Pharmacokinetics of Midazolam, Dabigatran, Pitavastatin, Atorvastatin, and Rosuvastatin in Participants With Renal Insufficiency in the Presence and Absence of Rifampin (MK-0000-386)
Completed · Phase 1
Conditions studied: Renal Insufficiency
In brief
The purpose of this open-label, 2-period, fixed-sequence study is to characterize the plasma pharmacokinetic profiles of midazolam, dabigatran, pitavastatin, atorvastatin, and rosuvastatin following a single oral dose administration of a microdose cocktail in healthy participants, in participants with mild, moderate, severe (not on dialysis) renal impairment, and in participants with end-stage renal disease (ESRD; on dialysis).
Key facts
- Study ID
- NCT03311841
- Run by
- Merck Sharp & Dohme LLC
- People needed
- 32
- Starts
- 2018-03-01
- Expected to finish
- 2018-08-02
- Last updated by the study team
- 2020-01-09
Who can join
Age: 18 and older, up to 78. Sex: any. Healthy volunteers: accepted.
You may qualify if…
- All participants (with mild, moderate or severe renal impairment, end stage renal disease, or healthy):
- a female must be non-pregnant, non-breast feeding and if she is of reproductive potential: must agree to use (and/or have their partner use) two acceptable methods of birth control beginning at screening, throughout the study and until 2 weeks after the last dosing of study drug
- a female of non-childbearing potential: must have undergone a sterilization procedure at least 6 months prior to the first dose or be postmenopausal with amenorrhea for at least 1 year prior to the first dose
- a non-vasectomized male participant must agree to use a condom with spermicide or abstain from sexual intercourse from the first dose until 90 days after the last dose of study drug
- a male participant must agree not to donate sperm from dosing until 90 days after the last dose of study drug
- has a body mass index (BMI) ≤ 40.0 kg/m\^2
- is a non-smoker or moderate smoker (≤ 20 cigarettes/day or the equivalent)
- Participants with mild, moderate or severe renal impairment or end stage renal disease:
- has a clinical diagnosis of renal impairment and meets the protocol-specified renal impairment function qualifications at the prestudy visit (screening)
- Healthy participants:
- has baseline creatinine clearance ≥ 90 mL/min based on Cockcroft-Gault equation
- is judged to be in good health based on medical history, physical examination, vital signs, pulse oximetry, and laboratory safety tests
You may not qualify if…
- All participants (with mild, moderate or severe renal impairment, end stage renal disease, or healthy):
- is mentally or legally incapacitated or has significant emotional problems at the time of the screening visit or expected during the conduct of the study.
- history or presence of clinically significant medical or psychiatric condition or disease
- history of stroke, chronic seizures, or major neurological disorders
- history of malignant neoplastic disease
- history or presence of alcoholism or drug abuse within the past 6 months
- female participant who is pregnant or lactating
- Participants with mild, moderate or severe renal impairment:
- has had a renal transplant or has had nephrectomy
- has uncontrolled type 2 diabetes mellitus (T2DM), a history of Type 1 diabetes, or ketoacidosis
- history of significant endocrine, gastrointestinal, cardiovascular, hematological, immunological, respiratory, or genitourinary diseases
- Participants with end stage renal disease (ESRD):
- had a failed renal allograft within the last 2 years prior to the first dose, or a successful renal allograft
- has uncontrolled T2DM, a history of Type 1 diabetes, or ketoacidosis
- history of significant endocrine, gastrointestinal, cardiovascular, hematological, immunological, respiratory, or genitourinary diseases
- Healthy participants:
- history of hypoglycemia, glucose intolerance, T2DM, or ketoacidosis
- history of clinically significant endocrine, gastrointestinal, cardiovascular, hematological, hepatic, immunological, renal, respiratory, or genitourinary abnormalities or diseases.
Where it is running
- Clinical Pharmacology of Miami ( Site 0001) — Hialeah, Florida, United States
- Orlando Clinical Research Center ( Site 0002) — Orlando, Florida, United States
Full record on ClinicalTrials.gov
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