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NCT00635804

Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of MK-3281 in Healthy and Hepatitis C Infected Male Participants (MK-3281-002)

Completed Phase 1 Results posted Last updated 5 September 2018
What this trial tests

Phase 1 trial testing MK-3281 in Hepatitis C in 60 participants. Completed in 22 December 2009.

Timeline
19 February 2008
Primary endpoint
22 December 2009
22 December 2009

Quick facts

Lead sponsorMerck Sharp & Dohme LLC
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment60
Start date19 February 2008
Primary completion22 December 2009
Estimated completion22 December 2009

Drugs / interventions tested

Conditions studied

Sponsor

Merck Sharp & Dohme LLC — full company profile →

Who can join

Adults 18 to 65, male only, with Hepatitis C. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants Experiencing Adverse Events (AEs) Primary · Up to 14 days after the last dose of study drug (up to 24 days maximum)

An AE was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the SPONSOR's product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which is temporally associated with the use of the SPONSOR's product, was also an AE.

GroupValue95% CI
Pt 1: MK-3281 100 mg BID (Panel A)5
Pt 1: MK-3281 200 mg BID (Panel B)3
Pt 1: MK-3281 400 mg BID (Panel C)4
Pt 1: MK-3281 800 mg BID (Panel D)5
Pt 2: MK-3281 800 mg BID (Panel E)3
Pt 2: MK-3281 800 mg BID (Panel F)12
Pt 2: MK-3281 1200 mg BID (Panel G)2
Placebo12
Number of Participants Who Discontinued Study Medication Due to AEs Primary · Up to 14 days after the last dose of study drug (up to 24 days maximum)

An AE was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the SPONSOR's product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which is temporally associated with the use of the SPONSOR's product, was also an AE.

GroupValue95% CI
Pt 1: MK-3281 100 mg BID (Panel A)0
Pt 1: MK-3281 200 mg BID (Panel B)0
Pt 1: MK-3281 400 mg BID (Panel C)0
Pt 1: MK-3281 800 mg BID (Panel D)0
Pt 2: MK-3281 800 mg BID (Panel E)0
Pt 2: MK-3281 800 mg BID (Panel F)1
Pt 2: MK-3281 1200 mg BID (Panel G)0
Placebo0
Area Under the Plasma Concentration Versus Time Curve From Time Zero to Time 12 Hours (AUC[0-12]) of MK-3281 Secondary · Predose daily on Days 2-9 (for healthy participants) and Days 2-6 (for HCV+ participants), and predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post-dose on Day 1, Day 7 (HCV+ participants), and Day 10 (healthy participants)

Blood samples were obtained from participants and MK-3281 AUC(0-12) was calculated at Days 1 and 7 (for HCV+ participants) or Day 10 (for healthy participants) using the MK-3281 assay.

Day 1
GroupValue95% CI
Pt 1: MK-3281 100 mg BID (Panel A)4.92± 39.9
Pt 1: MK-3281 200 mg BID (Panel B)12.39± 36.2
Pt 1: MK-3281 400 mg BID (Panel C)13.21± 45.0
Pt 1: MK-3281 800 mg BID (Panel D)18.12± 70.9
Pt 2: MK-3281 800 mg BID (Panel E)12.78± 22.4
Pt 2: MK-3281 800 mg BID (Panel F)11.36± 47.7
Pt 2: MK-3281 1200 mg BID (Panel G)12.01± 27.5
Day 7
GroupValue95% CI
Pt 1: MK-3281 100 mg BID (Panel A)NA± NA
Pt 1: MK-3281 200 mg BID (Panel B)NA± NA
Pt 1: MK-3281 400 mg BID (Panel C)NA± NA
Pt 1: MK-3281 800 mg BID (Panel D)NA± NA
Pt 2: MK-3281 800 mg BID (Panel E)61.08± 20.1
Pt 2: MK-3281 800 mg BID (Panel F)51.68± 29.8
Pt 2: MK-3281 1200 mg BID (Panel G)88.21± 37.0
Day 10
GroupValue95% CI
Pt 1: MK-3281 100 mg BID (Panel A)11.51± 31.7
Pt 1: MK-3281 200 mg BID (Panel B)29.71± 32.1
Pt 1: MK-3281 400 mg BID (Panel C)37.21± 22.6
Pt 1: MK-3281 800 mg BID (Panel D)67.11± 28.1
Pt 2: MK-3281 800 mg BID (Panel E)NA± NA
Pt 2: MK-3281 800 mg BID (Panel F)NA± NA
Pt 2: MK-3281 1200 mg BID (Panel G)NA± NA
Maximum Plasma Concentration (Cmax) of MK-3281 Secondary · Predose daily on Days 2-9 (for healthy participants) and Days 2-6 (for HCV+ participants), and predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post-dose on Day 1, Day 7 (HCV+ participants), and Day 10 (healthy participants)

