HypertensionPhase 1NCT01025843
Safety and Tolerability of MK-5478 in Participants With Hypertension (5478-001)
A Phase 1 study testing MK-5478, Comparator: Candesartan cilexetil and Comparator: Pbo in people with Hypertension, run by Merck Sharp & Dohme LLC.
Trial summary
This is a two part introductory clinical trial with MK-5478. Part I will evaluate the safety, tolerability and pharmacokinetics and pharmacodynamics of MK-5478 in young, healthy males. Part II will evaluate the safety, tolerability and pharmacodynamic effects of MK-5478 in participants with hypertension. Read more about this study
- Who is it for?
- Ages 18 to 50 years, men onlyHealthy volunteers can take part
- Conditions the study is for
- Hypertension
- What is being tested?
- MK-5478, Comparator: Candesartan cilexetil and Comparator: Pbo
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 20 participants
- Where
- No sites listed yet
- Study dates
- 1 Dec 2009to 1 May 2010
- 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 50 years
- Men only
- Healthy volunteers accepted
- Adult
Who may be able to join
- Part I:
- Is a male between 18 to 50 years of age
- Is in good health
- Is a non-smoker
- Part II:
- Is male of non-child bearing potential between 18 and 50 years of age
- Has hypertension (high blood pressure)
Who cannot join
- Part I and Part II:
- Has a history of stroke, seizures or major neurological disorder
- Has a history of cancer
- Has a history of any cardiovascular disease
- Is unable to refrain from the use of any prescription or non-prescription drugs
- Consumes excessive amounts of alcohol or caffeine
- Has had major surgery, donated blood or participated in another investigational study in the past 4 weeks
About this study
Official title: A Single Dose Study to Evaluate the Safety and Tolerability, Pharmacokinetics and Pharmacodynamics of MK5478 in Subjects and in Patients With Hypertension
This is a two part introductory clinical trial with MK-5478. Part I will evaluate the safety, tolerability and pharmacokinetics and pharmacodynamics of MK-5478 in young, healthy males. Part II will evaluate the safety, tolerability and pharmacodynamic effects of MK-5478 in participants with hypertension. The primary hypothesis is that single oral doses of MK-5478 are sufficiently safe and well tolerated.
- Conditions
- Hypertension
- Being tested
- MK-5478, Comparator: Candesartan cilexetil, Comparator: Pbo
- Medical subject headings
- Hypertension
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
MK-5478Drug
In Part I: Single dose administration of MK-5478 oral capsules, total doses of 1, 2, 5, 8, 12, 18, 24 or 38 mg.
Comparator: Candesartan cilexetilDrug
Also called Atacand/Amias
Single dose administration of candesartan, 32 mg oral tablet
Comparator: PboDrug
Placebo
| Study group | Role | What they receive |
|---|---|---|
| Pbo → 5 mg → Candesartan → 24 mg → 38 mg | Experimental | Placebo in Period 1; 5 mg MK-5478 in Period 2; Candesartan in Period 3; 24 mg MK-5478 in Period 4; and 38 mg MK-5478 in Period 5. There was a minimum 7 days washout between periods. Receives: Drug: MK-5478; Drug: Comparator: Candesartan cilexetil; Drug: Comparator: Pbo |
| 1 mg → 5 mg → 12 mg → Candesartan → Pbo | Experimental | 1 mg MK-5478 in Period 1; 5 mg MK-5478 in Period 2; 12 mg MK-5478 in Period 3; Candesartan in Period 4; and Placebo in Period 5. There was a minimum 7 days washout between periods. Receives: Drug: MK-5478; Drug: Comparator: Candesartan cilexetil; Drug: Comparator: Pbo |
