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A Study of the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of MK-5823 in Overweight or Obese Participants Who Are Healthy or Have Type 2 Diabetes Mellitus (MK-5823-002)

Primary Purpose

Type 2 Diabetes Mellitus

Status
Terminated
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
MK-5823
Placebo
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 2 Diabetes Mellitus

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Male or female of non-childbearing potential
  • A Body Mass Index between 27 and 35 kg/m^2 and weighs at least 50 kg
  • Judged to be in good health and for the T2DM Panels, good health other than the diagnosis of T2DM
  • For T2DM Panels only: has a diagnosis of T2DM and is being treated with lifestyle management (e.g. diet and exercise) alone or in combination with a stable dose of metformin
  • A nonsmoker and/or has not used nicotine or nicotine-containing products for at least approximately 6 months

Exclusion Criteria:

  • History of stroke, chronic seizures or major neurological disorder
  • History of clinically significant gastrointestinal, cardiovascular, hematological, hepatic, immunological, renal, respiratory, or genitourinary abnormalities or diseases.
  • History of clinically significant endocrine abnormalities or diseases (including type I or type II, or steroid-induced diabetes for healthy participant panel; and excluding T2DM for the T2DM Panels)
  • Irritable bowel syndrome, or recurrent nausea, vomiting, diarrhea, or abdominal pain.
  • History of neoplastic disease
  • History of cataracts, diabetic retinopathy, macular edema, macular degeneration, vitreous hemorrhage, glaucoma, ocular surgery, ocular trauma or blindness
  • Requires treatment with systemic or ocular corticosteroids
  • For T2DM Panels, a history of hypoglycemic unawareness
  • For T2DM Panels, active treatment with any anti-hyperglycemic drug other than metformin
  • For T2DM Panels, treatment with any peroxisome proliferator-activated receptor-gamma agonist (e.g. Avandia or Actos) within 12 weeks of study participation
  • Unable to refrain from using any medication beginning 2 weeks before study participation
  • Consumes excessive amounts of alcohol (>3 per day)
  • Consumes more than 6 caffeinated beverages per day
  • Had major surgery or donated or lost more than 1 unit of blood
  • Participated in another investigational study within 4 weeks of study participation
  • History of significant multiple and/or severe allergies or anaphylactic reaction
  • Hypersensitivity to glucagon or insulin
  • Uses illicit drugs or has a history of drug or alcohol abuse within 3 months of study participation
  • Woman of child-bearing potential or is a nursing mother
  • For T2DM Panels, age >50 years

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

    0.35 mg MK-5823 - Healthy Participants

    0.7 mg MK-5823 - Healthy Participants

    1.4 mg MK-5823 - Healthy Participants

    2.8 mg MK-5823 - Healthy Participants

    1.4 mg MK-5823 - Participants with T2DM

    2.8 mg MK-5823 - Participants with T2DM

    Arm Description

    Outcomes

    Primary Outcome Measures

    Number of participants who experienced at least one adverse event
    Number of participants who discontinued from study drug due to an adverse event

    Secondary Outcome Measures

    Area under the plasma concentration time curve from Hour 0 to Hour 24 (AUC0-24) following once daily administration of MK-5823
    Maximum plasma concentration (Cmax) following once daily administration of MK-5823
    Lowest plasma concentration (Ctrough) following once daily administration of MK-5823
    Time to maximum plasma concentration (Tmax) following once daily administration of MK-5823
    Apparent terminal half-life (apparent t1/2) following once daily administration of MK-5823

    Full Information

    First Posted
    June 6, 2012
    Last Updated
    February 3, 2016
    Sponsor
    Merck Sharp & Dohme LLC
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01614782
    Brief Title
    A Study of the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of MK-5823 in Overweight or Obese Participants Who Are Healthy or Have Type 2 Diabetes Mellitus (MK-5823-002)
    Official Title
    A Multiple Dose Clinical Trial to Study the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of MK-5823 in Healthy Overweight/Obese Subjects and Patients With Type 2 Diabetes Mellitus
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2016
    Overall Recruitment Status
    Terminated
    Study Start Date
    June 2012 (undefined)
    Primary Completion Date
    October 2012 (Actual)
    Study Completion Date
    October 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
    The purpose of this study is to assess the multiple rising dose safety/tolerability and pharmacokinetics of MK-5823 in overweight/obese participants who are healthy and overweight/obese participants with Type 2 diabetes mellitus (T2DM).

