An Evaluation of the Pharmacokinetic Profile and Safety and Tolerability of Multiple Doses of 6mg/kg Intravenous Daptomycin in Non-Infected Adult Subjects With End Stage Renal Disease on Hemodialysis or Continuous Ambulatory Peritoneal Dialysis
Overview
- Phase
- Phase 1
- Intervention
- daptomycin
- Conditions
- End-Stage Renal Disease
- Sponsor
- Cubist Pharmaceuticals LLC, a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA)
- Enrollment
- 12
- Primary Endpoint
- Pharmacokinetics
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
This study is to examine the safety of daptomycin in patients with End Stage Renal Disease.
Detailed Description
This is an open label, non-randomized, non-comparative Phase 1 study designed to evaluate the PK profile, safety and tolerability of intravenous ( i.v.) daptomycin. Non-infected subjects with end stage renal disease undergoing hemodialysis (HD) or continuous ambulatory peritoneal dialysis (CAPD) will be enrolled in this in-patient study.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Written informed consent prior to any study-related procedure not part of normal medical care;
- •Considered to be in appropriate health for study entry by the Investigator (e.g., no acute, debilitating medical problems) and appropriate candidate for completing study treatment;
- •Male or female \>18 years of age;
- •If female of childbearing potential; willing to practice reliable birth control measures during study treatment, not lactating/pregnant, has a documented negative pregnancy test result within 24 hours prior to study medication administration, and willing to practice effective means of birth control for \>28 days after study completion;
- •If taking concomitant medications, subject must be on a relatively stable dose for at least two weeks prior to study medication administration;
- •Functioning dialysis access (e.g. graft or fistula) for subjects undergoing HD and functioning dialysis access (e.g. peritoneal catheter) for subjects undergoing CAPD;
- •ESRD on stable HD regimen of thrice weekly sessions with high-flux membranes or stable CAPD regimen.
Exclusion Criteria
- •If female, pregnant or lactating;
- •Received an investigational drug (including experimental biologic agents) within 30 days of study entry;
- •Evidence of active ongoing infection;
- •Unable to discontinue use of HMG-CoA reductase inhibitor therapy for duration of study;
- •Has received any dose(s) of daptomycin within 5 days prior to receiving the first dose of study drug;
- •Known to be allergic or intolerant to daptomycin;
- •Body Mass Index (BMI) \< 18.5 or \> 40 kg/m2 \[BMI = weight (kg)/height (m2)\];
- •WBC \>12, 000 cells/mm3 or \<2500 cells/ mm3;
- •Baseline creatinine phosphokinase (CPK) values \>3X ULN (upper limit of normal);
- •Alanine aminotransferase (ALT) \>5X ULN;
Arms & Interventions
Hemodialysis (HD) Participants
Participants will receive daptomycin 6 mg/kg by intravenous infusion (i.v.) at 48-hours intervals (with dialysis) for a total of 3 doses.
Intervention: daptomycin
Continuous Ambulatory Peritoneal Dialysis (CAPD) Participants
Participants will receive daptomycin 6 mg/kg, i.v., at 48-hours intervals for a total of 3 doses.
Intervention: daptomycin
Outcomes
Primary Outcomes
Pharmacokinetics
Time Frame: Study Day 1, 3, 5 and 7 or 8
Secondary Outcomes
- Safety and Tolerability(Study Days 1 through 16 or 17)