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A Study to Assess S-217622 in Participants With Mild and Moderate Hepatic Impairment and Healthy Control Participants

Phase 1
Completed
Conditions
Hepatic Impairment
Interventions
Registration Number
NCT05409911
Lead Sponsor
Shionogi
Brief Summary

The objective of this study is to assess the pharmacokinetics (PK), safety, and tolerability of S-217622 in participants with mild and moderate hepatic impairment compared with control participants with normal hepatic function.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
25
Inclusion Criteria
  • Body weight ≥50 kilograms (kg) and body mass index (BMI) within the range of ≥18.5 to <38.0 kilogram-meter squared (kg/m^2) at the Screening visit.

Participants With Hepatic Impairment

  • A diagnosis of clinically stable hepatic disease for at least 1 month prior to the Screening visit, confirmed by medical history or previous confirmation of hepatic cirrhosis by liver biopsy or medical imaging technique (including laparoscopy, computerized tomography [CT] scan, magnetic resonance imaging [MRI], or ultrasonography).

  • Mild or moderate hepatic impairment based on the Child-Pugh classification score at the Screening visit to determine eligibility:

    1. Mild (Class A) hepatic impairment (Child-Pugh classification score 5 to 6)
    2. Moderate (Class B) hepatic impairment (Child-Pugh classification score 7 to 9)
  • A stable medication regimen is required, defined as not starting new drug(s) or changing dosage(s) within 14 days prior to administration of study intervention through the Follow-up/Early Termination visit.

Healthy Participants

  • Matched to each participant with moderate (and mild when possible) hepatic impairment with respect to sex, age (± 5 years), and BMI (± 10%).
Exclusion Criteria
  • History or presence of/significant history of or current cardiovascular, respiratory, renal, gastrointestinal (GI), endocrinological, hematological, or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs; constituting a risk when taking the study intervention; or interfering with the interpretation of data.
  • History of GI surgery including but not limited to gastric resection and/or intestinal resection that resulted in a clinically significant abnormality in GI function.
  • Lymphoma, leukemia, or any malignancy within the past 5 years except for basal cell or squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for 3 years.
  • Breast cancer within the past 10 years.
  • Participant with poor venous access.

Other inclusion and exclusion criteria may apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
S-217622: Group AS-217622Participants with mild hepatic impairment will receive a single dose of S-217622 on Day 1, in a fasted state.
S-217622: Group BS-217622Participants with moderate hepatic impairment will receive a single dose of S-217622 on Day 1, in a fasted state.
S-217622: Group CS-217622Participants with normal hepatic function will receive a single dose of S-217622 on Day 1, in a fasted state.
Primary Outcome Measures
NameTimeMethod
Area Under the Plasma Concentration-Time Curve (AUC) of S-2176220 (predose) up to 336 hours postdose on Day 1 to Day 15
Apparent Total Clearance (CL/F) of S-2176220 (predose) up to 336 hours postdose on Day 1 to Day 15
Fraction Unbound in Plasma (FU) of S-2176220 (predose) up to 336 hours postdose on Day 1 to Day 15
Mean Residence Time (MRT) of S-2176220 (predose) up to 336 hours postdose on Day 1 to Day 15
Apparent Volume of Distribution (Vz/F) of S-2176220 (predose) up to 336 hours postdose on Day 1 to Day 15
Terminal Elimination Half-Life (t1/2,z) of S-2176220 (predose) up to 336 hours postdose on Day 1 to Day 15
Terminal Elimination Rate Constant (λz) of S-2176220 (predose) up to 336 hours postdose on Day 1 to Day 15
Fraction of Dose Excreted in Urine (Feu) of S-2176220 (predose) up to 336 hours postdose on Day 1 to Day 15
Maximum Observed Plasma Concentration (Cmax) of S-2176220 (predose) up to 336 hours postdose on Day 1 to Day 15
Time to Maximum Plasma Concentration (Tmax) of S-2176220 (predose) up to 336 hours postdose on Day 1 to Day 15
Renal Clearance (CLR) of S-2176220 (predose) up to 336 hours postdose on Day 1 to Day 15
Secondary Outcome Measures
NameTimeMethod
Number of Participants with Treatment-Emergent Adverse EventsUp to Day 21

Trial Locations

Locations (4)

Clinical Pharmacology of Miami, LLC

🇺🇸

Miami, Florida, United States

Advanced Pharma CR, LLC

🇺🇸

Miami, Florida, United States

Nucleus Network

🇺🇸

Saint Paul, Minnesota, United States

Orlando Clinical Research Center, Inc.

🇺🇸

Orlando, Florida, United States

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