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Completed

NCT Number: NCT02089659

A Study to Investigate the Influence of Hepatic Insufficiency on the Pharmacokinetics of Doravirine (MK-1439) (MK-1439-019)

This study aimed to investigate the influence of hepatic insufficiency on the pharmacokinetics (PK) of doravirine (MK-1439). In Part 1, PK of doravirine in participants with moderate hepatic insufficiency was compared with that of healthy control subjects matched with regard to mean age and weight. If a clinically meaningful increase in exposure of doravirine was observed in participants with moderate hepatic insufficiency in Part 1, study Part 2 was to evaluate PK of doravirine in participants with mild hepatic insufficiency.

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Key information

Conditions

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Body Mass Index (BMI) between 19 and 40 kg/m^2
  • Continuous non-smoker or moderate smoker of <20 cigarettes or equivalent per day. Agrees to consume <=10 cigarettes or equivalent per day from the time of screening through the period of sample collection.
  • In good health and with no clinically significant electrocardiogram abnormality
  • Hepatic impairment participants: diagnosis of chronic (>6 months), stable hepatic insufficiency with features of cirrhosis due to any etiology. Part 1 only: score of 7 to 9 on the Child-Pugh scale. Part 2: score of 5 to 6 on the Child-Pugh scale.
  • Females of childbearing potential: sexually inactive for >=14 days before study drug administration and throughout the study, or using 2 acceptable methods of barrier contraception from screening until 14 days after study drug administration.

Exclusion criteria

  • Mentally or legally incapacitated or has significant emotional problems at the time of screening or expected during the study
  • History or presence of clinically significant medical or psychiatric condition or disease
  • History or presence of drug abuse within the past 2 years
  • History or presence of hypersensitivity or idiosyncratic reaction to the study drug or related compounds
  • Female participant who is pregnant or lactating
  • Positive results for breath alcohol or urine drug screen (unless due to prescription drug use and is approved by the investigator) at screening
  • Positive for HIV at screening
  • Unable to refrain from or anticipates the use of any drug known to be a significant inhibitor or inducer of cytochrome oxidase CYP3A or P-glycoprotein, or any medication or substance which cannot be discontinued at least 14 days before study drug administration and throughout the study.
  • Donation of >500 mL of blood or had significant blood loss within 56 days before study drug administration
  • Plasma donation within 7 days before study drug administration
  • Dosed in another clinical trial within 28 days before study drug administration
  • Healthy control participants only: positive for hepatitis B surface antigen (HBsAg) or hepatitis C virus (HCV) at screening;

Treatment and study plan

Doravirine

Drug

Following an overnight fast, a single tablet of 100 mg doravirine was be administered orally

Other names: MK-1439

Primary outcomes

  1. Area Under the Plasma Concentration Versus Time Curve From 0 Hours to Infinity (AUC0-∞) of Doravirine

    Time frame: Predose and at 0.5, 1, 1.5, 2, 3, 6, 12, 24, 48, and 72 hours postdose for all participants and at 96, 120, and 144 hours postdose for participants with hepatic insufficiency

    Blood was collected for the determination of plasma doravirine using a liquid chromatographic tandem mass spectrometric method

  2. Maximum Observed Plasma Concentration (Cmax) of Doravirine

    Time frame: Predose and at 0.5, 1, 1.5, 2, 3, 6, 12, 24, 48, and 72 hours postdose for all participants and at 96, 120, and 144 hours postdose for participants with hepatic insufficiency

    Blood was collected for the determination of plasma doravirine using a liquid chromatographic tandem mass spectrometric method

  3. Area Under the Plasma Concentration Versus Time Curve Form 0 to 24 Hours (AUC0-24) of Doravirine

    Time frame: Predose and at 0.5, 1, 1.5, 2, 3, 6, 12, and 24 hours postdose

    Blood was collected for the determination of plasma doravirine using a liquid chromatographic tandem mass spectrometric method

  4. Plasma Concentration of Doravirine at 24 Hours (C24)

    Time frame: 24 hours postdose

    Blood was collected for the determination of plasma doravirine using a liquid chromatographic tandem mass spectrometric method

Sponsors and collaborators

Lead sponsor

Merck Sharp & Dohme LLC

Industry

Registry information

Official study title

A 2-Part, Open-Label, Singe-Dose Study to Investigate the Influence of Hepatic Insufficiency on the Pharmacokinetics of MK-1439

Important dates

Study start
2014
Primary completion
2014
Study completion
2014
First posted
Mar 18, 2014
Registry last updated
Dec 28, 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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