Chemotherapy-Induced Nausea and VomitingPhase 1NCT00990821
A Study to Investigate the Safety and Tolerability of MK-0517 in Healthy Subjects (MK-0517-012)
A Phase 1 study testing 90 mg MK-0517 (PS80), 100 mg MK-0517 (PS80) and 100 MK-0517 (PS80) + 2 mg midazolam in people with Chemotherapy-Induced Nausea and Vomiting and Postoperative Nausea and Vomiting, run by Merck Sharp & Dohme LLC.
Trial summary
This 5-part study will evaluate the safety, tolerability, and pharmacokinetics of two formulations of MK-0517 (with and without polysorbate 80) and aprepitant in healthy adults. Parts I to IV of this study will examine different doses of MK-0517 as well as two different formulations of MK-0517 (with and without… Read more about this study
- Who is it for?
- Ages 18 to 45 yearsHealthy volunteers can take part
- Conditions the study is for
- Chemotherapy-Induced Nausea and Vomiting, Postoperative Nausea and Vomiting
- What is being tested?
- 90 mg MK-0517 (PS80), 100 mg MK-0517 (PS80) and 100 MK-0517 (PS80) + 2 mg midazolam
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 188 participants
- Where
- No sites listed yet
- Study dates
- Jan 2005to Jan 2006
- 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 45 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Subject is neither grossly overweight nor underweight for his/her height and body build
- Subject is in good health -Subject is a nonsmoker
- Subject is willing to avoid excessive alcohol consumption for the duration of the study
- Subject is willing to avoid strenuous physical activity (i.e. unaccustomed weight lifting, running, bicycling) for the duration of the study
- Subject agrees to refrain from consumption of grapefruit (and grapefruit products) before and during the study
Who cannot join
- Subject has a history of multiple and/or severe allergies to drugs or food
- Subject has donated blood or taken an investigational drug in another clinical trial within the last 4 weeks
- Subject has an infection, including Human immunodeficiency virus (HIV) infection
- Subject is a regular user of any illicit drug
- Subject consumes excessive amounts of alcohol
- Subject drinks excessive amounts of coffee, tea, cola or other caffeinated beverages
- Subject currently uses on a regular basis, any prescription or non prescription medications
About this study
Official title: A Randomized, 5-Part, Intravenous Study of the Safety, Tolerability, Bioequivalence, and Drug Interaction Potential of Final Market Image Formulation of MK0517 in Young Healthy Subjects
This 5-part study will evaluate the safety, tolerability, and pharmacokinetics of two formulations of MK-0517 (with and without polysorbate 80) and aprepitant in healthy adults. Parts I to IV of this study will examine different doses of MK-0517 as well as two different formulations of MK-0517 (with and without polysorbate 80). Part V of the study will compare single doses of intravenous non-PS80 MK-0517 to oral 125-mg capsule of aprepitant. The primary hypothesis for Part V of the study is that a single intravenous dose of 100-mg or 115-mg MK-0517 is area under the plasma-time curve (AUC) equivalent to that of the 125-mg oral aprepitant capsule in young healthy participants.
- Being tested
- 90 mg MK-0517 (PS80), 100 mg MK-0517 (PS80), 100 MK-0517 (PS80) + 2 mg midazolam, 115 mg MK-0517 (PS80), 150 mg MK-0517 (PS80)
- Medical subject headings
- Vomiting, Postoperative Nausea and Vomiting
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
90 mg MK-0517 (PS80)Drug
MK-0517 (PS80 formulation), 1 mg/mL, administered intravenous (IV) over 15 minutes
100 mg MK-0517 (PS80)Drug
MK-0517 (PS80 formulation), 1 mg/mL, administered IV over 15 minutes
100 MK-0517 (PS80) + 2 mg midazolamDrug
MK-0517 (Non-PS80 formulation), 1 mg/mL, administered IV over 15 minutes. Midazolam is co-administered as a single oral 2-mg dose of midazolam with MK-0517.
