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A Single-Dose Study to Investigate the Pharmacokinetics of MK-7655 in Participants With Impaired Renal Function (MK-7655-005)

Primary Purpose

Infectious Disease

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
MK-7655
Imipenem + Cilastatin
Caffeine
Midazolam
Omeprazole
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Infectious Disease

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion criteria

  • Participants of reproductive potential (male or female) must be willing to use contraception.
  • Body Mass Index (BMI) ≤40 kg/m^2
  • Weight >60 kg at screening visit
  • No clinically significant abnormality on electrocardiogram (ECG) at screening visit and/or prior to administration of the initial dose of study drug
  • Panels A-D: smokers will be limited to no more that 10 cigarettes per day.
  • Panels E-H: nonsmoker or has not used nicotine for at least 6 months
  • In good health (stable health for participants with renal impairment)

Exclusion criteria

  • Pregnant or breastfeeding.
  • History of recent stroke, chronic seizures, or major neurological disorder
  • History of clinically significant endocrine, gastrointestinal, cardiovascular, hematological, immunological, respiratory, or genitourinary abnormalities or diseases
  • History of malignant neoplastic disease. Exceptions: (1) adequately treated non-melanomatous skin carcinoma or carcinoma in situ of the cervix; (2) other malignancies that have been successfully treated ≥10 years prior to the screening visit
  • Panels A-D: Use of any medication (prescription or non-prescription) or herbal remedies (such as St. John's Wort [Hypericum perforatum]) beginning approximately 2 weeks (or 5 half-lives) prior to administration of the initial dose of study drug to the post study visit
  • Panels E-H: Use of any medication (prescription or non-prescription) or herbal remedies (such as St. John's Wort [Hypericum perforatum]) that are inhibitors or inducers of CYP1A2, CYP2C19, CYP34A, or substrates of CYP2C19, beginning approximately 2 weeks (or 5 half-lives) prior to administration of the probe cocktail, until the post-study visit
  • Consumption of greater than 3 glasses of alcoholic beverages (1 glass is approximately equivalent to: beer [284 mL/10 ounces], wine [125 mL/4 ounces], or distilled spirits [25 mL/1 ounce]) per day
  • Consumption of greater than 6 servings (1 serving is approximately equivalent to 120 mg of caffeine) of coffee, tea, cola, or other caffeinated beverages per day
  • Major surgery, donation or loss of 1 unit of blood (approximately 500 mL), or participation in another investigational study within 4 weeks prior to the screening visit
  • History of multiple and/or severe allergies (including latex allergy), or prior anaphylactic reaction or intolerability to prescription or non-prescription drugs or food
  • History of hypersensitivity to PRIMAXIN® IV or other beta lactam antibiotic (including but not limited to penicillins, cephalosporins, monobactams and carbapenems)
  • Regular user (including recreational use of drugs [including alcohol]) within approximately 12 months of screening visit
  • History of kidney removal and/or renal transplant
  • History of Clostridium difficile colitis or known C. difficile colonization

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm 6

    Arm 7

    Arm 8

    Arm Type

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Arm Label

    Panel A Mild Renal Impairment

    Panel B Healthy Participants

    Panel C Moderate Renal Impairment

    Panel D Healthy Participants

    Panel E Severe Renal Impairment

    Panel F Healthy Participants

    Panel G End Stage Renal Disease with Hemodialysis (ESRD/HD)

    Panel H Healthy Volunteers

    Arm Description

    Participants with an eGFR of >50 to <80 mL/min/1.73 m^2 receive a single dose of MK-7655 125 mg + PRIMAXIN® 250 mg IV in Part 1.

    A subset of healthy control participants were matched specifically to participants in Panel A and receive a single dose of MK-7655 125 mg + PRIMAXIN® 250 mg IV in Part 1.

    Participants with an eGFR of 30 to 50 mL/min/1.73 m^2 receive a single dose of MK-7655 125 mg + PRIMAXIN® 250 mg IV in Part 1.

    A subset of healthy control participants were matched specifically to participants in Panel C and receive a single dose of MK-7655 125 mg + PRIMAXIN® 250 mg IV in Part 1.

