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Single Dose Study of MK-2060 to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics in Older Japanese Participants on Dialysis (MK-2060-012)

Primary Purpose

End-Stage Renal Disease (ESRD), End-Stage Kidney Disease (ESKD), Kidney Failure, Chronic

Status
Active
Phase
Phase 1
Locations
Japan
Study Type
Interventional
Intervention
MK-2060
Placebo
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for End-Stage Renal Disease (ESRD)

Eligibility Criteria

50 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: The main inclusion criteria include but are not limited to the following: Japanese descent with all 2 biological parents of Japanese descent On hemodialysis (HD) or hemodiafiltration (HDF) with single-pool Kt/V (spKt/V) ≥1.2, using arteriovenous (AV) fistula or AV graft ≥3 months prior to Screening 1 at a healthcare center, and is on the same dialysis regimen ≥2 weeks prior to Screening 1 Be judged to plan to continue or anticipate the use of the current AV fistula or AV graft until the poststudy visit Exclusion Criteria: The main exclusion criteria include but are not limited to the following: On peritoneal dialysis or other dialysis modalities except for HD and HDF History of deep vein thrombosis or pulmonary embolism History of vascular access thrombosis within 1 month prior to Screening 1 Personal or family history of bleeding disorder History of GI bleeding, duodenal polyps or active gastroduodenal ulcer within 5 years prior to Screening 1, or history of severe hemorrhoidal bleed within 3 months prior to Screening 1 History of frequent epistaxis within 3 months prior to Screening 1 or active gingivitis At the time of screening or predose, planned significant dental procedures, or other planned surgical procedures within duration of participation in the trial History of receiving any human immunoglobulin preparation such as intravenous immunoglobulin (IVIG) or a brand of Rho(D) immune globulin (RhoGAM) within 1 year prior to Screening 1 History of receiving any biological therapy within 3 months prior to Screening 1, or vaccination within 1 month prior to the dose of study intervention Requires or anticipates requiring the use of following prohibited medications until the poststudy visit: anticoagulants, antiplatelet medications and non-steroidal anti-inflammatory drugs (NSAIDs) Participated in another investigational study within 1 month prior to Screening 1 Has blood coagulation test (activated partial thromboplastin time [aPTT] or prothrombin time [PT]) above 1.2X upper limit of normal (ULN) at Screening 1 from the central laboratory for safety

Sites / Locations

  • Kasugai Municipal Hospital ( Site 1203)
  • Chubu Rosai Hospital ( Site 1202)
  • Kojunkai Daido Hospital ( Site 1207)
  • Jomo Ohashi Clinic ( Site 1210)
  • Ibaraki Prefectural Central Hospital ( Site 1211)
  • Shonan Kamakura General Hospital ( Site 1205)
  • Matsumoto City Hospital ( Site 1209)
  • Keiaikai Nakamura Hospital ( Site 1213)
  • Omi Fureai Hospital ( Site 1204)
  • Ikegami General Hospital ( Site 1206)
  • Japanese Red Cross Fukuoka Hospital ( Site 1214)
  • Yamagata Tokushukai Hospital ( Site 1201)

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

MK-2060

Placebo

Arm Description

Participants receive MK-2060 50 mg via a single intravenous (IV) infusion over 60-minutes.

Participants receive a single IV saline infusion over 60 minutes.

Outcomes

Primary Outcome Measures

Number of Participants Who Experience an Adverse Event (AE)
An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of the study drug whether or not it is considered related to the study drug. The number of participants who experience an AE will be reported.
Number of Participants Who Discontinue Study Due to an AE
An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of the study drug whether or not it is considered related to the study drug. The number of participants who discontinue study due to an AE will be reported.

