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A Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Inhaled Montelukast (MK-0476) in Participants With Mild or Moderate Asthma (MK-0476-380 AM3)(COMPLETED)

A Sequential, 3-Part, Double-Blind, Randomized, Placebo-Controlled, Single-Rising-Dose and Rising-Multiple-Dose Study in Healthy Subjects and Mild or Moderate Asthmatic Patients to Evaluate the Safety, Tolerability, and Pharmacokinetics of Inhaled MK-0476

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00636207
Enrollment
46
Registered
2008-03-14
Start date
2007-08-31
Completion date
2008-10-31
Last updated
2024-05-09

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

Conditions

Asthma

Brief summary

A study to evaluate the safety, tolerability and pharmacokinetics of inhaled Montelukast (MK-0476) in participants with mild or moderate asthma.

Interventions

DRUGMontelukast

Montelukast dry powder inhaler, 0.1 mg, 0.3 mg, 1 mg, 3 mg or 10 mg

DRUGPlacebo

Placebo dry powder inhaler

Sponsors

Organon and Co
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

Inclusion criteria

* Male or female between the ages of 18 and 65 * Must have mild or moderate asthma (Part III only) * Nonsmoker for at least 6 months

Exclusion criteria

* History of stroke, chronic seizures or major neurological disorder * You are nursing * Drink more than 3 glasses of alcohol a day * Have allergy to or not able to tolerate lactose * Have a history of drug abuse in the last 5 years * Drink more than 6 beverages containing caffeine a day * Have had surgery, donated blood or participated in another investigational study in the last 4 weeks

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants Who Experienced At Least One Adverse EventUp to 14 days after last dose of study drug
Number of Participants Who Discontinued Study Drug Due to an Adverse EventUp to 7 days after last dose of study drug
Area Under the Curve From 0 to 24 Hours (AUC 0-24hr) of Montelukast - Single DoseUp to 24 hours postdoseBlood samples for assessment of AUC 0-24hr were drawn predose and then at specified timepoints (up to 24 hours postdose) on Day 1 in Part I.
AUC 0-24hr of Montelukast - Multiple DosesUp to 24 hours postdoseBlood samples for assessment of AUC 0-24hr were drawn predose and then at specified timepoints (up to 24 hours postdose) on Days 1 and 5 in Part II and on Days 1 and 10 in Part III.
Maximum Plasma Concentration (Cmax) of Montelukast - Single DoseUp to 24 hours postdoseBlood samples for assessment of Cmax were drawn predose and then at specified timepoints (up to 24 hours postdose) on Day 1 in Part I.
Cmax of Montelukast - Multiple DosesUp to 24 hours postdoseBlood samples for assessment of Cmax were drawn predose and then at specified timepoints (up to 24 hours postdose) on Days 1 and 5 in Part II and on Days 1 and 10 in Part III.
Time to Cmax (Tmax) of Montelukast - Single DoseUp to 24 hours postdoseBlood samples for assessment of Tmax were drawn predose and then at specified timepoints (up to 24 hours postdose) on Day 1 in Part I.
Tmax of Montelukast - Multiple DosesUp to 24 hours postdoseBlood samples for assessment of Tmax were drawn predose and then at specified timepoints (up to 24 hours postdose) on Days 1 and 5 in Part II and on Days 1 and 10 in Part III.
Apparent Terminal Half Life (t1/2) of Montelukast - Single DoseUp to 24 hours postdoseBlood samples for assessment of t1/2 were drawn predose and then at specified timepoints (up to 24 hours postdose) on Day 1 in Part I.
t1/2 of Montelukast - Multiple DosesUp to 24 hours postdoseBlood samples for assessment of t1/2 were drawn predose and then at specified timepoints (up to 24 hours postdose) on Days 1 and 5 in Part II and on Days 1 and 10 in Part III.
AUC 0-24hr Accumulation Ratio of Montelukast - Multiple Dosesup to 10 days after first dose of study drugThe AUC 0-24hr Accumulation Ratio of Montelukast was calculated as the geometric mean ratio of AUC 0-24hr on the last day and the first day of a multiple dose regimen: Day 5/Day 1 in Part II and Day 10/Day 1 in Part III.
Cmax Accumulation Ratio of Montelukast - Multiple Dosesup to 10 days after first dose of study drugThe Cmax Accumulation Ratio of Montelukast was calculated as the geometric mean ratio of Cmax on the last day and the first day of a multiple dose regimen: Day 5/Day 1 in Part II and Day 10/Day 1 in Part III.

Participant flow

Recruitment details

Participants were recruited from 3 study sites located in the United States.

