Phase 1
N=16
Pharmacokinetics, Safety, and Tolerability of Ertugliflozin (MK-8835/PF-04971729) in Participants With Hepatic Impairment and in Healthy Participants (MK-8835-014)
Type 2 Diabetes Mellitus · Hepatic Impairment
Bottom Line
View on ClinicalTrials.gov: NCT02115347 ↗Enrolled (actual)
16
Serious AEs
0.0%
Results posted
Aug 2018
Primary outcome: Primary: Area Under the Plasma Concentration-Time Curve From Time 0 to Time of the Last Quantifiable Concentration (AUClast) for Ertugliflozin — 1413; 1618 ng•hr/mL
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- Ertugliflozin 15 mg (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Merck Sharp & Dohme LLC
- Primary completion
- Jan 2015
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Area Under the Plasma Concentration-Time Curve From Time 0 to Time of the Last Quantifiable Concentration (AUClast) for Ertugliflozin |
1413; 1618 | — |
| PRIMARY AUC From Hour 0 to Infinity (AUCinf) for Ertugliflozin |
1430; 1636 | — |
| SECONDARY AUClast for Fraction of Ertugliflozin Unbound in Plasma (AUClast,u) |
52.47; 54.77 | — |
| SECONDARY AUCinf for Fraction of Ertugliflozin Unbound in Plasma (AUCinf,u) |
53.14; 55.40 | — |
| SECONDARY Maximum Plasma Concentration (Cmax) of Ertugliflozin |
251.1; 319.0 | — |
| SECONDARY Cmax for Fraction of Ertugliflozin Unbound in Plasma (Cmax,u) |
9.336; 10.79 | — |
| SECONDARY Number of Participants Who Experienced an Adverse Event |
2; 3 | — |
Summary
This is a study to assess the pharmacokinetics and safety of ertugliflozin (MK-8835, PF-04971729) in participants with hepatic impairment versus healthy participants. In Part 1 of the study, participants with moderate hepatic impairment (Child-Pugh score 7-9) and matched healthy participants will be enrolled; depending on results in Part 1, Part 2 may be conducted and will enroll participants with mild hepatic impairment (Child-Pugh score 5-6).
Eligibility Criteria
Inclusion Criteria
ALL PARTICIPANTS:
- Body Mass Index (BMI) of 18 to 40 kg/m^2; and a total body weight >50 kg (110 lbs)
- Male or female not of reproductive potential
- If a female of reproductive potential, agrees to remain abstinent from heterosexual activity or agree to use or have their partner use 2 methods of acceptable contraception to prevent pregnancy while the participant is receiving study medication and for 14 days after the last dose of study medication PARTICIPANTS WITH NORMAL HEPATIC FUNCTION
- Healthy with normal hepatic function PARTICIPANTS WITH HEPATIC IMPAIRMENT
- Satisfy the criteria for Child-Pugh classification [moderate (Part 1): Child-Pugh Scores 7-9 points, mild (Part 2): Child-Pugh Scores 5-6 points] within 14 days before administration of study medication
- A diagnosis of hepatic impairment due to primary liver disease and not secondary to other diseases
- Stable hepatic impairment, defined as no clinically-significant change in disease status within the last 30 days
- On a stable dose of medication and/or treatment regimen used to manage hepatic disease for at least 4 weeks prior to study start
Exclusion Criteria
ALL PARTICIPANTS
- A known hypersensitivity or intolerance to ertugliflozin or any other Sodium-Glucose co-Transporter 2 (SGLT2) inhibitor (i.e., canagliflozin [Invokana], dapagliflozin [Farxiga], empagliflozin, or ipragliflozin)
- Febrile illness within 5 days prior to the first dose of study medication
- Any clinically significant malabsorption condition
- A positive urine drug screen for drugs of abuse or recreational drugs
- Abuse of alcohol or binge drinking and/or any other illicit drug use or dependence within 6 months of study start
- Treatment with an investigational drug within 30 days preceding the first dose of study medication
- Pregnant or breastfeeding females
- Use of herbal supplements within 28 days prior to the first dose of study medication
- Blood donation (excluding plasma donations) of approximately 1 pint (500 mL) or more within 56 days prior to dosing
- History of sensitivity to heparin or heparin-induced thrombocytopenia PARTICIPANTS WITH NORMAL HEPATIC FUNCTION
- Use of prescription drugs (hormonal methods of birth control are allowed), vitamins, and dietary supplements within 7 days prior to the first dose of study medication
- Positive serology for Hepatitis B or C PARTICIPANTS WITH HEPATIC IMPAIRMENT
- Hepatic carcinoma and hepatorenal syndrome or life expectancy less than 1 year
- Undergone portal-caval shunt surgery
- History of gastrointestinal hemorrhage due to esophageal varices or peptic ulcers less than 1 month prior to study entry
- Signs of significant hepatic encephalopathy
- Severe ascites and/or pleural effusion
- A transplanted kidney, heart or liver
- Received any of the following medications within 7 days prior to the first dose of study medication or during the study: other SGLT2 inhibitors (eg, dapagliflozin, canagliflozin, empagliflozin, and ipragliflozin); any potent drug-metabolizing enzyme-inducing drug, including rifampin, phenytoin, and carbamazepine; probenecid, valproic acid, gemfibrozil
Data sourced from ClinicalTrials.gov (NCT02115347). 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.