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Type 2 Diabetes Mellitus

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Arm Title
    0.35 mg MK-5823 - Healthy Participants
    Arm Type
    Experimental
    Arm Title
    0.7 mg MK-5823 - Healthy Participants
    Arm Type
    Experimental
    Arm Title
    1.4 mg MK-5823 - Healthy Participants
    Arm Type
    Experimental
    Arm Title
    2.8 mg MK-5823 - Healthy Participants
    Arm Type
    Experimental
    Arm Title
    1.4 mg MK-5823 - Participants with T2DM
    Arm Type
    Experimental
    Arm Title
    2.8 mg MK-5823 - Participants with T2DM
    Arm Type
    Experimental
    Intervention Type
    Drug
    Intervention Name(s)
    MK-5823
    Intervention Description
    MK-5823 administered subcutaneously (doses ranging from 0.35 mg to 2.8 mg) once daily for 3 weeks. Doses may be adjusted downward based on safety, tolerability, and/or pharmacokinetic data. The decision to dose escalate will be based on accrued safety/tolerability data at the prior dose level. In each arm, 6 participants will be randomized to receive study drug and 2 participants will be randomized to receive placebo.
    Intervention Type
    Other
    Intervention Name(s)
    Placebo
    Intervention Description
    Matching placebo to MK-5823 administered subcutaneously once daily for 3 weeks.
    Primary Outcome Measure Information:
    Title
    Number of participants who experienced at least one adverse event
    Time Frame
    Up to 49 days
    Title
    Number of participants who discontinued from study drug due to an adverse event
    Time Frame
    Up to 21 days
    Secondary Outcome Measure Information:
    Title
    Area under the plasma concentration time curve from Hour 0 to Hour 24 (AUC0-24) following once daily administration of MK-5823
    Time Frame
    Predose on Day 1 (baseline) through 672 hours following the initial dose
    Title
    Maximum plasma concentration (Cmax) following once daily administration of MK-5823
    Time Frame
    Predose on Day 1 (baseline) through 672 hours following the initial dose
    Title
    Lowest plasma concentration (Ctrough) following once daily administration of MK-5823
    Time Frame
    Predose on Day 1 (baseline) through 672 hours following the initial dose
    Title
    Time to maximum plasma concentration (Tmax) following once daily administration of MK-5823
    Time Frame
    Predose on Day 1 (baseline) through 672 hours following the initial dose
    Title
    Apparent terminal half-life (apparent t1/2) following once daily administration of MK-5823
    Time Frame
    Predose on Day 1 (baseline) through 672 hours following the initial dose

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    65 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Male or female of non-childbearing potential A Body Mass Index between 27 and 35 kg/m^2 and weighs at least 50 kg Judged to be in good health and for the T2DM Panels, good health other than the diagnosis of T2DM For T2DM Panels only: has a diagnosis of T2DM and is being treated with lifestyle management (e.g. diet and exercise) alone or in combination with a stable dose of metformin A nonsmoker and/or has not used nicotine or nicotine-containing products for at least approximately 6 months Exclusion Criteria: History of stroke, chronic seizures or major neurological disorder History of clinically significant gastrointestinal, cardiovascular, hematological, hepatic, immunological, renal, respiratory, or genitourinary abnormalities or diseases. History of clinically significant endocrine abnormalities or diseases (including type I or type II, or steroid-induced diabetes for healthy participant panel; and excluding T2DM for the T2DM Panels) Irritable bowel syndrome, or recurrent nausea, vomiting, diarrhea, or abdominal pain. History of neoplastic disease History of cataracts, diabetic retinopathy, macular edema, macular degeneration, vitreous hemorrhage, glaucoma, ocular surgery, ocular trauma or blindness Requires treatment with systemic or ocular corticosteroids For T2DM Panels, a history of hypoglycemic unawareness For T2DM Panels, active treatment with any anti-hyperglycemic drug other than metformin For T2DM Panels, treatment with any peroxisome proliferator-activated receptor-gamma agonist (e.g. Avandia or Actos) within 12 weeks of study participation Unable to refrain from using any medication beginning 2 weeks before study participation Consumes excessive amounts of alcohol (>3 per day) Consumes more than 6 caffeinated beverages per day Had major surgery or donated or lost more than 1 unit of blood Participated in another investigational study within 4 weeks of study participation History of significant multiple and/or severe allergies or anaphylactic reaction Hypersensitivity to glucagon or insulin Uses illicit drugs or has a history of drug or alcohol abuse within 3 months of study participation Woman of child-bearing potential or is a nursing mother For T2DM Panels, age >50 years

    12. IPD Sharing Statement

    Learn more about this trial

    A Study of the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of MK-5823 in Overweight or Obese Participants Who Are Healthy or Have Type 2 Diabetes Mellitus (MK-5823-002)

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