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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT05656040
Other study ID # 2060-011
Secondary ID MK-2060-011
Status Active, not recruiting
Phase Phase 1
First received
Last updated
Start date February 8, 2023
Est. completion date August 15, 2024

Study information

Verified date May 2024
Source Merck Sharp & Dohme LLC
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This is a three-part study of MK-2060 in participants with chronic and/or end-stage kidney disease. The purpose of the study is to evaluate the safety, tolerability, pharmacokinetics and pharmacodynamics of a single subcutaneous dose of MK-2060 in stage 4 chronic kidney disease (CKD4) or stage 5 chronic kidney disease (CKD5) participants in Part 1, of multiple subcutaneous doses in CKD4 or CKD5 participants in Part 2, and of a single subcutaneous dose of MK-2060 in participants with end-stage kidney disease in Part 3. The primary hypothesis is that, in Part 1, the true geometric mean of the area under the concentration-time curve from 0 to infinity (AUC0-inf) after a single-dose of MK-2060 in adult CKD4 or CKD5 participants is at least 11300 nM*hr.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 33
Est. completion date August 15, 2024
Est. primary completion date August 15, 2024
Accepts healthy volunteers No
Gender All
Age group 18 Years to 80 Years
Eligibility Inclusion Criteria: - At the time of screening, has stage 4 or 5 chronic kidney disease (Parts 1 and 2) or end-state kidney disease on peritoneal dialysis (Part 3). - Has a body mass index (BMI) = 18 and = 45 kg/m^2. Exclusion Criteria: - Has a history of cancer, including adenocarcinoma, except adequately treated non-melanomatous skin carcinoma or carcinoma in situ of the cervix or other malignances which have been successfully treated = 5 years prior to prestudy with appropriate follow-up. - Has a history of deep vein thrombosis or pulmonary embolism, a history of vascular access thrombosis within 1 month prior to enrollment, or has a personal or family history of bleeding disorder. - Has a history of gastrointestinal (GI) bleeding, duodenal polyps, or gastric ulcer in the last 5 years or severe hemorrhoidal bleed in the last 3 months. - Has a history of or current frequent epistaxis within the last 3 months or active gingivitis. - Has ongoing anticoagulant therapy or antiplatelet therapy. Aspirin is permitted. - Has planned significant dental procedures at the time of screening or pre-dose or other planned surgical procedures within duration of participation of study. - Is positive for hepatitis B surface antigen or human immunodeficiency virus (HIV). - Has had major surgery and/or donated or lost 1 unit of blood (approximately 500 mL) within 4 weeks prior to the pre-study visit. - Has a history (participant recall) of receiving any human immunoglobulin preparation such as intravenous immunoglobulin (IVIG) or RhoGAM within the last year. - Has a history (participant recall) of receiving any biological therapy (including human blood products or monoclonal antibodies; excluding erythropoietin and insulin) within the last 3 months or vaccination within the last 1 month, except the seasonal flu and pneumococcal vaccine or COVID-19 vaccine.

Study Design


Intervention

Biological:
MK-2060
MK-2060 lyophilized powder diluted in normal saline and administered subcutaneously
Drug:
Placebo
Normal saline administered subcutaneously

Locations

Country Name City State
United States Velocity Clinical Research, New Smyrna Beach ( Site 0003) Edgewater Florida
United States Alliance for Multispecialty Research, LLC ( Site 0002) Knoxville Tennessee
United States Advanced Pharma CR, LLC ( Site 0006) Miami Florida
United States Genesis Clinical Research, LLC ( Site 0004) Tampa Florida

Sponsors (1)

