Trial Outcomes & Findings for A Study Investigating the Influence of Hepatic Insufficiency on the Pharmacokinetics of Vaniprevir (MK-7009-005) (NCT NCT01010906)

NCT ID: NCT01010906

Last Updated: 2018-10-09

Results Overview

Participants were administered a single dose of vaniprevir; then their blood was collected at the following time points: 0.5, 1, 1.5, 2, 3, 4, 8, 12, 16, 24, 32 and 48 hours postdose. The AUC (0-infinity) of vaniprevir in blood plasma was based on an analysis of covariance (ANCOVA) model used to analyze natural log-transformed values that were back-transformed to derive geometric least-squares mean and confidence interval.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

60 participants

Primary outcome timeframe

0-48 hours postdose

Results posted on

2018-10-09

Participant Flow

Participant milestones

Participant milestones
Measure
Mild Hepatic Insufficiency (HI)
Participants with mild hepatic insufficiency (HI) administered a single 300 mg oral tablet of vaniprevir
Healthy Control for Mild HI
Healthy matched control participants administered a single 300 mg oral tablet of vaniprevir
Moderate HI
Participants with moderate HI administered a single 300 mg oral tablet of vaniprevir
Healthy Control for Moderate HI
Healthy matched control participants administered a single 300 mg oral tablet of vaniprevir
Severe HI
Participants with severe HI administered a single 200 mg oral tablet of vaniprevir
Healthy Control for Severe HI
Healthy matched control participants administered a single 200 mg oral tablet of vaniprevir
Overall Study
STARTED
10
10
10
10
10
10
Overall Study
COMPLETED
10
10
10
10
10
10
Overall Study
NOT COMPLETED
0
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study Investigating the Influence of Hepatic Insufficiency on the Pharmacokinetics of Vaniprevir (MK-7009-005)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Mild Hepatic Insufficiency (HI)
n=10 Participants
Participants with mild hepatic insufficiency (HI) administered a single 300 mg oral tablet of vaniprevir
Healthy Control for Mild HI
n=10 Participants
Healthy matched control participants administered a single 300 mg oral tablet of vaniprevir
Moderate HI
n=10 Participants
Participants with moderate HI administered a single 300 mg oral tablet of vaniprevir
Healthy Control for Moderate HI
n=10 Participants
Healthy matched control participants administered a single 300 mg oral tablet of vaniprevir
Severe HI
n=10 Participants
Participants with severe HI administered a single 200 mg oral tablet of vaniprevir
Healthy Control for Severe HI
n=10 Participants
Healthy matched control participants administered a single 200 mg oral tablet of vaniprevir
Total
n=60 Participants
Total of all reporting groups
Age, Continuous
50.3 Years
STANDARD_DEVIATION 5.03 • n=5 Participants
52.1 Years
STANDARD_DEVIATION 3.54 • n=7 Participants
52.1 Years
STANDARD_DEVIATION 6.51 • n=5 Participants
53.3 Years
STANDARD_DEVIATION 4.90 • n=4 Participants
53.4 Years
STANDARD_DEVIATION 6.08 • n=21 Participants
52.6 Years
STANDARD_DEVIATION 7.04 • n=8 Participants
52.3 Years
STANDARD_DEVIATION 5.49 • n=8 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
4 Participants
n=21 Participants
4 Participants
n=8 Participants
14 Participants
n=8 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
8 Participants
n=7 Participants
9 Participants
n=5 Participants
9 Participants
n=4 Participants
6 Participants
n=21 Participants
6 Participants
n=8 Participants
46 Participants
n=8 Participants

PRIMARY outcome

Timeframe: 0-48 hours postdose

Population: Participants administered at least one dose of investigational drug. AUC for one participant with Mild HI was not estimated due to poor correlation of the linear regression.

Participants were administered a single dose of vaniprevir; then their blood was collected at the following time points: 0.5, 1, 1.5, 2, 3, 4, 8, 12, 16, 24, 32 and 48 hours postdose. The AUC (0-infinity) of vaniprevir in blood plasma was based on an analysis of covariance (ANCOVA) model used to analyze natural log-transformed values that were back-transformed to derive geometric least-squares mean and confidence interval.

Outcome measures

Outcome measures
Measure
Mild Hepatic Insufficiency (HI)
n=9 Participants
Participants with mild hepatic insufficiency (HI) administered a single 300 mg oral tablet of vaniprevir
Healthy Control for Mild HI
n=10 Participants
Healthy matched control participants administered a single 300 mg oral tablet of vaniprevir
Moderate HI
n=10 Participants
Participants with moderate HI administered a single 300 mg oral tablet of vaniprevir
Healthy Control for Moderate HI
n=10 Participants
Healthy matched control participants administered a single 300 mg oral tablet of vaniprevir
Severe HI
n=10 Participants
Participants with severe HI administered a single 200 mg oral tablet of vaniprevir
Healthy Control for Severe HI
n=10 Participants
Healthy matched control participants administered a single 200 mg oral tablet of vaniprevir
Area Under the Curve (AUC) (0-infinity) of Vaniprevir in Blood Plasma Following Single Dose Administration
2.68 µM.hr
Interval 1.39 to 5.18
1.48 µM.hr
Interval 0.84 to 2.59
5.09 µM.hr
Interval 2.21 to 11.7
1.64 µM.hr
Interval 0.67 to 3.98
7.79 µM.hr
Interval 5.03 to 12.0
0.925 µM.hr
Interval 0.61 to 1.41

SECONDARY outcome

Timeframe: 0-48 hours postdose

Population: Participants administered at least one dose of investigational drug.

