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Pharmacokinetics (PK) of Dalfampridine-ER 7.5 mg BID in Healthy Volunteers and Subjects With Mild or Moderate Renal Impairment

Primary Purpose

Renal Insufficiency

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Dalfampridine-ER
Sponsored by
Acorda Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Renal Insufficiency

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Either gender between the ages of 18 and 75 years
  • Have a body mass index (BMI) ranging between 18.5 - 35.0 kg/m2, inclusive
  • Have adequate cognitive function to understand and sign the IRB approved informed consent prior to the performance of any study-specific procedures
  • Be willing and able to comply with all trial requirements
  • Fit into one of three 12-subject groups: normal renal function (CrCl > 80 mL/min), mild renal impairment (CrCl 51-80 mL/min), and moderate renal impairment (CrCl 30-50 mL/min)
  • Have sufficient venous access to permit blood sample collection
  • Women of childbearing potential must have a negative β-HCG pregnancy test at the Screening Visit.

Exclusion Criteria:

  • Women who are either pregnant or breastfeeding, and women of childbearing potential (i.e., has not had a hysterectomy or bilateral oophorectomy, or is not at least two years postmenopausal) who are engaged in active heterosexual relations and not using any of the following birth control methods: tubal ligation, implantable contraception device, oral, patch or injectible contraceptive, double barrier method, or sexual activity restricted to a vasectomized partner;
  • History of seizure(s);
  • Unstable, acute, or severe (CrCl < 30 mL/min) renal failure;
  • Clinically significant abnormal findings on the physical examination, ECG, vital signs, medical history, or clinical laboratory results during screening (other than abnormal renal values);
  • Any unstable cardiovascular, enterohepatic, respiratory, or immunologic disorder or disease that may substantially affect the pharmacokinetics of Dalfampridine-ER;
  • Known allergy to pyridine-containing substances, or any of the inactive ingredients of the Dalfampridine-ER tablet (colloidal silicon dioxide, hydroxypropyl methylcellulose, magnesium stearate, microcrystalline cellulose, polyethylene glycol, and titanium dioxide);
  • Participation in an investigational drug trial 30 days prior to Screening or plans to enroll in an investigational drug trial at any time during this study;
  • Any medical condition including psychiatric disease that would interfere with the interpretation of the study results or the conduct of the study;
  • Subject has started a new medication (prescription, vitamins, herbal medications, or other over-the-counter medications), or had a change in their existing medication within 30 days prior to screening;
  • History of drug or alcohol abuse in the past 2 years, or tests positive for drugs of abuse at Screening;
  • Donation of blood or blood components within 30 days prior to administration of investigational drug. The Investigator should instruct subjects who participate in this study not to donate blood or blood components during their participation in the study and up to four weeks after the completion of the study.

Sites / Locations

  • ACRI - Phase 1
  • MRA Clinical Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Active Comparator

Active Comparator

Arm Label

Healthy: Dalfampridine-ER 7.5 mg

Mild renal: Dalfampridine-ER 7.5 mg

Moderate renal: Dalfampridine-ER 7.5 mg

Arm Description

Dalfampridine-ER 7.5 mg single and steady-state dosing in healthy volunteers

Dalfampridine-ER 7.5 mg single and steady-state dosing in volunteers with mild renal impairment

Dalfampridine-ER 7.5 mg single and steady-state dosing in volunteers with moderate renal impairment

Outcomes

Primary Outcome Measures

The Steady State Area Under the Drug Concentration Time Curve From 0 to 12 Hours Post Dose AUC(0-12).
AUC(0-12) was based on blood samples taken at specified outcome measure time frame for dalfampridine-ER 7.5 mg tablets in healthy adult volunteers and people with mild or moderate renal impairment.

Secondary Outcome Measures

The Maximum Measured Plasma Concentration (Cmax) at Steady State, of Dalfampridine-ER 7.5 mg Tablets in Healthy Adult Volunteers and Those With Mild and Moderate Renal Impairment and Examine Between-group Differences.
The Steady State Fractional Clearance, Calculated as the Dose / AUC(0-12) (CL/Fss) of Dalfampridine-ER 7.5 mg Tablets in Healthy Adult Volunteers and Those With Mild and Moderate Renal Impairment and Examine Between-group Differences.

Full Information

First Posted
March 14, 2011
Last Updated
October 9, 2012
Sponsor
Acorda Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT01316055
Brief Title
Pharmacokinetics (PK) of Dalfampridine-ER 7.5 mg BID in Healthy Volunteers and Subjects With Mild or Moderate Renal Impairment
Official Title
A Parallel, Three Arm, Open-label, Multi-dose Pharmacokinetic Study of Dalfampridine-ER 7.5 mg Twice Daily in Both Healthy Volunteers and Those With Mild and Moderate Renal Impairment
Study Type
Interventional

2. Study Status

Record Verification Date
October 2012
Overall Recruitment Status
Completed
Study Start Date
January 2011 (undefined)
Primary Completion Date
August 2011 (Actual)
Study Completion Date
September 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Acorda Therapeutics