| 1 mg → Candesartan → Pbo → 24 mg → 38 mg | Experimental | 1 mg MK-5478 in Period 1; Candesartan in Period 2: Placebo in Period 3; 24 mg MK-5478 in Period 4; and 38 mg MK-5478 in Period 5. There was a minimum 7 days washout between periods. Receives: Drug: MK-5478; Drug: Comparator: Candesartan cilexetil; Drug: Comparator: Pbo |
| 1 mg → 5 mg → 12 mg → Pbo → Candesartan | Experimental | 1 mg MK-5478 in Period 1; 5 mg MK-5478 in Period 2; 12 mg MK-5478 in Period 3; Placebo in Period 4; and Candesartan in Period 5. There was a minimum 7 days washout between periods. Receives: Drug: MK-5478; Drug: Comparator: Candesartan cilexetil; Drug: Comparator: Pbo |
| Pbo→ 8 mg→ 18 mg → 2 mg fed→Candesartan | Experimental | Placebo in Period 1; 8 mg MK-5478 in Period 2; 18 mg MK-5478 in Period 3; 2 mg MK-5478 in Period 4 with a high fat meal; and Candesartan in Period 5. There was a minimum 7 days washout between periods. Receives: Drug: MK-5478; Drug: Comparator: Candesartan cilexetil; Drug: Comparator: Pbo |
| 2 mg→Pbo → Candesartan → Pbo fed→38 mg | Experimental | 2 mg MK-5478 in Period 1; Placebo in Period 2; Candesartan in Period 3; Placebo in Period 4 with a high fat meal; and 38 mg MK-5478 in Period 5. There was a minimum 7 days washout between periods. Receives: Drug: MK-5478; Drug: Comparator: Candesartan cilexetil; Drug: Comparator: Pbo |
| 2 mg→Candesartan→Pbo→Candesartan fed→38 mg | Experimental | 2 mg MK-5478 in Period 1; Candesartan in Period 2; Placebo in Period 3; Candesartan in Period 4 with a high fat meal; and 38 mg MK-5478 in Period 5. There was a minimum 7 days washout between periods. Receives: Drug: MK-5478; Drug: Comparator: Candesartan cilexetil; Drug: Comparator: Pbo |
| 2 mg → 8 mg → 18 mg → 2 mg fed → Pbo | Experimental | 2 mg MK-5478 in Period 1; 8 mg MK-5478 in Period 2; 18 mg MK-5478 in Period 3; 2 mg MK-5478 in Period 4 with a high fat meal; and Placebo in Period 5. There was a minimum 7 days washout between periods. Receives: Drug: MK-5478; Drug: Comparator: Candesartan cilexetil; Drug: Comparator: Pbo |
| Candesartan→8 mg→ 18 mg →2 mg fed→38 mg | Experimental | Candesartan in Period 1; 8 mg MK-5478 in Period 2; 18 mg MK-5478 in Period 3; 2 mg MK-5478 in Period 4 with a high fat meal; and 38 mg MK-5478 in Period 5. There was a minimum 7 days washout between periods. Receives: Drug: MK-5478; Drug: Comparator: Candesartan cilexetil; Drug: Comparator: Pbo |
| Candesartan→Pbo → 12 mg → 24 mg→38 mg | Experimental | Candesartan in Period 1; Placebo in Period 2; 12 mg MK-5478 in Period 3; 24 mg MK-5478 in Period 4; and 38 mg MK-5478 in Period 5. There was a minimum 7 days washout between periods. Receives: Drug: MK-5478; Drug: Comparator: Candesartan cilexetil; Drug: Comparator: Pbo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With One or More Adverse Events (AEs)
An AE is any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the SPONSOR's product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which is temporally associated with the use of the SPONSOR's product, is also an AE.
Measured: Up to 14 days after administration of last dose of study drug (up to Day 52)
Number of Participants Who Discontinued Treatment Due to an AE
An AE is any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the SPONSOR's product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which is temporally associated with the use of the SPONSOR's product, is also an AE.
