An Open-Label, Single-Dose Study to Evaluate the Pharmacokinetics of Islatravir (MK-8591) in Subjects With Severe Renal Impairment
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 12
- 试验地点
- 2
- 主要终点
- Area Under the Curve From Time 0 to Infinity (AUC0-inf) of Plasma Islatravir (ISL)
研究概览
简要总结
This study will evaluate the general tolerability and pharmacokinetics (PK) of a single 60 mg dose of MK-8591 (Islatravir) in participants with severe renal insufficiency, compared to participants in good health.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 75 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Healthy participants must have the following:
- •Is in good health
- •Has a body mass index (BMI) ≥18.5 and ≤40 kg/m
- •Female is not pregnant or breastfeeding, and is not one of the following: a woman of childbearing potential (WOCBP); if a WOCBP, is using an acceptable contraceptive method, or is abstinent from heterosexual intercourse as their preferred and usual lifestyle; a WOCBP must have a negative highly sensitive pregnancy test within 24 hours before the first dose of study intervention
- •Renally impaired participants must have the following:
- •With the exception of renal impairment, is in generally good health
- •Has a BMI ≥ 18.5 and ≤ 40 kg/m2
- •Female is not pregnant or breastfeeding, and is not one of the following: a woman of childbearing potential (WOCBP); if a WOCBP, is using an acceptable contraceptive method, or is abstinent from heterosexual intercourse as their preferred and usual lifestyle; a WOCBP must have a negative highly sensitive pregnancy test within 24 hours before the first dose of study intervention
排除标准
- •Healthy participants must have the following:
- •Has a history of clinically significant endocrine, gastrointestinal, cardiovascular, hematological, hepatic, immunological, renal, respiratory, genitourinary, or major neurological (including stroke and chronic seizures) abnormalities or diseases.
- •Is mentally or legally incapacitated, has significant emotional problems
- •Has known hypersensitivity to the active substance or any of the excipients of the study drug
- •Has a history of significant multiple and/or severe allergies (e.g. food, drug, latex allergy), or has had an anaphylactic reaction or significant intolerability (i.e. systemic allergic reaction) to prescription or non-prescription drugs or food.
- •Is positive for hepatitis B surface antigen, hepatitis C antibodies or HIV.
- •Had major surgery, donated or lost 1 unit of blood (approximately 500 mL) within prior 4 weeks
- •Is taking medications to treat chronic medical conditions and/or conditions associated with renal disease
- •Has participated in another investigational study within prior 4 weeks
- •Other exclusions for healthy participants:
- •Does not agree to follow the smoking restrictions
- •Consumes greater than 1 glass for women, or 2 glasses for men of alcoholic beverages per day
- •Consumes excessive amounts,of caffeinated beverages per day.
- •Is a regular user of cannabis, any illicit drugs or has a history of drug (including alcohol) abuse within approximately prior 3 months.
- •Renally impaired participants must have the following:
- •Has a history or presence of renal artery stenosis.
- •Has had a renal transplant or nephrectomy.
- •Has rapidly fluctuating renal function as determined by historical measurements.
- •Has known hypersensitivity to the active substance or any of the excipients of the study drug.
- •Has a history of cancer (malignancy).
- •Has a history of significant multiple and/or severe allergies (e.g. food, drug, latex allergy), or has had an anaphylactic reaction or significant intolerability (i.e. systemic allergic reaction) to prescription or non-prescription drugs or food.
- •Is positive for hepatitis B surface antigen, hepatitis C antibodies or human immunodeficiency virus (HIV).
- •Had major surgery, donated or lost 1 unit of blood (approximately 500 mL) within 4 weeks prior to the prestudy (screening) visit.
- •Is taking medications to treat chronic medical conditions and/or conditions associated with renal disease and has not been on a stable regimen for at least 1 month and/or is unable to withhold the use of the medication(s) within 4 hours prior to and 8 hours after administration of the study drug.
- •Has participated in another investigational study within 4 weeks (or 5 half-lives, whichever is greater) prior to the prestudy (screening) visit.
- •Other exclusions for renally impaired participants
- •Does not agree to follow the smoking restrictions.
- •Consumes greater than 1 glass for women, or 2 glasses for men of alcoholic beverages per day.
