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

2014年6月24日 更新者: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.

研究概览

地位

完全的

详细说明

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.

研究类型

介入性

注册 (实际的)

16

阶段

  • 阶段1

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

    • California
      • Anaheim、California、美国
    • Florida
      • Orlando、Florida、美国
    • Texas
      • San Antonio、Texas、美国

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

35年 至 80年 (成人、年长者)

接受健康志愿者

有资格学习的性别

男性

描述

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.

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:治疗
  • 分配:非随机化
  • 介入模型:并行分配
  • 屏蔽:无(打开标签)

武器和干预

参与者组/臂
干预/治疗
实验性的:Cohort 1
Patients with severe hepatic impairment.
125 mg to 2000 mg abiraterone acetate suspension on Day 1
实验性的:Cohort 2
Healthy individuals with normal hepatic function.
2000 mg abiraterone acetate suspension on Day 1

研究衡量的是什么?

主要结果指标

结果测量
大体时间
Mean plasma concentrations of abiraterone
大体时间:Up to Day 4
Up to Day 4
Mean plasma protein binding concentrations of abiraterone
大体时间:Screening Day -2
Screening Day -2
Maximum plasma concentrations of abiraterone
大体时间:Up to Day 4
Up to Day 4
Time to reach the maximum plasma concentration of abiraterone
大体时间: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
大体时间: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
大体时间:Up to Day 4
Up to Day 4
Area under the plasma concentration-time curve from time 0 to infinite time of abiraterone
大体时间: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
大体时间: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
大体时间:Up to Day 4
Up to Day 4
Time to last quantifiable plasma concentration of abiraterone
大体时间:Up to Day 4
Up to Day 4
Total apparent clearance of drug after extravascular administration uncorrected for absolute bioavailability of abiraterone
大体时间:Up to Day 4
Up to Day 4
Apparent volume of distribution after extravascular administration uncorrected for absolute bioavailability of abiraterone
大体时间:Up to Day 4
Up to Day 4

次要结果测量

结果测量
大体时间
The number of participants affected by an adverse event
大体时间:Up to Day 29
Up to Day 29

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

调查人员

  • 研究主任:Janssen Research & Development, LLC Clinical Research、Janssen Research & Development, LLC

出版物和有用的链接

负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始

2012年1月1日

初级完成 (实际的)

2012年9月1日

研究完成 (实际的)

2012年9月1日

研究注册日期

首次提交

2012年1月19日

首先提交符合 QC 标准的

2012年1月19日

首次发布 (估计)

2012年1月24日

研究记录更新

最后更新发布 (估计)

2014年6月25日

上次提交的符合 QC 标准的更新

2014年6月24日

最后验证

2014年6月1日

更多信息

与本研究相关的术语

其他相关的 MeSH 术语

其他研究编号

  • CR100779
  • 212082PCR1004 (其他标识符:Janssen Research & Development, LLC)

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

Cohort 1的临床试验

3
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