A Study of MK-6194 (PT101) in Participants With Active Ulcerative Colitis (UC) (MK-6194-002)
Primary Purpose
Ulcerative Colitis
Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
MK-6194
MK-6194-matching placebo
Sponsored by
About this trial
This is an interventional treatment trial for Ulcerative Colitis
Eligibility Criteria
Inclusion Criteria:
- Diagnosis of UC at least 3 months prior to screening.
- Mildly to severely active UC.
- Inadequate response, loss of response, or intolerance to at least 1 prior conventional therapy, and no more than 2 prior advanced therapies.
Participants at risk for colorectal cancer must have a colonoscopy prior to or at screening as follows:
- Participants > 50 years of age must have documentation of a colonoscopy within 3 years of the screening visit to exclude adenomatous polyps. Participants whose adenomas have been completely excised at screening are eligible.
- Participants with extensive colitis for ≥ 8 years, or disease limited to the left side of the colon for ≥ 10 years, must either have had a full colonoscopy to assess for the presence of dysplasia within 1 year before first administration of study drug or a full colonoscopy to assess for the presence of malignancy at the screening visit.
- No evidence of active tuberculosis (TB), latent TB, or inadequately treated TB.
- Women of childbearing potential (WOCBP) and males with female partners of childbearing potential must utilize highly effective contraceptive methods beginning 4 weeks prior to first dose of study drug and continue for 30 days after the last dose of study drug.
- Body mass index (BMI) 18 to 35 kg/m^2 inclusive and weight ≥ 50 kg.
Exclusion Criteria:
- Prior treatment with recombinant IL-2 or modified IL-2 therapy, including MK-6194 (PT101).
- Known sensitivity to MK-6194 (PT101) or its excipients.
- Known history of hypersensitivity to interleukin-2 (IL-2).
- Disease limited to the rectum (i.e., within 15 cm of the anal verge).
- Diagnosis of toxic megacolon.
- Suspected or known colon stricture or stenosis.
- Diagnosis of Crohn's disease, or indeterminant colitis.
Has severe colitis as evidenced by:
- Current hospitalization for the treatment of UC
- Likely to require a colectomy within 12 weeks of baseline in the opinion of the Investigator
- At least 4 symptoms of severe colitis as identified at screening or baseline visits.
- Previously had surgery for UC, or likely to require surgery for UC during the study period in the opinion of the Investigator.
- History of abnormal thallium stress test or functional cardiac function test.
- History of significant cardiac, pulmonary, renal, hepatic, or central nervous system (CNS) impairment.
- Active clinically significant infection, or any infection requiring hospitalization or treatment with intravenous anti-infectives within 8 weeks of randomization, or any infection requiring oral anti-infective therapy within 6 weeks of randomization.
- History of opportunistic infection.
- History of symptomatic herpes zoster within 16 weeks of randomization, or any history of disseminated herpes simplex, disseminated herpes zoster, ophthalmic zoster, or central nervous system (CNS) zoster.
- Currently on any chronic systemic (oral or IV) anti-infective therapy for chronic infection (such as pneumocystis, cytomegalovirus, herpes zoster, or atypical mycobacteria).
- Currently receiving lymphocyte depleting therapy.
- History of abnormal pulmonary function tests.
- Participants with organ or tissue allograft.
- Malignancy within 5 years of screening, with the exception of adequately treated or excised non-metastatic basal cell or squamous cell cancer of the skin.
- Exposure to advanced therapy within 5 half-lives of the Day 1 visit, or documentation of detectable drug during screening.
- Received a live attenuated vaccine < 1 month prior to screening or is planning to receive a live attenuated vaccine during the study period or within 12 weeks of the end of participation in the study.
- Is pregnant or nursing or is planning to become pregnant during the study.
- Any uncontrolled or clinically significant concurrent systemic disease other than UC.
Sites / Locations
- Inland Empire Clinical Trials, LLC ( Site 0102)
- IHS. Health, LLC ( Site 0104)
- Carolina's GI Research, LLC ( Site 0105)
- Pinnacle Clinical Research ( Site 0103)
- Southern Star Research Institute ( Site 0101)
- ARENSIA Exploratory Medicine Georgia ( Site 0801)
- Charite Research Organisation GmbH ( Site 0201)Recruiting
- PRA Magyarorszag Kutatasi es Fejlesztesi Kft. ( Site 0302)
- ARENSIA Exploratory Medicine ( Site 0401)
- Allmedica Badania Kliniczne Sp z o. o. Sp. K. ( Site 0502)Recruiting
- WIP Warsaw IBD Point Professor Kierkus ( Site 0501)
- Arensia Exploratory Medicine GmbH Ukraine ( Site 0701)
- MAC Clinical Research Prescot ( Site 0604)
- Memory Assessment Clinics Ltd ( Site 0601)
- MAC Clinical Research ( Site 0602)
- MAC Clinical Research Centre Leeds ( Site 0603)
- MAC Clinical Research Ltd. ( Site 0605)
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
MK-6194
Placebo
Arm Description
Participants will be enrolled in sequential cohorts treated with successively higher doses of MK-6194 via subcutaneous injection.
Participants will receive MK-6194-matching placebo via subcutaneous injection.
Outcomes
Primary Outcome Measures
Percentage of Participants Experiencing 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.
Percentage of Participants Discontinuing Study Treatment 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
Maximum Concentration (Cmax) of MK-6194
Cmax is defined as the maximum concentration of MK-6194 observed in plasma.
Time to Cmax (Tmax) of MK-6194
Tmax is defined as the time of maximum concentration of MK-6194 observed in plasma.
Area Under the Concentration Time-curve From Time 0 to the Last Quantifiable Concentration (AUC0-t)
AUC0-t is defined as the area under concentration-time curve from 0 to last quantifiable concentration.
Minimum Concentration (Cmin) of MK-6194
Cmin is defined as the minimum concentration of MK-6194 observed in plasma.
Area Under the Curve From Time 0 to Infinity (AUC0-inf) of MK-6194
AUC0-inf is a measure of the total amount of MK-6194 in the plasma from time zero to infinity.
Apparent Half-life (t1/2) of MK-6194
t1/2 is defined as the time required for the plasma concentration of MK-6194 to decrease by 50%.
Apparent Clearance (CL/F) of MK-6194
CL/F is defined as the apparent clearance of MK-6194 observed in plasma.
Apparent Volume of Distribution (Vd/F) of MK-6194
Vd/F is defined as the apparent volume of distribution of MK-6194 observed in plasma.
Change in Number of Peripheral Regulatory T-cells (Tregs) in Whole Blood
The change in the number of peripheral Tregs in whole blood will be assessed.
Change in Number of Natural Killer (NK) Cells in Whole Blood
The change in the number of NK cells in whole blood will be assessed.
Change in Number of Conventional T Cells (Tcons) in Whole Blood
The change in the number of Tcons in whole blood will be assessed.
Titer of anti-drug antibody (ADA) to MK-6194
ADA of MK-6194 will be assessed.
Full Information
NCT ID
NCT04924114
First Posted
February 26, 2021
Last Updated
October 15, 2023
Sponsor
Merck Sharp & Dohme LLC
1. Study Identification
Unique Protocol Identification Number
NCT04924114
Brief Title
A Study of MK-6194 (PT101) in Participants With Active Ulcerative Colitis (UC) (MK-6194-002)
Official Title
A Phase 1b, Randomized, Adaptive, Double-Blind, Placebo-Controlled, Multicenter Study to Investigate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Multiple Doses of PT101 in Subjects With Active Ulcerative Colitis
Study Type
Interventional
2. Study Status
Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
October 14, 2021 (Actual)
Primary Completion Date
March 27, 2024 (Anticipated)
Study Completion Date
November 6, 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
Yes
5. Study Description
Brief Summary
The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics and immunogenicity of MK-6194 in participants with active UC.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ulcerative Colitis
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
30 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
MK-6194
Arm Type
Experimental
Arm Description
Participants will be enrolled in sequential cohorts treated with successively higher doses of MK-6194 via subcutaneous injection.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Participants will receive MK-6194-matching placebo via subcutaneous injection.
Intervention Type
Drug
Intervention Name(s)
MK-6194
Other Intervention Name(s)
PT101
Intervention Description
Subcutaneous injection
Intervention Type
Drug
Intervention Name(s)
MK-6194-matching placebo
Intervention Description
Subcutaneous injection
Primary Outcome Measure Information:
Title
Percentage of Participants Experiencing 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 approximately 85 days
Title
Percentage of Participants Discontinuing Study Treatment 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 approximately 85 days
Secondary Outcome Measure Information:
Title
Maximum Concentration (Cmax) of MK-6194
Description
Cmax is defined as the maximum concentration of MK-6194 observed in plasma.
Time Frame
At designated time points (up to 85 days)
Title
Time to Cmax (Tmax) of MK-6194
Description
Tmax is defined as the time of maximum concentration of MK-6194 observed in plasma.
