A Study to Evaluate Molnupiravir (MK-4482) in Participants With Moderate Hepatic Impairment (MK-4482-016)

NCT ID: NCT05386589

Last Updated: 2025-01-28

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

14 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-14

Study Completion Date

2023-01-05

Brief Summary

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The purpose of this study is to evaluate the pharmacokinetics (PK) of N-hydroxycytidine (NHC) following a single oral dose of molnupiravir in participants 18 to 75 years (inclusive) with moderate hepatic impairment and healthy matched controls.

Detailed Description

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Conditions

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Hepatic Impairment

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Moderate Hepatic Impairment

Participants with moderate hepatic impairment received a single oral dose of molnupiravir 800 mg on Day 1.

Group Type EXPERIMENTAL

Molnupiravir

Intervention Type DRUG

Four 200 mg capsules administered orally as a single dose

Healthy-Matched Control Group

Healthy matched participants received a single oral dose of molnupiravir 800 mg on Day 1.

Group Type EXPERIMENTAL

Molnupiravir

Intervention Type DRUG

Four 200 mg capsules administered orally as a single dose

Interventions

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Molnupiravir

Four 200 mg capsules administered orally as a single dose

Intervention Type DRUG

Other Intervention Names

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MK-4482, MOV EIDD-2801

Eligibility Criteria

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Inclusion Criteria

* Has a BMI ≥18.5 and ≤35 kg/m2
* Diagnosis of chronic (\>6 months) stable Hepatic Impairment (HI) with features of cirrhosis due to any etiology (Moderate HI arm only)
* Has a score on the Child-Pugh scale ranging from 7 to 9 (Moderate HI arm only)
* In good health (except for Moderate HI)

Exclusion Criteria

* Anticipated survival of \<3 months (Moderate HI arm only)
* Received antiviral and/or immune modulating therapy (Moderate HI only) for Hepatitis B Virus (HBV) or Hepatitis C Virus (HCV) within 90 days prior to study start
* History of clinically significant abnormalities or diseases (Healthy matched arm only).
* History of cancer
* Major surgery and/or donated or lost 1 unit of blood
* Taking medications to treat chronic medical conditions and has not been on a stable regimen for at least 1 month (Moderate HI arm only) and/or is unable to withhold the use of the medication(s) within 4 hours prior to and 8 hours after administration of the study drug.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Merck Sharp & Dohme LLC

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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Research Centers of America ( Hollywood ) ( Site 0002)

Hollywood, Florida, United States

Site Status

Clinical Pharmacology of Miami ( Site 0003)

Miami, Florida, United States

Site Status

Thomas Jefferson University - Pharmacology and Experimental Therapeutics ( Site 0001)

Philadelphia, Pennsylvania, United States

Site Status

Countries

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United States

References

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Duncan KE, Carstens RP, Butterfield KL, Jin Y, Inbody LR, Schaeffer AK, Matthews CZ, Zhao T, Patel S, Maas BM, Cheng MH, Stoch SA. Assessment of pharmacokinetics and tolerability following single-dose administration of molnupiravir in participants with hepatic or renal impairment. Clin Transl Sci. 2024 Dec;17(12):e70073. doi: 10.1111/cts.70073.

Reference Type RESULT
PMID: 39601078 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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http://www.merckclinicaltrials.com

Merck Clinical Trials Information

Other Identifiers

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MK-4482-016

Identifier Type: OTHER

Identifier Source: secondary_id

4482-016

Identifier Type: -

Identifier Source: org_study_id

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