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A Multiple Dose Investigational Drug Study in Patients With Type 2 Diabetes (MK-0941-005)

A Multi-Center, Randomized, Double-Blind, Placebo-Controlled, Sequential Panel Study to Assess the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of MK0941 After Multiple Daily Administration of MK0941 Before Each Meal (q.a.c.) in Subjects With Type 2 Diabetes

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00511667
Enrollment
70
Registered
2007-08-06
Start date
2007-05-31
Completion date
2008-04-30
Last updated
2016-08-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Type 2 Diabetes Mellitus

Brief summary

A multiple dose study to assess the safety and pharmacokinetics of an investigational drug in patients with type 2 diabetes. The primary hypotheses of the study are that multiple daily MK-0941 in subjects with T2DM with or without adequate control on metformin will be sufficiently safe and well tolerated to permit continued clinical investigation.

Interventions

DRUGMK0941

MK0941 10 mg, 20 mg, 30 mg, or 40 mg before each meal or before 2 meals each day, or 60 mg before 2 meals each day

DRUGComparator: Placebo

Placebo 10 mg, 20 mg, 30 mg, or 40 mg before each meal or before 2 meals each day, or 60 mg before 2 meals each day

Sponsors

Merck Sharp & Dohme LLC
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No

Inclusion criteria

* Nonsmoking Male or Female (of non-child bearing potential) * Diagnosis of Type 2 Diabetes and is being treated with diet and exercise alone or with less than 3 oral anti-hyperglycemic agents * Panel E only (MK0941 60 mg before 2 meals each day): diagnosis of Type 2 Diabetes and is on a dose of metformin of greater than or equal to 1500 mg for 8 weeks or more

Exclusion criteria

* Subject is on insulin or a peroxisome proliferator-activated receptor (PPAR) agonist * Subject is on 3 or more oral anti-diabetes medications * Subject has a history of type 1 diabetes * Subject has a diagnosis of glaucoma or is blind * Subject has had trauma to one or both eyes

Design outcomes

Primary

MeasureTime frame
Participants With Any Clinical Adverse ExperienceApproximately 30 days after last dose of study drug (14 days for participants receiving MK0941 40 mg before each meal)
Participants Discontinued Because of Any Clinical Adverse ExperienceApproximately 30 days after last dose of study drug (14 days for participants receiving MK0941 40 mg before each meal)

Secondary

MeasureTime frame
Time to Maximum Concentration (Tmax) of MK-0941 After Multiple Doses of MK-0941Up to 72 hours after dosing (up to 24 hours for participants receiving MK0941 60 mg before 2 meals each day)
Area Under the Concentration-time Curve (AUC0-24) of MK-0941 After Multiple Doses of MK0941Up to 72 hours after dosing (up to 24 hours for participants receiving MK0941 60 mg before 2 meals each day)
Concentration of MK-0941 at 24 Hours (C24hr) After Multiple Doses of MK-0941Up to 72 hours after dosing (up to 24 hours for participants receiving MK0941 60 mg before 2 meals each day)
Apparent Terminal Elimination Half-life (T1/2) of MK-0941 After Multiple Doses of MK0941Up to 72 hours after dosing (up to 24 hours for participants receiving MK0941 60 mg before 2 meals each day)
Maximum Concentration (Cmax) of MK-0941 After Multiple Doses of MK-0941Up to 72 hours after dosing (up to 24 hours for participants receiving MK0941 60 mg before 2 meals each day)

Participant flow

Participants by arm

ArmCount
MK-0941
All participants receiving any dose of MK-0941
52
Placebo
All participants receiving any dose of placebo
18
Total70

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event10
Overall StudyOther21
Overall StudyProtocol Violation11
Overall StudySite terminated61
Overall StudyWithdrawal by Subject20

Baseline characteristics

CharacteristicMK-0941PlaceboTotal
Age, Customized
29 to 70 years
52 participants18 participants70 participants
Sex: Female, Male
Female
23 Participants10 Participants33 Participants
Sex: Female, Male
Male
29 Participants8 Participants37 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
27 / 5211 / 18
serious
Total, serious adverse events
0 / 520 / 18

Outcome results

Primary

Participants Discontinued Because of Any Clinical Adverse Experience

Time frame: Approximately 30 days after last dose of study drug (14 days for participants receiving MK0941 40 mg before each meal)

ArmMeasureGroupValue (NUMBER)
MK-0941Participants Discontinued Because of Any Clinical Adverse ExperienceHyperglycemia1 participants
MK-0941Participants Discontinued Because of Any Clinical Adverse ExperienceAll other adverse experiences0 participants
PlaceboParticipants Discontinued Because of Any Clinical Adverse ExperienceHyperglycemia0 participants
PlaceboParticipants Discontinued Because of Any Clinical Adverse ExperienceAll other adverse experiences0 participants
Primary

Participants With Any Clinical Adverse Experience

Time frame: Approximately 30 days after last dose of study drug (14 days for participants receiving MK0941 40 mg before each meal)

ArmMeasureValue (NUMBER)
MK-0941Participants With Any Clinical Adverse Experience51.9 percentage of of participants
PlaceboParticipants With Any Clinical Adverse Experience61.1 percentage of of participants
Secondary

Apparent Terminal Elimination Half-life (T1/2) of MK-0941 After Multiple Doses of MK0941

Time frame: Up to 72 hours after dosing (up to 24 hours for participants receiving MK0941 60 mg before 2 meals each day)

