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A Study of the Safety, Tolerability, and Pharmacodynamics of MK-8931 in Participants With Alzheimer's Disease (MK-8931-010 AM1 [P07820 AM1])

Primary Purpose

Alzheimer's Disease

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
MK-8931
Placebo
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Alzheimer's Disease

Eligibility Criteria

50 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion criteria:

  • Body Mass Index (BMI) between 18 and 35
  • Mild to moderate Alzheimer's Disease (AD)
  • Clear history of cognitive and functional decline over at least one year that is either documented in medical records, or documented by history from an informant who knows the subject well
  • Magnetic Resonance Image (MRI) scan consistent with a diagnosis of AD
  • Ability to read at a 6th grade level and history of academic achievement and/or employment sufficient to exclude mental retardation
  • If applicable, on a stable dose of an acetylcholinesterase inhibitor and/or memantine for at least the last 3 months before Screening, and willing to remain on the same dose for the duration of the trial
  • Reliable trial partner/caregiver
  • Willing to provide a blood sample for Apolipoprotein E (APOE) genotyping
  • In general good health (other than AD)
  • Participant capable of conceiving and/or participant with partner capable of conceiving willing to use a medically acceptable form of contraception during the trial and for 3 months after stopping the medication

Exclusion criteria:

  • History (within 2 years of the prestudy visit) or current evidence of any neurological or neurodegenerative disorder other than AD that is associated with transient or sustained alterations in cognition
  • Clinically significant abnormalities in serum vitamin B12, folate, thyroid stimulating hormone (TSH) or thyroxin 4 (T4). Vitamin B12 or thyroid replacement therapy must with stable dose for at least 2 months prior to screening visit
  • One or more pre-existing risk factors for Torsades de Pointes: New York Heart Association (NYHA) Functional Classification II through IV heart failure; Familial Long QT Syndrome; or Uncorrected hypokalemia
  • Any surgical or medical condition which might significantly alter the absorption, distribution, metabolism or excretion of any drug
  • History of spinal cord compression or any other current abnormalities in the lumbar region (skin infection, developmental abnormalities in lower spine, etc.)
  • History of any infectious disease within 4 weeks prior to drug administration
  • Human immunodeficiency virus (HIV) positive
  • History of hepatitis or liver disease within 6 months of screening
  • History of psychiatric or personality disorders
  • Evidence of suicidality or is at risk for self-harm or harm to others
  • History of seizures or epilepsy or anticonvulsant use within the last 5 years before Screening
  • History of alcohol or drug abuse in the past 2 years
  • Donation of blood in the past 60 days
  • Previously received the study drug
  • Currently participating in another clinical study or have participated in a clinical study (e.g., laboratory or clinical evaluation) within 30 days of baseline
  • Member of the study staff or family members of the study staff
  • Demonstrated allergic reactions (e.g., food, drug, atopic reactions or asthmatic episodes)
  • History of malignancy occurring within the 5 years immediately before Screening, except for a subject who has been adequately treated for basal cell or squamous cell skin cancer, in situ cervical cancer, localized prostate carcinoma; or has undergone potentially curative therapy with no evidence of recurrence for ≥1 year post-therapy, and deemed at low risk for recurrence by her/his treating physician

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm Type

    Experimental

    Experimental

    Placebo Comparator

    Experimental

    Placebo Comparator

    Arm Label

    Treatment A: MK-8931 12 mg

    Treatment B: MK-8931 40 mg

    Treatment C: Placebo matching MK-8931 12 mg or 40 mg

    Treatment D: MK-8931 60 mg

    Treatment E: Placebo matching MK-8931 60 mg

    Arm Description

    Participants receiving 12 mg MK-8931 for 7 days

    Participants receiving MK-8931 40 mg for 7 days

    Participants receiving placebo matching MK-8931 12 mg or 40 mg for 7 days

    Participant receiving MK-8931 60 mg for 7 days

    Participants receiving placebo matching MK-8931 60 mg for 7 days

    Outcomes

    Primary Outcome Measures

    Mean population Inhibitory Concentration for 50% Effect (IC50) in cerebral spinal fluid (CSF) ß-amyloid peptide 40 (Aß40)

    Secondary Outcome Measures

    Change in CSF Aß40 concentration determined by time-weighted average from 0 to 24 hours (TWA0-24)
    Change in CSF soluble amyloid precursor protein ß (sAPPß ) concentration determined by TWA0-24

    Full Information

    First Posted
    December 6, 2011
    Last Updated
    October 22, 2015
    Sponsor
    Merck Sharp & Dohme LLC
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01496170
    Brief Title
    A Study of the Safety, Tolerability, and Pharmacodynamics of MK-8931 in Participants With Alzheimer's Disease (MK-8931-010 AM1 [P07820 AM1])
    Official Title
    A Study to Assess the Safety, Tolerability, and Pharmacodynamics of MK-8931/SCH 900931 in Patients With Alzheimer's Disease [Phase 1b; Protocol No. 010-00 (Also Known as P07820)]
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2015
    Overall Recruitment Status
    Completed
    Study Start Date
    December 2011 (undefined)
    Primary Completion Date
    June 2012 (Actual)
    Study Completion Date
    June 2012 (Actual)

    3. Sponsor/Collaborators

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

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This study will assess the safety and pharmacodynamics of three different doses of MK-8931, a ß-secretase inhibitor, in participants with mild to moderate Alzheimer's Disease (AD).