Blood samples were obtained from participants and MK-3281 Cmax was calculated at Days 1 and 7 (for HCV+ participants) or Day 10 (for healthy participants) using the MK-3281 assay.

Day 1
GroupValue95% CI
Pt 1: MK-3281 100 mg BID (Panel A)0.74± 32.6
Pt 1: MK-3281 200 mg BID (Panel B)1.75± 39.1
Pt 1: MK-3281 400 mg BID (Panel C)1.80± 48.3
Pt 1: MK-3281 800 mg BID (Panel D)2.73± 75.9
Pt 2: MK-3281 800 mg BID (Panel E)1.61± 24.9
Pt 2: MK-3281 800 mg BID (Panel F)1.60± 43.7
Pt 2: MK-3281 1200 mg BID (Panel G)1.69± 28.4
Day 7
GroupValue95% CI
Pt 1: MK-3281 100 mg BID (Panel A)NA± NA
Pt 1: MK-3281 200 mg BID (Panel B)NA± NA
Pt 1: MK-3281 400 mg BID (Panel C)NA± NA
Pt 1: MK-3281 800 mg BID (Panel D)NA± NA
Pt 2: MK-3281 800 mg BID (Panel E)6.78± 23.9
Pt 2: MK-3281 800 mg BID (Panel F)5.60± 33.3
Pt 2: MK-3281 1200 mg BID (Panel G)10.73± 40.5
Day 10
GroupValue95% CI
Pt 1: MK-3281 100 mg BID (Panel A)1.28± 28.3
Pt 1: MK-3281 200 mg BID (Panel B)3.45± 36.2
Pt 1: MK-3281 400 mg BID (Panel C)4.97± 44.1
Pt 1: MK-3281 800 mg BID (Panel D)7.83± 48.8
Pt 2: MK-3281 800 mg BID (Panel E)NA± NA
Pt 2: MK-3281 800 mg BID (Panel F)NA± NA
Pt 2: MK-3281 1200 mg BID (Panel G)NA± NA
12-Hour Concentration of MK-3281 in Plasma (C12hr) Secondary · Predose daily on Days 2-9 (for healthy participants) and Days 2-6 (for HCV+ participants), and predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post-dose on Day 1, Day 7 (HCV+ participants), and Day 10 (healthy participants)

Blood samples were obtained from participants and MK-3281 plasma C12hr was calculated at Days 1 and 7 (for HCV+ participants) or Day 10 (for healthy participants) using the MK-3281 assay.

Day 1
GroupValue95% CI
Pt 1: MK-3281 100 mg BID (Panel A)0.26± 42.3
Pt 1: MK-3281 200 mg BID (Panel B)0.61± 35.2
Pt 1: MK-3281 400 mg BID (Panel C)0.70± 40.5
Pt 1: MK-3281 800 mg BID (Panel D)0.95± 73.1
Pt 2: MK-3281 800 mg BID (Panel E)0.76± 29.7
Pt 2: MK-3281 800 mg BID (Panel F)0.64± 66.1
Pt 2: MK-3281 1200 mg BID (Panel G)0.64± 26.6
Day 7
GroupValue95% CI
Pt 1: MK-3281 100 mg BID (Panel A)NA± NA
Pt 1: MK-3281 200 mg BID (Panel B)NA± NA
Pt 1: MK-3281 400 mg BID (Panel C)NA± NA
Pt 1: MK-3281 800 mg BID (Panel D)NA± NA
Pt 2: MK-3281 800 mg BID (Panel E)3.62± 25.7
Pt 2: MK-3281 800 mg BID (Panel F)3.09± 26.9
Pt 2: MK-3281 1200 mg BID (Panel G)4.90± 32.1
Day 10
GroupValue95% CI
Pt 1: MK-3281 100 mg BID (Panel A)0.64± 40.3
Pt 1: MK-3281 200 mg BID (Panel B)1.66± 32.1
Pt 1: MK-3281 400 mg BID (Panel C)1.86± 26.3
Pt 1: MK-3281 800 mg BID (Panel D)2.87± 24.2
Pt 2: MK-3281 800 mg BID (Panel E)NA± NA
Pt 2: MK-3281 800 mg BID (Panel F)NA± NA
Pt 2: MK-3281 1200 mg BID (Panel G)NA± NA
Time To Reach Cmax (Tmax) of MK-3281 Secondary · Predose daily on Days 2-9 (for healthy participants) and Days 2-6 (for HCV+ participants), and predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post-dose on Day 1, Day 7 (HCV+ participants), and Day 10 (healthy participants)

