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A Study of the Absorption, Distribution, Metabolism, and Elimination of Opevesostat (MK-5684) in Healthy Adult Male Participants (MK-5684-008)

An Open-label Phase 1 Study to Evaluate Metabolism, Excretion, and Mass Balance of [¹⁴C]MK-5684 in Healthy Male Participants

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06566989
Enrollment
8
Registered
2024-08-22
Start date
2024-09-19
Completion date
2024-10-17
Last updated
2024-10-23

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

Conditions

Metastatic Prostate Cancer

Brief summary

This is a study of opevesostat in healthy adult male participants. The purpose of this study is to understand the absorption, distribution, metabolism, and elimination of opevesostat in humans, as well as its pharmacokinetics (PK), metabolic profile, and safety and tolerability.

Interventions

DRUG[¹⁴C]Opevesostat

Oral solution

DRUGPrednisone

Tablet

DRUGFludrocortisone

Tablet

Sponsors

Orion Corporation, Orion Pharma
CollaboratorINDUSTRY
Merck Sharp & Dohme LLC
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
MALE
Age
30 Years to 55 Years
Healthy volunteers
Yes

Inclusion criteria

* Is a healthy male according to the assessment of the investigator * Has a body mass index of 18.0 to 32.0 kg/m2 * Has regular bowel movements (i.e., average stool production of ≥1 and ≤3 stools per day)

Exclusion criteria

* Has the presence or history of clinically significant allergy requiring treatment * Has a history of adrenal insufficiency * Has veins not suitable for multiple venipunctures/cannulation * Has previously taken part in more than 3 radiolabeled drug studies in the last 12 months * Has donated blood or plasma within the previous 3 months or lost greater than 400 mL of blood

Design outcomes

Primary

MeasureTime frameDescription
Total Number of Metabolites in Feces that Represent at least 10% of the Dose of RadioactivityPredose and at designated time points (up to 8 days)Fecal samples will be collected at pre-specified timepoints and used to determine the total number of metabolites that represent at least 10% of the dose of radioactivity. Metabolites will be determined using liquid scintillation and high-resolution mass spectrometry.
Total Number of Metabolites in Plasma that Represent at least 10% of the Dose of RadioactivityPredose and at designated time points (up to 8 days)Plasma samples will be collected at pre-specified timepoints and used to determine the total number of metabolites that represent at least 10% of the dose of radioactivity. Metabolites will be determined using liquid scintillation and high-resolution mass spectrometry.
Total Number of Metabolites in Urine that Represent at least 10% of the Dose of RadioactivityPredose and at designated time points (up to 8 days)Urine samples will be collected at pre-specified timepoints and used to determine the total number of metabolites that represent at least 10% of the dose of radioactivity. Metabolites will be determined using liquid scintillation and high-resolution mass spectrometry.
Cumulative amount of total radioactivity excreted in urine (CumAeu) after administration of single-dose [¹⁴C]OpevesostatPredose and at designated time points (up to 8 days)Urine samples will be collected at pre-specified timepoints and used to determine CumAeu.
Cumulative amount of total radioactivity excreted in feces (CumAef) after administration of single-dose [¹⁴C]OpevesostatPredose and at designated time points (up to 8 days)Fecal samples will be collected at pre-specified timepoints and used to determine CumAef.
Cumulative percentage of total radioactivity excreted in urine (Cumfeu) after administration of single-dose [¹⁴C]OpevesostatPredose and at designated time points (up to 8 days)Urine samples will be collected at pre-specified timepoints and used to determine CumFeu.
Cumulative percentage of total radioactivity excreted in feces (Cumfef) after administration of single-dose [¹⁴C]OpevesostatPredose and at designated time points (up to 8 days)Fecal samples will be collected at pre-specified timepoints and used to determine Cumfef.
Plasma Opevesostat Pharmacokinetics: Terminal elimination half-life (t1/2)Predose and at designated time points (up to 8 days)Plasma samples will be collected at pre-specified timepoints and used to determine t1/2 of opevesostat.
Plasma Total Radioactivity Pharmacokinetics: Area under the curve from time 0 to the time of last measurable concentration (AUC0-t)Predose and at designated time points (up to 8 days)Plasma samples will be collected at pre-specified timepoints and used to determine AUC0-t of total radioactivity.
Plasma Opevesostat Pharmacokinetics: Area under the curve from time 0 to the time of last measurable concentration (AUC0-t)Predose and at designated time points (up to 8 days)Plasma samples will be collected at pre-specified timepoints and used to determine AUC0-t of opevesostat.
Plasma Opevesostat Pharmacokinetics: Area under the curve from time 0 to extrapolated infinity (AUC0-inf)Predose and at designated time points (up to 8 days)Plasma samples will be collected at pre-specified timepoints and used to determine AUC0-inf of opevesostat.
Plasma Opevesostat Pharmacokinetics: Maximum observed concentration (Cmax)Predose and at designated time points (up to 8 days)Plasma samples will be collected at pre-specified timepoints and used to determine Cmax of opevesostat.
Plasma Opevesostat Pharmacokinetics: Time of maximum observed concentration (Tmax)Predose and at designated time points (up to 8 days)Plasma samples will be collected at pre-specified timepoints and used to determine Tmax of opevesostat.
Plasma Total Radioactivity Pharmacokinetics: Area under the curve from time 0 to extrapolated infinity (AUC0-inf)Predose and at designated time points (up to 8 days)Plasma samples will be collected at pre-specified timepoints and used to determine AUC0-inf of total radioactivity.
Plasma Total Radioactivity Pharmacokinetics: Maximum observed concentration (Cmax)Predose and at designated time points (up to 8 days)Plasma samples will be collected at pre-specified timepoints and used to determine Cmax of total radioactivity.
Plasma Total Radioactivity Pharmacokinetics: Time of maximum observed concentration (Tmax)Predose and at designated time points (up to 8 days)Plasma samples will be collected at pre-specified timepoints and used to determine Tmax of total radioactivity.
Plasma Total Radioactivity Pharmacokinetics: Terminal elimination half-life (t1/2)Predose and at designated time points (up to 8 days)Plasma samples will be collected at pre-specified timepoints and used to determine t1/2 of total radioactivity.

Secondary

MeasureTime frameDescription
Number of Participants who Discontinue from the Study Due to an AEUp to approximately 8 daysAn AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study intervention. The number of participants who discontinue from the study due to an AE will be reported.
Number of Participants with One or More Adverse Events (AEs)Up to approximately 8 daysAn AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study intervention. The number of participants who experienced an AE will be reported.

Countries

United Kingdom

Outcome results

None listed

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