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Pharmacokinetics of MK-3682B in Participants With Moderate to Severe Renal Insufficiency (MK-3682B-030)

Primary Purpose

Hepatitis C

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
MK-3682B
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatitis C

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

All Participants:

  • Healthy adult males or females 18-80 years of age at screening
  • Continuous non-smokers or moderate smokers (≤ 20 cigarettes/day or the equivalent) and agrees to consume no more than 10 cigarettes per day during the study period
  • BMI ≥ 18 and ≤ 40.0 kg/m^2
  • Agrees not to become pregnant or father a child during participation in the study
  • Females of childbearing potential must either be abstinent for 14 days prior to dosing and throughout the study or be using an acceptable birth control method
  • Vasectomized or non-vasectomized males must agree to use a condom with spermicide or abstain from sexual intercourse from the first dose until 90 days after dosing
  • Males must agree not to donate sperm from dosing until 90 days after dosing

Moderate and Severe RI Participants:

  • Baseline health is judged to be stable based on medical history, physical examination, laboratory profiles, vital signs, or electrocardiograms (ECGs), as deemed by the Investigator
  • Has had no clinically significant change in renal status at least 1 month prior to dosing and is not currently or has not previously been on hemodialysis
  • Moderate RI: has baseline eGFR ≥ 30 mL/min/1.73m^2 and < 60 mL/min/1.73m^2, based on the Modification of Diet in Renal Disease (MDRD) equation at screening
  • Severe RI: has baseline eGFR ≥ 15 mL/min/1.73m^2 and < 30 mL/min/1.73m^2, based on the MDRD equation at screening

Healthy Participants:

  • Is within ± 10 years of the mean age of moderate and severe RI arms
  • BMI is within 10% of the mean BMI of participants with moderate and severe RI arms
  • Medically healthy with no clinically significant medical history, physical examination, laboratory profiles, vital signs, or ECGs, as deemed by the Investigator
  • Baseline CLcr ≥ 80 mL/min based on Cockcroft-Gault equation at screening

Exclusion Criteria:

  • Is mentally or legally incapacitated or has significant emotional problems at the time of the screening
  • History or presence of clinically significant medical or psychiatric condition or disease in the opinion of the Investigator
  • History of any illness that, in the opinion of the Investigator, might confound the results of the study or poses an additional risk by participating in the study
  • Is female and pregnant or lactating
  • Positive results for the urine or saliva drug screen or urine or breath alcohol screen at screening or check-in unless the positive drug screen is due to prescription drug use that is approved by the Investigator and Sponsor
  • Positive results at screening for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C virus (HCV)
  • Seated heart rate is equal to or lower than 44 beats per minute (bpm) or higher than 100 bpm at screening
  • Has had a renal transplant or has had nephrectomy
  • Donation of blood or had significant blood loss within 56 days prior to dosing of study drug, or donation of plasma within 7 days prior to dosing
  • Has participated in another clinical trial within 28 days prior to dosing of study drug

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    Experimental

    Arm Label

    Moderate RI Participants

    Severe RI Participants

    Healthy Participants

    Arm Description

    Participants with an estimated glomerular filtration rate (eGFR) of ≥30 mL/min/1.73m^2 to <60 mL/min/1.73m^2 take 2 MK-3682B FDC tablets on Day 1 after fasting for 10 hours.

    Participants with an eGFR of ≥15 mL/min/1.73m^2 to <30 mL/min/1.73m^2 take 2 MK-3682B FDC tablets on Day 1 after fasting for 10 hours.

    Healthy participants (creatinine clearance [CLcr] ≥80 mL/min) take 2 MK-362B FDC tablets on Day 1 after fasting for 10 hours. Healthy participants are matched to RI participants based on mean age, body mass index (BMI) and gender.

