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HIV-1Phase 1NCT05700734

MK-8510 Monotherapy for the Treatment of Anti-retroviral naïve Human Immunodeficiency Virus Type 1 (HIV-1) Infected Participants (MK-8510-002)

A Phase 1 study testing MK-8510 in people with HIV-1 and Human Immunodeficiency Virus 1, run by Merck Sharp & Dohme LLC.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics and anti-retroviral activity of MK-8510 monotherapy in anti-retroviral-naïve HIV-1 infected participants. Read more about this study

Who is it for?
Ages 18 to 60 years
What is being tested?
MK-8510
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
No sites listed yet
Study dates
17 Apr 2023to 14 Feb 2024
Phase
Phase 1
Are there results?
None posted in the registry

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 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Has HIV-1 infection, and is in good health based on medical history, physical examination, vital signs (VS) measurements, and laboratory safety tests.
  • Has documented HIV-1 positive, as determined by a positive enzyme-linked immunosorbent assay (ELISA) or real-time quantitative polymerase chain reaction (QT-PCR) with confirmation (eg, Western Blot).
  • Is anti-retroviral therapy (ART)-naïve, which is defined as:
  • Having never received any anti-retroviral agent; or
  • ART-experienced but has not received any ART for HIV-1 infection within 60 days; or
  • Has received pre-exposure prophylaxis (PrEP) treatment prior to diagnosis of HIV-infection but has not received any PrEP within 30 days.
  • Is willing to receive no other ART prior to Day 11 post-dose of the study.
  • Has a body mass index (BMI) ≤35 kg/m2.

Who cannot join

  • Has acute (primary) HIV-1 infection.
  • Has a history of clinically significant endocrine, gastrointestinal (GI), cardiovascular, hematological, hepatic, immunological, renal, respiratory, genitourinary, or major neurological (including stroke and chronic seizures) abnormalities or diseases.
  • Has remote history of uncomplicated medical events (eg, uncomplicated kidney stones, as defined as spontaneous passage and no recurrence in the last 5 years, or childhood asthma).
  • Is mentally or legally incapacitated or has significant emotional problems.
  • Has history of cancer (malignancy).
  • Has a history of significant multiple and/or severe allergies (eg, food, drug, latex allergy), or has had an anaphylactic reaction or significant intolerability (i.e, systemic allergic reaction) to prescription or nonprescription drugs or food.
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  • Has positive hepatitis B surface antigen (HBsAg).
  • Has a history of chronic hepatitis C unless there has been documented cure and/or participant with a positive serologic test for hepatitis C virus (HCV) has a negative HCV viral load (VL).
  • Had a major surgery and/or donated or lost 1 unit of blood (approximately 500 mL) within 4 weeks prior to the prestudy (screening) visit.
  • Has participated in another investigational study within 4 weeks.
  • Has a clinically significant abnormality on the electrocardiogram (ECG) performed at the pre-study visit.
  • Has been committed to an institution by way of official or judicial order.
  • Is under the age of legal consent or not capable of giving consent.
  • Does not agree to follow the smoking restrictions as defined by the clinical research unit (CRU).
  • Consumes greater than 3 servings of alcoholic beverages (1 serving is approximately equivalent to: beer [354 mL/12 ounces], wine [118 mL/4 ounces], or distilled spirits [29.5 mL/1 ounce]) per day.
  • Consumes excessive amounts, defined as greater than 6 servings (1 serving is approximately equivalent to 120 mg of caffeine) of coffee, tea, cola, energy drinks, or other caffeinated beverages per day.
  • Is a regular user of any illicit drugs (not including cannabis) or has an history of drug (including alcohol) abuse within approximately 12 months.

About this study

Official title: A Single-dose Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Anti-retroviral Activity of MK-8510 Monotherapy in Anti-retroviral-naïve HIV-1 Infected Participants

The purpose of this study is to evaluate the safety, tolerability, pharmacokinetics and anti-retroviral activity of MK-8510 monotherapy in anti-retroviral-naïve HIV-1 infected participants.

Being tested
MK-8510
Medical subject headings
Acquired Immunodeficiency Syndrome

What participants receive

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

  • MK-8510Drug

    Single dose of MK-8510 administered as a tablet at a dose up to 2200 mg.

Study groups in NCT05700734
Study groupRoleWhat they receive
Panel A: MK-8510 at dose level 1ExperimentalSingle oral dose of MK-8510 administered at dose level 1 (≤1800 mg) following a 10-hour fast. Dose level 1 shall not exceed 1800 mg.
Receives: Drug: MK-8510
Panel B: MK-8510 at dose level 2ExperimentalSingle oral dose of MK-8510 administered at dose level 2 (≤2200 mg) following a 10-hour fast. Dose level 2 shall not exceed 2200 mg.
Receives: Drug: MK-8510
Panel C: MK-8510 at dose level 3ExperimentalSingle oral dose of MK-8510 administered at dose level 3 (≤2200 mg) following a 10-hour fast. Dose level 3 shall not exceed 2200 mg.
Receives: Drug: MK-8510
Panel D: MK-8510 at dose level 4ExperimentalSingle oral dose of MK-8510 administered at dose level 4 (≤2200 mg) following a 10-hour fast. Dose level 4 shall not exceed 2200 mg.
Receives: Drug: MK-8510

What is being measured

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

  1. Change from Baseline in Plasma HIV-1 Ribonucleic Acid (RNA)

    The plasma HIV-RNA will be measured based on a longitudinal data analysis model containing fixed effects for dose level, and dose level by time interaction, and a random effect of MK-8510 (prodrug). The change from baseline for each dose level at 168-hours post baseline will be estimated from this model.

