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CompletedNCT02341599Updated Feb 18, 2019Results posted

Study of Pharmacokinetics of a Single IV Dose of CB-238,618 in Subjects With Varying Degrees of Renal Impairment Compared to Healthy Subjects (MK-6183-001)

A Phase 1 interventional study of MK-6183 in Healthy Volunteers and Renal Impairment, sponsored by Cubist Pharmaceuticals LLC, a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA). Completed. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-02-18.

Sponsored by Cubist Pharmaceuticals LLC, a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA) · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
40
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to characterize the effect of renal function on the plasma, urine, and dialysate pharmacokinetic profile of MK-6183 (CB-238,618) in humans. The study will also assess the safety profile and tolerability of MK-6183 in healthy participants, participants with varying degrees of renal impairment (RI), or participants with end-stage renal disease (ESRD) requiring hemodialysis (HD), based on estimated glomerular filtration rate (eGFR).

02

Conditions studied

  • Healthy Volunteers
  • Renal Impairment

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03

In context

Renal Insufficiency

1,995 studies on the registry are indexed under Renal Insufficiency; 173 are open to participants now.

This study's enrollment of 40 is close to the median of 43 across 1,504 interventional studies indexed under Renal Insufficiency.

Browse Renal Insufficiency studies →

Lead sponsor

Cubist Pharmaceuticals LLC, a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA) is the lead sponsor of 65 studies on the registry; none are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 5 (83%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Participants who are healthy; or who have mild, moderate, or severe RI; or who have ESRD requiring HD. Participants with ESRD requiring HD should have been receiving HD 3 times per week for at least 3 months preceding the initial dose in this study

Exclusion criteria

Exclusion Criteria:

  • For healthy participants (Group A): history or presence of any clinically significant illness (e.g., cardiovascular, pulmonary, hepatic, renal, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurologic, oncologic, musculoskeletal, or psychiatric) or any other condition, including clinically significant anemia, which in the opinion of the investigator would jeopardize the safety of the participant or the validity of the study results
  • For participants with RI (Groups B to E): as above, except that RI and other medical conditions commonly associated with renal impairment (eg, hypertension, diabetes, which should be stable for at least three months preceding the initial dose of study medication in this study) are allowed
  • Clinically significant abnormalities on physical examination, medical history, 12-lead electrocardiogram (ECG), vital signs, or laboratory values, as judged by the investigator or designee. Subjects with renal impairment should have clinical laboratory values consistent with their disease and approved by the investigator
  • Evidence of clinically significant hepatic impairment including alanine aminotransferase or aspartate aminotransferase >1.5 × upper limit of normal (ULN) or bilirubin >1 × ULN
  • Hemoglobin \<8 g/dL, unless considered stable and not clinically significant in the opinion of the investigator in subjects with ESRD and on HD
  • Participants with renal impairment who are not on a chronic stable drug regimen, defined as starting a new drug or changing dosage within 14 days prior to administration of study medication, except for drugs administered in relationship to HD
  • Participants with fluctuating or rapidly deteriorating renal function (assessment of the stability of the subject's renal function will be determined by the investigator)
  • Participant has a currently functioning renal transplant and/or has been on significant immunosuppressant therapy, as determined by the investigator, within the last 6 months
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
40 participants (actual)

Study arms

  • Experimental
    Group A: Healthy

    Healthy participants with normal renal function (Stage 1: eGFR ≥90 mL/min/1.73m\^2).

    Drug: MK-6183

  • Experimental
    Group B: Mild RI

    Participants with mild RI (Stage 2: eGFR ≥60 to \<90 mL/min/1.73m\^2).

    Drug: MK-6183

  • Experimental
    Group C: Moderate RI

    Participants with moderate RI (Stage 3: eGFR ≥30 to \<60 mL/min/1.73m\^2).

    Drug: MK-6183

  • Experimental
    Group D: Severe RI

    Participants with severe RI (Stage 4: eGFR \<30 mL/min/1.73m\^2) not receiving HD.

    Drug: MK-6183

  • Experimental
    Group E: ESRD-HD

    Participants with ESRD who are receiving HD for at least 3 months preceding the initial dose in this study (Stage 5).