    Outcomes

    Primary Outcome Measures

    Area Under the Plasma Concentration-time Curve (AUC) From Dosing to Time of Last Measurable Concentration (AUC0-last) of Uprifosbuvir (MK-3682)
    AUC0-last is a measure of total exposure to uprifosbuvir in plasma from the start of dosing to the time of the last quantifiable (< lower limit of quantification [LLOQ]) sample following oral administration of MK-3682B.
    AUC From Dosing to Infinity (AUC0-∞) of Uprifosbuvir
    AUC0-∞ is a measure of total exposure to uprifosbuvir in plasma from the start of dosing to infinity following oral administration of MK-3682B.
    AUC From Dosing to 24 Hours Post-dose (AUC0-24) of Uprifosbuvir
    AUC0-24 is a measure of total exposure to uprifosbuvir in plasma from dosing to 24 hours following oral administration of MK-3682B.
    Maximum Plasma Concentration (Cmax) of Uprifosbuvir
    Cmax is the maximum amount of uprifosbuvir in plasma following oral administration of MK-3682B.
    Plasma Concentration 24 Hours Post-dose (C24) of Uprifosbuvir
    C24 is the plasma concentration of uprifosbuvir 24 hours following oral administration of MK-3682B.
    Time to Reach Maximum Plasma Concentration (Tmax) of Uprifosbuvir
    Tmax is the time required to reach the maximum post-dose plasma concentration of uprifosbuvir following oral administration of MK-3682B.
    Apparent Total Body Clearance (CL/F) of Uprifosbuvir
    CL/F is the apparent total body clearance of uprifosbuvir following oral administration of MK-3682B.
    Apparent Volume of Distribution (Vz/F) of Uprifosbuvir
    Vz/F is the apparent volume of distribution of uprifosbuvir following oral administration of MK-3682B.
    Apparent Terminal Half-life in Plasma (t½) of Uprifosbuvir
    t1/2 is the amount of time required to clear 50% of uprifosbuvir from plasma following oral administration of MK-3682B.
    AUC0-last of Uprifosbuvir Metabolite M5
    AUC0-last is a measure of total exposure to uprifosbuvir metabolite M5 in plasma from the start of dosing to the time of the last quantifiable (<LLOQ) sample following oral administration of MK-3682B.
    AUC0-∞ of Uprifosbuvir Metabolite M5
    AUC0-∞ is a measure of total exposure to uprifosbuvir metabolite M5 in plasma from the start of dosing to infinity following oral administration of MK-3682B.
    AUC0-24 of Uprifosbuvir Metabolite M5
    AUC0-24 is a measure of total exposure to uprifosbuvir metabolite M5 in plasma from dosing to 24 hours following oral administration of MK-3682B.
    Cmax of Uprifosbuvir Metabolite M5
    Cmax is the maximum amount of uprifosbuvir metabolite M5 in plasma following oral administration of MK-3682B.
    C24 of Uprifosbuvir Metabolite M5
    C24 is the plasma concentration of uprifosbuvir metabolite M5 24 hours following oral administration of MK-3682B.
    Tmax of Uprifosbuvir Metabolite M5
    Tmax is the time required to reach the maximum post-dose plasma concentration of uprifosbuvir metabolite M5 following oral administration of MK-3682B.
    Lag Time (Tlag) of Uprifosbuvir Metabolite M5
    Tlag is the time from dosing to first appearance in plasma of uprifosbuvir metabolite M5 following oral administration of MK-3682B.
    t½ of Uprifosbuvir Metabolite M5
    t1/2 is the amount of time required to clear 50% of uprifosbuvir metabolite M5 from plasma following oral administration of MK-3682B.
    AUC0-last of Uprifosbuvir Metabolite M6
    AUC0-last is a measure of total exposure to uprifosbuvir metabolite M6 in plasma from the start of dosing to the time of the last quantifiable (<LLOQ) sample following oral administration of MK-3682B.
    AUC0-∞ of Uprifosbuvir Metabolite M6
