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Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of MK-3281 in Healthy and Hepatitis C Infected Male Participants (MK-3281-002)

A 2-Part, Randomized, Double-Blind, Placebo-Controlled, Multiple-Rising Dose Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of MK-3281 in Healthy Male Subjects and Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of MK-3281 in Hepatitis C Infected Male Patients

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00635804
Enrollment
60
Registered
2008-03-14
Start date
2008-02-19
Completion date
2009-12-22
Last updated
2018-09-05

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

Conditions

Hepatitis C

Brief summary

This study will examine the safety, tolerability and plasma pharmacokinetics of multiple doses of MK-3281 in healthy male participants in Part I, and in Hepatitis C Virus (HCV)-infected male participants in Part II. The clinical efficacy of MK-3281, as measured by viral load reduction, will also be assessed in Part II. The primary hypothesis is that twice daily administration of MK-3281 for 10 days in healthy adult male participants and for 7 days in HCV-infected male participants is sufficiently safe and well tolerated, based on assessment of clinical and laboratory adverse experiences, to permit continued clinical investigation. The results of this study will guide dose selection for future studies in both healthy participants and HCV-infected participants.

Interventions

DRUGMK-3281

MK-3281 capsule administered orally BID for 7 or 10 consecutive days depending on randomized dose. The PM dose of MK-3281 was not administered on Day 7 (for HCV-infected males) or Day 10 (for healthy males)

DRUGPlacebo to MK-3281

Dose-matched placebo to MK-3281 capsule administered orally BID for 7 or 10 consecutive days depending on randomized dose of MK-3281 in serial panel. The PM dose of matched placebo was not administered on Day 7 or 10 (depending upon allocation).

Sponsors

Merck Sharp & Dohme LLC
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
MALE
Age
18 Years to 65 Years
Healthy volunteers
Yes

Inclusion criteria

* Participant is judged to be in good/stable health based on medical history, physical examination, vital signs, and laboratory safety tests performed at the prestudy (screening) visit and/or prior to administration of the initial dose of study drug * Participant has no clinically significant abnormality on electrocardiogram (ECG) performed at the prestudy (screening) visit and/or prior to administration of the initial dose of study drug * Participants with female partner(s) of childbearing potential must agree to use a medically acceptable method of contraception during the study and for 90 days after the last dose of study drug * Participant has a clinical diagnosis of chronic HCV infection (for Part II only).

Exclusion criteria

* Participant has a history of stroke, chronic seizures, or major neurological disorder * Participant has a history of clinically significant endocrine, gastrointestinal, cardiovascular, hematological, immunological, renal, respiratory, or genitourinary abnormalities or diseases * Participant has a history of neoplastic disease (including leukemia, lymphoma, malignant melanoma), or myeloproliferative disease, regardless of the time since treatment * Participant has positive Hepatitis B surface antigen (or other evidence of active Hepatitis B infection) at the prescreening (study) visit * For Healthy Panel (Part I), participant has evidence of chronic Hepatitis C virus infection at the prescreening (study) visit * Participant has a history of documented Human Immunodeficiency Virus (HIV) infection

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants Experiencing Adverse Events (AEs)Up to 14 days after the last dose of study drug (up to 24 days maximum)An AE was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the SPONSOR's product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which is temporally associated with the use of the SPONSOR's product, was also an AE.
Number of Participants Who Discontinued Study Medication Due to AEsUp to 14 days after the last dose of study drug (up to 24 days maximum)An AE was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the SPONSOR's product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which is temporally associated with the use of the SPONSOR's product, was also an AE.

