A Phase 1, Open-Label, Parallel-Group, Single-Dose Study to Evaluate the Safety and Pharmacokinetics of Bemnifosbuvir and Ruzasvir Administered as a Fixed-Dose Combination in Adult Participants With Severe Renal or Hepatic Impairment in Comparison to Healthy Participants
Trial Snapshot
- Phase
- Phase 1
- Status
- Completed
- Sponsor
- Atea Pharmaceuticals, Inc.
- Enrollment
- 28
- Locations
- 2
- Primary Endpoint
- Pharmacokinetics (PK) of BEM/RZR Area under the plasma concentration-time curve (AUC)
Study Overview
Brief Summary
To Assess the Effect of Severe Hepatic or Renal Impairment on the Pharmacokinetics of Bemnifosbuvir/Ruzasvir After a Single Dose
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 80 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Must agree to use two methods of birth control from Screening through 90 days after administration of the last dose of study drug
- •Females must have a negative pregnancy test at Screening and prior to dosing
- •BMI of 18.5 to 43.0 kg/m2
- •Willing to comply with the study requirements and to provide written informed consent
- •Renal Impaired Subjects (Group 1):
- •Considered stable in the judgement of an Investigator
- •Presence of severe renal impairment or kidney failure (as defined by eGFR< 30 mL/ min)
- •Hepatic Impaired Subjects (Group 2):
- •Considered stable for at least 1 month prior to Screening, as per the judgement of an Investigator
- •Presence of severe hepatic impairment (Child-Pugh Class C: score of 10 to 15).
- •Subjects with Normal Hepatic and Renal Function (Group 3):
- •Medically healthy, in the opinion of an Investigator
- •Must match by gender, age (± 10 years), and BMI (within 20%) to the pooled mean values of subjects with severe renal and hepatic impairment
Exclusion Criteria
- •Pregnant or breastfeeding
- •Infected with hepatitis B virus, hepatitis C virus or HIV
- •Abuse of alcohol or drugs
- •Use of other investigational drugs within 28 days of dosing
- •Other clinically significant medical conditions or laboratory abnormalities
- •Renal and Hepatic Impaired Subjects (Group 1 and 2):
- •Presence of poorly controlled Type 1 or Type 2 diabetes as defined by Hemoglobin A1c > 10%
- •Undergoing any method of dialysis
- •Subjects requiring treatment for hepatic impairment or other chronic disease must be on a stable treatment plan
- •Renal Impaired Subjects (Group 1):
- •History of renal transplant
- •Concurrent use of medications known to affect the elimination of serum creatinine
- •Hepatic Impaired Subjects (Group 2):
- •History of liver transplant
- •Evidence of hepatic carcinoma presence at Screening
Arms & Interventions
Group 1 - Severe Renal Impairment
Single dose Bemnifosbuvir (BEM)/Ruzasvir (RZR) as a fixed-dose combination
Intervention: Bemnifosbuvir (BEM)/Ruzasvir (RZR) as a fixed-dose combination (Drug)
Group 2 - Severe Hepatic Impairment
Single dose Bemnifosbuvir (BEM)/Ruzasvir (RZR) as a fixed-dose combination
Intervention: Bemnifosbuvir (BEM)/Ruzasvir (RZR) as a fixed-dose combination (Drug)
Group 3 - Matched Healthy Subjects
Single dose Bemnifosbuvir (BEM)/Ruzasvir (RZR) as a fixed-dose combination
Intervention: Bemnifosbuvir (BEM)/Ruzasvir (RZR) as a fixed-dose combination (Drug)
Outcomes
Primary Outcomes
Pharmacokinetics (PK) of BEM/RZR Area under the plasma concentration-time curve (AUC)
Time Frame: Day 1
Pharmacokinetics (PK) of BEM/RZR Maximum plasma concentration (Cmax)
Time Frame: Day 1
Pharmacokinetics (PK) of BEM/RZR AUC
Time Frame: Day 1
Secondary Outcomes
No secondary outcomes reported
