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A Single Escalating Dose Study Of Ertugliflozin (PF-04971729, MK-8835) Under Fed and Fasted Conditons In Healthy Volunteers (MK-8835-036)

Primary Purpose

Type 2 Diabetes Mellitus

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Ertugliflozin
Placebo to Ertugliflozin
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Type 2 Diabetes Mellitus focused on measuring Single Ascending Dose Study in healthy subjects

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy male and/or female subjects of non childbearing potential.
  • Body Mass Index (BMI) of 17.5 to 30.5 kg/m2; and a total body weight >50 kg

Exclusion Criteria:

  • Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurologic, or allergic disease (including drug allergies, but excluding untreated, asymptomatic, seasonal allergies at time of dosing)

Sites / Locations

    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

    Cohort 1 Sequence 1

    Cohort 1 Sequence 2

    Cohort 1 Sequence 3

    Cohort 2 Sequence 1

    Cohort 2 Sequence 2

    Cohort 2 Sequence 3

    Arm Description

    Period 1 (fasted) Placebo → Period 2 (fasted) ertugliflozin (E) 10 mg → Period 3 (fasted) E 100 mg → Period 4 (fed) E 100 mg. Each dose of study drug will be separated by a minimum of 7 days.

    Period 1 (fasted) E 0.5 mg → Period 2 (fasted) Placebo → Period 3 (fasted) E 100 mg → Period 4 (fed) E 100 mg. Each dose of study drug will be separated by a minimum of 7 days.

    Period 1 (fasted) E 0.5 mg → Period 2 (fasted) E 10 mg → Period 3 (fasted) Placebo → Period 4 (fed) E 100 mg. Each dose of study drug will be separated by a minimum of 7 days.

    Period 1 (fasted) Placebo → Period 2 (fasted) E 30 mg → Period 3 (fasted) E 300 mg. Each dose of study drug will be separated by a minimum of 7 days.

    Period 1 (fasted) E 2.5 mg → Period 2 (fasted) Placebo → Period 3 (fasted) E 300 mg. Each dose of study drug will be separated by a minimum of 7 days.

    Period 1 (fasted) E 2.5 mg → Period 2 (fasted) E 30 mg → Period 3 (fasted) Placebo. Each dose of study drug will be separated by a minimum of 7 days.

    Outcomes

    Primary Outcome Measures

    Number of Participants Experiencing an Adverse Event (AE)
    Number of Participants Discontinuing Study Drug Due to an AE
    Change from baseline in 24-hour urinary glucose excretion
    Area under the plasma concentration-time curve (AUC) from Time 0 to infinity (AUCinf) for ertugliflozin
    Area under the plasma concentration-time curve (AUC) from Time 0 to time of the last quantifiable concentration (AUClast) for ertugliflozin
    Maximum plasma concentration (Cmax) of ertugliflozin
    Time taken to reach the maximum observed plasma concentration (Tmax) of ertugliflozin
    Ertugliflozin half life (t1/2)
    Apparent clearance (CL/F) after a single dose of ertugliflozin
    Apparent volume of distribution (Vz/F)

    Secondary Outcome Measures

    Urinary glucose excretion over 72 hours
    Change from baseline in 24-hour weighted mean glucose
    Inhibition of glucose reabsorption
    Renal clearance (CLr) of Ertugliflozin
    Urinary recovery of Ertugliflozin

    Full Information

    First Posted
    October 1, 2009
    Last Updated
    May 28, 2020
    Sponsor
    Merck Sharp & Dohme LLC
    Collaborators
    Pfizer
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00989079
    Brief Title
    A Single Escalating Dose Study Of Ertugliflozin (PF-04971729, MK-8835) Under Fed and Fasted Conditons In Healthy Volunteers (MK-8835-036)
    Official Title
    A Phase 1 Placebo-Controlled Study to Assess the Safety, Tolerability and Pharmacokinetics of PF-04971729 After Administration of Single Escalating Oral Doses Under Fed and Fasted Conditions in Healthy Volunteers
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2020
    Overall Recruitment Status
    Completed
    Study Start Date
    October 16, 2009 (Actual)
    Primary Completion Date
    December 11, 2009 (Actual)
    Study Completion Date
    December 11, 2009 (Actual)