Secondary

MeasureTime frameDescription
12-Hour Concentration of MK-3281 in Plasma (C12hr)Predose daily on Days 2-9 (for healthy participants) and Days 2-6 (for HCV+ participants), and predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post-dose on Day 1, Day 7 (HCV+ participants), and Day 10 (healthy participants)Blood samples were obtained from participants and MK-3281 plasma C12hr was calculated at Days 1 and 7 (for HCV+ participants) or Day 10 (for healthy participants) using the MK-3281 assay.
Time To Reach Cmax (Tmax) of MK-3281Predose daily on Days 2-9 (for healthy participants) and Days 2-6 (for HCV+ participants), and predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post-dose on Day 1, Day 7 (HCV+ participants), and Day 10 (healthy participants)Blood samples were obtained from participants and MK-3281 Tmax was calculated at Days 1 and 7 (for HCV+ participants) or Day 10 (for healthy participants) using the MK-3281 assay.
Apparent Half-Life (t ½) of MK-3281Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, and 96 hours post-dose on Day 7 (HCV+ participants) or Day 10 (healthy participants)Blood samples were obtained from participants and MK-3281 apparent t ½ was calculated at Day 7 (for HCV+ participants) or Day 10 (for healthy participants) using the MK-3281 assay. Harmonic mean t ½ and pseudo standard deviation were reported.
Area Under the Plasma Concentration Versus Time Curve From Time Zero to Time 12 Hours (AUC[0-12]) of MK-3281Predose daily on Days 2-9 (for healthy participants) and Days 2-6 (for HCV+ participants), and predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post-dose on Day 1, Day 7 (HCV+ participants), and Day 10 (healthy participants)Blood samples were obtained from participants and MK-3281 AUC(0-12) was calculated at Days 1 and 7 (for HCV+ participants) or Day 10 (for healthy participants) using the MK-3281 assay.
Cmax Accumulation Ratio of MK-3281Predose daily on Days 2-9 (for healthy participants) and Days 2-6 (for HCV+ participants), and predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post-dose on Day 1, Day 7 (HCV+ participants), and Day 10 (healthy participants)Blood samples were obtained from participants and the MK-3281 Cmax accumulation ratio was calculated for HCV+ participants and healthy participants. Cmax accumulation ratio calculated for healthy participants as Day 10 Cmax / Day 1 Cmax. Cmax accumulation ratio calculated for HCV+ participants as Day 7 Cmax / Day 1 Cmax.
C12hr Accumulation Ratio of MK-3281Predose daily on Days 2-9 (for healthy participants) and Days 2-6 (for HCV+ participants), and predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post-dose on Day 1, Day 7 (HCV+ participants), and Day 10 (healthy participants)Blood samples were obtained from participants and the MK-3281 C12hr accumulation ratio was calculated for HCV+ participants and healthy participants. C12hr accumulation ratio calculated for healthy participants as Day 10 C12hr / Day 1 C12hr. C12hr accumulation ratio calculated for HCV+ participants as Day 7 C12hr / Day 1 C12hr.
Maximum HCV Viral Load Change From Baseline Over Study Following MK-3281 Dosing For 7 DaysBaseline (pre-dose Day 1), Day 2, Day 3, Day 4, Day 5, Day 6, Day 7For evaluation of MK-3281 antiviral activity, the maximum reduction in HCV ribonucleic acid (RNA) levels over the course of the study was assessed by MK-3281 dose group in HCV+ participants and the mean maximum viral load reduction was summarized. HCV RNA levels were measured at predose and 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24 hours postdose on Day 1 and Day 7; pre-morning (AM) and pre-evening (PM) dose Day 2; and pre AM dose Days 3-6. For each participant, baseline measurement was defined as the measurement obtained pre-dose on the first day of dosing, and change from baseline (difference) was calculated at each time point. The response for that participant was defined as: - (postbaseline time point - baseline) at the time point with the lowest HCV RNA level.
AUC (0-12hr) Accumulation Ratio of MK-3281Predose daily on Days 2-9 (for healthy participants) and Days 2-6 (for HCV+ participants), and predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post-dose on Day 1, Day 7 (HCV+ participants), and Day 10 (healthy participants)Blood samples were obtained from participants and the MK-3281 AUC(0-12hr) accumulation ratio was calculated for HCV+ participants and healthy participants. AUC(0-12hr) accumulation ratio calculated for healthy participants as Day 10 AUC (0-12hr) / Day 1 AUC (0-12hr). AUC(0-12hr) accumulation ratio calculated for HCV+ participants as Day 7 AUC (0-12hr) / Day 1 AUC (0-12hr).
Maximum Plasma Concentration (Cmax) of MK-3281Predose daily on Days 2-9 (for healthy participants) and Days 2-6 (for HCV+ participants), and predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post-dose on Day 1, Day 7 (HCV+ participants), and Day 10 (healthy participants)Blood samples were obtained from participants and MK-3281 Cmax was calculated at Days 1 and 7 (for HCV+ participants) or Day 10 (for healthy participants) using the MK-3281 assay.

Participant flow

Recruitment details

Panel H, planned for GT1a/GT1b HCV-infected male participants to receive 400 mg MK-3281 orally BID for 7 consecutive days, did not enroll any participants. As pre-specified by the protocol, it was possible that some panels would not be enrolled if study objectives were met with prior doses.

Pre-assignment details

60 participants were enrolled in this study and received MK-3281 or placebo in Panels A through G.

Participants by arm

ArmCount
Pt 1: MK-3281 100 mg BID (Panel A)
Healthy male participants in this Part I serial panel receive 100 mg MK-3281 orally twice daily (BID) for 10 consecutive days for a total daily dose administered of 200 mg. The evening (PM) dose of MK-3281 was not administered on Day 10.
7
Pt 1: MK-3281 200 mg BID (Panel B)
Healthy male participants in this Part I serial panel receive 200 mg MK-3281 orally BID for 10 consecutive days for a total daily dose administered of 400 mg. The PM dose of MK-3281 was not administered on Day 10.
6
Pt 1: MK-3281 400 mg BID (Panel C)
Healthy male participants in this Part I serial panel receive 400 mg MK-3281 orally BID for 10 consecutive days for a total daily dose administered of 800 mg. The PM dose of MK-3281 was not administered on Day 10.
6
Pt 1: MK-3281 800 mg BID (Panel D)
Healthy male participants in this Part I serial panel receive 800 mg MK-3281 orally BID for 10 consecutive days for a total daily dose administered of 1600 mg. The PM dose of MK-3281 was not administered on Day 10.
6
Pt 2: MK-3281 800 mg BID (Panel E)
Genotype (GT)1 Hepatitis C Virus (HCV)-infected male participants in this Part II serial panel received 800 mg MK-3281 orally BID for 7 consecutive days for a total daily dose administered of 1600 mg. The PM dose of MK-3281 was not administered on Day 7.
6
Pt 2: MK-3281 800 mg BID (Panel F)
GT1a/GT1-nontypeable/GT3/GT1b HCV-infected male participants in this Part II serial panel receive 800 mg MK-3281 orally BID for 7 consecutive days for a total daily dose administered of 1600 mg. The PM dose of MK-3281 was not administered on Day 7.
12
Pt 2: MK-3281 1200 mg BID (Panel G)
GT1a (and/or GT1 nontypeable) and GT1b HCV-infected male participants in this Part II serial panel receive 1200 mg MK-3281 orally BID for 7 consecutive days for a total daily dose administered of 2400 mg. The PM dose of MK-3281 was not administered on Day 7.
3
Placebo
Participants receive dose-matched placebo to MK-03281 orally BID for 7 or 10 consecutive days depending on randomization. The PM dose of matched placebo was not administered on Day 7 or 10 (depending upon allocation).
14
Total60

