Trial Outcomes & Findings for A Study to Evaluate Molnupiravir (MK-4482) in Participants With Moderate Hepatic Impairment (MK-4482-016) (NCT NCT05386589)

NCT ID: NCT05386589

Last Updated: 2025-01-28

Results Overview

The plasma AUC0-∞ of NHC is reported.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

14 participants

Primary outcome timeframe

Day 1: Predose and 0.5, 1.5, 2, 4, 6, 8, 12, 24, 48, and 72 hours postdose

Results posted on

2025-01-28

Participant Flow

This study was conducted at 3 sites in the United States.

Participant milestones

Participant milestones
Measure
Moderate Hepatic Impairment
Participants with moderate hepatic impairment will receive a single oral 800mg dose of molnupiravir.
Healthy-Matched Control Group
Healthy matched participants will receive a single oral 800mg dose of molnupiravir.
Overall Study
STARTED
7
7
Overall Study
COMPLETED
7
7
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

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

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Moderate Hepatic Impairment
n=7 Participants
Participants with moderate hepatic impairment will receive a single oral 800mg dose of molnupiravir.
Healthy-Matched Control Group
n=7 Participants
Healthy matched participants will receive a single oral 800mg dose of molnupiravir.
Total
n=14 Participants
Total of all reporting groups
Age, Continuous
54.0 years
STANDARD_DEVIATION 10.2 • n=5 Participants
54.6 years
STANDARD_DEVIATION 2.9 • n=7 Participants
54.3 years
STANDARD_DEVIATION 7.2 • n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
3 Participants
n=7 Participants
6 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
6 Participants
n=5 Participants
4 Participants
n=7 Participants
10 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
White
6 Participants
n=5 Participants
5 Participants
n=7 Participants
11 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Day 1: Predose and 0.5, 1.5, 2, 4, 6, 8, 12, 24, 48, and 72 hours postdose

Population: All participants are included.

The plasma AUC0-∞ of NHC is reported.

Outcome measures

Outcome measures
Measure
Moderate Hepatic Impairment
n=7 Participants
Participants with moderate hepatic impairment will receive a single oral 800mg dose of molnupiravir.
Healthy-Matched Control Group
n=7 Participants
Healthy matched participants will receive a single oral 800mg dose of molnupiravir.
Area Under the Plasma Concentration-Time Curve From Time Zero to Infinity (AUC0-∞) of Plasma N-Hydroxycitidine (NHC)
8930 hr*ng/mL
Interval 6560.0 to 12100.0
10900 hr*ng/mL
Interval 8510.0 to 14000.0

PRIMARY outcome

Timeframe: Day 1: Predose and 0.5, 1.5, 2, 4, 6, 8, 12, 24, 48, and 72 hours postdose

Population: All participants are included.

The plasma Cmax of NHC is reported.

Outcome measures

Outcome measures
Measure
Moderate Hepatic Impairment
n=7 Participants
Participants with moderate hepatic impairment will receive a single oral 800mg dose of molnupiravir.
Healthy-Matched Control Group
n=7 Participants
Healthy matched participants will receive a single oral 800mg dose of molnupiravir.
Maximum Plasma Concentration (Cmax) of NHC
3660 ng/mL
Interval 2730.0 to 4900.0
3790 ng/mL
Interval 3260.0 to 4420.0

SECONDARY outcome

Timeframe: Up to ~ 14 days

Population: All participants are included.

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.

Outcome measures

Outcome measures
Measure
Moderate Hepatic Impairment
n=7 Participants
Participants with moderate hepatic impairment will receive a single oral 800mg dose of molnupiravir.
Healthy-Matched Control Group
n=7 Participants
Healthy matched participants will receive a single oral 800mg dose of molnupiravir.
Number of Participants Experiencing ≥1 Adverse Event (AE)
0 Participants
1 Participants

Adverse Events

Moderate Hepatic Impairment

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

Healthy-Matched Control Group

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Moderate Hepatic Impairment
n=7 participants at risk
Participants with moderate hepatic impairment will receive a single oral 800mg dose of molnupiravir.
Healthy-Matched Control Group
n=7 participants at risk
Healthy matched participants will receive a single oral 800mg dose of molnupiravir.
Respiratory, thoracic and mediastinal disorders
Respiratory disorder
0.00%
0/7 • Up to ~14 days
All participants are included.
14.3%
1/7 • Up to ~14 days
All participants are included.

Additional Information

Senior Vice President, Global Clinical Development

Merck Sharp & Dohme LLC

Phone: 1-800-672-6372

Results disclosure agreements

  • Principal investigator is a sponsor employee If publication activity is not directed by the Sponsor, the investigator agrees to submit all manuscripts or abstracts to the Sponsor before submission.
  • Publication restrictions are in place

Restriction type: OTHER