search
Back to results

Belzutifan (MK-6482) Hepatic Impairment Study (MK-6482-020)

Primary Purpose

Moderate Hepatic Impairment

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Belzutifan
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Moderate Hepatic Impairment

Eligibility Criteria

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

Inclusion Criteria:

For Participants With Normal Hepatic Function

  • Is in good health.
  • Has a body mass index (BMI) 18.0-40.0 kg/m².

Male Participants -Must have been vasectomized or surgically sterilized for at least 4 months or more prior to study intervention administration and agree to the following during the intervention period and for at least 5 days after administration of study intervention, be abstinent from heterosexual intercourse as their preferred and usual lifestyle or must agree to use a male condom plus partner use of an additional contraceptive method when having penile-vaginal intercourse with a woman of childbearing potential (WOCBP) who is not currently pregnant.

Female Participants

-Is a woman of non-childbearing potential (WONCBP).

For Participants With Moderate Hepatic Impairment

  • With exception of the hepatic impairment, is in good health.
  • Has a BMI 18.0-40.0 kg/m2.
  • Has a diagnosis of chronic (>6 months), stable (no acute episodes of illness within the previous 30 days from administration of study intervention due to deterioration in hepatic function) hepatic impairment.

Male Participants -Have been vasectomized or surgically sterilized for at least 4 months or more prior to study intervention administration and agree to the following during the intervention period and for at least 5 days after administration of study intervention, be abstinent from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long-term and persistent basis) and agree to remain abstinent or must agree to use a male condom plus partner use of an additional contraceptive method when having penile-vaginal intercourse with a WOCBP who is not currently pregnant.

Female Participants

- Must be a WONCBP.

Exclusion Criteria:

For Participants with Normal Hepatic Function

  • Has a history of clinically significant endocrine, gastrointestinal, cardiovascular, hematological, hepatic, immunological, renal, respiratory, genitourinary, or major neurological (including stroke and chronic seizures) abnormalities or diseases.
  • Is mentally or legally incapacitated, has significant emotional problems or has a history of clinically significant psychiatric disorder of the last 5 years.
  • Has a history of cancer (malignancy).
  • Has a history of significant multiple and/or severe allergies (eg, food, drug, latex allergy), or has had an anaphylactic reaction or significant intolerability to prescription or nonprescription drugs or food.
  • Is positive for hepatitis B surface antigen, hepatitis C antibodies, or Human Immunodeficiency Virus (HIV).
  • Had major surgery, donated or lost 1 unit of blood within the last 4 weeks.
  • Is unable to refrain from or anticipates the use of any medication, including prescription and nonprescription drugs (with the exception of prescription drugs that are approved by the investigator and Sponsor) or herbal remedies for the prohibited period of time.
  • Has received any nonlive vaccine starting from 14 days prior to study intervention or is scheduled to receive any nonlive vaccine through 30 days following study intervention. Exception: COVID-19 vaccine may be administered.
  • Has participated in another investigational study within 4 weeks prior to study intervention administration.

Other Exclusions

  • Is a heavy smoker or heavy user of nicotine-containing products (>20 cigarettes or equivalent/day).
  • Consumes greater than 3 glasses of alcoholic beverages per day.
  • Consumes excessive amounts, defined as greater than 6 servings of caffeinated beverages per day.
  • Is a regular user of cannabis, any illicit drugs or has a history of drug (including alcohol) abuse within the last 2 years.
  • Presents any concern by the investigator regarding safe participation in the study.

