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Renal Impairment Study With ASP1941

Phase 1
Completed
Conditions
Type 2 Diabetes Mellitus
Interventions
Registration Number
NCT01302028
Lead Sponsor
Astellas Pharma Inc
Brief Summary

A study to investigate if the pharmacokinetics of ASP1941 is different in Type 2 Diabetes Mellitus (T2DM) patients with different grades of renal failure compared with T2DM patients with normal renal function and healthy volunteers.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Patient with stable type 2 diabetes mellitus or healthy subject

  • Subject must have pre-dose estimated Glomerular filtration rate (GFR) values (Modification of diet in renal disease (MDRD) method) at screening of:

    • >90 (normal renal function)
    • 60-90 (mild renal impairment)
    • 30-60 (moderate renal impairment)
    • 15-30 (severe renal impairment)
  • BMI between 25.0-40.0 kg/m2, inclusive

  • Fasted plasma glucose (FPG) <11.5 mmol/l (type 2 DM patients) or >5.6 mmol/l (Healthy volunteers)

Exclusion Criteria
  • Patients with Type 1 diabetes

  • Pulse <40 or >90; SBP >160 mmHg; DBP > 100 mmHg

  • T2DM patients who are not on a stable regimen for their current medication (1 month or 5 half lives, whichever is longer) to control their disease

  • Healthy Volunteers: Any of the liver function tests above the upper limit of normal

  • T2DM: The liver function tests should be within the following ranges:

    • AST/ALT: <2 x ULN
    • Bilirubin: <1.5 x ULN
    • Alk Phos: < 1.5 x ULN
  • Patients with renal impairment who have a history of a clinically significant illness (other than renal diseases and T2DM and associated clinical symptoms), medical condition, or laboratory abnormality within 3 months prior to screening

  • Patients with renal impairment who have not been on a stable dose of concomitant medications for at least 2 weeks for at least 2 weeks (or 5 halflives, whichever is longer) and/or for whom dose changes are likely to occur during the study

  • Patients with T2DM treated with a diet only

  • T2DM patients with recent evidence (e.g within the last 6 months) of severe hypoglycemia, for example plasma glucose < 3mmol/l (<55 mg/dl), help from others to resolve the hypo or requiring hospitalization

  • T2DM patients with a Hemoglobin value < 9 g/dl (5.6 mmol/l)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
T2DM patient with mild renal impairmentASP1941Oral
T2DM patient with normal renal functionASP1941Oral
T2DM patient with moderate renal impairmentASP1941Oral
Healthy volunteers with normal renal functionASP1941Oral
T2DM patient with severe renal impairmentASP1941Oral
Primary Outcome Measures
NameTimeMethod
Effect of grade of renal impairment on the pharmacokinetics of ASP19415 days
Secondary Outcome Measures
NameTimeMethod
Effect of grade of renal impairment on the pharmacodynamics of ASP19415 days
Assessment of safety through evaluation of adverse events, physical examination, vital sins, lab-tests and 12-lead ECG5 days
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