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| ID | Type | Description | Link |
|---|---|---|---|
| MK-8835-014 | Other Identifier | Merck Study number | |
| B1521024 | Other Identifier | Pfizer Study number |
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| Name | Class |
|---|---|
| Pfizer | INDUSTRY |
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This is a study to assess the pharmacokinetics and safety of ertugliflozin (MK-8835, PF-04971729) in participants with hepatic impairment versus healthy participants. In Part 1 of the study, participants with moderate hepatic impairment (Child-Pugh score 7-9) and matched healthy participants will be enrolled; depending on results in Part 1, Part 2 may be conducted and will enroll participants with mild hepatic impairment (Child-Pugh score 5-6).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ertugliflozin 15 mg - Moderate Hepatic Impairment | Experimental | Participants receive a single 15 mg oral dose (tablet) of ertugliflozin |
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| Ertugliflozin 15 mg - Healthy Participants | Other | Participants receive a single 15 mg oral dose (tablet) of ertugliflozin |
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| Ertugliflozin 15 mg - Mild Hepatic Impairment | Experimental | Participants receive a single 15 mg oral dose (tablet) of ertugliflozin |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ertugliflozin 15 mg | Drug | Tablet |
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| Measure | Description | Time Frame |
|---|---|---|
| Area Under the Plasma Concentration-Time Curve From Time 0 to Time of the Last Quantifiable Concentration (AUClast) for Ertugliflozin | Area under the plasma concentration-time profile from time zero to time of the last quantifiable concentration (AUClast). | Hour 0 (predose), and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, and 96 hours |
| AUC From Hour 0 to Infinity (AUCinf) for Ertugliflozin | Area under the plasma concentration-time profile from time zero extrapolated to infinite time (AUCinf). | Hour 0 (predose), and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, and 96 hours |
| Measure | Description | Time Frame |
|---|---|---|
| AUClast for Fraction of Ertugliflozin Unbound in Plasma (AUClast,u) | Area under the plasma concentration-time profile from time zero to time of the last quantifiable concentration (Clast) for unbound drug (ertugliflozin only). | Hour 0 (predose), and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, and 96 hours |
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Inclusion Criteria:
ALL PARTICIPANTS:
Exclusion Criteria:
ALL PARTICIPANTS
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| Name | Affiliation | Role |
|---|---|---|
| Medical Director | Merck/Pfizer | Study Director |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33813736 | Derived | Marshall JC, Liang Y, Sahasrabudhe V, Tensfeldt T, Fediuk DJ, Zhou S, Krishna R, Dawra VK, Wood LS, Sweeney K. Meta-Analysis of Noncompartmental Pharmacokinetic Parameters of Ertugliflozin to Evaluate Dose Proportionality and UGT1A9 Polymorphism Effect on Exposure. J Clin Pharmacol. 2021 Sep;61(9):1220-1231. doi: 10.1002/jcph.1866. Epub 2021 Jun 19. | |
| 30224193 |
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Based on a statistical evaluation of the pharmacokinetic (PK) data obtained from participants with moderate hepatic impairment and matched healthy volunteers, and the pre-specified decision criteria, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.
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| ID | Title | Description |
|---|---|---|
| FG000 | Ertugliflozin 15 mg (Moderate Hepatic Impairment) | Participants received a single 15 mg oral dose (tablet) of ertugliflozin. |
| FG001 | Ertugliflozin 15 mg (Normal Hepatic Function) |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| AUCinf for Fraction of Ertugliflozin Unbound in Plasma (AUCinf,u) |
Area under the plasma concentration-time profile from time zero extrapolated to infinite time for unbound drug (ertugliflozin only) (AUCinf, u). |
| Hour 0 (predose), and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, and 96 hours |
| Maximum Plasma Concentration (Cmax) of Ertugliflozin | Cmax is a measure of the maximum amount of drug in the plasma after the dose is given. | Hour 0 (predose), and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, and 96 hours |
| Cmax for Fraction of Ertugliflozin Unbound in Plasma (Cmax,u) | Maximum plasma concentration for unbound drug (ertugliflozin only). | Hour 0 (predose), and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, and 96 hours |
| Number of Participants Who Experienced an Adverse Event | An adverse event (AE) is defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it is considered related to the medical treatment or procedure, that occurs during the course of the study. | Up to 19 days |
| Sahasrabudhe V, Terra SG, Hickman A, Saur D, Raje S, Shi H, Matschke K, Zhou S, Cutler DL. Pharmacokinetics of Single-dose Ertugliflozin in Patients With Hepatic Impairment. Clin Ther. 2018 Oct;40(10):1701-1710. doi: 10.1016/j.clinthera.2018.06.015. Epub 2018 Sep 14. |
Participants received a single 15 mg oral dose (tablet) of ertugliflozin.
| FG002 | Ertugliflozin 15 mg - Mild Hepatic Impairment | Participants receive a single 15 mg oral dose (tablet) of ertugliflozin |
| COMPLETED |
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| NOT COMPLETED |
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The PK concentration population was defined as all participants treated who had at least 1 concentration measurement. Based on evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.
