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临床试验/NCT02852239
NCT02852239已完成1 期

A Phase I, Open Label, Multicenter, Single Dose Study to Evaluate the Pharmacokinetics of Dabrafenib in Healthy Subjects With Normal Renal Function and Subjects With Impaired Renal Function

Novartis Pharmaceuticals3 个研究点 分布在 1 个国家目标入组 22 人开始时间: 2016年12月19日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
已完成
入组人数
22
试验地点
3
主要终点
Unchanged drug excreted in urine (Aet)

研究概览

简要总结

To characterize the pharmacokinetics and safety of dabrafenib following a single 100 mg oral dose in subjects with severe renal impairment and end stage renal disease not on dialysis.

详细描述

The main objective of this trial is to evaluate the pharmacokinetics of dabrafenib and metabolites after a single oral dose of dabrafenib in subjects with renal impairment as compared to healthy subjects with normal renal function.

This was a single-dose, open-label, parallel group single dose study to evaluate the pharmacokinetics (PK) and safety of a single oral dose of dabrafenib 100 mg in subjects with severe RI or ESRD compared to matched healthy subjects with normal renal function (control group).

The study consisted of a screening period, a treatment period and a follow-up period.

The Screening period started up to 28 days prior to dosing. Subjects who satisfied the inclusion/exclusion criteria at screening were admitted for baseline evaluations, which was done locally by the investigator. In the treatment period, subjects received a single 100 mg oral dose of dabrafenib administered as two 50 mg capsules with a whole glass of non-carbonated water (approximately 240 mL) in the morning of Day 1 following an overnight fast (minimum 10 hours). Subjects were confined to the study facility from Day -1 to Day 5, for collection of serial blood and urine samples. Subjects were discharged on Day 5.

In the follow-up period a telephone call was made to subjects 30 days post-dose to evaluate subject safety during the weeks after discharge from the facility. Adverse events occurring prior to Day 30 were followed until resolution or until judged to be permanent. Subjects returned to the clinic on Days 90 and 180 for the post-dose dermatological examination follow up.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Parallel
主要目的
Basic Science
盲法
None

入排标准

年龄范围
18 Years 至 75 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • All subjects:
  • Females must be of non-childbearing potential or must have negative pregnancy results at screening
  • Good health as determined by lack of clinically significant findings
  • Subjects must have a BMI between 18.0 kg/m2 and 38.0 kg/m2, with a body weight of at least 50 kg and no more than 140 kg
  • Vitals signs within normal range
  • Laboratory values at screening within local normal ranges or considered non-clinically significant
  • Additional criteria for renal impairment subjects:
  • Stable renal disease without evidence of renal progression in the past 28 days prior to dosing
  • Additional criteria for healthy matched subjects:
  • Matched to at least 1 renal impairment subject by race, age (+/-10 years), gender and weight (+/-10%)
  • An absolute GFR of at least 90 ml/min
  • Exclusion Criteria for all subjects:
  • Significant acute illness within the two weeks prior to dosing
  • History or current diagnosis of cardiac disease indicating significant risk such as uncontrolled or significant cardiac disease or clinically significant ECG abnormalities
  • Subjects will be screened for drugs of abuse
  • History of drug or alcohol abuse within 6 months prior to dosing or evidence of such abuse as indicated by laboratory values at screening or baseline.
  • Any surgical or medical condition which might significantly alter the absorption, distribution, metabolism or excretion of drugs.
  • History of malignancy of any organ system, treated or untreated, within 5 years, regardless of where there is recurrence or metastases.
  • Use of drugs known to prolong the QT interval within 4 weeks prior to dosing and for the duration of the study.
  • Use of drugs know to affect CYP3A4 and/or CYP2C8 including both (strong or moderate) inhibitors and inducers, within 7 days prior to dosing or during the current study are prohibited

排除标准

  • 未提供

研究组 & 干预措施

Group 1 - Normal renal function

Experimental

Subjects with normal renal function defined as GFR ≥ 90 mL/min at baseline and matching to the renal impaired subject based on gender, race, age, and weight.

干预措施: dabrafenib (Drug)

Group 2 - Severe renal function

Experimental

Subjects with severe renal impairment defined as GFR of 15-29 mL/min at baseline.

干预措施: dabrafenib (Drug)

Group 3 - End stage renal disease (ESRD)

Experimental

Subjects with end stage renal disease (ESRD), defined as GFR of <15 mL/min at baseline.

干预措施: dabrafenib (Drug)

结局指标

主要结局

Unchanged drug excreted in urine (Aet)

时间窗: Predose through 96 hours postdose

The amount of unchanged dabrafenib excreted in urine after a single dose

Renal clearance (CLr)

时间窗: Predose through 96 hours postdose

Renal clearance of dabrafenib calculated using plasma AUC after a single dose

Maximum plasma concentration (Cmax)

时间窗: Predose through 96 hours postdose

The maximum (peak) observed plasma drug concentration after a single dose of dabrafenib

Area under the curve (AUClast)

时间窗: Predose through 96 hours postdose

AUClast is the area under the curve calculated to the last quantifiable concentration point after a single dose of dabrafenib

Area under the curve (AUFinf)

时间窗: Predose through 96 hours postdose

AUCinf is the area under the plasma concentration time curve extrapolated to infinity after a single dose of dabrafenib

Systemic drug clearance (CL/F)

时间窗: Predose through 96 hours postdose

Systemic clearance from plasma of dabrafenib after a single dose

Time to reach maximum concentration (Tmax)

时间窗: Predose through 96 hours postdose

The time to reach maximum (peak) concentration of dabrafenib after a single dose

Terminal elimination rate (Lambda_z)

时间窗: Predose through 96 hours postdose

Terminal elimination rate of dabrafenib after a single dose

Elimination half-life (T1/2)

时间窗: Predose through 96 hours postdose

Elimination half-life of dabrafenib after a single dose

Volume of distribution (Vz/F)

时间窗: Predose through 96 hours postdose

The apparent volume of distribution during the terminal elimination phase of dabrafenib after a single dose

次要结局

  • Number of subjects with adverse events(Time of drug administration through 30 days postdose)
  • Number of subjects with abnormal lab values related to study drug(Time of study drug administration through 30 days postdose)
  • Number of subjects with abnormal blood pressure related to study drug(Time of study drug administration through 30 days postdose)
  • Changes in electrocardiogram (ECG)(Time of study drug administration through 30 days postdose)
  • Number of subjects with abnormal pulse rate related to study drug(Time of study drug administration through 30 days postdose)
  • Number of subjects with abnormal respiratory rate related to study drug(Time of study drug administration through 30 days postdose)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (3)

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