Study of the Pharmacokinetics and Safety of Asunaprevir in Patients With Kidney Disease

November 8, 2013 updated by: Bristol-Myers Squibb

Open-Label, Parallel Group, Multiple-Dose Study to Evaluate the Pharmacokinetics and Safety of Asunaprevir in Subjects With Renal Function Impairment

The purpose of the study is to determine how Asunaprevir is handled by the body of subjects with kidney disease compared with subjects with normal kidney function

Study Overview

Status

Status

Indicates the current recruitment status or the expanded access status.
Completed

Conditions

Conditions

The disease, disorder, syndrome, illness, or injury that is being studied. On ClinicalTrials.gov, conditions may also include other health-related issues, such as lifespan, quality of life, and health risks.

Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.

Detailed Description

Primary Purpose:

Other: The purpose of the study is to determine how Asunaprevir is handled by the body of subjects with kidney disease compared with subjects with normal kidney function

Study Type

Study Type

Describes the nature of a clinical study. Study types include interventional studies (also called clinical trials), observational studies (including patient registries), and expanded access.
Interventional

Enrollment (Actual)

Enrollment

The number of participants in a clinical study. The "anticipated" enrollment is the target number of participants that the researchers need for the study.
48

Phase

Phase

The stage of a clinical trial studying a drug or biological product, based on definitions developed by the U.S. Food and Drug Administration (FDA). The phase is based on the study's objective, the number of participants, and other characteristics. There are five phases: Early Phase 1 (formerly listed as Phase 0), Phase 1, Phase 2, Phase 3, and Phase 4. Not Applicable is used to describe trials without FDA-defined phases, including trials of devices or behavioral interventions.
  • Phase 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • Florida
      • Orlando, Florida, United States, 32809
        • Orlando Clinical Research Center
    • Minnesota
      • Minneapolis, Minnesota, United States, 55404
        • DaVita Clinical Research
    • Tennessee
      • Knoxville, Tennessee, United States, 37920
        • New Orleans Center for Clinical Research

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Eligibility Criteria

The key requirements that people who want to participate in a clinical study must meet or the characteristics they must have. Eligibility criteria consist of both inclusion criteria (which are required for a person to participate in the study) and exclusion criteria (which prevent a person from participating). Types of eligibility criteria include whether a study accepts healthy volunteers, has age or age group requirements, or is limited by sex.

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Group A: Subjects with normal renal function
  • Group B: Patients with end stage renal disease
  • Group C: Patients with mild renal impairment
  • Group D: Patients with moderate renal impairment
  • Group E: Patients with severe renal impairment

Exclusion Criteria:

  • History of uncontrolled or unstable cardiovascular, respiratory, hepatic, gastrointestinal, endocrine, hematopoietic, psychiatric and/or neurological disease
  • Hepatitis B or C
  • Human Immunodeficiency Virus (HIV)
  • Recent gastrointestinal disease

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Allocation: Non-Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm

Participant Group / Arm

A group or subgroup of participants in a clinical trial that receives a specific intervention/treatment, or no intervention, according to the trial's protocol.
Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.
Experimental: Arm A: Subjects with normal renal function
Asunaprevir 100 mg tablet by mouth twice daily for 7 days
Drug: Asunaprevir
Other Names:
  • BMS-650032
Experimental: Arm B: Subjects with end stage renal disease
Asunaprevir 100 mg tablet by mouth twice daily for 7 days
Drug: Asunaprevir
Other Names:
  • BMS-650032
Experimental: Arm C: Subjects with mild renal impairment
Asunaprevir 100 mg tablet by mouth twice daily for 7 days
Drug: Asunaprevir
Other Names:
  • BMS-650032
Experimental: Arm D: Subjects with moderate renal impairment
Asunaprevir 100 mg tablet by mouth twice daily for 7 days
Drug: Asunaprevir
Other Names:
  • BMS-650032
Experimental: Arm E: Subjects with severe renal impairment
Asunaprevir 100 mg tablet by mouth twice daily for 7 days
Drug: Asunaprevir
Other Names:
  • BMS-650032

What is the study measuring?

