Multiple Rising Dose Study of MK-6194 in Participants With Atopic Dermatitis (MK-6194-008)
A Randomized, Double-Blind, Placebo-Controlled, Multiple Rising Dose Clinical Trial to Investigate Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of MK-6194 in Participants With Moderate to Severe Atopic Dermatitis
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Toll Free Number
- Phone Number: 1-888-577-8839
- Email: Trialsites@merck.com
Study Locations
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Limburg
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Alken, Limburg, Belgium, 3570
- Anima ( Site 0013)
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Sofia (stolitsa)
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Sofia, Sofia (stolitsa), Bulgaria, 1618
- ARENSIA Exploratory Medicine - Sofia ( Site 0018)
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Quebec
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Montréal, Quebec, Canada, H2X 2V1
- Innovaderm Research Inc. ( Site 0019)
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Bucuresti
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Bucharest, Bucuresti, Romania, 11658
- ARENSIA Exploratory Medicine-SC ARENSIA Exploratory Medicine SRL with Monza Medical Center ( Site 00
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Cluj
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Cluj-Napoca, Cluj, Romania, 400006
- ARENSIA Exploratory Medicine-Country Emergency Hospital- Arensia,Cluj-Napoca ( Site 0017)
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Barcelona
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Badalona, Barcelona, Spain, 08916
- Hospital Germans Trias i Pujol-CCEE Dermatologia ( Site 0012)
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Arkansas
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North Little Rock, Arkansas, United States, 72117
- Arkansas Research Trials-Clinical Trials ( Site 0002)
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Florida
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Miami, Florida, United States, 33173
- Miami Dermatology and Laser Research ( Site 0025)
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Miami Lakes, Florida, United States, 33016
- Global Health Research Center, Inc. ( Site 0005)
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Tampa, Florida, United States, 33603
- Genesis Clinical Research, LLC ( Site 0004)
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Tampa, Florida, United States, 33613
- ForCare Clinical Research ( Site 0003)
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Georgia
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Sandy Springs, Georgia, United States, 30328
- Advanced Medical Research, PC. ( Site 0027)
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Minnesota
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Dilworth, Minnesota, United States, 56529
- AXIS Clinicals ( Site 0029)
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Ohio
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Columbus, Ohio, United States, 43215
- Remington Davis Clinical Research ( Site 0021)
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19103
- Paddington Testing Company ( Site 0010)
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Texas
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Frisco, Texas, United States, 75034
- North Texas Center for Clinical Research ( Site 0028)
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San Antonio, Texas, United States, 78213
- Progressive Clinical Research ( Site 0022)
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Sugar Land, Texas, United States, 77478
- Complete Dermatology ( Site 0023)
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Washington
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Spokane, Washington, United States, 99202
- Premier Clinical Research ( Site 0026)
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
The main inclusion and exclusion criteria include but are not limited to the following:
Inclusion Criteria:
- Clinical diagnosis of atopic dermatitis for at least 6 months prior to the Screening visit.
- Atopic dermatitis is of at least moderate severity.
- History of inadequate response to a stable (≥1 month) regimen of medium to high potency topical corticosteroids or calcineurin inhibitors as treatment for atopic dermatitis within 6 months before the screening visit.
- Body Mass Index (BMI) ≥18 and ≤38 kg/m2 at the screening visit.
Exclusion Criteria:
- Concurrent significant skin disease other than atopic dermatitis (such as psoriasis) or a concurrent clinically significant disease.
- Significant organ dysfunction that is unstable or inadequately treated within 6 months prior to Screening.
- History of cancer (malignancy), with the exceptions: of adequately treated nonmelanomatous skin carcinoma or carcinoma in situ of the cervix or; other malignancies that have been successfully treated with appropriate follow up.
- History of myocardial infarction, congestive heart failure, uncontrolled arrhythmias, cardiac revascularization, stroke, uncontrolled hypertension, or uncontrolled diabetes within 6 months of Screening.
- History of organ or tissue allograft.
- History of symptomatic herpes zoster within 16 weeks of randomization, or any history of disseminated herpes simplex, disseminated herpes zoster, ophthalmic zoster, or central nervous system (CNS) zoster.
- Major surgery within 3 months prior to the screening visit or has a major surgery planned during the study.
- Received a live or attenuated virus vaccine within 4 weeks prior to the Screening visit or intends to receive live or attenuated virus vaccination during the course of the study and for 12 weeks after the last dose of study drug.
- Currently receiving any chronic systemic (oral or intravenous) anti-infective therapy for chronic infection (such as pneumocystis, cytomegalovirus, herpes zoster, or atypical mycobacteria).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Sequential Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: Dose Escalation Panel A
Participants are randomized to low dose MK-6194 or placebo, administered every 2 weeks (q2w).
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MK-6194 administered subcutaneously (SC)
Placebo comparator to MK-6194 administered SC
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Experimental: Dose Escalation Panel B
Participants are randomized to medium dose MK-6194 or placebo administered q2w.