    Drug: MK-6183

Interventions

  • DrugMK-6183

    MK-6183 (CB-238,614) is supplied as lyophilized powder 500 mg vial and mixed into solution for 100 mL intravenous (IV) administration over 1 hour.

    Also known as: CB-238,618

06

What researchers measure

Primary outcomes

  1. Area Under the Plasma Concentration-time Curve (AUC) From Dosing to Last Measurable Concentration (AUC0-last) of MK-6183

    AUC0-last is the area under the plasma concentration-time curve from the time of dosing to the last post-dose measurable concentration. Blood samples for Group E were collected both prior to and during HD (Period 1) and after HD (Period 2) \[data from Periods 1 and 2 were analyzed separately\]. In Period 1, HD commenced 3.5 hours post-dose (HD duration was 3.5 to 4 hours) and sample collection continued until 48 hours post-dose. The specific time frame of plasma sample collection for Group E: Period 1 was pre-dose, 0.5 hours post-dose, EOI, 1.5 hours post-dose, 2 hours post-dose, 3 hours post-dose (pre-HD), 3.5 hours post-dose with HD, 5 hours post-dose with HD, pre-end of HD, 30 min post-HD, 1 hour post-HD, 2 hours post-HD, 12 hours post-dose, 24 hours post-dose, and 48 hours post-dose.

    Time frame: Groups A to D & Group E: Period 2: Pre-dose and 0.5, 1 (end of infusion; EOI), 1.5, 2, 3, 6, 12, 24, 48, and 72 hours post-dose

  2. AUC From Dosing to ∞ (AUC0-∞) of MK-6183

    AUC0-∞ is the extrapolated area under the plasma concentration-time curve from the time of dosing to infinity. Blood samples for Group E were collected both prior to and during HD (Period 1) and after HD (Period 2) \[data from Periods 1 and 2 were analyzed separately\]. In Period 1, HD commenced 3.5 hours post-dose (HD duration was 3.5 to 4 hours) and sample collection continued until 48 hours post-dose. The specific time frame of plasma sample collection for Group E: Period 1 was pre-dose, 0.5 hours post-dose, EOI, 1.5 hours post-dose, 2 hours post-dose, 3 hours post-dose (pre-HD), 3.5 hours post-dose with HD, 5 hours post-dose with HD, pre-end of HD, 30 min post-HD, 1 hour post-HD, 2 hours post-HD, 12 hours post-dose, 24 hours post-dose, and 48 hours post-dose. For statistical analyses, Group A is the reference and least squares (LS) mean ratios for tests (Groups B to E) are calculated as test/reference; Group E: Period 1 and Group E: Period 2 were also compared.

    Time frame: Groups A to D & Group E: Period 2: Pre-dose and 0.5, EOI, 1.5, 2, 3, 6, 12, 24, 48, and 72 hours post-dose

  3. Maximum Plasma Drug Concentration (Cmax) of MK-6183

    Cmax is the maximum observed post-dose drug concentration in plasma. Blood samples for Group E were collected both prior to and during HD (Period 1) and after HD (Period 2) \[data from Periods 1 and 2 were analyzed separately\]. In Period 1, HD commenced 3.5 hours post-dose (HD duration was 3.5 to 4 hours) and sample collection continued until 48 hours post-dose. The specific time frame of sample collection for Group E: Period 1 was pre-dose, 0.5 hours post-dose, EOI, 1.5 hours post-dose, 2 hours post-dose, 3 hours post-dose (pre-HD), 3.5 hours post-dose with HD, 5 hours post-dose with HD, pre-end of HD, 30 min post-HD, 1 hour post-HD, 2 hours post-HD, 12 hours post-dose, 24 hours post-dose, and 48 hours post-dose. For statistical analyses, Group A is the reference and LS mean ratios for tests (Groups B to E) are calculated as test/reference; Group E: Period 1 and Group E: Period 2 were also compared.

