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| ID | Type | Description | Link |
|---|---|---|---|
| MK-5684-012 | Other Identifier | MSD |
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Researchers have designed a study medicine called opevesostat as a new way to treat prostate cancer.
The purpose of this study is to learn what happens to opevesostat in a person's body over time (a pharmacokinetic or PK study). Researchers will compare what happens to opevesostat in the body when it is given with and without another medicine called carbamazepine.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Opevesostat Period 1 | Experimental | On Day 1 a single dose of opevesostat will be administered under fasting conditions and a single dose of hormone replacement therapy (HRT) (prednisone and fludrocortisone) will be administered under fed conditions approximately 4.5 hours after opevesostat dosing. |
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| Opevesostat Period 2 | Experimental | There will be a washout of at least 5 days between opevesostat dosing in Period 1 and the first carbamazepine dosing in Period 2. In Period 2, carbamazepine will be administered twice daily (BID) for 17 consecutive days with a single dose of opevesostat coadministered on the morning of Day 14 under fasting conditions. HRT (prednisone and fludrocortisone) will be administered under fed conditions on Day 14, approximately 4.5 hours after opevesostat and/or carbamazepine dosing. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Opevesostat | Drug | Administered via oral tablet per dosing regimen. |
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| Measure | Description | Time Frame |
|---|---|---|
| Area under the concentration versus time curve from 0 to infinity after single dosing (AUC0-inf) of opevesostat in plasma | AUC0-inf of opevesostat in plasma will be determined. | Predose, and at designated timepoints up to 96 hours post-dose |
| Area under the concentration versus time curve from 0 to last quantifiable sample (AUC0-last) of opevesostat in plasma | AUC0-last of opevesostat in plasma will be determined. | Predose, and at designated timepoints up to 96 hours post-dose |
| Area under the concentration versus time curve from 0 to hour 24 (AUC0-24) of opevesostat in plasma | AUC0-24 of opevesostat in plasma will be determined. | Predose, and at designated timepoints up to 24 hours post-dose |
| Maximum concentration (Cmax) of opevesostat in plasma | Cmax of opevesostat in plasma will be determined. | Predose, and at designated timepoints up to 96 hours post-dose |
| Time to Maximum concentration (Tmax) of opevesostat in plasma | Tmax of opevesostat in plasma will be determined. | Predose, and at designated timepoints up to 96 hours post-dose |
| Apparent terminal half-life (t1/2) of opevesostat in plasma | t1/2 of opevesostat in plasma will be determined. | Predose, and at designated timepoints up to 96 hours post-dose |
| Apparent Clearance (CL/F) of opevesostat in plasma |
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants who experience one or more adverse events (AEs) | 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. The number of participants who experience an AE will be determined. | Up to approximately 49 days |
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Inclusion Criteria:
The main inclusion criteria include but are not limited to the following:
Exclusion Criteria:
The main exclusion criteria include but are not limited to the following:
History or presence of any of the following:
Has a first-degree relative with multiple unexplained syncopal events, unexplained cardiac arrest, or sudden cardiac death, or has a known family history of an inherited arrhythmia syndrome (including Brugada syndrome)
History of cancer (malignancy)
Unable to refrain from or anticipates the use of: Any drugs, including prescription and non-prescription medications, herbal remedies, or vitamin supplements beginning 14 days prior to the first dosing
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| Name | Affiliation | Role |
|---|---|---|
| Medical Director | Merck Sharp & Dohme LLC | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Celerion ( Site 0001) | Tempe | Arizona | 85283 | United States |
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| Label | URL |
|---|---|
| Merck Clinical Trials Information | View source |
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| ID | Term |
|---|---|
| D011241 | Prednisone |
| C034635 | fludrocortisone acetate |
| D002220 | Carbamazepine |
| ID | Term |
|---|---|
| D011244 | Pregnadienediols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 |
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| Prednisone | Drug | Administered at a dose of 5 mg or 10 mg dependent on HRT dosing regimen via oral tablets. |
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| Fludrocortisone acetate | Drug | Administered at a dose of 0.05 mg or 0.1 mg dependent on HRT dosing regimen via oral tablets. |
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| Carbamazepine | Drug | Administered at a dose of 100 mg, 200 mg, or 300 mg BID dependent on dosing regimen via oral capsule (extended-release). |
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CL/F of opevesostat in plasma will be determined. |
| Predose, and at designated timepoints up to 96 hours post-dose |
| Apparent volume of distribution during terminal phase (Vz/F) of opevesostat in plasma | Vz/F of opevesostat in plasma will be determined. | Predose, and at designated timepoints up to 96 hours post-dose |
| Number of participants who discontinue study intervention due to an AE | 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. The number of participants who discontinue from the study due to an AE will be determined. | Up to approximately 49 days |
| Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D003984 | Dibenzazepines |
| D006575 | Heterocyclic Compounds, 3-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |