Apnea, SleepPhase 1NCT01092780
Pharmacodynamics and Efficacy of MK-7288 in Adults With Sleep Apnea (MK-7288-010)
A Phase 1 study testing MK-7288 and Modafinil in people with Apnea, Sleep, run by Merck Sharp & Dohme LLC.
Trial summary
This is a study of the safety and efficacy of MK-7288 for the treatment of excessive daytime sleepiness (EDS) in participants with obstructive sleep apnea (OSA)/hypopnea syndrome (HS) who are compliant with effective nasal continuous positive airway pressure (nCPAP) therapy. Read more about this study
- Who is it for?
- Ages 18 to 64 years
- Conditions the study is for
- Apnea, Sleep
- What is being tested?
- MK-7288 and Modafinil
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 56 participants
- Where
- No sites listed yet
- Study dates
- 26 May 2010to 31 May 2011
- 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 64 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Female participants are of non-child-bearing potential.
- Male participants who have female partner(s) of child-bearing potential must agree to use a medically acceptable method of contraception during the study.
- Participant has an International Classification of Sleep Disorders diagnosis of Obstructive Sleep Apnea/Hypopnea Syndrome.
- Participant has excessive daytime sleepiness.
- Participant has been using nCPAP treatment for at least 2 months.
- Participant reported total sleep time of >6 hours on at least 4 out of 7 nights each week
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- Participant is willing to stay at the sleep laboratory for 5 overnight stays.
- Participant is willing to limit caffeine and alcohol consumption during the study.
- Participant has a valid driver's license in the past 5 years and has had at least 1 year of driving experience within the past 3 years.
- Participant's regular bedtime is between 9:00 p.m. and 12:00 a.m.
Who cannot join
- Participant has a history of cancer.
- Participant has any history of a significant neurological disorder.
- Participant has moderate or severe persistent asthma.
- Participant has a history of any of the following sleep disorders: narcolepsy, primary insomnia, Circadian rhythm sleep disorder, shift work sleep disorder, parasomnia including nightmare disorder, sleep terror disorder, rapid eye movement (REM) behavioral disorder, and sleepwalking disorder, periodic limb movement disorder, or restless leg syndrome.
- Participant consumes more than 10 cigarettes a day or routinely smokes during the night.
- Participant, in the opinion of the investigator, has a history or current evidence of any condition, therapy, lab abnormality or circumstances that might confound the results of the study, or interfere with participation for the full duration of the study.
About this study
Official title: An Active-Comparator Controlled Single Dose Study to Evaluate the Pharmacodynamics/Efficacy of MK-7288 in Sleep Apnea Patients
This is a study of the safety and efficacy of MK-7288 for the treatment of excessive daytime sleepiness (EDS) in participants with obstructive sleep apnea (OSA)/hypopnea syndrome (HS) who are compliant with effective nasal continuous positive airway pressure (nCPAP) therapy. The goal of this study is to determine the effect of MK-7288 after single dose administration on promoting wakefulness as measured by sleep latency on Maintenance of Wakefulness Tests, and on driving performance as measured by standard deviation of lane position in simulated driving (country vigilance driving).
- Conditions
- Apnea, Sleep
- Being tested
- MK-7288, Placebo to MK-7288, Modafinil, Placebo to modafinil
- Medical subject headings
- Sleep Apnea Syndromes
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
MK-7288Drug
one or two 10 mg capsules, orally, single dose
Placebo to MK-7288Drug
one or two capsules, orally, single dose
ModafinilDrug
Also called PROVIGIL®
two 100 mg tablets, orally, single dose
Placebo to modafinilDrug
two 100 mg tablets, orally, single dose
| Study group | Role | What they receive |
|---|---|---|
| MK-7288 10mg/Pbo/MK-7288 20mg/Modafinil | Experimental | Participants received single doses of study drug in the following order: MK-7288 10 mg in Treatment Period 1, Placebo (Pbo) in Treatment Period 2, MK-7288 20 mg in Treatment Period 3 and Modafinil 200 mg in Treatment Period 4. The first 3 treatment periods were followed by a 7-day washout period. Receives: Drug: MK-7288; Drug: Placebo to MK-7288; Drug: Modafinil; Drug: Placebo to modafinil |
| MK-7288 20mg/MK-7288 10mg/Modafinil/Pbo | Experimental | Participants received single doses of study drug in the following order: MK-7288 20 mg in Treatment Period 1, MK-7288 10 mg in Treatment Period 2, Modafinil 200 mg in Treatment Period 3 and Placebo in Treatment Period 4. The first 3 treatment periods were followed by a 7-day washout period. Receives: Drug: MK-7288; Drug: Placebo to MK-7288; Drug: Modafinil; Drug: Placebo to modafinil |
| Modafinil/MK-7288 20mg/Pbo/MK-7288 10mg | Experimental | Participants received single doses of study drug in the following order: Modafinil 200 mg in Treatment Period 1, MK-7288 20 mg in Treatment Period 2, Placebo in Treatment Period 3 and MK-7288 10 mg in Treatment Period 4. The first 3 treatment periods were followed by a 7-day washout period. Receives: Drug: MK-7288; Drug: Placebo to MK-7288; Drug: Modafinil; Drug: Placebo to modafinil |
| Pbo/Modafinil/MK-7288 10 mg/MK-7288 20mg | Experimental | Participants received single doses of study drug in the following order: Placebo in Treatment Period 1, Modafinil 200 mg in Treatment Period 2, MK-7288 10 mg in Treatment Period 3 and MK-7288 20 mg in Treatment Period 4. The first 3 treatment periods were followed by a 7-day washout period. Receives: Drug: MK-7288; Drug: Placebo to MK-7288; Drug: Modafinil; Drug: Placebo to modafinil |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean Sleep Latency Score on the Maintenance of Wakefulness Test (MWT) for Participants Taking MK-7288 Versus Placebo
Study drug was administered at 08:00. MWT, an objective measure of the participant's ability to maintain wakefulness, was administered at 09:00, 11:00, 13:00 and 15:00. A least squares (LS) mean of the 4 MWTs performed at 09:00, 11:00, 13:00 and 15:00 was calculated. Latency for each MWT is defined as the time to onset of the first 16 continuous seconds of any stage of sleep; if no sleep has been observed according to these rules, then the latency is defined as 30 minutes. A higher MWT value is considered a better outcome.
Measured: 1, 3, 5 and 7 hours post dose
Mean Score on Standard Deviation of Lane Position (SDLP) Driving Test for Participants Taking MK-7288 Versus Placebo
Study drug was administered at 08:00. Driving performance was measured by the SDLP test which is a 45-minute driving simulation country vigilance test and was performed by participants at 10:00, 12:00 and 14:00. An LS mean of the 2 SDLP driving test results performed at 10:00 and 14:00 was calculated. A lower value is considered a better outcome.
Measured: 2, 4 and 6 hours post dose
Number of Participants Experiencing Clinical and Laboratory Adverse Events (AEs)
An adverse event (AE) is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study drug, whether or not considered related to the use of the study drug. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a pre-existing condition which is temporally associated with the use of the study drug, is also an AE.
Measured: Up to 36 days
Secondary outcomes (3)
Mean Sleep Latency Score on the MWT for Participants Taking MK-7288 Versus Modafinil
Study drug was administered at 08:00. MWT, an objective measure of the participant's ability to maintain wakefulness, was administered at 09:00, 11:00, 13:00 and 15:00. A least squares (LS) mean of the 4 MWTs performed at 09:00, 11:00, 13:00 and 15:00 was calculated. Latency for each MWT is defined as the time to onset of the first 16 continuous seconds of any stage of sleep; if no sleep has been observed according to these rules, then the latency is defined as 30 minutes. A higher MWT value is considered a better outcome.
Measured: 1, 3, 5 and 7 hours post dose
Mean Sleep Latency Score on the MWT for Participants Taking Modafinil Versus Placebo
Study drug was administered at 08:00. MWT, an objective measure of the participant's ability to maintain wakefulness, was administered at 09:00, 11:00, 13:00 and 15:00. A least squares (LS) mean of the 4 MWTs performed at 09:00, 11:00, 13:00 and 15:00 was calculated. Latency for each MWT is defined as the time to onset of the first 16 continuous seconds of any stage of sleep; if no sleep has been observed according to these rules, then the latency is defined as 30 minutes. A higher MWT value is considered a better outcome.
Measured: 1, 3, 5 and 7 hours post dose
Mean Score on SDLP Driving Test for Participants Taking Modafinil Versus Placebo
Study drug was administered at 08:00. Driving performance was measured by the SDLP test which is a 45-minute driving simulation country vigilance test and was performed by participants at 10:00, 12:00 and 14:00. An LS mean of the 2 SDLP driving test results performed at 10:00 and 14:00 was calculated. A lower value is considered a better outcome.