    Time frame: Groups A to D & Group E: Period 2: Pre-dose and 0.5, EOI, 1.5, 2, 3, 6, 12, 24, 48, and 72 hours post-dose

  4. Apparent Total Body Clearance of MK-6183 From Plasma (CL)

    CL is a measure of the clearance of drug from plasma via metabolism and excretion. Blood samples for Group E were collected both prior to and during HD (Period 1) and after HD (Period 2) \[data from Periods 1 and 2 were analyzed separately\]. In Period 1, HD commenced 3.5 hours post-dose (HD duration was 3.5 to 4 hours) and sample collection continued until 48 hours post-dose. The specific time frame of plasma sample collection for Group E: Period 1 was pre-dose, 0.5 hours post-dose, EOI, 1.5 hours post-dose, 2 hours post-dose, 3 hours post-dose (pre-HD), 3.5 hours post-dose with HD, 5 hours post-dose with HD, pre-end of HD, 30 min post-HD, 1 hour post-HD, 2 hours post-HD, 12 hours post-dose, 24 hours post-dose, and 48 hours post-dose.

    Time frame: Groups A to D & Group E: Period 2: Pre-dose and 0.5, EOI, 1.5, 2, 3, 6, 12, 24, 48, and 72 hours post-dose

  5. Volume of Distribution at Steady State (Vss) of MK-6183

    Vss is the apparent volume of distribution at steady state for MK-6183. Blood samples for Group E were collected both prior to and during HD (Period 1) and after HD (Period 2) \[data from Periods 1 and 2 were analyzed separately\]. In Period 1, HD commenced 3.5 hours post-dose (HD duration was 3.5 to 4 hours) and sample collection continued until 48 hours post-dose. The specific time frame of sample collection for Group E: Period 1 was pre-dose, 0.5 hours post-dose, EOI, 1.5 hours post-dose, 2 hours post-dose, 3 hours post-dose (pre-HD), 3.5 hours post-dose with HD, 5 hours post-dose with HD, pre-end of HD, 30 min post-HD, 1 hour post-HD, 2 hours post-HD, 12 hours post-dose, 24 hours post-dose, and 48 hours post-dose.

    Time frame: Groups A to D & Group E: Period 2: Pre-dose and 0.5, EOI, 1.5, 2, 3, 6, 12, 24, 48, and 72 hours post-dose

  6. Apparent Plasma Half-life (t½) of MK-6183

    t½ is the amount of time required for the plasma concentration of MK-6183 to reduce by 50%. Blood samples for Group E were collected both prior to and during HD (Period 1) and after HD (Period 2) \[data from Periods 1 and 2 were analyzed separately\]. In Period 1, HD commenced 3.5 hours post-dose (HD duration was 3.5 to 4 hours) and sample collection continued until 48 hours post-dose. The specific time frame of sample collection for Group E: Period 1 was pre-dose, 0.5 hours post-dose, EOI, 1.5 hours post-dose, 2 hours post-dose, 3 hours post-dose (pre-HD), 3.5 hours post-dose with HD, 5 hours post-dose with HD, pre-end of HD, 30 min post-HD, 1 hour post-HD, 2 hours post-HD, 12 hours post-dose, 24 hours post-dose, and 48 hours post-dose.

    Time frame: Groups A to D & Group E: Period 2: Pre-dose and 0.5, EOI, 1.5, 2, 3, 6, 12, 24, 48, and 72 hours post-dose

  7. Cumulative Amount of MK-6183 Excreted in Urine or Dialysate (Ae)

    Ae is the cumulative amount of drug excreted unchanged in urine or dialysate. For Groups A, B, C, and D, Ae was assessed in urine. For Group E: Period 1, Ae was assessed in dialysate (participants in Group E had no detectable urine data) at hourly collection intervals during HD (HD commenced 3 hours after dosing).

    Time frame: Groups A to D (urine): 0 to 24, 24 to 48, and 48 to 72 hours post-dose; Group E (dialysate): 0 to 1, 1 to 2, 2 to 3, and 3 to 4 hours after starting HD

  8. Renal Clearance of MK-6183 (CLr)

    CLr is the clearance of drug from plasma via the kidneys. Only data from Groups A, B, C, and D is presented; participants in Group E (Period 1) had no detectable urine data. Data for Group E: Period 1 are presented below in the dialysate clearance measure.

    Time frame: 0 to 24, 24 to 48, and 48 to 72 hours post-dose

  9. Dialysate Clearance of MK-6183 (CLd)

    CLd is the amount of drug cleared from plasma via dialysis. Only data collected during HD (Group E: Period 1) is presented (HD commenced 3 hours after dosing).