Measured: Up to 24 hours after administration of study drug
Secondary outcomes (3)
Area Under the Plasma Concentration Versus Time Curve (AUC 0-infinity) of MK-5478 and Candesartan
Blood was collected at the following time points: pre-dose, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16, 24, 36, and 48 hours post-dose in order to measure AUC 0-infinity of MK-5478 and Candesartan
Measured: Pre-dose and up to 48 hours postdose
Change From Baseline in Aortic Augmentation Index (AIx) of MK-5478 and Candesartan
Central blood pressure (CBP) parameters will be measured and used to derive the aortic augmentation index (AIx). The AIx quantifies the contribution of back-reflected outgoing systolic pressure waves to late-systolic central blood pressure, which increases with decreasing aortic compliance. AIx is measured by pulse wave analysis using the SphygmoCor System supplied by AtCor Medical. Results with a > 5% decrease in AIx were planned for analysis; results with a < 5% decrease in AIx were not analysed.
Measured: Baseline and 1 to 3 hours postdose
Maximum Plasma Concentration (Cmax) of MK-5478 and Candesartan
Blood was collected at the following time points: pre-dose, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16, 24, 36, and 48 hours post-dose in order to measure the Cmax of MK-5478 and Candesartan
Measured: Pre-dose and up to 48 hours postdose
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Dec 2009 (estimated)
- Study start1 Dec 2009
- Primary completion1 May 2010
- Study completion1 May 2010
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for HypertensionStudies of the same condition, open and under way.
- More trials run by Merck Sharp & Dohme LLCThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 20 participants (actual)
Sponsor and investigators
- Lead sponsor
- Merck Sharp & Dohme LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Merck Sharp & Dohme LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01025843
- Sponsor's protocol ID
- 5478-001
- Other IDs
- 2009-016048-38, 2009
- Status last verified
- Aug 2018
- First submitted
- 2 Dec 2009
- Last updated
- 21 Sep 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- Individual data sharing
- Yes: https://www.merck.com/clinical-trials/pdf/ProcedureAccessClinicalTrialData.pdf
Study at a glance
From the registry record, last updated by the sponsor on 21 Sep 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Single Dose Study to Evaluate the Safety and Tolerability, Pharmacokinetics and Pharmacodynamics of MK5478 in Subjects and in Patients With Hypertension
- ClinicalTrials.gov ID
- NCT01025843
- Acronym / sponsor ID
- 5478-001
- Conditions
- Hypertension
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 20 participants (actual)
- Lead sponsor
- Merck Sharp & Dohme LLCIndustry (pharma, biotech, devices)
- Study start
- 1 Dec 2009 (actual)
- Primary completion
- 1 May 2010 (actual)
- Study completion
- 1 May 2010 (actual)
- First posted
- 4 Dec 2009 (estimated)
- Results
- Posted 26 Feb 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a two part introductory clinical trial with MK-5478. Part I will evaluate the safety, tolerability and pharmacokinetics and pharmacodynamics of MK-5478 in young, healthy males. Part II will evaluate the safety, tolerability and pharmacodynamic effects of MK-5478 in participants with hypertension. The primary hypothesis is that single oral doses of MK-5478 are sufficiently safe and well tolerated.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 10
| Arm | Type | Receives |
|---|---|---|