Blood samples were obtained from participants and MK-3281 Tmax was calculated at Days 1 and 7 (for HCV+ participants) or Day 10 (for healthy participants) using the MK-3281 assay.

Day 1
GroupValue95% CI
Pt 1: MK-3281 100 mg BID (Panel A)3.01.5 – 6.0
Pt 1: MK-3281 200 mg BID (Panel B)2.01.5 – 3.0
Pt 1: MK-3281 400 mg BID (Panel C)5.03.0 – 6.0
Pt 1: MK-3281 800 mg BID (Panel D)3.01.5 – 4.0
Pt 2: MK-3281 800 mg BID (Panel E)2.51.4 – 4.0
Pt 2: MK-3281 800 mg BID (Panel F)3.01.5 – 6.0
Pt 2: MK-3281 1200 mg BID (Panel G)3.03.0 – 3.1
Day 7
GroupValue95% CI
Pt 1: MK-3281 100 mg BID (Panel A)NANA – NA
Pt 1: MK-3281 200 mg BID (Panel B)NANA – NA
Pt 1: MK-3281 400 mg BID (Panel C)NANA – NA
Pt 1: MK-3281 800 mg BID (Panel D)NANA – NA
Pt 2: MK-3281 800 mg BID (Panel E)2.30.0 – 2.8
Pt 2: MK-3281 800 mg BID (Panel F)2.01.0 – 3.0
Pt 2: MK-3281 1200 mg BID (Panel G)1.00.0 – 1.5
Day 10
GroupValue95% CI
Pt 1: MK-3281 100 mg BID (Panel A)3.52.0 – 4.0
Pt 1: MK-3281 200 mg BID (Panel B)3.02.0 – 4.0
Pt 1: MK-3281 400 mg BID (Panel C)3.51.5 – 6.0
Pt 1: MK-3281 800 mg BID (Panel D)3.01.5 – 4.0
Pt 2: MK-3281 800 mg BID (Panel E)NANA – NA
Pt 2: MK-3281 800 mg BID (Panel F)NANA – NA
Pt 2: MK-3281 1200 mg BID (Panel G)NANA – NA
Apparent Half-Life (t ½) of MK-3281 Secondary · Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, and 96 hours post-dose on Day 7 (HCV+ participants) or Day 10 (healthy participants)

Blood samples were obtained from participants and MK-3281 apparent t ½ was calculated at Day 7 (for HCV+ participants) or Day 10 (for healthy participants) using the MK-3281 assay. Harmonic mean t ½ and pseudo standard deviation were reported.

Day 7
GroupValue95% CI
Pt 1: MK-3281 100 mg BID (Panel A)NA± NA
Pt 1: MK-3281 200 mg BID (Panel B)NA± NA
Pt 1: MK-3281 400 mg BID (Panel C)NA± NA
Pt 1: MK-3281 800 mg BID (Panel D)NA± NA
Pt 2: MK-3281 800 mg BID (Panel E)18.3± 4.0
Pt 2: MK-3281 800 mg BID (Panel F)19.7± 3.3
Pt 2: MK-3281 1200 mg BID (Panel G)19.5± 2.0
Day 10
GroupValue95% CI
Pt 1: MK-3281 100 mg BID (Panel A)17.2± 2.3
Pt 1: MK-3281 200 mg BID (Panel B)17.5± 2.9
Pt 1: MK-3281 400 mg BID (Panel C)17.4± 2.5
Pt 1: MK-3281 800 mg BID (Panel D)16.9± 1.3
Pt 2: MK-3281 800 mg BID (Panel E)NA± NA
Pt 2: MK-3281 800 mg BID (Panel F)NA± NA
Pt 2: MK-3281 1200 mg BID (Panel G)NA± NA
AUC (0-12hr) Accumulation Ratio of MK-3281 Secondary · Predose daily on Days 2-9 (for healthy participants) and Days 2-6 (for HCV+ participants), and predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post-dose on Day 1, Day 7 (HCV+ participants), and Day 10 (healthy participants)