115 mg MK-0517 (PS80)Drug
MK-0517 (PS80 formulation), 1 mg/mL, administered IV over 15 minutes
150 mg MK-0517 (PS80)Drug
MK-0517 (PS80 formulation), 1 mg/mL, administered IV over 15 minutes
40 mg MK-0517 (non-PS80)Drug
MK-0517 (Non-PS80) is administered as single IV dose over 30 seconds.
100 mg MK-0517 (non-PS80)Drug
MK-0517 (Non-PS80) is administered as single IV dose over 30 seconds.
150 mg MK-0517 (Non-PS80)Drug
MK-0517 (Non-PS80) is administered as single IV dose over 30 seconds.
PlaceboDrug
Placebo matching MK-0517
40 mg AprepitantDrug
Aprepitant, oral, tablet, single dose
125 mg AprepitantDrug
Aprepitant oral tablet, single dose
2 mg MidazolamDrug
Midazolam oral tablet, single dose
| Study group | Role | What they receive |
|---|---|---|
| Part I, Panel A | Experimental | 100 mg MK-0517 (nonpolysorbate 80 formulation [non-PS80]) or placebo → 150 mg MK-0517 (non- PS80) or placebo → 125 mg aprepitant Receives: Drug: 100 MK-0517 (PS80) + 2 mg midazolam; Drug: 100 mg MK-0517 (non-PS80); Drug: 150 mg MK-0517 (Non-PS80); Drug: Placebo; Drug: 125 mg Aprepitant |
| Part I, Panel B | Experimental | 100 mg MK-0517 (PS80 formulation [PS80]) or placebo → 150 mg MK-0517 (PS80) or placebo → 125 mg aprepitant Receives: Drug: 100 mg MK-0517 (PS80); Drug: 150 mg MK-0517 (PS80); Drug: Placebo; Drug: 125 mg Aprepitant |
| Part I, Panel C | Experimental | 40 mg MK-0517 (non-PS80) or placebo → 40 mg aprepitant Receives: Drug: 40 mg MK-0517 (non-PS80); Drug: Placebo; Drug: 40 mg Aprepitant |
| Part II | Experimental | 2 mg midazolam → 100 mg MK-0517 (PS80) + 2 mg midazolam Receives: Drug: 100 mg MK-0517 (PS80); Drug: 2 mg Midazolam |
| Part III, Panel 1, Treatment Sequence 1 | Experimental | 125 mg aprepitant → 90 mg MK-0517 (PS80) Receives: Drug: 90 mg MK-0517 (PS80); Drug: 40 mg MK-0517 (non-PS80); Drug: 125 mg Aprepitant |
| Part III, Panel 1, Treatment Sequence 2 | Experimental | 40 mg MK-0517 (non-PS80) → 125 mg aprepitant Receives: Drug: 40 mg MK-0517 (non-PS80); Drug: 125 mg Aprepitant |
| Part III, Panel 2 | Experimental | 40 mg MK-0517 (non-PS80) Receives: Drug: 40 mg MK-0517 (non-PS80) |
| Part IV | Experimental | 40 mg MK-0517 (non-PS80 formulation) Receives: Drug: 40 mg MK-0517 (non-PS80) |
| Part V, Treatment Sequence 1 | Experimental | 125 mg aprepitant → 100 mg MK-0517 (PS80) → 115 mg MK-0517 (PS80 formulation) Receives: Drug: 100 mg MK-0517 (PS80); Drug: 115 mg MK-0517 (PS80); Drug: 125 mg Aprepitant |
| Part V, Treatment Sequence 2 | Experimental | 100 mg MK-0517 (PS80) → 115 mg MK-0517 (PS80) → 125 mg aprepitant Receives: Drug: 100 mg MK-0517 (PS80); Drug: 115 mg MK-0517 (PS80); Drug: 125 mg Aprepitant |
| Part V, Treatment Sequence 3 | Experimental | 115 mg MK-0517 (PS80) → 125 mg aprepitant → 100 mg MK-0517 (PS80) Receives: Drug: 100 mg MK-0517 (PS80); Drug: 115 mg MK-0517 (PS80); Drug: 125 mg Aprepitant |
| Part V, Treatment Sequence 4 | Experimental | 125 mg aprepitant → 115 mg MK-0517 (PS80) → 100 mg MK-0517 (PS80) Receives: Drug: 100 mg MK-0517 (PS80); Drug: 115 mg MK-0517 (PS80); Drug: 125 mg Aprepitant |
| Part V, Treatment Sequence 5 | Experimental | 100 mg MK-0517 (PS80) → 125 mg aprepitant → 115 mg MK-0517 (PS80) Receives: Drug: 100 mg MK-0517 (PS80); Drug: 115 mg MK-0517 (PS80); Drug: 125 mg Aprepitant |
| Part V, Treatment Sequence 6 | Experimental | 115 mg MK-0517 (PS80) → 100 mg MK-0517 (PS80) → 125 mg aprepitant Receives: Drug: 100 mg MK-0517 (PS80); Drug: 115 mg MK-0517 (PS80); Drug: 125 mg Aprepitant |
What is being measured
The primary outcome is the main question the study is designed to answer.