    Participants with an eGFR <30 mL/min/1.73 m^2 receive a single dose of MK-7655 125 mg + PRIMAXIN® 250 mg IV in Part 1. In Part 2, participants receive an oral cocktail containing caffeine 200 mg, midazolam 2 mg, and omeprazole 40 mg.

    A subset of healthy control participants were matched specifically to participants in Panel E and receive a single dose of MK-7655 125 mg + PRIMAXIN® 250 mg IV in Part 1. In Part 2, participants receive an oral cocktail containing caffeine 200 mg, midazolam 2 mg, and omeprazole 40 mg.

    Participants with ESRD/HD receive a single dose of MK-7655 125 mg + PRIMAXIN® 250 mg IV postdialysis (Part 1, Period 1) and predialysis (Part 1, Period 2). In Part 2, participants receive an oral cocktail containing caffeine 200 mg, midazolam 2 mg, and omeprazole 40 mg predialysis (Part 2, Period 1) and postdialysis (Part 2, Period 2).

    A subset of healthy control participants were matched specifically to participants in Panel G and receive a single dose of MK-7655 125 mg + PRIMAXIN® 250 mg IV in Part 1. In Part 2, participants receive an oral cocktail containing caffeine 200 mg, midazolam 2 mg, and omeprazole 40 mg.

    Outcomes

    Primary Outcome Measures

    Part 1: Area Under the Plasma Concentration-time Curve From Dosing to Infinity (AUC0-inf) of MK-7655 in Combination With PRIMAXIN®
    AUC0-∞ is a measure of the mean (extrapolated) plasma drug concentration after dosing to infinity.
    Dialysis Clearance (CLD) of MK-7655 in Participants With End-stage Renal Diseases Requiring Hemodialysis (ESRD/HD)
    The CLD of MK-7655 was determined in ESRD/HD participants for 4.5 hours during HD. The formula for calculating CLD was: CLd = (1-Hct)*QB*[(pre-dialyzer concentration - post-dialyzer concentration) / (pre-dialyzer concentration)] where QB=350 mL/min and Hct=hematocrit.
    Extraction Coefficient of MK-7655 in Participants With End-stage Renal Diseases Requiring Hemodialysis (ESRD/HD)
    The extraction coefficient of MK-7655 was determined in ESRD/HD participants for 4.5 hours during HD. The formula for calculating extraction coefficient was: Extraction Coefficient = ABS[100*(post-dialyzer concentration - pre-dialyzer concentration) / pre-dialyzer concentration].

