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Clinical Trials/NCT04722484
NCT04722484
Completed
Phase 1

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 sites39 target enrollmentJune 12, 2014

Overview

Phase
Phase 1
Intervention
Vericiguat (BAY1021189)
Conditions
Heart Failure
Sponsor
Bayer
Enrollment
39
Primary Endpoint
AUC of vericiguat
Status
Completed
Last Updated
5 years ago

Overview

Brief Summary

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.

Registry
clinicaltrials.gov
Start Date
June 12, 2014
End Date
January 22, 2015
Last Updated
5 years ago
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Sponsor
Bayer
Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • 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

Exclusion Criteria

  • 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

Arms & Interventions

Moderately impaired renal function

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

Intervention: Vericiguat (BAY1021189)

Severely impaired renal function

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

Intervention: Vericiguat (BAY1021189)

Patients with normal creatine clearance (CLCR)

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)

Intervention: Vericiguat (BAY1021189)

Normal renal function (Healthy subjects)

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

Intervention: Vericiguat (BAY1021189)

Mildly impaired renal function

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

Intervention: Vericiguat (BAY1021189)

Outcomes

Primary Outcomes

AUC of vericiguat

Time Frame: 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

Time Frame: Up to 96 hours

Maximum observed drug concentration in measured matrix after single dose administration

Cmax of vericiguat

Time Frame: Up to 96 hours

Maximum observed drug concentration in measured matrix after single dose administration

AUC of vericiguat's metabolite M-1

Time Frame: Up to 96 hours

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

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