    Time frame: 0 to 1, 1 to 2, 2 to 3, and 3 to 4 hours after starting HD

  10. Fraction of the Administered Dose of MK-6183 Excreted Unchanged in Urine or Dialysate (Fe)

    Fe is the fraction (percentage) of the administered dose that was excreted unchanged in urine (Groups A to D) or dialysate (Group E: Period 1; HD commenced 3 hours after dosing).

    Time frame: Groups A to D (urine): 0 to 24, 24 to 48, and 48 to 72 hours post-dose; Group E (dialysate): 0 to 1, 1 to 2, 2 to 3, and 3 to 4 hours after starting HD

Secondary outcomes

  1. Number of Participants Experiencing an Adverse Event (AE)

    An AE is any untoward medical occurrence in a participant administered a pharmaceutical product that does not necessarily have to have a causal relationship with this treatment.

    Time frame: Up to 12 days

  2. Number of Participants Discontinuing From the Study Due to an AE

    An AE is any untoward medical occurrence in a participant administered a pharmaceutical product that does not necessarily have to have a causal relationship with this treatment.

    Time frame: Up to 12 days

07

Results

Posted Feb 18, 2019

Participant flow

Healthy participants, participants with varying degrees of renal impairment (RI), and participants with end-stage renal disease (ESRD) requiring hemodialysis (HD) (renal status was based on estimated glomerular filtration rate \[eGFR\]) were recruited at 2 study sites in the United States.

Participant flow — Overall Study
MilestoneGroup A: HealthyGroup B: Mild RIGroup C: Moderate RIGroup D: Severe RIGroup E: ESRD-HD
Started88888
Completed88888
Not completed00000

Outcome measures

PrimaryArea Under the Plasma Concentration-time Curve (AUC) From Dosing to Last Measurable Concentration (AUC0-last) of MK-6183

AUC0-last is the area under the plasma concentration-time curve from the time of dosing to the last post-dose measurable concentration. Blood samples for Group E were collected both prior to and during HD (Period 1) and after HD (Period 2) \[data from Periods 1 and 2 were analyzed separately\]. In Period 1, HD commenced 3.5 hours post-dose (HD duration was 3.5 to 4 hours) and sample collection continued until 48 hours post-dose. The specific time frame of plasma sample collection for Group E: Period 1 was pre-dose, 0.5 hours post-dose, EOI, 1.5 hours post-dose, 2 hours post-dose, 3 hours post-dose (pre-HD), 3.5 hours post-dose with HD, 5 hours post-dose with HD, pre-end of HD, 30 min post-HD, 1 hour post-HD, 2 hours post-HD, 12 hours post-dose, 24 hours post-dose, and 48 hours post-dose.

Time frame:
Groups A to D & Group E: Period 2: Pre-dose and 0.5, 1 (end of infusion; EOI), 1.5, 2, 3, 6, 12, 24, 48, and 72 hours post-dose
Reported as:
Mean · ug*hr/mL
Area Under the Plasma Concentration-time Curve (AUC) From Dosing to Last Measurable Concentration (AUC0-last) of MK-6183
ug*hr/mLGroup A: HealthyGroup B: Mild RIGroup C: Moderate RIGroup D: Severe RIGroup E: ESRD-HD Period 1Group E: ESRD-HD Period 2
Area Under the Plasma Concentration-time Curve (AUC) From Dosing to Last Measurable Concentration (AUC0-last) of MK-618387.6 ± 8.49114.8 ± 23.2097.5 ± 25.71228.0 ± 63.2477.4 ± 8.79270.6 ± 76.70
SecondaryNumber of Participants Experiencing an Adverse Event (AE)

An AE is any untoward medical occurrence in a participant administered a pharmaceutical product that does not necessarily have to have a causal relationship with this treatment.

