Overview
Sponsor-declared trial summary
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
- To evaluate safety and tolerability of MK-5684 following single oral 5-mg doses in healthy male participants.
- 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
| Version | Level | Code | Term | System 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
- Has a body mass index (BMI) ≥18 kg/m^2 and ≤32 kg/m^2
Exclusion criteria 12
- Has a history of clinically significant endocrine, gastrointestinal (GI), cardiovascular, hematological, hepatic, immunological, renal, respiratory, genitourinary, or major neurological abnormalities or diseases
- Has a history of cancer
- 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
- Has positive test(s) for hepatitis B surface antigen (HBs Ag), hepatitis C antibodies or human immunodeficiency virus (HIV) serologies
- 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
- Has received or expected to receive any form of vaccination within 2 weeks of pre-study, throughout the study and poststudy
- Has any contraindications to prednisone and fludrocortisone
- Is a smoker and/or used nicotine or nicotine containing products within 3 months of screening
- 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
- Is a regular user of cannabis, any illicit drugs or has a history of drug abuse within approximately 12 months
- 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
- 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
- Area Under the Concentration-Time Curve From Time Zero to Last Measured Concentration (AUC 0-last)
- Area Under the Concentration-Time Curve From Time 0 to Infinity (AUC 0-inf) of MK-5684
- Maximum Concentration (Cmax) of MK-5684
- Percent Change From Baseline in Testosterone Level
- Percent Change From Baseline in Androstenedione Level
- Percent Change From Baseline in Pregnenolone Level
- Percent Change From Baseline in Dehydroepiandrosterone Sulfate (DHEA-S) Level
Secondary endpoints 7
- Number of Participants Who Experience an Adverse Event (AE)
- Number of Participants Who Discontinue Study Treatment Due to an AE
- Time to Maximum Concentration of MK-5684
- Half-Life (t1/2) of MK-5684
- Oral Clearance (CL/F) of MK-5684
- Apparent Volume of Distribution (Vz/F) of MK-5684
- Terminal Elimination Rate Constant (λz) of MK-5684
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 1
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
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
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
| Organisation | City, country | Duties |
|---|---|---|
| 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
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Belgium | Ended | 14 | 1 |
| Rest of world | — | 0 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment 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
| Title | Submission date | Status | Type |
|---|---|---|---|
| Final Analysis_2023-505521-14 SUM-55637
|
2024-11-07T15:42:08 | Submitted | Summary of Results |
Layperson summary Annex V
| Title | Submission date | Status | Type |
|---|---|---|---|
| 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.
| Type | Title | Version |
|---|---|---|
| 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
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2023-06-12 | Belgium | Acceptable 2023-07-24
|
2023-07-25 |