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This is a single-dose, randomized, cross-sectional comparison study examining the relative safety and resulting blood level profiles after administration of a new boceprevir tablet formulation versus its current capsule formulation for treatment of chronic hepatitis C. In Part 1 of the study participants will receive boceprevir tablets and capsules under fed conditions. In Part 2 of the study a new group of participants will receive boceprevir tablets and capsules under fasted conditions.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Boceprevir Tablets then Capsules (fed) | Experimental | Participants will start therapy with a single dose of boceprevir tablets, orally, in fed condition, and then 4 days later will take a single dose of boceprevir capsules, orally, in fed condition. |
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| Boceprevir Capsules then tablets (fed) | Experimental | Participants will start therapy with a single dose of boceprevir capsules, orally, in fed condition, and then 4 days later will take a single dose of boceprevir tablets, orally, in fed condition. |
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| Boceprevir Tablets then Capsules (fasted) | Experimental | Participants will start therapy with a single dose of boceprevir tablets, orally, following an overnight fast, and then 4 days later will take a single dose of boceprevir capsules, orally, following an overnight fast. |
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| Boceprevir Capsules then Tablets (fasted) | Experimental | Participants on this study arm will start therapy with a single dose of boceprevir capsules, orally, following an overnight fast, and then 4 days later will take a single dose of boceprevir tablets, orally, following an overnight fast. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| boceprevir | Drug | Boceprevir (tablet or capsule) at 800 mg administered under either fed or fasted conditions. |
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| Measure | Description | Time Frame |
|---|---|---|
| Area Under the Concentration Curve (AUC) From Hour 0 to the Final Quantifiable Sample (AUCtf) for Boceprevir Tablets Versus Capsules in Fed State | AUC is the measure of total plasma exposure of a drug over a given time period. AUC is derived from the area under the plasma drug concentration-time curve. | Predose through 72 hours post-dose |
| Maximum Plasma Concentration (Cmax) of Boceprevir Tablets Versus Capsules in Fed State | Cmax is the highest plasma drug concentration observed on the plasma concentration-time curve. | Predose through 72 hours post-dose |
| AUCtf for Boceprevir Tablets Versus Capsules in Fasted State | AUC is the measure of total plasma exposure of a drug over a given time period. AUC is derived from the area under the plasma drug concentration-time curve. | Predose through 72 hours post-dose |
| Cmax of Boceprevir Tablets Versus Capsules in Fasted State | Cmax is the highest plasma drug concentration observed on the plasma concentration-time curve. | Predose through 72 hours post-dose |
| AUC From Hour 0 to Infinity (AUCinf) in Fed State | AUC is the measure of total plasma exposure of a drug over a given time period. AUC is derived from the area under the plasma drug concentration-time curve. | Predose through 72 hours post-dose |
| AUCinf in Fasted State | AUC is the measure of total plasma exposure of a drug over a given time period. AUC is derived from the area under the plasma drug concentration-time curve. |
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Inclusion Criteria:
testing, and able to adhere to applicable visit schedules.
- Subjects of either gender and of any race between the ages of 18 and 65
years, inclusive, having a Body Mass Index (BMI) between 18 and 32,
inclusive. BMI = weight (kg)/height (m)^2. (Individuals with values outside (or
indicate lower or higher) of these ranges may be enrolled if clinically
acceptable to the investigator and sponsor.)
within the following ranges: (Individuals with values outside of these ranges
may be enrolled if clinically acceptable to the investigator and sponsor.)
