search
Back to results

A Study of MK-0616 in Participants With Moderate Renal Impairment (MK-0616-007)

Primary Purpose

Moderate Renal Impairment

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
MK-0616
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Moderate Renal Impairment

Eligibility Criteria

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

Inclusion Criteria:

  • Good health based upon medical history, physical examination, vital signs, laboratory safety tests, and electrocardiograms (ECG) performed before randomization.
  • Body mass index (BMI) ≥18 kg/m^2 and ≤40 kg/m^2.
  • Male participants must agree to the following during the intervention period and for at least 90 days after the last dose of study intervention: Refrain from donating sperm, PLUS either 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 use acceptable contraception per study protocol.
  • Female participants must be of non-childbearing potential.
  • Moderate RI participants: Baseline estimated glomerular filtration rate (eGFR) ≥30 and <60 mL/min/1.73 m^2 based on the Modification of Diet in Renal Disease (MDRD) equation.
  • Moderate RI participants: No clinically significant change in renal status at least 1 month prior to dosing and not currently receiving or has not previously been on hemodialysis.
  • Healthy Matched Controls: eGFR ≥90 mL/min/1.73 m^2 based on the MDRD equation.

Exclusion Criteria:

  • Healthy Matched Controls: history of clinically significant endocrine, GI, cardiovascular, hematological, hepatic, immunological, renal, respiratory, genitourinary, or major neurological (including stroke and chronic seizures) abnormalities or diseases.
  • Mentally or legally incapacitated, has significant emotional problems at the time of prestudy (screening) visit or expected during the conduct of the study or has a history of clinically significant psychiatric disorder of the last 5 years. Participants who have had situational depression may be enrolled in the study at the discretion of the investigator.
  • History of cancer, with the exception of adequately treated nonmelanomatous skin carcinoma or carcinoma in situ of the cervix or other malignancies that have been successfully treated with appropriate follow up and therefore unlikely to recur for the duration of the study.
  • History of significant multiple and/or severe allergies.
  • Positive for hepatitis B surface antigen (HBsAg), hepatitis C antibodies or human immunodeficiency virus (HIV).
  • History of major surgery, donated or lost 1 unit of blood (approximately 500 mL) within 4 weeks prior to the prestudy (screening) visit.
  • Moderate RI participants: Does not agree to follow the smoking restrictions as defined by the study.
  • Healthy Matched Controls: History of smoking and/or has used nicotine or nicotine-containing products (eg, nicotine patch and electronic cigarette) within 3 months of screening.
  • 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 with the exception of COVID-19 vaccine administration. Study intervention must be given at least 72 hours following or at least 48 hours prior to any COVID-19 vaccination.
  • Consumes greater than 3 servings of alcoholic beverages per day.
  • Consumes excessive amounts, defined as greater than 6 servings (1 serving is approximately equivalent to 120 mg of caffeine) of coffee, tea, cola, energy drinks, or other caffeinated beverages per day.
  • Regular user of cannabis, any illicit drugs or has a history of drug (including alcohol) abuse within approximately 3 months

Sites / Locations

  • Velocity Clinical Research, Hallandale Beach ( Site 0002)
  • Alliance for Multispecialty Research, LLC ( Site 0001)

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Panel A- Moderate RI

Panel B- Healthy Controls

Arm Description

Single dose of MK-0616 10 mg

Single dose of MK-0616 10 mg

Outcomes

Primary Outcome Measures

Area Under the Concentration-Time Curve from Time 0 to Infinity (AUC0-Inf) of MK-0616
Blood for plasma samples will be collected at pre-specified timepoints to determine the AUC0-inf of MK-0616
AUC from Time 0 to Last Measurable Concentration (AUClast) of MK-0616
Blood for plasma samples will be collected at pre-specified timepoints to determine the AUClast of MK-0616
Maximum Plasma Concentration (Cmax) of MK-0616
Blood for plasma samples will be collected at pre-specified time points to determine the Cmax of MK-0616
Time to Maximum Plasma Concentration (Tmax) of MK-0616
Blood for plasma samples will be collected at pre-specified time points to determine the Tmax of MK-0616
Apparent Terminal Half-life (t1/2) of MK-0616
Blood for plasma samples will be collected at pre-specified time points to determine the t1/2 of MK-0616
Apparent Clearance (CL/F) of MK-0616
Blood for plasma samples will be collected at pre-specified time points to determine the CL/F of MK-0616
Apparent Volume of Distribution (Vz/F) of MK-0616
Blood for plasma samples will be collected at pre-specified time points to determine the Vz/F of MK-0616

