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Chemotherapy-Induced Nausea and VomitingPhase 1NCT00990821

A Study to Investigate the Safety and Tolerability of MK-0517 in Healthy Subjects (MK-0517-012)

A Phase 1 study testing 90 mg MK-0517 (PS80), 100 mg MK-0517 (PS80) and 100 MK-0517 (PS80) + 2 mg midazolam in people with Chemotherapy-Induced Nausea and Vomiting and Postoperative Nausea and Vomiting, run by Merck Sharp & Dohme LLC.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This 5-part study will evaluate the safety, tolerability, and pharmacokinetics of two formulations of MK-0517 (with and without polysorbate 80) and aprepitant in healthy adults. Parts I to IV of this study will examine different doses of MK-0517 as well as two different formulations of MK-0517 (with and without… Read more about this study

Who is it for?
Ages 18 to 45 yearsHealthy volunteers can take part
What is being tested?
90 mg MK-0517 (PS80), 100 mg MK-0517 (PS80) and 100 MK-0517 (PS80) + 2 mg midazolam
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
188 participants
Where
No sites listed yet
Study dates
Jan 2005to Jan 2006
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Subject is neither grossly overweight nor underweight for his/her height and body build
  • Subject is in good health -Subject is a nonsmoker
  • Subject is willing to avoid excessive alcohol consumption for the duration of the study
  • Subject is willing to avoid strenuous physical activity (i.e. unaccustomed weight lifting, running, bicycling) for the duration of the study
  • Subject agrees to refrain from consumption of grapefruit (and grapefruit products) before and during the study

Who cannot join

  • Subject has a history of multiple and/or severe allergies to drugs or food
  • Subject has donated blood or taken an investigational drug in another clinical trial within the last 4 weeks
  • Subject has an infection, including Human immunodeficiency virus (HIV) infection
  • Subject is a regular user of any illicit drug
  • Subject consumes excessive amounts of alcohol
  • Subject drinks excessive amounts of coffee, tea, cola or other caffeinated beverages
  • Subject currently uses on a regular basis, any prescription or non prescription medications

About this study

Official title: A Randomized, 5-Part, Intravenous Study of the Safety, Tolerability, Bioequivalence, and Drug Interaction Potential of Final Market Image Formulation of MK0517 in Young Healthy Subjects

This 5-part study will evaluate the safety, tolerability, and pharmacokinetics of two formulations of MK-0517 (with and without polysorbate 80) and aprepitant in healthy adults. Parts I to IV of this study will examine different doses of MK-0517 as well as two different formulations of MK-0517 (with and without polysorbate 80). Part V of the study will compare single doses of intravenous non-PS80 MK-0517 to oral 125-mg capsule of aprepitant. The primary hypothesis for Part V of the study is that a single intravenous dose of 100-mg or 115-mg MK-0517 is area under the plasma-time curve (AUC) equivalent to that of the 125-mg oral aprepitant capsule in young healthy participants.

Being tested
90 mg MK-0517 (PS80), 100 mg MK-0517 (PS80), 100 MK-0517 (PS80) + 2 mg midazolam, 115 mg MK-0517 (PS80), 150 mg MK-0517 (PS80)
Medical subject headings
Vomiting, Postoperative Nausea and Vomiting

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • 90 mg MK-0517 (PS80)Drug

    MK-0517 (PS80 formulation), 1 mg/mL, administered intravenous (IV) over 15 minutes

  • 100 mg MK-0517 (PS80)Drug

    MK-0517 (PS80 formulation), 1 mg/mL, administered IV over 15 minutes

  • 100 MK-0517 (PS80) + 2 mg midazolamDrug

    MK-0517 (Non-PS80 formulation), 1 mg/mL, administered IV over 15 minutes. Midazolam is co-administered as a single oral 2-mg dose of midazolam with MK-0517.

  • 115 mg MK-0517 (PS80)Drug

    MK-0517 (PS80 formulation), 1 mg/mL, administered IV over 15 minutes

  • 150 mg MK-0517 (PS80)Drug

    MK-0517 (PS80 formulation), 1 mg/mL, administered IV over 15 minutes

  • 40 mg MK-0517 (non-PS80)Drug

    MK-0517 (Non-PS80) is administered as single IV dose over 30 seconds.

  • 100 mg MK-0517 (non-PS80)Drug

    MK-0517 (Non-PS80) is administered as single IV dose over 30 seconds.

  • 150 mg MK-0517 (Non-PS80)Drug

    MK-0517 (Non-PS80) is administered as single IV dose over 30 seconds.

