There was an approximate 30% increase in MDZ AUC when co-administered with MK-5172, suggesting that MK-5172 is a weak CYP3A4 inhibitor. There was an approximate 3-fold increase in atorvastatin AUC when co-administered with MK-5172, due to CYP3A4 inhibition and potentially BCRP inhibition. MK-5172 PK was not significantly impacted by co-administration with pitavastatin or atorvastatin. Disclosures: Luzelena Caro – Employment: Merck & Co., Inc. Jennifer E. Talaty- Employment: Merck, Sharp, & Dohme Zifang Guo – Employment: Merck & Co., Inc. Christina Reitmann – Employment: Merck, Sharp & Dohme, Corp Iain Y-27632 concentration P. Fraser – Employment:
Merck & Co.; Stock Shareholder: Merck & Co. Raymond Evers – Employment: Merck Wendy W. Yeh – Employment: Merck & Co. Joan R. Butterton – Employment: Merck Sharp & Dohme Corp.; Stock Shareholder: Merck Sharp & Dohme Corp.
The following people have nothing to disclose: Dennis Swearingen Background: MK-5172, a once-daily competitive inhibitor of the hepatitis C virus (HCV) NS3/4A protease with improved potency compared with the approved first generation protease inhibitors, and MK-8742, a HCV NS5A replication complex inhibitor with improved potency compared to first generation NS5A inhibitors, are Epigenetics inhibitor being developed for the treatment of chronic HCV infection. Since these agents may be coadministered as a combination regimen for HCV, the present study evaluated the pharmacokinetic interactions and tolerability of MK-5172 and MK-8742 co-administration in healthy subjects. Methods: This was an open-label, multiple-dose study in 10 healthy adult male and female volunteers, ages 19-55 years. Since MK-5172 in
HCV-infected patients demonstrates ∼2-fold higher exposure compared to healthy subjects, a 200 mg dose of MK-5172 in healthy subjects was used in this study to match the exposure of 100 mg dose (the intended Phase 3 dose) in HCV-infected patients. In Period 1, subjects received oral doses of 200 mg MK-5172 once Janus kinase (JAK) daily on Days 1 to 7. Following a 7 day washout, subjects received oral doses of 20 mg MK-8742 once daily on Days 1 to 7 in Period 2. In Period 3, subjects were co-administered once daily oral doses of 200 mg MK-5172 and 20 mg MK-8742 on Days 1 to 8. Plasma PK samples were collected for the pharmacokinetic assessment of MK-5172 and MK-8742. Safety assessments included ECGs, vital signs, clinical laboratory tests, physical examination, and adverse event monitoring. Results: Co-administration of MK-5172 with MK-8742 was generally well-tolerated. Multiple oral doses of MK-5172 did not meaningfully change the steady-state AUC0-24h, Cmax, or C24h of MK-8742 with geometric mean ratios (GMRs) [90% confidence intervals (CIs)] for MK-8742 (MK-8742+MK-5172/MK-8742) of 1.01 [0.83, 1.24], 0.93 [0.76, 1.13], and 1.02 [0.83, 1.24], respectively. Multiple oral doses of MK-8742 did not meaningfully change AUC0-24h, Cmax, or C24h of MK-5172 (MK-5172+MK-8742/MK-5172) with GMRs [90% CIs] of 0.90 [0.