Status:

COMPLETED

Study of the Way the Body Takes up, Distributes, and Gets Rid of ACT-541468 in Subjects With Abnormal Kidney Function Compared to Healthy Subjects

Lead Sponsor:

Idorsia Pharmaceuticals Ltd.

Conditions:

Renal Insufficiency

Healthy

Eligibility:

All Genders

18-85 years

Phase:

PHASE1

Brief Summary

Study of the way the body takes up, distributes, and gets rid of ACT-541468 in subjects with abnormal kidney function compared to healthy subjects

Eligibility Criteria

Inclusion

  • General inclusion criteria for all subjects:
  • Signed informed consent in the local language prior to any study mandated procedure.
  • Male and female subjects aged 18 to 85 years (inclusive) at screening.
  • Body mass index (BMI) from 18 to 35 kg/m2 (inclusive) at screening. Body weight at least 50 kg.
  • Women of childbearing potential: Women must have a negative serum pregnancy test at screening and a negative urine pregnancy test on Day -1. They must consistently and correctly use (during the entire study and 30 days thereafter) a highly effective method of contraception with a failure rate of \< 1% per year.
  • Women of non-childbearing potential, i.e., postmenopausal, XY genotype, Turner syndrome, uterine agenesis: no contraceptive requirement.
  • Additional inclusion criteria for healthy subjects (Group A):
  • Normal renal function as confirmed based on Creatinine Clearance (CLcr) by the Cockcroft-Gault equation adjusted for age: \>= 80 mL/min for subjects \<= 50 years of age; \>= 70 mL/min for subjects 51-60 years of age; \>= 60 mL/min for subjects 61-85 years of age; CLcr = (\[140-age(years)\]×weight (kg))/(72×serum creatinine (mg/dL)) (x 0.85 for female subjects)
  • The CLcr value should be confirmed (± 25%) on Day -1 in case subjects will be dosed more than 10 days after the day of screening.
  • Hematology, clinical chemistry, and urinalysis test results not deviating from the normal range to a clinically relevant extent at screening.
  • Each healthy subject must be matched with one subject with severe renal function impairment with regard to age (± 10 years difference allowed), body weight (± 15% difference allowed), and sex, determined by results at screening.
  • Additional inclusion criteria for subjects with severe renal function impairment (Group B)
  • Severe renal function impairment as confirmed based on CLcr by the Cockcroft-Gault equation: \<30 mL/min, not on dialysis.
  • The CLcr value should be confirmed (± 25%) on Day -1 since subjects will be dosed more than 10 days after the day of screening.
  • Hematology, clinical chemistry, coagulation and urinalysis test results consistent with severe renal function impairment at screening.
  • Physical examination without clinically relevant abnormalities at screening and on Day -1 (except for those related to severe renal function impairment), which would interfere with the objectives of the study.
  • Stable concomitant medications.
  • General exclusion criteria for all subjects:
  • Pregnant or lactating women.
  • Clinically relevant history of fainting, collapse, syncope, orthostatic hypotension, or vasovagal
  • History of renal and/or liver transplant.
  • Hepatic cancer, primary biliary cirrhosis or any form of cholestatic disease.
  • Use of drugs which might interfere with the PK of ACT-541468 (moderate to strong CYP3A4 inhibitors or inducers).
  • Any circumstances or conditions, which, in the opinion of the investigator, may affect full participation in the study or compliance with the protocol.
  • Additional exclusion criteria for healthy subjects (Group A)
  • History or clinical evidence of any unstable disease and/or existence of any surgical or medical condition, which might interfere with the absorption, distribution, metabolism or excretion of the study treatment (appendectomy, herniotomy, and cholecystectomy allowed).
  • Intake of any creatine supplement from screening to EOS.
  • Additional exclusion criteria for subjects with severe renal function impairment (Group B).
  • \- End-stage renal disease that requires dialysis.

Exclusion

    Key Trial Info

    Start Date :

    September 24 2019

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    August 14 2020

    Estimated Enrollment :

    16 Patients enrolled

    Trial Details

    Trial ID

    NCT04024332

    Start Date

    September 24 2019

    End Date

    August 14 2020

    Last Update

    September 3 2020

    Active Locations (1)

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    APEX GmbH

    München, Germany, 81241