A Randomized Clinical Trial Using Fine Needle Aspiration For Evaluation of Hepatic Pharmacokinetics of MK-5172 in Participants With Chronic Hepatitis C
试验速览
- 阶段
- 1 期
- 状态
- 撤回
- 主要终点
- Number of participants from whom detectable concentrations of hepatic Grazoprevir are obtained by FNA.
研究概览
简要总结
This study is divided into 2 segments, and proposes to qualify fine needle aspiration (FNA) as a platform to evaluate the hepatic pharmacokinetics of low and high oral doses of Grazoprevir (MK-5172) in non-cirrhotic participants chronically infected with hepatitis C virus (HCV). The first segment, is a procedural pilot conducted prior to the main study, that is aimed at ensuring optimal execution of the FNA procedure. During the procedural pilot, core needle biopsy (CNB) will be performed on participants as part of their standard of care, but no study drugs will be administered, nor will any procedures other than FNA be conducted. The second segment, the main study, is designed to evaluate the feasibility of measuring Grazoprevir by FNA. During the main study, drugs will be administered, and other additional procedures will be conducted.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Has chronic compensated HCV infection.
- •No contraindications to CNB or FNA procedures.
- •Pilot study only: All comers with chronic HCV already scheduled to undergo CNB for fibrosis staging.
- •Pilot study only: Requires a diagnostic liver biopsy to monitor progression of liver disease.
- •Pilot study only: Does not have cirrhosis.
- •Main study only: Males or non-pregnant and postmenopausal females willing to use medically acceptable contraception during, and for 6 months or longer after study.
- •Main study only: Body mass index of 18.5 - 32.0 kg/m^
- •Main study only: Can avoid aspirin, anticoagulants, and non steroidal inflammatory agents.
- •Main study only: Has undergone prior treatment or is treatment naive for chronic HCV infection.
- •Exclusion Criteria for Main study only:
- •History of any of the following: stroke, chronic seizures, major neurological disorders, gastric bypass surgery or bowel resection.
- •No viral response to prior interferon based therapy.
- •Prior treatment for HCV with an NS3/4A protease inhibitor.
- •History of either clinically significant, uncontrolled endocrine, gastrointestinal, cardiovascular, hematological, immunological, renal, respiratory, or genitourinary abnormalities/diseases.
- •History of neoplastic or myeloproliferative disease.
- •Has any of the following : cirrhosis, decompensated liver disease, or other advanced liver disease, hepatocellular carcinoma, infection with human immunodeficiency virus (HIV), or hepatitis B.
- •Evidence of high grade bridging fibrosis from prior liver biopsy or chronic hepatitis not caused by HCV.
- •History of illicit drug use or alcohol abuse.
- •Had surgery, donated at least one unit of blood, or participated in any other investigational study within 4 weeks prior to screening visit.
- •History of multiple and/or severe allergies.
排除标准
- 未提供
研究组 & 干预措施
Main Pt. 2: 800 mg Grazoprevir + Peg-IFN/RBV
800 mg Grazoprevir combined with Peg-Interferon/Ribavirin treatment.
干预措施: Peg-Interferon (Drug)
Main Pt. 2: 800 mg Grazoprevir + Peg-IFN/RBV
800 mg Grazoprevir combined with Peg-Interferon/Ribavirin treatment.
干预措施: Liver Samples from FNA (Procedure)
Main Pt. 2: 800 mg Grazoprevir + Peg-IFN/RBV
800 mg Grazoprevir combined with Peg-Interferon/Ribavirin treatment.
干预措施: Liver Samples from CNB (Procedure)
Main Pt. 2: 800 mg Grazoprevir + Peg-IFN/RBV
800 mg Grazoprevir combined with Peg-Interferon/Ribavirin treatment.
干预措施: Blood Samples (Procedure)
Main Pt. 2: 800 mg Grazoprevir + Peg-IFN/RBV
800 mg Grazoprevir combined with Peg-Interferon/Ribavirin treatment.
干预措施: Ribavirin (Drug)
Main Pt. 2: 800 mg Grazoprevir + Peg-IFN/RBV
800 mg Grazoprevir combined with Peg-Interferon/Ribavirin treatment.
干预措施: 800 mg Grazoprevir (Drug)
Main Pt. 2: 100 mg Grazoprevir + Peg-IFN/RBV
100 mg Grazoprevir combined with Peg-Interferon/Ribavirin treatment.
干预措施: Peg-Interferon (Drug)
Main Pt. 2: 100 mg Grazoprevir + Peg-IFN/RBV
100 mg Grazoprevir combined with Peg-Interferon/Ribavirin treatment.
干预措施: Liver Samples from FNA (Procedure)
Main Pt. 2: 100 mg Grazoprevir + Peg-IFN/RBV
100 mg Grazoprevir combined with Peg-Interferon/Ribavirin treatment.
干预措施: Liver Samples from CNB (Procedure)
Main Pt. 2: 100 mg Grazoprevir + Peg-IFN/RBV
100 mg Grazoprevir combined with Peg-Interferon/Ribavirin treatment.
干预措施: Blood Samples (Procedure)
Main Pt. 2: 100 mg Grazoprevir + Peg-IFN/RBV
100 mg Grazoprevir combined with Peg-Interferon/Ribavirin treatment.
干预措施: Ribavirin (Drug)
Main Pt. 2: 100 mg Grazoprevir + Peg-IFN/RBV
100 mg Grazoprevir combined with Peg-Interferon/Ribavirin treatment.
干预措施: 100 mg Grazoprevir (Drug)
Main Pt.1: 800 mg Grazoprevir
800 mg Grazoprevir.
干预措施: Liver Samples from FNA (Procedure)
Main Pt.1: 800 mg Grazoprevir
800 mg Grazoprevir.
干预措施: Liver Samples from CNB (Procedure)
Main Pt.1: 800 mg Grazoprevir
800 mg Grazoprevir.
干预措施: Blood Samples (Procedure)
Main Pt.1: 800 mg Grazoprevir
800 mg Grazoprevir.
干预措施: 800 mg Grazoprevir (Drug)
Procedural Pilot
Optimization of FNA procedure.
干预措施: Liver samples from CNB and FNA (Procedure)
结局指标
主要结局
Number of participants from whom detectable concentrations of hepatic Grazoprevir are obtained by FNA.
时间窗: Days 7-12.
次要结局
未报告次要终点