Lead Sponsor Collaborator
Merck Sharp & Dohme LLC

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Part 1: Number of Participants who Experience One or More Bleeding Related Adverse Events (AE) Bleeding related AEs will include any sign or symptom of bleeding, even if not requiring intervention by a medical/healthcare professional, as well as clinically relevant nonmajor bleeding or major bleeding. Up to approximately 104 days
Primary Part 2: Number of Participants who Experience One or More Bleeding Related AEs Bleeding related AEs will include any sign or symptom of bleeding, even if not requiring intervention by a medical/healthcare professional, as well as clinically relevant nonmajor bleeding or major bleeding. Up to approximately 144 days
Primary Part 3: Number of Participants who Experience One or More Bleeding Related AEs Bleeding related AEs will include any sign or symptom of bleeding, even if not requiring intervention by a medical/healthcare professional, as well as clinically relevant nonmajor bleeding or major bleeding. Up to approximately 104 days
Primary Part 1: Number of Participants who Experience One or More 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. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. Up to approximately 104 days
Primary Part 2: Number of Participants who Experience One or More 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. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. Up to approximately 144 days
Primary Part 3: Number of Participants who Experience One or More 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. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. Up to approximately 104 days
Primary Part 1: Number of Participants who Discontinue Study 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. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. Up to approximately 104 days
Primary Part 2: Number of Participants who Discontinue Study 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. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. Up to approximately 144 days
Primary Part 3: Number of Participants who Discontinue Study 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. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention. Up to approximately 104 days
Primary Part 1: Area Under the Concentration-Time Curve from 0 to Infinity (AUC0-inf) of MK-2060 Blood will be collected at pre-specified time points to determine the AUC0-inf of MK-2060 in plasma. Day 1: pre-dose, 1 and 12 hours post-dose; once daily on Days 2, 3, 6, 8, 11, 14, 21, 28, 60, and 90 post-dose
Primary Part 2: AUC0-inf of MK-2060 Blood will be collected at pre-specified time points to determine the AUC0-inf of MK-2060 in plasma. Days 1, 2, 4, 8, 15, and 22: pre-dose; once daily on Days 10, 17, 26, 29, 35, 42, 49, 63, 81, 111, and 130 post-dose
Primary Part 3: AUC0-inf of MK-2060 Blood will be collected at pre-specified time points to determine the AUC0-inf of MK-2060 in plasma. Day 1: pre-dose, 1 and 12 hours post-dose; once daily on Days 2, 3, 6, 8, 11, 14, 21, 28, 42, 60, 90, and 120 post-dose
Primary Part 1: Area Under the Concentration-Time Curve from Time 0 to 168 Hours (AUC0-168) of MK-2060 Blood will be collected at pre-specified time points to determine the AUC0-168 of MK-2060 in plasma from 0 to 168 hours. Pre-dose, 1, 12, 24, 48, 120, and 168 hours post-dose
Primary Part 2: AUC0-168 of MK-2060 Blood will be collected at pre-specified time points to determine the AUC0-168 of MK-2060 in plasma from 0 to 168 hours. Pre-dose, 24, 72, and 168 hours post-dose
Primary Part 3: AUC0-168 of MK-2060 Blood will be collected at pre-specified time points to determine the AUC0-168 of MK-2060 in plasma from 0 to 168 hours. Pre-dose, 1, 12, 24, 48, 120, and 168 hours post-dose
Primary Part 1: Maximum Plasma Concentration (Cmax) of MK-2060 Blood will be collected at pre-specified time points to determine the Cmax of MK-2060 in plasma. Day 1: pre-dose, 1 and 12 hours post-dose; once daily on Days 2, 3, 6, 8, 11, 14, 21, 28, 60, and 90 post-dose
Primary Part 2: Cmax of MK-2060 Blood will be collected at pre-specified time points to determine the Cmax of MK-2060 in plasma. Days 1, 2, 4, 8, 15, and 22: pre-dose; once daily on Days 10, 17, 26, 29, 35, 42, 49, 63, 81, 111, and 130 post-dose