    Measured: Baseline and 168 hours post-dose

  2. Percentage of Participants Who Experience an Adverse Event (AE)

    An AE is defined as any untoward medical occurrence in a participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment.

    Measured: Up to 36 days

  3. Percentage of Participants Who Discontinued from Study Due to an Adverse Event (AE)

    The percentage of participants who discontinue study due to an AE will be presented.

    Measured: Up to 36 days

Secondary outcomes (9)
  1. Area Under the Concentration-Time Curve of MK-8558 From Time 0 to 168 Hours (AUC0-168 hr)

    The AUC0-168 of MK-8558 (active drug) after administration of MK-8510 (prodrug) in plasma will be calculated pre-dose, and 0.25, 0.5, 1, 2, 3, 4, 5, 6, 12, 24, 48, 72, 120, 168 hours post-dose.

    Measured: At protocol specific timepoints up to 168 hours post-dose

  2. Area Under the Concentration-Time Curve of MK-8558 From Time 0 to last (AUC0-last)

    AUC0-last of MK-8558 (active drug) after administration of MK-8510 (prodrug) in plasma will be calculated pre-dose, and 0.25, 0.5, 1, 2, 3, 4, 5, 6, 12, 24, 48, 72, 120, 168, 240, 336, 504 hours post-dose.

    Measured: At protocol specific time points up to 504 hours post-dose

  3. Concentration at 168 Hours Post-dose (C168) of MK-8558

    C168hr of MK-8558 (active drug) after administration of MK-8510 (prodrug) in plasma will be calculated.

    Measured: 168 hours post-dose

  4. Maximum Concentration (Cmax) of MK-8558

    Cmax of MK-8558 (active drug) after administration of MK-8510 (prodrug) in plasma will be calculated pre-dose, and 0.25, 0.5, 1, 2, 3, 4, 5, 6, 12, 24, 48, 72, 120, 168, 240, 336, 504 hours post-dose.

    Measured: At protocol specific time points up to 504 hours post-dose

  5. Time to Maximum Plasma Concentration (Tmax) of MK-8558

    Tmax of MK-8558 (active drug) after administration of MK-8510 (prodrug) in plasma will be calculated pre-dose, and 0.25, 0.5, 1, 2, 3, 4, 5, 6, 12, 24, 48, 72, 120, 168, 240, 336, 504 hours post-dose.

    Measured: At protocol specific time points up to 504 hours post-dose

  6. Half Life (t1/2) of MK-8558

    t1/2 of MK-8558 (active drug) after administration of MK-8510 (prodrug) in plasma will be calculated pre-dose, and 0.25, 0.5, 1, 2, 3, 4, 5, 6, 12, 24, 48, 72, 120, 168, 240, 336, 504 hours post-dose.

    Measured: At protocol specific time points up to 504 hours post-dose

  7. Apparent Plasma Clearance of Drug After Extravascular Administration (CL/F) of MK-8558

    CL/F of MK-8558 (active drug) after administration of MK-8510 (prodrug) in plasma will be calculated pre-dose, and 0.25, 0.5, 1, 2, 3, 4, 5, 6, 12, 24, 48, 72, 120, 168, 240, 336, 504 hours post-dose.

    Measured: At protocol specific time points up to 504 hours post-dose

  8. Apparent Volume of Distribution in the Terminal State After Extravascular Administration (Vz/F) of MK-8558

    Vz/F of MK-8558 (active drug) after administration of MK-8510 (prodrug) in plasma will be calculated pre-dose, and 0.25, 0.5, 1, 2, 3, 4, 5, 6, 12, 24, 48, 72, 120, 168, 240, 336, 504 hours post-dose.

    Measured: At protocol specific time points up to 504 hours post-dose

  9. Terminal t1/2 of MK-8558

    Terminal t1/2 of MK-8558 (active drug) after administration of MK-8510 (prodrug) in plasma will be calculated pre-dose, and 0.25, 0.5, 1, 2, 3, 4, 5, 6, 12, 24, 48, 72, 120, 168, 240, 336, 504 hours post-dose.

    Measured: At protocol specific time points up to 504 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 posted26 Jan 2023
  2. Study start17 Apr 2023 (estimated)
  3. Primary completion14 Feb 2024 (estimated)
  4. Study completion14 Feb 2024 (estimated)

Why it stopped: Business Reasons

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
Sequential
Masking
None (open label)
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05700734
Sponsor's protocol ID
8510-002
Other IDs
MK-8510-002, 2021-006180-21
Status last verified
Mar 2023
First submitted
17 Jan 2023
Last updated
27 Mar 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing MK-8510 in people with HIV-1 and Human Immunodeficiency Virus 1, 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 8 inclusion and 17 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: withdrawn, as of the sponsor's last update on 27 Mar 2023. 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?

The study was withdrawn before enrolling participants, so there are no results.

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?

Change from Baseline in Plasma HIV-1 Ribonucleic Acid (RNA) (time frame: Baseline and 168 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?
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 27 Mar 2023.

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