| Pbo → 5 mg → Candesartan → 24 mg → 38 mg | Experimental | Drug: MK-5478, Drug: Comparator: Candesartan cilexetil, Drug: Comparator: PboPlacebo in Period 1; 5 mg MK-5478 in Period 2; Candesartan in Period 3; 24 mg MK-5478 in Period 4; and 38 mg MK-5478 in Period 5. There was a minimum 7 days washout between periods. |
| 1 mg → 5 mg → 12 mg → Candesartan → Pbo | Experimental | Drug: MK-5478, Drug: Comparator: Candesartan cilexetil, Drug: Comparator: Pbo1 mg MK-5478 in Period 1; 5 mg MK-5478 in Period 2; 12 mg MK-5478 in Period 3; Candesartan in Period 4; and Placebo in Period 5. There was a minimum 7 days washout between periods. |
| 1 mg → Candesartan → Pbo → 24 mg → 38 mg | Experimental | Drug: MK-5478, Drug: Comparator: Candesartan cilexetil, Drug: Comparator: Pbo1 mg MK-5478 in Period 1; Candesartan in Period 2: Placebo in Period 3; 24 mg MK-5478 in Period 4; and 38 mg MK-5478 in Period 5. There was a minimum 7 days washout between periods. |
| 1 mg → 5 mg → 12 mg → Pbo → Candesartan | Experimental | Drug: MK-5478, Drug: Comparator: Candesartan cilexetil, Drug: Comparator: Pbo1 mg MK-5478 in Period 1; 5 mg MK-5478 in Period 2; 12 mg MK-5478 in Period 3; Placebo in Period 4; and Candesartan in Period 5. There was a minimum 7 days washout between periods. |
| Pbo→ 8 mg→ 18 mg → 2 mg fed→Candesartan | Experimental | Drug: MK-5478, Drug: Comparator: Candesartan cilexetil, Drug: Comparator: PboPlacebo in Period 1; 8 mg MK-5478 in Period 2; 18 mg MK-5478 in Period 3; 2 mg MK-5478 in Period 4 with a high fat meal; and Candesartan in Period 5. There was a minimum 7 days washout between periods. |
| 2 mg→Pbo → Candesartan → Pbo fed→38 mg | Experimental | Drug: MK-5478, Drug: Comparator: Candesartan cilexetil, Drug: Comparator: Pbo2 mg MK-5478 in Period 1; Placebo in Period 2; Candesartan in Period 3; Placebo in Period 4 with a high fat meal; and 38 mg MK-5478 in Period 5. There was a minimum 7 days washout between periods. |
| 2 mg→Candesartan→Pbo→Candesartan fed→38 mg | Experimental | Drug: MK-5478, Drug: Comparator: Candesartan cilexetil, Drug: Comparator: Pbo2 mg MK-5478 in Period 1; Candesartan in Period 2; Placebo in Period 3; Candesartan in Period 4 with a high fat meal; and 38 mg MK-5478 in Period 5. There was a minimum 7 days washout between periods. |
| 2 mg → 8 mg → 18 mg → 2 mg fed → Pbo | Experimental | Drug: MK-5478, Drug: Comparator: Candesartan cilexetil, Drug: Comparator: Pbo2 mg MK-5478 in Period 1; 8 mg MK-5478 in Period 2; 18 mg MK-5478 in Period 3; 2 mg MK-5478 in Period 4 with a high fat meal; and Placebo in Period 5. There was a minimum 7 days washout between periods. |
| Candesartan→8 mg→ 18 mg →2 mg fed→38 mg | Experimental | Drug: MK-5478, Drug: Comparator: Candesartan cilexetil, Drug: Comparator: PboCandesartan in Period 1; 8 mg MK-5478 in Period 2; 18 mg MK-5478 in Period 3; 2 mg MK-5478 in Period 4 with a high fat meal; and 38 mg MK-5478 in Period 5. There was a minimum 7 days washout between periods. |
| Candesartan→Pbo → 12 mg → 24 mg→38 mg | Experimental | Drug: MK-5478, Drug: Comparator: Candesartan cilexetil, Drug: Comparator: PboCandesartan in Period 1; Placebo in Period 2; 12 mg MK-5478 in Period 3; 24 mg MK-5478 in Period 4; and 38 mg MK-5478 in Period 5. There was a minimum 7 days washout between periods. |
Who may qualify
- Ages
- 18 to 50 years
- Sex
- Male only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (7 listed)
- Is a male between 18 to 50 years of age
- Is in good health
- Is a non-smoker
- Is male of non-child bearing potential between 18 and 50 years of age
- Has hypertension (high blood pressure)
Key exclusion criteria (7 listed)
- Has a history of stroke, seizures or major neurological disorder
- Has a history of cancer
- Has a history of any cardiovascular disease
- Is unable to refrain from the use of any prescription or non-prescription drugs