ArmMeasureValue (MEAN)Dispersion
MK-0941Apparent Terminal Elimination Half-life (T1/2) of MK-0941 After Multiple Doses of MK094110.4 hoursStandard Deviation 5.2
PlaceboApparent Terminal Elimination Half-life (T1/2) of MK-0941 After Multiple Doses of MK094111.4 hoursStandard Deviation 2.2
Panel C: MK-0941 40 mg Day 7Apparent Terminal Elimination Half-life (T1/2) of MK-0941 After Multiple Doses of MK09418.4 hoursStandard Deviation 6.3
Panel D: MK-0941 40 mg Day 13Apparent Terminal Elimination Half-life (T1/2) of MK-0941 After Multiple Doses of MK094110.1 hoursStandard Deviation 3.5
Panel E: MK-0941 60 mgApparent Terminal Elimination Half-life (T1/2) of MK-0941 After Multiple Doses of MK094111.4 hoursStandard Deviation 2.1
Secondary

Area Under the Concentration-time Curve (AUC0-24) of MK-0941 After Multiple Doses of MK0941

Time frame: Up to 72 hours after dosing (up to 24 hours for participants receiving MK0941 60 mg before 2 meals each day)

ArmMeasureValue (MEAN)Dispersion
MK-0941Area Under the Concentration-time Curve (AUC0-24) of MK-0941 After Multiple Doses of MK09412343.29 nM-hrStandard Deviation 253.73
PlaceboArea Under the Concentration-time Curve (AUC0-24) of MK-0941 After Multiple Doses of MK09413789.25 nM-hrStandard Deviation 1002.05
Panel C: MK-0941 40 mg Day 7Area Under the Concentration-time Curve (AUC0-24) of MK-0941 After Multiple Doses of MK09418387.74 nM-hrStandard Deviation 2102.17
Panel D: MK-0941 40 mg Day 13Area Under the Concentration-time Curve (AUC0-24) of MK-0941 After Multiple Doses of MK09417673.77 nM-hrStandard Deviation 3616.45
Panel E: MK-0941 60 mgArea Under the Concentration-time Curve (AUC0-24) of MK-0941 After Multiple Doses of MK09418692.07 nM-hrStandard Deviation 2681.37
Secondary

Concentration of MK-0941 at 24 Hours (C24hr) After Multiple Doses of MK-0941

Time frame: Up to 72 hours after dosing (up to 24 hours for participants receiving MK0941 60 mg before 2 meals each day)

ArmMeasureValue (MEAN)Dispersion
MK-0941Concentration of MK-0941 at 24 Hours (C24hr) After Multiple Doses of MK-094126.75 nMStandard Deviation 6.43
PlaceboConcentration of MK-0941 at 24 Hours (C24hr) After Multiple Doses of MK-094142.99 nMStandard Deviation 9.35
Panel C: MK-0941 40 mg Day 7Concentration of MK-0941 at 24 Hours (C24hr) After Multiple Doses of MK-094195.07 nMStandard Deviation 34.95
Panel D: MK-0941 40 mg Day 13Concentration of MK-0941 at 24 Hours (C24hr) After Multiple Doses of MK-094176.89 nMStandard Deviation 24.27
Panel E: MK-0941 60 mgConcentration of MK-0941 at 24 Hours (C24hr) After Multiple Doses of MK-0941149.30 nMStandard Deviation 82.68
Secondary

Maximum Concentration (Cmax) of MK-0941 After Multiple Doses of MK-0941

Time frame: Up to 72 hours after dosing (up to 24 hours for participants receiving MK0941 60 mg before 2 meals each day)

ArmMeasureValue (MEAN)Dispersion
MK-0941Maximum Concentration (Cmax) of MK-0941 After Multiple Doses of MK-0941228.35 nMStandard Deviation 88.54
PlaceboMaximum Concentration (Cmax) of MK-0941 After Multiple Doses of MK-0941364.96 nMStandard Deviation 151.25
Panel C: MK-0941 40 mg Day 7Maximum Concentration (Cmax) of MK-0941 After Multiple Doses of MK-0941841.57 nMStandard Deviation 348.34
Panel D: MK-0941 40 mg Day 13Maximum Concentration (Cmax) of MK-0941 After Multiple Doses of MK-0941648.49 nMStandard Deviation 159.73
Panel E: MK-0941 60 mgMaximum Concentration (Cmax) of MK-0941 After Multiple Doses of MK-09411145.81 nMStandard Deviation 330.56
Secondary

Time to Maximum Concentration (Tmax) of MK-0941 After Multiple Doses of MK-0941

Time frame: Up to 72 hours after dosing (up to 24 hours for participants receiving MK0941 60 mg before 2 meals each day)

ArmMeasureValue (MEAN)Dispersion
MK-0941Time to Maximum Concentration (Tmax) of MK-0941 After Multiple Doses of MK-09411.5 hoursFull Range 6.43
PlaceboTime to Maximum Concentration (Tmax) of MK-0941 After Multiple Doses of MK-09411.0 hoursFull Range 9.35
Panel C: MK-0941 40 mg Day 7Time to Maximum Concentration (Tmax) of MK-0941 After Multiple Doses of MK-09411.0 hoursFull Range 34.95
Panel D: MK-0941 40 mg Day 13Time to Maximum Concentration (Tmax) of MK-0941 After Multiple Doses of MK-09411.0 hoursFull Range 24.27
Panel E: MK-0941 60 mgTime to Maximum Concentration (Tmax) of MK-0941 After Multiple Doses of MK-09412.0 hoursFull Range 82.68

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026