  • PlaceboDrug

    Placebo matching MK-0517

  • 40 mg AprepitantDrug

    Aprepitant, oral, tablet, single dose

  • 125 mg AprepitantDrug

    Aprepitant oral tablet, single dose

  • 2 mg MidazolamDrug

    Midazolam oral tablet, single dose

Study groups in NCT00990821
Study groupRoleWhat they receive
Part I, Panel AExperimental100 mg MK-0517 (nonpolysorbate 80 formulation [non-PS80]) or placebo → 150 mg MK-0517 (non- PS80) or placebo → 125 mg aprepitant
Receives: Drug: 100 MK-0517 (PS80) + 2 mg midazolam; Drug: 100 mg MK-0517 (non-PS80); Drug: 150 mg MK-0517 (Non-PS80); Drug: Placebo; Drug: 125 mg Aprepitant
Part I, Panel BExperimental100 mg MK-0517 (PS80 formulation [PS80]) or placebo → 150 mg MK-0517 (PS80) or placebo → 125 mg aprepitant
Receives: Drug: 100 mg MK-0517 (PS80); Drug: 150 mg MK-0517 (PS80); Drug: Placebo; Drug: 125 mg Aprepitant
Part I, Panel CExperimental40 mg MK-0517 (non-PS80) or placebo → 40 mg aprepitant
Receives: Drug: 40 mg MK-0517 (non-PS80); Drug: Placebo; Drug: 40 mg Aprepitant
Part IIExperimental2 mg midazolam → 100 mg MK-0517 (PS80) + 2 mg midazolam
Receives: Drug: 100 mg MK-0517 (PS80); Drug: 2 mg Midazolam
Part III, Panel 1, Treatment Sequence 1Experimental125 mg aprepitant → 90 mg MK-0517 (PS80)
Receives: Drug: 90 mg MK-0517 (PS80); Drug: 40 mg MK-0517 (non-PS80); Drug: 125 mg Aprepitant
Part III, Panel 1, Treatment Sequence 2Experimental40 mg MK-0517 (non-PS80) → 125 mg aprepitant
Receives: Drug: 40 mg MK-0517 (non-PS80); Drug: 125 mg Aprepitant
Part III, Panel 2Experimental40 mg MK-0517 (non-PS80)
Receives: Drug: 40 mg MK-0517 (non-PS80)
Part IVExperimental40 mg MK-0517 (non-PS80 formulation)
Receives: Drug: 40 mg MK-0517 (non-PS80)
Part V, Treatment Sequence 1Experimental125 mg aprepitant → 100 mg MK-0517 (PS80) → 115 mg MK-0517 (PS80 formulation)
Receives: Drug: 100 mg MK-0517 (PS80); Drug: 115 mg MK-0517 (PS80); Drug: 125 mg Aprepitant
Part V, Treatment Sequence 2Experimental100 mg MK-0517 (PS80) → 115 mg MK-0517 (PS80) → 125 mg aprepitant
Receives: Drug: 100 mg MK-0517 (PS80); Drug: 115 mg MK-0517 (PS80); Drug: 125 mg Aprepitant
Part V, Treatment Sequence 3Experimental115 mg MK-0517 (PS80) → 125 mg aprepitant → 100 mg MK-0517 (PS80)
Receives: Drug: 100 mg MK-0517 (PS80); Drug: 115 mg MK-0517 (PS80); Drug: 125 mg Aprepitant
Part V, Treatment Sequence 4Experimental125 mg aprepitant → 115 mg MK-0517 (PS80) → 100 mg MK-0517 (PS80)
Receives: Drug: 100 mg MK-0517 (PS80); Drug: 115 mg MK-0517 (PS80); Drug: 125 mg Aprepitant
Part V, Treatment Sequence 5Experimental100 mg MK-0517 (PS80) → 125 mg aprepitant → 115 mg MK-0517 (PS80)
Receives: Drug: 100 mg MK-0517 (PS80); Drug: 115 mg MK-0517 (PS80); Drug: 125 mg Aprepitant
Part V, Treatment Sequence 6Experimental115 mg MK-0517 (PS80) → 100 mg MK-0517 (PS80) → 125 mg aprepitant
Receives: Drug: 100 mg MK-0517 (PS80); Drug: 115 mg MK-0517 (PS80); Drug: 125 mg Aprepitant

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Area Under the Plasma-Time Curve (AUC[0 to Infinity]) for Aprepitant and MK-0517 for Study Part V

    AUC (0-inf) is the area under the plasma concentration-time curve from time zero extrapolated to infinite time. The AUC(0-inf) bioequivalence was evaluated for single doses of 100 and 115 mg MK-0517 PS80, IV and that of an oral 125-mg capsule of aprepitant. Period I to IV populations are not included in the outcome analysis because those were formulation and dose-finding/dose confirmation arms.

    Measured: Up to 72 Hours Post Dose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Oct 2009 (estimated)
  2. Study startJan 2005
  3. Primary completionDec 2005
  4. Study completionJan 2006

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
188 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00990821
Sponsor's protocol ID
0517-012
Other IDs
MK-0517-012
Status last verified
Aug 2015
First submitted
6 Oct 2009
Last updated
19 Aug 2015

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing 90 mg MK-0517 (PS80), 100 mg MK-0517 (PS80) and 100 MK-0517 (PS80) + 2 mg midazolam in people with Chemotherapy-Induced Nausea and Vomiting and Postoperative Nausea and Vomiting, run by Merck Sharp & Dohme LLC.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 19 Aug 2015. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 12 Dec 2013). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Area Under the Plasma-Time Curve (AUC[0 to Infinity]) for Aprepitant and MK-0517 for Study Part V (time frame: Up to 72 Hours Post Dose). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Aug 2015.

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