    AUC0-∞ is a measure of total exposure to uprifosbuvir metabolite M6 in plasma from the start of dosing to infinity following oral administration of MK-3682B.
    AUC0-24 of Uprifosbuvir Metabolite M6
    AUC0-24 is a measure of total exposure to uprifosbuvir metabolite M6 in plasma from dosing to 24 hours following oral administration of MK-3682B.
    Cmax of Uprifosbuvir Metabolite M6
    Cmax is the maximum amount of uprifosbuvir metabolite M6 in plasma following oral administration of MK-3682B.
    C24 of Uprifosbuvir Metabolite M6
    C24 is the plasma concentration of uprifosbuvir metabolite M6 24 hours following oral administration of MK-3682B.
    Tmax of Uprifosbuvir Metabolite M6
    Tmax is the time required to reach the maximum post-dose plasma concentration of uprifosbuvir metabolite M6 following oral administration of MK-3682B.
    t½ of Uprifosbuvir Metabolite M6
    t1/2 is the amount of time required to clear 50% of uprifosbuvir metabolite M6 from plasma following oral administration of MK-3682B.
    AUC0-last of Grazoprevir (MK-5172)
    AUC0-last is a measure of total exposure to grazoprevir in plasma from the start of dosing to the time of the last quantifiable (<LLOQ) sample following oral administration of MK-3682B.
    AUC0-∞ of Grazoprevir
    AUC0-∞ is a measure of total exposure to grazoprevir in plasma from the start of dosing to infinity following oral administration of MK-3682B.
    AUC0-24 of Grazoprevir
    AUC0-24 is a measure of total exposure to grazoprevir in plasma from the start of dosing to 24 hours post-dose following oral administration of MK-3682B.
    Cmax of Grazoprevir
    Cmax is the maximum amount of grazoprevir in plasma following oral administration of MK-3682B.
    C24 of Grazoprevir
    C24 is the plasma concentration of grazoprevir 24 hours following oral administration of MK-3682B.
    Tmax of Grazoprevir
    Tmax is the time required to reach the maximum post-dose plasma concentration of grazoprevir following oral administration of MK-3682B.
    CL/F of Grazoprevir
    CL/F is the apparent total body clearance of grazoprevir following oral administration of MK-3682B.
    Vz/F of Grazoprevir
    Vz/F is the apparent volume of distribution of grazoprevir following oral administration of MK-3682B.
    t½ of Grazoprevir
    t1/2 is the amount of time required to clear 50% of grazoprevir from plasma following oral administration of MK-3682B.
    AUC0-last of Ruzasvir (MK-8408)
    AUC0-last is a measure of total exposure to ruzasvir in plasma from the start of dosing to the time of the last quantifiable (<LLOQ) sample following oral administration of MK-3682B.
    AUC0-∞ of Ruzasvir
    AUC0-∞ is a measure of total exposure to ruzasvir in plasma from the start of dosing to infinity following oral administration of MK-3682B.
    AUC0-24 of Ruzasvir
    AUC0-24 is a measure of total exposure to ruzasvir in plasma from dosing to 24 hours following oral administration of MK-3682B.
    Cmax of Ruzasvir
    Cmax is the maximum amount of ruzasvir in plasma following oral administration of MK-3682B.
    C24 of Ruzasvir
    C24 is the plasma concentration of ruzasvir 24 hours following oral administration of MK-3682B.
    Tmax of Ruzasvir
    Tmax is the time required to reach the maximum post-dose plasma concentration of ruzasvir following oral administration of MK-3682B.
    CL/F of Ruzasvir
    CL/F is the apparent total body clearance of ruzasvir following oral administration of MK-3682B.
    Vz/F of Ruzasvir
    Vz/F is the apparent volume of distribution of ruzasvir following oral administration of MK-3682B.
    t½ of Ruzasvir
    t1/2 is the amount of time required to clear 50% of ruzasvir from plasma following oral administration of MK-3682B.