Secondary Outcome Measures

Number of Participants Experiencing an Adverse Event (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. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention
Number of Participants Who Discontinue From the Study 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. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention
Amount Recovered in Urine from 0 to 24 hours (Ae0-24) of MK-0616
Urine will be collected at pre-specified time points to determine the Ae0-24 of MK-0616
Fraction of Dose Recovered in Urine (Fe) of MK-0616
Urine will be collected at pre-specified time points to determine the Fe of MK-0616
Renal Clearance (CLr) of MK-0616
Urine will be collected at pre-specified time points to determine the CLr of MK-0616
Maximum Percent Change in Free Proprotein Convertase Subtilisin Kexin 9 (PCSK9) from Baseline
Blood will be collected at pre-specified time points to determine the maximum percent change in free PCSK9 from baseline following administration of a single dose of MK-0616

Full Information

First Posted
October 1, 2021
Last Updated
May 19, 2023
Sponsor
Merck Sharp & Dohme LLC
search

1. Study Identification

Unique Protocol Identification Number
NCT05070390
Brief Title
A Study of MK-0616 in Participants With Moderate Renal Impairment (MK-0616-007)
Official Title
An Open-Label Clinical Study to Evaluate the Pharmacokinetics of MK-0616 Following Administration of a Single Dose to Participants With Moderate Renal Impairment
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Completed
Study Start Date
November 16, 2021 (Actual)
Primary Completion Date
May 3, 2023 (Actual)
Study Completion Date
May 3, 2023 (Actual)

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
This purpose of this study is to compare the pharmacokinetics (PK) of a single dose of MK-0616 in participants with moderate renal impairment (RI) to those of healthy matched control participants. This study is being conducted to assess the impact of moderate renal insufficiency on the PK of MK-0616.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
18 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Panel A- Moderate RI
Arm Type
Experimental
Arm Description
Single dose of MK-0616 10 mg
Arm Title
Panel B- Healthy Controls
Arm Type
Experimental
Arm Description
Single dose of MK-0616 10 mg
Intervention Type
Drug
Intervention Name(s)
MK-0616
Intervention Description
10 mg capsule administered orally
Primary Outcome Measure Information:
Title
Area Under the Concentration-Time Curve from Time 0 to Infinity (AUC0-Inf) of MK-0616
Description
Blood for plasma samples will be collected at pre-specified timepoints to determine the AUC0-inf of MK-0616
Time Frame
Pre-dose and 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 72, 120, 168, 240, and 336 hours post dose
Title
AUC from Time 0 to Last Measurable Concentration (AUClast) of MK-0616
Description
Blood for plasma samples will be collected at pre-specified timepoints to determine the AUClast of MK-0616
Time Frame
Pre-dose and 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 72, 120, 168, 240, and 336 hours post dose
Title
Maximum Plasma Concentration (Cmax) of MK-0616
Description
Blood for plasma samples will be collected at pre-specified time points to determine the Cmax of MK-0616
Time Frame
Pre-dose and 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 72, 120, 168, 240, and 336 hours post dose
Title
Time to Maximum Plasma Concentration (Tmax) of MK-0616
Description
Blood for plasma samples will be collected at pre-specified time points to determine the Tmax of MK-0616
Time Frame
Pre-dose and 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 72, 120, 168, 240, and 336 hours post dose
Title
Apparent Terminal Half-life (t1/2) of MK-0616
Description
Blood for plasma samples will be collected at pre-specified time points to determine the t1/2 of MK-0616
Time Frame
Pre-dose and 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 72, 120, 168, 240, and 336 hours post dose
Title
Apparent Clearance (CL/F) of MK-0616
Description
Blood for plasma samples will be collected at pre-specified time points to determine the CL/F of MK-0616
Time Frame
Pre-dose and 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 72, 120, 168, 240, and 336 hours post dose
Title
Apparent Volume of Distribution (Vz/F) of MK-0616
Description
Blood for plasma samples will be collected at pre-specified time points to determine the Vz/F of MK-0616
Time Frame
Pre-dose and 1, 1.5, 2, 3, 5, 8, 12, 24, 36, 48, 72, 120, 168, 240, and 336 hours post dose
Secondary Outcome Measure Information:
Title
Number of Participants Experiencing an Adverse Event (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. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention
Time Frame
Up to approximately 14 days
Title
Number of Participants Who Discontinue From the Study 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. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention
Time Frame
Up to approximately 14 days
Title
Amount Recovered in Urine from 0 to 24 hours (Ae0-24) of MK-0616
Description
Urine will be collected at pre-specified time points to determine the Ae0-24 of MK-0616
Time Frame
Pre-dose and and at 0-4, 4-8, 8-12, 12-24, 24-36, and 36-48 hours post dose
Title
Fraction of Dose Recovered in Urine (Fe) of MK-0616
Description
Urine will be collected at pre-specified time points to determine the Fe of MK-0616
Time Frame
Pre-dose and and at 0-4, 4-8, 8-12, 12-24, 24-36, and 36-48 hours post dose
Title
Renal Clearance (CLr) of MK-0616
Description
Urine will be collected at pre-specified time points to determine the CLr of MK-0616
Time Frame
Pre-dose and and at 0-4, 4-8, 8-12, 12-24, 24-36, and 36-48 hours post dose
Title
Maximum Percent Change in Free Proprotein Convertase Subtilisin Kexin 9 (PCSK9) from Baseline
Description
Blood will be collected at pre-specified time points to determine the maximum percent change in free PCSK9 from baseline following administration of a single dose of MK-0616
Time Frame
Baseline and up to 336 hours post dose

