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NCT01390428

Study to Investigate the Influence of Hepatic Insufficiency on the Pharmacokinetics of Grazoprevir (MK-5172-013)

Completed Phase 1 Results posted Last updated 14 September 2018
What this trial tests

Phase 1 trial testing Grazoprevir in Hepatitis C in 50 participants. Completed in 12 September 2014.

Timeline
28 July 2011
Primary endpoint
5 September 2014
12 September 2014

Quick facts

Lead sponsorMerck Sharp & Dohme LLC
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment50
Start date28 July 2011
Primary completion5 September 2014
Estimated completion12 September 2014

Drugs / interventions tested

Conditions studied

Sponsor

Merck Sharp & Dohme LLC — full company profile →

Who can join

Adults 18 to 65, any sex, 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.

Area Under the Concentration Time-curve From 0 to 24 Hours (AUC0-24) of Grazoprevir Primary · Days 1 and 10 at the following timepoints: pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose

Blood samples were collected at pre-dose, and from 0.5 to 24 hours post-dose on Days 1 and 10 in order to determine the plasma AUC0-24 of Grazoprevir. Classification of HI based on the Child-Pugh scale, where a score of 5-6 = Mild HI; a score of 7-9 = Moderate HI; and a score of 10-15 = Severe HI.

Day 1
GroupValue95% CI
Part 1-Mild HI1.711.10 – 2.65
Part 1-Healthy Matched to Mild HI1.420.912 – 2.20
Part 2-Moderate HI1.610.791 – 3.29
Part 2-Healthy Matched to Moderate HI0.3210.157 – 0.655
Part 3-Severe HI1.170.541 – 2.55
Part 3-Healthy Matched to Severe HI0.05920.0273 – 0.129
Day 10
GroupValue95% CI
Part 1-Mild HI6.204.19 – 9.18
Part 1-Healthy Matched to Mild HI3.742.53 – 5.54
Part 2-Moderate HI4.212.48 – 7.14
Part 2-Healthy Matched to Moderate HI0.8740.515 – 1.48
Part 3-Severe HI3.001.71 – 5.26
Part 3-Healthy Matched to Severe HI0.2570.146 – 0.451
Maximum Concentration (Cmax) of Grazoprevir Primary · Days 1 and 10 at the following timepoints: pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose

Blood samples were collected at pre-dose, and from 0.5 to 24 hours post-dose on Days 1 and 10 in order to determine the plasma Cmax of Grazoprevir. Classification of HI based on the Child-Pugh scale, where a score of 5-6 = Mild HI; a score of 7-9 = Moderate HI; and a score of 10-15 = Severe HI.

Day 1
GroupValue95% CI
Part 1-Mild HI0.2570.121 – 0.545
Part 1-Healthy Matched to Mild HI0.3050.144 – 0.646
Part 2-Moderate HI0.4330.184 – 1.07
Part 2-Healthy Matched to Moderate HI0.05800.0242 – 0.139
Part 3-Severe HI0.2380.107 – 0.531
Part 3-Healthy Matched to Severe HI0.01570.00705 – 0.0350
Day 10
GroupValue95% CI
Part 1-Mild HI1.400.903 – 2.17
Part 1-Healthy Matched to Mild HI1.020.658 – 1.58
Part 2-Moderate HI0.6310.334 – 1.19
Part 2-Healthy Matched to Moderate HI0.1060.0559 – 0.199
Part 3-Severe HI0.3960.203 – 0.774
Part 3-Healthy Matched to Severe HI0.03040.0156 – 0.0595
Time to Peak Concentration (Tmax) of Grazoprevir Primary · Days 1 and 10 at the following timepoints: pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose

Blood samples were collected at pre-dose, and from 0.5 to 24 hours post-dose on Days 1 and 10 in order to determine the plasma Tmax of Grazoprevir. Classification of HI based on the Child-Pugh scale, where a score of 5-6 = Mild HI; a score of 7-9 = Moderate HI; and a score of 10-15 = Severe HI.

Day 1
GroupValue95% CI
Part 1-Mild HI3.501.00 – 12.00
Part 1-Healthy Matched to Mild HI2.501.00 – 4.00
Part 2-Moderate HI2.001.50 – 4.00
Part 2-Healthy Matched to Moderate HI1.751.00 – 4.00
Part 3-Severe HI1.751.00 – 3.00
Part 3-Healthy Matched to Severe HI1.501.00 – 4.00
Day 10
GroupValue95% CI
Part 1-Mild HI3.002.00 – 4.00
Part 1-Healthy Matched to Mild HI3.011.5 – 4.00
Part 2-Moderate HI3.001.50 – 8.00
Part 2-Healthy Matched to Moderate HI2.001.00 – 6.00
Part 3-Severe HI1.750.50 – 4.00
Part 3-Healthy Matched to Severe HI1.000.50 – 3.00
Concentrations 24 Hours Post-dose (C24) of Grazoprevir on Day 1 for Participants With Mild HI and Moderate HI and Healthy Matched to Mild HI and Moderate HI Primary · Day 1 at 24 hours postdose

Blood samples were collected at 24 hours post-dose on Day 1 in order to determine the plasma C24 of Grazoprevir. Classification of HI based on the Child-Pugh scale, where a score of 5-6 = Mild HI; a score of 7-9 = Moderate HI; and a score of 10-15 = Severe HI.