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007
Overall StudyAdverse Event00000100
Overall StudyWithdrawal by Subject10000000

Baseline characteristics

CharacteristicPt 1: MK-3281 100 mg BID (Panel A)Pt 1: MK-3281 200 mg BID (Panel B)Pt 1: MK-3281 400 mg BID (Panel C)Pt 1: MK-3281 800 mg BID (Panel D)Pt 2: MK-3281 800 mg BID (Panel E)Pt 2: MK-3281 800 mg BID (Panel F)Pt 2: MK-3281 1200 mg BID (Panel G)PlaceboTotal
Age, Continuous37.1 years
STANDARD_DEVIATION 8.7
36.3 years
STANDARD_DEVIATION 13.5
37.0 years
STANDARD_DEVIATION 13
34.0 years
STANDARD_DEVIATION 14.9
39.2 years
STANDARD_DEVIATION 7.3
47.5 years
STANDARD_DEVIATION 8.8
45.0 years
STANDARD_DEVIATION 5.2
39.4 years
STANDARD_DEVIATION 10
39.9 years
STANDARD_DEVIATION 10.9
Sex: Female, Male
Female
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Sex: Female, Male
Male
7 Participants6 Participants6 Participants6 Participants6 Participants12 Participants3 Participants14 Participants60 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
5 / 73 / 64 / 65 / 63 / 612 / 122 / 312 / 14
serious
Total, serious adverse events
0 / 70 / 60 / 60 / 60 / 60 / 120 / 30 / 14

Outcome results

Primary

Number of Participants Experiencing Adverse Events (AEs)

An AE was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the SPONSOR's product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which is temporally associated with the use of the SPONSOR's product, was also an AE.

Time frame: Up to 14 days after the last dose of study drug (up to 24 days maximum)

Population: All Treated Participants

ArmMeasureValue (NUMBER)
Pt 1: MK-3281 100 mg BID (Panel A)Number of Participants Experiencing Adverse Events (AEs)5 participants
Pt 1: MK-3281 200 mg BID (Panel B)Number of Participants Experiencing Adverse Events (AEs)3 participants
Pt 1: MK-3281 400 mg BID (Panel C)Number of Participants Experiencing Adverse Events (AEs)4 participants
Pt 1: MK-3281 800 mg BID (Panel D)Number of Participants Experiencing Adverse Events (AEs)5 participants
Pt 2: MK-3281 800 mg BID (Panel E)Number of Participants Experiencing Adverse Events (AEs)3 participants
Pt 2: MK-3281 800 mg BID (Panel F)Number of Participants Experiencing Adverse Events (AEs)12 participants
Pt 2: MK-3281 1200 mg BID (Panel G)Number of Participants Experiencing Adverse Events (AEs)2 participants
PlaceboNumber of Participants Experiencing Adverse Events (AEs)12 participants
Primary

Number of Participants Who Discontinued Study Medication Due to AEs

An AE was defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the SPONSOR's product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a preexisting condition which is temporally associated with the use of the SPONSOR's product, was also an AE.

Time frame: Up to 14 days after the last dose of study drug (up to 24 days maximum)

Population: All Treated Participants

ArmMeasureValue (NUMBER)
Pt 1: MK-3281 100 mg BID (Panel A)Number of Participants Who Discontinued Study Medication Due to AEs0 participants
Pt 1: MK-3281 200 mg BID (Panel B)Number of Participants Who Discontinued Study Medication Due to AEs0 participants
Pt 1: MK-3281 400 mg BID (Panel C)Number of Participants Who Discontinued Study Medication Due to AEs0 participants
Pt 1: MK-3281 800 mg BID (Panel D)Number of Participants Who Discontinued Study Medication Due to AEs0 participants
Pt 2: MK-3281 800 mg BID (Panel E)Number of Participants Who Discontinued Study Medication Due to AEs0 participants
Pt 2: MK-3281 800 mg BID (Panel F)Number of Participants Who Discontinued Study Medication Due to AEs1 participants
Pt 2: MK-3281 1200 mg BID (Panel G)Number of Participants Who Discontinued Study Medication Due to AEs0 participants
PlaceboNumber of Participants Who Discontinued Study Medication Due to AEs0 participants
Secondary

12-Hour Concentration of MK-3281 in Plasma (C12hr)

Blood samples were obtained from participants and MK-3281 plasma C12hr was calculated at Days 1 and 7 (for HCV+ participants) or Day 10 (for healthy participants) using the MK-3281 assay.

