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临床试验/NCT04722484
NCT04722484已完成1 期

Investigation of Pharmacokinetics, Safety, Tolerability and Pharmacodynamic Effects of BAY1021189 in Male and Female Subjects With Renal Impairment and in Age-, Gender-, and Weight-matched Healthy Subjects Following a Single Oral Dose of 2.5 mg BAY1021189 in a Single-center, Non Randomized, Non-controlled, Non-blinded, Observational Study With Group Stratification

Bayer0 个研究点目标入组 39 人开始时间: 2014年6月12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
发起方
Bayer
入组人数
39
主要终点
AUC of vericiguat

研究概览

简要总结

Vericiguat (BAY1021189) is under development to treat heart failure, a condition in in which the heart has trouble pumping blood through the body. Renal impairment which co-occurs in patients with heart failure is a common condition in which the kidneys are not filtering the blood as well as they should.

The goal of the study was to learn more about the safety of vericiguat (BAY1021189), how it was tolerated and the way the body absorbed, distributed and excreted the study dug given as a single oral dose of 2.5 mg tablet in participants with renal impairment and healthy participants matched for age-, gender-, and weight.

The participants stayed at the trial site for about 6 days. During this time, the doctors took blood and urine samples and checked the participants' health. About 7-14 days after the participants took vericiguat (BAY1021189), the researchers checked the participants' health again and asked about any medical problems they had.

研究设计

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

入排标准

年龄范围
18 Years 至 79 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • For all subjects:
  • Aged between 18 and 79 years (inclusive) with body mass index 18 to 34 kg/m^2 (both inclusive)
  • Women without childbearing potential; women of childbearing potential only if the pregnancy test was negative and a combination of condoms with a safe and highly effective contraception method was granted
  • For subjects with renal impairment:
  • With an estimated glomerular filtration rate (eGFR) < 90 mL/min/1.73m^2 determined from a serum creatinine control 2-14 days prior to dosing
  • Stable renal disease, i.e. a serum creatinine value determined at least 3 months before the pre-study visit should not vary by more than 25% from the serum creatinine value determined at the pre-study visit
  • For healthy subjects:
  • eGFR ≥ 90 mL/min/1.73m^2 determined from serum creatinine 2-14 days prior to dosing
  • Healthy subjects with age-, weight- and gender- matched to renal impaired subjects

排除标准

  • For all subjects:
  • Febrile illness within 1 week before the start of the study
  • History of severe allergies, non-allergic drug reactions, or multiple drug allergies
  • Hypersensitivity to the investigational drug, the control agent and/ or to inactive constituents
  • Regular daily consumption of more than 1/2 liter of usual beer or the equivalent quantity of approximately 20 g of alcohol in another form or more than 1 liter of xanthine-containing beverages or more than 10 cigarettes
  • Positive testing in the drug screening
  • Positive results for hepatitis B virus surface antigen (HBsAg), hepatitis C virus antibodies (anti-HCV), human immune deficiency virus antibodies (anti-HIV 1+2)
  • Donation of more than 100 mL of blood in the preceding 4 weeks or 500 mL in the preceding 3 months
  • Relevant deviation from the normal range in clinical chemistry, hematology, coagulation or urinalysis as judged by the investigator For subjects with renal impairment
  • Acute renal failure
  • Acute nephritis
  • Any organ transplant in the past 5 years
  • Severe cerebrovascular or cardiac disorders, e.g. myocardial infarction less than 6 months prior to dosing, congestive heart failure of New York Heart Association grade III or IV, severe arrhythmia requiring anti-arrhythmic treatment
  • Percutaneous transluminal coronary angioplasty or coronary artery bypass graft less than 6 months prior to dosing
  • Diagnosed malignancy within the past 5 years
  • Failure of any other major organ system other than the kidney
  • Concomitant use of any medication except medications necessary for the treatment of diseases
  • Diastolic BP >100 mmHg and/or systolic BP >180 mmHg
  • Heart rate below 50 beats/min or above 100 beats/min at screening visit
  • Significant uncorrected rhythm or conduction disturbances For healthy subjects
  • Subjects with conspicuous findings in medical history or pre-study examination
  • A history of relevant diseases of vital organs, of the central nervous system or other organs
  • Excluded therapies (e.g. physiotherapy, acupuncture, etc.) from 1 week before admission to the ward (-01d)
  • Use of medication within the 2 weeks preceding the study which could interfere with the investigational product
  • Systolic BP below 100 mmHg or above 145 mmHg and Diastolic BP below 55 mmHg or above 95 mmHg
  • Heart rate below 50 beats/min or above 100 beats/min
  • Clinically relevant findings in the electrocardiogram (ECG)

研究组 & 干预措施

Moderately impaired renal function

Experimental

Subjects with creatinine clearance at pre-profile day in the range of 30-<50 ml/min

干预措施: Vericiguat (BAY1021189) (Drug)

Severely impaired renal function

Experimental

Subjects with creatinine clearance at pre-profile day <30 ml/min

干预措施: Vericiguat (BAY1021189) (Drug)

Patients with normal creatine clearance (CLCR)

Experimental

Subjects with renal impairment according to their medical history and estimated glomerular filtration rate (eGFR) at screening but had normal creatinine clearance at the pre-profile day (-01day)

干预措施: Vericiguat (BAY1021189) (Drug)

Normal renal function (Healthy subjects)

Experimental

Subjects with creatinine clearance at pre-profile day >80 ml/min

干预措施: Vericiguat (BAY1021189) (Drug)

Mildly impaired renal function

Experimental

Subjects with creatinine clearance at pre-profile day in the range of 50-80 ml/min

干预措施: Vericiguat (BAY1021189) (Drug)

结局指标

主要结局

AUC of vericiguat

时间窗: Up to 96 hours

Area under the concentration vs. time curve from zero to infinity after single dose administration

Cmax of vericiguat's metabolite M-1

时间窗: Up to 96 hours

Maximum observed drug concentration in measured matrix after single dose administration

Cmax of vericiguat

时间窗: Up to 96 hours

Maximum observed drug concentration in measured matrix after single dose administration

AUC of vericiguat's metabolite M-1

时间窗: Up to 96 hours

Area under the concentration vs. time curve from zero to infinity after single dose administration

次要结局

未报告次要终点

研究者

发起方
Bayer
申办方类型
Industry
责任方
Sponsor

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