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This study is being done to evaluate the antihypertensive efficacy and tolerability of MK-7145 in participants with mild-to-moderate hypertension.
The primary hypotheses for the study were as follows:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MK-7145 6 mg (Treatment A) | Experimental | MK-7145 3 mg (three x 1-mg MK-7145 capsules administered orally) and placebo to HCTZ (two 12.5-mg capsules) then three x 1-mg MK-7145 capsules 4 hours later, daily for 4 weeks. |
|
| MK-7145 3 mg (Treatment B) | Experimental | MK-7145 3 mg (one 2mg MK-7145 and one MK-7145 placebo capsule) then one 1-mg MK-7145 capsule and two MK-7145 placebo capsules 4 hours later and placebo to HCTZ (2 capsules once daily) daily for 4 weeks. |
|
| Hydrochlorothiazide 25 mg (Treatment C) | Active Comparator | HCTZ 25 mg (two 12.5-mg capsules) and placebo to MK-7145 (one 3-mg capsule) then placebo for MK-7145 (one 3-mg capsule) 4 hours later daily for 4 weeks. |
|
| Placebo (Treatment D) | Placebo Comparator | Placebo to MK-7145 (2 x 3-mg capsules) and placebo to HCTZ 25 mg (2 capsules) then placebo to MK-7145 (2 x 3-mg capsules) 4 hours later daily for 4 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MK-7145 | Drug |
| ||
| Hydrochlorothiazide (HCTZ) |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Time-weighted Average Over 24 Hours Post Dose (TWA [0-24]) in Systolic Blood Pressure (SBP) | Each participant had their blood pressure monitored by continuous 24-hour ambulatory blood pressure monitoring (ABPM) on Days -1 and 28 of each treatment period. The average systolic blood pressure over the 24-hour monitoring period was calculated for baseline (Day -1) and Day 28. The difference between baseline and Day 28 was calculated and recorded. | Baseline and Day 28 |
| Change From Baseline in Time-weighted Average Over 24 Hours Post Dose (TWA [0-24]) in Diastolic Blood Pressure (DBP) | Each participant had their blood pressure monitored by continuous 24-hour ambulatory blood pressure monitoring (ABPM) on Days -1 and 28 of each treatment period. The average diastolic blood pressure over the 24-hour monitoring period was calculated for baseline (Day -1) and Day 28. The difference between baseline and Day 28 was calculated and recorded. | Baseline and Day 28 |
| Change From Baseline in Urine Sodium at 24 Hours Post-dose on Day 1 | Urine sodium (Na) levels were measured over 24-hours on Day -1 (baseline) and on Day 1. The total amount of Na excreted in the urine for Day-1 (baseline) and Day1 were calculated and the difference between the 2 values was recorded. | Baseline (Day-1) and Day 1 |
| Percentage of Participants Who Experienced at Least 1 Adverse Event (AE) | An AE was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which was temporally associated with the use of the product, was also an AE. The percentage of participants who experienced an AE during the study was summarized by study drug taken at the time of the AE. | Up to 14 days post last dose of each treatment period (total of 6 weeks for each treatment period) |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Urine Potassium at 24 Hours Post-dose on Day 28 | Urine potassium (K+) levels were measured over 24-hours on Day -1 and on Day 28. The total amount of K+ excreted in the urine for Day-1 (baseline) and Day 28 were calculated and the difference between the 2 values was recorded. | Baseline (Day -1) and Day 28 |
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Inclusion criteria:
Exclusion criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Medical Director | Merck Sharp & Dohme LLC | Study Director |
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Participants were randomly assigned to 1 of 12 treatment sequences Each 4-week treatment period was separated by a wash-out of approximately 4 weeks
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| ID | Title | Description |
|---|---|---|
| FG000 | Treatment A → Treatment C | Participants received 6 mg MK-7145 for 4 weeks and then after a 4 week washout, received HCTZ 25 mg, daily, for 4 weeks |
| FG001 | Treatment C → Treatment A |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Period 1 |
|
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| Drug |
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| Placebo to MK-7145 | Drug |
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| Placebo to HCTZ | Drug |
|
| Percentage of Participants Who Had Study Discontinued During the Study Due to an Adverse Event (AE) | An AE was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which was temporally associated with the use of the product, was also an AE. The percentage of participants who had the administration of the study drug discontinued during the study was summarized by study drug taken at the time of the AE. Participants may or may not have completed the study. | up to 4 weeks of each treatment period |
| Percentage of Participants Who Experienced at Least 1 Drug-related Adverse Event (AE) | An AE was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which was temporally associated with the use of the product, was also an AE. The percentage of participants who experienced an AE that was reported as at least possibly-related to the study was summarized by study drug taken at the time of the AE. | Up to 14 days post last dose of each treatment period (total of 6 weeks for each treatment period) |
Participants received HCTZ 25 mg daily for 4 weeks and then after a 4-week washout, received 6 mg MK-7145 daily for 4 weeks.