Time frame: Predose daily on Days 2-9 (for healthy participants) and Days 2-6 (for HCV+ participants), and predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post-dose on Day 1, Day 7 (HCV+ participants), and Day 10 (healthy participants)

Population: All Treated Participants with available PK data. Participants in the Placebo group did not receive MK-3281 and therefore did not have PK data reported.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Pt 1: MK-3281 100 mg BID (Panel A)12-Hour Concentration of MK-3281 in Plasma (C12hr)Day 100.64 μMGeometric Coefficient of Variation 40.3
Pt 1: MK-3281 100 mg BID (Panel A)12-Hour Concentration of MK-3281 in Plasma (C12hr)Day 7NA μM
Pt 1: MK-3281 100 mg BID (Panel A)12-Hour Concentration of MK-3281 in Plasma (C12hr)Day 10.26 μMGeometric Coefficient of Variation 42.3
Pt 1: MK-3281 200 mg BID (Panel B)12-Hour Concentration of MK-3281 in Plasma (C12hr)Day 7NA μM
Pt 1: MK-3281 200 mg BID (Panel B)12-Hour Concentration of MK-3281 in Plasma (C12hr)Day 10.61 μMGeometric Coefficient of Variation 35.2
Pt 1: MK-3281 200 mg BID (Panel B)12-Hour Concentration of MK-3281 in Plasma (C12hr)Day 101.66 μMGeometric Coefficient of Variation 32.1
Pt 1: MK-3281 400 mg BID (Panel C)12-Hour Concentration of MK-3281 in Plasma (C12hr)Day 101.86 μMGeometric Coefficient of Variation 26.3
Pt 1: MK-3281 400 mg BID (Panel C)12-Hour Concentration of MK-3281 in Plasma (C12hr)Day 10.70 μMGeometric Coefficient of Variation 40.5
Pt 1: MK-3281 400 mg BID (Panel C)12-Hour Concentration of MK-3281 in Plasma (C12hr)Day 7NA μM
Pt 1: MK-3281 800 mg BID (Panel D)12-Hour Concentration of MK-3281 in Plasma (C12hr)Day 7NA μM
Pt 1: MK-3281 800 mg BID (Panel D)12-Hour Concentration of MK-3281 in Plasma (C12hr)Day 10.95 μMGeometric Coefficient of Variation 73.1
Pt 1: MK-3281 800 mg BID (Panel D)12-Hour Concentration of MK-3281 in Plasma (C12hr)Day 102.87 μMGeometric Coefficient of Variation 24.2
Pt 2: MK-3281 800 mg BID (Panel E)12-Hour Concentration of MK-3281 in Plasma (C12hr)Day 73.62 μMGeometric Coefficient of Variation 25.7
Pt 2: MK-3281 800 mg BID (Panel E)12-Hour Concentration of MK-3281 in Plasma (C12hr)Day 10.76 μMGeometric Coefficient of Variation 29.7
Pt 2: MK-3281 800 mg BID (Panel E)12-Hour Concentration of MK-3281 in Plasma (C12hr)Day 10NA μM
Pt 2: MK-3281 800 mg BID (Panel F)12-Hour Concentration of MK-3281 in Plasma (C12hr)Day 10.64 μMGeometric Coefficient of Variation 66.1
Pt 2: MK-3281 800 mg BID (Panel F)12-Hour Concentration of MK-3281 in Plasma (C12hr)Day 10NA μM
Pt 2: MK-3281 800 mg BID (Panel F)12-Hour Concentration of MK-3281 in Plasma (C12hr)Day 73.09 μMGeometric Coefficient of Variation 26.9
Pt 2: MK-3281 1200 mg BID (Panel G)12-Hour Concentration of MK-3281 in Plasma (C12hr)Day 10NA μM
Pt 2: MK-3281 1200 mg BID (Panel G)12-Hour Concentration of MK-3281 in Plasma (C12hr)Day 74.90 μMGeometric Coefficient of Variation 32.1
Pt 2: MK-3281 1200 mg BID (Panel G)12-Hour Concentration of MK-3281 in Plasma (C12hr)Day 10.64 μMGeometric Coefficient of Variation 26.6
Secondary

Apparent Half-Life (t ½) of MK-3281

Blood samples were obtained from participants and MK-3281 apparent t ½ was calculated at Day 7 (for HCV+ participants) or Day 10 (for healthy participants) using the MK-3281 assay. Harmonic mean t ½ and pseudo standard deviation were reported.

Time frame: Predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, and 96 hours post-dose on Day 7 (HCV+ participants) or Day 10 (healthy participants)

Population: All Treated Participants with available PK data. Participants in the Placebo group did not receive MK-3281 and therefore did not have PK data reported.

ArmMeasureGroupValue (MEAN)Dispersion
Pt 1: MK-3281 100 mg BID (Panel A)Apparent Half-Life (t ½) of MK-3281Day 7NA hour
Pt 1: MK-3281 100 mg BID (Panel A)Apparent Half-Life (t ½) of MK-3281Day 1017.2 hourStandard Deviation 2.3
Pt 1: MK-3281 200 mg BID (Panel B)Apparent Half-Life (t ½) of MK-3281Day 7NA hour
Pt 1: MK-3281 200 mg BID (Panel B)Apparent Half-Life (t ½) of MK-3281Day 1017.5 hourStandard Deviation 2.9
Pt 1: MK-3281 400 mg BID (Panel C)Apparent Half-Life (t ½) of MK-3281Day 7NA hour
Pt 1: MK-3281 400 mg BID (Panel C)Apparent Half-Life (t ½) of MK-3281Day 1017.4 hourStandard Deviation 2.5
Pt 1: MK-3281 800 mg BID (Panel D)Apparent Half-Life (t ½) of MK-3281Day 7NA hour
Pt 1: MK-3281 800 mg BID (Panel D)Apparent Half-Life (t ½) of MK-3281Day 1016.9 hourStandard Deviation 1.3
Pt 2: MK-3281 800 mg BID (Panel E)Apparent Half-Life (t ½) of MK-3281Day 718.3 hourStandard Deviation 4
Pt 2: MK-3281 800 mg BID (Panel E)Apparent Half-Life (t ½) of MK-3281Day 10NA hour
Pt 2: MK-3281 800 mg BID (Panel F)Apparent Half-Life (t ½) of MK-3281Day 719.7 hourStandard Deviation 3.3
Pt 2: MK-3281 800 mg BID (Panel F)Apparent Half-Life (t ½) of MK-3281Day 10NA hour
Pt 2: MK-3281 1200 mg BID (Panel G)Apparent Half-Life (t ½) of MK-3281Day 719.5 hourStandard Deviation 2
Pt 2: MK-3281 1200 mg BID (Panel G)Apparent Half-Life (t ½) of MK-3281Day 10NA hour
Secondary