oral body temperature, between 35.0°C and 37.5°C
systolic blood pressure, 90 to 140 mm Hg
diastolic blood pressure, 45 to 90 mm Hg
pulse rate, 40 to 100 bpm
postmenopausal (defined as 12 months with no menses, age > 40
years and with a follicle-stimulating hormone [FSH] level of >40 u/mL, and serum E2 < 73 pmol/L), or
surgically sterilized at least 3 months prior to baseline (eg, documented
hysterectomy or tubal ligation), or
premenopausal and if unsterilized must have used a medically
accepted method of contraception for 3 months (or abstained from
sexual intercourse) prior to the screening period, and agree to use a
medically accepted method of contraception during the trial (including
the screening period prior to receiving trial medication) and for
2 months after stopping the trial medication. An acceptable method of
contraception includes one of the following:
i. stable oral, transdermal, injectable, or sustained-release vaginal
hormonal contraceptive regimen without breakthrough uterine
bleeding for 3 months prior to Screening; in addition, during
study use of condom and/or spermicide (when marketed in the
country).
ii. intrauterine device (inserted at least 2 months prior to Screening
visit); in addition, during study use of condom and/or spermicide
(when marketed in the country).
iii. condom (male or female) with spermicide (when marketed
within the country),
iv. diaphragm or cervical cap with spermicide (when marketed
within the country) and condom (male),
- Non-vasectomized men must agree to use a condom with spermicide or abstain from sexual intercourse, during the trial and for 1 month after stopping the medication.
Exclusion Criteria:
Female subjects who are pregnant, intend to become pregnant (within
3 months of ending the study), or are breastfeeding.
Subjects who, in the opinion of the investigator, will not be able to participate optimally in the study.
Any surgical or medical condition which might significantly alter the
absorption, distribution, metabolism or excretion of any drug. The investigator
should be guided by evidence of any of the following, and be discussed with
the sponsor prior to enrollment into the trial:
history or presence of inflammatory bowel disease, ulcers,
gastrointestinal or rectal bleeding;
history of major gastrointestinal tract surgery such as gastrectomy,
gastroenterostomy, or bowel resection;
history of pancreatic injury or pancreatitis;
history or presence of liver disease or liver injury;
history or presence of impaired renal function as indicated by clinically
significant elevation in creatinine, blood urea nitrogen [BUN]/urea, urinary albumin, or
clinically significant urinary cellular constituents ; or
history of urinary obstruction or difficulty in voiding.
- Subject who has a history of any infectious disease within 4 weeks prior to
drug administration that in the opinion of the investigator, affects the subject's ability to participate in the trial.
antibodies or human immunodeficiency virus [HIV].
- Subjects who have a positive screen for drugs with a high potential for abuse
(during the Screening period or clinical conduct of the trial).
- Subjects with a history of psychiatric or personality disorders that in the
opinion of the investigator and sponsor, affects the subject's ability to
participate in the trial.
- Subjects with a history of alcohol or drug abuse in the past 2 years.- Subjects who have donated blood in the past 60 days.
- Subjects who have previously received boceprevir.
participated in a clinical study (e.g., laboratory or clinical evaluation) within 30 days of baseline.
- Subjects who are part of the study staff personnel or family members of the
study staff personnel.
reactions or asthmatic episodes) which, in the opinion of the investigator and
sponsor, interfere with their ability to participate in the trial.
- Subjects who smoke more than 10 cigarettes or equivalent tobacco use per
day.
