A Study of MK-2225 / ACE-1334 in Participants With Systemic Sclerosis With and Without Interstitial Lung Disease (MK-2225-002)

NCT ID: NCT04948554

Last Updated: 2023-11-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE1

Total Enrollment

5 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-03-10

Study Completion Date

2023-10-18

Brief Summary

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The purpose of the MK-2225-002 (A1334-02) study is to evaluate the safety and tolerability of MK-2225 (ACE-1334) plus standard of care (SOC) in participants with Systemic Sclerosis (SSc) following multiple doses.

Detailed Description

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Conditions

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Systemic Sclerosis With and Without Interstitial Lung Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Cohort 1: MK-2225

Participants in Cohort 1 will receive MK-2225 at 0.25 mg/kg once every two weeks (Q2W) plus standard of care (SOC) for 12 weeks.

Group Type EXPERIMENTAL

MK-2225

Intervention Type BIOLOGICAL

Administered Subcutaneously (SC)

Cohort 1: Placebo

Participants in Cohort 1 will receive placebo Q2W plus SOC for 12 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Administered SC

Cohort 2: MK-2225

Participants in Cohort 2 will receive MK-2225 at 0.5 mg/kg (or lower) Q2W plus SOC for 12 weeks.

Group Type EXPERIMENTAL

MK-2225

Intervention Type BIOLOGICAL

Administered Subcutaneously (SC)

Cohort 2: Placebo

Participants in Cohort 2 will receive placebo Q2W plus SOC for 12 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Administered SC

Cohort 3: MK-2225

Participants in Cohort 3 will receive MK-2225 at 1.0 mg/kg (or lower) Q2W plus SOC for 12 weeks.

Group Type EXPERIMENTAL

MK-2225

Intervention Type BIOLOGICAL

Administered Subcutaneously (SC)

Cohort 3: Placebo

Participants in Cohort 3 will receive placebo Q2W plus SOC for 12 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Administered SC

Cohort 4: MK-2225

Participants in Cohort 4 will receive MK-2225 at ≤2.0 mg/kg Q2W if needed plus SOC for 12 weeks.

Group Type EXPERIMENTAL

MK-2225

Intervention Type BIOLOGICAL

Administered Subcutaneously (SC)

Cohort 4: Placebo

Participants in Cohort 4 will receive placebo Q2W plus SOC for 12 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Administered SC

Cohort 5: MK-2225

Participants in Cohort 5 will receive MK-2225 (no more frequent than Q2W) ≤2.25 mg/kg Q2W or ≤4.5 mg/kg Q4W if needed plus SOC for 12 weeks.

Group Type EXPERIMENTAL

MK-2225

Intervention Type BIOLOGICAL

Administered Subcutaneously (SC)

Cohort 5: Placebo

Participants in Cohort 5 will receive (no more frequent than Q2W) placebo plus SOC for 12 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Administered SC

Cohort 6: MK-2225

Participants in Cohort 6 will receive MK-2225 (no more frequent than Q2W) ≤2.25 mg/kg Q2W or ≤4.5 mg/kg Q4W if needed plus SOC for 12 weeks.

Group Type EXPERIMENTAL

MK-2225

Intervention Type BIOLOGICAL

Administered Subcutaneously (SC)

Cohort 6: Placebo

Participants in Cohort 6 will receive (no more frequent than Q2W) placebo plus SOC for 12 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Administered SC

Interventions

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MK-2225

Administered Subcutaneously (SC)

Intervention Type BIOLOGICAL

Placebo

Administered SC

Intervention Type BIOLOGICAL

Other Intervention Names

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ACE-1334

Eligibility Criteria

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Inclusion Criteria

* Participants must have SSc, as defined using the 2013 American College of Rheumatology/European League Against Rheumatism criteria
* If participant is on a non-excluded immunosuppressive therapy (e.g. mycophenolate, methotrexate, azathioprine, etc.) the dose should be stable for \> 2 months at the time of screening
* Women of childbearing potential must:

* If sexually active, have used, and agree to use, highly effective contraception without interruption, for at least 28 days prior to starting investigational product, during the study (including dose interruptions), and for 17 weeks (119 days) after discontinuation of study treatment
* Refrain from breastfeeding a child or donating blood, eggs, or ovum for the duration of the study and for at least 17 weeks (119 days) after the last dose of study treatment
* Male participants must:

