A Study of MK-2214 in Adults With Mild Cognitive Impairment or Mild-to-Moderate Alzheimer's Disease (MK-2214-002)
Primary Purpose
Alzheimer Disease
Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
MK-2214
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Alzheimer Disease
Eligibility Criteria
Inclusion Criteria:
The key Inclusion Criteria include but are not limited to the following:
- Participant is in overall good health based on medical history and laboratory safety tests
- BMI between 18.5 and 35 kg/m2
Part 1 Only:
- History of cognitive and functional decline with gradual onset and slow progression for at least one year before Screening
- Have an Mini-Mental State Examination (MMSE) >12 and <28 at the prestudy visit
- Modified Hachinski Ischemic Score (MHIS) score <4 at the prestudy visit
Exclusion Criteria:
The key Exclusion Criteria include but are not limited to the following:
- Based on clinical interview and Columbia-Suicide Severity Rating Scale (C-SSRS), has reported suicidal ideation with intent, with or without a plan or method
- History of unstable or poorly controlled endocrine, gastrointestinal (GI), cardiovascular, hematological, hepatic, renal, respiratory, or genitourinary abnormalities or diseases
- History of clinically significant active neurological disease (except for AD or MCI for participants in Part 1)
- History of clinically significant active autoimmune disease requiring ongoing systemic immunosuppressant therapy
- History of cancer (malignancy)
- 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
- Positive test(s) for Hepatitis B Surface Antigen (HBsAg), hepatitis C antibodies or human immunodeficiency virus (HIV)
- Has had a major surgery and/or donated or lost 1 unit of blood (approximately 500 mL) within 4 weeks prior to the prestudy visit
- Has a contraindication to lumbar dural puncture, such as coagulopathy, concomitant anticoagulation beyond low dose aspirin, thrombocytopenia, or other factors that could preclude safe lumbar puncture
- Currently receiving or has received aducanumab or another anti-amyloid therapy within the last 6 months
- Has a history of receiving biological therapy within 3 months or 5 half-lives (whichever is longer) or any human immunoglobulin preparation within the last year
- Has received any non-live vaccine starting from 14 days prior to first study intervention or is scheduled to receive any non-live vaccine through 14 days following the final dose of study intervention. Exception: COVID-19 and influenza vaccines may be administered
- Is receiving systemic immunosuppression, including corticosteroids exceeding physiologic replacement doses
Sites / Locations
- California Clinical Trials Medical Group managed by PAREXEL-PAREXEL International ( Site 0007)Recruiting
- Collaborative Neuroscience Research, LLC ( Site 0009)Recruiting
- NRC Research Institute ( Site 0015)Recruiting
- Velocity Clinical Research, Hallandale Beach ( Site 0001)Recruiting
- Research Centers of America ( Hollywood ) ( Site 0004)
- K2 Medical Research ( Site 0005)Recruiting
- Progressive Medical Research-Alzheimer's Team ( Site 0013)Recruiting
- Charter Research - Lady Lake ( Site 0011)Recruiting
- Charter Research - Winter Park ( Site 0012)Recruiting
- CenExel iResearch, LLC ( Site 0002)Recruiting
- Global Medical Institutes LLC; Princeton Medical Institute ( Site 0003)Recruiting
- Neuro-Behavioral Clinical Research ( Site 0016)Recruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
MK-2214
Placebo
Arm Description
Participants will receive MK-2214 administered in escalating doses as an intravenous (IV) infusion on Days 1, 29, and 57.
Participants will receive placebo as an IV infusion on Days 1, 29, and 57.
Outcomes
Primary Outcome Measures
Number of Participants Who Experience At Least One Adverse Event (AE)
An AE is defined as any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. The number of participants who experience at least one AE will be presented.
Number of Participants Who Discontinue Study Treatment Due to an AE
An AE is defined as any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. The number of participants who discontinue study treatment due to an AE will be presented.
Serum Area Under the Concentration-Time Curve of MK-2214 from Time 0 to 28 Hours (AUC0-28) After First and Third Dose
AUC is a measure of the extrapolated mean concentration in serum. Blood samples will be collected pre-dose and post-dose at designated timepoints to determine AUC0-28 of MK-2214.
Serum Maximum Concentration (Cmax) of MK-2214 After First and Third Dose
Cmax is the maximum concentration of the drug observed in plasma. Blood samples will be collected pre-dose and post-dose at designated timepoints to determine Cmax of MK-2214.
Serum Time to Maximum Concentration (Tmax) of MK-2214 After First and Third Dose
Tmax is the amount of time required to reach Cmax. Blood samples will be collected pre-dose and post-dose at designated timepoints to determine Tmax of MK-2214.