Blood samples were obtained from participants and the MK-3281 AUC(0-12hr) accumulation ratio was calculated for HCV+ participants and healthy participants. AUC(0-12hr) accumulation ratio calculated for healthy participants as Day 10 AUC (0-12hr) / Day 1 AUC (0-12hr). AUC(0-12hr) accumulation ratio calculated for HCV+ participants as Day 7 AUC (0-12hr) / Day 1 AUC (0-12hr).

GroupValue95% CI
Pt 1: MK-3281 100 mg BID (Panel A)2.31.6 – 3.4
Pt 1: MK-3281 200 mg BID (Panel B)2.41.6 – 3.5
Pt 1: MK-3281 400 mg BID (Panel C)2.81.9 – 4.1
Pt 1: MK-3281 800 mg BID (Panel D)3.72.5 – 5.6
Pt 2: MK-3281 800 mg BID (Panel E)4.83.6 – 6.4
Pt 2: MK-3281 800 mg BID (Panel F)4.53.7 – 5.6
Pt 2: MK-3281 1200 mg BID (Panel G)7.34.9 – 11.1
Cmax Accumulation Ratio of MK-3281 Secondary · Predose daily on Days 2-9 (for healthy participants) and Days 2-6 (for HCV+ participants), and predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post-dose on Day 1, Day 7 (HCV+ participants), and Day 10 (healthy participants)

Blood samples were obtained from participants and the MK-3281 Cmax accumulation ratio was calculated for HCV+ participants and healthy participants. Cmax accumulation ratio calculated for healthy participants as Day 10 Cmax / Day 1 Cmax. Cmax accumulation ratio calculated for HCV+ participants as Day 7 Cmax / Day 1 Cmax.

GroupValue95% CI
Pt 1: MK-3281 100 mg BID (Panel A)1.71.2 – 2.6
Pt 1: MK-3281 200 mg BID (Panel B)2.01.3 – 3.0
Pt 1: MK-3281 400 mg BID (Panel C)2.81.8 – 4.2
Pt 1: MK-3281 800 mg BID (Panel D)2.91.9 – 4.4
Pt 2: MK-3281 800 mg BID (Panel E)4.23.0 – 5.9
Pt 2: MK-3281 800 mg BID (Panel F)3.52.7 – 4.4
Pt 2: MK-3281 1200 mg BID (Panel G)6.44.0 – 10.1
C12hr Accumulation Ratio of MK-3281 Secondary · Predose daily on Days 2-9 (for healthy participants) and Days 2-6 (for HCV+ participants), and predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post-dose on Day 1, Day 7 (HCV+ participants), and Day 10 (healthy participants)

Blood samples were obtained from participants and the MK-3281 C12hr accumulation ratio was calculated for HCV+ participants and healthy participants. C12hr accumulation ratio calculated for healthy participants as Day 10 C12hr / Day 1 C12hr. C12hr accumulation ratio calculated for HCV+ participants as Day 7 C12hr / Day 1 C12hr.

GroupValue95% CI
Pt 1: MK-3281 100 mg BID (Panel A)2.51.6 – 4.1
Pt 1: MK-3281 200 mg BID (Panel B)2.71.7 – 4.4
Pt 1: MK-3281 400 mg BID (Panel C)2.61.6 – 4.3
Pt 1: MK-3281 800 mg BID (Panel D)3.01.9 – 4.9
Pt 2: MK-3281 800 mg BID (Panel E)4.73.6 – 6.2
Pt 2: MK-3281 800 mg BID (Panel F)4.84.0 – 5.8
Pt 2: MK-3281 1200 mg BID (Panel G)7.75.3 – 11.2
Maximum HCV Viral Load Change From Baseline Over Study Following MK-3281 Dosing For 7 Days Secondary · Baseline (pre-dose Day 1), Day 2, Day 3, Day 4, Day 5, Day 6, Day 7