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| ID | Title | Description |
|---|---|---|
| FG000 | Boceprevir Tablets Then Capsules ( Fed) | Participants will start therapy with a single dose of boceprevir tablets, orally, in fed condition, and then 4 days later will take a single dose of boceprevir capsules, orally, in fed condition. |
| FG001 | Boceprevir Capsules Then Tablets ( Fed) |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Period 1, Fed (Part 1) |
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| boceprevir | Drug | Boceprevir (tablet or capsule) at 800 mg administered under either fed or fasted conditions. |
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| boceprevir | Drug | Boceprevir (tablet or capsule) at 800 mg administered under either fed or fasted conditions. |
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| boceprevir | Drug | Boceprevir (tablet or capsule) at 800 mg administered under either fed or fasted conditions. |
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| Predose through 72 hours post-dose |
| Half Life (t1/2) of Boceprevir in Fed State | T1/2 is the time required for a given drug concentration to decrease by 50%. | Predose through 72 hours post-dose |
| t1/2 Boceprevir in Fasted State | T1/2 is the time required for a given drug concentration to decrease by 50%. | Predose through 72 hours post-dose |
Participants will start therapy with a single dose of boceprevir capsules, orally, in fed condition, and then 4 days later will take a single dose of boceprevir tablets, orally, in fed condition. |
| FG002 | Boceprevir Tablets Then Capsules (Fasted) | Participants will start therapy with a single dose of boceprevir tablets, orally, following an overnight fast and then 4 days later will receive a single dose of boceprevir capsules, orally, following and overnight fast. |
| FG003 | Boceprevir Capsules Then Tablets (Fasted) | Participants will start therapy with a single dose of boceprevir capsules, orally, following an overnight fast and then 4 days later will receive a single dose of boceprevir tablets, orally, following and overnight fast. |
| COMPLETED |
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| NOT COMPLETED |
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| Period 2, Fed (Part 1) |
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| Period 3, Fasted (Part 2) |
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| Period 4, Fasted (Part 2) |
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| ID | Title | Description |
|---|---|---|
| BG000 | Boceprevir Tablets Then Capsules (Fed) | Participants will start therapy with a single dose of boceprevir tablets, orally, in fed condition, and then 4 days later will take a single dose of boceprevir capsules, orally, in fed condition. |
| BG001 | Boceprevir Capsules Then Tablets (Fed) | Participants will start therapy with a single dose of boceprevir capsules, orally, in fed condition, and then 4 days later will take a single dose of boceprevir tablets, orally, in fed condition. |
| BG002 | Boceprevir Tablets Then Capsules (Fasted) | Participants will start therapy with a single dose of boceprevir tablets, orally, following an overnight fast and then 4 days later will receive a single dose of boceprevir capsules, orally, following and overnight fast. |
| BG003 | Boceprevir Capsules Then Tablets (Fasted) | Participants will start therapy with a single dose of boceprevir capsules, orally, following an overnight fast and then 4 days later will receive a single dose of boceprevir tablets, orally, following and overnight fast. |
| BG004 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
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| Sex: Female, Male | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Primary | Area Under the Concentration Curve (AUC) From Hour 0 to the Final Quantifiable Sample (AUCtf) for Boceprevir Tablets Versus Capsules in Fed State | AUC is the measure of total plasma exposure of a drug over a given time period. AUC is derived from the area under the plasma drug concentration-time curve. | Analysis is per protocol; all available data are included in the model. No imputation is used for missing data. | Posted | Geometric Mean | 90% Confidence Interval | ng*hr/mL | Predose through 72 hours post-dose |
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| Primary | Maximum Plasma Concentration (Cmax) of Boceprevir Tablets Versus Capsules in Fed State | Cmax is the highest plasma drug concentration observed on the plasma concentration-time curve. | Analysis is per protocol; all available data are included in the model. No imputation is used for missing data. | Posted | Geometric Mean | 90% Confidence Interval | ng*hr/mL | Predose through 72 hours post-dose |
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| Primary | AUCtf for Boceprevir Tablets Versus Capsules in Fasted State | AUC is the measure of total plasma exposure of a drug over a given time period. AUC is derived from the area under the plasma drug concentration-time curve. | Analysis is per protocol; all available data are included in the model. No imputation is used for missing data. | Posted | Geometric Mean | 90% Confidence Interval | ng*hr/mL | Predose through 72 hours post-dose |
