panel E and Extension - Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    In Part III, participants with mild psoriasis received skin application of placebo cream twice daily for up to 28 days.
    Intervention Type
    Drug
    Intervention Name(s)
    MK-0873 Patch
    Intervention Description
    MK-0873 skin patches containing 0.05%. 0.5%, or 2% MK-0873
    Intervention Type
    Drug
    Intervention Name(s)
    MK-0873 Cream
    Intervention Description
    MK-0873 cream containing 0.05%, 0.5%, or 2% MK-0873
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo Patch
    Intervention Description
    Placebo patches matching MK-0873 0.05%, 0.5%, or 2% patches
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo Cream
    Intervention Description
    Placebo cream matching MK-0873 0.05%, 0.5%, or 2%
    Intervention Type
    Drug
    Intervention Name(s)
    Plain patch
    Intervention Description
    Plain patch containing no MK-0873 or placebo
    Primary Outcome Measure Information:
    Title
    Number of Participants With an Adverse Event of Erythema in Part I of the Study
    Description
    Following topical administration of MK-0873 or matching placebo patches once daily for 21 days, the number of participants with an adverse event of erythema was recorded. An adverse event is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
    Time Frame
    Up to Day 22 in Part 1
    Title
    Mean Maximum Plasma Concentration (Cmax) of MK-0873 Following Topical Administration for 10 Days
    Description
    Participant blood samples were collected on Day 11 to determine the Cmax of MK-0873 following topical administration in healthy participants and participants with psoriasis
    Time Frame
    Day 11
    Title
    Number of Participants With an Adverse Event
    Description
    An adverse event is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
    Time Frame
    Up to 14 days after last dose of study drug (up to Day 42)
    Title
    Number of Participants Who Discontinued Study Medication Due to an Adverse Event
    Description
    An adverse event is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product.
    Time Frame
    Up to Day 28

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    65 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Part I, II and III: Female participants of reproductive potential must test negative for pregnancy and agree to use two acceptable methods of birth control; In good general health; Nonsmoker; Part III only: Has diagnosis of plaque-type psoriasis, and has lesions covering at least 3% of total body surface area; Exclusion Criteria: Part I, II and III: Has a history of stroke, chronic seizures or major neurological disease; Has a history of cancer; Is a nursing mother; Part III only: Has nonplaque forms of psoriasis; Has current drug-induced psoriasis; Has received phototherapy, systemic medications/treatments, or used topical medication that could affect psoriasis; Has used any systemic immunosuppressants or biologics within the past 4 weeks.
    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=0873-020&kw=0873-020&tab=access

    Learn more about this trial

    Safety, Tolerability and Pharmacokinetics of MK-0873 Following Patch Application in Healthy Participants and Psoriasis Participants (MK-0873-020)

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