* Agree to use a condom, defined as a male latex condom or nonlatex condom NOT made out of natural (animal) membrane (e.g., polyurethane), during sexual contact with a pregnant female or a female of childbearing potential while participating in the study, during dose interruptions, and for at least 17 weeks (119 days) following investigational product discontinuation, even if he has undergone a successful vasectomy
* Refrain from donating blood or sperm for the duration of the study and for 17 weeks (119 days) after the last dose of study treatment
* Must agree to not participate in any other study of investigational drugs/devices while enrolled in this study

Exclusion Criteria

* Participant with SSc-pulmonary arterial hypertension (PAH) (except those participants with mild PAH on up to 2 oral drugs and mean pulmonary arterial pressure \< 30 mmHg or low risk by risk calculator)
* In the opinion of the investigator, other clinically significant pulmonary abnormalities (such as obstructive lung disease, asthma, etc.)
* Other investigational therapy received within 1 month or 6 half-lives (whichever is greater) prior to the Screening Visit
* Prior exposure to MK-2225 or other TGF-β antibodies or any TGF-β family targeted biologic or hypersensitivity to the components of MK-2225
* Hypersensitivity to placebo or any of its components
* Previous hematopoietic stem cell transplantation (HSCT) or HSCT planned within the next year
* Major surgical procedures planned during the study period
* Oral prednisone or equivalent \> 10 mg/day
* Participant with history of gastric antral vascular ectasia or gastrointestinal bleed
* On anticoagulation therapy (such as prophylaxis anticoagulation, warfarin, direct thrombin inhibitors or other including low molecular weight subcutaneous or intravenous therapeutic heparin), or antiplatelet therapy including aspirin. Use of fish oil supplements within 2 weeks prior to randomization and throughout study is not permitted.
* History of any other medical condition that might interfere with a participant's ability to participate in the study
* Active clinically significant viral, bacterial, or fungal infection, or any episode of infection requiring hospitalization within 4 weeks prior to screening
* Use of cyclophosphamide ≤ 6 months from screening
* Use of nintedanib or pirfenidone ≤ 28 days from screening
* Recent scleroderma renal crisis \< 6 months before screening
* Use of tocilizumab ≤ 2 months from screening
* Has received any nonlive vaccine starting from 14 days prior to study intervention or is scheduled to receive any nonlive vaccine through 30 days following study intervention. Exception: COVID-19 vaccine may be administered.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Acceleron Pharma, Inc., a wholly-owned subsidiary of Merck & Co., Inc., Rahway, NJ USA

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Merck Sharp & Dohme LLC

Locations

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UCSD Altman Clinical and Translational Research Institute (Site 1013)

La Jolla, California, United States

Site Status

Keck Medical Center ( Site 1001)

Los Angeles, California, United States

Site Status

Georgetown University Medical Center ( Site 1010)

Washington D.C., District of Columbia, United States

Site Status

University of Florida ( Site 1002)

Gainesville, Florida, United States

Site Status

Central Florida Pulmonary Group ( Site 1005)

Orlando, Florida, United States

Site Status

Medster Research, LLC ( Site 1017)

Valdosta, Georgia, United States

Site Status

University of Kansas Medical Center ( Site 1007)

Kansas City, Kansas, United States

Site Status

The Cleveland Clinic Foundation ( Site 1003)

Cleveland, Ohio, United States

Site Status

Penn State Milton S Hershey Medical Center ( Site 1004)

Hershey, Pennsylvania, United States

Site Status

West Tennessee Research Institute ( Site 1012)

Jackson, Tennessee, United States

Site Status

Metroplex Clinical Research Center ( Site 1018)

Dallas, Texas, United States

Site Status

Mount Sinai Hospital ( Site 1101)

Toronto, Ontario, Canada

Site Status

Azienda Ospedaliero Universitaria Careggi (Site 1401)

Florence, Tuscany, Italy

Site Status

Azienda Ospedaliera Universitaria Integrata Di Verona ( Site 1402)

Verona, Veneto, Italy

Site Status

Kantonsspital St. Gallen (Site 1301)

Sankt Gallen, Canton of St. Gallen, Switzerland

Site Status

Hôpital Neuchatelois ( Site 1304)

Neuchâtel, Neuchâtel (fr), Switzerland

Site Status

Countries

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United States Canada Italy Switzerland

Related Links

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https://www.merckclinicaltrials.com/

Merck Clinical Trials Information

Other Identifiers

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A1334-02

Identifier Type: OTHER

Identifier Source: secondary_id

MK-2225-002

Identifier Type: OTHER

Identifier Source: secondary_id

2021-001004-15

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

2225-002

Identifier Type: -

Identifier Source: org_study_id