Phase 1
Completed N=4
A Multiple Dose Study of Grazoprevir (MK-5172) in Hepatitis C-Infected Participants (MK-5172-010)
Source: ClinicalTrials.gov NCT01537900 ↗Enrolled (actual)
4
Serious AEs
25.0%
Results posted
Mar 2016
Primary outcomePrimary: Estimated Area Under the Liver Concentration-time Curve for 24 Hours Post-dose (AUC[H]0-24hr) of Grazoprevir — 19800 µM*hr
Summary
The goal of this study was to compare hepatic pharmacokinetics (PK) derived from liver tissue to plasma PK after administration of grazoprevir (MK-5172) to participants with chronic hepatitis C virus (HCV) infection. Participants will be randomized to one of four different liver ultrasound-guided Fine Needle Aspirate (FNA) schedules (at 4-, 8-, 24-, or 72-hours after the Day 7 dose).
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Estimated Area Under the Liver Concentration-time Curve for 24 Hours Post-dose (AUC[H]0-24hr) of Grazoprevir |
19800 | — |
| PRIMARY Hepatic Concentration of GZR (C[H]Xhr) |
390; 1340; 575; 434 | — |
| PRIMARY Apparent Terminal Hepatic Half-life (t[H]½ ) of GZR |
— | — |
| SECONDARY Plasma AUC[0-24 hr] of GZR |
— | — |
| SECONDARY Maximum Plasma Concentration (Cmax) of GZR |
— | — |
| SECONDARY Lowest Plasma Concentration (Ctrough) of GZR |
— | — |
| SECONDARY Time to Maximum Plasma Concentration (Tmax) of GZR |
— | — |
| SECONDARY Plasma t½ of GZR |
— | — |
Eligibility Criteria
Inclusion criteria
- has a Body Mass Index (BMI) ≥18.5 kg/m² and ≤36.0 kg/m²
- has chronic compensated, genotype 1 HCV infection
- has no cirrhosis of the liver as confirmed by FibroSure®/Fibro Test® and/or local country procedure (e.g. transient elastography/Fibroscan)
- does not require anticoagulants, nonsteroidal anti-inflammatory agents, and aspirin for at least fourteen (14) days preceding the initial liver biopsy and continuing throughout the entire study
- if is a female participant of reproductive potential, is willing to use 2 medically acceptable forms of contraception for 2 weeks prior to start of treatment through 2 weeks after last study treatment
- if is a male participant with a partner(s) of reproductive potential, is willing to use 2 medically acceptable forms of contraception from first dose to 90 days after last dose
Exclusion criteria
- has a history of stroke, chronic seizures, or major neurological disorder
- has received previous treatment with a direct-acting antiviral (DAA)
- has evidence of high grade bridging fibrosis from prior liver biopsy within 3 years of study entry
- has evidence or history of chronic hepatitis not caused by HCV infection including but not limited to non-HCV viral hepatitis, nonalcoholic steatohepatitis (NASH), drug-induced hepatitis, or autoimmune hepatitis
- has clinical or laboratory evidence of cirrhosis or other advanced liver disease
- has decompensated liver disease as indicated by a history of ascites, hepatic encephalopathy, or bleeding esophageal varices
- has been diagnosed with, or suspected of having, hepatocellular carcinoma (HCC)
- has clinically significant abnormality on an electrocardiogram (ECG)
- is co-infected with human immunodeficiency virus (HIV)
- is positive for Hepatitis B surface antigen (HBsAg) or other evidence of active Hepatitis B infection
- has a history of gastric bypass surgery, bowel resection or other disorder that may interfere with absorption
- has a history of clinically significant uncontrolled endocrine, gastrointestinal, cardiovascular, hematological, immunological, renal, respiratory, or genitourinary abnormalities or diseases
- has clinically significant neoplastic disease
- uses alcohol to excess, defined as greater than 3 glasses of alcoholic beverages (1 glass is approximately equivalent to: beer [354 mL], wine [118 mL], or distilled spirits [29.5 mL]) per day
- is a current regular user (including use of any illicit drugs) or history of drug (including alcohol) abuse within the last 3 months
- has undergone surgery, donation of 1 unit of blood (approximately 500 mL) or participation in another investigational study within a period of 4 weeks prior to the screening visit
- has a history of multiple and/or severe allergies, or anaphylactic reaction or intolerability to prescription or nonprescription drugs or food
- is pregnant or lactating
- is expecting to donate eggs or sperm
Data sourced from ClinicalTrials.gov (NCT01537900). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.