    3. Sponsor/Collaborators

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

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Ertugliflozin (PF-04971729, MK-8835) is a new compound proposed for the treatment of Type 2 diabetes mellitus. The primary purpose of this study is to evaluate the safety and tolerability along with the pharmacokinetics of single escalating doses of ertugliflozin under fed and fasted conditions in healthy volunteers.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Type 2 Diabetes Mellitus
    Keywords
    Single Ascending Dose Study in healthy subjects

    7. Study Design

    Primary Purpose
    Other
    Study Phase
    Phase 1
    Interventional Study Model
    Crossover Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    24 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Cohort 1 Sequence 1
    Arm Type
    Experimental
    Arm Description
    Period 1 (fasted) Placebo → Period 2 (fasted) ertugliflozin (E) 10 mg → Period 3 (fasted) E 100 mg → Period 4 (fed) E 100 mg. Each dose of study drug will be separated by a minimum of 7 days.
    Arm Title
    Cohort 1 Sequence 2
    Arm Type
    Experimental
    Arm Description
    Period 1 (fasted) E 0.5 mg → Period 2 (fasted) Placebo → Period 3 (fasted) E 100 mg → Period 4 (fed) E 100 mg. Each dose of study drug will be separated by a minimum of 7 days.
    Arm Title
    Cohort 1 Sequence 3
    Arm Type
    Experimental
    Arm Description
    Period 1 (fasted) E 0.5 mg → Period 2 (fasted) E 10 mg → Period 3 (fasted) Placebo → Period 4 (fed) E 100 mg. Each dose of study drug will be separated by a minimum of 7 days.
    Arm Title
    Cohort 2 Sequence 1
    Arm Type
    Experimental
    Arm Description
    Period 1 (fasted) Placebo → Period 2 (fasted) E 30 mg → Period 3 (fasted) E 300 mg. Each dose of study drug will be separated by a minimum of 7 days.
    Arm Title
    Cohort 2 Sequence 2
    Arm Type
    Experimental
    Arm Description
    Period 1 (fasted) E 2.5 mg → Period 2 (fasted) Placebo → Period 3 (fasted) E 300 mg. Each dose of study drug will be separated by a minimum of 7 days.
    Arm Title
    Cohort 2 Sequence 3
    Arm Type
    Experimental
    Arm Description
    Period 1 (fasted) E 2.5 mg → Period 2 (fasted) E 30 mg → Period 3 (fasted) Placebo. Each dose of study drug will be separated by a minimum of 7 days.
    Intervention Type
    Drug
    Intervention Name(s)
    Ertugliflozin
    Intervention Description
    Ertugliflozin will be administered as an extemporaneously prepared suspension/solution for all doses within the initially planned range.
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo to Ertugliflozin
    Intervention Description
    Correspondingly placebo doses to ertugliflozin will be administered as suspension/solution
    Primary Outcome Measure Information:
    Title
    Number of Participants Experiencing an Adverse Event (AE)
    Time Frame
    Up to Day 10 of each dosing period
    Title
    Number of Participants Discontinuing Study Drug Due to an AE
    Time Frame
    Up to Day 8 of each dosing period
    Title
    Change from baseline in 24-hour urinary glucose excretion
    Time Frame
    Baseline and 24 hours
    Title
    Area under the plasma concentration-time curve (AUC) from Time 0 to infinity (AUCinf) for ertugliflozin
    Time Frame
    Up to Day 4 of each treatment period
    Title
    Area under the plasma concentration-time curve (AUC) from Time 0 to time of the last quantifiable concentration (AUClast) for ertugliflozin
    Time Frame
    Up to Day 4 of each treatment period
    Title
    Maximum plasma concentration (Cmax) of ertugliflozin
    Time Frame
    Up to Day 4 of each treatment period
    Title
    Time taken to reach the maximum observed plasma concentration (Tmax) of ertugliflozin
    Time Frame
    Up to Day 4 of each treatment period
    Title
    Ertugliflozin half life (t1/2)
    Time Frame
    Up to Day 4 of each treatment period
    Title
    Apparent clearance (CL/F) after a single dose of ertugliflozin
    Time Frame
    Up to Day 4 of each treatment period
    Title
    Apparent volume of distribution (Vz/F)
    Time Frame
    Up to Day 4 of each treatment period
    Secondary Outcome Measure Information:
    Title
    Urinary glucose excretion over 72 hours
    Time Frame
    Up to 72 hours of each dosing period
    Title
    Change from baseline in 24-hour weighted mean glucose
    Time Frame
    Baseline and 24 hours
    Title
    Inhibition of glucose reabsorption
    Time Frame
    Up to 24 hours of each dosing period
    Title
    Renal clearance (CLr) of Ertugliflozin
    Time Frame
    Up to 24 hours of each dosing period
    Title
    Urinary recovery of Ertugliflozin
    Time Frame
    Up to 24 hours of each dosing period

