A Study of the Combination Regimen MK-5172, MK-8742, and Ribavirin in Participants With Chronic Hepatitis C (MK-5172-035)

This study is currently recruiting participants.
Verified April 2013 by Merck
Sponsor:
Information provided by (Responsible Party):
Merck
ClinicalTrials.gov Identifier:
NCT01717326
First received: October 26, 2012
Last updated: April 26, 2013
Last verified: April 2013
  Purpose

This study is being done to compare the safety, tolerability, and efficacy of MK-5172 with 2 different doses of MK-8742 plus ribavirin (RBV) for treatment-naïve participants with genotype 1 (GT1), interferon-eligible, non-cirrhotic chronic hepatitis C (CHC).


Condition Intervention Phase
Hepatitis C
Drug: MK-5172
Drug: MK-8742
Drug: Placebo
Drug: Ribavirin
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Investigator)
Primary Purpose: Treatment
Official Title: A Phase II Randomized Clinical Trial to Study the Efficacy and Safety of the Combination Regimen MK-5172, MK-8742, and Ribavirin (RBV) in Subjects With Chronic Hepatitis C Virus Infection

Resource links provided by NLM:


Further study details as provided by Merck:

Primary Outcome Measures:
  • Number of participants achieving Sustained Virologic Response 12 weeks after the end of all study therapy (SVR12) [ Time Frame: Week 24 ] [ Designated as safety issue: No ]
  • Number of participants experiencing at least one adverse event (AE) on study [ Time Frame: Up to 36 weeks ] [ Designated as safety issue: Yes ]
  • Number of participants discontinuing study therapy due to an AE [ Time Frame: Up to 12 weeks ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Time to first achievement of undetectable hepatitis C virus ribonucleic acid (HCV RNA) [ Time Frame: Up to 24 weeks ] [ Designated as safety issue: No ]
  • Number of participants achieving undetectable HCV RNA at Week 2 [ Time Frame: Week 2 ] [ Designated as safety issue: No ]
  • Number of participants achieving undetectable HCV RNA at Week 4 [ Time Frame: Week 4 ] [ Designated as safety issue: No ]
  • Number of participants achieving undetectable HCV RNA at Week 12 [ Time Frame: Week 12 ] [ Designated as safety issue: No ]
  • Number of participants achieving HCV RNA <25 IU/mL at Week 2 [ Time Frame: Week 2 ] [ Designated as safety issue: No ]
  • Number of participants achieving HCV RNA <25 IU/mL at Week 4 [ Time Frame: Week 4 ] [ Designated as safety issue: No ]
  • Number of participants achieving HCV RNA <25 IU/mL at Week 12 [ Time Frame: Week 12 ] [ Designated as safety issue: No ]
  • Number of participants achieving end-of-treatment response (EOTR) [ Time Frame: Week 12 ] [ Designated as safety issue: No ]
  • Number of participants achieving sustained virologic response (SVR) 4 weeks after the end of all therapy [ Time Frame: Week 16 ] [ Designated as safety issue: No ]
  • Number of participants achieving SVR 24 weeks after the end of all study therapy [ Time Frame: Week 36 ] [ Designated as safety issue: No ]

Estimated Enrollment: 48
Study Start Date: February 2013
Estimated Study Completion Date: January 2014
Estimated Primary Completion Date: October 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: MK-5172 + MK-8742 Lower dose + RBV Drug: MK-5172
MK-5172, tablet, orally, once daily for 12 weeks
Drug: MK-8742
MK-8742, capsule, orally, once daily for 12 weeks, at assigned dose
Drug: Placebo
Placebo to MK-8742 capsule, orally, once daily for 12 weeks to maintain blind
Drug: Ribavirin
Ribavirin capsules, orally, twice per day, at a total daily dose from 600 to 1400 mg based on participant weight
Other Names:
  • Rebetol™
  • RBV
Experimental: MK-5172 + MK-8742 Higher dose + RBV Drug: MK-5172
MK-5172, tablet, orally, once daily for 12 weeks
Drug: MK-8742
MK-8742, capsule, orally, once daily for 12 weeks, at assigned dose
Drug: Placebo
Placebo to MK-8742 capsule, orally, once daily for 12 weeks to maintain blind
Drug: Ribavirin
Ribavirin capsules, orally, twice per day, at a total daily dose from 600 to 1400 mg based on participant weight
Other Names:
  • Rebetol™
  • RBV

