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MK-2640

Phase 1

Type 1 Diabetes Mellitus | Small molecule | Metabolic |Merck & Company, Inc.|Last Updated: Jan 15, 2019

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLED
Total Trials1
Total Enrollment74

FDA Designations

No designations recorded

Clinical trial landscape

MK-2640 · 1 trial · 1 indication

Phase 1 1
NCT02269735A Three-part Study to Evaluate the Safety, Pharmacokinetics and Pharmacodynamics of MK-2640 in Healthy Participants (Part I) and Participants With Type 1 Diabetes Mellitus (Parts II and III) (MK-2640-001)Type 1 Diabetes Mellitus
COMPLETED74 Analytics
PHASE1COMPLETED
A Three-part Study to Evaluate the Safety, Pharmacokinetics and Pharmacodynamics of MK-2640 in Healthy Participants (Part I) and Participants With Type 1 Diabetes Mellitus (Parts II and III) (MK-2640-001)
Type 1 Diabetes MellitusUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of participants who experienced an adverse event
Up to 30 days following last dose
Pharmacokinetic parameter: steady state plasma concentration (Css)
Part I: final 30 minutes of each infusion rate; Parts II and III: final 30 minutes of each interval
Pharmacokinetic parameter: area under the plasma concentration curve from time 0 to infinity (AUC [0 to infinity])
Part I: 18 time points between predose and 600 minutes (min.); Part II: 19 time points between predose and 535 min.; Part III: 18 time points between predose and 415 min. following start of infusion
Pharmacokinetic parameter: clearance (CL)
Part I: final 30 minutes of each infusion rate; Parts II and III: final 30 minutes of each interval
Pharmacokinetic parameter: volume of distribution (Vd)
Part I: final 30 minutes of each infusion rate; Parts II and III: final 30 minutes of each interval
Pharmacokinetic parameter: plasma apparent terminal half-life
Part II: following 9 hour infusion; Part III: following 7 hour infusion
Pharmacodynamic parameter: steady-state glucose infusion-rate (GIR) in Part II
Part II: during the final 60 minutes of the infusion
Number of participants who discontinued study drug due to an adverse event
Part I: 1 day; Parts II and III: 9 days

Secondary Endpoints

Number of participants with anti-drug antibody (ADA) formation
Up to 30 days following last dose
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part I: MK-2640 (Panel A)EXPERIMENTALPart I: Lowest dose of MK-2640 infusion (3 approximately three-hour infusions at escalating rates) and dextrose infusion for 9 hours.
Part I: MK-2640 (Panel B)EXPERIMENTALPart I: Low dose of MK-2640 infusion (3 approximately three-hour infusions at escalating rates) and dextrose infusion for 9 hours.
Part I: MK-2640 (Panel C)EXPERIMENTALPart I: Medium-low dose of MK-2640 infusion (3 approximately three-hour infusions at escalating rates) and dextrose infusion for 9 hours.
Part I: MK-2640 (Panel D)EXPERIMENTALPart I: Medium dose of MK-2640 infusion (3 approximately three-hour infusions at escalating rates) and dextrose infusion for 9 hours.
Part I: MK-2640 (Panel E)EXPERIMENTALPart I: Medium-high dose of MK-2640 infusion (3 approximately three-hour infusions at escalating rates) and dextrose infusion for 9 hours.
Part I: MK-2640 (Panel F)EXPERIMENTALPart I: High dose of MK-2640 infusion (3 approximately three-hour infusions at escalating rates) and dextrose infusion for 9 hours.
Part I: MK-2640 (Panel G)EXPERIMENTALPart 1: Highest dose of MK-2640 infusion (3 approximately three-hour infusions at escalating rates) and dextrose infusion for 9 hours.
Part II: MK-2640 followed by RHIEXPERIMENTALPart II: MK-2640 infusion and dextrose infusion for 9 hours during Period 1 of Part II followed by a 7-day wash-out period followed by RHI infusion and dextrose infusion for 9 hours during Period 2 of Part II. Insulin aspart administered approximately 10 hours before Periods 1 and 2 of Part II.
Part II: RHI followed by MK-2640EXPERIMENTALPart II: RHI infusion and dextrose infusion for 9 hours during Period 1 of Part II followed by a 7-day wash-out period followed by MK-2640 infusion and dextrose infusion for 9 hours during Period 2 of Part II. Insulin aspart administered approximately 10 hours before Periods 1 and 2 of Part II.
Part III: MK-2640 followed by RHIEXPERIMENTALPart III: MK-2640 infusion and dextrose infusion for 7 hours during Period 1 of Part III followed by a 7-day wash-out period followed by RHI infusion and dextrose infusion for 7 hours during Period 2 of Part III. Insulin aspart administered approximately 10 hours before Periods 1 and 2 of Part III.
Part III: RHI followed by MK-2640EXPERIMENTALPart III: RHI infusion and dextrose infusion for 7 hours during Period 1 of Part III followed by a 7-day wash-out period followed by MK-2640 infusion and dextrose infusion for 7 hours during Period 2 of Part III. Insulin aspart administered approximately 10 hours before Periods 1 and 2 of Part III.

Interventions

NameTypeDescription
MK-2640DRUGMK-2640 intravenous infusion administered to participant in a fasted state
Regular Human Insulin (RHI)BIOLOGICALRHI 100 units/mL intravenous infusion to maintain target glycemic level
DextroseDRUGDextrose 20% or 50% intravenous infusion for approximately 9 or 7 hours, as appropriate to attain a target glycemic level
Insulin aspartBIOLOGICALInsulin aspart subcutaneous injection or intravenous infusion the evening before each period in Parts II and III to achieve/maintain glycemic target.
Rescue medicationDRUGRescue medication may be administered for hypotension or mild to moderate infusion reaction. Rescue medication may include epinephrine, antihistamines, steroids, or acetaminophen/paracetamol.
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Eligibility Criteria

Age Range18 Years to 55 Years
SexALL
Healthy VolunteersYes

Inclusion Criteria (Part I): * healthy male or healthy female of non-child bearing potential * in good health * is a non-smoker and/or has not used nicotine or nicotine-containing products (e.g., nicotine patch) for at least approximately 3 months Inclusion Criteria (Parts II and III): * male or ...

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Frequently asked questions about MK-2640

What is MK-2640 used for in Type 1 Diabetes Mellitus?

MK-2640 is an investigational small molecule being studied for the treatment of Type 1 Diabetes Mellitus. It is currently in Phase 1 clinical development and has not been approved by regulatory authorities. A completed trial evaluated its safety, pharmacokinetics, and pharmacodynamics in healthy participants and in participants with Type 1 Diabetes Mellitus.

Who makes MK-2640?

MK-2640 is being developed by Merck & Company, Inc., which trades under the ticker symbol MRK. The company is conducting clinical research to evaluate the drug's safety and effects in participants with Type 1 Diabetes Mellitus.

What phase is MK-2640 in?

MK-2640 is in Phase 1 clinical development. It is an investigational drug and has not been approved by the FDA or other regulatory agencies. The drug is being studied for its safety, pharmacokinetics, and pharmacodynamics in a completed Phase 1 trial.

What clinical trials is MK-2640 in?

MK-2640 has one completed clinical trial, identified as NCT02269735. This three-part study evaluated the safety, pharmacokinetics, and pharmacodynamics of MK-2640 in healthy participants and in participants with Type 1 Diabetes Mellitus. The trial enrolled 74 participants and was controlled but not double-blind.

Is MK-2640 the same as any other drug?

MK-2640 is the primary name for this investigational drug. No alternative names have been reported in the available clinical trial information. It is being studied under the trial identifier NCT02269735.