Participants were administered a single dose of vaniprevir; then their blood was collected at the following time points: 0.5, 1, 1.5, 2, 3, 4, 8, 12, 16, 24, 32 and 48 hours postdose. The Cmax of vaniprevir in blood plasma was based on an ANCOVA model used to analyze natural log-transformed values that were back-transformed to derive geometric least-squares mean and confidence interval.

Outcome measures

Outcome measures
Measure
Mild Hepatic Insufficiency (HI)
n=10 Participants
Participants with mild hepatic insufficiency (HI) administered a single 300 mg oral tablet of vaniprevir
Healthy Control for Mild HI
n=10 Participants
Healthy matched control participants administered a single 300 mg oral tablet of vaniprevir
Moderate HI
n=10 Participants
Participants with moderate HI administered a single 300 mg oral tablet of vaniprevir
Healthy Control for Moderate HI
n=10 Participants
Healthy matched control participants administered a single 300 mg oral tablet of vaniprevir
Severe HI
n=10 Participants
Participants with severe HI administered a single 200 mg oral tablet of vaniprevir
Healthy Control for Severe HI
n=10 Participants
Healthy matched control participants administered a single 200 mg oral tablet of vaniprevir
Maximum Concentration (Cmax) of Vaniprevir in Blood Plasma Following Single Dose Administration
0.922 µM
Interval 0.44 to 1.94
0.586 µM
Interval 0.29 to 1.17
1.88 µM
Interval 0.88 to 4.01
0.852 µM
Interval 0.38 to 1.91
2.06 µM
Interval 1.37 to 3.12
0.335 µM
Interval 0.23 to 0.5

Adverse Events

Mild Hepatic Insufficiency (HI)

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Healthy Control for Mild HI

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Moderate HI

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Healthy Control for Moderate HI

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Severe HI

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Healthy Control for Severe HI

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Mild Hepatic Insufficiency (HI)
n=10 participants at risk
Participants with mild hepatic insufficiency (HI) administered a single 300 mg oral tablet of vaniprevir
Healthy Control for Mild HI
n=10 participants at risk
Healthy matched control participants administered a single 300 mg oral tablet of vaniprevir
Moderate HI
n=10 participants at risk
Participants with moderate HI administered a single 300 mg oral tablet of vaniprevir
Healthy Control for Moderate HI
n=10 participants at risk
Healthy matched control participants administered a single 300 mg oral tablet of vaniprevir
Severe HI
n=10 participants at risk
Participants with severe HI administered a single 200 mg oral tablet of vaniprevir
Healthy Control for Severe HI
n=10 participants at risk
Healthy matched control participants administered a single 200 mg oral tablet of vaniprevir
Blood and lymphatic system disorders
Hypersplenism
10.0%
1/10 • Number of events 1 • Up to 14 days after administration of study drug
0.00%
0/10 • Up to 14 days after administration of study drug
0.00%
0/10 • Up to 14 days after administration of study drug
0.00%
0/10 • Up to 14 days after administration of study drug
0.00%
0/10 • Up to 14 days after administration of study drug
0.00%
0/10 • Up to 14 days after administration of study drug
Blood and lymphatic system disorders
Thrombocytopenia
0.00%
0/10 • Up to 14 days after administration of study drug
0.00%
0/10 • Up to 14 days after administration of study drug
10.0%
1/10 • Number of events 1 • Up to 14 days after administration of study drug
0.00%
0/10 • Up to 14 days after administration of study drug
0.00%
0/10 • Up to 14 days after administration of study drug
0.00%
0/10 • Up to 14 days after administration of study drug
Hepatobiliary disorders
Hepatic cirrhosis
10.0%
1/10 • Number of events 1 • Up to 14 days after administration of study drug
0.00%
0/10 • Up to 14 days after administration of study drug
0.00%
0/10 • Up to 14 days after administration of study drug
0.00%
0/10 • Up to 14 days after administration of study drug
0.00%
0/10 • Up to 14 days after administration of study drug
0.00%
0/10 • Up to 14 days after administration of study drug
Investigations
Blood bilirubin increased
0.00%
0/10 • Up to 14 days after administration of study drug
0.00%
0/10 • Up to 14 days after administration of study drug
0.00%
0/10 • Up to 14 days after administration of study drug
20.0%
2/10 • Number of events 3 • Up to 14 days after administration of study drug
0.00%
0/10 • Up to 14 days after administration of study drug
0.00%
0/10 • Up to 14 days after administration of study drug
Nervous system disorders
Dysgeusia
0.00%
0/10 • Up to 14 days after administration of study drug
10.0%
1/10 • Number of events 1 • Up to 14 days after administration of study drug
0.00%
0/10 • Up to 14 days after administration of study drug
0.00%
0/10 • Up to 14 days after administration of study drug
0.00%
0/10 • Up to 14 days after administration of study drug
0.00%
0/10 • Up to 14 days after administration of study drug
Nervous system disorders
Headache
10.0%
1/10 • Number of events 1 • Up to 14 days after administration of study drug
0.00%
0/10 • Up to 14 days after administration of study drug
0.00%
0/10 • Up to 14 days after administration of study drug
0.00%
0/10 • Up to 14 days after administration of study drug
0.00%
0/10 • Up to 14 days after administration of study drug
0.00%
0/10 • Up to 14 days after administration of study drug

Additional Information

Senior Vice President, Global Clinical Development

Merck Sharp & Dohme Corp.

Phone: 1-800-672-6372

Results disclosure agreements

  • Principal investigator is a sponsor employee The Sponsor must have the opportunity to review all abstracts, manuscripts, or presentations regarding this study 60 days prior to submission for publication/presentation. Any information identified by the Sponsor as confidential must be deleted prior to submission.
  • Publication restrictions are in place

Restriction type: OTHER