Time Frame
At designated time points (up to 85 days)
Title
Area Under the Concentration Time-curve From Time 0 to the Last Quantifiable Concentration (AUC0-t)
Description
AUC0-t is defined as the area under concentration-time curve from 0 to last quantifiable concentration.
Time Frame
At designated time points (up to 85 days)
Title
Minimum Concentration (Cmin) of MK-6194
Description
Cmin is defined as the minimum concentration of MK-6194 observed in plasma.
Time Frame
At designated time points (up to 85 days)
Title
Area Under the Curve From Time 0 to Infinity (AUC0-inf) of MK-6194
Description
AUC0-inf is a measure of the total amount of MK-6194 in the plasma from time zero to infinity.
Time Frame
At designated time points (up to 85 days)
Title
Apparent Half-life (t1/2) of MK-6194
Description
t1/2 is defined as the time required for the plasma concentration of MK-6194 to decrease by 50%.
Time Frame
At designated time points (up to 85 days)
Title
Apparent Clearance (CL/F) of MK-6194
Description
CL/F is defined as the apparent clearance of MK-6194 observed in plasma.
Time Frame
At designated time points (up to 85 days)
Title
Apparent Volume of Distribution (Vd/F) of MK-6194
Description
Vd/F is defined as the apparent volume of distribution of MK-6194 observed in plasma.
Time Frame
At designated time points (up to 85 days)
Title
Change in Number of Peripheral Regulatory T-cells (Tregs) in Whole Blood
Description
The change in the number of peripheral Tregs in whole blood will be assessed.
Time Frame
Baseline and up to 85 days (last study visit)
Title
Change in Number of Natural Killer (NK) Cells in Whole Blood
Description
The change in the number of NK cells in whole blood will be assessed.
Time Frame
Baseline and up to 85 days (last study visit)
Title
Change in Number of Conventional T Cells (Tcons) in Whole Blood
Description
The change in the number of Tcons in whole blood will be assessed.
Time Frame
Baseline and up to 85 days (last study visit)
Title
Titer of anti-drug antibody (ADA) to MK-6194
Description
ADA of MK-6194 will be assessed.
Time Frame
At designated time points (up to 85 days)
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Diagnosis of UC at least 3 months prior to screening.
Mildly to severely active UC.
Inadequate response, loss of response, or intolerance to at least 1 prior conventional therapy, and no more than 2 prior advanced therapies.
Participants at risk for colorectal cancer must have a colonoscopy prior to or at screening as follows:
Participants > 50 years of age must have documentation of a colonoscopy within 3 years of the screening visit to exclude adenomatous polyps. Participants whose adenomas have been completely excised at screening are eligible.
Participants with extensive colitis for ≥ 8 years, or disease limited to the left side of the colon for ≥ 10 years, must either have had a full colonoscopy to assess for the presence of dysplasia within 1 year before first administration of study drug or a full colonoscopy to assess for the presence of malignancy at the screening visit.
No evidence of active tuberculosis (TB), latent TB, or inadequately treated TB.
Women of childbearing potential (WOCBP) and males with female partners of childbearing potential must utilize highly effective contraceptive methods beginning 4 weeks prior to first dose of study drug and continue for 30 days after the last dose of study drug.
Body mass index (BMI) 18 to 35 kg/m^2 inclusive and weight ≥ 50 kg.
Exclusion Criteria:
Prior treatment with recombinant IL-2 or modified IL-2 therapy, including MK-6194 (PT101).
Known sensitivity to MK-6194 (PT101) or its excipients.
Known history of hypersensitivity to interleukin-2 (IL-2).
Disease limited to the rectum (i.e., within 15 cm of the anal verge).
Diagnosis of toxic megacolon.
Suspected or known colon stricture or stenosis.
Diagnosis of Crohn's disease, or indeterminant colitis.
Has severe colitis as evidenced by:
Current hospitalization for the treatment of UC
Likely to require a colectomy within 12 weeks of baseline in the opinion of the Investigator
At least 4 symptoms of severe colitis as identified at screening or baseline visits.
Previously had surgery for UC, or likely to require surgery for UC during the study period in the opinion of the Investigator.
History of abnormal thallium stress test or functional cardiac function test.
History of significant cardiac, pulmonary, renal, hepatic, or central nervous system (CNS) impairment.
Active clinically significant infection, or any infection requiring hospitalization or treatment with intravenous anti-infectives within 8 weeks of randomization, or any infection requiring oral anti-infective therapy within 6 weeks of randomization.
History of opportunistic infection.
