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Clinical Trials/NCT05497297
NCT05497297
Completed
Phase 1

An Open-label, Single-dose Study to Assess the Pharmacokinetics of HSK7653 Tablets in Subjects With Varying Degrees of Renal Impairment Compared to the Control Subjects With Normal Renal Function

Haisco Pharmaceutical Group Co., Ltd.1 site in 1 country42 target enrollmentAugust 4, 2022

Overview

Phase
Phase 1
Intervention
HSK7653 tablets
Conditions
Renal Impairment
Sponsor
Haisco Pharmaceutical Group Co., Ltd.
Enrollment
42
Locations
1
Primary Endpoint
Cmax
Status
Completed
Last Updated
3 years ago

Overview

Brief Summary

This is an open-label, single-dose study to evaluate the pharmacokinetics, pharmacodynamics and safety of HSK7653 in subjects with mild, moderate, severe renal impairment and subjects with kidney failure compared to the matched control subjects with normal renal function.

Detailed Description

This is an open-label, single-dose Phase I study that evaluate the pharmacokinetics, pharmacodynamics and safety of a single dose of HSK7653 10 mg in subjects with mild, moderate, and severe renal impairment , subjects with kidney failure and the control subjects with normal renal function. This study consists of a screening period (Day -14 to Day -1), a baseline period (Day -1), a treatment period (Day 1 to Day 29), and a follow-up call on Day 32. Subjects will be enrolled in the following groups: Glomerular filtration rate (GFR, unit mL/min/1.73m\^2) will be calculated based on Modification of Diet in Renal Disease (MDRD) equation at screening, Multiply it by BSA, then divide by 1.73 to convert to absolute GFR (unit, mL/min) (group A1) mild renal impairment (60 ≤ GFR\< 90 mL/min); (group B1) moderate renal impairment (30 ≤ GFR\<60 mL/min); (group C1) severe renal impairment (15 ≤ GFR\< 30 mL/min); (group D1) kidney failure (\<15 mL/min, not on hemodialysis); (group A2,B2,C2,D2) control subjects with normal renal function will be matched with subjects with renal impairment by weight, age, and sex (GFR≥90 mL/min).If subjects in group A2 can be matched with the subjects in groups A1 and B1 at the same time, the subjects in group B2 will not be enrolled, and so on. Approximately 64 subjects will be enrolled in total.

Registry
clinicaltrials.gov
Start Date
August 4, 2022
End Date
October 26, 2022
Last Updated
3 years ago
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Sponsor
Haisco Pharmaceutical Group Co., Ltd.
Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Subjects with renal impairment(RI):
  • Voluntarily sign the informed consent form, understand the trial procedures, and be willing to comply with all trial procedures and restrictions;
  • 18 years to 79 years (inclusive), male and female;
  • Male subjects weight ≥50 kg and female subjects weight ≥45 kg. Body mass index (BMI) : 18-30 kg/m2 (inclusive) (BMI= weight (kg)/height2 (m\^2));
  • Subjects with medically stable RI until study completion corresponding to the Classifications of Renal Function based on GFR: mild RI: 60≤GFR\<90 mL/min; moderate RI: 30≤GFR\<60 mL/min, severe RI:15≤GFR\<30 mL/min, kidney failure:GFR\<15 mL/min (not on hemodialysis);
  • Physical examination, vital sign measurements, 12-lead electrocardiogram (ECG), and clinical laboratory tests (hematology, serum chemistry, coagulation and urinalysis test) results were deemed appropriate by the investigator;
  • Not in use of any drug within 2 weeks prior to screening, except for the medication necessary for RI/ other comorbidities (last more than four weeks in good compliance);
  • Subjects (including partners) are willing to voluntarily use effective contraceptives from screening to at least 6 months after the last dose administration;
  • Subjects with normal renal function :
  • Voluntarily sign the informed consent form, understand the trial procedures, and be willing to comply with all trial procedures and restrictions;