    Secondary Outcome Measures

    Full Information

    First Posted
    January 19, 2016
    Last Updated
    December 18, 2018
    Sponsor
    Merck Sharp & Dohme LLC
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02661126
    Brief Title
    Pharmacokinetics of MK-3682B in Participants With Moderate to Severe Renal Insufficiency (MK-3682B-030)
    Official Title
    A Two-Part, Open-Label Study to Investigate the Single-Dose Pharmacokinetics of MK-3682B (MK-3682/MK-5172/MK-8408 Fixed Dose Combination) When Administered to Subjects With Moderate and Severe Renal Insufficiency
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    December 2018
    Overall Recruitment Status
    Completed
    Study Start Date
    January 19, 2016 (Actual)
    Primary Completion Date
    August 26, 2016 (Actual)
    Study Completion Date
    August 26, 2016 (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 compare the plasma pharmacokinetics (PK) of single doses of MK-3682B, a fixed dose combination (FDC) tablet containing uprifosbuvir (MK-3682) + grazoprevir (MK-5172) + ruzasvir (MK-8408) in participants with moderate (Part 1) and severe (Part 2) renal insufficiency (RI) to plasma PK in healthy participants.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Hepatitis C

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Arm Title
    Moderate RI Participants
    Arm Type
    Experimental
    Arm Description
    Participants with an estimated glomerular filtration rate (eGFR) of ≥30 mL/min/1.73m^2 to <60 mL/min/1.73m^2 take 2 MK-3682B FDC tablets on Day 1 after fasting for 10 hours.
    Arm Title
    Severe RI Participants
    Arm Type
    Experimental
    Arm Description
    Participants with an eGFR of ≥15 mL/min/1.73m^2 to <30 mL/min/1.73m^2 take 2 MK-3682B FDC tablets on Day 1 after fasting for 10 hours.
    Arm Title
    Healthy Participants
    Arm Type
    Experimental
    Arm Description
    Healthy participants (creatinine clearance [CLcr] ≥80 mL/min) take 2 MK-362B FDC tablets on Day 1 after fasting for 10 hours. Healthy participants are matched to RI participants based on mean age, body mass index (BMI) and gender.
    Intervention Type
    Drug
    Intervention Name(s)
    MK-3682B
    Intervention Description
    FDC oral tablet containing 225 mg uprifosbuvir + 50 mg grazoprevir + 30 mg ruzasvir.
    Primary Outcome Measure Information:
    Title
    Area Under the Plasma Concentration-time Curve (AUC) From Dosing to Time of Last Measurable Concentration (AUC0-last) of Uprifosbuvir (MK-3682)
    Description
    AUC0-last is a measure of total exposure to uprifosbuvir in plasma from the start of dosing to the time of the last quantifiable (< lower limit of quantification [LLOQ]) sample following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    AUC From Dosing to Infinity (AUC0-∞) of Uprifosbuvir
    Description
    AUC0-∞ is a measure of total exposure to uprifosbuvir in plasma from the start of dosing to infinity following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    AUC From Dosing to 24 Hours Post-dose (AUC0-24) of Uprifosbuvir
    Description
    AUC0-24 is a measure of total exposure to uprifosbuvir in plasma from dosing to 24 hours following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, and 24 hours post-dose
    Title
    Maximum Plasma Concentration (Cmax) of Uprifosbuvir
    Description
    Cmax is the maximum amount of uprifosbuvir in plasma following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    Plasma Concentration 24 Hours Post-dose (C24) of Uprifosbuvir
    Description
    C24 is the plasma concentration of uprifosbuvir 24 hours following oral administration of MK-3682B.
    Time Frame
    24 hours post-dose
    Title
    Time to Reach Maximum Plasma Concentration (Tmax) of Uprifosbuvir
    Description
    Tmax is the time required to reach the maximum post-dose plasma concentration of uprifosbuvir following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    Apparent Total Body Clearance (CL/F) of Uprifosbuvir
    Description
    CL/F is the apparent total body clearance of uprifosbuvir following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    Apparent Volume of Distribution (Vz/F) of Uprifosbuvir
    Description
    Vz/F is the apparent volume of distribution of uprifosbuvir following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    Apparent Terminal Half-life in Plasma (t½) of Uprifosbuvir
    Description
    t1/2 is the amount of time required to clear 50% of uprifosbuvir from plasma following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    AUC0-last of Uprifosbuvir Metabolite M5
    Description
    AUC0-last is a measure of total exposure to uprifosbuvir metabolite M5 in plasma from the start of dosing to the time of the last quantifiable (<LLOQ) sample following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    AUC0-∞ of Uprifosbuvir Metabolite M5
    Description
    AUC0-∞ is a measure of total exposure to uprifosbuvir metabolite M5 in plasma from the start of dosing to infinity following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    AUC0-24 of Uprifosbuvir Metabolite M5
    Description
    AUC0-24 is a measure of total exposure to uprifosbuvir metabolite M5 in plasma from dosing to 24 hours following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, and 24 hours post-dose
    Title
    Cmax of Uprifosbuvir Metabolite M5
    Description
    Cmax is the maximum amount of uprifosbuvir metabolite M5 in plasma following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    C24 of Uprifosbuvir Metabolite M5
    Description
    C24 is the plasma concentration of uprifosbuvir metabolite M5 24 hours following oral administration of MK-3682B.
    Time Frame
    24 hours post-dose
    Title
    Tmax of Uprifosbuvir Metabolite M5
    Description