Participants by arm

ArmCount
Part I
Part I consisted of 6 periods. Participants were to receive single doses of inhaled Montelukast (0.1 mg, 0.3 mg, 0.3 repeat, 1 mg, 3 mg or 10 mg) or Placebo. Each dose was separated by at least a 3-day washout period.
9
Part II
Part II consisted of 3 periods. Participants in three serial panels (Panels A, B and C) were to receive once daily (QD) doses of inhaled Montelukast (1 mg, 3 mg or 10 mg) or Placebo administered for 5 consecutive days. Each panel was separated by at least a 3-day washout period.
24
Part III
Part III consisted of 2 periods. Participants in two serial panels (Panels A and B) were to receive QD doses of inhaled Montelukast (3 mg or 10 mg) or Placebo administered for 10 consecutive days. Each panel was separated by at least a 7-day washout period.
13
Total46

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006
Overall StudyAdverse Event1000000
Overall StudyWithdrawal by Subject0100100

Baseline characteristics

CharacteristicPart IPart IIPart IIITotal
Age, Continuous37.4 years
STANDARD_DEVIATION 10.45
31.0 years
STANDARD_DEVIATION 12.68
36.3 years
STANDARD_DEVIATION 10.32
33.8 years
STANDARD_DEVIATION 11.78
Sex: Female, Male
Female
2 Participants14 Participants6 Participants22 Participants
Sex: Female, Male
Male
7 Participants10 Participants7 Participants24 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
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
2 / 74 / 76 / 129 / 185 / 196 / 18
serious
Total, serious adverse events
0 / 70 / 70 / 120 / 180 / 190 / 18

Outcome results

Primary

Apparent Terminal Half Life (t1/2) of Montelukast - Single Dose

Blood samples for assessment of t1/2 were drawn predose and then at specified timepoints (up to 24 hours postdose) on Day 1 in Part I.

Time frame: Up to 24 hours postdose

Population: Per Protocol Population: All participants who complied with the protocol

ArmMeasureValue (MEAN)Dispersion
Montelukast 0.1 mgApparent Terminal Half Life (t1/2) of Montelukast - Single DoseNA hours
Montelukast 0.3 mgApparent Terminal Half Life (t1/2) of Montelukast - Single DoseNA hours
Montelukast 1 mgApparent Terminal Half Life (t1/2) of Montelukast - Single DoseNA hours
Montelukast 3 mgApparent Terminal Half Life (t1/2) of Montelukast - Single Dose5.7 hoursStandard Deviation 2.1
Montelukast 10 mgApparent Terminal Half Life (t1/2) of Montelukast - Single Dose6.9 hoursStandard Deviation 0.9
PlaceboApparent Terminal Half Life (t1/2) of Montelukast - Single Dose5.7 hoursStandard Deviation 0.5
Primary

Area Under the Curve From 0 to 24 Hours (AUC 0-24hr) of Montelukast - Single Dose

Blood samples for assessment of AUC 0-24hr were drawn predose and then at specified timepoints (up to 24 hours postdose) on Day 1 in Part I.

Time frame: Up to 24 hours postdose

Population: Per Protocol Population: All participants who complied with the protocol

ArmMeasureValue (MEAN)Dispersion
Montelukast 0.1 mgArea Under the Curve From 0 to 24 Hours (AUC 0-24hr) of Montelukast - Single DoseNA ng/mL*hr
Montelukast 0.3 mgArea Under the Curve From 0 to 24 Hours (AUC 0-24hr) of Montelukast - Single DoseNA ng/mL*hr
Montelukast 1 mgArea Under the Curve From 0 to 24 Hours (AUC 0-24hr) of Montelukast - Single DoseNA ng/mL*hr
Montelukast 3 mgArea Under the Curve From 0 to 24 Hours (AUC 0-24hr) of Montelukast - Single Dose155 ng/mL*hrStandard Deviation 18.5
Montelukast 10 mgArea Under the Curve From 0 to 24 Hours (AUC 0-24hr) of Montelukast - Single Dose491 ng/mL*hrStandard Deviation 71
PlaceboArea Under the Curve From 0 to 24 Hours (AUC 0-24hr) of Montelukast - Single Dose1600 ng/mL*hrStandard Deviation 260
Primary

AUC 0-24hr Accumulation Ratio of Montelukast - Multiple Doses

The AUC 0-24hr Accumulation Ratio of Montelukast was calculated as the geometric mean ratio of AUC 0-24hr on the last day and the first day of a multiple dose regimen: Day 5/Day 1 in Part II and Day 10/Day 1 in Part III.