Area Under the Plasma-Time Curve (AUC[0 to Infinity]) for Aprepitant and MK-0517 for Study Part V
AUC (0-inf) is the area under the plasma concentration-time curve from time zero extrapolated to infinite time. The AUC(0-inf) bioequivalence was evaluated for single doses of 100 and 115 mg MK-0517 PS80, IV and that of an oral 125-mg capsule of aprepitant. Period I to IV populations are not included in the outcome analysis because those were formulation and dose-finding/dose confirmation arms.
Measured: Up to 72 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 posted7 Oct 2009 (estimated)
- Study startJan 2005
- Primary completionDec 2005
- Study completionJan 2006
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 Chemotherapy-Induced Nausea and VomitingStudies 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
- 188 participants (actual)
Sponsor and investigators
- Lead sponsor
- Merck Sharp & Dohme LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Monitor, Study director, Merck Sharp & Dohme LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00990821
- Sponsor's protocol ID
- 0517-012
- Other IDs
- MK-0517-012
- Status last verified
- Aug 2015
- First submitted
- 6 Oct 2009
- Last updated
- 19 Aug 2015
- Results posted
- Yes, on ClinicalTrials.gov
Study at a glance
From the registry record, last updated by the sponsor on 19 Aug 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, 5-Part, Intravenous Study of the Safety, Tolerability, Bioequivalence, and Drug Interaction Potential of Final Market Image Formulation of MK0517 in Young Healthy Subjects
- ClinicalTrials.gov ID
- NCT00990821
- Acronym / sponsor ID
- 0517-012
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 188 participants (actual)
- Lead sponsor
- Merck Sharp & Dohme LLCIndustry (pharma, biotech, devices)
- Study start
- Jan 2005
- Primary completion
- Dec 2005 (actual)
- Study completion
- Jan 2006 (actual)
- First posted
- 7 Oct 2009 (estimated)
- Results
- Posted 12 Dec 2013
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This 5-part study will evaluate the safety, tolerability, and pharmacokinetics of two formulations of MK-0517 (with and without polysorbate 80) and aprepitant in healthy adults. Parts I to IV of this study will examine different doses of MK-0517 as well as two different formulations of MK-0517 (with and without polysorbate 80). Part V of the study will compare single doses of intravenous non-PS80 MK-0517 to oral 125-mg capsule of aprepitant. The primary hypothesis for Part V of the study is that a single intravenous dose of 100-mg or 115-mg MK-0517 is area under the plasma-time curve (AUC) equivalent to that of the 125-mg oral aprepitant capsule in young healthy participants.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 14
| Arm | Type | Receives |
|---|---|---|
| Part I, Panel A | Experimental | Drug: 100 MK-0517 (PS80) + 2 mg midazolam, Drug: 100 mg MK-0517 (non-PS80), Drug: 150 mg MK-0517 (Non-PS80), Drug: Placebo, Drug: 125 mg Aprepitant100 mg MK-0517 (nonpolysorbate 80 formulation [non-PS80]) or placebo → 150 mg MK-0517 (non- PS80) or placebo → 125 mg aprepitant |
| Part I, Panel B | Experimental | Drug: 100 mg MK-0517 (PS80), Drug: 150 mg MK-0517 (PS80), Drug: Placebo, Drug: 125 mg Aprepitant100 mg MK-0517 (PS80 formulation [PS80]) or placebo → 150 mg MK-0517 (PS80) or placebo → 125 mg aprepitant |