| FG002 | Treatment A → Treatment D | Participants received 6 mg MK-7145 daily for 4 weeks and then after a 4-week washout, received Placebo MK-7145 daily for 4 weeks. |
| FG003 | Treatment D → Treatment A | Participants received Placebo MK-7145 daily for 4 weeks and then after a 4-week washout, received 6 mg MK-7145 daily for 4 weeks. |
| FG004 | Treament D → Treatment C | Participants received Placebo MK-7145 daily for 4 weeks and then after a 4-week washout, received HCTZ 25 mg placebo daily for 4 weeks. |
| FG005 | Treatment C → Treatment D | Participants received HCTZ 25 mg daily for 4 weeks and then after a 4-week washout, received Placebo MK-7145 daily for 4 weeks. |
| FG006 | Treatment A → Treatment B | Participants received 6 mg MK-7145 daily for 4 weeks and then after a 4-week washout, received 3 mg MK-7145 daily for 4 weeks. |
| FG007 | Treatment B → Treatment A | Participants received 3 mg MK-7145 daily for 4 weeks and then after a 4-week washout, received 6 mg MK-7145 daily for 4 weeks. |
| FG008 | Treatment B → Treatment C | Participants received 3 mg MK-7145 daily for 4 weeks and then after a 4-week washout, received HCTZ 25 mg daily for 4 weeks. |
| FG009 | Treatment C → Treatment B | Participants received HCTZ 25 mg daily for 4 weeks and then after a 4-week washout, received 3 mg MK-7145 daily for 4 weeks. |
| FG010 | Treatment B → Treatment D | Participants received 3 mg MK-7145 daily for 4 weeks and then after a 4-week washout, received Placebo MK-715 daily for 4 weeks. |
| FG011 | Treatment D → Treament B | Participants received Placebo MK-7145 daily for 4 weeks and then after a 4-week washout, received 3 mg MK-7145 daily for 4 weeks. |
| COMPLETED |
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| NOT COMPLETED |
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| Period 2 |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Treatment A → Treatment C | Participants received 6 mg MK-7145 for 4 weeks and then after a 4 week washout, received HCTZ 25 mg, daily, for 4 weeks |
| BG001 | Treatment C → Treatment A | Participants received HCTZ 25 mg daily for 4 weeks and then after a 4-week washout, received 6 mg MK-7145 daily for 4 weeks. |
| BG002 | Treatment A → Treatment D | Participants received 6 mg MK-7145 daily for 4 weeks and then after a 4-week washout, received Placebo MK-7145 daily for 4 weeks. |
| BG003 | Treatment D → Treatment A | Participants received Placebo MK-7145 daily for 4 weeks and then after a 4-week washout, received 6 mg MK-7145 daily for 4 weeks. |
| BG004 | Treament D → Treatment C | Participants received Placebo MK-7145 daily for 4 weeks and then after a 4-week washout, received HCTZ 25 mg placebo daily for 4 weeks. |
| BG005 | Treatment C → Treatment D | Participants received HCTZ 25 mg daily for 4 weeks and then after a 4-week washout, received Placebo MK-7145 daily for 4 weeks. |
| BG006 | Treatment A → Treatment B | Participants received 6 mg MK-7145 daily for 4 weeks and then after a 4-week washout, received 3 mg MK-7145 daily for 4 weeks. |
| BG007 | Treatment B → Treatment A | Participants received 3 mg MK-7145 daily for 4 weeks and then after a 4-week washout, received 6 mg MK-7145 daily for 4 weeks. |
| BG008 | Treatment B → Treatment C | Participants received 3 mg MK-7145 daily for 4 weeks and then after a 4-week washout, received HCTZ 25 mg daily for 4 weeks. |
| BG009 | Treatment C → Treatment B | Participants received HCTZ 25 mg daily for 4 weeks and then after a 4-week washout, received 3 mg MK-7145 daily for 4 weeks. |
| BG010 | Treatment B → Treatment D | Participants received 3 mg MK-7145 daily for 4 weeks and then after a 4-week washout, received Placebo MK-715 daily for 4 weeks. |
| BG011 | Treatment D → Treament B | Participants received Placebo MK-7145 daily for 4 weeks and then after a 4-week washout, received 3 mg MK-7145 daily for 4 weeks. |
| BG012 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
|