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Alzheimer's Disease

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    32 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Treatment A: MK-8931 12 mg
    Arm Type
    Experimental
    Arm Description
    Participants receiving 12 mg MK-8931 for 7 days
    Arm Title
    Treatment B: MK-8931 40 mg
    Arm Type
    Experimental
    Arm Description
    Participants receiving MK-8931 40 mg for 7 days
    Arm Title
    Treatment C: Placebo matching MK-8931 12 mg or 40 mg
    Arm Type
    Placebo Comparator
    Arm Description
    Participants receiving placebo matching MK-8931 12 mg or 40 mg for 7 days
    Arm Title
    Treatment D: MK-8931 60 mg
    Arm Type
    Experimental
    Arm Description
    Participant receiving MK-8931 60 mg for 7 days
    Arm Title
    Treatment E: Placebo matching MK-8931 60 mg
    Arm Type
    Placebo Comparator
    Arm Description
    Participants receiving placebo matching MK-8931 60 mg for 7 days
    Intervention Type
    Drug
    Intervention Name(s)
    MK-8931
    Other Intervention Name(s)
    SCH 900931
    Intervention Description
    MK-8931, capsules, at a dose of 12 or 40 mg, orally, once per day for 7 days
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    Placebo capsules, orally, once per day for 7 days
    Primary Outcome Measure Information:
    Title
    Mean population Inhibitory Concentration for 50% Effect (IC50) in cerebral spinal fluid (CSF) ß-amyloid peptide 40 (Aß40)
    Time Frame
    Hour 0 (predose) to 36 hours post-dose on Day 7
    Secondary Outcome Measure Information:
    Title
    Change in CSF Aß40 concentration determined by time-weighted average from 0 to 24 hours (TWA0-24)
    Time Frame
    Baseline, and assessment over 24 hours post Day 7 dose
    Title
    Change in CSF soluble amyloid precursor protein ß (sAPPß ) concentration determined by TWA0-24
    Time Frame
    Baseline, and assessment over 24 hours post Day 7 dose

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    50 Years
    Maximum Age & Unit of Time
    85 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion criteria: Body Mass Index (BMI) between 18 and 35 Mild to moderate Alzheimer's Disease (AD) Clear history of cognitive and functional decline over at least one year that is either documented in medical records, or documented by history from an informant who knows the subject well Magnetic Resonance Image (MRI) scan consistent with a diagnosis of AD Ability to read at a 6th grade level and history of academic achievement and/or employment sufficient to exclude mental retardation If applicable, on a stable dose of an acetylcholinesterase inhibitor and/or memantine for at least the last 3 months before Screening, and willing to remain on the same dose for the duration of the trial Reliable trial partner/caregiver Willing to provide a blood sample for Apolipoprotein E (APOE) genotyping In general good health (other than AD) Participant capable of conceiving and/or participant with partner capable of conceiving willing to use a medically acceptable form of contraception during the trial and for 3 months after stopping the medication Exclusion criteria: History (within 2 years of the prestudy visit) or current evidence of any neurological or neurodegenerative disorder other than AD that is associated with transient or sustained alterations in cognition Clinically significant abnormalities in serum vitamin B12, folate, thyroid stimulating hormone (TSH) or thyroxin 4 (T4). Vitamin B12 or thyroid replacement therapy must with stable dose for at least 2 months prior to screening visit One or more pre-existing risk factors for Torsades de Pointes: New York Heart Association (NYHA) Functional Classification II through IV heart failure; Familial Long QT Syndrome; or Uncorrected hypokalemia Any surgical or medical condition which might significantly alter the absorption, distribution, metabolism or excretion of any drug History of spinal cord compression or any other current abnormalities in the lumbar region (skin infection, developmental abnormalities in lower spine, etc.) History of any infectious disease within 4 weeks prior to drug administration Human immunodeficiency virus (HIV) positive History of hepatitis or liver disease within 6 months of screening History of psychiatric or personality disorders Evidence of suicidality or is at risk for self-harm or harm to others History of seizures or epilepsy or anticonvulsant use within the last 5 years before Screening History of alcohol or drug abuse in the past 2 years Donation of blood in the past 60 days Previously received the study drug Currently participating in another clinical study or have participated in a clinical study (e.g., laboratory or clinical evaluation) within 30 days of baseline Member of the study staff or family members of the study staff Demonstrated allergic reactions (e.g., food, drug, atopic reactions or asthmatic episodes) History of malignancy occurring within the 5 years immediately before Screening, except for a subject who has been adequately treated for basal cell or squamous cell skin cancer, in situ cervical cancer, localized prostate carcinoma; or has undergone potentially curative therapy with no evidence of recurrence for ≥1 year post-therapy, and deemed at low risk for recurrence by her/his treating physician

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    27807285
    Citation
    Kennedy ME, Stamford AW, Chen X, Cox K, Cumming JN, Dockendorf MF, Egan M, Ereshefsky L, Hodgson RA, Hyde LA, Jhee S, Kleijn HJ, Kuvelkar R, Li W, Mattson BA, Mei H, Palcza J, Scott JD, Tanen M, Troyer MD, Tseng JL, Stone JA, Parker EM, Forman MS. The BACE1 inhibitor verubecestat (MK-8931) reduces CNS beta-amyloid in animal models and in Alzheimer's disease patients. Sci Transl Med. 2016 Nov 2;8(363):363ra150. doi: 10.1126/scitranslmed.aad9704.
    Results Reference
    derived

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    A Study of the Safety, Tolerability, and Pharmacodynamics of MK-8931 in Participants With Alzheimer's Disease (MK-8931-010 AM1 [P07820 AM1])

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