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Comparative Evaluation of Pharmacokinetics After CKD-501 Between Renal Impaired and Normal Renal Function Subjects

Primary Purpose

Renal Impairment, Healthy

Status
Completed
Phase
Phase 1
Locations
Korea, Republic of
Study Type
Interventional
Intervention
CKD-501
Sponsored by
Chong Kun Dang Pharmaceutical
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Renal Impairment

Eligibility Criteria

20 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria

All subjects:

  • Adult males or females, 20 - 65 years of age (inclusive);
  • Body mass index (BMI) range of approximately 18.5-29.9 kg/㎡ (inclusive);
  • Agreement with written informed consent
  • Agree to Medically acceptable method of contraception during clinical trials

Normal Renal Function subjects:

  • Matched to renal impaired patients(ESRD) in the study by age (±7 years), sex and BMI
  • Medically healthy with clinically insignificant screening results (e.g., laboratory profiles, medical history, EKG, physical examination);
  • eGFR ≥ 90 mL/min/1.73mE2;

Renally impaired subjects:

  • Matched to renal impaired patients(ESRD) in the study by age (±7 years), sex and BMI
  • Subjects with mild renal impairment (eGFR 60-89 mL/min/1.73mE2) OR moderate renal impairment (eGFR 30-59 mL/min/1.73mE2) OR severe renal impairment (eGFR 15-29 mL/min/1.73mE2) OR dialysis end stage renal disease(ESRD)

Exclusion Criteria

All subjects:

  • The subject's systolic blood pressure is outside the range of 100-180mmHg, or diastolic blood pressure is outside the range of 50-110mmHg
  • Repeatedly Screening ECG parameters (PR ≥ 210 mse,QRS ≥ 120 msec, QTcF ≥ 500 msec)
  • Repeatedly lab(AST >1.25xULN, ALT>1.25xULN ,Total bilirubin >1.5xULN)
  • A positive pre-study drug screen.(amphetamines, barbiturates, cocaine, opiates, cannabinoids, benzodiazepin)
  • Clinically significant allergic diseases or History of thiazolidinedione class's anaphylaxis reactions
  • Can not stop to be taking caffeine (caffeine > 400mg/day), drinking(alcohol > 30 g/day) or severe heavy smoker(cigarette > 10 cigarettes/day) during clinical trials
  • Consumption of food which may affect study within 7 days prior to first dose of study medication or taking a dietary supplement now or continued.
  • Consumption of drug which may affect study within 7 days prior to first dose of study medication.
  • Previously donate whole blood within 60 days or component blood within 30 days prior to first dose of study medication.
  • blood transfusion within 30 days prior to first dose of study medication.
  • Subjects with participation in another clinical trial within 60 days prior to the study
  • An impossible one who participates in clinical trial by Principal investigator's decision

Normal Renal Function subjects:

  • Subjects with a history of chronic disease or an acute illness within 28 days of study medication administration
  • Subjects with a history of gastrointestinal disease effected study medication or surgery(except appendectomy, hernia surgery)
  • Current or chronic history of liver disease or ascites or hepatic encephalopathy

Renally impaired subjects:

  • Type I diabetes, Diabetic ketoacidosis, diabetic coma or a history of coma (controllable Type II diabetes including possible)
  • Uncontrollable hypertension or severe heart failure
  • require treatment with steroid or immunosuppressive drug
  • History of renal transplant or undergoing other dialysis method except hemodialysis
  • Needs treatment for acute disease, uncontrolled other disease or diabetic complications
  • Current or chronic history of liver disease or ascites or hepatic encephalopathy
  • Subjects with a history of chronic disease or an acute illness within 28 days of study medication administration
  • Subjects with a history of gastrointestinal disease effected study medication or surgery(except appendectomy, hernia surgery)

Sites / Locations

  • The Inje University Busan Paik Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Experimental

Arm Label

End Stage Renal Disease(ESRD)

normal renal function

Mild renal impairment

Arm Description

CKD-501 will be administered to patients who have required dialysis and non-dialysis eGFR(estimate glomerular filtration rate ) is Less than 15. First, ESRD Patient and normal renal function Subjects are conducted. After the interim analysis, Determine whether early termination or renal impaired subject's progress

CKD-501 will be administered to normal renal function subject who have eGFR(estimate glomerular filtration rate ) of 90 or more. First, ESRD Patient and normal renal function Subjects are conducted. After the interim analysis, Determine whether early termination or renal impaired subject's progress

CKD-501 will be administered to patients who have eGFR(estimate glomerular filtration rate ) is 60 to 89 that.