GroupValue95% CI
Part 1-Mild HI21.418.2 – 25.2
Part 1-Healthy Matched to Mild HI11.59.8 – 13.5
Part 2-Moderate HI17.78.73 – 35.8
Part 2-Healthy Matched to Moderate HI5.902.92 – 11.9
Concentrations 24 Hours Post-dose (C24) of Grazoprevir on Day 1 for Participants With Severe HI and Healthy Matched to Severe HI Primary · Day 1 at 24 hours postdose

Blood samples were collected at 24 hours post-dose on Day 1 in order to determine the plasma C24 of Grazoprevir. Classification of HI based on the Child-Pugh scale, where a score of 5-6 = Mild HI; a score of 7-9 = Moderate HI; and a score of 10-15 = Severe HI.

GroupValue95% CI
Part 3-Severe HI15.62.89 – 60.2
Part 3-Healthy Matched to Severe HI1.860.00 – 3.32
Concentrations 24 Hours Post-dose (C24) of Grazoprevir on Day 10 Primary · Days 10 at 24 hours postdose

Blood samples were collected at 24 hours post-dose on Day 10 in order to determine the plasma C24 of Grazoprevir. Classification of HI based on the Child-Pugh scale, where a score of 5-6 = Mild HI; a score of 7-9 = Moderate HI; and a score of 10-15 = Severe HI.

GroupValue95% CI
Part 1-Mild HI32.624.8 – 42.8
Part 1-Healthy Matched to Mild HI17.012.9 – 22.3
Part 2-Moderate HI48.927.2 – 87.9
Part 2-Healthy Matched to Moderate HI13.67.60 – 24.5
Part 3-Severe HI55.031.9 – 94.8
Part 3-Healthy Matched to Severe HI5.893.42 – 10.2
Apparent Terminal Half-life (t1/2) of Grazoprevir Primary · Day 10 at the following timepoints: pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16 and 24 hours post-dose

Blood samples were collected at pre-dose, and from 0.5 to 24 hours post-dose on Day 10 in order to determine the plasma t1/2 of Grazoprevir. Classification of HI based on the Child-Pugh scale, where a score of 5-6 = Mild HI; a score of 7-9 = Moderate HI; and a score of 10-15 = Severe HI.

GroupValue95% CI
Part 1-Mild HI54.24± 22.32
Part 1-Healthy Matched to Mild HI35.85± 47.15
Part 2-Moderate HI39.59± 23.76
Part 2-Healthy Matched to Moderate HI39.80± 17.34
Part 3-Severe HI42.00± 26.55
Part 3-Healthy Matched to Severe HI31.02± 41.99

Adverse events — posted to ClinicalTrials.gov

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

Part 1-Mild HI
Serious: 0/8 (0%)
Deaths:
Part 1-Healthy Matched to Mild HI
Serious: 0/8 (0%)
Deaths:
Part 2-Moderate HI
Serious: 0/9 (0%)
Deaths:
Part 2-Healthy Matched to Moderate HI
Serious: 0/9 (0%)
Deaths:
Part 3-Severe HI
Serious: 1/8 (13%)
Deaths:
Part 3-Healthy Matched to Severe HI
Serious: 0/8 (0%)
Deaths:

Serious adverse events (1 terms)

ReactionSystemPart 1-Mild HIPart 1-Healthy Matched to …Part 2-Moderate HIPart 2-Healthy Matched to …Part 3-Severe HIPart 3-Healthy Matched to …
Postoperative ileusInjury, poisoning and procedural complications
Other adverse events (47 terms — click to expand)

ReactionSystemPart 1-Mild HIPart 1-Healthy Matched to …Part 2-Moderate HIPart 2-Healthy Matched to …Part 3-Severe HIPart 3-Healthy Matched to …
HeadacheNervous system disorders
DiarrhoeaGastrointestinal disorders
DizzinessNervous system disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
RashSkin and subcutaneous tissue disorders
LymphadenopathyBlood and lymphatic system disorders
TinnitusEar and labyrinth disorders
Vision blurredEye disorders
Abdominal pain upperGastrointestinal disorders
ConstipationGastrointestinal disorders
Faeces hardGastrointestinal disorders
FlatulenceGastrointestinal disorders
NauseaGastrointestinal disorders
ToothacheGastrointestinal disorders
VomitingGastrointestinal disorders
FatigueGeneral disorders
PainGeneral disorders
Rash pustularInfections and infestations
Upper respiratory tract infectionInfections and infestations
ContusionInjury, poisoning and procedural complications
Muscle strainInjury, poisoning and procedural complications
Procedural painInjury, poisoning and procedural complications
Skin abrasionInjury, poisoning and procedural complications
Weight increasedInvestigations
HypokalaemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
Neck painMusculoskeletal and connective tissue disorders
LethargyNervous system disorders
Neuropathy peripheralNervous system disorders
PresyncopeNervous system disorders
Abnormal dreamsPsychiatric disorders
InsomniaPsychiatric disorders
CoughRespiratory, thoracic and mediastinal disorders
Dry throatRespiratory, thoracic and mediastinal disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
Nasal congestionRespiratory, thoracic and mediastinal disorders
RhinalgiaRespiratory, thoracic and mediastinal disorders
Dermatitis contactSkin and subcutaneous tissue disorders

Most-reported serious reactions: Postoperative ileus.

Data from ClinicalTrials.gov NCT01390428 adverse events section.

Sponsor's own description

This study will compare the pharmacokinetics (PK) of grazoprevir (MK-5172) when administered to participants with mild, moderate or severe hepatic insufficiency (assessed by the criteria of the Child-Pugh's scale) with the PK of grazoprevir when administered to healthy 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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Other trials of Grazoprevir

Trials testing the same drug.

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Trials by the same sponsor.

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing