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)



Status:Recruiting
Conditions:Diabetes, Diabetes
Therapuetic Areas:Endocrinology
Healthy:No
Age Range:18 - 55
Updated:4/21/2016
Start Date:November 2014
End Date:May 2016
Contact:Toll Free Number
Phone:1-888-577-8839

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A Three-part Study Parts I, II and III: Rising Dose Study to Evaluate the Safety, Pharmacokinetics and Pharmacodynamics of MK-2640 in Healthy Subjects (Part I) and Evaluation of Safety, Pharmacokinetics and Pharmacodynamics of MK-2640 in Subjects With Type 1 Diabetes Mellitus (Part II and Part III).

The purpose of Part I of this study is to evaluate the safety and tolerability of
intravenous (IV) doses of MK-2640 in healthy participants and to obtain preliminary plasma
pharmacokinetic profiles of MK-2640. The purpose of Parts II and III of this study is to
evaluate the safety and tolerability of IV doses of MK-2640 and regular human insulin (RHI),
and to evaluate the pharmacokinetic and pharmacodynamic profile of MK-2640 and RHI in
participants with type 1 diabetes mellitus (T1DM). Part II will be initiated only if Part I
general safety, tolerability and other observed data are supportive of progression to Part
II. Part III will be initiated only if Parts I and II general safety, tolerability and other
observed data are supportive of progression to Part III.


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 female of non-child bearing potential

- has T1DM for at least 12 months

- on stable doses of insulin

- in good health

- is a nonsmoker and/or has not used nicotine or nicotine-containing products (e.g.,
nicotine patch) for at least approximately 3 months

Exclusion Criteria:

- is mentally or legally incapacitated, or has significant emotional problems at the
time of screening visit or expected during the conduct of the trial or has a history
of clinically significant psychiatric disorder of the last 5 years

- has a history of clinically significant endocrine (except T1DM for Part II subjects),
gastrointestinal, cardiovascular, hematological, hepatic, immunological, renal,
respiratory, genitourinary or major neurological (including stroke and chronic
seizures) abnormalities or diseases

- is positive for hepatitis B surface antigen, hepatitis C antibodies or human
immunodeficiency virus (HIV)

- has a history of cancer (malignancy), except adequately treated non-melanomatous skin
carcinoma or carcinoma in situ of the cervix

- has a history of significant multiple and/or severe allergies, or has had an
anaphylactic reaction or significant intolerability to prescription or
non-prescription drugs or food, had major surgery, donated or lost 1 unit of blood
within 4 weeks prior to the screening visit

- has participated in another investigational trial within 4 weeks prior to the
screening visit

- is unable to refrain from or anticipates the use of any medication, including
prescription and non-prescription drugs or herbal remedies beginning approximately 2
weeks prior to administration of the initial dose of trial drug, throughout the
trial, until the posttrial visit

- consumes greater than 3 glasses of alcoholic beverages daily

- consumes greater than 6 servings of coffee, tea, cola, energy-drinks, or other
caffeinated beverages per day.

- is currently a regular or recreational user of cannabis, any illicit drugs or has a
history of drug (including alcohol) abuse within approximately 3 months

Exclusion Criteria (Parts II and III):

- has a history of diabetic ketoacidosis in the last 6 months.

- has had one or more severe hypoglycemic episodes associated with hypoglycemic
seizures, comas or unconsciousness within 2 weeks prior to dosing

- has used systemic (intravenous, oral, inhaled) glucocorticoids within 3 months of
screening or is anticipated to require treatment with systemic glucocorticoids during
study participation

- has a history of hypersensitivity to pharmacologic insulins or to any of the inactive
ingredients in regular human insulin, or to any E. coli-derived drug product
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