- Consumes excessive amounts of alcohol or caffeine
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| MK-5478In Part I: Single dose administration of MK-5478 oral capsules, total doses of 1, 2, 5, 8, 12, 18, 24 or 38 mg. | Drug | 1 mg → 5 mg → 12 mg → Candesartan → Pbo, 1 mg → 5 mg → 12 mg → Pbo → Candesartan, 1 mg → Candesartan → Pbo → 24 mg → 38 mg, 2 mg → 8 mg → 18 mg → 2 mg fed → Pbo, 2 mg→Candesartan→Pbo→Candesartan fed→38 mg, 2 mg→Pbo → Candesartan → Pbo fed→38 mg, Candesartan→8 mg→ 18 mg →2 mg fed→38 mg, Candesartan→Pbo → 12 mg → 24 mg→38 mg, Pbo → 5 mg → Candesartan → 24 mg → 38 mg, Pbo→ 8 mg→ 18 mg → 2 mg fed→Candesartan |
| Comparator: Candesartan cilexetilAlso: Atacand/AmiasSingle dose administration of candesartan, 32 mg oral tablet | Drug | 1 mg → 5 mg → 12 mg → Candesartan → Pbo, 1 mg → 5 mg → 12 mg → Pbo → Candesartan, 1 mg → Candesartan → Pbo → 24 mg → 38 mg, 2 mg → 8 mg → 18 mg → 2 mg fed → Pbo, 2 mg→Candesartan→Pbo→Candesartan fed→38 mg, 2 mg→Pbo → Candesartan → Pbo fed→38 mg, Candesartan→8 mg→ 18 mg →2 mg fed→38 mg, Candesartan→Pbo → 12 mg → 24 mg→38 mg, Pbo → 5 mg → Candesartan → 24 mg → 38 mg, Pbo→ 8 mg→ 18 mg → 2 mg fed→Candesartan |
| Comparator: PboPlacebo | Drug | 1 mg → 5 mg → 12 mg → Candesartan → Pbo, 1 mg → 5 mg → 12 mg → Pbo → Candesartan, 1 mg → Candesartan → Pbo → 24 mg → 38 mg, 2 mg → 8 mg → 18 mg → 2 mg fed → Pbo, 2 mg→Candesartan→Pbo→Candesartan fed→38 mg, 2 mg→Pbo → Candesartan → Pbo fed→38 mg, Candesartan→8 mg→ 18 mg →2 mg fed→38 mg, Candesartan→Pbo → 12 mg → 24 mg→38 mg, Pbo → 5 mg → Candesartan → 24 mg → 38 mg, Pbo→ 8 mg→ 18 mg → 2 mg fed→Candesartan |
Primary outcome
Number of Participants With One or More Adverse Events (AEs)
Time frame: Up to 14 days after administration of last dose of study drug (up to Day 52)
An AE is any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the SPONSOR's product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which is temporally associated with the use of the SPONSOR's product, is also an AE.
Number of Participants Who Discontinued Treatment Due to an AE
Time frame: Up to 24 hours after administration of study drug
An AE is any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the SPONSOR's product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which is temporally associated with the use of the SPONSOR's product, is also an AE.
3 secondary outcomes
Area Under the Plasma Concentration Versus Time Curve (AUC 0-infinity) of MK-5478 and Candesartan
Time frame: Pre-dose and up to 48 hours postdose
Change From Baseline in Aortic Augmentation Index (AIx) of MK-5478 and Candesartan
Time frame: Baseline and 1 to 3 hours postdose
Maximum Plasma Concentration (Cmax) of MK-5478 and Candesartan
Time frame: Pre-dose and up to 48 hours postdose
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Sep 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: Yes. https://www.merck.com/clinical-trials/pdf/ProcedureAccessClinicalTrialData.pdf
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Director study director
Merck Sharp & Dohme LLC
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing MK-5478, Comparator: Candesartan cilexetil and Comparator: Pbo in people with Hypertension, 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 7 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 21 Sep 2018. 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 26 Feb 2016). 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?
Number of Participants With One or More Adverse Events (AEs) (time frame: Up to 14 days after administration of last dose of study drug (up to Day 52)). The study lists 2 primary outcomes in all. 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 21 Sep 2018.