Area Under the Plasma Concentration Versus Time Curve From Time Zero to Time 12 Hours (AUC[0-12]) of MK-3281

Blood samples were obtained from participants and MK-3281 AUC(0-12) was calculated at Days 1 and 7 (for HCV+ participants) or Day 10 (for healthy participants) using the MK-3281 assay.

Time frame: Predose daily on Days 2-9 (for healthy participants) and Days 2-6 (for HCV+ participants), and predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post-dose on Day 1, Day 7 (HCV+ participants), and Day 10 (healthy participants)

Population: All Treated Participants with available PK data. Participants in the Placebo group did not receive MK-3281 and therefore did not have PK data reported.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Pt 1: MK-3281 100 mg BID (Panel A)Area Under the Plasma Concentration Versus Time Curve From Time Zero to Time 12 Hours (AUC[0-12]) of MK-3281Day 1011.51 μM·hrGeometric Coefficient of Variation 31.7
Pt 1: MK-3281 100 mg BID (Panel A)Area Under the Plasma Concentration Versus Time Curve From Time Zero to Time 12 Hours (AUC[0-12]) of MK-3281Day 7NA μM·hr
Pt 1: MK-3281 100 mg BID (Panel A)Area Under the Plasma Concentration Versus Time Curve From Time Zero to Time 12 Hours (AUC[0-12]) of MK-3281Day 14.92 μM·hrGeometric Coefficient of Variation 39.9
Pt 1: MK-3281 200 mg BID (Panel B)Area Under the Plasma Concentration Versus Time Curve From Time Zero to Time 12 Hours (AUC[0-12]) of MK-3281Day 7NA μM·hr
Pt 1: MK-3281 200 mg BID (Panel B)Area Under the Plasma Concentration Versus Time Curve From Time Zero to Time 12 Hours (AUC[0-12]) of MK-3281Day 112.39 μM·hrGeometric Coefficient of Variation 36.2
Pt 1: MK-3281 200 mg BID (Panel B)Area Under the Plasma Concentration Versus Time Curve From Time Zero to Time 12 Hours (AUC[0-12]) of MK-3281Day 1029.71 μM·hrGeometric Coefficient of Variation 32.1
Pt 1: MK-3281 400 mg BID (Panel C)Area Under the Plasma Concentration Versus Time Curve From Time Zero to Time 12 Hours (AUC[0-12]) of MK-3281Day 1037.21 μM·hrGeometric Coefficient of Variation 22.6
Pt 1: MK-3281 400 mg BID (Panel C)Area Under the Plasma Concentration Versus Time Curve From Time Zero to Time 12 Hours (AUC[0-12]) of MK-3281Day 113.21 μM·hrGeometric Coefficient of Variation 45
Pt 1: MK-3281 400 mg BID (Panel C)Area Under the Plasma Concentration Versus Time Curve From Time Zero to Time 12 Hours (AUC[0-12]) of MK-3281Day 7NA μM·hr
Pt 1: MK-3281 800 mg BID (Panel D)Area Under the Plasma Concentration Versus Time Curve From Time Zero to Time 12 Hours (AUC[0-12]) of MK-3281Day 7NA μM·hr
Pt 1: MK-3281 800 mg BID (Panel D)Area Under the Plasma Concentration Versus Time Curve From Time Zero to Time 12 Hours (AUC[0-12]) of MK-3281Day 118.12 μM·hrGeometric Coefficient of Variation 70.9
Pt 1: MK-3281 800 mg BID (Panel D)Area Under the Plasma Concentration Versus Time Curve From Time Zero to Time 12 Hours (AUC[0-12]) of MK-3281Day 1067.11 μM·hrGeometric Coefficient of Variation 28.1
Pt 2: MK-3281 800 mg BID (Panel E)Area Under the Plasma Concentration Versus Time Curve From Time Zero to Time 12 Hours (AUC[0-12]) of MK-3281Day 761.08 μM·hrGeometric Coefficient of Variation 20.1
Pt 2: MK-3281 800 mg BID (Panel E)Area Under the Plasma Concentration Versus Time Curve From Time Zero to Time 12 Hours (AUC[0-12]) of MK-3281Day 112.78 μM·hrGeometric Coefficient of Variation 22.4
Pt 2: MK-3281 800 mg BID (Panel E)Area Under the Plasma Concentration Versus Time Curve From Time Zero to Time 12 Hours (AUC[0-12]) of MK-3281Day 10NA μM·hr
Pt 2: MK-3281 800 mg BID (Panel F)Area Under the Plasma Concentration Versus Time Curve From Time Zero to Time 12 Hours (AUC[0-12]) of MK-3281Day 111.36 μM·hrGeometric Coefficient of Variation 47.7
Pt 2: MK-3281 800 mg BID (Panel F)Area Under the Plasma Concentration Versus Time Curve From Time Zero to Time 12 Hours (AUC[0-12]) of MK-3281Day 10NA μM·hr
Pt 2: MK-3281 800 mg BID (Panel F)Area Under the Plasma Concentration Versus Time Curve From Time Zero to Time 12 Hours (AUC[0-12]) of MK-3281Day 751.68 μM·hrGeometric Coefficient of Variation 29.8
Pt 2: MK-3281 1200 mg BID (Panel G)Area Under the Plasma Concentration Versus Time Curve From Time Zero to Time 12 Hours (AUC[0-12]) of MK-3281Day 10NA μM·hr
Pt 2: MK-3281 1200 mg BID (Panel G)Area Under the Plasma Concentration Versus Time Curve From Time Zero to Time 12 Hours (AUC[0-12]) of MK-3281Day 788.21 μM·hrGeometric Coefficient of Variation 37
Pt 2: MK-3281 1200 mg BID (Panel G)Area Under the Plasma Concentration Versus Time Curve From Time Zero to Time 12 Hours (AUC[0-12]) of MK-3281Day 112.01 μM·hrGeometric Coefficient of Variation 27.5
Secondary

