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Comparing the Pharmacokinetics, Safety and Tolerability of NVA237 in Renal Impairment

Primary Purpose

Renal Impairment

Status
Completed
Phase
Phase 1
Locations
Russian Federation
Study Type
Interventional
Intervention
NVA237
Sponsored by
Novartis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Renal Impairment focused on measuring Renal impairment, NVA237, Pharmacokinetics

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Male and female subjects age 18 to 70 years of age inclusive.
  • Female subjects of childbearing potential must be using two acceptable methods of contraception, (e.g., intra-uterine device plus condom, spermicidal gel plus condom, diaphragm plus condom, etc.), from the time of screening and for the duration of the study, through study completion.
  • Subjects must weigh at least 50 kg to participate in the study, and must have a body mass index (BMI) within the range of 17 to 35 kg/m2.
  • Able to communicate well with the investigator, to understand and comply with the requirements of the study. Understand and sign the written informed consent
  • For renal insufficient subjects only - Subjects must have stable renal disease without evidence of renal progressive disease (for the purpose of this study stable renal disease will be defined as no significant change for 12 weeks).
  • For health subjects only - A serum creatinine within the normal range and an eGFR >80 mL/min/1.73 m2.
  • For health subjects only - Matched to at least one renal impaired subjects undergoing study by age (±5 years), sex and weight (±10% BMI).

Exclusion Criteria:

  • Smokers (use of tobacco products in the previous 3 months). Smokers will be defined as any subject who reports tobacco use and/or who has a urine cotinine ≥ 500 ng/mL. If non-smoking subject are too difficult to recruit, smokers may be allowed to participate in the study provided they commit to smoke no more than 10 cigarettes/day during the days of PK-assessment
  • For healthy subjects, use of any prescription drugs, herbal and fitness/bodybuilding/athletic performance-enhancing supplements, within four (4) weeks prior to initial dosing, and/or over-the-counter (OTC) medication, dietary supplements (vitamins included) within two (2) weeks prior to initial dosing
  • Recent (within the last three [3] years) and/or recurrent history of autonomic dysfunction (e.g., recurrent episodes of fainting (unless related to water withdrawal during dialysis), palpitations, etc).
  • Recent (within the last three [3] years) and/or recurrent history of acute or chronic bronchospastic disease (including asthma and chronic obstructive pulmonary disease, treated or not treated).
  • History of multiple and recurring allergies or allergy to the investigational compound/compound class being used in this study.
  • Total WBC count which falls outside the range of 3000-12,000/μL, or platelets <100,000/μl at screening.
  • History of immunodeficiency diseases, including a positive HIV (ELISA and Western blot) test result.

Other protocol-defined inclusion/exclusion criteria may apply.

Sites / Locations

  • Novartis Investigative Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Healthy volunteers

Mild renal impairment

Moderate renal impairment

Severe renal impairment

End-stage subjects requiring dialysis (ESRD)

Arm Description

control group receiving 100 μg NVA237

(eGFR 50-80 mL/min/1.73m2) receiving 100 μg NVA237

(eGFR 30-49 mL/min/1.73m2) receiving 100 μg NVA237

(eGFR <30 mL/min1.73m2) receiving 100 μg NVA237

receiving 100 μg NVA237

Outcomes

Primary Outcome Measures

Concentration of NVA2105 using PK parameter of primary interest - area under the plasma concentration-time curve from time 0 to the last quantifiable concentration (AUClast)
Blood samples will be collected at various time points on each visit day; Compound: NVA237 100ug, Matrix: Plasma, Analyte: NVA237
Concentration of NVA2105 using PK parameter of primary interest - maximum plasma concentration (Cmax)
Blood samples will be collected at various time points on each visit day; Compound: NVA237 100ug, Matrix: Plasma, Analyte: NVA237
Concentration of NVA2105 using PK parameter of primary interest - renal clearance (CLR)
Blood samples will be collected at various time points on each visit day; Compound: NVA237 100ug, Matrix: Plasma, Analyte: NVA237
Concentration of NVA2105 using PK parameter of secondary interest - time to Cmax (Tmax)
Blood samples will be collected at various time points on each visit day; Compound: NVA237 100ug, Matrix: Plasma, Analyte: NVA237
Concentration of NVA2105 using PK parameter of secondary interest - AUC extrapolated to infinity (AUCinf)
Blood samples will be collected at various time points on each visit day; Compound: NVA237 100ug, Matrix: Plasma, Analyte: NVA237
Concentration of NVA2105 using PK parameter of secondary interest - terminal elimination half-life, determined from plasma concentrations and urinary excretion rates (T1/2)
Blood samples will be collected at various time points on each visit day; Compound: NVA237 100ug, Matrix: Plasma, Analyte: NVA237
Concentration of NVA2105 using PK parameter of secondary interest - apparent systemic clearance (CL/F)
Blood samples will be collected at various time points on each visit day; Compound: NVA237 100ug, Matrix: Plasma, Analyte: NVA237
Concentration of NVA2105 using PK parameter - amount excreted into the urine from time 0 to 96 h post-dose (Ae0-96h)
Samples will be collected at various time points on each visit day; Compound: NVA237 100ug, Matrix: Urine, Analyte: NVA237
Concentration of NVA2105 using PK parameter - T1/2
Samples will be collected at various time points on each visit day; Compound: NVA237 100ug, Matrix: Urine, Analyte: NVA237
Concentration of NVA2105 using PK parameter - CLR
Samples will be collected at various time points on each visit day; Compound: NVA237 100ug, Matrix: Urine, Analyte: NVA237

