Phase 1
N=24
Effect of Hepatic Impairment on M2951 (BTK Inhibitor) PK
Hepatic Impairment
Bottom Line
View on ClinicalTrials.gov: NCT04546789 ↗Enrolled (actual)
24
Serious AEs
0.0%
Results posted
Oct 2025
Primary outcome: Primary: Area Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUC0-inf) of M2951 — 186; 232; 362 hour*nanogram per milliliter (h*ng/mL)
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- M2951 (BTK inhibitor) (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany
- Primary completion
- May 2021
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Area Under the Plasma Concentration Time Curve From Time Zero to Infinity (AUC0-inf) of M2951 |
186; 232; 362 | — |
| PRIMARY Maximum Observed Plasma Concentration (Cmax) of M2951 |
63.8; 79.2; 118 | — |
| SECONDARY Number of Participants With Treatment-Emergent Adverse Events (TEAEs) |
0; 0; 1 | — |
| SECONDARY Change From Baseline in Hematology Parameters: Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils, Platelets and Reticulocytes |
-0.006; -0.005; -0.003; -0.003; 0.004; 0.006 | — |
| SECONDARY Change From Baseline in Hematology Parameters: Basophils/Leukocytes, Eosinophils/Leukocytes, Lymphocytes/Leukocytes, Monocytes/Leukocytes, Neutrophils/Leukocytes and Reticulocytes/Erythrocytes |
-0.16; -0.04; 0.01; -0.08; 0.06; 0.21 | — |
| SECONDARY Change From Baseline in Hematology Parameter: Erythrocytes Mean Corpuscular Hemoglobin |
-0.04; -0.25; -0.07; -0.09; -0.02; 0.06 | — |
| SECONDARY Change From Baseline in Hematology Parameters: Erythrocytes Mean Corpuscular Volume |
0.14; 0.03; -0.22; 0.61; 0.54; -0.19 | — |
| SECONDARY Change From Baseline in Hematology Parameter: Erythrocytes |
0.017; -0.096; -0.113; -0.083; -0.163; -0.179 | — |
| SECONDARY Change From Baseline in Hematology Parameter: Hematocrit |
0.0022; -0.0096; -0.0112; -0.0042; -0.0131; -0.0174 | — |
| SECONDARY Change From Baseline in Hematology Parameter: Hemoglobin |
0.4; -4.5; -3.6; -2.9; -5.6; -5.4 | — |
| SECONDARY Change From Baseline in Hematology Parameter: Prothrombin International Normalized Ratio |
-0.006; 0.006; 0.006; 0.021; -0.006; -0.029 | — |
| SECONDARY Change From Baseline in Hematology Parameter: Prothrombin Time |
-0.12; 0.04; 0.14; 0.12; -0.06; -0.19 | — |
| SECONDARY Change From Baseline in Chemistry Parameters: Alanine Aminotransferase, Alkaline Phosphatase, Amylase, Aspartate Aminotransferase, Creatine Kinase, Gamma Glutamyl Transferase, Lactate Dehydrogenase, Lipase |
0.9; -9.4; -2.0; 0.8; -7.0; -0.4 | — |
| SECONDARY Change From Baseline in Chemistry Parameters: Albumin and Protein |
-1.1; -4.0; -2.3; -0.6; -1.5; -0.8 | — |
| SECONDARY Change From Baseline in Chemistry Parameters: Bilirubin, Creatinine and Urate |
-0.42760; 3.41455; 3.20700; 0.21380; -0.21380; -2.77940 | — |
| SECONDARY Change From Baseline in Chemistry Parameter: C Reactive Protein |
-0.04; -0.22; 0.40; -0.05; 0.26; 1.25 | — |
| SECONDARY Change From Baseline in Chemistry Parameters: Calcium, Chloride, Cholesterol, Glucose, Magnesium, Phosphate, Potassium, Sodium, Triglycerides, Urea and Urea Nitrogen |
-0.030; -0.020; -0.036; -0.039; -0.033; -0.090 | — |
| SECONDARY Change From Baseline in 12-lead Electrocardiogram (ECG) Parameter: Heart Rate |
0.3; -0.9; 0.9; 11.8; 7.4; 5.8 | — |
| SECONDARY Change From Baseline in 12-lead Electrocardiogram (ECG) Parameters: PQ/PR Interval, QRS Duration, QT Interval, Corrected QT Interval Using Fridericia's Formula (QTcF) and RR Duration at Day 1 and Day 6 |
-0.3; 0.3; -2.0; -12.5; -4.5; -10.0 | — |
| SECONDARY Change From Baseline in Vital Sign Parameters: Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) |
3.5; -3.6; 2.0; 5.6; 4.8; -1.1 | — |
| SECONDARY Change From Baseline in Vital Sign Parameter: Pulse Rate |
1.1; 1.5; -1.4; 11.3; 7.4; 8.8 | — |
| SECONDARY Change From Baseline in Vital Sign Parameter: Respiratory Rate |
-1.0; 0.9; -0.6; 1.5; 0.0; -0.8 | — |
| SECONDARY Change From Baseline in Vital Sign Parameter: Temperature |
-0.04; -0.00; -0.01; 0.46; 0.05; 0.19 | — |
| SECONDARY Time to Reach the Maximum Plasma Concentration (Tmax) of M2951 |
2.00; 1.76; 1.75 | — |
| SECONDARY Apparent Elimination Half Life (t1/2) of M2951 |