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| Primary | Cmax of Boceprevir Tablets Versus Capsules in Fasted State | Cmax is the highest plasma drug concentration observed on the plasma concentration-time curve. | Analysis is per protocol; all available data are included in the model. No imputation is used for missing data. | Posted | Geometric Mean | 90% Confidence Interval | ng/mL | Predose through 72 hours post-dose |
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| Primary | AUC From Hour 0 to Infinity (AUCinf) in Fed State | AUC is the measure of total plasma exposure of a drug over a given time period. AUC is derived from the area under the plasma drug concentration-time curve. | Analysis is per protocol; all available data are included in the model. No imputation is used for missing data. | Posted | Geometric Mean | 90% Confidence Interval | ng*hr/mL | Predose through 72 hours post-dose |
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| Primary | AUCinf in Fasted State | AUC is the measure of total plasma exposure of a drug over a given time period. AUC is derived from the area under the plasma drug concentration-time curve. | Analysis is per protocol; all available data are included in the model. No imputation is used for missing data. | Posted | Geometric Mean | 90% Confidence Interval | ng*hr/mL | Predose through 72 hours post-dose |
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| Primary | Half Life (t1/2) of Boceprevir in Fed State | T1/2 is the time required for a given drug concentration to decrease by 50%. | Analysis is per protocol; all available data are included in the model. No imputation is used for missing data. | Posted | Mean | Standard Deviation | hours | Predose through 72 hours post-dose |
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| Primary | t1/2 Boceprevir in Fasted State | T1/2 is the time required for a given drug concentration to decrease by 50%. | Analysis is per protocol; all available data are included in the model. No imputation is used for missing data. | Posted | Mean | Standard Deviation | hours | Predose through 72 hours post-dose |
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In this study, participants received two single doses of boceprevir 800 mg, once as capsules and once as tablets, under fed and fasted conditions, in a crossover manner; adverse events were pooled as tablets (fed condition), capsules (fed condition), tablets (fasted condition), or capsules (fasted condition).
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Boceprevir Tablets (Fed) | In Part 1 of the study, participants received a single dose of boceprevir (800 mg) in tablet formulation in a cross-over manner during either Period 1 or Period 2 under fed conditions. | 0 | 60 | 13 | 60 | ||
| EG001 | Boceprevir Capsules (Fed) | In Part 1 of the study, participants received a single dose of boceprevir (800 mg) in capsule formulation in a cross-over manner during either Period 1 or Period 2 under fed conditions. | 0 | 60 | 6 | 60 | ||
| EG002 | Boceprevir Tablets (Fasted) | In Part 2 of the study, participants received a single dose of boceprevir (800 mg) in tablet formulation in a cross-over manner during either Period 3 or Period 4 under fasted conditions. | 0 | 117 | 7 | 117 | ||
| EG003 | Boceprevir Capsules (Fasted) | In Part 2 of the study, participants received a single dose of boceprevir (800 mg) in capsule formulation in a cross-over manner during either Period 3 or Period 4 under fasted conditions. | 0 | 117 | 5 | 117 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal pain lower | Gastrointestinal disorders | MedDRA (13.1) | Systematic Assessment |
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| Constipation | Gastrointestinal disorders | MedDRA (13.1) | Systematic Assessment |
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| Menstruation irregular | Reproductive system and breast disorders | MedDRA (13.1) | Systematic Assessment |
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The investigator agrees not to publish or publicly present any interim results of the trial without the prior written consent of the sponsor. The investigator further agrees to provide to the sponsor 45 days prior to submission for publication or presentation, review copies of abstracts or manuscripts for publication. The sponsor shall have the right to review and comment.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Vice President, Late Stage Development Group Leader | Merck Sharp & Dohme Corp | ClinicalTrialsDisclosure@merck.com |
| ID | Term |
|---|---|
| D006526 | Hepatitis C |
| ID | Term |
|---|---|
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D006525 | Hepatitis, Viral, Human |
| D014777 | Virus Diseases |
| D018178 | Flaviviridae Infections |
| D012327 | RNA Virus Infections |
| D006505 | Hepatitis |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
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| ID | Term |
|---|---|
| C512204 | N-(3-amino-1-(cyclobutylmethyl)-2,3-dioxopropyl)-3-(2-((((1,1-dimethylethyl)amino)carbonyl)amino)-3,3-dimethyl-1-oxobutyl)-6,6-dimethyl-3-azabicyclo(3.1.0)hexan-2-carboxamide |
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| Between 18 and 65 years |
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| >=65 years |
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| Male |
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