Secondary Outcome Measures

Change in effect of dialysis in End-stage subjects requiring dialysis (ESRD) using PK parameter Cmax
Blood samples will be collected at various time points on each visit day; Compound: NVA237 100ug, Matrix: Plasma, Analyte: NVA237
Change in effect of dialysis in End-stage subjects requiring dialysis using PK parameter AUClast
Blood samples will be collected at various time points on each visit day; Compound: NVA237 100ug, Matrix: Plasma, Analyte: NVA237
Safety and tolerability of a single inhalation dose of 100μg NVA237 in subjects with mild, moderate, severe, and end-stage renal impairment
Adverse events will be based on evaluation of physical signs, electrocardiograms and clinical laboratory assessments

Full Information

First Posted
June 5, 2012
Last Updated
December 16, 2020
Sponsor
Novartis Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT01613690
Brief Title
Comparing the Pharmacokinetics, Safety and Tolerability of NVA237 in Renal Impairment
Official Title
An Open Label, Non-randomized, Parallel-group Study to Characterize and Compare the Pharmacokinetics, Safety, and Tolerability of a Single Dose of NVA237 in Subjects With Mild, Moderate, Severe and End-stage Renal Impairment With That in Matched Healthy Control Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
June 2012
Overall Recruitment Status
Completed
Study Start Date
June 2010 (undefined)
Primary Completion Date
November 2010 (Actual)
Study Completion Date
November 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novartis Pharmaceuticals

4. Oversight

5. Study Description

Brief Summary
The purpose of this study is to see how the body processes and gets rid of NVA237 in people who have impaired kidney function compared to people whose kidney function is normal.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Renal Impairment
Keywords
Renal impairment, NVA237, Pharmacokinetics

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Healthy volunteers
Arm Type
Experimental
Arm Description
control group receiving 100 μg NVA237
Arm Title
Mild renal impairment
Arm Type
Experimental
Arm Description
(eGFR 50-80 mL/min/1.73m2) receiving 100 μg NVA237
Arm Title
Moderate renal impairment
Arm Type
Experimental
Arm Description
(eGFR 30-49 mL/min/1.73m2) receiving 100 μg NVA237
Arm Title
Severe renal impairment
Arm Type
Experimental
Arm Description
(eGFR <30 mL/min1.73m2) receiving 100 μg NVA237
Arm Title
End-stage subjects requiring dialysis (ESRD)
Arm Type
Experimental
Arm Description
receiving 100 μg NVA237
Intervention Type
Drug
Intervention Name(s)
NVA237
Intervention Description
NVA237 is administered via a BREEZHALER device
Primary Outcome Measure Information:
Title
Concentration of NVA2105 using PK parameter of primary interest - area under the plasma concentration-time curve from time 0 to the last quantifiable concentration (AUClast)
Description
Blood samples will be collected at various time points on each visit day; Compound: NVA237 100ug, Matrix: Plasma, Analyte: NVA237
Time Frame
Day 1, 2, 3, 4 and 5
Title
Concentration of NVA2105 using PK parameter of primary interest - maximum plasma concentration (Cmax)
Description
Blood samples will be collected at various time points on each visit day; Compound: NVA237 100ug, Matrix: Plasma, Analyte: NVA237
Time Frame
Day 1, 2, 3, 4 and 5
Title
Concentration of NVA2105 using PK parameter of primary interest - renal clearance (CLR)
Description
Blood samples will be collected at various time points on each visit day; Compound: NVA237 100ug, Matrix: Plasma, Analyte: NVA237
Time Frame
Day 1, 2, 3, 4 and 5
Title
Concentration of NVA2105 using PK parameter of secondary interest - time to Cmax (Tmax)
Description
Blood samples will be collected at various time points on each visit day; Compound: NVA237 100ug, Matrix: Plasma, Analyte: NVA237
Time Frame
Day 1, 2, 3, 4 and 5
Title
Concentration of NVA2105 using PK parameter of secondary interest - AUC extrapolated to infinity (AUCinf)
Description
Blood samples will be collected at various time points on each visit day; Compound: NVA237 100ug, Matrix: Plasma, Analyte: NVA237
Time Frame
Day 1, 2, 3, 4 and 5
Title
Concentration of NVA2105 using PK parameter of secondary interest - terminal elimination half-life, determined from plasma concentrations and urinary excretion rates (T1/2)
Description
Blood samples will be collected at various time points on each visit day; Compound: NVA237 100ug, Matrix: Plasma, Analyte: NVA237
Time Frame
Day 1, 2, 3, 4 and 5
Title
Concentration of NVA2105 using PK parameter of secondary interest - apparent systemic clearance (CL/F)
Description
Blood samples will be collected at various time points on each visit day; Compound: NVA237 100ug, Matrix: Plasma, Analyte: NVA237
Time Frame
Day 1, 2, 3, 4 and 5
Title
Concentration of NVA2105 using PK parameter - amount excreted into the urine from time 0 to 96 h post-dose (Ae0-96h)
Description
Samples will be collected at various time points on each visit day; Compound: NVA237 100ug, Matrix: Urine, Analyte: NVA237
Time Frame
Day 1, 2, 3, 4 and 5
Title
Concentration of NVA2105 using PK parameter - T1/2
Description
Samples will be collected at various time points on each visit day; Compound: NVA237 100ug, Matrix: Urine, Analyte: NVA237
Time Frame
Day 1, 2, 3, 4 and 5
Title
Concentration of NVA2105 using PK parameter - CLR
Description
Samples will be collected at various time points on each visit day; Compound: NVA237 100ug, Matrix: Urine, Analyte: NVA237
Time Frame
Day 1, 2, 3, 4 and 5
Secondary Outcome Measure Information:
Title
Change in effect of dialysis in End-stage subjects requiring dialysis (ESRD) using PK parameter Cmax
Description
Blood samples will be collected at various time points on each visit day; Compound: NVA237 100ug, Matrix: Plasma, Analyte: NVA237
Time Frame
Day 1 of each treatment period
Title
Change in effect of dialysis in End-stage subjects requiring dialysis using PK parameter AUClast
Description
Blood samples will be collected at various time points on each visit day; Compound: NVA237 100ug, Matrix: Plasma, Analyte: NVA237
Time Frame
Day 1 of each treatment period
Title
Safety and tolerability of a single inhalation dose of 100μg NVA237 in subjects with mild, moderate, severe, and end-stage renal impairment
Description
Adverse events will be based on evaluation of physical signs, electrocardiograms and clinical laboratory assessments
Time Frame
Reviewed during each study visit