- •Consumes excessive amounts of caffeinated beverages per day.
- •Is a regular user of cannabis, any illicit drugs or has a history of drug (including alcohol) abuse within approximately 3 months.
研究组 & 干预措施
Severe Renal Impairment
Participants with severe renal impairment received a single oral dose of 60 mg MK-8591 (Islatravir) administered in capsule form.
干预措施: Islatravir (Drug)
Healthy
Healthy participants received a single oral dose of 60 mg Islatravir administered in capsule form.
干预措施: Islatravir (Drug)
结局指标
主要结局
Area Under the Curve From Time 0 to Infinity (AUC0-inf) of Plasma Islatravir (ISL)
时间窗: Pre-dose, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, 168 hours post-dose
Participants were treated with islatravir (ISL), and blood samples were collected from pre-dose up to 168 hours post-dose to determine the concentration of plasma ISL. The 95% confidence interval was derived from a fixed effects model performed on natural log-transformed values.
Area Under the Curve From Time 0 to Last Sampling Time (AUC0-last) of Plasma ISL
时间窗: Pre-dose, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, 168 hours post-dose
Participants were treated with ISL, and blood samples were collected from pre-dose up to 168 hours post-dose to determine the concentration of plasma ISL. The 95% confidence interval was derived from a fixed effects model performed on natural log-transformed values.
Maximum Concentration (Cmax) of Plasma ISL
时间窗: Pre-dose, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, 168 hours post-dose
Participants were treated with ISL, and blood samples were collected from pre-dose up to 168 hours post-dose to determine the concentration of plasma ISL. The 95% confidence interval was derived from a fixed effects model performed on natural log-transformed values.
Time of Maximum Concentration (Tmax) of Plasma ISL
时间窗: Pre-dose, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, 168 hours post-dose
Participants were treated with ISL, and blood samples were collected from pre-dose up to 168 hours post-dose to determine the concentration of plasma ISL. The Tmax of plasma ISL was expressed as a median.
Apparent Terminal Half-life (t1/2) of Plasma ISL
时间窗: Pre-dose, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, 168 hours post-dose
Participants were treated with ISL, and blood samples were collected from pre-dose up to 168 hours post-dose to determine the concentration of plasma ISL. The Geometric Coefficient of Variation was expressed as a percent (%CV), and is calculated from the square root of corresponding estimated variance obtained for each population in fixed effect model multiplied by 100.
Apparent Clearance (CL/F) of Plasma ISL
时间窗: Pre-dose, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, 168 hours post-dose
Participants were treated with ISL, and blood samples were collected from pre-dose up to 168 hours post-dose to determine the concentration of plasma ISL. The 95% confidence interval was derived from a fixed effects model performed on natural log-transformed values.
Apparent Volume of Distribution (Vz/F) of Plasma ISL
时间窗: Pre-dose, 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, 168 hours post-dose
Participants were treated with ISL, and blood samples were collected from pre-dose up to 168 hours post-dose to determine the concentration of plasma ISL. The 95% confidence interval was derived from a fixed effects model performed on natural log-transformed values.
次要结局
- Concentration at 24 Hours Post Dose (C24) of ISL-TP in PBMC(24 hours post-dose)
- Concentration at 672 Hours Post Dose (C672) of ISL-TP in PBMC(672 hours post-dose)
- T1/2 of ISL-TP in PBMC(Pre-dose, 4, 24, 48, 96, 168 hours post-dose)
- AUC0-inf of ISL Triphosphate (ISL-TP) in Peripheral Blood Mononuclear Cells (PBMC)(Pre-dose, 4, 24, 48, 96, 168 hours post-dose)
- AUC0-last of ISL-TP in PBMC(Pre-dose, 4, 24, 48, 96, 168 hours post-dose)
- Cmax of ISL-TP in PBMC(Pre-dose, 4, 24, 48, 96, 168 hours post-dose)
- Tmax of ISL-TP in PBMC(Pre-dose, 4, 24, 48, 96, 168 hours post-dose)
- Concentration at 168 Hours Post Dose (C168) of ISL-TP in PBMC(168 hours post-dose)
- Percentage of Participants With an Adverse Event (AE)(Up to Day 29)
- Percentage of Participants Who Discontinued From the Study Due to an AE(Up to Day 29)