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    55 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Healthy male and/or female subjects of non childbearing potential. Body Mass Index (BMI) of 17.5 to 30.5 kg/m2; and a total body weight >50 kg Exclusion Criteria: Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurologic, or allergic disease (including drug allergies, but excluding untreated, asymptomatic, seasonal allergies at time of dosing)
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Medical Director
    Organizational Affiliation
    Merck Sharp & Dohme LLC
    Official's Role
    Study Director

    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
    Citations:
    PubMed Identifier
    32337660
    Citation
    Fediuk DJ, Nucci G, Dawra VK, Cutler DL, Amin NB, Terra SG, Boyd RA, Krishna R, Sahasrabudhe V. Overview of the Clinical Pharmacology of Ertugliflozin, a Novel Sodium-Glucose Cotransporter 2 (SGLT2) Inhibitor. Clin Pharmacokinet. 2020 Aug;59(8):949-965. doi: 10.1007/s40262-020-00875-1.
    Results Reference
    result
    PubMed Identifier
    34213819
    Citation
    Fediuk DJ, Sahasrabudhe V, Dawra VK, Zhou S, Sweeney K. Population Pharmacokinetic Analyses of Ertugliflozin in Select Ethnic Populations. Clin Pharmacol Drug Dev. 2021 Nov;10(11):1297-1306. doi: 10.1002/cpdd.970. Epub 2021 Jul 2.
    Results Reference
    derived
    PubMed Identifier
    33813736
    Citation
    Marshall JC, Liang Y, Sahasrabudhe V, Tensfeldt T, Fediuk DJ, Zhou S, Krishna R, Dawra VK, Wood LS, Sweeney K. Meta-Analysis of Noncompartmental Pharmacokinetic Parameters of Ertugliflozin to Evaluate Dose Proportionality and UGT1A9 Polymorphism Effect on Exposure. J Clin Pharmacol. 2021 Sep;61(9):1220-1231. doi: 10.1002/jcph.1866. Epub 2021 Jun 19.
    Results Reference
    derived
    PubMed Identifier
    33314761
    Citation
    Callegari E, Lin J, Tse S, Goosen TC, Sahasrabudhe V. Physiologically-Based Pharmacokinetic Modeling of the Drug-Drug Interaction of the UGT Substrate Ertugliflozin Following Co-Administration with the UGT Inhibitor Mefenamic Acid. CPT Pharmacometrics Syst Pharmacol. 2021 Feb;10(2):127-136. doi: 10.1002/psp4.12581. Epub 2020 Dec 30.
    Results Reference
    derived

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    A Single Escalating Dose Study Of Ertugliflozin (PF-04971729, MK-8835) Under Fed and Fasted Conditons In Healthy Volunteers (MK-8835-036)

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