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A Study of the Pharmacokinetics of Albiglutide in Normal and Renally Impaired Subjects.

Phase 1
Completed
Conditions
Diabetes Mellitus, Type 2
Interventions
Biological: albiglutide
Registration Number
NCT00938158
Lead Sponsor
GlaxoSmithKline
Brief Summary

The purpose of this study is to assess the pharmacokinetics and safety of a single subcutaneously injected dose of albiglutide in subjects with type 2 diabetes mellitus with varying degrees of renal function, including subjects requiring hemodialysis.

Detailed Description

This adaptive design, non-randomized, open-label, staggered parallel group study evaluates the pharmacokinetics and safety of a single subcutaneously injected dose of albiglutide in subjects with type 2 diabetes mellitus with varying degrees of renal function. During Stage 1, a single dose of albiglutide will be administered to subjects with normal renal function and subjects with moderate-to-severe renal impairment not requiring hemodialysis. In addition to subjects with normal renal function and moderate renal impairment, Stage 2 of the study will also include cohorts of subjects requiring hemodialysis, subjects with severe renal impairment not requiring hemodialysis, and potentially subjects with mild renal impairment.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
75
Inclusion Criteria
  • normal renal function or renal impairment
  • stable hemodialysis treatment for at least 3 months before screening and able to tolerate a hemodialysis treatment lasting 3-4 hours with blood flow rates of >200mL/min (cohort 3 only)
  • neither pregnant nor lactating
  • HbA1c 6-10.5% inclusive
  • females of childbearing potential must be practicing adequate contraception.
Exclusion Criteria
  • inability to meet the PK objectives of the study
  • history of hypoglycemia unawareness or severe hypoglycemia
  • liver function tests greater than or equal to 2 times the ULN
  • clinically significant cardiovascular and/or cerebrovascular disease
  • positive test results for hepatitis B, hepatitis C, or HIV
  • documented hypertension or hypotension at screening
  • known hepatic or biliary abnormalities
  • current use of sulfonylureas
  • active history of tobacco use within 6 months before screening
  • donation of blood in excess of 500mL within 56 days before albiglutide dosing
  • receipt of any investigational drug within the 30days or 5 half lives, whichever is longer, before dosing
  • previous or current receipt of exenatide or any other GLP-1 agonist

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Stage 2 subjects requiring hemodialysisalbiglutideSubjects who require hemodialysis
Stage 2 moderate renal impairmentalbiglutideSubject with estimated GFR \>= 30 mL/min and less than 50 mL/min
Stage 2 normal renal functionalbiglutideSubject with GFR greater than 80 mL/min
Stage 1 moderate/severe renal functionalbiglutideSubject with estimated GFR \>= 20 mL/min and less than 50 mL/min
Stage 2 severe renal impairment not requiring hemodialysisalbiglutideSubjects with GFR less than 30 mL/min
Stage 1 normal renal functionalbiglutideSubject with estimated glomerular filtration rate (GFR) greater than 80 milliliter per minute (mL/min)
Stage 2 mild renal impairmentalbiglutideSubjects with GFR \>= 50 mL/min and \<= 80 mL/min
Primary Outcome Measures
NameTimeMethod
The primary objective is to characterize the PK of albiglutide in subjects with type 2 diabetes and varying degrees of renal impairment, including subjects requiring hemodialysis, and in age, gender and BMI-matched subjects.42 days
Secondary Outcome Measures
NameTimeMethod
To assess the PK of albiglutide in subjects with varying degrees of proteinuria42 days
To assess the effects of hemodialysis on the overall PK profile of albiglutide42 days
To assess the safety and tolerability of a single dose of albiglutide in subjects with varying degrees of renal impairment and in age, gender and BMI-matched subjects with normal renal function42 days

Trial Locations

Locations (1)

GSK Investigational Site

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Somerset West, South Africa

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