Serum Apparent Terminal Half-Life (t1/2) of MK-2214 After First and Third Dose
t1/2 is the time required for 50% of drug to be cleared from serum. Blood samples will be collected pre-dose and post-dose at designated timepoints to determine t1/2 of MK-2214.
Concentration of MK-2214 in Cerebrospinal Fluid (CSF) at Day 85 (C85d)
CSF concentration of MK-2214 will be presented for Day 85.
Percentage change from baseline to Day 29 in free phospho-tau in CSF
Free phospho-tau in CSF will be determined for participants using the individual percent of baseline values (100* free phospho-tau / baseline).
Percentage change from baseline to Day 85 in free phospho-tau in CSF
Free phospho-tau in CSF will be determined for participants using the individual percent of baseline values (100* free phospho-tau / baseline).
Secondary Outcome Measures
Full Information
NCT ID
NCT05466422
First Posted
July 18, 2022
Last Updated
October 19, 2023
Sponsor
Merck Sharp & Dohme LLC
1. Study Identification
Unique Protocol Identification Number
NCT05466422
Brief Title
A Study of MK-2214 in Adults With Mild Cognitive Impairment or Mild-to-Moderate Alzheimer's Disease (MK-2214-002)
Official Title
A Multiple Ascending Dose Clinical Trial to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of MK-2214 in Adults With Mild Cognitive Impairment or Mild-to-Moderate Alzheimer's Disease
Study Type
Interventional
2. Study Status
Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
September 20, 2022 (Actual)
Primary Completion Date
May 16, 2025 (Anticipated)
Study Completion Date
May 16, 2025 (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 purpose of this study is to assess the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics of MK-2214 in adults with mild cognitive impairment (MCI) or mild-to-moderate Alzheimer's Disease (AD). The primary hypothesis (Part 1) is that at a generally well tolerated dose level, the true geometric mean concentration at Day 85 of MK-2214 in cerebrospinal fluid is >0.3 nanomolar (nM). Optional healthy older participants (Part 2) may receive MK-2214 at dose levels determined by criteria met in Part 1.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alzheimer Disease
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
48 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
MK-2214
Arm Type
Experimental
Arm Description
Participants will receive MK-2214 administered in escalating doses as an intravenous (IV) infusion on Days 1, 29, and 57.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Participants will receive placebo as an IV infusion on Days 1, 29, and 57.
Intervention Type
Biological
Intervention Name(s)
MK-2214
Intervention Description
MK-2214 in escalating doses as an IV infusion on Days 1, 29, and 57
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo as an IV infusion on Days 1, 29, and 57
Primary Outcome Measure Information:
Title
Number of Participants Who Experience At Least One Adverse Event (AE)
Description
An AE is defined as any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. The number of participants who experience at least one AE will be presented.
Time Frame
Up to approximately 297 days
Title
Number of Participants Who Discontinue Study Treatment Due to an AE
Description
An AE is defined as any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. The number of participants who discontinue study treatment due to an AE will be presented.
Time Frame
Up to approximately 57 days
Title
Serum Area Under the Concentration-Time Curve of MK-2214 from Time 0 to 28 Hours (AUC0-28) After First and Third Dose
Description
AUC is a measure of the extrapolated mean concentration in serum. Blood samples will be collected pre-dose and post-dose at designated timepoints to determine AUC0-28 of MK-2214.
Time Frame
At designated time points (up to 85 days)
Title
Serum Maximum Concentration (Cmax) of MK-2214 After First and Third Dose
Description
Cmax is the maximum concentration of the drug observed in plasma. Blood samples will be collected pre-dose and post-dose at designated timepoints to determine Cmax of MK-2214.
Time Frame
At designated time points (up to 85 days)
Title
Serum Time to Maximum Concentration (Tmax) of MK-2214 After First and Third Dose
Description
Tmax is the amount of time required to reach Cmax. Blood samples will be collected pre-dose and post-dose at designated timepoints to determine Tmax of MK-2214.
Time Frame
At designated time points (up to 85 days)
Title
Serum Apparent Terminal Half-Life (t1/2) of MK-2214 After First and Third Dose
Description
t1/2 is the time required for 50% of drug to be cleared from serum. Blood samples will be collected pre-dose and post-dose at designated timepoints to determine t1/2 of MK-2214.
Time Frame
At designated time points (up to 85 days)
Title
Concentration of MK-2214 in Cerebrospinal Fluid (CSF) at Day 85 (C85d)
Description
CSF concentration of MK-2214 will be presented for Day 85.
Time Frame
Day 85
Title
Percentage change from baseline to Day 29 in free phospho-tau in CSF
Description
Free phospho-tau in CSF will be determined for participants using the individual percent of baseline values (100* free phospho-tau / baseline).
Time Frame
Baseline and Day 29 pre-dose
Title
Percentage change from baseline to Day 85 in free phospho-tau in CSF
Description
Free phospho-tau in CSF will be determined for participants using the individual percent of baseline values (100* free phospho-tau / baseline).