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| ID | Title | Description |
|---|---|---|
| BG000 | Ertugliflozin 15 mg (Moderate Hepatic Impairment) | Participants received a single 15 mg oral dose (tablet) of ertugliflozin. |
| BG001 | Ertugliflozin 15 mg (Normal Hepatic Function) | Participants received a single 15 mg oral dose (tablet) of ertugliflozin. |
| BG002 | 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 | ||||||||||
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| Age, Continuous | Mean | Full Range | Years |
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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 Plasma Concentration-Time Curve From Time 0 to Time of the Last Quantifiable Concentration (AUClast) for Ertugliflozin | Area under the plasma concentration-time profile from time zero to time of the last quantifiable concentration (AUClast). | The analysis population was all treated participants who had at least 1 measurement of the AUClast parameter. Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng•hr/mL | Hour 0 (predose), and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, and 96 hours |
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| Primary | AUC From Hour 0 to Infinity (AUCinf) for Ertugliflozin | Area under the plasma concentration-time profile from time zero extrapolated to infinite time (AUCinf). | The analysis population was all treated participants who had at least 1 measurement of the AUCinf parameter. Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng•hr/mL | Hour 0 (predose), and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, and 96 hours |
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| Secondary | AUClast for Fraction of Ertugliflozin Unbound in Plasma (AUClast,u) | Area under the plasma concentration-time profile from time zero to time of the last quantifiable concentration (Clast) for unbound drug (ertugliflozin only). | The analysis population was all treated participants who had at least 1 measurement of the AUClast,u parameter. Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng•hr/mL | Hour 0 (predose), and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, and 96 hours |
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| Secondary | AUCinf for Fraction of Ertugliflozin Unbound in Plasma (AUCinf,u) | Area under the plasma concentration-time profile from time zero extrapolated to infinite time for unbound drug (ertugliflozin only) (AUCinf, u). | The analysis population was all treated participants who had at least 1 measurement of the AUCinf,u parameter. Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng•hr/mL | Hour 0 (predose), and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, and 96 hours |
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| Secondary | Maximum Plasma Concentration (Cmax) of Ertugliflozin | Cmax is a measure of the maximum amount of drug in the plasma after the dose is given. | The analysis population was all treated participants who had at least 1 measurement of the Cmax parameter. Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL | Hour 0 (predose), and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, and 96 hours |
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| Secondary | Cmax for Fraction of Ertugliflozin Unbound in Plasma (Cmax,u) | Maximum plasma concentration for unbound drug (ertugliflozin only). | The analysis population was all treated participants who had at least 1 measurement of the Cmax,u parameter. Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL | Hour 0 (predose), and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 48, 72, and 96 hours |
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| Secondary | Number of Participants Who Experienced an Adverse Event | An adverse event (AE) is defined as any unfavorable and unintended sign including an abnormal laboratory finding, symptom or disease associated with the use of a medical treatment or procedure, regardless of whether it is considered related to the medical treatment or procedure, that occurs during the course of the study. | The analysis population was defined as all treated participants. Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled. | Posted | Number | Participants | Up to 19 days |
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Up to Day 19
Based on a statistical evaluation of the PK data from participants with moderate hepatic impairment and matched healthy volunteers, Part 2 of the study was not conducted and participants with mild hepatic impairment were not enrolled.
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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 | Ertugliflozin 15 mg (Moderate Hepatic Impairment) | Participants received a single 15 mg oral dose (tablet) of ertugliflozin. | 0 | 8 | 2 | 8 | ||
| EG001 | Ertugliflozin 15 mg (Normal Hepatic Function) | Participants received a single 15 mg oral dose (tablet) of ertugliflozin. | 0 | 8 | 3 | 8 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Tachycardia | Cardiac disorders | MedDRA 18.0 | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA 18.0 | Systematic Assessment |
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| Furuncle | Infections and infestations | MedDRA 18.0 | Systematic Assessment |
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| Decreased appetite | Metabolism and nutrition disorders | MedDRA 18.0 | Systematic Assessment |
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| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 18.0 | Systematic Assessment |
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| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 18.0 | Systematic Assessment |
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| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA 18.0 | Systematic Assessment |
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| Dizziness | Nervous system disorders | MedDRA 18.0 | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA 18.0 | Systematic Assessment |
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| Paraesthesia | Nervous system disorders | MedDRA 18.0 | Systematic Assessment |
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| Rash | Skin and subcutaneous tissue disorders | MedDRA 18.0 | Systematic Assessment |
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Investigator will provide manuscripts, abstracts, or the full text of any other intended disclosure (poster presentation, invited speaker or guest lecturer presentation, etc.) to the sponsor at least 30 days before they are submitted for publication or otherwise disclosed. If any patent action is required to protect intellectual property rights, Investigator agrees to delay the disclosure for a period not to exceed an additional 60 days.
| 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 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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| ID | Term |
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| C570288 | ertugliflozin |
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