AUC (0-12hr) Accumulation Ratio of MK-3281

Blood samples were obtained from participants and the MK-3281 AUC(0-12hr) accumulation ratio was calculated for HCV+ participants and healthy participants. AUC(0-12hr) accumulation ratio calculated for healthy participants as Day 10 AUC (0-12hr) / Day 1 AUC (0-12hr). AUC(0-12hr) accumulation ratio calculated for HCV+ participants as Day 7 AUC (0-12hr) / Day 1 AUC (0-12hr).

Time frame: Predose daily on Days 2-9 (for healthy participants) and Days 2-6 (for HCV+ participants), and predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post-dose on Day 1, Day 7 (HCV+ participants), and Day 10 (healthy participants)

Population: All Treated Participants with available PK data. Participants in the Placebo group did not receive MK-3281 and therefore did not have PK data reported.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Pt 1: MK-3281 100 mg BID (Panel A)AUC (0-12hr) Accumulation Ratio of MK-32812.3 ratio
Pt 1: MK-3281 200 mg BID (Panel B)AUC (0-12hr) Accumulation Ratio of MK-32812.4 ratio
Pt 1: MK-3281 400 mg BID (Panel C)AUC (0-12hr) Accumulation Ratio of MK-32812.8 ratio
Pt 1: MK-3281 800 mg BID (Panel D)AUC (0-12hr) Accumulation Ratio of MK-32813.7 ratio
Pt 2: MK-3281 800 mg BID (Panel E)AUC (0-12hr) Accumulation Ratio of MK-32814.8 ratio90% Confidence Interval 4
Pt 2: MK-3281 800 mg BID (Panel F)AUC (0-12hr) Accumulation Ratio of MK-32814.5 ratio90% Confidence Interval 3.3
Pt 2: MK-3281 1200 mg BID (Panel G)AUC (0-12hr) Accumulation Ratio of MK-32817.3 ratio90% Confidence Interval 2
Secondary

C12hr Accumulation Ratio of MK-3281

Blood samples were obtained from participants and the MK-3281 C12hr accumulation ratio was calculated for HCV+ participants and healthy participants. C12hr accumulation ratio calculated for healthy participants as Day 10 C12hr / Day 1 C12hr. C12hr accumulation ratio calculated for HCV+ participants as Day 7 C12hr / Day 1 C12hr.

Time frame: Predose daily on Days 2-9 (for healthy participants) and Days 2-6 (for HCV+ participants), and predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post-dose on Day 1, Day 7 (HCV+ participants), and Day 10 (healthy participants)

Population: All Treated Participants with available PK data. Participants in the Placebo group did not receive MK-3281 and therefore did not have PK data reported.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Pt 1: MK-3281 100 mg BID (Panel A)C12hr Accumulation Ratio of MK-32812.5 ratio
Pt 1: MK-3281 200 mg BID (Panel B)C12hr Accumulation Ratio of MK-32812.7 ratio
Pt 1: MK-3281 400 mg BID (Panel C)C12hr Accumulation Ratio of MK-32812.6 ratio
Pt 1: MK-3281 800 mg BID (Panel D)C12hr Accumulation Ratio of MK-32813.0 ratio
Pt 2: MK-3281 800 mg BID (Panel E)C12hr Accumulation Ratio of MK-32814.7 ratio90% Confidence Interval 4
Pt 2: MK-3281 800 mg BID (Panel F)C12hr Accumulation Ratio of MK-32814.8 ratio90% Confidence Interval 3.3
Pt 2: MK-3281 1200 mg BID (Panel G)C12hr Accumulation Ratio of MK-32817.7 ratio90% Confidence Interval 2
Secondary

Cmax Accumulation Ratio of MK-3281

Blood samples were obtained from participants and the MK-3281 Cmax accumulation ratio was calculated for HCV+ participants and healthy participants. Cmax accumulation ratio calculated for healthy participants as Day 10 Cmax / Day 1 Cmax. Cmax accumulation ratio calculated for HCV+ participants as Day 7 Cmax / Day 1 Cmax.