Primary Outcome Measures

Primary Outcome Measures

In a clinical study's protocol, the planned outcome measure that is the most important for evaluating the effect of an intervention/treatment. Most clinical studies have one primary outcome measure, but some have more than one.
Outcome Measure
Measure Description
Time Frame
AUC(TAU) of Asunaprevir assessed using plasma concentrations on Day 7
Time Frame: 11 time points on Day 7
Area under the concentration-time curve in one dosing interval [AUC(TAU)] will be calculated from the blood drug concentration versus time curve
11 time points on Day 7

Secondary Outcome Measures

Secondary Outcome Measures

In a clinical study's protocol, a planned outcome measure that is not as important as the primary outcome measure for evaluating the effect of an intervention but is still of interest. Most clinical studies have more than one secondary outcome measure.
Outcome Measure
Measure Description
Time Frame
Plasma protein binding (PB) of Asunaprevir will be determined from the 1 hour and 3 hour time points post-dose
Time Frame: 1 and 3 hours of Day 7
1 and 3 hours of Day 7
Maximum observed plasma concentration (Cmax) of Asunaprevir
Time Frame: 30 time points up to Day 10 (blood) and 3 time points up to Day 7 (urine)
Pharmacokinetic (PK) parameters will be derived from plasma concentration versus time and urinary excretion data (not applicable for subjects who are anuric)
30 time points up to Day 10 (blood) and 3 time points up to Day 7 (urine)
Unbound Maximum observed plasma concentrations (Cmaxu) of Asunaprevir
Time Frame: 30 time points up to Day 10 (blood) and 3 time points up to Day 7 (urine)
PK parameters will be derived from plasma concentration versus time and urinary excretion data (not applicable for subjects who are anuric)
30 time points up to Day 10 (blood) and 3 time points up to Day 7 (urine)
Time of maximum observed plasma concentration (Tmax) of Asunaprevir
Time Frame: 30 time points up to Day 10 (blood) and 3 time points up to Day 7 (urine)
PK parameters will be derived from plasma concentration versus time and urinary excretion data (not applicable for subjects who are anuric)
30 time points up to Day 10 (blood) and 3 time points up to Day 7 (urine)
Minimum observed plasma concentration at one dose interval (C12) of Asunaprevir
Time Frame: 30 time points up to Day 10 (blood) and 3 time points up to Day 7 (urine)
PK parameters will be derived from plasma concentration versus time and urinary excretion data (not applicable for subjects who are anuric)
30 time points up to Day 10 (blood) and 3 time points up to Day 7 (urine)
Minimum observed plasma concentration at Pre-AM dose (Ctrough) of Asunaprevir
Time Frame: 3 time points up to Day 7 (blood) and 2 time points on Days 1 and 7 (urine)
PK parameters will be derived from plasma concentration versus time and urinary excretion data (not applicable for subjects who are anuric)
3 time points up to Day 7 (blood) and 2 time points on Days 1 and 7 (urine)
Unbound area under the concentration-time curve in one dosing interval [AUC(TAU)u] of Asunaprevir
Time Frame: 30 time points up to Day 10 (blood) and 3 time points up to Day 7 (urine)
PK parameters will be derived from plasma concentration versus time and urinary excretion data (not applicable for subjects who are anuric)
30 time points up to Day 10 (blood) and 3 time points up to Day 7 (urine)
Area under the concentration-time curve till time of last sampling [AUC(0-T)] of Asunaprevir
Time Frame: 11 (blood) and 2 (urine) time points on Day 7
PK parameters will be derived from plasma concentration versus time and urinary excretion data (not applicable for subjects who are anuric)
11 (blood) and 2 (urine) time points on Day 7
Terminal elimination half life (T-Half) of Asunaprevir
Time Frame: 30 time points up to Day 10 (blood) and 3 time points up to Day 7 (urine)
PK parameters will be derived from plasma concentration versus time and urinary excretion data (not applicable for subjects who are anuric)
30 time points up to Day 10 (blood) and 3 time points up to Day 7 (urine)
Percent urinary recovery (%UR) of Asunaprevir
Time Frame: 3 time points up to Day 7 (urine)
PK parameters will be derived from plasma concentration versus time and urinary excretion data (not applicable for subjects who are anuric)
3 time points up to Day 7 (urine)
Apparent total body clearance (CLT/F) of Asunaprevir
Time Frame: 30 time points up to Day 10 (blood) and 3 time points up to Day 7 (urine)
PK parameters will be derived from plasma concentration versus time and urinary excretion data (not applicable for subjects who are anuric)
30 time points up to Day 10 (blood) and 3 time points up to Day 7 (urine)
Unbound apparent clearance (CLU/F) of Asunaprevir
Time Frame: 30 time points up to Day 10 (blood) and 3 time points up to Day 7 (urine)
PK parameters will be derived from plasma concentration versus time and urinary excretion data (not applicable for subjects who are anuric)
30 time points up to Day 10 (blood) and 3 time points up to Day 7 (urine)
Renal clearance (CLR) of Asunaprevir
Time Frame: 30 time points up to Day 10 (blood) and 3 time points up to Day 7 (urine)
PK parameters will be derived from plasma concentration versus time and urinary excretion data (not applicable for subjects who are anuric)
30 time points up to Day 10 (blood) and 3 time points up to Day 7 (urine)
Apparent volume of distribution (Vd/F) of Asunaprevir
Time Frame: 30 time points up to Day 10 (blood) and 3 time points up to Day 7 (urine)
PK parameters will be derived from plasma concentration versus time and urinary excretion data (not applicable for subjects who are anuric)
30 time points up to Day 10 (blood) and 3 time points up to Day 7 (urine)
Accumulation index (AI): Ratio of AUC(TAU) on Day 7 to AUC(TAU) on Day 1
Time Frame: 22 (blood) and 3 (urine) time points on Days 1 and 7
PK parameters will be derived from plasma concentration versus time and urinary excretion data (not applicable for subjects who are anuric)
22 (blood) and 3 (urine) time points on Days 1 and 7
Safety and tolerability endpoints include all AEs and serious AEs, clinical laboratory tests, ECGs, vital signs and physical examination results
Time Frame: Up to Day 15 and until 30 days post discontinuation of dosing
All recorded adverse events (AEs) will be listed and tabulated by system organ class, preferred term and renal function group. Vital signs and clinical laboratory test results will be listed and summarized by renal function group and time. Any significant physical examination findings and clinical laboratory results will be listed. Electrocardiogram (ECG) readings will be evaluated by the investigator and abnormalities, if present, will be listed
Up to Day 15 and until 30 days post discontinuation of dosing

