- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02184091
Study to Evaluate the Effects of Underlying Renal or Hepatic Dysfunction on the Pharmacokinetics of Nevirapine
July 11, 2014 updated by: Boehringer Ingelheim
An Open-Label, Single Dose Study to Evaluate the Effects of Underlying Renal or Hepatic Dysfunction on the Pharmacokinetics of Nevirapine (VIRAMUNE®)
Study to assess the effects of varying degrees of renal dysfunction and hepatic insufficiency on the single-dose pharmacokinetics of nevirapine and nevirapine metabolites in order to establish an appropriate dose and/or dosing frequency for renally- and hepatically-impaired patients
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
41
Phase
- Phase 1
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
Ages Eligible for Study
18 years to 75 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Male or female patients of any race between the ages of 18 and 75 years with weight within 30% of normal for gender, height and frame as specified by the Metropolitan Life Insurance Table
For patients in the renal group: stable creatinine clearance based on two estimations taken at least 3 days apart, corresponding to one of four groups:
- Group 1 (mild dysfunction) = 50 ml/min <= Creatinine Clearance (CLcr) < 80 ml/min
- Group 2 (moderate dysfunction) = 30 ml/min <= CLcr < 50 ml/min
- Group 3 (severe dysfunction) = CLcr < 30 ml/min and
- Group 4 = end-stage renal disease (ESRD) requiring dialysis
For patients in the hepatic group
- Two baseline creatinine clearances (taken at least 3 days apart) > 80 ml/min
- clinically diagnosed with hepatic insufficiency and Class A or B liver disease according to Child-Pugh's Classification; subjects must have a Child-Pugh score of 5-9 points
For patients in the normal group, i.e. normal with respect to hepatic and renal function
- matched with hepatic group regarding gender, age (+- 10 years), weight (+- 30 pounds) and smoking history
- Two baseline creatinine clearances (taken at least 3 days apart) > 80 ml/min
- No abnormalities on clinical or laboratory evaluations
- Female patients of childbearing potential must be willing to use a reliable form of contraception which must include a medically approved form of barrier contraception
- Patients who are able to provide written consent and comply with study requirements
Exclusion Criteria:
- Female patients who are pregnant or breast-feeding
- Seated systolic blood pressure either < 100 mmHg or > 150 mmHg and/or heart rate either < 50 beats/min or > 90 beats/min
- History of any illness or drug allergy that in the opinion of the investigator might confound the results of the study or pose additional risk in administering nevirapine to the subject
- Patients who have had an acute illness or hospitalization other than for routine dialysis within 2 weeks prior to study initiation
- Patients who are currently taking any over-the-counter drug within 3 days prior to study initiation, or who are currently taking any prescription drug that in the opinion of the investigator in consultation with Boehringer Ingelheim Pharmaceuticals Incorporated (BIPI) medical monitor and pharmacokineticist might interfere with the absorption, distribution or metabolism on the test drug
- Significant electrocardiogram (ECG) abnormalities
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
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Nevirapine
Single dose administration
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
AUC (Area under the plasma concentration time curve)
Time Frame: up to 7 days
|
up to 7 days
|
Cmax (Maximum observed concentration of the analyte in plasma)
Time Frame: up to 7 days
|
up to 7 days
|
Tmax (Time of maximum concentration of the analyte in plasma)
Time Frame: up to 7 days
|
up to 7 days
|
T1/2 (Terminal half-life of the analyte in plasma)
Time Frame: up to 7 days
|
up to 7 days
|
Vss/F (Volume of Distribution)
Time Frame: up to 7 days
|
up to 7 days
|
MRT (Mean residence time of the analyte)
Time Frame: up to 7 days
|
up to 7 days
|
CL/F (Apparent clearance of the analyte in plasma)
Time Frame: up to 7 days
|
up to 7 days
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Number of patients with adverse events
Time Frame: up to 21 days
|
up to 21 days
|
Number of patients with abnormal changes in laboratory parameters
Time Frame: Screening, Day 0, Day 7
|
Screening, Day 0, Day 7
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Helpful Links
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
January 1, 1999
Primary Completion (Actual)
July 1, 1999
Study Completion
December 7, 2022
Study Registration Dates
First Submitted
July 8, 2014
First Submitted That Met QC Criteria
July 8, 2014
First Posted (Estimate)
July 9, 2014
Study Record Updates
Last Update Posted (Estimate)
July 14, 2014
Last Update Submitted That Met QC Criteria
July 11, 2014
Last Verified
July 1, 2014
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Digestive System Diseases
- Kidney Diseases
- Urologic Diseases
- Liver Diseases
- Liver Failure
- Hepatic Insufficiency
- Renal Insufficiency
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Antiviral Agents
- Reverse Transcriptase Inhibitors
- Nucleic Acid Synthesis Inhibitors
- Enzyme Inhibitors
- Anti-HIV Agents
- Anti-Retroviral Agents
- Cytochrome P-450 Enzyme Inducers
- Cytochrome P-450 CYP3A Inducers
- Nevirapine
Other Study ID Numbers
- 1100.1259
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
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.
Clinical Trials on Hepatic Insufficiency
-
PfizerCompletedHealthy, Hepatic InsufficiencyUnited States
-
BeiGeneCompletedHepatic Insufficiency & Healthy SubjectsUnited States
-
BayerCompletedHepatic Insufficiency, Renal InsufficiencyGermany, Romania
-
Novartis PharmaceuticalsCompletedHepatic FailureUnited States
-
Cardiox CorporationTerminatedHepatic Failure
-
Centre Hospitalier Universitaire de NiceCompleted
-
Biotie Therapies Inc.Acorda TherapeuticsTerminatedHepatic ImpairmentUnited States
-
PfizerMedivation, Inc.Completed
-
Istituto Clinico HumanitasTerminatedIschemic Reperfusion Injury | Liver Tumour | Insufficiency; Hepatic, PostoperativeItaly
-
Assistance Publique - Hôpitaux de ParisUnknownFulminating Hepatic FailureFrance
Clinical Trials on Nevirapine
-
Boehringer IngelheimCompletedHIV InfectionsUnited States, Botswana, Germany, South Africa
-
Boehringer IngelheimCompletedHIV InfectionsUnited States, France, Germany, United Kingdom
-
Boehringer IngelheimCompletedHIV InfectionsUnited States, Argentina, Australia, Belgium, Botswana, Canada, France, Germany, Ireland, Italy, Mexico, Netherlands, Poland, Portugal, Puerto Rico, Romania, Russian Federation, South Africa, Spain, Switzerland, United Kingdom
-
Boehringer IngelheimCompleted
-
Peking Union Medical CollegeMinistry of Science and Technology of the People´s Republic of ChinaCompleted
-
Boehringer IngelheimCompleted
-
Makerere UniversityUniversity of LiverpoolCompletedHIV Infections | TuberculosisUganda
-
Boehringer IngelheimCompletedHIV InfectionsArgentina, Germany, Italy, Mexico, Poland, Portugal, Romania, Spain, Switzerland, United Kingdom
-
Elim Pediatric Pharmaceuticals Inc.Unknown