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A Study To Evaluate The Effect Of A Supratherapeutic Dose Of MK-8189 On The QTc Interval In Participants With Schizophrenia (MK-8189-019) (TQT)

Primary Purpose

Schizophrenia

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
MK-8189
Moxifloxacin
Placebo
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Schizophrenia

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Meets diagnostic criteria for schizophrenia or schizoaffective disorder according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria. Is in the non-acute phase of their illness. Has a history of receiving and tolerating antipsychotics medication within the usual dose range employed for schizophrenia. Participants with hypothyroidism, diabetes, high blood pressure, chronic respiratory conditions or other medical conditions could be considered if their condition is stable. Exclusion Criteria: History of a primary DSM-5 axis I psychiatric diagnosis other than schizophrenia or schizoaffective disorder per the allowed DSM-5 criteria. History of intellectual disability, borderline personality disorder, anxiety disorder, or organic brain syndrome. History of neuroleptic malignant syndrome or moderate to severe tardive dyskinesia (TD). History of seizure disorder beyond childhood or is receiving treatment with any anticonvulsant to prevent seizures. History of cancer. History or presence of sick sinus syndrome, atrioventricular (AV) block, myocardial infarction, pulmonary congestion, cardiac arrhythmia, prolonged QTc interval, or conduction abnormalities. History of risk factors for Torsades de Pointes (e.g., heart failure/cardiomyopathy or family history of long QT syndrome). History of frequent syncope, vasovagal episodes, or epileptic seizures. Family history of sudden cardiac death. Has a positive test(s) for hepatitis B surface antigen (HBsAg), hepatitis C antibodies or human immunodeficiency virus (HIV). Had major surgery, donated, or lost 1 unit of blood within 4 weeks prior to the pre-study visit.

Sites / Locations

  • California Clinical Trials Medical Group managed by PAREXEL-PAREXEL International ( Site 0003)Recruiting
  • NRC Research Institute ( Site 0004)Recruiting
  • Velocity Clinical Research, Hallandale Beach ( Site 0002)Recruiting
  • Hassman Research Institute Marlton Site ( Site 0001)Recruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Sequence 1: MK-8189 (Treatment A)→Moxifloxacin (Treatment B)→Placebo (Treatment C)

Sequence 2: Moxifloxacin (Treatment B) →Placebo (Treatment C) →MK-8189 (Treatment A)

Sequence 3: Placebo (Treatment C) →MK-8189 (Treatment A) →Moxifloxacin (Treatment B)

Sequence 4: Moxifloxacin (Treatment B) → MK-8189 (Treatment A) → Placebo (Treatment C)

Sequence 5: MK-8189 (Treatment A) →Placebo (Treatment C) →Moxifloxacin (Treatment B)

Sequence 6: Placebo (Treatment C) →Moxifloxacin (Treatment B) → MK-8189 (Treatment A)

Arm Description

Participants receive a sequence of Treatment A in Period 1 followed by Treatment B in Period 2 followed by Treatment C in Period 3; there will be a 5-day washout between periods. Treatment A consists of MK-8189 administered orally at 48 mg on Day 1 and 80 mg on day 2. Treatment B consists of placebo administered orally on Day 1 and moxifloxacin administered orally at 400 mg on Day 2. Treatment C consists of placebo administered orally on Day 1 and Day 2.

Participants receive a sequence of Treatment B in Period 1 followed by Treatment C in Period 2 followed by Treatment A in Period 3; there will be a 5-day washout between periods. Treatment B consists of placebo administered orally on Day 1 and moxifloxacin administered orally at 400 mg on Day 2. Treatment C consists of placebo administered orally on Day 1 and Day 2. Treatment A consists of MK-8189 administered orally at 48 mg on Day 1 and 80 mg on Day 2.

Participants receive a sequence of Treatment C in Period 1 followed by Treatment A in in Period 2 followed by Treatment B in Period 3; there will be a 5-day washout between periods. Treatment C consists of placebo administered orally on Day 1 and Day 2. Treatment A consists of MK-8189 administered orally at 48 mg on Day 1 and 80 mg on Day 2. Treatment B consists of placebo administered orally on Day 1 and moxifloxacin administered orally at 400 mg on Day 2.

Participants receive a sequence of Treatment B in Period 1 followed by Treatment A in Period 2 followed by Treatment C in Period 3; there will be a 5-day washout between periods. Treatment B consists of placebo administered orally on Day 1 and moxifloxacin administered orally at 400 mg on Day 2. Treatment A consists of MK-8189 administered orally at 48 mg on Day 1 and 80 mg on Day 2. Treatment C consists of placebo administered orally on Day 1 and Day 2.