    Secondary Outcome Measures

    Part 1: Concentration at End of Infusion (Ceoi) of MK-7655 in Combination With PRIMAXIN®
    Ceoi is the observed plasma drug concentration at the end of IV infusion.
    Part 1: Predicted Clearance (CLpred) of MK-7655 in Combination With PRIMAXIN®
    CLpred is the predicted apparent total body clearance of drug.
    Part 1: Predicted Volume of Distribution During the Terminal Phase (VZpred) of MK-7655 in Combination With PRIMAXIN®
    VZpred is the predicted volume of distribution during the terminal phase.
    Part 1: Time of Maximum Plasma Concentration (Tmax) of MK-7655 in Combination With PRIMAXIN®
    Tmax is the time at which the highest plasma drug concentration was observed.
    Part 1: Apparent Plasma Half-life (t½) of MK-7655 in Combination With PRIMAXIN®
    Apparent t½ is the amount of time for the maximum drug concentration to decrease by 50%.
    Part 1: AUC0-inf of Imipenem in Combination With MK-7655
    Imipenem is 1 of the 2 constituents of PRIMAXIN®. AUC0-∞ is a measure of the mean (extrapolated) plasma drug concentration after dosing to infinity.
    Part 1: Ceoi of Imipenem in Combination With MK-7655
    Imipenem is 1 of the 2 constituents of PRIMAXIN®. Ceoi is the observed plasma drug concentration at the end of IV infusion.
    Part 1: CLpred of Imipenem in Combination With MK-7655
    Imipenem is 1 of the 2 constituents of PRIMAXIN®. CLpred is the predicted apparent total body clearance of drug.
    Part 1: VZpred of Imipenem in Combination With MK-7655
    Imipenem is 1 of the 2 constituents of PRIMAXIN®. VZpred is the predicted volume of distribution during the terminal phase.
    Part 1: Tmax of Imipenem in Combination With MK-7655
    Tmax is the time at which the highest plasma drug concentration was observed.
    Part 1: Apparent t½ of Imipenem in Combination With MK-7655
    Imipenem is 1 of the 2 constituents of PRIMAXIN®. Apparent t½ is the amount of time for the maximum drug concentration to decrease by 50%.
    Part 1: AUC0-inf of Cilastin in Combination With MK-7655
    Cilastin is 1 of the 2 constituents of PRIMAXIN®. AUC0-∞ is a measure of the mean (extrapolated) plasma drug concentration after dosing to infinity.
    Part 1: Ceoi of Cilastin in Combination With MK-7655
    Cilastin is 1 of the 2 constituents of PRIMAXIN®. Ceoi is the observed plasma drug concentration at the end of IV infusion.
    Part 1: CLpred of Cilastin in Combination With MK-7655
    Cilastin is 1 of the 2 constituents of PRIMAXIN®. CLpred is the predicted apparent total body clearance of drug.
    Part 1: VZpred of Cilastin in Combination With MK-7655
    Cilastin is 1 of the 2 constituents of PRIMAXIN®. VZpred is the predicted volume of distribution during the terminal phase.
    Part 1: Tmax of Cilastin in Combination With MK-7655
    Tmax is the time at which the highest plasma drug concentration was observed.
    Part 1: Apparent t½ of Cilastin in Combination With MK-7655
    Cilastin is 1 of the 2 constituents of PRIMAXIN®. Apparent t½ is the amount of time for the maximum drug concentration to decrease by 50%.
    Part 1: Renal Clearance (CLR) of MK-7655 in Urine
    CLR represents renal clearance in urine. Urine was collected for 24 hours postdose.
    Part 1: CLR of Imipenem in Urine
    CLR represents renal clearance in urine. Urine was collected for 24 hours postdose.
    Part 1: CLR of Cilastin in Urine
    CLR represents renal clearance in urine. Urine was collected for 24 hours postdose.
    Part 2: Plasma AUC0-∞ of Caffeine as a Probe Substrate of Cytochrome P450 Enzyme (CYP)1A2
    Caffeine was selected as a substrate of CYP1A2. AUC0-∞ was determined in participants with severe renal impairment and ESRD/HD participants.
    Part 2: Plasma AUC0-∞ of Midazolam as a Probe Substrate of Cytochrome P450 Enzyme (CYP)3A4
    Midazolam was selected as a substrate of CYP3A4. AUC0-∞ was determined in participants with severe renal impairment and ESRD/HD participants.
    Part 2: Plasma AUC0-∞ of Omeprazole as a Probe Substrate of Cytochrome P450 Enzyme (CYP)2C19
    Omeprazole was selected as a substrate of CYP2C19. AUC0-∞ was determined in participants with severe renal impairment and ESRD/HD participants.
    Parts 1 and 2: Percentage of Participants With ≥1 Adverse Events (AEs)
    An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.

