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Study to Assess the Safety, Tolerability, Effects on the Body, Absorption, Distribution and Elimination of 25 mg BAY2433334 in Renal Impairment Including Renal Replacement Therapy ("Dialysis")

Phase 1
Completed
Conditions
Prevention of Thromboembolic Events
Interventions
Drug: BAY2433334 single dose in treatment groups 1-4 and 6 as well as on the dialysis free day of treatment 5
Other: BAY2433334 on dialysis treatment day
Registration Number
NCT04510987
Lead Sponsor
Bayer
Brief Summary

BAY2433334 is under clinical development for prevention of complications in diseases such as heart attack, irregular heart beat or stroke which can arise by formation of blood clots elsewhere in the body and travels through the blood stream to plug another vessel. Renal impairment which co-occurs in elderly and patients with heart attack, irregular heart beat or stroke is a common condition in which the kidneys are not filtering the blood as well as they should. The goal of the study is to learn more about the safety of BAY2433334, how it is tolerated and the way the body absorbs, distributes and gets rid of the study dug given as a single oral dose of 25 mg tablet in participants with renal impairment and healthy participants matched for age-, gender-, and weight.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
48
Inclusion Criteria
  • All participants: ≥18 years, male or female (non-WOCBP only), BMI 18-35 kg/m² (inclusive); no increased risk of bleeding or common causes of bleeding, no liver dysfunction; no CYP3A4 inhibitors/inducers;
  • Participants with reduced kidney function including those on kidney replacement therapy ("dialysis"): stable disease stratified by renal function (mild, moderate, severe, ESRD), no recent cardiovascular events;
  • Age-, gender- and weight-matched participants: normal kidney function, stable and well controlled hypertension and dyslipidemia acceptable, no medications influencing the coagulation system.
Exclusion Criteria

Subjects with renal impairment

  • Acute renal failure or active nephritis.
  • Known impaired hepatic function.
  • History of definite myocardial infarction or cerebrovascular accident within the six months prior to the screening visit.
  • History of vascular surgery or intervention (e.g., coronary artery bypass, percutaneous transluminal angioplasty etc.) less than 6 months prior to dosing.
  • Congestive heart failure of New York Heart Association grade III or IV, severe arrhythmia requiring antiarrhythmic treatment.
  • Any other disease or condition which could influence the physiological metabolic turnover (e.g., endocrine diseases, severe infections).

Age-, gender, weight matched subjects

  • History of relevant diseases of vital organs or systems (e.g., of the central nervous system or other systems or organs) with the exception of mild, well controlled hypertension, dyslipoproteinemia and thyroid disorders.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Experimental: Treatment 1BAY2433334 single dose in treatment groups 1-4 and 6 as well as on the dialysis free day of treatment 5Participants in Groups 1-4 and Group 6 will receive a single dose of BAY2433334 on one occasion. Participants in Group 5 will receive a single dose of BAY2433334 on a dialysis-free day.
Experimental: Treatment 2BAY2433334 on dialysis treatment dayParticipants in Group 5 will receive a single dose of BAY2433334 on a day with dialysis treatment.
Primary Outcome Measures
NameTimeMethod
CmaxPre-dose until 96 hours after dosing

maximum observed drug concentration in measured matrix after single dose administration

AUCPre-dose until 96 hours after dosing

area under the concentration vs. time curve from zero to infinity after single (first) dose AUC(0-tlast) and AUC(0-tlast)u will be used as primary variables if mean AUC(tlast-∞) \>20% of AUC

Cmax,uPre-dose until 96 hours after dosing

maximum unbound drug concentration in plasma after single dose administration

AUCuPre-dose until 96 hours after dosing

area under the unbound plasma concentration vs time curve from zero to infinity after single (first) dose AUC(0-tlast) and AUC(0-tlast)u will be used as primary variables if mean AUC(tlast-∞) \>20% of AUC

Secondary Outcome Measures
NameTimeMethod
Number of participants with treatment emergent adverse events (TEAEs)Up to 3 days after last study medication

Trial Locations

Locations (1)

CRS Clinical-Research-Services Kiel GmbH

🇩🇪

Kiel, Schleswig-Holstein, Germany

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