Measured: 2, 4 and 6 hours post dose
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Mar 2010 (estimated)
- Study start26 May 2010
- Primary completion31 May 2011
- Study completion31 May 2011
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.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Apnea, SleepStudies 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
- Crossover
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 56 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
- NCT01092780
- Sponsor's protocol ID
- 7288-010
- Other IDs
- MK-7288-010
- Status last verified
- Oct 2018
- First submitted
- 23 Mar 2010
- Last updated
- 8 Nov 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- Individual data sharing
- Yes: https://www.merck.com/clinical-trials/pdf/ProcedureAccessClinicalTrialData.pdf
Publications
Sun H, MacLeod C, Mostoller K, Mahon C, Han L, Renger JJ, Ma J, Brown KR, Schulz V, Kay GG, Herring WJ, Lines C, Rosen LB, Murphy MG, Wagner JA. Early-stage comparative effectiveness: randomized controlled trial with histamine inverse agonist MK-7288 in excessive daytime sleepiness patients. J Clin Pharmacol. 2013 Dec;53(12):1294-302. doi: 10.1002/jcph.182. Epub 2013 Oct 4.
PubMed 24122944
Study at a glance
From the registry record, last updated by the sponsor on 8 Nov 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Active-Comparator Controlled Single Dose Study to Evaluate the Pharmacodynamics/Efficacy of MK-7288 in Sleep Apnea Patients
- ClinicalTrials.gov ID
- NCT01092780
- Acronym / sponsor ID
- 7288-010
- Conditions
- Apnea, Sleep
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 56 participants (actual)
- Lead sponsor
- Merck Sharp & Dohme LLCIndustry (pharma, biotech, devices)
- Study start
- 26 May 2010 (actual)
- Primary completion
- 31 May 2011 (actual)
- Study completion
- 31 May 2011 (actual)
- First posted
- 25 Mar 2010 (estimated)
- Results
- Posted 22 Apr 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 study of the safety and efficacy of MK-7288 for the treatment of excessive daytime sleepiness (EDS) in participants with obstructive sleep apnea (OSA)/hypopnea syndrome (HS) who are compliant with effective nasal continuous positive airway pressure (nCPAP) therapy. The goal of this study is to determine the effect of MK-7288 after single dose administration on promoting wakefulness as measured by sleep latency on Maintenance of Wakefulness Tests, and on driving performance as measured by standard deviation of lane position in simulated driving (country vigilance driving).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| MK-7288 10mg/Pbo/MK-7288 20mg/Modafinil | Experimental | Drug: MK-7288, Drug: Placebo to MK-7288, Drug: Modafinil, Drug: Placebo to modafinilParticipants received single doses of study drug in the following order: MK-7288 10 mg in Treatment Period 1, Placebo (Pbo) in Treatment Period 2, MK-7288 20 mg in Treatment Period 3 and Modafinil 200 mg in Treatment Period 4. The first 3 treatment periods were followed by a 7-day washout period. |
| MK-7288 20mg/MK-7288 10mg/Modafinil/Pbo | Experimental | Drug: MK-7288, Drug: Placebo to MK-7288, Drug: Modafinil, Drug: Placebo to modafinilParticipants received single doses of study drug in the following order: MK-7288 20 mg in Treatment Period 1, MK-7288 10 mg in Treatment Period 2, Modafinil 200 mg in Treatment Period 3 and Placebo in Treatment Period 4. The first 3 treatment periods were followed by a 7-day washout period. |
| Modafinil/MK-7288 20mg/Pbo/MK-7288 10mg | Experimental | Drug: MK-7288, Drug: Placebo to MK-7288, Drug: Modafinil, Drug: Placebo to modafinilParticipants received single doses of study drug in the following order: Modafinil 200 mg in Treatment Period 1, MK-7288 20 mg in Treatment Period 2, Placebo in Treatment Period 3 and MK-7288 10 mg in Treatment Period 4. The first 3 treatment periods were followed by a 7-day washout period. |
| Pbo/Modafinil/MK-7288 10 mg/MK-7288 20mg | Experimental | Drug: MK-7288, Drug: Placebo to MK-7288, Drug: Modafinil, Drug: Placebo to modafinilParticipants received single doses of study drug in the following order: Placebo in Treatment Period 1, Modafinil 200 mg in Treatment Period 2, MK-7288 10 mg in Treatment Period 3 and MK-7288 20 mg in Treatment Period 4. The first 3 treatment periods were followed by a 7-day washout period. |
Who may qualify
- Ages
- 18 to 64 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (10 listed)
- Female participants are of non-child-bearing potential.
- Male participants who have female partner(s) of child-bearing potential must agree to use a medically acceptable method of contraception during the study.
- Participant has an International Classification of Sleep Disorders diagnosis of Obstructive Sleep Apnea/Hypopnea Syndrome.
- Participant has excessive daytime sleepiness.
- Participant has been using nCPAP treatment for at least 2 months.
Key exclusion criteria (6 listed)
- Participant has a history of cancer.
- Participant has any history of a significant neurological disorder.
- Participant has moderate or severe persistent asthma.