Time frame:
Up to 12 days
Reported as:
Count of participants · Participants
Number of Participants Experiencing an Adverse Event (AE)
ParticipantsGroup A: HealthyGroup B: Mild RIGroup C: Moderate RIGroup D: Severe RIGroup E: ESRD-HD Periods 1 and 2
Number of Participants Experiencing an Adverse Event (AE)42234
PrimaryAUC From Dosing to ∞ (AUC0-∞) of MK-6183

AUC0-∞ is the extrapolated area under the plasma concentration-time curve from the time of dosing to infinity. Blood samples for Group E were collected both prior to and during HD (Period 1) and after HD (Period 2) \[data from Periods 1 and 2 were analyzed separately\]. In Period 1, HD commenced 3.5 hours post-dose (HD duration was 3.5 to 4 hours) and sample collection continued until 48 hours post-dose. The specific time frame of plasma sample collection for Group E: Period 1 was pre-dose, 0.5 hours post-dose, EOI, 1.5 hours post-dose, 2 hours post-dose, 3 hours post-dose (pre-HD), 3.5 hours post-dose with HD, 5 hours post-dose with HD, pre-end of HD, 30 min post-HD, 1 hour post-HD, 2 hours post-HD, 12 hours post-dose, 24 hours post-dose, and 48 hours post-dose. For statistical analyses, Group A is the reference and least squares (LS) mean ratios for tests (Groups B to E) are calculated as test/reference; Group E: Period 1 and Group E: Period 2 were also compared.

Time frame:
Groups A to D & Group E: Period 2: Pre-dose and 0.5, EOI, 1.5, 2, 3, 6, 12, 24, 48, and 72 hours post-dose
Reported as:
Mean · ug*hr/mL
AUC From Dosing to ∞ (AUC0-∞) of MK-6183
ug*hr/mLGroup A: HealthyGroup B: Mild RIGroup C: Moderate RIGroup D: Severe RIGroup E: ESRD-HD Period 1Group E: ESRD-HD Period 2
AUC From Dosing to ∞ (AUC0-∞) of MK-618387.8 ± 8.43115.1 ± 23.4497.8 ± 25.70228.6 ± 63.4486.8 ± 7.63296.3 ± 78.66
Statistical analysis
  • Group A: Healthy vs Group B: Mild RI · Ls mean ratio: 1.29 · 90% CI 1.06 to 1.58LS mean ratio was calculated from analysis of variance (ANOVA) model.
  • Group A: Healthy vs Group C: Moderate RI · Ls mean ratio: 1.08 · 90% CI 0.889 to 1.32LS mean ratio was calculated from ANOVA model.
  • Group A: Healthy vs Group D: Severe RI · Ls mean ratio: 2.51 · 90% CI 2.06 to 3.06LS mean ratio was calculated from ANOVA model.
  • Group A: Healthy vs Group E: ESRD-HD Period 1 · Ls mean ratio: 0.989 · 90% CI 0.806 to 1.21LS mean ratio was calculated from ANOVA model.
  • Group A: Healthy vs Group E: ESRD-HD Period 2 · Ls mean ratio: 3.27 · 90% CI 2.67 to 4.02LS mean ratio was calculated from ANOVA model.
  • Group E: ESRD-HD Period 1 vs Group E: ESRD-HD Period 2 · Ls mean ratio: 0.299 · 90% CI 0.236 to 0.378LS mean ratio was calculated from ANOVA model.
PrimaryMaximum Plasma Drug Concentration (Cmax) of MK-6183

Cmax is the maximum observed post-dose drug concentration in plasma. Blood samples for Group E were collected both prior to and during HD (Period 1) and after HD (Period 2) \[data from Periods 1 and 2 were analyzed separately\]. In Period 1, HD commenced 3.5 hours post-dose (HD duration was 3.5 to 4 hours) and sample collection continued until 48 hours post-dose. The specific time frame of sample collection for Group E: Period 1 was pre-dose, 0.5 hours post-dose, EOI, 1.5 hours post-dose, 2 hours post-dose, 3 hours post-dose (pre-HD), 3.5 hours post-dose with HD, 5 hours post-dose with HD, pre-end of HD, 30 min post-HD, 1 hour post-HD, 2 hours post-HD, 12 hours post-dose, 24 hours post-dose, and 48 hours post-dose. For statistical analyses, Group A is the reference and LS mean ratios for tests (Groups B to E) are calculated as test/reference; Group E: Period 1 and Group E: Period 2 were also compared.