Secondary Outcome Measures

Area Under the Concentration-Time Curve of MK-2060 From Time 0 to Infinity (AUC 0-inf)
Blood samples will be collected at specified intervals for the determination of AUC0-inf. AUC0-inf is defined as the area under the concentration-time curve of pembrolizumab from time zero to infinity.
Area Under the Plasma Concentration-Time Curve of MK-2060 From Time 0 to Last (AUC0-last)
Blood samples will be collected at specified intervals for the determination of AUC0-last. AUC0-last is defined as the area under the plasma concentration-time curve from time zero to time of last measurable concentration of MK-2060.
Area Under the Concentration-Time Curve of MK-2060 From Time 0 to 168 Hours Postdose (AUC0-168)
Blood samples will be collected at specified intervals for the determination of AUC0-168. AUC0-168 is defined as the area under the concentration-time curve of MK-2060 from time zero to 168 hours.
Maximum Concentration (Cmax) of MK-2060
Blood samples will be collected at specified intervals for the determination of Cmax. Cmax is defined as the maximum concentration of MK-2060 reached.
Concentration at 168 Hours (C168) Postdose of MK-2060
Blood samples will be collected at specified intervals for the determination of C168. C168 is defined as the maximum concentration of MK-2060 reached at 168 hours postdose.
Time to Maximum Concentration (Tmax) of MK-2060
Blood samples will be collected at specified intervals for the determination of Tmax. Tmax is defined as time to the maximum concentration of MK-2060 reached.
Time of the Last Measurable Plasma Concentration (Tlast) of MK-2060
Blood samples will be collected at specified intervals for the determination of Tlast. Tlast is defined as the time to the last measurable concentration of MK-2060 reached.
Terminal Half-Life (t ½) of MK-2060
Blood samples will be collected at specified intervals for the determination of t½. t½ is defined as the time required to divide the MK-2060 plasma concentration by two after reaching pseudo-equilibrium, following a single dose of MK-2060.
Clearance (CL) of MK-2060
Blood samples will be collected at specified intervals for the determination of CL. CL is the volume of plasma from which the study drug is completely removed per unit time.
Volume of Distribution (Vz) of MK-2060
Blood samples will be collected at specified intervals for the determination of Vz. Vz is the apparent volume of distribution during the terminal phase.
Change From Baseline in Activated Partial Thromboplastin Time (aPTT)
Blood samples will be collected for the determination of aPTT. Change from baseline in aPTT up to 150 days will be reported.

Full Information

First Posted
March 3, 2023
Last Updated
September 14, 2023
Sponsor
Merck Sharp & Dohme LLC
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1. Study Identification

Unique Protocol Identification Number
NCT05769595
Brief Title
Single Dose Study of MK-2060 to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics in Older Japanese Participants on Dialysis (MK-2060-012)
Official Title
A Single-dose Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of MK-2060 in Japanese Older Participants With End-stage Renal Disease on Dialysis.
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
June 14, 2023 (Actual)
Primary Completion Date
February 15, 2024 (Anticipated)
Study Completion Date
February 15, 2024 (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
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to assess the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of MK-2060 after a single dose intravenous (IV) administration in Japanese older participants with end stage renal disease (ESRD) on dialysis. There is no primary hypothesis for this study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
End-Stage Renal Disease (ESRD), End-Stage Kidney Disease (ESKD), Kidney Failure, Chronic