    Full Information

    First Posted
    January 10, 2011
    Last Updated
    May 28, 2020
    Sponsor
    Merck Sharp & Dohme LLC
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01275170
    Brief Title
    A Single-Dose Study to Investigate the Pharmacokinetics of MK-7655 in Participants With Impaired Renal Function (MK-7655-005)
    Official Title
    A Single-Dose Study to Investigate the Pharmacokinetics of MK-7655 in Subjects With Impaired Renal Function
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2020
    Overall Recruitment Status
    Completed
    Study Start Date
    January 28, 2011 (Actual)
    Primary Completion Date
    March 5, 2012 (Actual)
    Study Completion Date
    March 5, 2012 (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 is a 2-part study of the pharmacokinetics (PK) of MK-7655. In Part I, the PK of a single 125 mg dose of MK-7655 given in combination with 250 mg of PRIMAXIN® (imipenem + cilastatin) will be determined in participants with impaired renal function and matched control participants. In Part II, the potential for renal insufficiency to affect non-renal clearance mechanisms will be investigated.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    49 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Panel A Mild Renal Impairment
    Arm Type
    Experimental
    Arm Description
    Participants with an eGFR of >50 to <80 mL/min/1.73 m^2 receive a single dose of MK-7655 125 mg + PRIMAXIN® 250 mg IV in Part 1.
    Arm Title
    Panel B Healthy Participants
    Arm Type
    Experimental
    Arm Description
    A subset of healthy control participants were matched specifically to participants in Panel A and receive a single dose of MK-7655 125 mg + PRIMAXIN® 250 mg IV in Part 1.
    Arm Title
    Panel C Moderate Renal Impairment
    Arm Type
    Experimental
    Arm Description
    Participants with an eGFR of 30 to 50 mL/min/1.73 m^2 receive a single dose of MK-7655 125 mg + PRIMAXIN® 250 mg IV in Part 1.
    Arm Title
    Panel D Healthy Participants
    Arm Type
    Experimental
    Arm Description
    A subset of healthy control participants were matched specifically to participants in Panel C and receive a single dose of MK-7655 125 mg + PRIMAXIN® 250 mg IV in Part 1.
    Arm Title
    Panel E Severe Renal Impairment
    Arm Type
    Experimental
    Arm Description
    Participants with an eGFR <30 mL/min/1.73 m^2 receive a single dose of MK-7655 125 mg + PRIMAXIN® 250 mg IV in Part 1. In Part 2, participants receive an oral cocktail containing caffeine 200 mg, midazolam 2 mg, and omeprazole 40 mg.
    Arm Title
    Panel F Healthy Participants
    Arm Type
    Experimental
    Arm Description
    A subset of healthy control participants were matched specifically to participants in Panel E and receive a single dose of MK-7655 125 mg + PRIMAXIN® 250 mg IV in Part 1. In Part 2, participants receive an oral cocktail containing caffeine 200 mg, midazolam 2 mg, and omeprazole 40 mg.
    Arm Title
    Panel G End Stage Renal Disease with Hemodialysis (ESRD/HD)
    Arm Type
    Experimental
    Arm Description
    Participants with ESRD/HD receive a single dose of MK-7655 125 mg + PRIMAXIN® 250 mg IV postdialysis (Part 1, Period 1) and predialysis (Part 1, Period 2). In Part 2, participants receive an oral cocktail containing caffeine 200 mg, midazolam 2 mg, and omeprazole 40 mg predialysis (Part 2, Period 1) and postdialysis (Part 2, Period 2).
    Arm Title
    Panel H Healthy Volunteers
    Arm Type
    Experimental
    Arm Description
    A subset of healthy control participants were matched specifically to participants in Panel G and receive a single dose of MK-7655 125 mg + PRIMAXIN® 250 mg IV in Part 1. In Part 2, participants receive an oral cocktail containing caffeine 200 mg, midazolam 2 mg, and omeprazole 40 mg.
    Intervention Type
    Drug
    Intervention Name(s)
    MK-7655
    Other Intervention Name(s)
    RELEBACTAM®
    Intervention Description
    125 mg intravenous (IV) over 30 minutes as a single dose
    Intervention Type
    Drug
    Intervention Name(s)
    Imipenem + Cilastatin
    Other Intervention Name(s)
    PRIMAXIN®
    Intervention Description
    250 mg IV over 30 minutes as a single dose
    Intervention Type
    Drug
    Intervention Name(s)
    Caffeine
    Other Intervention Name(s)
    No Doz®
    Intervention Description
    Caffeine caplet, single 200 mg dose, orally
    Intervention Type
    Drug
    Intervention Name(s)
    Midazolam
    Other Intervention Name(s)