Time frame:
Groups A to D & Group E: Period 2: Pre-dose and 0.5, EOI, 1.5, 2, 3, 6, 12, 24, 48, and 72 hours post-dose
Reported as:
Mean · ug/mL
Maximum Plasma Drug Concentration (Cmax) of MK-6183
ug/mLGroup A: HealthyGroup B: Mild RIGroup C: Moderate RIGroup D: Severe RIGroup E: ESRD-HD Period 1Group E: ESRD-HD Period 2
Maximum Plasma Drug Concentration (Cmax) of MK-618345.3 ± 5.2347.2 ± 8.1924.2 ± 5.9530.8 ± 3.9012.9 ± 4.6015.6 ± 6.59
Statistical analysis
  • Group A: Healthy vs Group B: Mild RI · Ls mean ratio: 1.04 · 90% CI 0.846 to 1.27LS mean ratio was calculated from ANOVA model.
  • Group A: Healthy vs Group C: Moderate RI · Ls mean ratio: 0.524 · 90% CI 0.428 to 0.641LS mean ratio was calculated from ANOVA model.
  • Group A: Healthy vs Group D: Severe RI · Ls mean ratio: 0.678 · 90% CI 0.554 to 0.831LS mean ratio was calculated from ANOVA model.
  • Group A: Healthy vs Group E: ESRD-HD Period 1 · Ls mean ratio: 0.273 · 90% CI 0.221 to 0.336LS mean ratio was calculated from ANOVA model.
  • Group A: Healthy vs Group E: ESRD-HD Period 2 · Ls mean ratio: 0.326 · 90% CI 0.265 to 0.402LS mean ratio was calculated from ANOVA model.
  • Group E: ESRD-HD Period 1 vs Group E: ESRD-HD Period 2 · Ls mean ratio: 0.808 · 90% CI 0.650 to 1.00LS mean ratio was calculated from ANOVA model.
PrimaryApparent Total Body Clearance of MK-6183 From Plasma (CL)

CL is a measure of the clearance of drug from plasma via metabolism and excretion. Blood samples for Group E were collected both prior to and during HD (Period 1) and after HD (Period 2) \[data from Periods 1 and 2 were analyzed separately\]. In Period 1, HD commenced 3.5 hours post-dose (HD duration was 3.5 to 4 hours) and sample collection continued until 48 hours post-dose. The specific time frame of plasma sample collection for Group E: Period 1 was pre-dose, 0.5 hours post-dose, EOI, 1.5 hours post-dose, 2 hours post-dose, 3 hours post-dose (pre-HD), 3.5 hours post-dose with HD, 5 hours post-dose with HD, pre-end of HD, 30 min post-HD, 1 hour post-HD, 2 hours post-HD, 12 hours post-dose, 24 hours post-dose, and 48 hours post-dose.

Time frame:
Groups A to D & Group E: Period 2: Pre-dose and 0.5, EOI, 1.5, 2, 3, 6, 12, 24, 48, and 72 hours post-dose
Reported as:
Mean · L/hour
Apparent Total Body Clearance of MK-6183 From Plasma (CL)
L/hourGroup A: HealthyGroup B: Mild RIGroup C: Moderate RIGroup D: Severe RIGroup E: ESRD-HD Period 1Group E: ESRD-HD Period 2
Apparent Total Body Clearance of MK-6183 From Plasma (CL)11.5 ± 1.239.0 ± 1.655.5 ± 1.642.4 ± 0.962.9 ± 0.260.9 ± 0.30
PrimaryVolume of Distribution at Steady State (Vss) of MK-6183

Vss is the apparent volume of distribution at steady state for MK-6183. Blood samples for Group E were collected both prior to and during HD (Period 1) and after HD (Period 2) \[data from Periods 1 and 2 were analyzed separately\]. In Period 1, HD commenced 3.5 hours post-dose (HD duration was 3.5 to 4 hours) and sample collection continued until 48 hours post-dose. The specific time frame of sample collection for Group E: Period 1 was pre-dose, 0.5 hours post-dose, EOI, 1.5 hours post-dose, 2 hours post-dose, 3 hours post-dose (pre-HD), 3.5 hours post-dose with HD, 5 hours post-dose with HD, pre-end of HD, 30 min post-HD, 1 hour post-HD, 2 hours post-HD, 12 hours post-dose, 24 hours post-dose, and 48 hours post-dose.

