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TerminatedNCT02078557Updated Oct 31, 2018Results posted

A Multiple Dose Titration Study of MK-8892 in Participants With Pulmonary Hypertension and Left Heart Disease (MK-8892-007)

A Phase 1 interventional study of MK-8892 in Pulmonary Hypertension and Left Heart Disease, sponsored by Merck Sharp & Dohme LLC. Terminated. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2018-10-31.

Sponsored by Merck Sharp & Dohme LLC · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
4
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Study summary

This study will assess multiple doses of MK-8892 administered to participants with pulmonary hypertension "out of proportion" (PHOOP) and heart failure with reduced left ventricular ejection fraction (rEF). It is hypothesized that generally safe and well tolerated multiple doses of MK-8892 will achieve a true reduction from baseline in pulmonary vascular resistance (PVR) greater than 12%.

Sixteen participants with PHOOP/rEF were to receive multiple doses of MK-8892 titrated to the highest tolerated dose for each participant (up to 4 mg daily), and to undergo evaluation for safety and systemic hemodynamics and cardiac function. Only 4 participants were enrolled and completed the study due to a strategic business decision by the sponsor to terminate the clinical conduct of all MK-8892 ongoing trials including this trial.

02

Conditions studied

  • Pulmonary Hypertension
  • Left Heart Disease
03

In context

Hypertension, Pulmonary

1,105 studies on the registry are indexed under Hypertension, Pulmonary; 234 are open to participants now.

This study's enrollment of 4 is below the median of 35 across 649 interventional studies indexed under Hypertension, Pulmonary.

Browse Hypertension, Pulmonary studies →

Lead sponsor

Merck Sharp & Dohme LLC is the lead sponsor of 2,114 studies on the registry; 133 are open to participants now.

Of its 489 completed or terminated interventional studies of FDA-regulated products, 362 (74%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Pulmonary hypertension (out of proportion, PHOOP) and heart failure with reduced left ventricular ejection fraction (PHOOP/rEF)
  • If female, cannot be pregnant or breastfeeding. Females of reproductive potential must agree to agree to use (and/or have their partner use) two (2) acceptable methods of birth control throughout the study and until 2 weeks after the last dose of study drug is administered
  • Body mass index (BMI) \<=35 kg/m\^2 and and \<=18 kg/m\^2
  • Has World Health Organization (WHO) Group 2 pulmonary hypertension (PAH)
  • Stable heart failure on optimal medical therapy with no hospitalizations for congestion due to heart failure within the previous 3 months

Exclusion criteria

Exclusion Criteria:

  • Primary pulmonary arterial hypertension or veno-occlusive disease (WHO Group 1), or pulmonary hypertension secondary to other causes (WHO Groups 3 -5) including but not limited to autoimmune disease, connective tissue disease, and Eisenmenger syndrome
  • Currently treatment with or anticipates use of nitrate, phosphodiesterase type 5 (PDE5) inhibitor, or medications known to induce or inhibit cytochrome P450 3A4 (CYP3A4) metabolism, and cannot be transitioned off of this therapy for >=7 days prior to dosing and through completion of this study
  • Symptoms of coronary artery disease requiring therapy with nitrates, within the past 3 months
  • Severe aortic or mitral stenosis, or severe aortic, mitral, or tricuspid insufficiency.
  • Significant carotid artery disease
  • Restrictive, infiltrative (e.g., amyloidosis) or hypertrophic cardiomyopathy
  • Mentally or legally institutionalized or incapacitated, has significant emotional problems at the time of pre study (screening) visit or expected during the conduct of the study or has a history of a clinically significant psychiatric disorder over the last 5 years. Subjects who have had situational depression may be enrolled in the study at the discretion of the investigator.
  • History of stroke, chronic seizures, or major neurological disorder
  • History of clinically significant endocrine (not including diabetes mellitus), gastrointestinal, hematological, hepatic (not including chronic Hepatitis C), immunological (not including chronic human immunodeficiency virus [HIV]), respiratory, or genitourinary abnormalities or diseases. Participants with a history of childhood asthma may be enrolled in the study at the discretion of the investigator. Participants with controlled hypertension are allowed to be enrolled.
  • Unable to refrain from or anticipates the use of any medication, including prescription and non-prescription drugs or herbal remedies (such as St. John's Wort [hypericum perforatum]) beginning approximately 2 weeks (or 5 half-lives) prior to administration of the dose of study drug, throughout the study (including washout intervals between treatment periods), until the post study visit. There may be certain medications that will be permitted.
  • Consumes excessive amounts of alcohol, defined as greater than 5 glasses of alcoholic beverages (1 glass is approximately equivalent to: beer [284 mL/10 ounces], wine [125 mL/4 ounces], or distilled spirits [25 mL/1 ounce]) per day
  • Major surgery or donated blood within 8 weeks prior to the pre study (screening) visit
  • Participated in another investigational study within 4 weeks prior to the pre study (screening) visit
  • History of significant multiple and/or severe allergies (including latex allergy), or has had an anaphylactic reaction or significant intolerability to prescription or nonprescription drugs or food
  • Uses illicit drugs or has a history of drug (including alcohol) abuse within the past 6 months
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
4 participants (actual)