- Participant has a history of any of the following sleep disorders: narcolepsy, primary insomnia, Circadian rhythm sleep disorder, shift work sleep disorder, parasomnia including nightmare disorder, sleep terror disorder, rapid eye movement (REM) behavioral disorder, and sleepwalking disorder, periodic limb movement disorder, or restless leg syndrome.
- Participant consumes more than 10 cigarettes a day or routinely smokes during the night.
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-7288one or two 10 mg capsules, orally, single dose | Drug | MK-7288 10mg/Pbo/MK-7288 20mg/Modafinil, MK-7288 20mg/MK-7288 10mg/Modafinil/Pbo, Modafinil/MK-7288 20mg/Pbo/MK-7288 10mg, Pbo/Modafinil/MK-7288 10 mg/MK-7288 20mg |
| Placebo to MK-7288one or two capsules, orally, single dose | Drug | MK-7288 10mg/Pbo/MK-7288 20mg/Modafinil, MK-7288 20mg/MK-7288 10mg/Modafinil/Pbo, Modafinil/MK-7288 20mg/Pbo/MK-7288 10mg, Pbo/Modafinil/MK-7288 10 mg/MK-7288 20mg |
| ModafinilAlso: PROVIGIL®two 100 mg tablets, orally, single dose | Drug | MK-7288 10mg/Pbo/MK-7288 20mg/Modafinil, MK-7288 20mg/MK-7288 10mg/Modafinil/Pbo, Modafinil/MK-7288 20mg/Pbo/MK-7288 10mg, Pbo/Modafinil/MK-7288 10 mg/MK-7288 20mg |
| Placebo to modafiniltwo 100 mg tablets, orally, single dose | Drug | MK-7288 10mg/Pbo/MK-7288 20mg/Modafinil, MK-7288 20mg/MK-7288 10mg/Modafinil/Pbo, Modafinil/MK-7288 20mg/Pbo/MK-7288 10mg, Pbo/Modafinil/MK-7288 10 mg/MK-7288 20mg |
Primary outcome
Mean Sleep Latency Score on the Maintenance of Wakefulness Test (MWT) for Participants Taking MK-7288 Versus Placebo
Time frame: 1, 3, 5 and 7 hours post dose
Study drug was administered at 08:00. MWT, an objective measure of the participant's ability to maintain wakefulness, was administered at 09:00, 11:00, 13:00 and 15:00. A least squares (LS) mean of the 4 MWTs performed at 09:00, 11:00, 13:00 and 15:00 was calculated. Latency for each MWT is defined as the time to onset of the first 16 continuous seconds of any stage of sleep; if no sleep has been observed according to these rules, then the latency is defined as 30 minutes. A higher MWT value is considered a better outcome.
Mean Score on Standard Deviation of Lane Position (SDLP) Driving Test for Participants Taking MK-7288 Versus Placebo
Time frame: 2, 4 and 6 hours post dose
Study drug was administered at 08:00. Driving performance was measured by the SDLP test which is a 45-minute driving simulation country vigilance test and was performed by participants at 10:00, 12:00 and 14:00. An LS mean of the 2 SDLP driving test results performed at 10:00 and 14:00 was calculated. A lower value is considered a better outcome.
Number of Participants Experiencing Clinical and Laboratory Adverse Events (AEs)
Time frame: Up to 36 days
An adverse event (AE) is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study drug, whether or not considered related to the use of the study drug. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a pre-existing condition which is temporally associated with the use of the study drug, is also an AE.
3 secondary outcomes
Mean Sleep Latency Score on the MWT for Participants Taking MK-7288 Versus Modafinil
Time frame: 1, 3, 5 and 7 hours post dose
Mean Sleep Latency Score on the MWT for Participants Taking Modafinil Versus Placebo
Time frame: 1, 3, 5 and 7 hours post dose
Mean Score on SDLP Driving Test for Participants Taking Modafinil Versus Placebo
Time frame: 2, 4 and 6 hours post dose
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Nov 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 24122944Sun H, MacLeod C, Mostoller K, Mahon C, Han L, Renger JJ, Ma J, Brown KR, Schulz V, Kay GG, Herring WJ, Lines C, Rosen LB, Murphy MG, Wagner JA. Early-stage comparative effectiveness: randomized controlled trial with histamine inverse agonist MK-7288 in excessive daytime sleepiness patients. J Clin Pharmacol. 2013 Dec;53(12):1294-302. doi: 10.1002/jcph.182. Epub 2013 Oct 4.
- 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-7288 and Modafinil in people with Apnea, Sleep, 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 10 inclusion and 6 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 8 Nov 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 22 Apr 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?
Mean Sleep Latency Score on the Maintenance of Wakefulness Test (MWT) for Participants Taking MK-7288 Versus Placebo (time frame: 1, 3, 5 and 7 hours post dose). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01092780, which also lists 1 linked publication.
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 8 Nov 2018.