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male and female subjects age 18 to 70 years of age inclusive. Female subjects of childbearing potential must be using two acceptable methods of contraception, (e.g., intra-uterine device plus condom, spermicidal gel plus condom, diaphragm plus condom, etc.), from the time of screening and for the duration of the study, through study completion. Subjects must weigh at least 50 kg to participate in the study, and must have a body mass index (BMI) within the range of 17 to 35 kg/m2. Able to communicate well with the investigator, to understand and comply with the requirements of the study. Understand and sign the written informed consent For renal insufficient subjects only - Subjects must have stable renal disease without evidence of renal progressive disease (for the purpose of this study stable renal disease will be defined as no significant change for 12 weeks). For health subjects only - A serum creatinine within the normal range and an eGFR >80 mL/min/1.73 m2. For health subjects only - Matched to at least one renal impaired subjects undergoing study by age (±5 years), sex and weight (±10% BMI). Exclusion Criteria: Smokers (use of tobacco products in the previous 3 months). Smokers will be defined as any subject who reports tobacco use and/or who has a urine cotinine ≥ 500 ng/mL. If non-smoking subject are too difficult to recruit, smokers may be allowed to participate in the study provided they commit to smoke no more than 10 cigarettes/day during the days of PK-assessment For healthy subjects, use of any prescription drugs, herbal and fitness/bodybuilding/athletic performance-enhancing supplements, within four (4) weeks prior to initial dosing, and/or over-the-counter (OTC) medication, dietary supplements (vitamins included) within two (2) weeks prior to initial dosing Recent (within the last three [3] years) and/or recurrent history of autonomic dysfunction (e.g., recurrent episodes of fainting (unless related to water withdrawal during dialysis), palpitations, etc). Recent (within the last three [3] years) and/or recurrent history of acute or chronic bronchospastic disease (including asthma and chronic obstructive pulmonary disease, treated or not treated). History of multiple and recurring allergies or allergy to the investigational compound/compound class being used in this study. Total WBC count which falls outside the range of 3000-12,000/μL, or platelets <100,000/μl at screening. History of immunodeficiency diseases, including a positive HIV (ELISA and Western blot) test result. Other protocol-defined inclusion/exclusion criteria may apply.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Novartis Pharmaceuticals
Organizational Affiliation
Novartis Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Novartis Investigative Site
City
Moscow
Country
Russian Federation

12. IPD Sharing Statement

Links:
URL
https://www.novctrd.com/ctrdweb/trialresult/trialresults/pdf?trialResultId=5583
Description
Results for CNVA237A2105 can be found on the Novartis Clinical Trial Results Website

Learn more about this trial

Comparing the Pharmacokinetics, Safety and Tolerability of NVA237 in Renal Impairment

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