Time Frame
Baseline and Day 85
10. Eligibility
Sex
All
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
The key Inclusion Criteria include but are not limited to the following:
Participant is in overall good health based on medical history and laboratory safety tests
BMI between 18.5 and 35 kg/m2
Part 1 Only:
History of cognitive and functional decline with gradual onset and slow progression for at least one year before Screening
Have an Mini-Mental State Examination (MMSE) >12 and <28 at the prestudy visit
Modified Hachinski Ischemic Score (MHIS) score <4 at the prestudy visit
Exclusion Criteria:
The key Exclusion Criteria include but are not limited to the following:
Based on clinical interview and Columbia-Suicide Severity Rating Scale (C-SSRS), has reported suicidal ideation with intent, with or without a plan or method
History of unstable or poorly controlled endocrine, gastrointestinal (GI), cardiovascular, hematological, hepatic, renal, respiratory, or genitourinary abnormalities or diseases
History of clinically significant active neurological disease (except for AD or MCI for participants in Part 1)
History of clinically significant active autoimmune disease requiring ongoing systemic immunosuppressant therapy
History of cancer (malignancy)
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
Positive test(s) for Hepatitis B Surface Antigen (HBsAg), hepatitis C antibodies or human immunodeficiency virus (HIV)
Has had a major surgery and/or donated or lost 1 unit of blood (approximately 500 mL) within 4 weeks prior to the prestudy visit
Has a contraindication to lumbar dural puncture, such as coagulopathy, concomitant anticoagulation beyond low dose aspirin, thrombocytopenia, or other factors that could preclude safe lumbar puncture
Currently receiving or has received aducanumab or another anti-amyloid therapy within the last 6 months
Has a history of receiving biological therapy within 3 months or 5 half-lives (whichever is longer) or any human immunoglobulin preparation within the last year
Has received any non-live vaccine starting from 14 days prior to first study intervention or is scheduled to receive any non-live vaccine through 14 days following the final dose of study intervention. Exception: COVID-19 and influenza vaccines may be administered
Is receiving systemic immunosuppression, including corticosteroids exceeding physiologic replacement doses
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
California Clinical Trials Medical Group managed by PAREXEL-PAREXEL International ( Site 0007)
City
Glendale
State/Province
California
ZIP/Postal Code
91206
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Study Coordinator
Phone
800-239-4367
Facility Name
Collaborative Neuroscience Research, LLC ( Site 0009)
City
Los Alamitos
State/Province
California
ZIP/Postal Code
90720
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Study Coordinator
Phone
844-424-9494
Facility Name
NRC Research Institute ( Site 0015)
City
Orange
State/Province
California
ZIP/Postal Code
92868
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Study Coordinator
Phone
714-289-1100
Facility Name
Velocity Clinical Research, Hallandale Beach ( Site 0001)
City
Hallandale Beach
State/Province
Florida
ZIP/Postal Code
33009
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Study Coordinator
Phone
954-455-5757
Facility Name
Research Centers of America ( Hollywood ) ( Site 0004)
City
Hollywood
State/Province
Florida
ZIP/Postal Code
33024
Country
United States
Individual Site Status
Completed
Facility Name
K2 Medical Research ( Site 0005)
City
Maitland
State/Province
Florida
ZIP/Postal Code
32751
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Study Coordinator
Phone
407-500-5252
Facility Name
Progressive Medical Research-Alzheimer's Team ( Site 0013)
City
Port Orange
State/Province
Florida
ZIP/Postal Code
32127
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Study Coordinator
Phone
386-304-7070
Facility Name
Charter Research - Lady Lake ( Site 0011)
City
The Villages
State/Province
Florida
ZIP/Postal Code
32162
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Study Coordinator
Phone
352-441-2000
Facility Name
Charter Research - Winter Park ( Site 0012)
City
Winter Park
State/Province
Florida
ZIP/Postal Code
32792
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Study Coordinator
Phone
407-337-3000
Facility Name
CenExel iResearch, LLC ( Site 0002)
City
Decatur
State/Province
Georgia
ZIP/Postal Code
30030
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Study Coordinator
Phone
404-537-1281
Facility Name
Global Medical Institutes LLC; Princeton Medical Institute ( Site 0003)
City
Princeton
State/Province
New Jersey
ZIP/Postal Code
08540
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Study Coordinator
Phone
609-921-3555
Facility Name
Neuro-Behavioral Clinical Research ( Site 0016)
City
North Canton
State/Province
Ohio
ZIP/Postal Code
44720
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Study Coordinator
Phone
330-493-1118
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
A Study of MK-2214 in Adults With Mild Cognitive Impairment or Mild-to-Moderate Alzheimer's Disease (MK-2214-002)
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