    Tmax is the time required to reach the maximum post-dose plasma concentration of uprifosbuvir metabolite M5 following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    Lag Time (Tlag) of Uprifosbuvir Metabolite M5
    Description
    Tlag is the time from dosing to first appearance in plasma of uprifosbuvir metabolite M5 following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    t½ of Uprifosbuvir Metabolite M5
    Description
    t1/2 is the amount of time required to clear 50% of uprifosbuvir metabolite M5 from plasma following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    AUC0-last of Uprifosbuvir Metabolite M6
    Description
    AUC0-last is a measure of total exposure to uprifosbuvir metabolite M6 in plasma from the start of dosing to the time of the last quantifiable (<LLOQ) sample following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    AUC0-∞ of Uprifosbuvir Metabolite M6
    Description
    AUC0-∞ is a measure of total exposure to uprifosbuvir metabolite M6 in plasma from the start of dosing to infinity following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    AUC0-24 of Uprifosbuvir Metabolite M6
    Description
    AUC0-24 is a measure of total exposure to uprifosbuvir metabolite M6 in plasma from dosing to 24 hours following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, and 24 hours post-dose
    Title
    Cmax of Uprifosbuvir Metabolite M6
    Description
    Cmax is the maximum amount of uprifosbuvir metabolite M6 in plasma following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    C24 of Uprifosbuvir Metabolite M6
    Description
    C24 is the plasma concentration of uprifosbuvir metabolite M6 24 hours following oral administration of MK-3682B.
    Time Frame
    24 hours post-dose
    Title
    Tmax of Uprifosbuvir Metabolite M6
    Description
    Tmax is the time required to reach the maximum post-dose plasma concentration of uprifosbuvir metabolite M6 following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    t½ of Uprifosbuvir Metabolite M6
    Description
    t1/2 is the amount of time required to clear 50% of uprifosbuvir metabolite M6 from plasma following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    AUC0-last of Grazoprevir (MK-5172)
    Description
    AUC0-last is a measure of total exposure to grazoprevir in plasma from the start of dosing to the time of the last quantifiable (<LLOQ) sample following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    AUC0-∞ of Grazoprevir
    Description
    AUC0-∞ is a measure of total exposure to grazoprevir in plasma from the start of dosing to infinity following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    AUC0-24 of Grazoprevir
    Description
    AUC0-24 is a measure of total exposure to grazoprevir in plasma from the start of dosing to 24 hours post-dose following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, and 24 hours post-dose
    Title
    Cmax of Grazoprevir
    Description
    Cmax is the maximum amount of grazoprevir in plasma following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    C24 of Grazoprevir
    Description
    C24 is the plasma concentration of grazoprevir 24 hours following oral administration of MK-3682B.
    Time Frame
    24 hours post-dose
    Title
    Tmax of Grazoprevir
    Description
    Tmax is the time required to reach the maximum post-dose plasma concentration of grazoprevir following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    CL/F of Grazoprevir
    Description
    CL/F is the apparent total body clearance of grazoprevir following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    Vz/F of Grazoprevir
    Description
    Vz/F is the apparent volume of distribution of grazoprevir following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    t½ of Grazoprevir
    Description
    t1/2 is the amount of time required to clear 50% of grazoprevir from plasma following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    AUC0-last of Ruzasvir (MK-8408)
    Description
    AUC0-last is a measure of total exposure to ruzasvir in plasma from the start of dosing to the time of the last quantifiable (<LLOQ) sample following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    AUC0-∞ of Ruzasvir
    Description
    AUC0-∞ is a measure of total exposure to ruzasvir in plasma from the start of dosing to infinity following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    AUC0-24 of Ruzasvir
    Description
    AUC0-24 is a measure of total exposure to ruzasvir in plasma from dosing to 24 hours following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, and 24 hours post-dose
    Title
    Cmax of Ruzasvir
    Description
    Cmax is the maximum amount of ruzasvir in plasma following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    C24 of Ruzasvir
    Description
    C24 is the plasma concentration of ruzasvir 24 hours following oral administration of MK-3682B.
    Time Frame
    24 hours post-dose
    Title
    Tmax of Ruzasvir
    Description
    Tmax is the time required to reach the maximum post-dose plasma concentration of ruzasvir following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    CL/F of Ruzasvir
    Description
    CL/F is the apparent total body clearance of ruzasvir following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    Vz/F of Ruzasvir
    Description
    Vz/F is the apparent volume of distribution of ruzasvir following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose
    Title
    t½ of Ruzasvir
    Description
    t1/2 is the amount of time required to clear 50% of ruzasvir from plasma following oral administration of MK-3682B.
    Time Frame
    0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 14, 16, 18, 20, 24, 48, 72, 96, and 120 hours post-dose