For evaluation of MK-3281 antiviral activity, the maximum reduction in HCV ribonucleic acid (RNA) levels over the course of the study was assessed by MK-3281 dose group in HCV+ participants and the mean maximum viral load reduction was summarized. HCV RNA levels were measured at predose and 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24 hours postdose on Day 1 and Day 7; pre-morning (AM) and pre-evening (PM) dose Day 2; and pre AM dose Days 3-6. For each participant, baseline measurement was defined as the measurement obtained pre-dose on the first day of dosing, and change from baseline (difference) was

GroupValue95% CI
Pt 2: MK-3281 800 mg BID (Panels E+F)1.951.36 – 2.54
Pt 2: MK-3281 1200 mg BID (Panel G)1.34-0.34 – 3.01
Placebo0.370.20 – 0.54

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 14 days after the last dose of study drug (up to 24 days maximum). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Pt 1: MK-3281 100 mg BID (Panel A)
Serious: 0/7 (0%)
Deaths:
Pt 1: MK-3281 200 mg BID (Panel B)
Serious: 0/6 (0%)
Deaths:
Pt 1: MK-3281 400 mg BID (Panel C)
Serious: 0/6 (0%)
Deaths:
Pt 1: MK-3281 800 mg BID (Panel D)
Serious: 0/6 (0%)
Deaths:
Pt 2: MK-3281 800 mg BID (Panel E)
Serious: 0/6 (0%)
Deaths:
Pt 2: MK-3281 800 mg BID (Panel F)
Serious: 0/12 (0%)
Deaths:
Pt 2: MK-3281 1200 mg BID (Panel G)
Serious: 0/3 (0%)
Deaths:
Placebo
Serious: 0/14 (0%)
Deaths:
Other adverse events (54 terms — click to expand)

ReactionSystemPt 1: MK-3281 100 mg BID (…Pt 1: MK-3281 200 mg BID (…Pt 1: MK-3281 400 mg BID (…Pt 1: MK-3281 800 mg BID (…Pt 2: MK-3281 800 mg BID (…Pt 2: MK-3281 800 mg BID (…Pt 2: MK-3281 1200 mg BID …Placebo
HeadacheNervous system disorders
FatigueGeneral disorders
Catheter site haematomaGeneral disorders
DizzinessNervous system disorders
Loss of libidoPsychiatric disorders
Nasal congestionRespiratory, thoracic and mediastinal disorders
Heat rashSkin and subcutaneous tissue disorders
RashSkin and subcutaneous tissue disorders
Abdominal painGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
ConstipationGastrointestinal disorders
Dental cariesGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
DyspepsiaGastrointestinal disorders
FlatulenceGastrointestinal disorders
NauseaGastrointestinal disorders
Application site irritationGeneral disorders
Catheter site inflammationGeneral disorders
Chest discomfortGeneral disorders
Device breakageGeneral disorders
MalaiseGeneral disorders
Vessel puncture site haematomaGeneral disorders
GastroenteritisInfections and infestations
NasopharyngitisInfections and infestations
Oral herpesInfections and infestations
Rash pustularInfections and infestations
Arthropod biteInjury, poisoning and procedural complications
ContusionInjury, poisoning and procedural complications
ExcoriationInjury, poisoning and procedural complications
Procedural complicationInjury, poisoning and procedural complications
Skin lacerationInjury, poisoning and procedural complications
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
Blood pressure increasedInvestigations
Neutrophil count decreasedInvestigations
Back painMusculoskeletal and connective tissue disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
Muscle twitchingMusculoskeletal and connective tissue disorders
Musculoskeletal painMusculoskeletal and connective tissue disorders
MigraineNervous system disorders

Data from ClinicalTrials.gov NCT00635804 adverse events section.

Sponsor's own description

This study will examine the safety, tolerability and plasma pharmacokinetics of multiple doses of MK-3281 in healthy male participants in Part I, and in Hepatitis C Virus (HCV)-infected male participants in Part II. The clinical efficacy of MK-3281, as measured by viral load reduction, will also be assessed in Part II. The primary hypothesis is that twice daily administration of MK-3281 for 10 days in healthy adult male participants and for 7 days in HCV-infected male participants is sufficiently safe and well tolerated, based on assessment of clinical and laboratory adverse experiences, to permit continued clinical investigation. The results of this study will guide dose selection for future studies in both healthy participants and HCV-infected participants.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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