For Participants With Moderate Hepatic Impairment

  • Is mentally or legally incapacitated, has significant emotional problems or has a history of clinically significant psychiatric disorder in the last 5 years.
  • Has a history of cancer (malignancy).
  • Has a history of significant multiple and/or severe allergies (eg, food, drug, latex allergy), or has had an anaphylactic reaction or significant intolerability to prescription or nonprescription drugs or food.
  • Has fluctuating or rapidly deteriorating hepatic function.
  • Has a history of liver or other solid organ transplantation.
  • Has transjugular intrahepatic portosystemic shunt and/or has undergone portacaval shunting.
  • Has encephalopathy Grade 3 or worse within 28 days before administration of study intervention.
  • Is positive for HIV.
  • Has had major surgery, donated or lost 1 unit of blood within the last 4 weeks.
  • Is unable to refrain from or anticipates the use of any medication, including prescription and nonprescription drugs (with the exception of prescription drugs that are approved by the investigator and Sponsor) or herbal remedies for the prohibited period of time.
  • Has received any nonlive vaccine starting from 14 days prior to study intervention or is scheduled to receive any nonlive vaccine through 30 days following study intervention. Exception: COVID-19 vaccine may be administered.
  • Has participated in another investigational study within 4 weeks prior to study intervention administration.

Other Exclusions

  • Is a heavy smoker or heavy user of nicotine-containing products (>20 cigarettes or equivalent/day).
  • Consumes greater than 3 glasses of alcoholic beverages or equivalent per day.
  • Consumes excessive amounts, defined as greater than 6 servings of caffeinated beverages per day.
  • Is a regular user of cannabis, any illicit drugs or has a history of drug (including alcohol) abuse within the last 2 years.
  • Presents any concern by the investigator regarding safe participation in the study.

Sites / Locations

  • Orlando Clinical Research Center ( Site 0001)Recruiting
  • The Texas Liver Institute ( Site 0002)Recruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Belzutifan in participants with moderate hepatic impairment

Belzutifan in participants with normal hepatic function

Arm Description

Participants with moderate hepatic impairment will receive a single oral 80 mg dose of belzutifan.

Participants with normal hepatic function will receive a single oral 80 mg dose of belzutifan.

Outcomes

Primary Outcome Measures

Area under the plasma concentration time curve from hour 0 to infinity (AUC0-inf)
Blood samples collected prior to dose and at multiple timepoints postdose will be used to determine AUC0 to infinity of belzutifan.
Area under the plasma concentration time curve from hour 0 to 24 (AUC0-24)
Blood samples collected prior to dose and at multiple timepoints postdose will be used to determine AUC0 to 24 hours of belzutifan.
Maximum plasma concentration (Cmax)
Blood samples collected prior to dose and at multiple timepoints postdose will be used to determine Cmax of belzutifan.
Time to maximum plasma concentration (Tmax)
Blood samples collected prior to dose and at multiple timepoints postdose will be used to determine the Tmax of belzutifan.
Apparent terminal half-life (t½) of plasma concentration
Blood samples will be used to determine the apparent terminal t1/2 of belzutifan.

Secondary Outcome Measures

Number of participants who experienced an adverse event
An adverse event (AE) is any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an adverse event. The number of participants who experienced an AE will be reported.
Number of participants who discontinued from the study due to an AE
An AE is any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an adverse event. The number of participants who discontinued the study due to an AE will be reported.

Full Information

First Posted
August 2, 2021
Last Updated
October 19, 2023
Sponsor
Merck Sharp & Dohme LLC
search

1. Study Identification

Unique Protocol Identification Number
NCT04995484
Brief Title
Belzutifan (MK-6482) Hepatic Impairment Study (MK-6482-020)
Official Title
An Open-Label, Single-Dose Study to Investigate the Influence of Hepatic Impairment on the Pharmacokinetics of MK-6482
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
June 24, 2022 (Actual)
Primary Completion Date
December 9, 2023 (Anticipated)
Study Completion Date
December 18, 2023 (Anticipated)

3. Sponsor/Collaborators

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

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary purpose of this study is to compare the plasma pharmacokinetics (PK) of belzutifan (MK-6482) following a single oral 80 mg dose of belzutifan in participants with moderate hepatic impairment to that of healthy matched control participants. This study will also evaluate the safety and tolerability of a single oral 80 mg dose of belzutifan in participants with moderate hepatic impairment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Moderate Hepatic Impairment