Participants receive a sequence of Treatment A in Period 1 followed by Treatment C in Period 2 followed by Treatment B in Period 3; there will be a 5-day washout between periods. Treatment A consists of MK-8189 administered orally at 48 mg on Day 1 and 80 mg on Day 2. Treatment C consists of placebo administered orally on Day 1 and Day 2. Treatment B consists of placebo administered orally on Day 1 and moxifloxacin administered orally at 400 mg on Day 2.

Participants receive a sequence of Treatment C in Period 1 followed by Treatment B in Period 2 followed by Treatment A in Period 3; there will be a 5-day washout between periods. Treatment C consists of placebo administered orally on Day 1 and Day 2. Treatment B consists of placebo administered orally on Day 1 and moxifloxacin administered orally at 400 mg on Day 2. Treatment A consists of MK-8189 administered orally at 48 mg on Day 1 and 80 mg on Day 2.

Outcomes

Primary Outcome Measures

Change from baseline in QT interval corrected for heart rate (QTc) following MK-8189 treatment
Electrocardiogram data will be obtained using a digital Holter device and the Fridericia correction of the QT interval (QTcF) will be determined. The change from baseline in QTcF will be calculated by subtracting the QTcF value at the timepoint from the QTcF baseline value.
Number of participants with adverse events (AEs)
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Number of participants who discontinue study drug due to an AE
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.

Secondary Outcome Measures

Change from baseline in QT interval corrected for heart rate (QTc) following moxifloxacin treatment
Electrocardiogram data will be obtained using a digital Holter device and the Fridericia correction of the QT interval (QTcF) will be determined. The change from baseline in QTcF wil be calculated by subtracting the QTcF value at the timepoint from the QTcF baseline value.
Area Under the Plasma Concentration-Time curve From Time 0 to 24 hours (AUC0-24) of MK-8189
AUC0-24 is defined as the area under concentration-time curve from 0 to 24 hours. Blood samples taken at pre-dose and up to 24 hours post-dose will be used to determine the AUC0-24 of MK-8189.
Area Under the Plasma Concentration-Time Curve from Time 0 to last quantifiable concentration (AUC0-last) of MK-8189
AUC0-last is the area under the plasma concentration-time curve from time zero to time of last measurable concentration. Blood samples taken at pre-dose and at multiple timepoints post-dose will be used to determine the AUC0-last of MK-8189.
Maximum Concentration (Cmax) of MK-8189
Cmax is defined as the maximum concentration of MK-8189 observed in plasma. Blood samples taken at pre-dose and at multiple timepoints post-dose will be used to determine the Cmax of MK-8189.
Concentration of MK-8189 at 24 Hours (C24) post-dose
C24 is defined as the concentration of MK-8189 observed in plasma at 24 hours. Blood samples taken at 24 hours post-dose will be used to determine the C24 of MK-8189.
Time to maximum concentration (Tmax) of MK-8189
Tmax is defined as the time to maximum concentration of MK-8189 observed in plasma. Blood samples taken at pre-dose and at multiple timepoints post-dose will be used to determine the Tmax of MK-8189.
Apparent Terminal Half-life (t1/2) of MK-8189
t1/2 is defined as the time required to divide the plasma concentration of MK-8189 by half after reaching pseudo-equilibrium. Blood samples taken at pre-dose and at multiple timepoints post-dose will be used to determine the t1/2 of MK-8189.

Full Information

First Posted
May 30, 2023
Last Updated
August 18, 2023
Sponsor
Merck Sharp & Dohme LLC
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1. Study Identification

Unique Protocol Identification Number
NCT05893862
Brief Title
A Study To Evaluate The Effect Of A Supratherapeutic Dose Of MK-8189 On The QTc Interval In Participants With Schizophrenia (MK-8189-019)
Acronym
TQT
Official Title
A Double-Blind, Cross-Over Placebo-Controlled and Active-Controlled Trial To Evaluate The Effect Of A Supratherapeutic Dose Of MK-8189 On The QTc Interval In Participants With Schizophrenia
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
June 26, 2023 (Actual)
Primary Completion Date
January 24, 2024 (Anticipated)
Study Completion Date
January 24, 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
Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary purpose of this study to evaluate the effect of a supratherapeutic dose of 80 mg MK-8189 on the QT interval corrected for heart rate (QTc interval) and to assess the safety and tolerability of multiple once-daily doses of MK-8189 in participants with schizophrenia. The primary hypothesis is that the administration of an 80 mg MK-8189 dose on Day 2 does not prolong the QTc interval to a clinically significant degree. Specifically, the true mean difference (MK-8189 - placebo) in QTc change from baseline is less than 10 milliseconds (msec).