Time frame: up to 10 days after first dose of study drug

Population: Per Protocol Population: All participants who complied with the protocol

ArmMeasureGroupValue (NUMBER)
Montelukast 0.1 mgAUC 0-24hr Accumulation Ratio of Montelukast - Multiple DosesPart II (n=6)1.61 ratio
Montelukast 0.1 mgAUC 0-24hr Accumulation Ratio of Montelukast - Multiple DosesPart III (n=6)NA ratio
Montelukast 0.3 mgAUC 0-24hr Accumulation Ratio of Montelukast - Multiple DosesPart II (n=6)1.44 ratio
Montelukast 0.3 mgAUC 0-24hr Accumulation Ratio of Montelukast - Multiple DosesPart III (n=6)1.19 ratio
Montelukast 1 mgAUC 0-24hr Accumulation Ratio of Montelukast - Multiple DosesPart II (n=6)1.2 ratio
Montelukast 1 mgAUC 0-24hr Accumulation Ratio of Montelukast - Multiple DosesPart III (n=6)1.26 ratio
Primary

AUC 0-24hr of Montelukast - Multiple Doses

Blood samples for assessment of AUC 0-24hr were drawn predose and then at specified timepoints (up to 24 hours postdose) on Days 1 and 5 in Part II and on Days 1 and 10 in Part III.

Time frame: Up to 24 hours postdose

Population: Per Protocol Population: All participants who complied with the protocol

ArmMeasureGroupValue (MEAN)Dispersion
Montelukast 0.1 mgAUC 0-24hr of Montelukast - Multiple DosesPart II Day 5 (n=6)214 ng/mL*hrStandard Deviation 76.3
Montelukast 0.1 mgAUC 0-24hr of Montelukast - Multiple DosesPart II Day 1 (n=6)132 ng/mL*hrStandard Deviation 43.7
Montelukast 0.1 mgAUC 0-24hr of Montelukast - Multiple DosesPart III Day 1 (n=6)NA ng/mL*hr
Montelukast 0.1 mgAUC 0-24hr of Montelukast - Multiple DosesPart III Day 10 (n=6)NA ng/mL*hr
Montelukast 0.3 mgAUC 0-24hr of Montelukast - Multiple DosesPart III Day 10 (n=6)526 ng/mL*hrStandard Deviation 133
Montelukast 0.3 mgAUC 0-24hr of Montelukast - Multiple DosesPart III Day 1 (n=6)357 ng/mL*hrStandard Deviation 109
Montelukast 0.3 mgAUC 0-24hr of Montelukast - Multiple DosesPart II Day 1 (n=6)403 ng/mL*hrStandard Deviation 115
Montelukast 0.3 mgAUC 0-24hr of Montelukast - Multiple DosesPart II Day 5 (n=6)576 ng/mL*hrStandard Deviation 148
Montelukast 1 mgAUC 0-24hr of Montelukast - Multiple DosesPart II Day 1 (n=6)1576 ng/mL*hrStandard Deviation 380
Montelukast 1 mgAUC 0-24hr of Montelukast - Multiple DosesPart II Day 5 (n=6)1850 ng/mL*hrStandard Deviation 304
Montelukast 1 mgAUC 0-24hr of Montelukast - Multiple DosesPart III Day 1 (n=6)1500 ng/mL*hrStandard Deviation 521
Montelukast 1 mgAUC 0-24hr of Montelukast - Multiple DosesPart III Day 10 (n=6)1880 ng/mL*hrStandard Deviation 530
Primary

Cmax Accumulation Ratio of Montelukast - Multiple Doses

The Cmax Accumulation Ratio of Montelukast was calculated as the geometric mean ratio of Cmax on the last day and the first day of a multiple dose regimen: Day 5/Day 1 in Part II and Day 10/Day 1 in Part III.

Time frame: up to 10 days after first dose of study drug

Population: Per Protocol Population: All participants who complied with the protocol

ArmMeasureGroupValue (NUMBER)
Montelukast 0.1 mgCmax Accumulation Ratio of Montelukast - Multiple DosesPart II (n=6)1.73 ratio
Montelukast 0.1 mgCmax Accumulation Ratio of Montelukast - Multiple DosesPart III (n=6)NA ratio
Montelukast 0.3 mgCmax Accumulation Ratio of Montelukast - Multiple DosesPart II (n=6)1.27 ratio
Montelukast 0.3 mgCmax Accumulation Ratio of Montelukast - Multiple DosesPart III (n=6)1.03 ratio
Montelukast 1 mgCmax Accumulation Ratio of Montelukast - Multiple DosesPart II (n=6)1.03 ratio
Montelukast 1 mgCmax Accumulation Ratio of Montelukast - Multiple DosesPart III (n=6)1.22 ratio
Primary

Cmax of Montelukast - Multiple Doses

Blood samples for assessment of Cmax were drawn predose and then at specified timepoints (up to 24 hours postdose) on Days 1 and 5 in Part II and on Days 1 and 10 in Part III.