Primary Part 3: Cmax of MK-2060 Blood will be collected at pre-specified time points to determine the Cmax of MK-2060 in plasma. Day 1: pre-dose, 1 and 12 hours post-dose; once daily on Days 2, 3, 6, 8, 11, 14, 21, 28, 42, 60, 90, and 120 post-dose
Primary Part 1: Plasma Concentration at 168 Hours (C168) of MK-2060 Blood will be collected at 168 hours post-dose to determine the C168 of MK-2060 in plasma. 168 hours post-dose
Primary Part 2: C168 of MK-2060 Blood will be collected at 168 hours post-dose to determine the C168 of MK-2060 in plasma. 168 hours post-dose
Primary Part 3: C168 of MK-2060 Blood will be collected at 168 hours post-dose to determine the C168 of MK-2060 in plasma. 168 hours post-dose
Primary Part 1: Time to Maximum Plasma Concentration (Tmax) of MK-2060 Blood will be collected at pre-specified time points to determine the Tmax of MK-2060 in plasma. Day 1: pre-dose, 1 and 12 hours post-dose; once daily on Days 2, 3, 6, 8, 11, 14, 21, 28, 60, and 90 post-dose
Primary Part 2: Tmax of MK-2060 Blood will be collected at pre-specified time points to determine the Tmax of MK-2060 in plasma. Days 1, 2, 4, 8, 15, and 22: pre-dose; once daily on Days 10, 17, 26, 29, 35, 42, 49, 63, 81, 111, and 130 post-dose
Primary Part 3: Tmax of MK-2060 Blood will be collected at pre-specified time points to determine the Tmax of MK-2060 in plasma. Day 1: pre-dose, 1 and 12 hours post-dose; once daily on Days 2, 3, 6, 8, 11, 14, 21, 28, 42, 60, 90, and 120 post-dose
Primary Part 1: Terminal Half Life (t1/2) of MK-2060 Blood will be collected at pre-specified time points to determine the terminal t1/2 of MK-2060 in plasma. Day 1: pre-dose, 1 and 12 hours post-dose; once daily on Days 2, 3, 6, 8, 11, 14, 21, 28, 60, and 90 post-dose
Primary Part 2: t1/2 of MK-2060 Blood will be collected at pre-specified time points to determine the terminal t1/2 of MK-2060 in plasma. Days 1, 2, 4, 8, 15, and 22: pre-dose; once daily on Days 10, 17, 26, 29, 35, 42, 49, 63, 81, 111, and 130 post-dose
Primary Part 3: t1/2 of MK-2060 Blood will be collected at pre-specified time points to determine the terminal t1/2 of MK-2060 in plasma. Day 1: pre-dose, 1 and 12 hours post-dose; once daily on Days 2, 3, 6, 8, 11, 14, 21, 28, 42, 60, 90, and 120 post-dose
Primary Part 1: Apparent Total Clearance (CL/F) of MK-2060 Blood will be collected at pre-specified time points to determine the CL/F of MK-2060 in plasma. Day 1: pre-dose, 1 and 12 hours post-dose; once daily on Days 2, 3, 6, 8, 11, 14, 21, 28, 60, and 90 post-dose
Primary Part 2: CL/F of MK-2060 Blood will be collected at pre-specified time points to determine the CL/F of MK-2060 in plasma. Days 1, 2, 4, 8, 15, and 22: pre-dose; once daily on Days 10, 17, 26, 29, 35, 42, 49, 63, 81, 111, and 130 post-dose
Primary Part 3: CL/F of MK-2060 Blood will be collected at pre-specified time points to determine the CL/F of MK-2060 in plasma. Day 1: pre-dose, 1 and 12 hours post-dose; once daily on Days 2, 3, 6, 8, 11, 14, 21, 28, 42, 60, 90, and 120 post-dose
Primary Part 1: Apparent Volume of Distribution (Vz/F) of MK-2060 Blood will be collected at pre-specified time points to determine the Cmax of MK-2060 in plasma Day 1: pre-dose, 1 and 12 hours post-dose; once daily on Days 2, 3, 6, 8, 11, 14, 21, 28, 60, and 90 post-dose
Primary Part 2: Vz/F of MK-2060 Blood will be collected at pre-specified time points to determine the Cmax of MK-2060 in plasma Days 1, 2, 4, 8, 15, and 22: pre-dose; once daily on Days 10, 17, 26, 29, 35, 42, 49, 63, 81, 111, and 130 post-dose
Primary Part 3: Vz/F of MK-2060 Blood will be collected at pre-specified time points to determine the Cmax of MK-2060 in plasma Day 1: pre-dose, 1 and 12 hours post-dose; once daily on Days 2, 3, 6, 8, 11, 14, 21, 28, 42, 60, 90, and 120 post-dose
Secondary Part 1: Percent Change from Baseline in Activated Partial Thromboplastin Time (aPTT) of MK-2060 Blood will be collected at pre-specified time points to determine the aPTT of MK-2060 in plasma. Baseline and 90 days post-dose
Secondary Part 2: Percent Change from Baseline in aPTT of MK-2060 Blood will be collected at pre-specified time points to determine the aPTT of MK-2060 in plasma. Baseline and 130 days post-dose
Secondary Part 3: Percent Change from Baseline in aPTT of MK-2060 Blood will be collected at pre-specified time points to determine the aPTT of MK-2060 in plasma. Baseline and 120 days post-dose
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