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Masking Description
Double blind
Allocation
Randomized
Enrollment
16 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
MK-2060
Arm Type
Experimental
Arm Description
Participants receive MK-2060 50 mg via a single intravenous (IV) infusion over 60-minutes.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Participants receive a single IV saline infusion over 60 minutes.
Intervention Type
Biological
Intervention Name(s)
MK-2060
Intervention Description
Lyophilized powder diluted in normal saline for IV infusion
Intervention Type
Drug
Intervention Name(s)
Placebo
Other Intervention Name(s)
Normal saline
Intervention Description
IV infusion
Primary Outcome Measure Information:
Title
Number of Participants Who Experience an Adverse Event (AE)
Description
An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of the study drug whether or not it is considered related to the study drug. The number of participants who experience an AE will be reported.
Time Frame
Up to approximately 164 days
Title
Number of Participants Who Discontinue Study Due to an AE
Description
An AE is any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of the study drug whether or not it is considered related to the study drug. The number of participants who discontinue study due to an AE will be reported.
Time Frame
Up to approximately 164 days
Secondary Outcome Measure Information:
Title
Area Under the Concentration-Time Curve of MK-2060 From Time 0 to Infinity (AUC 0-inf)
Description
Blood samples will be collected at specified intervals for the determination of AUC0-inf. AUC0-inf is defined as the area under the concentration-time curve of pembrolizumab from time zero to infinity.
Time Frame
Day 1-3: Predose and 1, 12, 24, 48 and 52 hours postdose; once daily on Days 5, 12, 15, 22, 60, 90, 150: postdose; and twice daily on Days 8, 29, 120: pre- and post-dialysis
Title
Area Under the Plasma Concentration-Time Curve of MK-2060 From Time 0 to Last (AUC0-last)
Description
Blood samples will be collected at specified intervals for the determination of AUC0-last. AUC0-last is defined as the area under the plasma concentration-time curve from time zero to time of last measurable concentration of MK-2060.
Time Frame
Day 1-3: Predose and 1, 12, 24, 48 and 52 hours postdose; once daily on Days 5, 12, 15, 22, 60, 90, 150: postdose; and twice daily on Days 8, 29, 120: pre- and post-dialysis
Title
Area Under the Concentration-Time Curve of MK-2060 From Time 0 to 168 Hours Postdose (AUC0-168)
Description
Blood samples will be collected at specified intervals for the determination of AUC0-168. AUC0-168 is defined as the area under the concentration-time curve of MK-2060 from time zero to 168 hours.
Time Frame
Predose and 1, 12, 24, 48, 52, 96, and 168 hours postdose
Title
Maximum Concentration (Cmax) of MK-2060
Description
Blood samples will be collected at specified intervals for the determination of Cmax. Cmax is defined as the maximum concentration of MK-2060 reached.
Time Frame
Day 1-3: Predose and 1, 12, 24, 48 and 52 hours postdose; once daily on Days 5, 12, 15, 22, 60, 90, 150: postdose; and twice daily on Days 8, 29, 120: pre- and post-dialysis
Title
Concentration at 168 Hours (C168) Postdose of MK-2060
Description
Blood samples will be collected at specified intervals for the determination of C168. C168 is defined as the maximum concentration of MK-2060 reached at 168 hours postdose.
Time Frame
Predose and 1, 12, 24, 48, 52, 96, and 168 hours postdose
Title
Time to Maximum Concentration (Tmax) of MK-2060
Description
Blood samples will be collected at specified intervals for the determination of Tmax. Tmax is defined as time to the maximum concentration of MK-2060 reached.
Time Frame
Day 1-3: Predose and 1, 12, 24, 48 and 52 hours postdose; once daily on Days 5, 12, 15, 22, 60, 90, 150: postdose; and twice daily on Days 8, 29, 120: pre- and post-dialysis
Title
Time of the Last Measurable Plasma Concentration (Tlast) of MK-2060
Description
Blood samples will be collected at specified intervals for the determination of Tlast. Tlast is defined as the time to the last measurable concentration of MK-2060 reached.
Time Frame
Day 1-3: Predose and 1, 12, 24, 48 and 52 hours postdose; once daily on Days 5, 12, 15, 22, 60, 90, 150: postdose; and twice daily on Days 8, 29, 120: pre- and post-dialysis
Title
Terminal Half-Life (t ½) of MK-2060
Description
Blood samples will be collected at specified intervals for the determination of t½. t½ is defined as the time required to divide the MK-2060 plasma concentration by two after reaching pseudo-equilibrium, following a single dose of MK-2060.
Time Frame
Day 1-3: Predose and 1, 12, 24, 48 and 52 hours postdose; once daily on Days 5, 12, 15, 22, 60, 90, 150: postdose; and twice daily on Days 8, 29, 120: pre- and post-dialysis
Title
Clearance (CL) of MK-2060
Description