Time frame: Predose daily on Days 2-9 (for healthy participants) and Days 2-6 (for HCV+ participants), and predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post-dose on Day 1, Day 7 (HCV+ participants), and Day 10 (healthy participants)

Population: All Treated Participants with available PK data. Participants in the Placebo group did not receive MK-3281 and therefore did not have PK data reported.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Pt 1: MK-3281 100 mg BID (Panel A)Cmax Accumulation Ratio of MK-32811.7 ratio
Pt 1: MK-3281 200 mg BID (Panel B)Cmax Accumulation Ratio of MK-32812.0 ratio
Pt 1: MK-3281 400 mg BID (Panel C)Cmax Accumulation Ratio of MK-32812.8 ratio
Pt 1: MK-3281 800 mg BID (Panel D)Cmax Accumulation Ratio of MK-32812.9 ratio
Pt 2: MK-3281 800 mg BID (Panel E)Cmax Accumulation Ratio of MK-32814.2 ratio90% Confidence Interval 4
Pt 2: MK-3281 800 mg BID (Panel F)Cmax Accumulation Ratio of MK-32813.5 ratio90% Confidence Interval 3.3
Pt 2: MK-3281 1200 mg BID (Panel G)Cmax Accumulation Ratio of MK-32816.4 ratio90% Confidence Interval 2
Secondary

Maximum HCV Viral Load Change From Baseline Over Study Following MK-3281 Dosing For 7 Days

For evaluation of MK-3281 antiviral activity, the maximum reduction in HCV ribonucleic acid (RNA) levels over the course of the study was assessed by MK-3281 dose group in HCV+ participants and the mean maximum viral load reduction was summarized. HCV RNA levels were measured at predose and 1, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24 hours postdose on Day 1 and Day 7; pre-morning (AM) and pre-evening (PM) dose Day 2; and pre AM dose Days 3-6. For each participant, baseline measurement was defined as the measurement obtained pre-dose on the first day of dosing, and change from baseline (difference) was calculated at each time point. The response for that participant was defined as: - (postbaseline time point - baseline) at the time point with the lowest HCV RNA level.

Time frame: Baseline (pre-dose Day 1), Day 2, Day 3, Day 4, Day 5, Day 6, Day 7

Population: Treated HCV+ participants in Part II with available HCV RNA data. 800 mg dose group contained members of Panels E and F. No healthy participants from Part 1 (Panels A, B, C, or D) were assessed for this outcome measure.

ArmMeasureValue (MEAN)
Pt 2: MK-3281 800 mg BID (Panel E)Maximum HCV Viral Load Change From Baseline Over Study Following MK-3281 Dosing For 7 Days1.95 log(IU/ml)
Pt 2: MK-3281 800 mg BID (Panel F)Maximum HCV Viral Load Change From Baseline Over Study Following MK-3281 Dosing For 7 Days1.34 log(IU/ml)
Pt 2: MK-3281 1200 mg BID (Panel G)Maximum HCV Viral Load Change From Baseline Over Study Following MK-3281 Dosing For 7 Days0.37 log(IU/ml)
Secondary

Maximum Plasma Concentration (Cmax) of MK-3281

Blood samples were obtained from participants and MK-3281 Cmax was calculated at Days 1 and 7 (for HCV+ participants) or Day 10 (for healthy participants) using the MK-3281 assay.

Time frame: Predose daily on Days 2-9 (for healthy participants) and Days 2-6 (for HCV+ participants), and predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post-dose on Day 1, Day 7 (HCV+ participants), and Day 10 (healthy participants)

Population: All Treated Participants with available PK data. Participants in the Placebo group did not receive MK-3281 and therefore did not have PK data reported.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Pt 1: MK-3281 100 mg BID (Panel A)Maximum Plasma Concentration (Cmax) of MK-3281Day 101.28 μMGeometric Coefficient of Variation 28.3
Pt 1: MK-3281 100 mg BID (Panel A)Maximum Plasma Concentration (Cmax) of MK-3281Day 7NA μM
Pt 1: MK-3281 100 mg BID (Panel A)Maximum Plasma Concentration (Cmax) of MK-3281Day 10.74 μMGeometric Coefficient of Variation 32.6
Pt 1: MK-3281 200 mg BID (Panel B)Maximum Plasma Concentration (Cmax) of MK-3281Day 7NA μM
Pt 1: MK-3281 200 mg BID (Panel B)Maximum Plasma Concentration (Cmax) of MK-3281Day 11.75 μMGeometric Coefficient of Variation 39.1
Pt 1: MK-3281 200 mg BID (Panel B)Maximum Plasma Concentration (Cmax) of MK-3281Day 103.45 μMGeometric Coefficient of Variation 36.2
Pt 1: MK-3281 400 mg BID (Panel C)Maximum Plasma Concentration (Cmax) of MK-3281Day 104.97 μMGeometric Coefficient of Variation 44.1
Pt 1: MK-3281 400 mg BID (Panel C)Maximum Plasma Concentration (Cmax) of MK-3281Day 11.80 μMGeometric Coefficient of Variation 48.3
Pt 1: MK-3281 400 mg BID (Panel C)Maximum Plasma Concentration (Cmax) of MK-3281Day 7NA μM
Pt 1: MK-3281 800 mg BID (Panel D)Maximum Plasma Concentration (Cmax) of MK-3281Day 7NA μM
Pt 1: MK-3281 800 mg BID (Panel D)Maximum Plasma Concentration (Cmax) of MK-3281Day 12.73 μMGeometric Coefficient of Variation 75.9
Pt 1: MK-3281 800 mg BID (Panel D)Maximum Plasma Concentration (Cmax) of MK-3281Day 107.83 μMGeometric Coefficient of Variation 48.8
Pt 2: MK-3281 800 mg BID (Panel E)Maximum Plasma Concentration (Cmax) of MK-3281Day 76.78 μMGeometric Coefficient of Variation 23.9
Pt 2: MK-3281 800 mg BID (Panel E)Maximum Plasma Concentration (Cmax) of MK-3281Day 11.61 μMGeometric Coefficient of Variation 24.9
Pt 2: MK-3281 800 mg BID (Panel E)Maximum Plasma Concentration (Cmax) of MK-3281Day 10NA μM
Pt 2: MK-3281 800 mg BID (Panel F)Maximum Plasma Concentration (Cmax) of MK-3281Day 11.60 μMGeometric Coefficient of Variation 43.7
Pt 2: MK-3281 800 mg BID (Panel F)Maximum Plasma Concentration (Cmax) of MK-3281Day 10NA μM
Pt 2: MK-3281 800 mg BID (Panel F)Maximum Plasma Concentration (Cmax) of MK-3281Day 75.60 μMGeometric Coefficient of Variation 33.3
Pt 2: MK-3281 1200 mg BID (Panel G)Maximum Plasma Concentration (Cmax) of MK-3281Day 10NA μM
Pt 2: MK-3281 1200 mg BID (Panel G)Maximum Plasma Concentration (Cmax) of MK-3281Day 710.73 μMGeometric Coefficient of Variation 40.5
Pt 2: MK-3281 1200 mg BID (Panel G)Maximum Plasma Concentration (Cmax) of MK-3281Day 11.69 μMGeometric Coefficient of Variation 28.4
Secondary