Study arms

  • Experimental
    MK-8892

    Starting dose of 1 mg daily (oral); the dose may be titrated up on the 8th, 15th, and 22nd day of treatment to 2 mg, 3 mg, or 4 mg, respectively, for the duration of the study (28 days) as tolerated. For participants who reach one or more of the down-dosing criteria, there is an opportunity to decrease the dose back to a previously well-tolerated dose level, or to ½ of the starting dose.

    Drug: MK-8892

Interventions

  • DrugMK-8892
06

What researchers measure

Primary outcomes

  1. Percentage Change From Baseline in Pulmonary Vascular Resistance (PVR)

    Pulmonary vascular resistance (PVR) is the general pressure which the right ventricle must counteract to pump blood through the lungs. PVR was measured by right heart catheterization performed prior to dosing at baseline (Day 1) and 4 hours postdose on Day 28. Percentage change in PVR from baseline at Day 28 was calculated as \[(Baseline-Day 28)/Baseline\]. Standard deviation is reported as a percentage.

    Time frame: Baseline and Day 28

  2. Number of Participants Who Experienced an Adverse Event

    An adverse event was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or disease temporally associated with the use of the study drug or a study procedure, whether or not considered related to the study drug or study procedure. Any worsening of a preexisting condition which is temporally associated with the use of the study drug is also an adverse event.

    Time frame: Up to 42 days

  3. Number of Participants Who Discontinued Study Drug Due to an Adverse Event

    An adverse event was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or disease temporally associated with the use of the study drug or a study procedure, whether or not considered related to the study drug or study procedure. Any worsening of a preexisting condition which is temporally associated with the use of the study drug is also an adverse event.

    Time frame: Up to 28 days

07

Results

Posted Oct 31, 2018

Participant flow

Participant flow — Overall Study
MilestoneMK-8892
Started4
Completed4
Not completed0

Outcome measures

PrimaryPercentage Change From Baseline in Pulmonary Vascular Resistance (PVR)

Pulmonary vascular resistance (PVR) is the general pressure which the right ventricle must counteract to pump blood through the lungs. PVR was measured by right heart catheterization performed prior to dosing at baseline (Day 1) and 4 hours postdose on Day 28. Percentage change in PVR from baseline at Day 28 was calculated as \[(Baseline-Day 28)/Baseline\]. Standard deviation is reported as a percentage.

Time frame:
Baseline and Day 28
Reported as:
Mean · Percentage change
Percentage Change From Baseline in Pulmonary Vascular Resistance (PVR)
Percentage changeMK-8892
Percentage Change From Baseline in Pulmonary Vascular Resistance (PVR)-51 ± 199
PrimaryNumber of Participants Who Experienced an Adverse Event

An adverse event was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or disease temporally associated with the use of the study drug or a study procedure, whether or not considered related to the study drug or study procedure. Any worsening of a preexisting condition which is temporally associated with the use of the study drug is also an adverse event.

Time frame:
Up to 42 days
Reported as:
Count of participants · Participants
Number of Participants Who Experienced an Adverse Event
ParticipantsMK-8892
Number of Participants Who Experienced an Adverse Event0
PrimaryNumber of Participants Who Discontinued Study Drug Due to an Adverse Event

An adverse event was defined as any untoward medical occurrence in the form of signs, symptoms, abnormal laboratory findings, or disease temporally associated with the use of the study drug or a study procedure, whether or not considered related to the study drug or study procedure. Any worsening of a preexisting condition which is temporally associated with the use of the study drug is also an adverse event.

Time frame:
Up to 28 days
Reported as:
Count of participants · Participants
Number of Participants Who Discontinued Study Drug Due to an Adverse Event
ParticipantsMK-8892
Number of Participants Who Discontinued Study Drug Due to an Adverse Event0

Adverse events

Collected over Up to 42 days. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
MK-88920/4 (0%)0/4 (0%)0/4 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(Years)MK-8892
Mean60 ± 5.6
Sex: Female, Male
Sex: Female, Male(Participants)MK-8892
Female1
Male3
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Study locations

No study locations are listed for this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 31, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02078557
Lead sponsor
Merck Sharp & Dohme LLC
Responsible party
Sponsor
First posted
Mar 5, 2014
Start date
May 9, 2014
Primary completion
Aug 15, 2014
Completion
Sep 10, 2014
Results posted
Oct 31, 2018
Last update
Oct 31, 2018

Study contacts

Medical Director
study director · Merck Sharp & Dohme LLC

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Mar 2018. You cannot join it, but the record below documents what was studied.

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