    VERSED®
    Intervention Description
    Midazolam hcl syrup single 2.0 mg dose by mouth.
    Intervention Type
    Drug
    Intervention Name(s)
    Omeprazole
    Other Intervention Name(s)
    PRILOSEC®
    Intervention Description
    Omeprazole tablets, single 40 mg dose (as two 20 mg tablets), orally
    Primary Outcome Measure Information:
    Title
    Part 1: Area Under the Plasma Concentration-time Curve From Dosing to Infinity (AUC0-inf) of MK-7655 in Combination With PRIMAXIN®
    Description
    AUC0-∞ is a measure of the mean (extrapolated) plasma drug concentration after dosing to infinity.
    Time Frame
    Predose and 0.08, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4.5, 6, 8, 10, and 14 hours postdose
    Title
    Dialysis Clearance (CLD) of MK-7655 in Participants With End-stage Renal Diseases Requiring Hemodialysis (ESRD/HD)
    Description
    The CLD of MK-7655 was determined in ESRD/HD participants for 4.5 hours during HD. The formula for calculating CLD was: CLd = (1-Hct)*QB*[(pre-dialyzer concentration - post-dialyzer concentration) / (pre-dialyzer concentration)] where QB=350 mL/min and Hct=hematocrit.
    Time Frame
    1, 1.5, 2, 2.5, 3, 3.5, 4, and 4.5 hours postdose
    Title
    Extraction Coefficient of MK-7655 in Participants With End-stage Renal Diseases Requiring Hemodialysis (ESRD/HD)
    Description
    The extraction coefficient of MK-7655 was determined in ESRD/HD participants for 4.5 hours during HD. The formula for calculating extraction coefficient was: Extraction Coefficient = ABS[100*(post-dialyzer concentration - pre-dialyzer concentration) / pre-dialyzer concentration].
    Time Frame
    1, 1.5, 2, 2.5, 3, 3.5, 4, and 4.5 hours postdose
    Secondary Outcome Measure Information:
    Title
    Part 1: Concentration at End of Infusion (Ceoi) of MK-7655 in Combination With PRIMAXIN®
    Description
    Ceoi is the observed plasma drug concentration at the end of IV infusion.
    Time Frame
    At 0.5 hours postdose
    Title
    Part 1: Predicted Clearance (CLpred) of MK-7655 in Combination With PRIMAXIN®
    Description
    CLpred is the predicted apparent total body clearance of drug.
    Time Frame
    Predose and 0.08, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4.5, 6, 8, 10, and 14 hours postdose
    Title
    Part 1: Predicted Volume of Distribution During the Terminal Phase (VZpred) of MK-7655 in Combination With PRIMAXIN®
    Description
    VZpred is the predicted volume of distribution during the terminal phase.
    Time Frame
    Predose and 0.08, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4.5, 6, 8, 10, and 14 hours postdose
    Title
    Part 1: Time of Maximum Plasma Concentration (Tmax) of MK-7655 in Combination With PRIMAXIN®
    Description
    Tmax is the time at which the highest plasma drug concentration was observed.
    Time Frame
    Predose and 0.08, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4.5, 6, 8, 10, and 14 hours postdose
    Title
    Part 1: Apparent Plasma Half-life (t½) of MK-7655 in Combination With PRIMAXIN®
    Description
    Apparent t½ is the amount of time for the maximum drug concentration to decrease by 50%.
    Time Frame
    Predose and 0.08, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4.5, 6, 8, 10, and 14 hours postdose
    Title
    Part 1: AUC0-inf of Imipenem in Combination With MK-7655
    Description
    Imipenem is 1 of the 2 constituents of PRIMAXIN®. AUC0-∞ is a measure of the mean (extrapolated) plasma drug concentration after dosing to infinity.
    Time Frame
    Predose and 0.08, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4.5, 6, 8, 10, and 14 hours postdose
    Title
    Part 1: Ceoi of Imipenem in Combination With MK-7655
    Description
    Imipenem is 1 of the 2 constituents of PRIMAXIN®. Ceoi is the observed plasma drug concentration at the end of IV infusion.
    Time Frame
    At 0.5 hours postdose
    Title
    Part 1: CLpred of Imipenem in Combination With MK-7655
    Description
    Imipenem is 1 of the 2 constituents of PRIMAXIN®. CLpred is the predicted apparent total body clearance of drug.
    Time Frame
    Predose and 0.08, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4.5, 6, 8, 10, and 14 hours postdose
    Title
    Part 1: VZpred of Imipenem in Combination With MK-7655
    Description
    Imipenem is 1 of the 2 constituents of PRIMAXIN®. VZpred is the predicted volume of distribution during the terminal phase.
    Time Frame
    Predose and 0.08, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4.5, 6, 8, 10, and 14 hours postdose