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
Parallel Group
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
16 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Belzutifan in participants with moderate hepatic impairment
Arm Type
Experimental
Arm Description
Participants with moderate hepatic impairment will receive a single oral 80 mg dose of belzutifan.
Arm Title
Belzutifan in participants with normal hepatic function
Arm Type
Experimental
Arm Description
Participants with normal hepatic function will receive a single oral 80 mg dose of belzutifan.
Intervention Type
Drug
Intervention Name(s)
Belzutifan
Other Intervention Name(s)
MK-6482, PT2977, WELIREG
Intervention Description
Two 40 mg tablets given as a single oral 80 mg dose.
Primary Outcome Measure Information:
Title
Area under the plasma concentration time curve from hour 0 to infinity (AUC0-inf)
Description
Blood samples collected prior to dose and at multiple timepoints postdose will be used to determine AUC0 to infinity of belzutifan.
Time Frame
Prior to dose, and at 0.5, 1, 1.5, 2, 3, 4, 5, 6, 9, 12, 24, 36, 48, 72, 96, and 120 hours postdose
Title
Area under the plasma concentration time curve from hour 0 to 24 (AUC0-24)
Description
Blood samples collected prior to dose and at multiple timepoints postdose will be used to determine AUC0 to 24 hours of belzutifan.
Time Frame
Prior to dose, and at 0.5, 1, 1.5, 2, 3, 4, 5, 6, 9, 12, 24 hours postdose
Title
Maximum plasma concentration (Cmax)
Description
Blood samples collected prior to dose and at multiple timepoints postdose will be used to determine Cmax of belzutifan.
Time Frame
Prior to dose, and at 0.5, 1, 1.5, 2, 3, 4, 5, 6, 9, 12, 24, 36, 48, 72, 96, and 120 hours postdose
Title
Time to maximum plasma concentration (Tmax)
Description
Blood samples collected prior to dose and at multiple timepoints postdose will be used to determine the Tmax of belzutifan.
Time Frame
Prior to dose, and at 0.5, 1, 1.5, 2, 3, 4, 5, 6, 9, 12, 24, 36, 48, 72, 96, and 120 hours postdose
Title
Apparent terminal half-life (t½) of plasma concentration
Description
Blood samples will be used to determine the apparent terminal t1/2 of belzutifan.
Time Frame
Prior to dose, and at 0.5, 1, 1.5, 2, 3, 4, 5, 6, 9, 12, 24, 36, 48, 72, 96, and 120 hours postdose
Secondary Outcome Measure Information:
Title
Number of participants who experienced an adverse event
Description
An adverse event (AE) is any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an adverse event. The number of participants who experienced an AE will be reported.
Time Frame
Up to 15 days
Title
Number of participants who discontinued from the study due to an AE
Description
An AE is any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that is temporally associated with the use of the Sponsor's product, is also an adverse event. The number of participants who discontinued the study due to an AE will be reported.
Time Frame
Up to 15 days