Time frame:
Groups A to D & Group E: Period 2: Pre-dose and 0.5, EOI, 1.5, 2, 3, 6, 12, 24, 48, and 72 hours post-dose
Reported as:
Mean · Liters
Volume of Distribution at Steady State (Vss) of MK-6183
LitersGroup A: HealthyGroup B: Mild RIGroup C: Moderate RIGroup D: Severe RIGroup E: ESRD-HD Period 1Group E: ESRD-HD Period 2
Volume of Distribution at Steady State (Vss) of MK-618321.4 ± 2.6422.8 ± 4.4323.9 ± 6.0319.4 ± 2.5552.1 ± 16.5725.3 ± 8.33
PrimaryApparent Plasma Half-life (t½) of MK-6183

t½ is the amount of time required for the plasma concentration of MK-6183 to reduce by 50%. Blood samples for Group E were collected both prior to and during HD (Period 1) and after HD (Period 2) \[data from Periods 1 and 2 were analyzed separately\]. In Period 1, HD commenced 3.5 hours post-dose (HD duration was 3.5 to 4 hours) and sample collection continued until 48 hours post-dose. The specific time frame of sample collection for Group E: Period 1 was pre-dose, 0.5 hours post-dose, EOI, 1.5 hours post-dose, 2 hours post-dose, 3 hours post-dose (pre-HD), 3.5 hours post-dose with HD, 5 hours post-dose with HD, pre-end of HD, 30 min post-HD, 1 hour post-HD, 2 hours post-HD, 12 hours post-dose, 24 hours post-dose, and 48 hours post-dose.

Time frame:
Groups A to D & Group E: Period 2: Pre-dose and 0.5, EOI, 1.5, 2, 3, 6, 12, 24, 48, and 72 hours post-dose
Reported as:
Mean · Hours
Apparent Plasma Half-life (t½) of MK-6183
HoursGroup A: HealthyGroup B: Mild RIGroup C: Moderate RIGroup D: Severe RIGroup E: ESRD-HD Period 1Group E: ESRD-HD Period 2
Apparent Plasma Half-life (t½) of MK-61832.1 ± 0.452.8 ± 0.334.0 ± 1.286.8 ± 1.9018.1 ± 3.7919.2 ± 5.04
SecondaryNumber of Participants Discontinuing From the Study Due to an AE

An AE is any untoward medical occurrence in a participant administered a pharmaceutical product that does not necessarily have to have a causal relationship with this treatment.

Time frame:
Up to 12 days
Reported as:
Count of participants · Participants
Number of Participants Discontinuing From the Study Due to an AE
ParticipantsGroup A: HealthyGroup B: Mild RIGroup C: Moderate RIGroup D: Severe RIGroup E: ESRD-HD Periods 1 and 2
Number of Participants Discontinuing From the Study Due to an AE00000
PrimaryCumulative Amount of MK-6183 Excreted in Urine or Dialysate (Ae)

Ae is the cumulative amount of drug excreted unchanged in urine or dialysate. For Groups A, B, C, and D, Ae was assessed in urine. For Group E: Period 1, Ae was assessed in dialysate (participants in Group E had no detectable urine data) at hourly collection intervals during HD (HD commenced 3 hours after dosing).

Time frame:
Groups A to D (urine): 0 to 24, 24 to 48, and 48 to 72 hours post-dose; Group E (dialysate): 0 to 1, 1 to 2, 2 to 3, and 3 to 4 hours after starting HD
Reported as:
Mean · mg
Cumulative Amount of MK-6183 Excreted in Urine or Dialysate (Ae)
mgGroup A: HealthyGroup B: Mild RIGroup C: Moderate RIGroup D: Severe RIGroup E: ESRD-HD Period 1
Cumulative Amount of MK-6183 Excreted in Urine or Dialysate (Ae)840.5 ± 65.33699.1 ± 234.69360.0 ± 33.82309.1 ± 51.30122.9 ± 29.21
PrimaryRenal Clearance of MK-6183 (CLr)

CLr is the clearance of drug from plasma via the kidneys. Only data from Groups A, B, C, and D is presented; participants in Group E (Period 1) had no detectable urine data. Data for Group E: Period 1 are presented below in the dialysate clearance measure.

Time frame:
0 to 24, 24 to 48, and 48 to 72 hours post-dose
Reported as:
Mean · Liters/hour
Renal Clearance of MK-6183 (CLr)
Liters/hourGroup A: HealthyGroup B: Mild RIGroup C: Moderate RIGroup D: Severe RI
Renal Clearance of MK-6183 (CLr)9.6 ± 1.146.1 ± 2.134.0 ± 1.611.7 ± 1.07
PrimaryDialysate Clearance of MK-6183 (CLd)

CLd is the amount of drug cleared from plasma via dialysis. Only data collected during HD (Group E: Period 1) is presented (HD commenced 3 hours after dosing).