| Part I, Panel C | Experimental | Drug: 40 mg MK-0517 (non-PS80), Drug: Placebo, Drug: 40 mg Aprepitant40 mg MK-0517 (non-PS80) or placebo → 40 mg aprepitant |
| Part II | Experimental | Drug: 100 mg MK-0517 (PS80), Drug: 2 mg Midazolam2 mg midazolam → 100 mg MK-0517 (PS80) + 2 mg midazolam |
| Part III, Panel 1, Treatment Sequence 1 | Experimental | Drug: 90 mg MK-0517 (PS80), Drug: 40 mg MK-0517 (non-PS80), Drug: 125 mg Aprepitant125 mg aprepitant → 90 mg MK-0517 (PS80) |
| Part III, Panel 1, Treatment Sequence 2 | Experimental | Drug: 40 mg MK-0517 (non-PS80), Drug: 125 mg Aprepitant40 mg MK-0517 (non-PS80) → 125 mg aprepitant |
| Part III, Panel 2 | Experimental | Drug: 40 mg MK-0517 (non-PS80)40 mg MK-0517 (non-PS80) |
| Part IV | Experimental | Drug: 40 mg MK-0517 (non-PS80)40 mg MK-0517 (non-PS80 formulation) |
| Part V, Treatment Sequence 1 | Experimental | Drug: 100 mg MK-0517 (PS80), Drug: 115 mg MK-0517 (PS80), Drug: 125 mg Aprepitant125 mg aprepitant → 100 mg MK-0517 (PS80) → 115 mg MK-0517 (PS80 formulation) |
| Part V, Treatment Sequence 2 | Experimental | Drug: 100 mg MK-0517 (PS80), Drug: 115 mg MK-0517 (PS80), Drug: 125 mg Aprepitant100 mg MK-0517 (PS80) → 115 mg MK-0517 (PS80) → 125 mg aprepitant |
| Part V, Treatment Sequence 3 | Experimental | Drug: 100 mg MK-0517 (PS80), Drug: 115 mg MK-0517 (PS80), Drug: 125 mg Aprepitant115 mg MK-0517 (PS80) → 125 mg aprepitant → 100 mg MK-0517 (PS80) |
| Part V, Treatment Sequence 4 | Experimental | Drug: 100 mg MK-0517 (PS80), Drug: 115 mg MK-0517 (PS80), Drug: 125 mg Aprepitant125 mg aprepitant → 115 mg MK-0517 (PS80) → 100 mg MK-0517 (PS80) |
| Part V, Treatment Sequence 5 | Experimental | Drug: 100 mg MK-0517 (PS80), Drug: 115 mg MK-0517 (PS80), Drug: 125 mg Aprepitant100 mg MK-0517 (PS80) → 125 mg aprepitant → 115 mg MK-0517 (PS80) |
| Part V, Treatment Sequence 6 | Experimental | Drug: 100 mg MK-0517 (PS80), Drug: 115 mg MK-0517 (PS80), Drug: 125 mg Aprepitant115 mg MK-0517 (PS80) → 100 mg MK-0517 (PS80) → 125 mg aprepitant |
Who may qualify
- Ages
- 18 to 45 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- Subject is neither grossly overweight nor underweight for his/her height and body build
- Subject is in good health -Subject is a nonsmoker
- Subject is willing to avoid excessive alcohol consumption for the duration of the study
- Subject is willing to avoid strenuous physical activity (i.e. unaccustomed weight lifting, running, bicycling) for the duration of the study
- Subject agrees to refrain from consumption of grapefruit (and grapefruit products) before and during the study
Key exclusion criteria (7 listed)
- Subject has a history of multiple and/or severe allergies to drugs or food
- Subject has donated blood or taken an investigational drug in another clinical trial within the last 4 weeks
- Subject has an infection, including Human immunodeficiency virus (HIV) infection
- Subject is a regular user of any illicit drug
- Subject consumes excessive amounts of alcohol
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 |
|---|---|---|
| 90 mg MK-0517 (PS80)MK-0517 (PS80 formulation), 1 mg/mL, administered intravenous (IV) over 15 minutes | Drug | Part III, Panel 1, Treatment Sequence 1 |
