MK-5684 Food Effect Study

2023-505521-14-00 Protocol MK-5684-007 Human pharmacology (Phase I) - Other Ended

Start 2 Aug 2023 · End 31 Jan 2024 · Status Ended · 1 EU/EEA countries · 1 sites · Protocol MK-5684-007

Overview

Sponsor-declared trial summary

Phase Human pharmacology (Phase I) - Other
Status Ended
Participants planned 14
Countries 1
Sites 1

refractory metastatic prostate cancer

1. To evaluate the effect of a high-fat meal on the plasma pharmacokinetics of MK-5684 as compared to the plasma pharmacokinetics in the fasted state after administration of a single oral 5-mg dose of MK-5684 in healthy male participants. 2. To assess the effect of MK-5684 on steroid hormone levels over time in healthy…

Key facts

Sponsor
Merck Sharp & Dohme LLC
Participant type
Healthy volunteers
Age range
18-64 years
Gender
Male
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
2 Aug 2023 → 31 Jan 2024
Decision date (initial)
2023-07-25
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Merck Sharp & Dohme LLC

External identifiers

EU CT number
2023-505521-14-00
WHO UTN
U1111-1292-3209

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacodynamic, Pharmacokinetic, Others, Pharmacogenetic, Safety

1. To evaluate the effect of a high-fat meal on the plasma pharmacokinetics of MK-5684 as compared to the plasma pharmacokinetics in the fasted state after administration of a single oral 5-mg dose of MK-5684 in healthy male participants.
2. To assess the effect of MK-5684 on steroid hormone levels over time in healthy male participants.

Secondary objectives 2

  1. To evaluate safety and tolerability of MK-5684 following single oral 5-mg doses in healthy male participants.
  2. To evaluate the effect of a high-fat meal on the plasma pharmacokinetics of MK-5684 as compared to the plasma pharmacokinetics in the fasted state after administration of a single oral 5-mg dose of MK-5684 in healthy male participants.

Conditions and MedDRA coding

refractory metastatic prostate cancer

VersionLevelCodeTermSystem organ class
21.1 PT 10036909 Prostate cancer metastatic 100000004864

Regulatory references

Scientific advice from competent authorities
Federal Agency For Medicines And Health Products

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. Has a body mass index (BMI) ≥18 kg/m^2 and ≤32 kg/m^2

Exclusion criteria 12

  1. Has a history of clinically significant endocrine, gastrointestinal (GI), cardiovascular, hematological, hepatic, immunological, renal, respiratory, genitourinary, or major neurological abnormalities or diseases
  2. Has a history of cancer
  3. Has a history of significant multiple and/or severe allergies or has had an anaphylactic reaction or significant intolerability to prescription or nonprescription drugs or food
  4. Has positive test(s) for hepatitis B surface antigen (HBs Ag), hepatitis C antibodies or human immunodeficiency virus (HIV) serologies
  5. Is unable to refrain from or anticipates the use of any medication, including prescription and nonprescription drugs or herbal remedies beginning at least 2 weeks prior to administration of the initial dose of the study intervention, throughout the study, until the poststudy visit
  6. Has received or expected to receive any form of vaccination within 2 weeks of pre-study, throughout the study and poststudy
  7. Has any contraindications to prednisone and fludrocortisone
  8. Is a smoker and/or used nicotine or nicotine containing products within 3 months of screening
  9. Consumes greater than 3 servings of alcoholic beverages as per protocol per day. Participants who consume 4 servings of alcoholic beverages per day may be enrolled at the discretion of the investigator
  10. Is a regular user of cannabis, any illicit drugs or has a history of drug abuse within approximately 12 months
  11. The investigator has any concern regarding safe participation in the study or for any other reason the investigator considers the participant inappropriate for participation in the study
  12. Is or has an immediate family member who is investigational site or Sponsor staff directly involved with this study

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 7

  1. Area Under the Concentration-Time Curve From Time Zero to Last Measured Concentration (AUC 0-last)
  2. Area Under the Concentration-Time Curve From Time 0 to Infinity (AUC 0-inf) of MK-5684
  3. Maximum Concentration (Cmax) of MK-5684
  4. Percent Change From Baseline in Testosterone Level
  5. Percent Change From Baseline in Androstenedione Level
  6. Percent Change From Baseline in Pregnenolone Level
  7. Percent Change From Baseline in Dehydroepiandrosterone Sulfate (DHEA-S) Level