Time frame:
0 to 1, 1 to 2, 2 to 3, and 3 to 4 hours after starting HD
Reported as:
Mean · Liters/hour
Dialysate Clearance of MK-6183 (CLd)
Liters/hourGroup E: ESRD-HD Period 1
Dialysate Clearance of MK-6183 (CLd)1.4 ± 0.42
PrimaryFraction of the Administered Dose of MK-6183 Excreted Unchanged in Urine or Dialysate (Fe)

Fe is the fraction (percentage) of the administered dose that was excreted unchanged in urine (Groups A to D) or dialysate (Group E: Period 1; HD commenced 3 hours after dosing).

Time frame:
Groups A to D (urine): 0 to 24, 24 to 48, and 48 to 72 hours post-dose; Group E (dialysate): 0 to 1, 1 to 2, 2 to 3, and 3 to 4 hours after starting HD
Reported as:
Mean · mg
Fraction of the Administered Dose of MK-6183 Excreted Unchanged in Urine or Dialysate (Fe)
mgGroup A: HealthyGroup B: Mild RIGroup C: Moderate RIGroup D: Severe RIGroup E: ESRD-HD Period 1
Fraction of the Administered Dose of MK-6183 Excreted Unchanged in Urine or Dialysate (Fe)84.0 ± 6.5369.9 ± 23.4772.0 ± 6.7661.8 ± 10.2649.2 ± 11.68

Adverse events

Collected over Up to 12 days. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Group A: Healthy0/8 (0%)0/8 (0%)4/8 (50%)
Group B: Mild RI0/8 (0%)0/8 (0%)2/8 (25%)
Group C: Moderate RI0/8 (0%)0/8 (0%)2/8 (25%)
Group D: Severe RI0/8 (0%)0/8 (0%)3/8 (37.5%)
Group E: ESRD-HD0/8 (0%)0/8 (0%)4/8 (50%)
Most frequent other events
Showing 10 of 19
Most frequent other events
EventGroup A: HealthyGroup B: Mild RIGroup C: Moderate RIGroup D: Severe RIGroup E: ESRD-HD
HeadacheNervous system disorders0/80/80/81/82/8
PalpitationsCardiac disorders0/80/80/81/80/8
DiarrhoeaGastrointestinal disorders0/80/81/80/80/8
Infusion site erythemaGeneral disorders1/80/80/80/80/8
Infusion site painGeneral disorders1/80/80/80/80/8
ParonychiaInfections and infestations1/80/80/80/80/8
RhinitisInfections and infestations0/81/80/80/80/8
ArthralgiaMusculoskeletal and connective tissue disorders0/81/80/81/80/8
Joint swellingMusculoskeletal and connective tissue disorders0/81/80/80/80/8
Balance disorderNervous system disorders0/80/81/80/80/8

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Group A: HealthyGroup B: Mild RIGroup C: Moderate RIGroup D: Severe RIGroup E: ESRD-HDTotal
Mean55.3 ± 2.4363.8 ± 11.1669.1 ± 4.8865.3 ± 10.4755.1 ± 7.5561.7 ± 44.81
Sex: Female, Male
Sex: Female, Male(Participants)Group A: HealthyGroup B: Mild RIGroup C: Moderate RIGroup D: Severe RIGroup E: ESRD-HDTotal
Female2314111
Male6574729
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Study locations

No study locations are listed for this record.

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References and documents

Individual participant data

Plan to share: Yes — https://www.merck.com/clinical-trials/pdf/ProcedureAccessClinicalTrialData.pdf

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 18, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02341599
Lead sponsor
Cubist Pharmaceuticals LLC, a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA)
Responsible party
Sponsor
First posted
Jan 19, 2015
Start date
Dec 11, 2014
Primary completion
Apr 13, 2015
Completion
Apr 20, 2015
Results posted
Feb 18, 2019
Last update
Feb 18, 2019

Study contacts

Medical Director
study director · Merck Sharp & Dohme LLC

Oversight

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

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