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A Study of MK-6194 (PT101) in Participants With Active Ulcerative Colitis (UC) (MK-6194-002)

Phase 1
Completed
Conditions
Ulcerative Colitis
Registration Number
NCT04924114
Lead Sponsor
Merck Sharp & Dohme LLC
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
57
Inclusion Criteria

Inclusion Criteria:<br><br> - Diagnosis of UC at least 3 months prior to screening.<br><br> - Mildly to severely active UC.<br><br> - Inadequate response, loss of response, or intolerance to at least 1 prior<br> conventional therapy, and no more than 2 prior advanced therapies.<br><br> - Participants at risk for colorectal cancer must have a colonoscopy prior to or at<br> screening as follows:<br><br> - Participants > 50 years of age must have documentation of a colonoscopy within<br> 3 years of the screening visit to exclude adenomatous polyps. Participants<br> whose adenomas have been completely excised at screening are eligible.<br><br> - Participants with extensive colitis for = 8 years, or disease limited to the<br> left side of the colon for = 10 years, must either have had a full colonoscopy<br> to assess for the presence of dysplasia within 1 year before first<br> administration of study drug or a full colonoscopy to assess for the presence<br> of malignancy at the screening visit.<br><br> - No evidence of active tuberculosis (TB), latent TB, or inadequately treated TB.<br><br> - Women of childbearing potential (WOCBP) and males with female partners of<br> childbearing potential must utilize highly effective contraceptive methods beginning<br> 4 weeks prior to first dose of study drug and continue for 30 days after the last<br> dose of study drug.<br><br> - Body mass index (BMI) 18 to 35 kg/m^2 inclusive and weight = 50 kg.<br><br>Exclusion Criteria:<br><br> - Prior treatment with recombinant IL-2 or modified IL-2 therapy, including MK-6194<br> (PT101).<br><br> - Known sensitivity to MK-6194 (PT101) or its excipients.<br><br> - Known history of hypersensitivity to interleukin-2 (IL-2).<br><br> - Disease limited to the rectum (i.e., within 15 cm of the anal verge).<br><br> - Diagnosis of toxic megacolon.<br><br> - Suspected or known colon stricture or stenosis.<br><br> - Diagnosis of Crohn's disease, or indeterminant colitis.<br><br> - Has severe colitis as evidenced by:<br><br> - Current hospitalization for the treatment of UC<br><br> - Likely to require a colectomy within 12 weeks of baseline in the opinion of the<br> Investigator<br><br> - At least 4 symptoms of severe colitis as identified at screening or baseline<br> visits.<br><br> - Previously had surgery for UC, or likely to require surgery for UC during the study<br> period in the opinion of the Investigator.<br><br> - History of abnormal thallium stress test or functional cardiac function test.<br><br> - History of significant cardiac, pulmonary, renal, hepatic, or central nervous system<br> (CNS) impairment.<br><br> - Active clinically significant infection, or any infection requiring hospitalization<br> or treatment with intravenous anti-infectives within 8 weeks of randomization, or<br> any infection requiring oral anti-infective therapy within 6 weeks of randomization.<br><br> - History of opportunistic infection.<br><br> - History of symptomatic herpes zoster within 16 weeks of randomization, or any<br> history of disseminated herpes simplex, disseminated herpes zoster, ophthalmic<br> zoster, or central nervous system (CNS) zoster.<br><br> - Currently on any chronic systemic (oral or IV) anti-infective therapy for chronic<br> infection (such as pneumocystis, cytomegalovirus, herpes zoster, or atypical<br> mycobacteria).<br><br> - Currently receiving lymphocyte depleting therapy.<br><br> - History of abnormal pulmonary function tests.<br><br> - Participants with organ or tissue allograft.<br><br> - Malignancy within 5 years of screening, with the exception of adequately treated or<br> excised non-metastatic basal cell or squamous cell cancer of the skin.<br><br> - Exposure to advanced therapy within 5 half-lives of the Day 1 visit, or<br> documentation of detectable drug during screening.<br><br> - Received a live attenuated vaccine < 1 month prior to screening or is planning to<br> receive a live attenuated vaccine during the study period or within 12 weeks of the<br> end of participation in the study.<br><br> - Is pregnant or nursing or is planning to become pregnant during the study.<br><br> - Any uncontrolled or clinically significant concurrent systemic disease other than<br> UC.

Exclusion Criteria

Not provided

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Percentage of Participants Experiencing Adverse Events (AEs);Percentage of Participants Discontinuing Study Treatment Due to an AE
Secondary Outcome Measures
NameTimeMethod
Maximum Concentration (Cmax) of MK-6194;Time to Cmax (Tmax) of MK-6194;Area Under the Concentration Time-curve From Time 0 to the Last Quantifiable Concentration (AUC0-t);Minimum Concentration (Cmin) of MK-6194;Area Under the Curve From Time 0 to Infinity (AUC0-inf) of MK-6194;Apparent Half-life (t1/2) of MK-6194;Apparent Clearance (CL/F) of MK-6194;Apparent Volume of Distribution (Vd/F) of MK-6194;Change in Number of Peripheral Regulatory T-cells (Tregs) in Whole Blood;Change in Number of Natural Killer (NK) Cells in Whole Blood;Change in Number of Conventional T Cells (Tcons) in Whole Blood;Titer of anti-drug antibody (ADA) to MK-6194
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