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: Good health based upon medical history, physical examination, vital signs, laboratory safety tests, and electrocardiograms (ECG) performed before randomization. Body mass index (BMI) ≥18 kg/m^2 and ≤40 kg/m^2. Male participants must agree to the following during the intervention period and for at least 90 days after the last dose of study intervention: Refrain from donating sperm, PLUS either 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 use acceptable contraception per study protocol. Female participants must be of non-childbearing potential. Moderate RI participants: Baseline estimated glomerular filtration rate (eGFR) ≥30 and <60 mL/min/1.73 m^2 based on the Modification of Diet in Renal Disease (MDRD) equation. Moderate RI participants: No clinically significant change in renal status at least 1 month prior to dosing and not currently receiving or has not previously been on hemodialysis. Healthy Matched Controls: eGFR ≥80 mL/min/1.73 m^2 based on the MDRD equation. Exclusion Criteria: Healthy Matched Controls: history of clinically significant endocrine, GI, cardiovascular, hematological, hepatic, immunological, renal, respiratory, genitourinary, or major neurological (including stroke and chronic seizures) abnormalities or diseases. Mentally or legally incapacitated, has significant emotional problems at the time of prestudy (screening) visit or expected during the conduct of the study or has a history of clinically significant psychiatric disorder of the last 5 years. Participants who have had situational depression may be enrolled in the study at the discretion of the investigator. History of cancer, with the exception of adequately treated nonmelanomatous skin carcinoma or carcinoma in situ of the cervix or other malignancies that have been successfully treated with appropriate follow up and therefore unlikely to recur for the duration of the study. History of significant multiple and/or severe allergies. Positive for hepatitis B surface antigen (HBsAg), hepatitis C antibodies or human immunodeficiency virus (HIV). History of major surgery, donated or lost 1 unit of blood (approximately 500 mL) within 4 weeks prior to the prestudy (screening) visit. Moderate RI participants: Does not agree to follow the smoking restrictions as defined by the study. Healthy Matched Controls: History of smoking and/or has used nicotine or nicotine-containing products (eg, nicotine patch and electronic cigarette) within 3 months of screening. 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 with the exception of COVID-19 vaccine administration. Study intervention must be given at least 72 hours following or at least 48 hours prior to any COVID-19 vaccination. Consumes greater than 3 servings of alcoholic beverages per day. Consumes excessive amounts, defined as greater than 6 servings (1 serving is approximately equivalent to 120 mg of caffeine) of coffee, tea, cola, energy drinks, or other caffeinated beverages per day. Regular user of cannabis, any illicit drugs or has a history of drug (including alcohol) abuse within approximately 3 months
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
Velocity Clinical Research, Hallandale Beach ( Site 0002)
City
Hallandale Beach
State/Province
Florida
ZIP/Postal Code
33009
Country
United States
Facility Name
Alliance for Multispecialty Research, LLC ( Site 0001)
City
Knoxville
State/Province
Tennessee
ZIP/Postal Code
37920
Country
United States

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

Learn more about this trial

A Study of MK-0616 in Participants With Moderate Renal Impairment (MK-0616-007)

We'll reach out to this number within 24 hrs