The Effect of Hepatic Impairment on the Pharmacokinetics of Aleglitazar: A Multiple-centre, Open-label Study Following a Single Oral Dose of Aleglitazar to Subjects With Mild or Moderate Hepatic Impairment and Healthy Subjects With Normal Hepatic Function.
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 38
- 主要终点
- Maximum Plasma Concentration (Cmax) of Aleglitazar
研究概览
简要总结
This open-label study will assess the effects of hepatic impairment on the pharmacokinetics of a single oral dose of aleglitazar in subjects with mild or moderate hepatic impairment (Child-Pugh class A or B) and in matched control subjects with normal hepatic function. Subjects will receive a single oral dose of aleglitazar, with assessment of the pharmacokinetics of aleglitazar on Days 1-5. Anticipated duration of study for each enrolled subject is approximately 6 weeks.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 70 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Male and female adults, 18-70 years of age inclusive
- •Normal hepatic function or mild to moderate impaired liver function (Child-Pugh class A or B)
- •Body mass index (BMI) 18 to 40 kg/m2 inclusive
- •Females must be either surgically sterile, postmenopausal, or willing to use two reliable methods of contraception for the duration of the study and started 3 months before study start
排除标准
- •For subjects with hepatic impairment: evidence of progressive liver disease within the last 4 weeks, or biliary liver cirrhosis or other causes of hepatic impairment not related to parenchymal disorder and/or disease
- •For healthy volunteers: positive test for hepatitis B or C, alcohol intake of more than 14 units per week, or history of clinically significant alcohol or drug abuse
- •Acute infection or current malignancy requiring treatment
- •History of clinically significant allergic disease or drug hypersensitivity
- •Positive test for HIV-1 or HIV-2 at screening
- •Participation in a clinical study with an investigational drug or new chemical entity within 2 months prior to screening
- •Females who are pregnant or lactating
研究组 & 干预措施
Mild impairment
干预措施: aleglitazar (Drug)
Moderate impairment
干预措施: aleglitazar (Drug)
Normal HF
干预措施: aleglitazar (Drug)
结局指标
主要结局
Maximum Plasma Concentration (Cmax) of Aleglitazar
时间窗: Pre-dose, 0.25, 0.5, 1, 2, 3, 4, 5, 6, 9, 12, 15, 24, 36, 48, 72 and 96 hours post-dose
Cmax was obtained directly from the concentration-time data.
Area Under the Plasma Concentration-time Curve From Time Zero to Infinity (AUCinf) of Aleglitazar
时间窗: Pre-dose, 0.25, 0.5, 1, 2, 3, 4, 5, 6, 9, 12, 15, 24, 36, 48, 72 and 96 hours post-dose
AUCinf was calculated by non-compartmental analysis using the linear trapezoidal rule, using relative actual time values.
次要结局
- Cmax of M1 and M6(Pre-dose, 0.25, 0.5, 1, 2, 3, 4, 5, 6, 9, 12, 15, 24, 36, 48, 72 and 96 hours post-dose)
- Area Under the Plasma Concentration-time Curve From 0 to the Last Quantifiable Time-point Post-dose (AUClast) of Aleglitazar, M1, and M6(Pre-dose, 0.25, 0.5, 1, 2, 3, 4, 5, 6, 9, 12, 15, 24, 36, 48, 72 and 96 hours post-dose)
- Renal Clearance (CLR) of Aleglitazar, M1, and M6(Pre-dose, 0.25, 0.5, 1, 2, 3, 4, 5, 6, 9, 12, 15, 24, 36, 48, 72, and 96 hours post-dose for plasma; 0-4, 4-8, 8-12, 12-24, and 24-48 hours post-dose for urine)
- Number of Participants With Low and High Vital Signs Values(Days -28 to -2, Day -1, Days 1 to 5, and Day 10 for blood pressure and pulse rate; and Days -28 to -2, Day -1, and Day 10 for oral body temperature)
