Trial Outcomes & Findings for Pharmacokinetics, Safety, and Tolerability of Ertugliflozin (MK-8835/PF-04971729) in Participants With Hepatic Impairment and in Healthy Participants (MK-8835-014) (NCT NCT02115347)

NCT ID: NCT02115347

Last Updated: 2018-08-20

Results Overview

Area under the plasma concentration-time profile from time zero to time of the last quantifiable concentration (AUClast).

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

16 participants

Primary outcome timeframe

Hour 0 (predose), and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, and 96 hours

Results posted on

2018-08-20

Participant Flow

Based on a statistical evaluation of the pharmacokinetic (PK) data obtained from participants with moderate hepatic impairment and matched healthy volunteers, and the pre-specified decision criteria, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.

Participant milestones

Participant milestones
Measure
Ertugliflozin 15 mg (Moderate Hepatic Impairment)
Participants received a single 15 mg oral dose (tablet) of ertugliflozin.
Ertugliflozin 15 mg (Normal Hepatic Function)
Participants received a single 15 mg oral dose (tablet) of ertugliflozin.
Ertugliflozin 15 mg - Mild Hepatic Impairment
Participants receive a single 15 mg oral dose (tablet) of ertugliflozin
Overall Study
STARTED
8
8
0
Overall Study
COMPLETED
8
8
0
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Pharmacokinetics, Safety, and Tolerability of Ertugliflozin (MK-8835/PF-04971729) in Participants With Hepatic Impairment and in Healthy Participants (MK-8835-014)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ertugliflozin 15 mg (Moderate Hepatic Impairment)
n=8 Participants
Participants received a single 15 mg oral dose (tablet) of ertugliflozin.
Ertugliflozin 15 mg (Normal Hepatic Function)
n=8 Participants
Participants received a single 15 mg oral dose (tablet) of ertugliflozin.
Total
n=16 Participants
Total of all reporting groups
Age, Continuous
55.1 Years
FULL_RANGE 3.4 • n=5 Participants
55.5 Years
FULL_RANGE 3.0 • n=7 Participants
55.3 Years
n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Hour 0 (predose), and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, and 96 hours

Population: The analysis population was all treated participants who had at least 1 measurement of the AUClast parameter. Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.

Area under the plasma concentration-time profile from time zero to time of the last quantifiable concentration (AUClast).

Outcome measures

Outcome measures
Measure
Ertugliflozin 15 mg (Moderate Hepatic Impairment)
n=8 Participants
Participants received a single 15 mg oral dose (tablet) of ertugliflozin.
Ertugliflozin 15 mg (Normal Hepatic Function)
n=8 Participants
Participants received a single 15 mg oral dose (tablet) of ertugliflozin.
Area Under the Plasma Concentration-Time Curve From Time 0 to Time of the Last Quantifiable Concentration (AUClast) for Ertugliflozin
1413 ng•hr/mL
Geometric Coefficient of Variation 39
1618 ng•hr/mL
Geometric Coefficient of Variation 14

PRIMARY outcome

Timeframe: Hour 0 (predose), and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, and 96 hours

Population: The analysis population was all treated participants who had at least 1 measurement of the AUCinf parameter. Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.

Area under the plasma concentration-time profile from time zero extrapolated to infinite time (AUCinf).

Outcome measures

Outcome measures
Measure
Ertugliflozin 15 mg (Moderate Hepatic Impairment)
n=8 Participants
Participants received a single 15 mg oral dose (tablet) of ertugliflozin.
Ertugliflozin 15 mg (Normal Hepatic Function)
n=8 Participants
Participants received a single 15 mg oral dose (tablet) of ertugliflozin.
AUC From Hour 0 to Infinity (AUCinf) for Ertugliflozin
1430 ng•hr/mL
Geometric Coefficient of Variation 39
1636 ng•hr/mL
Geometric Coefficient of Variation 14

SECONDARY outcome

Timeframe: Hour 0 (predose), and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, and 96 hours

Population: The analysis population was all treated participants who had at least 1 measurement of the AUClast,u parameter. Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.

Area under the plasma concentration-time profile from time zero to time of the last quantifiable concentration (Clast) for unbound drug (ertugliflozin only).

Outcome measures

Outcome measures
Measure
Ertugliflozin 15 mg (Moderate Hepatic Impairment)
n=8 Participants
Participants received a single 15 mg oral dose (tablet) of ertugliflozin.
Ertugliflozin 15 mg (Normal Hepatic Function)
n=8 Participants
Participants received a single 15 mg oral dose (tablet) of ertugliflozin.
AUClast for Fraction of Ertugliflozin Unbound in Plasma (AUClast,u)
52.47 ng•hr/mL
Geometric Coefficient of Variation 44
54.77 ng•hr/mL
Geometric Coefficient of Variation 15

SECONDARY outcome

Timeframe: Hour 0 (predose), and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, and 96 hours

Population: The analysis population was all treated participants who had at least 1 measurement of the AUCinf,u parameter. Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.

Area under the plasma concentration-time profile from time zero extrapolated to infinite time for unbound drug (ertugliflozin only) (AUCinf, u).