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
84 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Sequence 1: MK-8189 (Treatment A)→Moxifloxacin (Treatment B)→Placebo (Treatment C)
Arm Type
Experimental
Arm Description
Participants receive a sequence of Treatment A in Period 1 followed by Treatment B in Period 2 followed by Treatment C in Period 3; there will be a 5-day washout between periods. Treatment A consists of MK-8189 administered orally at 48 mg on Day 1 and 80 mg on day 2. Treatment B consists of placebo administered orally on Day 1 and moxifloxacin administered orally at 400 mg on Day 2. Treatment C consists of placebo administered orally on Day 1 and Day 2.
Arm Title
Sequence 2: Moxifloxacin (Treatment B) →Placebo (Treatment C) →MK-8189 (Treatment A)
Arm Type
Experimental
Arm Description
Participants receive a sequence of Treatment B in Period 1 followed by Treatment C in Period 2 followed by Treatment A in Period 3; there will be a 5-day washout between periods. Treatment B consists of placebo administered orally on Day 1 and moxifloxacin administered orally at 400 mg on Day 2. Treatment C consists of placebo administered orally on Day 1 and Day 2. Treatment A consists of MK-8189 administered orally at 48 mg on Day 1 and 80 mg on Day 2.
Arm Title
Sequence 3: Placebo (Treatment C) →MK-8189 (Treatment A) →Moxifloxacin (Treatment B)
Arm Type
Experimental
Arm Description
Participants receive a sequence of Treatment C in Period 1 followed by Treatment A in in Period 2 followed by Treatment B in Period 3; there will be a 5-day washout between periods. Treatment C consists of placebo administered orally on Day 1 and Day 2. Treatment A consists of MK-8189 administered orally at 48 mg on Day 1 and 80 mg on Day 2. Treatment B consists of placebo administered orally on Day 1 and moxifloxacin administered orally at 400 mg on Day 2.
Arm Title
Sequence 4: Moxifloxacin (Treatment B) → MK-8189 (Treatment A) → Placebo (Treatment C)
Arm Type
Experimental
Arm Description
Participants receive a sequence of Treatment B in Period 1 followed by Treatment A in Period 2 followed by Treatment C in Period 3; there will be a 5-day washout between periods. Treatment B consists of placebo administered orally on Day 1 and moxifloxacin administered orally at 400 mg on Day 2. Treatment A consists of MK-8189 administered orally at 48 mg on Day 1 and 80 mg on Day 2. Treatment C consists of placebo administered orally on Day 1 and Day 2.
Arm Title
Sequence 5: MK-8189 (Treatment A) →Placebo (Treatment C) →Moxifloxacin (Treatment B)
Arm Type
Experimental
Arm Description
Participants receive a sequence of Treatment A in Period 1 followed by Treatment C in Period 2 followed by Treatment B in Period 3; there will be a 5-day washout between periods. Treatment A consists of MK-8189 administered orally at 48 mg on Day 1 and 80 mg on Day 2. Treatment C consists of placebo administered orally on Day 1 and Day 2. Treatment B consists of placebo administered orally on Day 1 and moxifloxacin administered orally at 400 mg on Day 2.
Arm Title
Sequence 6: Placebo (Treatment C) →Moxifloxacin (Treatment B) → MK-8189 (Treatment A)
Arm Type
Experimental
Arm Description
Participants receive a sequence of Treatment C in Period 1 followed by Treatment B in Period 2 followed by Treatment A in Period 3; there will be a 5-day washout between periods. Treatment C consists of placebo administered orally on Day 1 and Day 2. Treatment B consists of placebo administered orally on Day 1 and moxifloxacin administered orally at 400 mg on Day 2. Treatment A consists of MK-8189 administered orally at 48 mg on Day 1 and 80 mg on Day 2.
Intervention Type
Drug
Intervention Name(s)
MK-8189
Intervention Description
Oral Tablet
Intervention Type
Drug
Intervention Name(s)
Moxifloxacin
Intervention Description
Oral Tablet
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Oral Tablet
Primary Outcome Measure Information:
Title
Change from baseline in QT interval corrected for heart rate (QTc) following MK-8189 treatment
Description
Electrocardiogram data will be obtained using a digital Holter device and the Fridericia correction of the QT interval (QTcF) will be determined. The change from baseline in QTcF will be calculated by subtracting the QTcF value at the timepoint from the QTcF baseline value.
Time Frame
Baseline and up to 3 days
Title
Number of participants with adverse events (AEs)
Description
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Time Frame
Up to ~30 days
Title
Number of participants who discontinue study drug due to an AE
Description
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Time Frame
Up to ~16 days
Secondary Outcome Measure Information:
Title
Change from baseline in QT interval corrected for heart rate (QTc) following moxifloxacin treatment
Description
Electrocardiogram data will be obtained using a digital Holter device and the Fridericia correction of the QT interval (QTcF) will be determined. The change from baseline in QTcF wil be calculated by subtracting the QTcF value at the timepoint from the QTcF baseline value.