Time frame: Up to 24 hours postdose

Population: Per Protocol Population: All participants who complied with the protocol

ArmMeasureGroupValue (MEAN)Dispersion
Montelukast 0.1 mgCmax of Montelukast - Multiple DosesPart II Day 1 (n=6)13.8 ng/mLStandard Deviation 4.96
Montelukast 0.1 mgCmax of Montelukast - Multiple DosesPart II Day 5 (n=6)23.4 ng/mLStandard Deviation 6.5
Montelukast 0.1 mgCmax of Montelukast - Multiple DosesPart III Day 1 (n=6)NA ng/mL
Montelukast 0.1 mgCmax of Montelukast - Multiple DosesPart III Day 10 (n=6)NA ng/mL
Montelukast 0.3 mgCmax of Montelukast - Multiple DosesPart III Day 10 (n=6)64.8 ng/mLStandard Deviation 13
Montelukast 0.3 mgCmax of Montelukast - Multiple DosesPart II Day 1 (n=6)60 ng/mLStandard Deviation 13.1
Montelukast 0.3 mgCmax of Montelukast - Multiple DosesPart III Day 1 (n=6)44.3 ng/mLStandard Deviation 16.6
Montelukast 0.3 mgCmax of Montelukast - Multiple DosesPart II Day 5 (n=6)76 ng/mLStandard Deviation 15.3
Montelukast 1 mgCmax of Montelukast - Multiple DosesPart III Day 10 (n=6)225 ng/mLStandard Deviation 84.7
Montelukast 1 mgCmax of Montelukast - Multiple DosesPart II Day 5 (n=6)242 ng/mLStandard Deviation 38
Montelukast 1 mgCmax of Montelukast - Multiple DosesPart III Day 1 (n=6)184 ng/mLStandard Deviation 66.6
Montelukast 1 mgCmax of Montelukast - Multiple DosesPart II Day 1 (n=6)233 ng/mLStandard Deviation 30.2
Primary

Maximum Plasma Concentration (Cmax) of Montelukast - Single Dose

Blood samples for assessment of Cmax were drawn predose and then at specified timepoints (up to 24 hours postdose) on Day 1 in Part I.

Time frame: Up to 24 hours postdose

Population: Per Protocol Population: All participants who complied with the protocol

ArmMeasureValue (MEAN)Dispersion
Montelukast 0.1 mgMaximum Plasma Concentration (Cmax) of Montelukast - Single DoseNA ng/mL
Montelukast 0.3 mgMaximum Plasma Concentration (Cmax) of Montelukast - Single Dose5.10 ng/mLStandard Deviation 0.977
Montelukast 1 mgMaximum Plasma Concentration (Cmax) of Montelukast - Single Dose5.24 ng/mLStandard Deviation 0.914
Montelukast 3 mgMaximum Plasma Concentration (Cmax) of Montelukast - Single Dose18.5 ng/mLStandard Deviation 4.15
Montelukast 10 mgMaximum Plasma Concentration (Cmax) of Montelukast - Single Dose54.3 ng/mLStandard Deviation 12.7
PlaceboMaximum Plasma Concentration (Cmax) of Montelukast - Single Dose224 ng/mLStandard Deviation 47.3
Primary

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

Time frame: Up to 7 days after last dose of study drug

Population: Safety Population: All participants who received at least one dose of study drug

ArmMeasureValue (NUMBER)
Montelukast 0.1 mgNumber of Participants Who Discontinued Study Drug Due to an Adverse Event0 participants
Montelukast 0.3 mgNumber of Participants Who Discontinued Study Drug Due to an Adverse Event1 participants
Montelukast 1 mgNumber of Participants Who Discontinued Study Drug Due to an Adverse Event0 participants
Montelukast 3 mgNumber of Participants Who Discontinued Study Drug Due to an Adverse Event0 participants
Montelukast 10 mgNumber of Participants Who Discontinued Study Drug Due to an Adverse Event0 participants
PlaceboNumber of Participants Who Discontinued Study Drug Due to an Adverse Event0 participants
Primary

Number of Participants Who Experienced At Least One Adverse Event

Time frame: Up to 14 days after last dose of study drug

Population: Safety Population: All participants who received at least one dose of study drug