1.54; 2.55; 2.65 | — |
| SECONDARY Area Under The Plasma Concentration-Time Curve From Time Zero to Time 12 Hours (AUC0-12) of M2951 |
184; 224; 351 | — |
| SECONDARY Area Under the Plasma Concentration-Time Curve From Time Zero to Time 24 Hours (AUC0-24) of M2951 |
185; 231; 360 | — |
| SECONDARY Area Under the Plasma Concentration-Time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUC0-tlast) of M2951 |
184; 228; 357 | — |
| SECONDARY Apparent Total Body Clearance (CL/f) of M2951 |
162; 129; 82.9 | — |
| SECONDARY Apparent Volume of Distribution During Terminal Phase (VZ/f) of M2951 |
337; 498; 301 | — |
| SECONDARY Fraction of Unbound Drug (fu) of M2951 |
5.00; 5.78; 6.55 | — |
| SECONDARY Area Under Plasma Concentration for Unbound Drug (M2951) From Time Zero to Infinity (AUC0-inf,u) |
9.28; 13.4; 23.7 | — |
| SECONDARY Maximum Observed Plasma Concentration of Unbound M2951 (Cmax, u) |
3.19; 4.57; 7.72 | — |
| SECONDARY Apparent Oral Clearance (CL,u/F) of Unbound M2951 |
3230; 2240; 1270 | — |
Summary
This study was to investigate the pharmacokinetic (PK) and safety of M2951 (Bruton's tyrosine kinase [BTK] inhibitor) in participants with different degrees of hepatic impairment compared to participants with normal hepatic function.
Eligibility Criteria
Inclusion Criteria
- Participants with normal hepatic function only will be overtly healthy as determined by medical evaluation, including no clinically significant abnormality identified on physical examination or laboratory evaluation and no active clinically significant disorder, condition, infection or disease that would pose a risk to participant safety or interfere with the study evaluation, procedures, or completion OR
- Participants with moderately impaired hepatic function only will be considered to have moderately (Child-Pugh class B and confirmed liver cirrhosis) impaired hepatic function and has been clinically stable for at least 1 month prior to Screening OR
- Participants with mildly impaired hepatic function only will be considered to have mildly (Child-Pugh class A and confirmed liver cirrhosis) impaired hepatic function and has been clinically stable for at least 1 month prior to Screening
- Have a body weight within 50.0 and 120.0 kilogram (kg) and body mass index (BMI) within the range 19.0 and 36.0 kilogram per square meter (kg/m^2)
- Female participants are not pregnant or breastfeeding, and at least one of the following conditions applies
- Not a woman of childbearing potential (WOCBP)
- Other protocol defined inclusion criteria could apply
Exclusion Criteria
- Clinical history of autoimmune disorder with hepatic influence (Hashimoto thyroiditis and rheumatic diseases allowed)
- History of any malignancy
- Diseases and surgeries of the gastrointestinal tract, which could influence the gastrointestinal anatomy and mobility. Prior history of cholecystectomy or inflammatory bowel disease, and any clinically relevant surgery within 6 months prior to Screening
- History of chronic or recurrent acute infection or any bacterial, viral, parasitic or fungal infections within 30 days prior to Screening and at any time between Screening and admission, or hospitalization due to infection within 6 months prior to Screening
- History of shingles within 12 months prior to Screening
- History of drug hypersensitivity, ascertained or presumptive allergy/hypersensitivity to the active drug substance and/or formulation ingredients; history of serious allergic reactions leading to hospitalization or any other hypersensitivity reaction in general, which may affect the safety of the participant and/or outcome of the trial per the Investigator's discretion
- Participants with impaired hepatic function will be excluded who had Primary and secondary biliary cirrhosis.
- Participants with impaired hepatic function will be excluded with Clinical evidence of severe ascites.
- Participants with impaired hepatic function will be excluded with Hepatic encephalopathy Grade greater than 1
- Other protocol defined exclusion criteria could apply
Data sourced from ClinicalTrials.gov (NCT04546789). 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.