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Positive for HCV genotype 1
  • Absence (no medical history or physical findings) of ascites, bleeding esophageal varices, hepatic encephalopathy, or other signs or symptoms of advanced liver disease, or cirrhosis
  • No evidence of advanced fibrosis, cirrhosis and/or hepatocellular carcinoma by biopsy or noninvasive testing (FibroScan and/or FibroTest)
  • Female participants of childbearing potential or male participant with female partners of childbearing potential, must agree to use two acceptable methods of birth control from at least 2 weeks prior to Day 1 until at least 6 months after last dose of study drug, or longer if dictated by local regulations

Exclusion Criteria:

  • Mixed HCV genotype infection or non-typeable genotype
  • Previous treatment with any interferon, RBV, approved or experimental direct acting antiviral(s), or other investigational therapies for HCV
  • Known human immunodeficiency virus (HIV) positive or known coinfection with hepatitis B virus
  • Evidence of hepatocellular carcinoma (HCC) or is under evaluation for HCC
  • Currently participating in or has participated in a study with an investigational compound within 30 days of signing informed consent and is not willing to refrain from participating in another study
  • Diabetic and/or hypertensive with clinically significant ocular examination findings retinopathy, cotton wool spots, optic nerve disorder, retinal hemorrhage, or any other clinically significant abnormality
  • History of depression associated with hospitalization for depression, electroconvulsive therapy, or resulting in prolonged absence from work and/or significant disruption of daily functions
  • Suicidal or homicidal ideation and/or attempt, or history of severe psychiatric disorders
  • Clinical diagnosis of substance abuse
  • Current or history of seizure disorder, stroke, or transient ischemic attack
  • Immunologically-mediated disease
  • Chronic pulmonary disease
  • Clinically significant cardiac abnormalities/dysfunction
  • Active clinical gout within the last year
  • Hemoglobinopathy or myelodysplastic syndromes
  • History of organ transplants
  • Poor venous access
  • Indwelling venous catheter
  • History of gastric surgery or malabsorption disorder
  • Severe concurrent disease
  • Evidence of active or suspected malignancy, or under evaluation for malignancy, or history of malignancy, within the last 5 years
  • Pregnant, lactating, or expecting to conceive or donate eggs
  • Male participant whose female partner is pregnant
  • Member or a family member of the investigational study staff or sponsor staff directly involved with this study
  • History of chronic hepatitis not caused by HCV
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01717326

Contacts
Contact: Toll Free Number 1-888-577-8839

Locations
United States, California
Call for Information (Investigational Site 0363) Recruiting
Anaheim, California, United States, 92801
United States, Indiana
Call for Information (Investigational Site 0365) Recruiting
Indianapolis, Indiana, United States, 46237
United States, New Jersey
Call for Information (Investigational Site 0351) Recruiting
Hillsborough, New Jersey, United States, 08844
United States, North Carolina
Call for Information (Investigational Site 0356) Recruiting
Charlotte, North Carolina, United States, 28203
United States, Ohio
Call for Information (Investigational Site 0358) Recruiting
Cincinnati, Ohio, United States, 45267
United States, Texas
Call for Information (Investigational Site 0367) Recruiting
Arlington, Texas, United States, 76012
Call for Information (Investigational Site 0362) Recruiting
Houston, Texas, United States, 77030
Call for Information (Investigational Site 0368) Recruiting
San Antonio, Texas, United States, 78215
Denmark
Merck Sharp & Dohme Recruiting
Glostrup, Denmark
Contact: Gert Andersen     45 43287726        
Sponsors and Collaborators
Merck
  More Information

No publications provided

Responsible Party: Merck
ClinicalTrials.gov Identifier: NCT01717326     History of Changes
Other Study ID Numbers: 5172-035, 2012-003354-89
Study First Received: October 26, 2012
Last Updated: April 26, 2013
Health Authority: United States: Food and Drug Administration

Additional relevant MeSH terms:
Hepatitis
Hepatitis A
Hepatitis, Chronic
Hepatitis C
Hepatitis C, Chronic
Liver Diseases
Digestive System Diseases
Hepatitis, Viral, Human
Virus Diseases
Enterovirus Infections
Picornaviridae Infections
RNA Virus Infections
Flaviviridae Infections
Ribavirin
Antiviral Agents
Anti-Infective Agents
Therapeutic Uses
Pharmacologic Actions
Antimetabolites
Molecular Mechanisms of Pharmacological Action

ClinicalTrials.gov processed this record on May 19, 2013