A Multiple Dose Study of MK-5172 in Hepatitis C-Infected Participants (MK-5172-010 AM1)

This study is not yet open for participant recruitment.
Verified April 2013 by Merck
Sponsor:
Information provided by (Responsible Party):
Merck
ClinicalTrials.gov Identifier:
NCT01537900
First received: February 17, 2012
Last updated: April 8, 2013
Last verified: April 2013
  Purpose

This study will compare hepatic pharmacokinetics (PK) derived from liver tissue to plasma PK after administration of MK-5172 to participants with chronic hepatitis C virus (HCV) infection. Participants will be randomized to one of five different liver core needle biopsy schedules (at 4-, 8-, 12-, 24-, or 72-hours after the Day 7 dose).


Condition Intervention Phase
Hepatitis
Drug: MK-5172
Phase 1

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Pharmacokinetics Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Multiple Dose Study to Evaluate Pharmacokinetics and Hepatitis C Virus RNA Dynamics Following Administration of MK-5172 in Hepatitis C Infected Patients

Resource links provided by NLM:


Further study details as provided by Merck:

Primary Outcome Measures:
  • Area under the concentration versus time curve (AUC) for MK-5172 in the liver over 24 hours (AUC[H,0-24 hr]) and the plasma (AUC[0-24 hr]) [ Time Frame: Over 24 hours post-dose on Day 7 ] [ Designated as safety issue: No ]
  • Geometric mean ratio (GMR) of MK-5172 in the liver and the plasma at 4 hours post dose [ Time Frame: 4 hours post-dose on Day 7 ] [ Designated as safety issue: No ]
  • GMR of MK-5172 in the liver and the plasma at 8 hours post dose [ Time Frame: 8 hours post-dose on Day 7 ] [ Designated as safety issue: No ]
  • GMR of MK-5172 in the liver and the plasma at 12 hours post dose [ Time Frame: 12 hours post-dose on Day 7 ] [ Designated as safety issue: No ]
  • GMR of MK-5172 in the liver and the plasma at 24 hours post dose [ Time Frame: 24 hours post-dose on Day 7 ] [ Designated as safety issue: No ]
  • Apparent terminal half life (t½ ) of MK-5172 in the liver (t[H]½) and the plasma (t½) [ Time Frame: Assessed at time of liver biopsy (4, 8, 12, or 24 hours post-dose on Day 7) ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Maximum concentration (Cmax) of MK-5172 in the plasma [ Time Frame: Predose to 24 hours post-dose on Day 7 ] [ Designated as safety issue: No ]
  • Lowest concentration (Ctrough) of MK-5172 in the plasma [ Time Frame: Predose to 24 hours post-dose on Day 7 ] [ Designated as safety issue: No ]
  • Time to maximum concentration (Tmax) of MK-5172 in the plasma [ Time Frame: Predose to 24 hours post-dose on Day 7 ] [ Designated as safety issue: No ]

Estimated Enrollment: 16
Study Start Date: May 2013
Estimated Study Completion Date: December 2013
Estimated Primary Completion Date: December 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: MK-5172 100 mg
Participants will receive 100 mg MK-5172 each day for 7 days and will undergo liver core needle biopsy on Day 7.
Drug: MK-5172
MK-5172, orally, 100 mg tablets, one tablet per day for 7 days.

  Eligibility

Ages Eligible for Study:   18 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion criteria:

  • Body Mass Index (BMI) ≥18.5 kg/m² and ≤36.0 kg/m²
  • Chronic compensated, genotype 1 HCV infection
  • No cirrhosis as confirmed by FibroSure®/Fibro Test®
  • No need for anticoagulants, nonsteroidal anti-inflammatory agents, and aspirin for at least fourteen (14) days preceding the initial liver biopsy and continuing throughout the entire study
  • Female participants of reproductive potential willing to use 2 medically acceptable forms of contraception for 2 weeks prior to start of treatment through 2 weeks after last study treatment
  • Male participants with partners of reproductive potential willing to use 2 medically acceptable forms of contraception from first dose to 90 days after last dose

Exclusion criteria:

  • History of stroke, chronic seizures, or major neurological disorder
  • Previous treatment with a Direct-Acting Antiviral (DAA)
  • Evidence of high grade bridging fibrosis from prior liver biopsy within 3 years of study entry
  • Evidence or history of chronic hepatitis not caused by HCV infection including but not limited to non-HCV viral hepatitis, nonalcoholic steatohepatitis (NASH), drug-induced hepatitis, or autoimmune hepatitis
  • Clinical or laboratory evidence of cirrhosis or other advanced liver disease
  • Decompensated liver disease as indicated by a history of ascites, hepatic encephalopathy, or bleeding esophageal varices
  • Diagnosed or suspected of having hepatocellular carcinoma
  • Clinically significant abnormality on an electrocardiogram (ECG)
  • Co-infection with human immunodeficiency virus (HIV)
  • Positive Hepatitis B surface antigen or other evidence of active Hepatitis B infection
  • History of gastric bypass surgery, bowel resection or other disorder that may interfere with absorption
  • History of clinically significant uncontrolled endocrine, gastrointestinal, cardiovascular, hematological, immunological, renal, respiratory, or genitourinary abnormalities or diseases
  • Clinically significant neoplastic disease
  • Excessive use of alcohol, defined as greater than 3 glasses of alcoholic beverages (1 glass is approximately equivalent to: beer [354 mL], wine [118 mL], or distilled spirits [29.5 mL]) per day
  • Current regular user (including use of any illicit drugs) or history of drug (including alcohol) abuse within the last 3 months
  • Surgery, donation of 1 unit of blood (approximately 500 mL) or participation in another investigational study within a period of 4 weeks prior to the screening visit
  • History of multiple and/or severe allergies, or anaphylactic reaction or intolerability to prescription or nonprescription drugs or food
  • Pregnant or lactating
  • Expecting to donate eggs or sperm
  Contacts and Locations
No Contacts or Locations Provided
  More Information

No publications provided

Responsible Party: Merck
ClinicalTrials.gov Identifier: NCT01537900     History of Changes
Other Study ID Numbers: 5172-010
Study First Received: February 17, 2012
Last Updated: April 8, 2013
Health Authority: United States: Food and Drug Administration

Additional relevant MeSH terms:
Hepatitis
Hepatitis A
Hepatitis C
Liver Diseases
Digestive System Diseases
Hepatitis, Viral, Human
Virus Diseases
Enterovirus Infections
Picornaviridae Infections
RNA Virus Infections
Flaviviridae Infections

ClinicalTrials.gov processed this record on May 16, 2013