Pharmacokinetics of Sugammadex (MK-8616) in Participants With Moderate and Severe Renal Insufficiency (MK-8616-105)
Renal Insufficiency, Renal Impairment
About this trial
This is an interventional treatment trial for Renal Insufficiency
Eligibility Criteria
Inclusion Criteria:
All Participants:
- Body Mass Index ≥18 to ≤40 kg/m^2
- Females of childbearing potential must either be sexually inactive (abstinent) for 14 days prior to dosing and throughout the study or are using an acceptable birth control method
- Females of non-childbearing potential must have undergone a sterilization procedure at least 6 months prior to dosing or are postmenopausal with amenorrhea for at least 1 year prior to dosing and have follicle stimulating hormone (FSH) serum levels consistent with postmenopausal status
- Male subjects must agree not to donate sperm from dosing until 90 days after dosing
Participants with Moderate or Severe Renal Insufficiency:
- Health of participant is stable based on medical history, laboratory tests and other assessments
- Clinical diagnosis of impaired stable renal function, and a creatinine clearance (CLcr) of <30 mL/min and not on hemodialysis for severe renal insufficiency participants, or 30 to <50 mL/min for moderate renal insufficiency participants
- No clinically significant change in renal status for at least 1 month prior to dosing, and is not currently or has not previously been on hemodialysis
Healthy Control Participants:
- Participant is medically healthy based on laboratory tests and other assessments
- Age of the individual healthy participants in Part 1 of the study is aimed to be within the range of the mean age ± approximately 15 years of all participants with renal impairment in Part 1 of the study combined; this approach will also be applied with respect to age of participants in Part 2 of the study
- CLcr ≥80 mL/min
Exclusion Criteria:
All Participants:
- Mentally or legally incapacitated, significant emotional problems at screening or expected during the conduct of the study or history of a clinically significant psychiatric disorder over the last 5 years
- History or presence of significant cardiovascular, pulmonary, hepatic, renal, hematological, gastrointestinal, endocrine, immunologic, dermatologic, or neurological disease whose current condition is considered unstable
- History or presence of alcoholism and drug abuse within the past 6 months
- History or presence of hypersensitivity or idiosyncratic reaction to the study medication or related compounds
- Female participants who are pregnant or lactating
- Positive results for the urine or saliva drug screen, or for the urine or breath alcohol screen
- Positive results at screening for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg) or hepatitis C virus (HCV)
- Regular user of any medication (including over the counter) that would significantly alter renal function (e.g., cimetidine)
- Donation of blood or significant blood loss within 56 days prior to dosing, or donation of plasma within 7 days prior to dosing
- Participation in another clinical trial within 28 days prior to dosing
- No participant may be enrolled more than once within Part 1. Subjects who participate in Part 1 of study may be enrolled in Part 2, but participants within Part 2 are not to be enrolled more than once in Part 2
Healthy Control Participants:
- Participant has had a renal transplant or has had nephrectomy
Sites / Locations
- Investigational Site 001
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Severe Renal Insufficiency Participants: Part 1
Moderate Renal Insufficiency Participants: Part 1
Healthy Control Participants: Part 1
Severe Renal Insufficiency Participants: Part 2
Moderate Renal Insufficiency Participants: Part 2
Healthy Control Participants: Part 2
Participants with severe renal insufficiency will receive a single dose of 4 mg/kg sugammadex administered as an IV bolus over 10 seconds. Dose will be administered by direct injection into a peripheral vein.
Participants with moderate renal insufficiency will receive a single dose of 4 mg/kg sugammadex administered as an IV bolus over 10 seconds. Dose will be administered by direct injection into a peripheral vein.
Healthy control participants will receive a single dose of 4 mg/kg sugammadex administered as an IV bolus over 10 seconds. Dose will be administered by direct injection into a peripheral vein.
Participants with severe renal insufficiency will receive a single dose of 4 mg/kg sugammadex administered as an IV bolus over 10 seconds. Dose will be administered into a peripheral vein through an IV catheter connected to an IV tubing with injection port. The IV tubing is connected to a saline bag. Free-flowing access to the vein will be confirmed immediately prior to dose administration, and dose will be followed by saline flush.
Participants with moderate renal insufficiency will receive a single dose of 4 mg/kg sugammadex administered as an IV bolus over 10 seconds. Dose will be administered into a peripheral vein through an IV catheter connected to an IV tubing with injection port. The IV tubing is connected to a saline bag. Free-flowing access to the vein will be confirmed immediately prior to dose administration, and dose will be followed by saline flush.
Healthy control participants will receive a single dose of 4 mg/kg sugammadex administered as an IV bolus over 10 seconds. Dose will be administered into a peripheral vein through an IV catheter connected to an IV tubing with injection port. The IV tubing is connected to a saline bag. Free-flowing access to the vein will be confirmed immediately prior to dose administration, and dose will be followed by saline flush.