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Clinical Trials/NCT04322253
NCT04322253
Terminated
Phase 1

Investigation of the Pharmacokinetics, Safety, and Tolerability of Neladenoson Bialanate in Subjects With Hepatic Impairment (Classified as Child Pugh A and B) and in Age-, Weight-, and Gender-matched Healthy Subjects, Following a Single Oral Dose in a Single-center, Non-randomized, Non-controlled, Non-blinded Study

Bayer1 site in 1 country22 target enrollmentAugust 24, 2017

Overview

Phase
Phase 1
Intervention
Neladenoson bialanate (BAY 1067197)
Conditions
Pharmacology, Clinical
Sponsor
Bayer
Enrollment
22
Locations
1
Primary Endpoint
AUC for BAY 84-3174
Status
Terminated
Last Updated
6 years ago

Overview

Brief Summary

Neladenoson bialanate is currently under clinical development for a condition in which the heart has trouble pumping blood through the body (chronic heart failure). Liver impairment is a condition in which the liver is not working as well as they should. The goal of the study is to learn more about the safety of neladenoson bialanate, how it is tolerated and the way the body absorbs, distributes and excretes the study dug given as a single oral dose neladenoson bialanate in participants with liver impairment and healthy participants matched for age-, gender-, and weight

Registry
clinicaltrials.gov
Start Date
August 24, 2017
End Date
December 17, 2018
Last Updated
6 years ago
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Sponsor
Bayer
Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • All subjects
  • Male and female Caucasian subjects between 18 and 79 years of age (both inclusive) with a body mass index above/equal 18.0 and below/equal 34.0 kg/m² Subjects with hepatic impairment
  • Subjects with documented liver cirrhosis confirmed by histopathology, e.g., previous liver biopsy, laparoscopy, ultrasound, or fibroscan
  • Subjects with hepatic impairment as per Child Pugh system
  • Subjects with stable liver disease during the last 2 months Healthy subjects
  • Healthy subjects with mean age and body weight not varying by more than ±10 years and ±10 kg from the groups of subjects with mild and moderate hepatic impairment, respectively.

Exclusion Criteria

  • Medical history of continent ileostomy.
  • Febrile illness within 1 week prior to admission to study center.
  • Known hypersensitivity to the study drug (active substances or excipients of the preparation).
  • Subjects with diagnosed malignancy within the past 5 years.
  • Use of any systemic or topical medicine or substances which oppose the study objectives or which might influence them, in particular:
  • Starting from screening on, but minimum from 2 weeks before the study drug administration until the follow-up visit:
  • CYP3A4 inducers
  • CYP3A4 inhibitors
  • Potent CYP2C8 inhibitors
  • Major uridine diphosphate-glucuronosyltransferase isoenzyme 1A1 (UGT1A1) substrate (irinotecan)

Arms & Interventions

Neladenoson bialanate, mild hepatic impairment

Subjects with Child Pugh score 5 or 6 received a single immediate-release (IR) tablet dose of 10 mg neladenoson bialanate in the fasted state

Intervention: Neladenoson bialanate (BAY 1067197)

Neladenoson bialanate, moderate hepatic impairment

Subjects with Child Pugh score 7-9 received a single IR tablet dose of 10 mg neladenoson bialanate in the fasted state

Intervention: Neladenoson bialanate (BAY 1067197)

Neladenoson bialanate, control group

Healthy subjects matched for age, gender and body weight received a single IR tablet dose of 10 mg neladenoson bialanate in the fasted state

Intervention: Neladenoson bialanate (BAY 1067197)

Outcomes

Primary Outcomes

AUC for BAY 84-3174

Time Frame: Pre-dose up to 49 days after study drug administration

Area under the concentration vs. time curve from zero to infinity after single dose administration

AUCu for BAY 84-3174

Time Frame: Pre-dose up to 49 days after study drug administration

AUC of unbound drug after single dose administration

fu for BAY 84-3174

Time Frame: At 4 hours after study drug administration

Fraction of free (unbound) drug in plasma or serum after single dose administration

AUCnorm for BAY 84-3174

Time Frame: Pre-dose up to 49 days after study drug administration

AUC divided by dose per body weight after single dose administration

Cmax for BAY 84-3174

Time Frame: Pre-dose up to 49 days after study drug administration

Maximum observed drug concentration in measured matrix after single dose administration

Cmax,u for BAY 84-3174

Time Frame: Pre-dose up to 49 days after study drug administration

Cmax of unbound drug after single dose administration

Cmax,norm for BAY 84-3174

Time Frame: Pre-dose up to 49 days after study drug administration

Cmax divided by dose per body weight after single dose administration

Secondary Outcomes

  • Number of subjects with treatment-emergent adverse events (TEAEs)(Up to 49 days after study drug administration)

Study Sites (1)

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