| 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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change From Baseline in Time-weighted Average Over 24 Hours Post Dose (TWA [0-24]) in Systolic Blood Pressure (SBP) | Each participant had their blood pressure monitored by continuous 24-hour ambulatory blood pressure monitoring (ABPM) on Days -1 and 28 of each treatment period. The average systolic blood pressure over the 24-hour monitoring period was calculated for baseline (Day -1) and Day 28. The difference between baseline and Day 28 was calculated and recorded. | All participants who received at least 1 dose of study drug, complied with protocol sufficiently and had available data for endpoint. Participants are grouped by study drug taken at the time of the evaluation and not by randomly assigned sequence. | Posted | Least Squares Mean | 90% Confidence Interval | mmHg | Baseline and Day 28 |
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| Primary | Change From Baseline in Time-weighted Average Over 24 Hours Post Dose (TWA [0-24]) in Diastolic Blood Pressure (DBP) | Each participant had their blood pressure monitored by continuous 24-hour ambulatory blood pressure monitoring (ABPM) on Days -1 and 28 of each treatment period. The average diastolic blood pressure over the 24-hour monitoring period was calculated for baseline (Day -1) and Day 28. The difference between baseline and Day 28 was calculated and recorded. | All participants who received at least 1 dose of study drug, complied with protocol sufficiently and had available data for endpoint. Participants are grouped by study drug taken at the time of the evaluation and not by randomly assigned sequence. | Posted | Least Squares Mean | 90% Confidence Interval | mmHg | Baseline and Day 28 |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Primary | Change From Baseline in Urine Sodium at 24 Hours Post-dose on Day 1 | Urine sodium (Na) levels were measured over 24-hours on Day -1 (baseline) and on Day 1. The total amount of Na excreted in the urine for Day-1 (baseline) and Day1 were calculated and the difference between the 2 values was recorded. | All participants who received at least 1 dose of study drug, complied with protocol sufficiently and had available data for endpoint. Participants are grouped by study drug taken at the time of the evaluation and not by randomly assigned sequence. | Posted | Least Squares Mean | 90% Confidence Interval | mmol/day | Baseline (Day-1) and Day 1 |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Primary | Percentage of Participants Who Experienced at Least 1 Adverse Event (AE) | An AE was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which was temporally associated with the use of the product, was also an AE. The percentage of participants who experienced an AE during the study was summarized by study drug taken at the time of the AE. | All participants who received at least 1 dose of study drug. AEs are reported by study drug taken at the time of the event and not by randomly assigned sequence. | Posted | Number | Percentage of Participants | Up to 14 days post last dose of each treatment period (total of 6 weeks for each treatment period) |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Primary | Percentage of Participants Who Had Study Discontinued During the Study Due to an Adverse Event (AE) | An AE was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which was temporally associated with the use of the product, was also an AE. The percentage of participants who had the administration of the study drug discontinued during the study was summarized by study drug taken at the time of the AE. Participants may or may not have completed the study. | All participants who received at least 1 dose of study drug. AEs are reported by study drug taken at the time of the event and not by randomly assigned sequence. | Posted | Number | Percentage of Participants | up to 4 weeks of each treatment period |
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| Primary | Percentage of Participants Who Experienced at Least 1 Drug-related Adverse Event (AE) | An AE was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which was temporally associated with the use of the product, was also an AE. The percentage of participants who experienced an AE that was reported as at least possibly-related to the study was summarized by study drug taken at the time of the AE. | All participants who received at least 1 dose of study drug. AEs are reported by study drug taken at the time of the event and not by randomly assigned sequence. | Posted | Number | Percentage of Participants | Up to 14 days post last dose of each treatment period (total of 6 weeks for each treatment period) |