    Title
    Part 1: Tmax of Imipenem in Combination With MK-7655
    Description
    Tmax is the time at which the highest plasma drug concentration was observed.
    Time Frame
    Predose and 0.08, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4.5, 6, 8, 10, and 14 hours postdose
    Title
    Part 1: Apparent t½ of Imipenem in Combination With MK-7655
    Description
    Imipenem is 1 of the 2 constituents of PRIMAXIN®. Apparent t½ is the amount of time for the maximum drug concentration to decrease by 50%.
    Time Frame
    Predose and 0.08, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4.5, 6, 8, 10, and 14 hours postdose
    Title
    Part 1: AUC0-inf of Cilastin in Combination With MK-7655
    Description
    Cilastin is 1 of the 2 constituents of PRIMAXIN®. AUC0-∞ is a measure of the mean (extrapolated) plasma drug concentration after dosing to infinity.
    Time Frame
    Predose and 0.08, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4.5, 6, 8, 10, and 14 hours postdose
    Title
    Part 1: Ceoi of Cilastin in Combination With MK-7655
    Description
    Cilastin is 1 of the 2 constituents of PRIMAXIN®. Ceoi is the observed plasma drug concentration at the end of IV infusion.
    Time Frame
    At 0.5 hours postdose
    Title
    Part 1: CLpred of Cilastin in Combination With MK-7655
    Description
    Cilastin is 1 of the 2 constituents of PRIMAXIN®. CLpred is the predicted apparent total body clearance of drug.
    Time Frame
    Predose and 0.08, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4.5, 6, 8, 10, and 14 hours postdose
    Title
    Part 1: VZpred of Cilastin in Combination With MK-7655
    Description
    Cilastin is 1 of the 2 constituents of PRIMAXIN®. VZpred is the predicted volume of distribution during the terminal phase.
    Time Frame
    Predose and 0.08, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4.5, 6, 8, 10, and 14 hours postdose
    Title
    Part 1: Tmax of Cilastin in Combination With MK-7655
    Description
    Tmax is the time at which the highest plasma drug concentration was observed.
    Time Frame
    Predose and 0.08, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4.5, 6, 8, 10, and 14 hours postdose
    Title
    Part 1: Apparent t½ of Cilastin in Combination With MK-7655
    Description
    Cilastin is 1 of the 2 constituents of PRIMAXIN®. Apparent t½ is the amount of time for the maximum drug concentration to decrease by 50%.
    Time Frame
    Predose and 0.08, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4.5, 6, 8, 10, and 14 hours postdose
    Title
    Part 1: Renal Clearance (CLR) of MK-7655 in Urine
    Description
    CLR represents renal clearance in urine. Urine was collected for 24 hours postdose.
    Time Frame
    Predose to 24 hours postdose
    Title
    Part 1: CLR of Imipenem in Urine
    Description
    CLR represents renal clearance in urine. Urine was collected for 24 hours postdose.
    Time Frame
    Predose to 24 hours postdose
    Title
    Part 1: CLR of Cilastin in Urine
    Description
    CLR represents renal clearance in urine. Urine was collected for 24 hours postdose.
    Time Frame
    Predose to 24 hours postdose
    Title
    Part 2: Plasma AUC0-∞ of Caffeine as a Probe Substrate of Cytochrome P450 Enzyme (CYP)1A2
    Description
    Caffeine was selected as a substrate of CYP1A2. AUC0-∞ was determined in participants with severe renal impairment and ESRD/HD participants.
    Time Frame
    Predose and 0.5, 1, 2,3, 4, 8, 12, and 24 hours postdose
    Title
    Part 2: Plasma AUC0-∞ of Midazolam as a Probe Substrate of Cytochrome P450 Enzyme (CYP)3A4
    Description
    Midazolam was selected as a substrate of CYP3A4. AUC0-∞ was determined in participants with severe renal impairment and ESRD/HD participants.
    Time Frame
    Predose and 0.5, 1, 2,3, 4, 8, 12, and 24 hours postdose
    Title
    Part 2: Plasma AUC0-∞ of Omeprazole as a Probe Substrate of Cytochrome P450 Enzyme (CYP)2C19
    Description
    Omeprazole was selected as a substrate of CYP2C19. AUC0-∞ was determined in participants with severe renal impairment and ESRD/HD participants.
    Time Frame
    Predose and 0.5, 1, 2,3, 4, 8, 12, and 24 hours postdose
    Title
    Parts 1 and 2: Percentage of Participants With ≥1 Adverse Events (AEs)
    Description
    An AE is defined as any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.
    Time Frame
    Up to 14 days after the last dose of study drug in Part 2 (up to 11 weeks)