Outcome measures

Outcome measures
Measure
Ertugliflozin 15 mg (Moderate Hepatic Impairment)
n=8 Participants
Participants received a single 15 mg oral dose (tablet) of ertugliflozin.
Ertugliflozin 15 mg (Normal Hepatic Function)
n=8 Participants
Participants received a single 15 mg oral dose (tablet) of ertugliflozin.
AUCinf for Fraction of Ertugliflozin Unbound in Plasma (AUCinf,u)
53.14 ng•hr/mL
Geometric Coefficient of Variation 44
55.40 ng•hr/mL
Geometric Coefficient of Variation 16

SECONDARY outcome

Timeframe: Hour 0 (predose), and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, and 96 hours

Population: The analysis population was all treated participants who had at least 1 measurement of the Cmax parameter. Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.

Cmax is a measure of the maximum amount of drug in the plasma after the dose is given.

Outcome measures

Outcome measures
Measure
Ertugliflozin 15 mg (Moderate Hepatic Impairment)
n=8 Participants
Participants received a single 15 mg oral dose (tablet) of ertugliflozin.
Ertugliflozin 15 mg (Normal Hepatic Function)
n=8 Participants
Participants received a single 15 mg oral dose (tablet) of ertugliflozin.
Maximum Plasma Concentration (Cmax) of Ertugliflozin
251.1 ng/mL
Geometric Coefficient of Variation 27
319.0 ng/mL
Geometric Coefficient of Variation 11

SECONDARY outcome

Timeframe: Hour 0 (predose), and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, and 96 hours

Population: The analysis population was all treated participants who had at least 1 measurement of the Cmax,u parameter. Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.

Maximum plasma concentration for unbound drug (ertugliflozin only).

Outcome measures

Outcome measures
Measure
Ertugliflozin 15 mg (Moderate Hepatic Impairment)
n=8 Participants
Participants received a single 15 mg oral dose (tablet) of ertugliflozin.
Ertugliflozin 15 mg (Normal Hepatic Function)
n=8 Participants
Participants received a single 15 mg oral dose (tablet) of ertugliflozin.
Cmax for Fraction of Ertugliflozin Unbound in Plasma (Cmax,u)
9.336 ng/mL
Geometric Coefficient of Variation 30
10.79 ng/mL
Geometric Coefficient of Variation 15

SECONDARY outcome

Timeframe: Up to 19 days

Population: The analysis population was defined as all treated participants. Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.

An adverse event (AE) is defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it is considered related to the medical treatment or procedure, that occurs during the course of the study.

Outcome measures

Outcome measures
Measure
Ertugliflozin 15 mg (Moderate Hepatic Impairment)
n=8 Participants
Participants received a single 15 mg oral dose (tablet) of ertugliflozin.
Ertugliflozin 15 mg (Normal Hepatic Function)
n=8 Participants
Participants received a single 15 mg oral dose (tablet) of ertugliflozin.
Number of Participants Who Experienced an Adverse Event
2 Participants
3 Participants

Adverse Events

Ertugliflozin 15 mg (Moderate Hepatic Impairment)

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

Ertugliflozin 15 mg (Normal Hepatic Function)

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Ertugliflozin 15 mg (Moderate Hepatic Impairment)
n=8 participants at risk
Participants received a single 15 mg oral dose (tablet) of ertugliflozin.
Ertugliflozin 15 mg (Normal Hepatic Function)
n=8 participants at risk
Participants received a single 15 mg oral dose (tablet) of ertugliflozin.
Cardiac disorders
Tachycardia
12.5%
1/8 • Number of events 1 • Up to Day 19
Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.
0.00%
0/8 • Up to Day 19
Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.
Gastrointestinal disorders
Nausea
0.00%
0/8 • Up to Day 19
Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.
12.5%
1/8 • Number of events 1 • Up to Day 19
Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.
Infections and infestations
Furuncle
0.00%
0/8 • Up to Day 19
Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.
12.5%
1/8 • Number of events 1 • Up to Day 19
Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.
Metabolism and nutrition disorders
Decreased appetite
12.5%
1/8 • Number of events 1 • Up to Day 19
Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.
0.00%
0/8 • Up to Day 19
Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/8 • Up to Day 19
Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.
12.5%
1/8 • Number of events 1 • Up to Day 19
Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/8 • Up to Day 19
Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.
12.5%
1/8 • Number of events 1 • Up to Day 19
Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/8 • Up to Day 19
Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.
12.5%
1/8 • Number of events 1 • Up to Day 19
Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.
Nervous system disorders
Dizziness
0.00%
0/8 • Up to Day 19
Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.
12.5%
1/8 • Number of events 1 • Up to Day 19
Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.
Nervous system disorders
Headache
12.5%
1/8 • Number of events 1 • Up to Day 19
Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.
0.00%
0/8 • Up to Day 19
Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.
Nervous system disorders
Paraesthesia
0.00%
0/8 • Up to Day 19
Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.
12.5%
1/8 • Number of events 1 • Up to Day 19
Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.
Skin and subcutaneous tissue disorders
Rash
0.00%
0/8 • Up to Day 19
Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.
12.5%
1/8 • Number of events 1 • Up to Day 19
Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.

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 Investigator will provide manuscripts, abstracts, or the full text of any other intended disclosure (poster presentation, invited speaker or guest lecturer presentation, etc.) to the sponsor at least 30 days before they are submitted for publication or otherwise disclosed. If any patent action is required to protect intellectual property rights, Investigator agrees to delay the disclosure for a period not to exceed an additional 60 days.
  • Publication restrictions are in place

Restriction type: OTHER