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The steady-state pharmacokinetics of Dalfampridine-ER (extended release) 7.5 mg (milligram) tablets in healthy adult volunteers and those with mild and moderate renal impairment, and examine between group comparisons.
Detailed Description
Pharmacokinetics in normal, mildly renally impaired, and moderately renally impaired subjects

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Renal Insufficiency

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
42 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Healthy: Dalfampridine-ER 7.5 mg
Arm Type
Active Comparator
Arm Description
Dalfampridine-ER 7.5 mg single and steady-state dosing in healthy volunteers
Arm Title
Mild renal: Dalfampridine-ER 7.5 mg
Arm Type
Active Comparator
Arm Description
Dalfampridine-ER 7.5 mg single and steady-state dosing in volunteers with mild renal impairment
Arm Title
Moderate renal: Dalfampridine-ER 7.5 mg
Arm Type
Active Comparator
Arm Description
Dalfampridine-ER 7.5 mg single and steady-state dosing in volunteers with moderate renal impairment
Intervention Type
Drug
Intervention Name(s)
Dalfampridine-ER
Intervention Description
2 days of single dose 7.5 mg, 4 days of bid dosing, and a 3 day follow-up
Primary Outcome Measure Information:
Title
The Steady State Area Under the Drug Concentration Time Curve From 0 to 12 Hours Post Dose AUC(0-12).
Description
AUC(0-12) was based on blood samples taken at specified outcome measure time frame for dalfampridine-ER 7.5 mg tablets in healthy adult volunteers and people with mild or moderate renal impairment.
Time Frame
0 and 1,2,3,4,5,6,8, and 12 hours after the last dose
Secondary Outcome Measure Information:
Title
The Maximum Measured Plasma Concentration (Cmax) at Steady State, of Dalfampridine-ER 7.5 mg Tablets in Healthy Adult Volunteers and Those With Mild and Moderate Renal Impairment and Examine Between-group Differences.
Time Frame
7 days
Title
The Steady State Fractional Clearance, Calculated as the Dose / AUC(0-12) (CL/Fss) of Dalfampridine-ER 7.5 mg Tablets in Healthy Adult Volunteers and Those With Mild and Moderate Renal Impairment and Examine Between-group Differences.
Time Frame
7 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Either gender between the ages of 18 and 75 years Have a body mass index (BMI) ranging between 18.5 - 35.0 kg/m2, inclusive Have adequate cognitive function to understand and sign the IRB approved informed consent prior to the performance of any study-specific procedures Be willing and able to comply with all trial requirements Fit into one of three 12-subject groups: normal renal function (CrCl > 80 mL/min), mild renal impairment (CrCl 51-80 mL/min), and moderate renal impairment (CrCl 30-50 mL/min) Have sufficient venous access to permit blood sample collection Women of childbearing potential must have a negative β-HCG pregnancy test at the Screening Visit. Exclusion Criteria: Women who are either pregnant or breastfeeding, and women of childbearing potential (i.e., has not had a hysterectomy or bilateral oophorectomy, or is not at least two years postmenopausal) who are engaged in active heterosexual relations and not using any of the following birth control methods: tubal ligation, implantable contraception device, oral, patch or injectible contraceptive, double barrier method, or sexual activity restricted to a vasectomized partner; History of seizure(s); Unstable, acute, or severe (CrCl < 30 mL/min) renal failure; Clinically significant abnormal findings on the physical examination, ECG, vital signs, medical history, or clinical laboratory results during screening (other than abnormal renal values); Any unstable cardiovascular, enterohepatic, respiratory, or immunologic disorder or disease that may substantially affect the pharmacokinetics of Dalfampridine-ER; Known allergy to pyridine-containing substances, or any of the inactive ingredients of the Dalfampridine-ER tablet (colloidal silicon dioxide, hydroxypropyl methylcellulose, magnesium stearate, microcrystalline cellulose, polyethylene glycol, and titanium dioxide); Participation in an investigational drug trial 30 days prior to Screening or plans to enroll in an investigational drug trial at any time during this study; Any medical condition including psychiatric disease that would interfere with the interpretation of the study results or the conduct of the study; Subject has started a new medication (prescription, vitamins, herbal medications, or other over-the-counter medications), or had a change in their existing medication within 30 days prior to screening; History of drug or alcohol abuse in the past 2 years, or tests positive for drugs of abuse at Screening; Donation of blood or blood components within 30 days prior to administration of investigational drug. The Investigator should instruct subjects who participate in this study not to donate blood or blood components during their participation in the study and up to four weeks after the completion of the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Herbert R Henney, PharmD
Organizational Affiliation
Acorda Therapeutics
Official's Role
Study Director
Facility Information:
Facility Name
ACRI - Phase 1
City
Anaheim
State/Province
California
ZIP/Postal Code
92801
Country
United States
Facility Name
MRA Clinical Research
City
South Miami
State/Province
Florida
ZIP/Postal Code
33143
Country
United States

12. IPD Sharing Statement

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Pharmacokinetics (PK) of Dalfampridine-ER 7.5 mg BID in Healthy Volunteers and Subjects With Mild or Moderate Renal Impairment

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