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Phase 1 N=24 Treatment

Effect of Hepatic Impairment on M2951 (BTK Inhibitor) PK

Hepatic Impairment

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

OutcomeResultp-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
View full record on ClinicalTrials.gov →

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.

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