ArmMeasureValue (NUMBER)
Montelukast 0.1 mgNumber of Participants Who Experienced At Least One Adverse Event2 participants
Montelukast 0.3 mgNumber of Participants Who Experienced At Least One Adverse Event4 participants
Montelukast 1 mgNumber of Participants Who Experienced At Least One Adverse Event6 participants
Montelukast 3 mgNumber of Participants Who Experienced At Least One Adverse Event9 participants
Montelukast 10 mgNumber of Participants Who Experienced At Least One Adverse Event5 participants
PlaceboNumber of Participants Who Experienced At Least One Adverse Event6 participants
Primary

t1/2 of Montelukast - Multiple Doses

Blood samples for assessment of t1/2 were drawn predose and then at specified timepoints (up to 24 hours postdose) on Days 1 and 5 in Part II and on Days 1 and 10 in Part III.

Time frame: Up to 24 hours postdose

Population: Per Protocol Population: All participants who complied with the protocol

ArmMeasureGroupValue (MEAN)Dispersion
Montelukast 0.1 mgt1/2 of Montelukast - Multiple DosesPart III Day 10 (n=6)NA hours
Montelukast 0.1 mgt1/2 of Montelukast - Multiple DosesPart II Day 5 (n=6)8.2 hoursStandard Deviation 2.5
Montelukast 0.3 mgt1/2 of Montelukast - Multiple DosesPart II Day 5 (n=6)7.6 hoursStandard Deviation 2.5
Montelukast 0.3 mgt1/2 of Montelukast - Multiple DosesPart III Day 10 (n=6)8.1 hoursStandard Deviation 1.4
Montelukast 1 mgt1/2 of Montelukast - Multiple DosesPart II Day 5 (n=6)7.7 hoursStandard Deviation 2.4
Montelukast 1 mgt1/2 of Montelukast - Multiple DosesPart III Day 10 (n=6)7.4 hoursStandard Deviation 1.7
Primary

Time to Cmax (Tmax) of Montelukast - Single Dose

Blood samples for assessment of Tmax were drawn predose and then at specified timepoints (up to 24 hours postdose) on Day 1 in Part I.

Time frame: Up to 24 hours postdose

Population: Per Protocol Population: All participants who complied with the protocol

ArmMeasureValue (MEDIAN)
Montelukast 0.1 mgTime to Cmax (Tmax) of Montelukast - Single DoseNA hours
Montelukast 0.3 mgTime to Cmax (Tmax) of Montelukast - Single Dose2.5 hours
Montelukast 1 mgTime to Cmax (Tmax) of Montelukast - Single Dose4.0 hours
Montelukast 3 mgTime to Cmax (Tmax) of Montelukast - Single Dose2.4 hours
Montelukast 10 mgTime to Cmax (Tmax) of Montelukast - Single Dose0.8 hours
PlaceboTime to Cmax (Tmax) of Montelukast - Single Dose0.5 hours
Primary

Tmax of Montelukast - Multiple Doses

Blood samples for assessment of Tmax were drawn predose and then at specified timepoints (up to 24 hours postdose) on Days 1 and 5 in Part II and on Days 1 and 10 in Part III.

Time frame: Up to 24 hours postdose

Population: Per Protocol Population: All participants who complied with the protocol

ArmMeasureGroupValue (MEDIAN)
Montelukast 0.1 mgTmax of Montelukast - Multiple DosesPart II Day 1 (n=6)2.4 hours
Montelukast 0.1 mgTmax of Montelukast - Multiple DosesPart II Day 5 (n=6)0.7 hours
Montelukast 0.1 mgTmax of Montelukast - Multiple DosesPart III Day 1 (n=6)NA hours
Montelukast 0.1 mgTmax of Montelukast - Multiple DosesPart III Day 10 (n=6)NA hours
Montelukast 0.3 mgTmax of Montelukast - Multiple DosesPart III Day 10 (n=6)0.5 hours
Montelukast 0.3 mgTmax of Montelukast - Multiple DosesPart II Day 1 (n=6)0.5 hours
Montelukast 0.3 mgTmax of Montelukast - Multiple DosesPart III Day 1 (n=6)0.5 hours
Montelukast 0.3 mgTmax of Montelukast - Multiple DosesPart II Day 5 (n=6)0.5 hours
Montelukast 1 mgTmax of Montelukast - Multiple DosesPart III Day 10 (n=6)0.5 hours
Montelukast 1 mgTmax of Montelukast - Multiple DosesPart II Day 5 (n=6)0.6 hours
Montelukast 1 mgTmax of Montelukast - Multiple DosesPart III Day 1 (n=6)0.5 hours
Montelukast 1 mgTmax of Montelukast - Multiple DosesPart II Day 1 (n=6)0.5 hours

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