Exclusion Criteria

  • Subjects who have a allergic history of DPP4 inhibitors or have a history of allergy to the test drug and the related compounds;
  • Have a history of severe and uncontrolled diseases, such as cardiovascular, respiratory, liver, gastrointestinal, endocrine, hematologic, mental/nervous systems diseases within one year prior to screening;
  • History or clinical evidence of acute or chronic pancreatitis, or clinically significant abnormalities in blood lipase and/or blood amylase results at screening;
  • Have conditions that may affect drug absorption, distribution, metabolism, or excretion (e.g., disease, drugs or surgery);
  • Use of any DPP-IV enzyme inhibitor within 2 weeks prior to the screening;
  • Experienced severe hypoglycemia within 3 months before screening;
  • Acute renal failure;
  • Smoking more than 5 cigarettes per day within 3 months prior to screening or smoking during the study;
  • Average alcohol intake is more than 14 unit per week (1unit=17.7 mL alcohol , 1 unit=357mL 5% alcohol beer, or 43mL 40% alcohol spirit, or 147mL 12% alcohol wine) within the 3 months prior to screening, or taking any alcohol during study or a positive ethanol breath test at screening;
  • Drug abuse history within 5 years prior to screening, or positive urine drug screen at screening;

Arms & Interventions

Mild Renal Impairment

A1 group subjects will receive a single dose of 10 mg HSK7653

Intervention: HSK7653 tablets

Moderate Renal Impairment

B1 group subjects will receive a single dose of 10 mg HSK7653

Intervention: HSK7653 tablets

Severe Renal Impairment

C1 group subjects will receive a single dose of 10 mg HSK7653

Intervention: HSK7653 tablets

Kidney failure

D1 group subjects will receive a single dose of 10 mg HSK7653

Intervention: HSK7653 tablets

Normal Renal function

A2, B2, C2 and D2 group subjects will receive a single dose of 10 mg HSK7653, If the age, sex and weight of the subjects in group A2 can be matched with the subjects in groups A1 and B1 at the same time, the subjects in group B2 will not be enrolled, and so on.

Intervention: HSK7653 tablets

Outcomes

Primary Outcomes

Cmax

Time Frame: Predose and 0.25, 0.5, 1, 2, 4, 8 , 12, 24, 72, 168, 336, 504, 672 hours after dosing

The pharmacokinetic parameters of HSK7653 in plasma

AUC0-t

Time Frame: Predose and 0.25, 0.5, 1, 2, 4, 8 , 12, 24, 72, 168, 336, 504, 672 hours after dosing

The pharmacokinetic parameters of HSK7653 in plasma

AUC0-inf

Time Frame: Predose and 0.25, 0.5, 1, 2, 4, 8 , 12, 24, 72, 168, 336, 504, 672 hours after dosing

The pharmacokinetic parameters of HSK7653 in plasma

Secondary Outcomes

  • Tmax(Predose and 0.25, 0.5, 1, 2, 4, 8 , 12, 24, 72, 168, 336, 504, 672 hours after dosing)
  • t1/2(Predose and 0.25, 0.5, 1, 2, 4, 8 , 12, 24, 72, 168, 336, 504, 672 hours after dosing)
  • Vz/F(Predose and 0.25, 0.5, 1, 2, 4, 8 , 12, 24, 72, 168, 336, 504, 672 hours after dosing)
  • CL/F(Predose and 0.25, 0.5, 1, 2, 4, 8 , 12, 24, 72, 168, 336, 504, 672 hours after dosing)
  • Ae(Predose and 168 hours after dosing)
  • Fe(Predose and 168 hours after dosing)
  • CLr(Predose and 168 hours after dosing)
  • The number of volunteers with adverse events as a measure of safety(Day 1 to Day 32)
  • DPP4 inhibition AUEC(Predose and 1, 24, 72, 168, 336 hours after dosing)
  • DPP4 inhibition Emax(Predose and 1, 24, 72, 168, 336 hours after dosing)
  • DPP4 inhibition E336h(Predose and 1, 24, 72, 168, 336 hours after dosing)

Study Sites (1)

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