History of symptomatic herpes zoster within 16 weeks of randomization, or any history of disseminated herpes simplex, disseminated herpes zoster, ophthalmic zoster, or central nervous system (CNS) zoster.
Currently on any chronic systemic (oral or IV) anti-infective therapy for chronic infection (such as pneumocystis, cytomegalovirus, herpes zoster, or atypical mycobacteria).
Currently receiving lymphocyte depleting therapy.
History of abnormal pulmonary function tests.
Participants with organ or tissue allograft.
Malignancy within 5 years of screening, with the exception of adequately treated or excised non-metastatic basal cell or squamous cell cancer of the skin.
Exposure to advanced therapy within 5 half-lives of the Day 1 visit, or documentation of detectable drug during screening.
Received a live attenuated vaccine < 1 month prior to screening or is planning to receive a live attenuated vaccine during the study period or within 12 weeks of the end of participation in the study.
Is pregnant or nursing or is planning to become pregnant during the study.
Any uncontrolled or clinically significant concurrent systemic disease other than UC.
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
Inland Empire Clinical Trials, LLC ( Site 0102)
City
Rialto
State/Province
California
ZIP/Postal Code
92377
Country
United States
Individual Site Status
Completed
Facility Name
IHS. Health, LLC ( Site 0104)
City
Kissimmee
State/Province
Florida
ZIP/Postal Code
34741
Country
United States
Individual Site Status
Completed
Facility Name
Carolina's GI Research, LLC ( Site 0105)
City
Raleigh
State/Province
North Carolina
ZIP/Postal Code
27607
Country
United States
Individual Site Status
Completed
Facility Name
Pinnacle Clinical Research ( Site 0103)
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Individual Site Status
Completed
Facility Name
Southern Star Research Institute ( Site 0101)
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
ARENSIA Exploratory Medicine Georgia ( Site 0801)
City
Tbilisi
ZIP/Postal Code
0112
Country
Georgia
Individual Site Status
Active, not recruiting
Facility Name
Charite Research Organisation GmbH ( Site 0201)
City
Berlin
ZIP/Postal Code
10117
Country
Germany
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Study Coordinator
Phone
+49 30 450 539 200
Facility Name
PRA Magyarorszag Kutatasi es Fejlesztesi Kft. ( Site 0302)
City
Budapest
ZIP/Postal Code
1007
Country
Hungary
Individual Site Status
Completed
Facility Name
ARENSIA Exploratory Medicine ( Site 0401)
City
Chisinau
ZIP/Postal Code
2025
Country
Moldova, Republic of
Individual Site Status
Active, not recruiting
Facility Name
Allmedica Badania Kliniczne Sp z o. o. Sp. K. ( Site 0502)
City
Nowy Targ
State/Province
Malopolskie
ZIP/Postal Code
34-400
Country
Poland
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Study Coordinator
Phone
+ 48 18 479 1098
Facility Name
WIP Warsaw IBD Point Professor Kierkus ( Site 0501)
City
Warszawa
State/Province
Mazowieckie
ZIP/Postal Code
00-728
Country
Poland
Individual Site Status
Active, not recruiting
Facility Name
Arensia Exploratory Medicine GmbH Ukraine ( Site 0701)
City
Kyiv
State/Province
Kyivska Oblast
ZIP/Postal Code
01135
Country
Ukraine
Individual Site Status
Suspended
Facility Name
MAC Clinical Research Prescot ( Site 0604)
City
Prescot
State/Province
Knowsley
ZIP/Postal Code
L34 1BH
Country
United Kingdom
Individual Site Status
Completed
Facility Name
Memory Assessment Clinics Ltd ( Site 0601)
City
Blackpool
State/Province
Lancashire
ZIP/Postal Code
FY2 0JH
Country
United Kingdom
Individual Site Status
Active, not recruiting
Facility Name
MAC Clinical Research ( Site 0602)
City
Barnsley
ZIP/Postal Code
S75 3DL
Country
United Kingdom
Individual Site Status
Active, not recruiting
Facility Name
MAC Clinical Research Centre Leeds ( Site 0603)
City
Leeds
ZIP/Postal Code
LS10 1DU
Country
United Kingdom
Individual Site Status
Active, not recruiting
Facility Name
MAC Clinical Research Ltd. ( Site 0605)
City
Manchester
ZIP/Postal Code
M13 9NQ
Country
United Kingdom
Individual Site Status
Active, not recruiting
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-6194 (PT101) in Participants With Active Ulcerative Colitis (UC) (MK-6194-002)
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