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MK-6194 administered subcutaneously (SC)
Placebo comparator to MK-6194 administered SC
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Experimental: Dose Escalation Panel C
Participants are randomized to high dose MK-6194 or placebo administered q2w.
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MK-6194 administered subcutaneously (SC)
Placebo comparator to MK-6194 administered SC
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Experimental: Expansion Panel D
Participants are randomized to medium dose MK-6194 or placebo administered q2w.
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MK-6194 administered subcutaneously (SC)
Placebo comparator to MK-6194 administered SC
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Experimental: Expansion Panel E
Participants are randomized to a dose less than or equal to high dose MK-6194 or placebo administered q2w.
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MK-6194 administered subcutaneously (SC)
Placebo comparator to MK-6194 administered SC
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Experimental: Expansion Dose F
Participants are randomized to a dose less than or equal to high dose MK-6194 or placebo q2w.
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MK-6194 administered subcutaneously (SC)
Placebo comparator to MK-6194 administered SC
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Number of Participants Who Experience One or More Adverse Events (AEs)
Time Frame: Up to approximately 169 days
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An 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 a study intervention.
The number of participants who experienced an AE is presented.
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Up to approximately 169 days
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Number of Participants Who Discontinue Study Intervention Due to an AE
Time Frame: Up to approximately 85 days
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An 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 a study intervention.
The number of participants who discontinued study intervention due to an AE is presented.
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Up to approximately 85 days
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Area Under the Curve (AUC) From Days 1-15 (AUC1-15) of MK-6194
Time Frame: Day 1 (Predose and 12 hours postdose), Day 8, and Day 15
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Blood samples were collected at pre-specified time points to determine the AUC1-15 of MK-6194 in plasma.
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Day 1 (Predose and 12 hours postdose), Day 8, and Day 15
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AUC From Days 29-43 (AUC29-43) of MK-6194
Time Frame: Day 29 (Predose and 12 hours postdose), Day 36, and Day 43
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Blood samples were collected at pre-specified time points to determine the AUC29-43 of MK-6194 in plasma.
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Day 29 (Predose and 12 hours postdose), Day 36, and Day 43
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Peak Serum Concentration (Cmax) of MK-6194 (Day 1 to 29)
Time Frame: Day 1 (Predose and 12 hours postdose), Day 8, Day 15, and Day 29 (Predose and 12 hours postdose)
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Blood samples were collected at pre-specified time points to determine the Cmax of MK-6194 in plasma.
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Day 1 (Predose and 12 hours postdose), Day 8, Day 15, and Day 29 (Predose and 12 hours postdose)
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Minimum Serum Concentration (Ctrough) of MK-6194 (Day 1 to 29)
Time Frame: Predose on Days 15 and 29
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Blood samples were collected at pre-specified time points to determine the Ctrough of MK-6194 in plasma.
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Predose on Days 15 and 29
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Time to Peak Serum Concentration (Tmax) of MK-6194 (Day 1 to 29)
Time Frame: Day 1 (Predose and 12 hours postdose), Day 8, Day 15, and Day 29 (Predose and 12 hours postdose)
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Blood samples were collected at pre-specified time points to determine the Tmax of MK-6194 in plasma.
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Day 1 (Predose and 12 hours postdose), Day 8, Day 15, and Day 29 (Predose and 12 hours postdose)
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Geometric Mean Accumulation Ratio of AUC of MK-6194
Time Frame: Day 1 (Predose and 12 hours postdose), Day 8, Day 15, Day 29 (Predose and 12 hours postdose), Day 36, and Day 43
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Blood samples were collected at pre-specified time points to determine the geometric mean accumulation ratio of AUC of MK-6194.
The accumulation ratio is defined as Day 29-43/ Day 1-15.
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Day 1 (Predose and 12 hours postdose), Day 8, Day 15, Day 29 (Predose and 12 hours postdose), Day 36, and Day 43
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Geometric Mean Accumulation Ratio of Cmax of MK-6194
Time Frame: Day 1 (Predose and 12 hours postdose), Day 8, Day 15, Day 29 (Predose and 12 hours postdose), Day 36, and Day 43
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Blood samples were collected at pre-specified time points to determine the geometric mean accumulation ratio of Cmax of MK-6194.
The accumulation ratio is defined as Day 29-43/ Day 1-15.
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Day 1 (Predose and 12 hours postdose), Day 8, Day 15, Day 29 (Predose and 12 hours postdose), Day 36, and Day 43
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Fold Change From Baseline in Peak Regulatory T Cells (Tregs)
Time Frame: Baseline and Day 85
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Blood samples were collected to determine the fold change from baseline (FCB) in peak Tregs.
The peak Treg FCB was evaluated after the last dose of MK-6194 on Day 85 using natural-log transformed values with a linear model containing fixed effects.
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Baseline and Day 85
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Medical Director, Merck Sharp & Dohme LLC
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 6194-008
- MK-6194-008 (Other Identifier: MSD)
- 2022-001011-12 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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