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This study will investigate and compare the pharmacokinetics of a single 25-mg dose of MK-3102 in participants with moderate hepatic impairment and matched healthy participants. The primary hypothesis is that in participants with moderately impaired hepatic function, the area under the concentration-time curve from time zero to infinity (AUC0-∞) is similar to that observed in healthy matched control participants following a single 25 mg oral dose of MK-3102. Specifically, the true ratio (moderately impaired hepatic function patients/healthy matched control subjects) of geometric means for AUC0-∞ is no greater than 2.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Moderate Hepatic Impairment Group | Experimental |
| |
| Healthy Matched Control Group | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MK-3102 | Drug | Single dose of 25 mg of MK-3102 (1 x 25 mg capsule) administered orally on Day 1. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Area Under the Plasma Concentration Versus Time Curve (AUC) From Hour 0 to Infinity (AUC0-∞) | Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 96, and 168 hours post-dose |
| Measure | Description | Time Frame |
|---|---|---|
| Area Under the Concentration Versus Time Curve From Hour 0 to 168 Hours After Dosing (AUC0-168h) | Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 96, and 168 hours post-dose | |
| Plasma Concentration at 168 Hours After Dosing (C168h) | 168 hours post-dose |
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Inclusion Criteria:
Impaired Hepatic Function Participants:
A diagnosis of:
Score on the Child-Pugh Scale of 7 to 9 (moderate hepatic insufficiency)
Estimated creatinine clearance (CLCr) > 60 mL/min or glomerular filtration rate (eGFR) ≥ 60 mL/min/1.73 m^2
Both Impaired Hepatic Function and Healthy Participants:
Exclusion Criteria:
Healthy Participants:
Both Impaired Hepatic Function and Healthy Participants:
discontinued at least 14 days prior to the study start and throughout the study
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| ID | Type | URL | Comment |
|---|---|---|---|
| CSR Synopsis | View IPD |
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Adult (18 to 80 years of age) males and females participated in the study. Eight participants with moderate hepatic impairment, and eight healthy control participants (matched according to age, weight, gender, and creatinine clearance [CLCr] or estimated glomerular filtration rate [eGFR]), were enrolled.
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| ID | Title | Description |
|---|---|---|
| FG000 | Moderate Hepatic Impairment Group | Participants with Child-Pugh scores of 7-9 were enrolled in the Moderate Hepatic Impairment group. |
| FG001 | Healthy Matched Control Group | Healthy participants matched according to mean age (±15 years), mean weight (±10 kg), and mean CLCr (±20 mL/min) or mean eGFR (±20 mL/min/1.73 m²) to same-gender participants with moderate hepatic impairment were enrolled in the Control group. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Moderate Hepatic Impairment Group | Participants with Child-Pugh scores of 7-9 were enrolled in the Moderate Hepatic Impairment group. |
| BG001 | Healthy Matched Control Group | Healthy participants matched according to mean age (±15 years), mean weight (±10 kg), and mean CLCr (±20 mL/min) or mean eGFR (±20 mL/min/1.73 m²) to same-gender participants with moderate hepatic impairment were enrolled in the Control group. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| 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 | Area Under the Plasma Concentration Versus Time Curve (AUC) From Hour 0 to Infinity (AUC0-∞) | All participants that received omarigliptin 25 mg. | Posted | Geometric Mean | 95% Confidence Interval | µM*hr | Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 96, and 168 hours post-dose |
|
AEs were monitored for 14 days after receiving omarigliptin 25 mg.
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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 | Moderate Hepatic Impairment Group | Participants with Child-Pugh scores of 7-9 were enrolled in the Moderate Hepatic Impairment group. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Headache | Nervous system disorders | MedDRA v.15.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Senior Vice President, Global Clinical Development | Merck Sharp & Dohme Corp. | 1-800-672-6372 | ClinicalTrialsDisclosure@merck.com |
| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D004700 | Endocrine System Diseases |
| ID | Term |
|---|---|
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| C587539 | 2-(2,5-difluorophenyl)-5-(2-(methylsulfonyl)-2,6-dihydropyrrolo(3,4-c)pyrazol-5(4H)-yl)tetrahydro-2H-pyran-3-amine |
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| Maximum Observed Plasma Concentration (Cmax) | Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 96, and 168 hours post-dose |
| Time to Maximum Observed Plasma Drug Concentration (Tmax) | Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 96, and 168 hours post-dose |
| Apparent Terminal Phase Half-life (t½) | Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 96, and 168 hours post-dose |
| Number of Participants Experiencing Adverse Events (AEs) | An adverse event is defined as any untoward medical occurrence in a patient or clinical investigation patient/subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. | Up to 14 days post-dose |
| Number of Participants Discontinued From Study Due to AEs | An adverse event is defined as any untoward medical occurrence in a patient or clinical investigation patient/subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. | Up to 14 days post-dose |
| BG002 | Total | Total of all reporting groups |
| Years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
|
|
|
| Secondary | Area Under the Concentration Versus Time Curve From Hour 0 to 168 Hours After Dosing (AUC0-168h) | All participants that received omarigliptin 25 mg. | Posted | Geometric Mean | 95% Confidence Interval | µM*hr | Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 96, and 168 hours post-dose |
|
|
|
|
| Secondary | Plasma Concentration at 168 Hours After Dosing (C168h) | All participants that received omarigliptin 25 mg. | Posted | Geometric Mean | 95% Confidence Interval | nM | 168 hours post-dose |
|
|
|
|
| Secondary | Maximum Observed Plasma Concentration (Cmax) | All participants that received omarigliptin 25 mg. | Posted | Geometric Mean | 95% Confidence Interval | nM | Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 96, and 168 hours post-dose |
|
|
|
|
| Secondary | Time to Maximum Observed Plasma Drug Concentration (Tmax) | All participants that received omarigliptin 25 mg. | Posted | Median | Full Range | hr | Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 96, and 168 hours post-dose |
|
|
|
| Secondary | Apparent Terminal Phase Half-life (t½) | All participants that received omarigliptin 25 mg. | Posted | Geometric Mean | Geometric Coefficient of Variation | hr | Pre-dose and 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 96, and 168 hours post-dose |
|
|
|
| Secondary | Number of Participants Experiencing Adverse Events (AEs) | An adverse event is defined as any untoward medical occurrence in a patient or clinical investigation patient/subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. | All participants that received omarigliptin 25 mg. | Posted | Number | Participants | Up to 14 days post-dose |
|
|
|
| Secondary | Number of Participants Discontinued From Study Due to AEs | An adverse event is defined as any untoward medical occurrence in a patient or clinical investigation patient/subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. | All participants that received omarigliptin 25 mg. | Posted | Number | Participants | Up to 14 days post-dose |
|
|
|
| 0 |
| 8 |
| 2 |
| 8 |
| EG001 | Healthy Matched Control Group | Healthy participants matched according to mean age (±15 years), mean weight (±10 kg), and mean CLCr (±20 mL/min) or mean eGFR (±20 mL/min/1.73 m²) to same-gender participants with moderate hepatic impairment were enrolled in the Control group. | 0 | 8 | 1 | 8 |
The Sponsor will provide separate guidance on the criteria for publication of clinical trial data when contacted for permission to publish.