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: For Participants With Normal Hepatic Function Is in good health. Has a body mass index (BMI) 18.0-40.0 kg/m². Male Participants -Must have been vasectomized or surgically sterilized for at least 4 months or more prior to study intervention administration and agree to the following during the intervention period and for at least 5 days after administration of study intervention, be abstinent from heterosexual intercourse as their preferred and usual lifestyle or must agree to use a male condom plus partner use of an additional contraceptive method when having penile-vaginal intercourse with a woman of childbearing potential (WOCBP) who is not currently pregnant. Female Participants -Is a woman of non-childbearing potential (WONCBP). For Participants With Moderate Hepatic Impairment With exception of the hepatic impairment, is in good health. Has a BMI 18.0-40.0 kg/m2. Has a diagnosis of chronic (>6 months), stable (no acute episodes of illness within the previous 30 days from administration of study intervention due to deterioration in hepatic function) hepatic impairment. Male Participants -Have been vasectomized or surgically sterilized for at least 4 months or more prior to study intervention administration and agree to the following during the intervention period and for at least 5 days after administration of study intervention, be abstinent from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long-term and persistent basis) and agree to remain abstinent or must agree to use a male condom plus partner use of an additional contraceptive method when having penile-vaginal intercourse with a WOCBP who is not currently pregnant. Female Participants - Must be a WONCBP. Exclusion Criteria: For Participants with Normal Hepatic Function Has a history of clinically significant endocrine, gastrointestinal, cardiovascular, hematological, hepatic, immunological, renal, respiratory, genitourinary, or major neurological (including stroke and chronic seizures) abnormalities or diseases. Is mentally or legally incapacitated, has significant emotional problems or has a history of clinically significant psychiatric disorder of the last 5 years. Has a history of cancer (malignancy). Has a history of significant multiple and/or severe allergies (eg, food, drug, latex allergy), or has had an anaphylactic reaction or significant intolerability to prescription or nonprescription drugs or food. Is positive for hepatitis B surface antigen, hepatitis C antibodies, or Human Immunodeficiency Virus (HIV). Had major surgery, donated or lost 1 unit of blood within the last 4 weeks. Is unable to refrain from or anticipates the use of any medication, including prescription and nonprescription drugs (with the exception of prescription drugs that are approved by the investigator and Sponsor) or herbal remedies for the prohibited period of time. Has received any nonlive vaccine starting from 14 days prior to study intervention or is scheduled to receive any nonlive vaccine through 30 days following study intervention. Exception: COVID-19 vaccine may be administered. Has participated in another investigational study within 4 weeks prior to study intervention administration. Other Exclusions Is a heavy smoker or heavy user of nicotine-containing products (>20 cigarettes or equivalent/day). Consumes greater than 3 glasses of alcoholic beverages per day. Consumes excessive amounts, defined as greater than 6 servings of caffeinated beverages per day. Is a regular user of cannabis, any illicit drugs or has a history of drug (including alcohol) abuse within the last 2 years. Presents any concern by the investigator regarding safe participation in the study. For Participants With Moderate Hepatic Impairment Is mentally or legally incapacitated, has significant emotional problems or has a history of clinically significant psychiatric disorder in the last 5 years. Has a history of cancer (malignancy). Has a history of significant multiple and/or severe allergies (eg, food, drug, latex allergy), or has had an anaphylactic reaction or significant intolerability to prescription or nonprescription drugs or food. Has fluctuating or rapidly deteriorating hepatic function. Has a history of liver or other solid organ transplantation. Has transjugular intrahepatic portosystemic shunt and/or has undergone portacaval shunting. Has encephalopathy Grade 3 or worse within 28 days before administration of study intervention. Is positive for HIV. Has had major surgery, donated or lost 1 unit of blood within the last 4 weeks. Is unable to refrain from or anticipates the use of any medication, including prescription and nonprescription drugs (with the exception of prescription drugs that are approved by the investigator and Sponsor) or herbal remedies for the prohibited period of time. Has received any nonlive vaccine starting from 14 days prior to study intervention or is scheduled to receive any nonlive vaccine through 30 days following study intervention. Exception: COVID-19 vaccine may be administered. Has participated in another investigational study within 4 weeks prior to study intervention administration. Other Exclusions Is a heavy smoker or heavy user of nicotine-containing products (>20 cigarettes or equivalent/day). Consumes greater than 3 glasses of alcoholic beverages or equivalent per day. Consumes excessive amounts, defined as greater than 6 servings of caffeinated beverages per day. Is a regular user of cannabis, any illicit drugs or has a history of drug (including alcohol) abuse within the last 2 years. Presents any concern by the investigator regarding safe participation in the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Toll Free Number
Phone
1-888-577-8839
Email
Trialsites@merck.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Merck Sharp & Dohme LLC
Official's Role
Study Director
Facility Information:
Facility Name
Orlando Clinical Research Center ( Site 0001)
City
Orlando
State/Province
Florida
ZIP/Postal Code
32809
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Study Coordinator
Phone
407-472-0270
Facility Name
The Texas Liver Institute ( Site 0002)
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78215
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Study Coordinator
Phone
210-918-8847

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
Links:
URL
https://www.merckclinicaltrials.com/
Description
Merck Clinical Trials Information

Learn more about this trial

Belzutifan (MK-6482) Hepatic Impairment Study (MK-6482-020)

We'll reach out to this number within 24 hrs