Blood samples will be collected at specified intervals for the determination of CL. CL is the volume of plasma from which the study drug is completely removed per unit time.
Time Frame
Day 1-3: Predose and 1, 12, 24, 48 and 52 hours postdose; once daily on Days 5, 12, 15, 22, 60, 90, 150: postdose; and twice daily on Days 8, 29, 120: pre- and post-dialysis
Title
Volume of Distribution (Vz) of MK-2060
Description
Blood samples will be collected at specified intervals for the determination of Vz. Vz is the apparent volume of distribution during the terminal phase.
Time Frame
Day 1-3: Predose and 1, 12, 24, 48 and 52 hours postdose; once daily on Days 5, 12, 15, 22, 60, 90, 150: postdose; and twice daily on Days 8, 29, 120: pre- and post-dialysis
Title
Change From Baseline in Activated Partial Thromboplastin Time (aPTT)
Description
Blood samples will be collected for the determination of aPTT. Change from baseline in aPTT up to 150 days will be reported.
Time Frame
Baseline and up to 150 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The main inclusion criteria include but are not limited to the following: Japanese descent with all 2 biological parents of Japanese descent On hemodialysis (HD) or hemodiafiltration (HDF) with single-pool Kt/V (spKt/V) ≥1.2, using arteriovenous (AV) fistula or AV graft ≥3 months prior to Screening 1 at a healthcare center, and is on the same dialysis regimen ≥2 weeks prior to Screening 1 Be judged to plan to continue or anticipate the use of the current AV fistula or AV graft until the poststudy visit Exclusion Criteria: The main exclusion criteria include but are not limited to the following: On peritoneal dialysis or other dialysis modalities except for HD and HDF History of deep vein thrombosis or pulmonary embolism History of vascular access thrombosis within 1 month prior to Screening 1 Personal or family history of bleeding disorder History of GI bleeding, duodenal polyps or active gastroduodenal ulcer within 5 years prior to Screening 1, or history of severe hemorrhoidal bleed within 3 months prior to Screening 1 History of frequent epistaxis within 3 months prior to Screening 1 or active gingivitis At the time of screening or predose, planned significant dental procedures, or other planned surgical procedures within duration of participation in the trial History of receiving any human immunoglobulin preparation such as intravenous immunoglobulin (IVIG) or a brand of Rho(D) immune globulin (RhoGAM) within 1 year prior to Screening 1 History of receiving any biological therapy within 3 months prior to Screening 1, or vaccination within 1 month prior to the dose of study intervention Requires or anticipates requiring the use of following prohibited medications until the poststudy visit: anticoagulants, antiplatelet medications and non-steroidal anti-inflammatory drugs (NSAIDs) Participated in another investigational study within 1 month prior to Screening 1 Has blood coagulation test (activated partial thromboplastin time [aPTT] or prothrombin time [PT]) above 1.2X upper limit of normal (ULN) at Screening 1 from the central laboratory for safety
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
Kasugai Municipal Hospital ( Site 1203)
City
Kasugai
State/Province
Aichi
ZIP/Postal Code
486-8510
Country
Japan
Facility Name
Chubu Rosai Hospital ( Site 1202)
City
Nagoya
State/Province
Aichi
ZIP/Postal Code
455-8530
Country
Japan
Facility Name
Kojunkai Daido Hospital ( Site 1207)
City
Nagoya
State/Province
Aichi
ZIP/Postal Code
457-8511
Country
Japan
Facility Name
Jomo Ohashi Clinic ( Site 1210)
City
Maebashi
State/Province
Gunma
ZIP/Postal Code
371-0046
Country
Japan
Facility Name
Ibaraki Prefectural Central Hospital ( Site 1211)
City
Kasama
State/Province
Ibaraki
ZIP/Postal Code
309-1793
Country
Japan
Facility Name
Shonan Kamakura General Hospital ( Site 1205)
City
Kamakura
State/Province
Kanagawa
ZIP/Postal Code
247-8533
Country
Japan
Facility Name
Matsumoto City Hospital ( Site 1209)
City
Matsumoto
State/Province
Nagano
ZIP/Postal Code
390-1401
Country
Japan
Facility Name
Keiaikai Nakamura Hospital ( Site 1213)
City
Beppu
State/Province
Oita
ZIP/Postal Code
874-0937
Country
Japan
Facility Name
Omi Fureai Hospital ( Site 1204)
City
Kusatsu
State/Province
Shiga
ZIP/Postal Code
525-8585
Country
Japan
Facility Name
Ikegami General Hospital ( Site 1206)
City
Ota
State/Province
Tokyo
ZIP/Postal Code
146-8531
Country
Japan
Facility Name
Japanese Red Cross Fukuoka Hospital ( Site 1214)
City
Fukuoka
ZIP/Postal Code
815-8555
Country
Japan
Facility Name
Yamagata Tokushukai Hospital ( Site 1201)
City
Yamagata
ZIP/Postal Code
990-0834
Country
Japan

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

Single Dose Study of MK-2060 to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics in Older Japanese Participants on Dialysis (MK-2060-012)

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