Time Frame
Baseline and up to 3 days
Title
Area Under the Plasma Concentration-Time curve From Time 0 to 24 hours (AUC0-24) of MK-8189
Description
AUC0-24 is defined as the area under concentration-time curve from 0 to 24 hours. Blood samples taken at pre-dose and up to 24 hours post-dose will be used to determine the AUC0-24 of MK-8189.
Time Frame
Day 1: Pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 12, 14 hours postdose; Day 2: Predose, 0.5, 1, 2, 3, 4, 8, 11, 14, 16, 24 hours postdose
Title
Area Under the Plasma Concentration-Time Curve from Time 0 to last quantifiable concentration (AUC0-last) of MK-8189
Description
AUC0-last is the area under the plasma concentration-time curve from time zero to time of last measurable concentration. Blood samples taken at pre-dose and at multiple timepoints post-dose will be used to determine the AUC0-last of MK-8189.
Time Frame
Day 1: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 14 hours postdose; Day 2: Predose, 0.5, 1, 2, 3, 4, 8, 11, 14, 16, 24, 36, 48, 72 hours postdose
Title
Maximum Concentration (Cmax) of MK-8189
Description
Cmax is defined as the maximum concentration of MK-8189 observed in plasma. Blood samples taken at pre-dose and at multiple timepoints post-dose will be used to determine the Cmax of MK-8189.
Time Frame
Day 1: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 14 hours postdose; Day 2: Predose, 0.5, 1, 2, 3, 4, 8, 11, 14, 16, 24, 36, 48, 72 hours postdose
Title
Concentration of MK-8189 at 24 Hours (C24) post-dose
Description
C24 is defined as the concentration of MK-8189 observed in plasma at 24 hours. Blood samples taken at 24 hours post-dose will be used to determine the C24 of MK-8189.
Time Frame
24 hours post-dose
Title
Time to maximum concentration (Tmax) of MK-8189
Description
Tmax is defined as the time to maximum concentration of MK-8189 observed in plasma. Blood samples taken at pre-dose and at multiple timepoints post-dose will be used to determine the Tmax of MK-8189.
Time Frame
Day 1: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 14 hours postdose; Day 2: Predose, 0.5, 1, 2, 3, 4, 8, 11, 14, 16, 24, 36, 48, 72 hours postdose
Title
Apparent Terminal Half-life (t1/2) of MK-8189
Description
t1/2 is defined as the time required to divide the plasma concentration of MK-8189 by half after reaching pseudo-equilibrium. Blood samples taken at pre-dose and at multiple timepoints post-dose will be used to determine the t1/2 of MK-8189.
Time Frame
Day 1: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 14 hours postdose; Day 2: Predose, 0.5, 1, 2, 3, 4, 8, 11, 14, 16, 24, 36, 48, 72 hours postdose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Meets diagnostic criteria for schizophrenia or schizoaffective disorder according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria. Is in the non-acute phase of their illness. Has a history of receiving and tolerating antipsychotics medication within the usual dose range employed for schizophrenia. Participants with hypothyroidism, diabetes, high blood pressure, chronic respiratory conditions or other medical conditions could be considered if their condition is stable. Exclusion Criteria: History of a primary DSM-5 axis I psychiatric diagnosis other than schizophrenia or schizoaffective disorder per the allowed DSM-5 criteria. History of intellectual disability, borderline personality disorder, anxiety disorder, or organic brain syndrome. History of neuroleptic malignant syndrome or moderate to severe tardive dyskinesia (TD). History of seizure disorder beyond childhood or is receiving treatment with any anticonvulsant to prevent seizures. History of cancer. History or presence of sick sinus syndrome, atrioventricular (AV) block, myocardial infarction, pulmonary congestion, cardiac arrhythmia, prolonged QTc interval, or conduction abnormalities. History of risk factors for Torsades de Pointes (e.g., heart failure/cardiomyopathy or family history of long QT syndrome). History of frequent syncope, vasovagal episodes, or epileptic seizures. Family history of sudden cardiac death. Has a positive test(s) for hepatitis B surface antigen (HBsAg), hepatitis C antibodies or human immunodeficiency virus (HIV). Had major surgery, donated, or lost 1 unit of blood within 4 weeks prior to the pre-study visit.
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 0003)
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
310-403-2515
Facility Name
NRC Research Institute ( Site 0004)
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 0002)
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
Hassman Research Institute Marlton Site ( Site 0001)
City
Marlton
State/Province
New Jersey
ZIP/Postal Code
08053
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Study Coordinator
Phone
267-981-8911

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 To Evaluate The Effect Of A Supratherapeutic Dose Of MK-8189 On The QTc Interval In Participants With Schizophrenia (MK-8189-019)

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