AzTrials
AzTrials

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.

Completed

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

Official record
Search all trials

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 groups in NCT01025843
Study groupRoleWhat they receive
Pbo → 5 mg → Candesartan → 24 mg → 38 mgExperimentalPlacebo 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 → PboExperimental1 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 mgExperimental1 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 → CandesartanExperimental1 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→CandesartanExperimentalPlacebo 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 mgExperimental2 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 mgExperimental2 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 → PboExperimental2 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 mgExperimentalCandesartan 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 mgExperimentalCandesartan 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.

  1. 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)

  2. 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)
  1. 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

  2. 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

  3. 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.

  1. First posted4 Dec 2009 (estimated)
  2. Study start1 Dec 2009
  3. Primary completion1 May 2010
  4. Study completion1 May 2010

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
20 participants (actual)
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
Data monitoring committee
No
Individual data sharing
Yes: https://www.merck.com/clinical-trials/pdf/ProcedureAccessClinicalTrialData.pdf

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.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in