The Effect of Severe Kidney Impairment on Cenerimod Pharmacokinetics
An Open-label, Parallel-group Study to Investigate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Cenerimod After Single-dose Administration in Subjects With Severe Renal Impairment and Control Subjects
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
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Porto, Portugal, 4250-449
- BlueClinical Phase 1 Hospital de Prelado
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Signed informed consent in a language understandable to the participant prior to any study-mandated procedure.
- Women of childbearing potential must have a negative serum pregnancy test at screening, a negative urine pregnancy test on Day -1, and agree to consistently and correctly use a highly effective method of contraception.
- Women of non-childbearing potential.
- Body mass index of 18.0 to 35.0 kg/m2 (inclusive) at Screening
- Negative SARS-CoV-2 reverse transcription polymerase chain reaction test on Day -1.
Additional inclusion criteria for participants with severe renal impairment
- Estimated glomerular filtration rate (eGFR) at screening using the Modification of Diet in Renal Disease formula less-than 30 mL/min/1.73 m2 for participants with renal impairment. The eGFR value should be confirmed on Day -1.
- Systolic blood pressure (SBP) 100 to 180 mmHg, diastolic BP (DBP) 50 to 105 mmHg, and pulse rate 60 to 100 bpm (inclusive), on Day 1 pre-dose.
- Stable concomitant medications for at least 3 weeks prior to screening and up to Day 1.
- Aspartate aminotransferase and alanine aminotransferase above the upper limit of normal.
- Clinically relevant findings in clinical laboratory tests (hematology, clinical chemistry, and urinanalysis) except for those related to renal impairment at Screening and on Day-1.
Additional inclusion criteria for control participants
- eGFR at Screening using the Modification of Diet in Renal Disease formula of ≥ 90 mL/min/1.73 m2.
- SBP 90 to 139 mmHg, DBP 60 to 89 mmHg, and pulse rate 60 to 99 bpm, measured on the same arm, after 5 min in the supine position at screening and on Day 1 pre-dose.
Exclusion Criteria:
- Pregnant or lactating women.
- Participation in a clinical study involving study treatment administration within 3 months prior to screening or participation in more than 2 clinical studies within 1 year prior to Screening.
- Previous exposure to cenerimod.
- Known hypersensitivity to any excipients of the treatment formulation.
- Clinically relevant abnormalities on a 12-lead electrocardiogram at Screening and Day -1.
- Previous treatment with anti-arrhythmic medications of class Ia or III within 2 weeks or 5 half-lives, whichever is longer, prior to study treatment administration.
- History or clinical evidence of any disease and/or existence of any surgical or medical condition, which might interfere with the absorption, distribution, metabolism, or excretion of the study treatment except for renal disease, appendectomy, herniotomy, or cholecystectomy.
- Aspartate aminotransferase and alanine aminotransferase above the upper limit of normal.
- Legal incapacity or limited legal capacity at Screening.
Additional exclusion criteria for participants with severe renal impairment:
- Presence of severe cardiac disease.
- End-stage renal disease that requires dialysis.
- History of severe renal artery stenosis.
- Serum potassium concentration > 5.5 mmol/L.
- Presence of unstable diabetes mellitus.
- Strict fluid restriction.
- Clinically relevant findings in clinical laboratory tests (hematology, clinical chemistry, and urinalysis) except for those related to renal impairment at Screening and on Day -1.
Additional exclusion criteria for control participants
- Clinically relevant findings on the physical examination at Screening.
- Clinically relevant findings in clinical laboratory tests.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Group A (severe renal function impairment)
Eight (8) participants with severe renal impairment.
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A single oral dose of 0.5 mg cenerimod will be administered as a film-coated tablet in the morning of Day 1 under fasted conditions
Other Names:
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Experimental: Group B (healthy)
Eight (8) control participants, matched to the 8 severe renal impaired participants enrolled in Group A.
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A single oral dose of 0.5 mg cenerimod will be administered as a film-coated tablet in the morning of Day 1 under fasted conditions
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Area under the plasma concentration-time curve (AUC) from time zero to time t of the last measured concentration above the limit of quantification (AUC0-t) of cenerimod
Time Frame: Total duration: up to 52 days
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Total duration: up to 52 days
|
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Area under the plasma concentration-time curve (AUC from 0 to infinity) of cenerimod
Time Frame: Total duration: up to 52 days
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Total duration: up to 52 days
|
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The maximum plasma concentration (Cmax) of cenerimod
Time Frame: Total duration: up to 52 days
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Total duration: up to 52 days
|
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The time to reach Cmax (tmax) of cenerimod
Time Frame: Total duration: up to 52 days
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Total duration: up to 52 days
|
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Terminal half-life (t½) of cenerimod
Time Frame: Total duration: up to 52 days
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Total duration: up to 52 days
|
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Apparent oral clearance (CL/F) of cenerimod
Time Frame: Total duration: up to 52 days
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Total duration: up to 52 days
|
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Extent of cenerimod protein plasma binding (PPB)
Time Frame: Total duration: up to 52 days
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Total duration: up to 52 days
|
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Apparent volume of distribution (Vz/F) of cenerimod
Time Frame: Total duration: up to 52 days
|
Total duration: up to 52 days
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Total lymphocyte count count.
Time Frame: Total duration: up to 66 days
|
Total duration: up to 66 days
|
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Change from baseline at each time point of measurement in electrocardiogram QT interval
Time Frame: Total duration: up to 66 days
|
Total duration: up to 66 days
|
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Change from baseline in body weight
Time Frame: Total duration: up to 66 days
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Total duration: up to 66 days
|
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Change from baseline in systolic and diastolic blood pressure (in the supine position)
Time Frame: Total duration: up to 66 days
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Total duration: up to 66 days
|
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Incidence of abnormal laboratory test results
Time Frame: Total duration: up to 66 days
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Total duration: up to 66 days
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Clinical Trials, Viatris Innovation GmbH
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- ID-064-107
- 2021-001522-21 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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