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Sponsor

The organization or person who initiates the study and who has authority and control over the study.
Bristol-Myers Squibb

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

Study Start

The actual date on which the first participant was enrolled in a clinical study. The "anticipated" study start date is the date that the researchers think will be the study start date.
November 1, 2012

Primary Completion (Actual)

Primary Completion

The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure. Whether the clinical study ended according to the protocol or was terminated does not affect this date. For clinical studies with more than one primary outcome measure with different completion dates, this term refers to the date on which data collection is completed for all the primary outcome measures. The "anticipated" primary completion date is the date that the researchers think will be the primary completion date for the study.
February 1, 2013

Study Completion (Actual)

Study Completion

The date on which the last participant in a clinical study was examined or received an intervention/treatment to collect final data for the primary outcome measures, secondary outcome measures, and adverse events (that is, the last participant's last visit). The "anticipated" study completion date is the date that the researchers think will be the study completion date.
February 1, 2013

Study Registration Dates

First Submitted

First Submitted

The date on which the study sponsor or investigator first submitted a study record to ClinicalTrials.gov. There is typically a delay of a few days between the first submitted date and the record's availability on ClinicalTrials.gov (the first posted date).
June 24, 2013

First Submitted That Met QC Criteria

First Submitted That Met QC Criteria

The date on which the study sponsor or investigator first submits a study record that is consistent with National Library of Medicine (NLM) quality control (QC) review criteria. The sponsor or investigator may need to revise and submit a study record one or more times before NLM's QC review criteria are met. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
June 24, 2013

First Posted (Estimate)

First Posted

The date on which the study record was first available on ClinicalTrials.gov after National Library of Medicine (NLM) quality control (QC) review has concluded. There is typically a delay of a few days between the date the study sponsor or investigator submitted the study record and the first posted date.
June 26, 2013

Study Record Updates

Last Update Posted (Estimate)

Last Update Posted

The most recent date on which changes to a study record were made available on ClinicalTrials.gov. There may be a delay between when the changes were submitted to ClinicalTrials.gov by the study's sponsor or investigator (the last update submitted date) and the last update posted date.
November 11, 2013

Last Update Submitted That Met QC Criteria

Last Update Submitted That Met QC Criteria

The most recent date on which the study sponsor or investigator submitted changes to a study record that are consistent with National Library of Medicine (NLM) quality control (QC) review criteria. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
November 8, 2013

Last Verified

Last Verified

The most recent date on which the study sponsor or investigator confirmed the information about a clinical study on ClinicalTrials.gov as accurate and current. If a study with a recruitment status of recruiting; not yet recruiting; or active, not recruiting has not been confirmed within the past 2 years, the study's recruitment status is shown as unknown.
November 1, 2013

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

Other Study ID Numbers

Identifiers or ID numbers other than the NCT number that are assigned to a clinical study by the study's sponsor, funders, or others. These numbers may include unique identifiers from other trial registries and National Institutes of Health grant numbers.
  • AI447-033

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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