Time To Reach Cmax (Tmax) of MK-3281

Blood samples were obtained from participants and MK-3281 Tmax was calculated at Days 1 and 7 (for HCV+ participants) or Day 10 (for healthy participants) using the MK-3281 assay.

Time frame: Predose daily on Days 2-9 (for healthy participants) and Days 2-6 (for HCV+ participants), and predose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, and 12 hours post-dose on Day 1, Day 7 (HCV+ participants), and Day 10 (healthy participants)

Population: All Treated Participants with available PK data. Participants in the Placebo group did not receive MK-3281 and therefore did not have PK data reported.

ArmMeasureGroupValue (MEDIAN)Dispersion
Pt 1: MK-3281 100 mg BID (Panel A)Time To Reach Cmax (Tmax) of MK-3281Day 103.5 hourFull Range 40.3
Pt 1: MK-3281 100 mg BID (Panel A)Time To Reach Cmax (Tmax) of MK-3281Day 7NA hour
Pt 1: MK-3281 100 mg BID (Panel A)Time To Reach Cmax (Tmax) of MK-3281Day 13.0 hourFull Range 42.3
Pt 1: MK-3281 200 mg BID (Panel B)Time To Reach Cmax (Tmax) of MK-3281Day 7NA hour
Pt 1: MK-3281 200 mg BID (Panel B)Time To Reach Cmax (Tmax) of MK-3281Day 12.0 hourFull Range 35.2
Pt 1: MK-3281 200 mg BID (Panel B)Time To Reach Cmax (Tmax) of MK-3281Day 103.0 hourFull Range 32.1
Pt 1: MK-3281 400 mg BID (Panel C)Time To Reach Cmax (Tmax) of MK-3281Day 103.5 hourFull Range 26.3
Pt 1: MK-3281 400 mg BID (Panel C)Time To Reach Cmax (Tmax) of MK-3281Day 15.0 hourFull Range 40.5
Pt 1: MK-3281 400 mg BID (Panel C)Time To Reach Cmax (Tmax) of MK-3281Day 7NA hour
Pt 1: MK-3281 800 mg BID (Panel D)Time To Reach Cmax (Tmax) of MK-3281Day 7NA hour
Pt 1: MK-3281 800 mg BID (Panel D)Time To Reach Cmax (Tmax) of MK-3281Day 13.0 hourFull Range 73.1
Pt 1: MK-3281 800 mg BID (Panel D)Time To Reach Cmax (Tmax) of MK-3281Day 103.0 hourFull Range 24.2
Pt 2: MK-3281 800 mg BID (Panel E)Time To Reach Cmax (Tmax) of MK-3281Day 72.3 hourFull Range 25.7
Pt 2: MK-3281 800 mg BID (Panel E)Time To Reach Cmax (Tmax) of MK-3281Day 12.5 hourFull Range 29.7
Pt 2: MK-3281 800 mg BID (Panel E)Time To Reach Cmax (Tmax) of MK-3281Day 10NA hour
Pt 2: MK-3281 800 mg BID (Panel F)Time To Reach Cmax (Tmax) of MK-3281Day 13.0 hourFull Range 66.1
Pt 2: MK-3281 800 mg BID (Panel F)Time To Reach Cmax (Tmax) of MK-3281Day 10NA hour
Pt 2: MK-3281 800 mg BID (Panel F)Time To Reach Cmax (Tmax) of MK-3281Day 72.0 hourFull Range 26.9
Pt 2: MK-3281 1200 mg BID (Panel G)Time To Reach Cmax (Tmax) of MK-3281Day 10NA hour
Pt 2: MK-3281 1200 mg BID (Panel G)Time To Reach Cmax (Tmax) of MK-3281Day 71.0 hourFull Range 32.1
Pt 2: MK-3281 1200 mg BID (Panel G)Time To Reach Cmax (Tmax) of MK-3281Day 13.0 hourFull Range 26.6

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