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| Secondary | Change From Baseline in Urine Potassium at 24 Hours Post-dose on Day 28 | Urine potassium (K+) levels were measured over 24-hours on Day -1 and on Day 28. The total amount of K+ excreted in the urine for Day-1 (baseline) and Day 28 were calculated and the difference between the 2 values was recorded. | All participants who received at least 1 dose of study drug, complied with protocol sufficiently and had available data for endpoint. Participants are grouped by study drug taken at the time of the evaluation and not by randomly assigned sequence. | Posted | Least Squares Mean | 90% Confidence Interval | mmol/day | Baseline (Day -1) and Day 28 |
|
up to 14 days post last dose of study drug for each treatment period
All participants who received at least 1 dose of study drug. AEs are reported by study drug taken at the time of the event and not by randomly assigned sequence
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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 | MK-7145 3 mg | Participants received 3 mg MK-7145 daily for 4 weeks | 0 | 19 | 16 | 19 | ||
| EG001 | MK-7145 6 mg | Participants received 6 mg MK-7145 for 4 weeks | 1 | 28 | 19 | 28 | ||
| EG002 | HCTZ 25 mg | Participants received HCTZ 25 mg daily for 4 weeks | 2 | 26 | 15 | 26 | ||
| EG003 | Placebo | Participants received Placebo MK-7145 daily for 4 weeks | 0 | 19 | 9 | 19 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Arrhythmia | Cardiac disorders | MedDRA version 14.1 | Systematic Assessment |
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| Migraine | Nervous system disorders | MedDRA version 14.1 | Systematic Assessment |
| |
| Asthma | Respiratory, thoracic and mediastinal disorders | MedDRA version 14.1 | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Palpitations | Cardiac disorders | MedDRA version 14.1 | Systematic Assessment |
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| Eye pain | Eye disorders | MedDRA version 14.1 | Systematic Assessment |
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| Vision blurred | Eye disorders | MedDRA version 14.1 | Systematic Assessment |
| |
| Abdominal discomfort | Gastrointestinal disorders | MedDRA version 14.1 | Systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | MedDRA version 14.1 | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA version 14.1 | Systematic Assessment |
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| Toothache | Gastrointestinal disorders | MedDRA version 14.1 | Systematic Assessment |
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| Vomiting | Gastrointestinal disorders | MedDRA version 14.1 | Systematic Assessment |
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| Fatigue | General disorders | MedDRA version 14.1 | Systematic Assessment |
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| Thirst | General disorders | MedDRA version 14.1 | Systematic Assessment |
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| Bronchitis | Infections and infestations | MedDRA version 14.1 | Systematic Assessment |
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| Nasopharyngitis | Infections and infestations | MedDRA version 14.1 | Systematic Assessment |
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| Alanine aminotransferase increased | Investigations | MedDRA version 14.1 | Systematic Assessment |
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| Blood aldosterone increased | Investigations | MedDRA version 14.1 | Systematic Assessment |
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| Blood potassium decreased | Investigations | MedDRA version 14.1 | Systematic Assessment |
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| Blood pressure systolic increased | Investigations | MedDRA version 14.1 | Systematic Assessment |
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| Blood uric acid increased | Investigations | MedDRA version 14.1 | Systematic Assessment |
