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A Pharmacokinetic Study of Abiraterone Acetate in Patients With Severe Hepatic Impairment Compared to Patients With Normal Hepatic Function

24 de junio de 2014 actualizado por: Janssen Research & Development, LLC

An Open-Label Pharmacokinetic Study of Abiraterone Acetate Suspension in Subjects With Severe Hepatic Impairment Compared to Matched Control Subjects With Normal Hepatic Function

The purpose of this study is to evaluate systemic exposure of abiraterone acetate in adult male patients with severe hepatic impairment and is being conducted to collect information that will support clinical dosing recommendations for this subpopulation.

Descripción general del estudio

Estado

Terminado

Condiciones

Intervención / Tratamiento

Descripción detallada

This is a non-randomized (individuals will not be assigned by chance to study treatments), open-label (individuals will know the identity of study treatments), single dose, 2-cohort study of abiraterone acetate in approximately 16 adult men. Participants will either have severe hepatic impairment (Cohort 1) or qualify for the control group with normal hepatic function (Cohort 2). This study will consist of a screening period followed by a 4-day open-label treatment phase and subsequently a 28-day follow up after the study dose of abiraterone acetate suspension. Patients will be admitted to the study center on Day -1, a single dose of study drug will be administered on the morning of Day 1, and patients will remain at the study center until completion of the 72-hour pharmacokinetic (PK; study of what the body does to a drug) blood sample collection in the morning of Day 4. Enrollment will begin sequentially with patients in the severe hepatic impairment cohort. Enrollment for Cohort 1 will be staggered in order to evaluate safety and tolerability. The study will not proceed if >=Grade 3 toxicity or serious adverse events considered related to abiraterone acetate are observed. Additional patients may be enrolled if at least 8 patients in each cohort do not complete the required assessments, including the PK blood sample collections. The aim will be to treat the remaining patients in Cohort 1 at a suspension dose yielding an exposure equivalent to 1000 mg tablet in healthy individuals. If the dose is adjusted after Study Evaluation Team review, additional patients may be enrolled to ensure at least 8 patients complete the study at the final dose. Once enrollment of patients in the severe hepatic impairment cohort is completed, the matched-control cohort will be dosed. Serial PK samples will be collected during the open-label treatment phase as detailed in the protocol. Safety will be monitored throughout the study.

Tipo de estudio

Intervencionista

Inscripción (Actual)

16

Fase

  • Fase 1

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

    • California
      • Anaheim, California, Estados Unidos
    • Florida
      • Orlando, Florida, Estados Unidos
    • Texas
      • San Antonio, Texas, Estados Unidos

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

35 años a 80 años (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Masculino

Descripción

Inclusion Criteria:

  • All participants are to be cancer free and have a body mass index (BMI) between 18 kg/m2 to 40 kg/m2, inclusive, and body weight not less than 50 kg.
  • Cohort 1is characterized by severe hepatic impairment (as described by the Child-Pugh Classification C).
  • Cohort 2 represents a matched control characterized by healthy participants with normal hepatic function.
  • Control cohort participants will be age matched ± 10 years and BMI matched within 20% of the means of the severe hepatic impairment cohort; no other clinical criteria will be matched.
  • Control cohort participants must be in good health, with no clinically significant findings from medical history, physical examination, laboratory evaluations, 12-lead electrocardiogram and vital signs.
  • Patients with hepatic impairment are required to be on medication and/or treatment regimen to treat their underlying hepatic impairment or medical conditions before dosing with study drug.

Exclusion Criteria:

  • Participants in the control cohort who test positive for hepatitis B surface antigen (HBsAg) or hepatitis C antibodies will not be permitted to enroll in the study.
  • Patients with hepatic impairment who have acute or exacerbating hepatitis, fluctuating or rapidly deteriorating hepatic function as indicated by widely varying or worsening of clinical and/or laboratory signs of hepatic impairment in the judgment of either the investigator or the sponsor's medical monitor will be excluded from participating in the study.
  • Patients with hepatic impairment taking antiviral therapy for treatment of active hepatitis infection at the time of screening, previously diagnosed with hepatocellular carcinoma, or who have a history of biliary sepsis within the past 2 years.
  • Patients with severe hepatic impairment should not have Gilbert's syndrome or >= Grade 3 hepatic encephalopathy where the patient lacks the capacity to provide informed consent as judged by the investigator. Mild or moderate hepatic encephalopathy that would not impede informed consent in the investigator's judgment is permitted.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Tratamiento
  • Asignación: No aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Ninguno (etiqueta abierta)

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: Cohort 1
Patients with severe hepatic impairment.
125 mg to 2000 mg abiraterone acetate suspension on Day 1
Experimental: Cohort 2
Healthy individuals with normal hepatic function.
2000 mg abiraterone acetate suspension on Day 1

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Periodo de tiempo
Mean plasma concentrations of abiraterone
Periodo de tiempo: Up to Day 4
Up to Day 4
Mean plasma protein binding concentrations of abiraterone
Periodo de tiempo: Screening Day -2
Screening Day -2
Maximum plasma concentrations of abiraterone
Periodo de tiempo: Up to Day 4
Up to Day 4
Time to reach the maximum plasma concentration of abiraterone
Periodo de tiempo: Up to Day 4
Up to Day 4
Area under the plasma concentration-time curve from time 0 to 24 hours after dosing of abiraterone
Periodo de tiempo: Up to Day 4
Up to Day 4
Area under the plasma concentration-time curve from time 0 to time of the last quantifiable concentration of abiraterone
Periodo de tiempo: Up to Day 4
Up to Day 4
Area under the plasma concentration-time curve from time 0 to infinite time of abiraterone
Periodo de tiempo: Up to Day 4
Up to Day 4
Percentage of area under the plasma concentration-time curve from time 0 to infinite time obtained by extrapolation of abiraterone
Periodo de tiempo: Up to Day 4
Up to Day 4
Elimination half-life associated with the terminal slope of the semilogarithmic drug concentration-time curve of abiraterone
Periodo de tiempo: Up to Day 4
Up to Day 4
Time to last quantifiable plasma concentration of abiraterone
Periodo de tiempo: Up to Day 4
Up to Day 4
Total apparent clearance of drug after extravascular administration uncorrected for absolute bioavailability of abiraterone
Periodo de tiempo: Up to Day 4
Up to Day 4
Apparent volume of distribution after extravascular administration uncorrected for absolute bioavailability of abiraterone
Periodo de tiempo: Up to Day 4
Up to Day 4

Medidas de resultado secundarias

Medida de resultado
Periodo de tiempo
The number of participants affected by an adverse event
Periodo de tiempo: Up to Day 29
Up to Day 29

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Investigadores

  • Director de estudio: Janssen Research & Development, LLC Clinical Research, Janssen Research & Development, LLC

Publicaciones y enlaces útiles

La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio

1 de enero de 2012

Finalización primaria (Actual)

1 de septiembre de 2012

Finalización del estudio (Actual)

1 de septiembre de 2012

Fechas de registro del estudio

Enviado por primera vez

19 de enero de 2012

Primero enviado que cumplió con los criterios de control de calidad

19 de enero de 2012

Publicado por primera vez (Estimar)

24 de enero de 2012

Actualizaciones de registros de estudio

Última actualización publicada (Estimar)

25 de junio de 2014

Última actualización enviada que cumplió con los criterios de control de calidad

24 de junio de 2014

Última verificación

1 de junio de 2014

Más información

Términos relacionados con este estudio

Términos MeSH relevantes adicionales

Otros números de identificación del estudio

  • CR100779
  • 212082PCR1004 (Otro identificador: Janssen Research & Development, LLC)

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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