- Apparent Total Body Clearance (CL/F) of Aleglitazar(Pre-dose, 0.25, 0.5, 1, 2, 3, 4, 5, 6, 9, 12, 15, 24, 36, 48, 72 and 96 hours post-dose)
- Apparent Non-renal Clearance (CLNR/F) of Aleglitazar(Pre-dose, 0.25, 0.5, 1, 2, 3, 4, 5, 6, 9, 12, 15, 24, 36, 48, 72 and 96 hours post-dose for plasma; 0-4, 4-8, 8-12, 12-24, and 24-48 hours post-dose for urine)
- Elimination Rate Constant (Kel) of Aleglitazar(0-4, 4-8, 8-12, 12-24, and 24-48 hours post-dose)
- Mean of Fraction of Unbound Aleglitazar (fu)(2 and 24 hours post-dose)
- Time of Maximum Plasma Concentration (Tmax) of Aleglitazar, M1, and M6(Pre-dose, 0.25, 0.5, 1, 2, 3, 4, 5, 6, 9, 12, 15, 24, 36, 48, 72 and 96 hours post-dose)
- Apparent Volume of Distribution (Vz/F) of Aleglitazar(Pre-dose, 0.25, 0.5, 1, 2, 3, 4, 5, 6, 9, 12, 15, 24, 36, 48, 72 and 96 hours post-dose for plasma; 0-4, 4-8, 8-12, 12-24, and 24-48 hours post-dose for urine)
- Amount Excreted in Urine From Time 0 to 48 Hours Post-dose (Ae0-48) of Aleglitazar, M1, and M6(0-4, 4-8, 8-12, 12-24, and 24-48 hours post-dose)
- Area Under the Unbound Plasma Concentration-time Curve of Aleglitazar From Time 0 to Infinity (AUCu,Inf)(Pre-dose, 0.25, 0.5, 1, 2, 3, 4, 5, 6, 9, 12, 15, 24, 36, 48, 72 and 96 hours post-dose)
- Maximum Unbound Plasma Concentration (Cmax,u) of Aleglitazar(Pre-dose, 0.25, 0.5, 1, 2, 3, 4, 5, 6, 9, 12, 15, 24, 36, 48, 72 and 96 hours post-dose)
- AUCinf of M1 (RO4408754) and M6 (RO4583746)(Pre-dose, 0.25, 0.5, 1, 2, 3, 4, 5, 6, 9, 12, 15, 24, 36, 48, 72 and 96 hours post-dose)
- Area Under the Plasma Concentration-time Curve From Time 0 to 48 Hours Post-dose (AUC0-48) of Aleglitazar, M1, and M6(Pre-dose, 0.25, 0.5, 1, 2, 3, 4, 5, 6, 9, 12, 15, 24, 36, 48, 72 and 96 hours post-dose)
- Apparent Terminal Half-life (t½) of Aleglitazar, M1, and M6(Pre-dose, 0.25, 0.5, 1, 2, 3, 4, 5, 6, 9, 12, 15, 24, 36, 48, 72 and 96 hours post-dose)
- Apparent Unbound Volume of Distribution (Vz/Fu) of Aleglitazar(Pre-dose, 0.25, 0.5, 1, 2, 3, 4, 5, 6, 9, 12, 15, 24, 36, 48, 72 and 96 hours post-dose for plasma; 0-4, 4-8, 8-12, 12-24, and 24-48 hours post-dose for urine)
- Apparent Unbound Total Body Clearance (CL/Fu) of Aleglitazar(Pre-dose, 0.25, 0.5, 1, 2, 3, 4, 5, 6, 9, 12, 15, 24, 36, 48, 72 and 96 hours post-dose for plasma; 0-4, 4-8, 8-12, 12-24, and 24-48 hours post-dose for urine)
- Number of Participants With Any Adverse Events (AEs), Serious Adverse Events (SAEs), Death, and Study Discontinuation(Up to 6 weeks)
- Number of Participants With Low and High Electrocardiograms (ECGs) Parameter Values(Screening (Days -28 to -2), baseline (Day -1), Days 1 to 5, and follow-up visit (Day 10))
- Fraction of Drug Excreted in Urine From Time 0 to 48 Hours Post-dose (fe0-48) of Aleglitazar(0-4, 4-8, 8-12, 12-24, and 24-48 hours post-dose)
- Area Under the Unbound Plasma Concentration-time Curve of Aleglitazar From Time 0 to 48 Hours Post-dose (AUCu,0-48)(Pre-dose, 0.25, 0.5, 1, 2, 3, 4, 5, 6, 9, 12, 15, 24, 36, 48, 72 and 96 hours post-dose)
- Area Under the Unbound Plasma Concentration-time Curve of Aleglitazar From 0 to the Last Quantifiable Time-point Post-dose (AUCu,Last)(Pre-dose, 0.25, 0.5, 1, 2, 3, 4, 5, 6, 9, 12, 15, 24, 36, 48, 72 and 96 hours post-dose)
- Number of Participants With Marked Abnormalities in Clinical Laboratory Parameters(Up to 6 weeks)
