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Pharmacokinetics of LCQ908 in Patients With Renal Impairment

Phase 1
Completed
Conditions
Renal Impairment
Interventions
Registration Number
NCT01558323
Lead Sponsor
Novartis Pharmaceuticals
Brief Summary

This study will compare the pharmacokinetics of LCQ908 in subjects with varying degrees of renal impairment to healthy subjects

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
58
Inclusion Criteria
  • Individuals with renal impairment only

    • Estimated Creatinine Clearance (CLcr) by the Cockroft-Gault equation ≤80mL/min;
    • Mild renal impairment defined as CLcr 50-80 mL/min
    • Moderate renal impairment defined as CLcr 30-50 mL/min
    • Severe renal impairment defined as CLcr <30 mL/min
  • Healthy subjects only • Estimated CLcr by the Cockroft-Gault equation >80mL/min

Exclusion Criteria
  • All Individuals

    • A past medical history of clinically significant ECG abnormalities or a family history of a prolonged QT-interval syndrome.
    • Female subjects must be of non child bearing potential or use an effective method of contraception.
  • Individuals with renal impairment

    • Renal transplant at any time.
    • Subjects undergoing any method of dialysis (hemodialysis, peritoneal dialysis) within the last 3 months.
    • History of clinically significant chronic or recurrent urinary tract infection active and requiring antibiotic treatment within the past 30 days.
    • Any medication that is contraindicated in moderate or severe renally impaired population
  • Healthy subjects

    • History or presence of impaired renal function as indicated by clinically significantly abnormal creatinine or BUN and/or urea values, or abnormal urinary constituents (e.g., albuminuria)
    • Evidence of urinary obstruction or difficulty in voiding at screening
    • History or presence of hepatitis B or C and/or positive Hepatitis B surface antigen (HBsAg) or Hepatitis C test result at screening.

Other protocol-defined inclusion/exclusion criteria may apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
LCQ908 (severe renal impairment plus healthy volunteers)LCQ908Healthy subjects will be matched pair-wise by, sex, race, age (±15 years) and weight (±20%) to subjects with severe renal impairment and will receive a single 40 mg dose of LCQ908.
LCQ908 (mild renal impairment plus healthy volunteers)LCQ908Healthy subjects will be matched pair-wise by, sex, race, age (±15 years) and weight (±20%) to subjects with mild renal impairment and will receive a single 40 mg dose of LCQ908.
LCQ908 (moderate renal impairment plus healthy volunteers)LCQ908Healthy subjects will be matched pair-wise by, sex, race, age (±15 years) and weight (±20%) to subjects with moderate renal impairment and will receive a single 40 mg dose of LCQ908.
Primary Outcome Measures
NameTimeMethod
Area under the plasma concentration-time profile from time zero to the time of the last quantifiable concentration (AUClast) of LCQ908Serial blood draws conducted on Day 1 (treatment day) followed by additional blood draws on Days 2-10,12, 14, 17, 21 and 29 post dosing
Maximum plasma concentration (Cmax) of LCQ908Serial blood draws conducted on Day 1 (treatment day) followed by additional blood draws on Days 2-10,12, 14, 17, 21 and 29 post dosing
Area under the plasma concentration-time profile from time zero extrapolated to infinite time [AUC(0-inf)] of LCQ908Serial blood draws conducted on Day 1 (treatment day) followed by additional blood draws on Days 2-10,12, 14, 17, 21 and 29 post dosing
Secondary Outcome Measures
NameTimeMethod
LCQ908 protein binding: unbound observed maximum plasma (Cmax) of LCQ90810 and 24 hours
Number of participants with adverse events (AEs), serious adverse events (SAEs) and deathDay 29

AEs are defined as any unfavorable and unintended diagnosis, symptom, sign (including an abnormal laboratory finding), syndrome or disease which either occurs during study, having been absent at baseline, or, if present at baseline, appears to worsen. SAEs are any untoward medical occurrences that result in death, are life threatening, require (or prolong) hospitalization, cause persistent or significant disability/incapacity, result in congenital abnormalities or birth defects, or are other conditions which in the judgment of investigators represent significant hazards.

The apparent systemic clearance (CL/F) of LCQ908 following extra vascular administrationSerial blood draws conducted on Day 1 (treatment day) followed by additional blood draws on Days 2-10,12, 14, 17, 21 and 29 post dosing
The time required for the concentration of the drug to reach half of its original valueSerial blood draws conducted on Day 1 (treatment day) followed by additional blood draws on Days 2-10,12, 14, 17, 21 and 29 post dosing
LCQ908 protein binding: unbound apparent systemic clearance from plasma (CL/Fu) following extra vascular administration10 and 24 hours
Time to maximum plasma concentration of LCQ908Serial blood draws conducted on Day 1 (treatment day) followed by additional blood draws on Days 2-10,12, 14, 17, 21 and 29 post dosing
Apparent volume of distribution of LCQ908 during the terminal elimination phase following extra vascular administrationSerial blood draws conducted on Day 1 (treatment day) followed by additional blood draws on Days 2-10,12, 14, 17, 21 and 29 post dosing
LCQ908 protein binding: unbound area under curve (AUCc) of LCQ90810 and 24 hours

Trial Locations

Locations (1)

Novartis Investigative Site

🇺🇸

Knoxville, Tennessee, United States

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