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    75 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion criteria Participants of reproductive potential (male or female) must be willing to use contraception. Body Mass Index (BMI) ≤40 kg/m^2 Weight >60 kg at screening visit No clinically significant abnormality on electrocardiogram (ECG) at screening visit and/or prior to administration of the initial dose of study drug Panels A-D: smokers will be limited to no more that 10 cigarettes per day. Panels E-H: nonsmoker or has not used nicotine for at least 6 months In good health (stable health for participants with renal impairment) Exclusion criteria Pregnant or breastfeeding. History of recent stroke, chronic seizures, or major neurological disorder History of clinically significant endocrine, gastrointestinal, cardiovascular, hematological, immunological, respiratory, or genitourinary abnormalities or diseases History of malignant neoplastic disease. Exceptions: (1) adequately treated non-melanomatous skin carcinoma or carcinoma in situ of the cervix; (2) other malignancies that have been successfully treated ≥10 years prior to the screening visit Panels A-D: Use of any medication (prescription or non-prescription) or herbal remedies (such as St. John's Wort [Hypericum perforatum]) beginning approximately 2 weeks (or 5 half-lives) prior to administration of the initial dose of study drug to the post study visit Panels E-H: Use of any medication (prescription or non-prescription) or herbal remedies (such as St. John's Wort [Hypericum perforatum]) that are inhibitors or inducers of CYP1A2, CYP2C19, CYP34A, or substrates of CYP2C19, beginning approximately 2 weeks (or 5 half-lives) prior to administration of the probe cocktail, until the post-study visit Consumption of greater than 3 glasses of alcoholic beverages (1 glass is approximately equivalent to: beer [284 mL/10 ounces], wine [125 mL/4 ounces], or distilled spirits [25 mL/1 ounce]) per day Consumption of greater than 6 servings (1 serving is approximately equivalent to 120 mg of caffeine) of coffee, tea, cola, or other caffeinated beverages per day Major surgery, donation or loss of 1 unit of blood (approximately 500 mL), or participation in another investigational study within 4 weeks prior to the screening visit History of multiple and/or severe allergies (including latex allergy), or prior anaphylactic reaction or intolerability to prescription or non-prescription drugs or food History of hypersensitivity to PRIMAXIN® IV or other beta lactam antibiotic (including but not limited to penicillins, cephalosporins, monobactams and carbapenems) Regular user (including recreational use of drugs [including alcohol]) within approximately 12 months of screening visit History of kidney removal and/or renal transplant History of Clostridium difficile colitis or known C. difficile colonization
    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
    Citations:
    PubMed Identifier
    31856304
    Citation
    Bhagunde P, Colon-Gonzalez F, Liu Y, Wu J, Xu SS, Garrett G, Jumes P, Lasseter K, Marbury T, Rizk ML, Lala M, Rhee EG, Butterton JR, Boundy K. Impact of renal impairment and human organic anion transporter inhibition on pharmacokinetics, safety and tolerability of relebactam combined with imipenem and cilastatin. Br J Clin Pharmacol. 2020 May;86(5):944-957. doi: 10.1111/bcp.14204. Epub 2020 Jan 23.
    Results Reference
    result

    Learn more about this trial

    A Single-Dose Study to Investigate the Pharmacokinetics of MK-7655 in Participants With Impaired Renal Function (MK-7655-005)

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