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Safety, Tolerability, and Pharmacokinetics of the β-Site Amyloid Precursor Protein-Cleaving Enzyme 1 Inhibitor Verubecestat (MK-8931) in Healthy Elderly Male and Female Subjects.

Abstract
β-site amyloid precursor protein-cleaving enzyme 1 (BACE1) is required for the production of β-amyloid peptides, which are implicated in the etiology of Alzheimer's disease. The safety and pharmacokinetics of the BACE1 inhibitor verubecestat have previously been studied in young adults aged 19-45 years. In this randomized, placebo-controlled, phase I study (protocol MK-8931-006), we investigated the safety, tolerability, and pharmacokinetics of a single dose (100 mg) or multiple doses (30, 80, and 120 mg) once daily for 28 days of verubecestat in healthy elderly subjects. Safety end points were assessed at baseline and during the duration of the study period and indicated that verubecestat was generally well tolerated. Verubecestat pharmacokinetics were similar between healthy elderly male and female subjects and similar to those reported in healthy young males in previous studies. These data supported subsequent studies to assess the potential efficacy of verubecestat in subjects with Alzheimer's disease.
AuthorsMark Forman, John Palcza, Jack Tseng, Julie A Stone, Brittany Walker, Dennis Swearingen, Matthew D Troyer, Marissa F Dockendorf
JournalClinical and translational science (Clin Transl Sci) Vol. 12 Issue 5 Pg. 545-555 (09 2019) ISSN: 1752-8062 [Electronic] United States
PMID31215755 (Publication Type: Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
Copyright© 2019. Merck Sharp & Dohme Corp. Clinical and Translational Science published by Wiley Periodicals, Inc. on behalf of the American Society for Clinical Pharmacology and Therapeutics.
Chemical References
  • Cyclic S-Oxides
  • Thiadiazines
  • Amyloid Precursor Protein Secretases
  • Aspartic Acid Endopeptidases
  • BACE1 protein, human
  • verubecestat
Topics
  • Administration, Oral
  • Aged
  • Amyloid Precursor Protein Secretases (antagonists & inhibitors, metabolism)
  • Aspartic Acid Endopeptidases (antagonists & inhibitors, metabolism)
  • Cyclic S-Oxides (administration & dosage, adverse effects, blood, pharmacokinetics)
  • Dose-Response Relationship, Drug
  • Female
  • Humans
  • Male
  • Thiadiazines (administration & dosage, adverse effects, blood, pharmacokinetics)

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