Secondary endpoints 7

  1. Number of Participants Who Experience an Adverse Event (AE)
  2. Number of Participants Who Discontinue Study Treatment Due to an AE
  3. Time to Maximum Concentration of MK-5684
  4. Half-Life (t1/2) of MK-5684
  5. Oral Clearance (CL/F) of MK-5684
  6. Apparent Volume of Distribution (Vz/F) of MK-5684
  7. Terminal Elimination Rate Constant (λz) of MK-5684

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

ODM-208 Tosilate

PRD10441547 · Product

Active substance
ODM-208 Tosilate
Substance synonyms
ODM-208 tosylate, MK-5684 tosilate
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
5 mg milligram(s)
Max total dose
10 mg milligram(s)
Max treatment duration
2 Week(s)
Authorisation status
Not Authorised
MA holder
MERCK & CO. INC.
Paediatric formulation
No
Orphan designation
No

Auxiliary 2

Astonin H 0,1 mg comprimate

PRD9877449 · Product

Active substance
Fludrocortisone
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
0.05 mg milligram(s)
Max total dose
0.40 mg milligram(s)
Max treatment duration
2 Week(s)
Authorisation status
Authorised
ATC code
H02AA02 — FLUDROCORTISONE
Marketing authorisation
8004/2015/02
MA holder
MERCK ROMANIA S.R.L.
MA country
Romania
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Prednison acis 5 mg

PRD889556 · Product

Active substance
Prednisone
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
5 mg milligram(s)
Max total dose
35 mg milligram(s)
Max treatment duration
2 Week(s)
Authorisation status
Authorised
ATC code
H02AB07 — PREDNISONE
Marketing authorisation
49572.00.00
MA holder
ACIS ARZNEIMITTEL GMBH
MA country
Germany
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Merck Sharp & Dohme LLC

Sponsor organisation
Merck Sharp & Dohme LLC
Address
126 East Lincoln Avenue
City
Rahway
Postcode
07065-4607
Country
United States

Scientific contact point

Organisation
Merck Sharp & Dohme LLC
Contact name
Jonathan Belman

Public contact point

Organisation
Merck Sharp & Dohme LLC
Contact name
Jonathan Belman

Third parties 7

OrganisationCity, countryDuties
Infinity Biologix LLC
ORG-100040369
Piscataway, United States Laboratory analysis
LabCorp Development (Asia) Pte. Ltd.
ORL-000001747
Singapore Laboratory analysis
UZ Leuven
ORG-100006001
Leuven, Belgium Laboratory analysis
Ardena Bioanalysis B.V.
ORG-100036987
Assen, Netherlands Laboratory analysis
Parexel International Corp.
ORG-100007310
Auburndale, United States Other
Azenta US Inc.
ORG-100016263
Indianapolis, United States Other
Perceptive Eclinical Limited
ORG-100041144
Nottingham, United Kingdom Other

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ended 14 1
Rest of world 0

Investigational sites

Belgium

1 site · Ended
UZ Leuven
Center for Clinical Pharmacology, Herestraat 49, 3000, Leuven

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Belgium 2023-08-02 2023-11-09 2023-08-03 2023-10-21

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
Final Analysis_2023-505521-14
SUM-55637
2024-11-07T15:42:08 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
Results Plain Language Summary 2024-11-07T15:41:58 Submitted Laypersons Summary of Results

Documents 5 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Laypersons summary of results (for publication) Results Plain Language Summary_2023-505521-14_BEL_DE_for pub 06OCT2024
Laypersons summary of results (for publication) Results Plain Language Summary_2023-505521-14_BEL_FR_for pub 06OCT2024
Laypersons summary of results (for publication) Results Plain Language Summary_2023-505521-14_BEL_NL_for pub 06OCT2024
Laypersons summary of results (for publication) Results Plain Language Summary_2023-505521-14_EN_for pub 06OCT2024
Summary of results (for publication) Final Analysis_2023-505521-14_for pub 31OCT2024

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-06-12 Belgium Acceptable
2023-07-24
2023-07-25