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| Weight decreased | Investigations | MedDRA version 14.1 | Systematic Assessment |
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| Back pain | Musculoskeletal and connective tissue disorders | MedDRA version 14.1 | Systematic Assessment |
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| Dizziness | Nervous system disorders | MedDRA version 14.1 | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA version 14.1 | Systematic Assessment |
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| Presyncope | Nervous system disorders | MedDRA version 14.1 | Systematic Assessment |
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| Glycosuria | Renal and urinary disorders | MedDRA version 14.1 | Systematic Assessment |
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| Haematuria | Renal and urinary disorders | MedDRA version 14.1 | Systematic Assessment |
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| Polyuria | Renal and urinary disorders | MedDRA version 14.1 | Systematic Assessment |
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| Erectile dysfunction | Reproductive system and breast disorders | MedDRA version 14.1 | Systematic Assessment |
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| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA version 14.1 | Systematic Assessment |
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| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA version 14.1 | Systematic Assessment |
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| Nocturnal dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA version 14.1 | Systematic Assessment |
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| Erythema | Skin and subcutaneous tissue disorders | MedDRA version 14.1 | Systematic Assessment |
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The Sponsor must have the opportunity to review all proposed abstracts, manuscripts, or presentations regarding this study 60 days prior to submission for publication/presentation. Any information identified by the Sponsor as confidential must be deleted prior to submission. Sponsor review can be expedited to meet publication timelines.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Senior Vice President, Global Clinical Development | Merck Sharp & Dohme Corp. | 1-800-672-6372 | ClinicalTrialsDisclosure@merck.com |
| ID | Term |
|---|---|
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| C000619418 | MK-7145 |
| D006852 | Hydrochlorothiazide |
| ID | Term |
|---|---|
| D002740 | Chlorothiazide |
| D001581 | Benzothiadiazines |
| D013449 | Sulfonamides |
| D013450 | Sulfones |
| D013457 | Sulfur Compounds |
| D009930 | Organic Chemicals |
| D049971 | Thiazides |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
Not provided
Not provided
| met protocol specified stopping criteria |
|
| Withdrawal by Subject |
|
| Male |
|
| Type I error rate of alpha=0.05 (1-sided) is specified for testing of the hypothesis. | Difference in LS means | -5.4 | 2-Sided | 90 | -9.2 | -1.6 | MK-7145 6 mg LS mean minus HCTZ 25 mg LS mean | Non-Inferiority or Equivalence | Hypothesis supported if the upper bound of the two-sided 90% CI (equivalent to a one-sided upper 95% CI) for the difference ≤ 3.8 mmHg. |
| Difference in LS means | -4.8 | 2-Sided | 90 | -9.0 | -0.5 | MK-7145 3 mg LS mean minus HCTZ 25 mg LS mean | Superiority or Other |
| Difference in LS Means | -6.7 | 2-Sided | 90 | -11.2 | -2.2 | MK-7145 3 mg LS mean minus Placebo LS mean | Superiority or Other |
| Difference in LS Means | -1.9 | 2-Sided | 90 | -6.2 | 2.3 | HCTZ 25 mg LS mean minus Placebo LS mean | Superiority or Other |
Participants received Placebo MK-7145 daily for 4 weeks |
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| OG003 | Placebo | Participants received Placebo MK-7145 daily for 4 weeks |
|
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| OG003 | Placebo | Participants received Placebo MK-7145 daily for 4 weeks |
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| OG003 | Placebo | Participants received Placebo MK-7145 daily for 4 weeks |
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