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Completed

NCT Number: NCT01537900

A Multiple Dose Study of Grazoprevir (MK-5172) in Hepatitis C-Infected Participants (MK-5172-010)

The goal of this study was to compare hepatic pharmacokinetics (PK) derived from liver tissue to plasma PK after administration of grazoprevir (MK-5172) to participants with chronic hepatitis C virus (HCV) infection. Participants will be randomized to one of four different liver ultrasound-guided Fine Needle Aspirate (FNA) schedules (at 4-, 8-, 24-, or 72-hours after the Day 7 dose).

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Key information

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • has a Body Mass Index (BMI) ≥18.5 kg/m² and ≤36.0 kg/m²
  • has chronic compensated, genotype 1 HCV infection
  • has no cirrhosis of the liver as confirmed by FibroSure®/Fibro Test® and/or local country procedure (e.g. transient elastography/Fibroscan)
  • does not require anticoagulants, nonsteroidal anti-inflammatory agents, and aspirin for at least fourteen (14) days preceding the initial liver biopsy and continuing throughout the entire study
  • if is a female participant of reproductive potential, is willing to use 2 medically acceptable forms of contraception for 2 weeks prior to start of treatment through 2 weeks after last study treatment
  • if is a male participant with a partner(s) of reproductive potential, is willing to use 2 medically acceptable forms of contraception from first dose to 90 days after last dose

Exclusion criteria

  • has a history of stroke, chronic seizures, or major neurological disorder
  • has received previous treatment with a direct-acting antiviral (DAA)
  • has evidence of high grade bridging fibrosis from prior liver biopsy within 3 years of study entry
  • has evidence or history of chronic hepatitis not caused by HCV infection including but not limited to non-HCV viral hepatitis, nonalcoholic steatohepatitis (NASH), drug-induced hepatitis, or autoimmune hepatitis
  • has clinical or laboratory evidence of cirrhosis or other advanced liver disease
  • has decompensated liver disease as indicated by a history of ascites, hepatic encephalopathy, or bleeding esophageal varices
  • has been diagnosed with, or suspected of having, hepatocellular carcinoma (HCC)
  • has clinically significant abnormality on an electrocardiogram (ECG)
  • is co-infected with human immunodeficiency virus (HIV)
  • is positive for Hepatitis B surface antigen (HBsAg) or other evidence of active Hepatitis B infection
  • has a history of gastric bypass surgery, bowel resection or other disorder that may interfere with absorption
  • has a history of clinically significant uncontrolled endocrine, gastrointestinal, cardiovascular, hematological, immunological, renal, respiratory, or genitourinary abnormalities or diseases
  • has clinically significant neoplastic disease
  • uses alcohol to excess, defined as greater than 3 glasses of alcoholic beverages (1 glass is approximately equivalent to: beer [354 mL], wine [118 mL], or distilled spirits [29.5 mL]) per day
  • is a current regular user (including use of any illicit drugs) or history of drug (including alcohol) abuse within the last 3 months
  • has undergone surgery, donation of 1 unit of blood (approximately 500 mL) or participation in another investigational study within a period of 4 weeks prior to the screening visit
  • has a history of multiple and/or severe allergies, or anaphylactic reaction or intolerability to prescription or nonprescription drugs or food
  • is pregnant or lactating
  • is expecting to donate eggs or sperm

Treatment and study plan

Grazoprevir

Drug

GZR 100 mg tablet by mouth q.d. for 7 days.

Other names: MK-5172

Primary outcomes

  1. Estimated Area Under the Liver Concentration-time Curve for 24 Hours Post-dose (AUC[H]0-24hr) of Grazoprevir

    Time frame: 4, 8, and 24 hours post-dose on Day 7

    Each participant was assigned to undergo Fine Needle Aspiration (FNA) to obtain liver tissue at different time points. Specifically, one participant underwent FNA at 4 hr post-dose only, another participant underwent FNA at 8 hr post-dose only, and a third participant underwent FNA at 24 hr post-dose only. (The fourth participant underwent FNA at 72 hr post-dose and therefore was not included in the calculation of AUC0-24hr.) Therefore, in calculating AUC0-24hr, there were only 3 data points: 1 data point at 4 hr post-dose, 1 data point at 8 hr post-dose, and 1 data point at 24 hr post-dose. The model assumed that drug concentration was at steady-state, and that the concentration at 24 hr post-dose was equal to the concentration at 0 hr post-dose.

  2. Hepatic Concentration of GZR (C[H]Xhr)

    Time frame: 4, 8, 24, and 72 hours post-dose on Day 7

    C(H)Xhr of GZR was expressed as liver concentration (μmol GZR/L liver) using the concentration of the extracted liver sample (mass of the liver biopsy/0.2 mL solvent), and assuming that liver has the specific gravity of water (1 g/mL). The arithmetic mean C(H)Xhr concentration is based on the means of 4 FNA passes per participant in all 4 participants.

  3. Apparent Terminal Hepatic Half-life (t[H]½ ) of GZR

    Time frame: 4, 8, 24, and 72 hours post-dose on Day 7

    t(H)1/2 is a measure of the time required for the maximum post-dose liver concentration of GZR to decrease by 50%.

Secondary outcomes

  1. Plasma AUC[0-24 hr] of GZR

    Time frame: Pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 48 and 72 hours post-dose on Day 7

    AUC0-24hr is a measure of the mean concentration of drug in plasma after dosing to 24 hours post-dose.

  2. Maximum Plasma Concentration (Cmax) of GZR

    Time frame: Pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 48 and 72 hours post-dose on Day 7

    Cmax is a measure of the maximum plasma concentration post-dose.

  3. Lowest Plasma Concentration (Ctrough) of GZR

    Time frame: Pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 48 and 72 hours post-dose on Day 7

    Ctrough is a measure of drug concentration 24 hours post-dose.

  4. Time to Maximum Plasma Concentration (Tmax) of GZR

    Time frame: Pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 48 and 72 hours post-dose on Day 7

    Tmax is a measure of time to reach maximum post-dose plasma drug concentration.

  5. Plasma t½ of GZR

    Time frame: Pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 48 and 72 hours post-dose on Day 7

    t1/2 is a measure of time for the maximum plasma concentration of GZR to decrease by 50%.

Sponsors and collaborators

Lead sponsor

Merck Sharp & Dohme LLC

Industry

Registry information

Official study title

A Multiple Dose Study to Evaluate Pharmacokinetics and Hepatitis C Virus RNA Dynamics Following Administration of MK-5172 in Hepatitis C Infected Patients

Important dates

Study start
2013
Primary completion
2014
Study completion
2014
First posted
Feb 23, 2012
Registry last updated
Sep 14, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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