| 100 mg MK-0517 (PS80)MK-0517 (PS80 formulation), 1 mg/mL, administered IV over 15 minutes | Drug | Part I, Panel B, Part II, Part V, Treatment Sequence 1, Part V, Treatment Sequence 2, Part V, Treatment Sequence 3, Part V, Treatment Sequence 4, Part V, Treatment Sequence 5, Part V, Treatment Sequence 6 |
| 100 MK-0517 (PS80) + 2 mg midazolamMK-0517 (Non-PS80 formulation), 1 mg/mL, administered IV over 15 minutes. Midazolam is co-administered as a single oral 2-mg dose of midazolam with MK-0517. | Drug | Part I, Panel A |
| 115 mg MK-0517 (PS80)MK-0517 (PS80 formulation), 1 mg/mL, administered IV over 15 minutes | Drug | Part V, Treatment Sequence 1, Part V, Treatment Sequence 2, Part V, Treatment Sequence 3, Part V, Treatment Sequence 4, Part V, Treatment Sequence 5, Part V, Treatment Sequence 6 |
| 150 mg MK-0517 (PS80)MK-0517 (PS80 formulation), 1 mg/mL, administered IV over 15 minutes | Drug | Part I, Panel B |
| 40 mg MK-0517 (non-PS80)MK-0517 (Non-PS80) is administered as single IV dose over 30 seconds. | Drug | Part I, Panel C, Part III, Panel 1, Treatment Sequence 1, Part III, Panel 1, Treatment Sequence 2, Part III, Panel 2, Part IV |
| 100 mg MK-0517 (non-PS80)MK-0517 (Non-PS80) is administered as single IV dose over 30 seconds. | Drug | Part I, Panel A |
| 150 mg MK-0517 (Non-PS80)MK-0517 (Non-PS80) is administered as single IV dose over 30 seconds. | Drug | Part I, Panel A |
| PlaceboPlacebo matching MK-0517 | Drug | Part I, Panel A, Part I, Panel B, Part I, Panel C |
| 40 mg AprepitantAprepitant, oral, tablet, single dose | Drug | Part I, Panel C |
| 125 mg AprepitantAprepitant oral tablet, single dose | Drug | Part I, Panel A, Part I, Panel B, Part III, Panel 1, Treatment Sequence 1, Part III, Panel 1, Treatment Sequence 2, Part V, Treatment Sequence 1, Part V, Treatment Sequence 2, Part V, Treatment Sequence 3, Part V, Treatment Sequence 4, Part V, Treatment Sequence 5, Part V, Treatment Sequence 6 |
| 2 mg MidazolamMidazolam oral tablet, single dose | Drug | Part II |
Primary outcome
Area Under the Plasma-Time Curve (AUC[0 to Infinity]) for Aprepitant and MK-0517 for Study Part V
Time frame: Up to 72 Hours Post Dose
AUC (0-inf) is the area under the plasma concentration-time curve from time zero extrapolated to infinite time. The AUC(0-inf) bioequivalence was evaluated for single doses of 100 and 115 mg MK-0517 PS80, IV and that of an oral 125-mg capsule of aprepitant. Period I to IV populations are not included in the outcome analysis because those were formulation and dose-finding/dose confirmation arms.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Aug 2015.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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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 Monitor study director
Merck Sharp & Dohme LLC
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing 90 mg MK-0517 (PS80), 100 mg MK-0517 (PS80) and 100 MK-0517 (PS80) + 2 mg midazolam in people with Chemotherapy-Induced Nausea and Vomiting and Postoperative Nausea and Vomiting, 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 5 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 19 Aug 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 12 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?
Area Under the Plasma-Time Curve (AUC[0 to Infinity]) for Aprepitant and MK-0517 for Study Part V (time frame: Up to 72 Hours Post Dose). 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 19 Aug 2015.