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    80 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: All Participants: Healthy adult males or females 18-80 years of age at screening Continuous non-smokers or moderate smokers (≤ 20 cigarettes/day or the equivalent) and agrees to consume no more than 10 cigarettes per day during the study period BMI ≥ 18 and ≤ 40.0 kg/m^2 Agrees not to become pregnant or father a child during participation in the study Females of childbearing potential must either be abstinent for 14 days prior to dosing and throughout the study or be using an acceptable birth control method Vasectomized or non-vasectomized males must agree to use a condom with spermicide or abstain from sexual intercourse from the first dose until 90 days after dosing Males must agree not to donate sperm from dosing until 90 days after dosing Moderate and Severe RI Participants: Baseline health is judged to be stable based on medical history, physical examination, laboratory profiles, vital signs, or electrocardiograms (ECGs), as deemed by the Investigator Has had no clinically significant change in renal status at least 1 month prior to dosing and is not currently or has not previously been on hemodialysis Moderate RI: has baseline eGFR ≥ 30 mL/min/1.73m^2 and < 60 mL/min/1.73m^2, based on the Modification of Diet in Renal Disease (MDRD) equation at screening Severe RI: has baseline eGFR ≥ 15 mL/min/1.73m^2 and < 30 mL/min/1.73m^2, based on the MDRD equation at screening Healthy Participants: Is within ± 10 years of the mean age of moderate and severe RI arms BMI is within 10% of the mean BMI of participants with moderate and severe RI arms Medically healthy with no clinically significant medical history, physical examination, laboratory profiles, vital signs, or ECGs, as deemed by the Investigator Baseline CLcr ≥ 80 mL/min based on Cockcroft-Gault equation at screening Exclusion Criteria: Is mentally or legally incapacitated or has significant emotional problems at the time of the screening History or presence of clinically significant medical or psychiatric condition or disease in the opinion of the Investigator History of any illness that, in the opinion of the Investigator, might confound the results of the study or poses an additional risk by participating in the study Is female and pregnant or lactating Positive results for the urine or saliva drug screen or urine or breath alcohol screen at screening or check-in unless the positive drug screen is due to prescription drug use that is approved by the Investigator and Sponsor Positive results at screening for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C virus (HCV) Seated heart rate is equal to or lower than 44 beats per minute (bpm) or higher than 100 bpm at screening Has had a renal transplant or has had nephrectomy Donation of blood or had significant blood loss within 56 days prior to dosing of study drug, or donation of plasma within 7 days prior to dosing Has participated in another clinical trial within 28 days prior to dosing of study drug
    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

    Learn more about this trial

    Pharmacokinetics of MK-3682B in Participants With Moderate to Severe Renal Insufficiency (MK-3682B-030)

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