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Hypercholesterolemia, FamilialPhase 1NCT01583647

A Study of Extended-release (ER) Niacin/Laropiprant in Adolescents With Heterozygous Familial Hypercholesterolemia (MK-0524A-158)

A Phase 1 study testing MK-0524A in people with Hypercholesterolemia, Familial and Heterozygous Familial Hypercholesterolemia, run by Merck Sharp & Dohme LLC.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to determine the pharmacokinetics of laropiprant following administration of a single dose of 1 (Panel A) and 2 (Panel B) combination tablets of MK-0524A in adolescents with heterozygous familial hypercholesterolemia. Read more about this study

Who is it for?
Ages 10 to 16 years
What is being tested?
MK-0524A
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
10 participants
Where
No sites listed yet
Study dates
Jun 2012to Dec 2012
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 10 to 16 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Post-pubescent adolescent age 10 to 16 with heterozygous familial hypercholesterolemia
  • Agree to use (and/or have their partner use) acceptable methods of birth control beginning at the prestudy visit until at least 2 weeks after dosing of study drug
  • Height and weight fall between the 10th and 95th percentile for age with a minimum body weight of 23 kg
  • Receiving appropriate medical care for hypercholesterolemia, such as a statin or other lipid-modifying therapy.

Who cannot join

  • History of psychiatric or personality disorders that may affect the patient's ability to participate
  • History of stroke, chronic seizures, or major neurological disorder
  • History of clinically significant endocrine, gastrointestinal, cardiovascular, hematological, hepatic, immunological, renal, respiratory, or genitourinary abnormalities or diseases (excluding lipid abnormalities)
  • Poorly controlled or recently diagnosed Type 1 or Type 2 diabetes mellitus
  • History of neoplastic disease within previous 5 years
  • Consumes alcohol or excessive amounts of products that contain caffeine (e.g. cola)
Show all 12Show fewer
  • Has had major surgery, donated and/or received blood within previous 8 weeks
  • Participated in another investigational study within previous 4 weeks
  • History of significant multiple and/or severe allergies (including latex allergy), or has had an anaphylactic reaction or significant intolerability to prescription or non-prescription drugs or food
  • Positive for hepatitis B surface antigen, hepatitis C antibodies or human immunodeficiency virus (HIV)
  • Cannot swallow large tablets
  • Pregnant or breastfeeding

About this study

Official title: A Single Dose Study to Evaluate the Safety, Tolerability and Pharmacokinetics of ER Niacin/Laropiprant in Adolescents With Heterozygous Familial Hypercholesterolemia

The purpose of this study is to determine the pharmacokinetics of laropiprant following administration of a single dose of 1 (Panel A) and 2 (Panel B) combination tablets of MK-0524A in adolescents with heterozygous familial hypercholesterolemia.

Being tested
MK-0524A
Medical subject headings
Hyperlipoproteinemia Type II

What participants receive

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

  • MK-0524ADrug

    Also called Extended-release (ER) Niacin/Laropiprant

    1 tablet of MK-0524A (1g ER niacin/20mg laropripant) orally

  • MK-0524ADrug

    Also called Extended-release (ER) Niacin/Laropiprant

    2 tablets of MK-0524A (1g ER niacin/20mg laropripant) orally

Study groups in NCT01583647
Study groupRoleWhat they receive
MK-0524A 1 g/20 mg (Panel A)ExperimentalSingle oral dose of 1 tablet of MK-0524A. Each tablet contained Extended Release (ER) Niacin 1g and laropiprant 20 mg
Receives: Drug: MK-0524A
MK-0524A 2 g/40 mg (Panel B)ExperimentalSingle oral dose of 2 tablets of MK-0524A. Each tablet contained Extended Release (ER) Niacin 1g and laropiprant 20 mg
Receives: Drug: MK-0524A

What is being measured

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

  1. Plasma Area Under the Concentration Curve From 0 to Infinity (AUC0-∞) of Laropiprant

    Measured: Predose Day 1 up to 24 hours postdose

  2. Plasma Maximum Concentration (Cmax) of Laropiprant

    Measured: Predose on Day 1 up to 48 hours postdose

  3. Total Urinary Excretion of Niacin and Niacin Metabolites

    Measured: Predose on Day 1 up to 72 hours postdose

  4. Plasma Cmax of Nicotinuric Acid (NUA)

    Measured: Predose on Day 1 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 posted24 Apr 2012 (estimated)
  2. Study startJun 2012
  3. Primary completionDec 2012
  4. Study completionDec 2012

Why it stopped: In HPS2-THRIVE, MK-0524A did not meet the primary efficacy objective and there was a significant increase in incidence of some types of non-fatal SAEs.

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
None (open label)
Enrolment
10 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01583647
Sponsor's protocol ID
0524A-158
Other IDs
2012-001443-49
Status last verified
Nov 2015
First submitted
20 Apr 2012
Last updated
3 Nov 2015
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing MK-0524A in people with Hypercholesterolemia, Familial and Heterozygous Familial Hypercholesterolemia, 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 4 inclusion and 12 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: stopped early, as of the sponsor's last update on 3 Nov 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 4 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?

Plasma Area Under the Concentration Curve From 0 to Infinity (AUC0-∞) of Laropiprant (time frame: Predose Day 1 up to 24 hours postdose). The study lists 4 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 3 Nov 2015.

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