Outcomes

Primary Outcome Measures

The pharmacokinetic( Cmax, AUCt ) of lobeglitazone(CKD-501) Between Renal Impaired patients and Normal Renal function subjects
Blood sampling timepoint : (Day 1) 0hr, 0.33hr, 0.66hr, 1hr, 1.5hr, 2hr, 3hr, 6hr, 12hr, 24hr (Day 2)36hr (Day3)48hr- total 12 timepoints per period Additional Blood sampling for unbound fraction analysis : (Day 1) 1hr, 6hr, 12hr Urine collection : (Day 1)0-6hr, 6-12hr, 12-24hr (Day 2) 24-36hr, 36-48hr

Secondary Outcome Measures

The pharmacokinetic( Cmax, AUCt ) of main metabolites(M7) of CKD-501 Between Renal Impaired patients and Normal Renal function subjects
Blood sampling timepoint : (Day 1) 0hr, 0.33hr, 0.66hr, 1hr, 1.5hr, 2hr, 3hr, 6hr, 12hr, 24hr (Day 2)12hr (Day3)0hr- total 12 timepoints per period Urine collection : (Day 1)0-6hr, 6-12hr, 12-24hr (Day 2) 24-36hr, 36-48hr

Full Information

First Posted
December 3, 2013
Last Updated
December 4, 2016
Sponsor
Chong Kun Dang Pharmaceutical
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1. Study Identification

Unique Protocol Identification Number
NCT02007941
Brief Title
Comparative Evaluation of Pharmacokinetics After CKD-501 Between Renal Impaired and Normal Renal Function Subjects
Official Title
An Open-label, Non-randomized, Parallel-group Design Clinical Trial for Comparative Evaluation of Pharmacokinetics After CKD-501 Between Patients With Renal Impairment and Control Subjects With Normal Renal Function
Study Type
Interventional

2. Study Status

Record Verification Date
December 2016
Overall Recruitment Status
Completed
Study Start Date
April 2014 (undefined)
Primary Completion Date
April 2015 (Actual)
Study Completion Date
April 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Chong Kun Dang Pharmaceutical

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to assess between the renal impaired patients and normal renal function subjects comparetive evaluation to Pharmacokinetics after CKD-501 Future, When prescription CKD-501 to renal impaired patient, It will be guidelines to provide a basis of instructions.
Detailed Description
A Phase 1, Non-randomized, Open, Parallel-Group Clinical trial

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
End Stage Renal Disease(ESRD)
Arm Type
Experimental
Arm Description
CKD-501 will be administered to patients who have required dialysis and non-dialysis eGFR(estimate glomerular filtration rate ) is Less than 15. First, ESRD Patient and normal renal function Subjects are conducted. After the interim analysis, Determine whether early termination or renal impaired subject's progress
Arm Title
normal renal function
Arm Type
Active Comparator
Arm Description
CKD-501 will be administered to normal renal function subject who have eGFR(estimate glomerular filtration rate ) of 90 or more. First, ESRD Patient and normal renal function Subjects are conducted. After the interim analysis, Determine whether early termination or renal impaired subject's progress
Arm Title
Mild renal impairment
Arm Type
Experimental
Arm Description
CKD-501 will be administered to patients who have eGFR(estimate glomerular filtration rate ) is 60 to 89 that.
Intervention Type
Drug
Intervention Name(s)
CKD-501
Other Intervention Name(s)
Lobeglitazone
Intervention Description
From day 1 to day 3, Once(Day1) CKD-501 0.5mg is administered .
Primary Outcome Measure Information:
Title
The pharmacokinetic( Cmax, AUCt ) of lobeglitazone(CKD-501) Between Renal Impaired patients and Normal Renal function subjects
Description
Blood sampling timepoint : (Day 1) 0hr, 0.33hr, 0.66hr, 1hr, 1.5hr, 2hr, 3hr, 6hr, 12hr, 24hr (Day 2)36hr (Day3)48hr- total 12 timepoints per period Additional Blood sampling for unbound fraction analysis : (Day 1) 1hr, 6hr, 12hr Urine collection : (Day 1)0-6hr, 6-12hr, 12-24hr (Day 2) 24-36hr, 36-48hr
Time Frame
0-48 hrs
Secondary Outcome Measure Information:
Title
The pharmacokinetic( Cmax, AUCt ) of main metabolites(M7) of CKD-501 Between Renal Impaired patients and Normal Renal function subjects
Description
Blood sampling timepoint : (Day 1) 0hr, 0.33hr, 0.66hr, 1hr, 1.5hr, 2hr, 3hr, 6hr, 12hr, 24hr (Day 2)12hr (Day3)0hr- total 12 timepoints per period Urine collection : (Day 1)0-6hr, 6-12hr, 12-24hr (Day 2) 24-36hr, 36-48hr
Time Frame
0-48 hrs

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria All subjects: Adult males or females, 20 - 65 years of age (inclusive); Body mass index (BMI) range of approximately 18.5-29.9 kg/㎡ (inclusive); Agreement with written informed consent Agree to Medically acceptable method of contraception during clinical trials Normal Renal Function subjects: Matched to renal impaired patients(ESRD) in the study by age (±7 years), sex and BMI Medically healthy with clinically insignificant screening results (e.g., laboratory profiles, medical history, EKG, physical examination); eGFR ≥ 90 mL/min/1.73mE2; Renally impaired subjects: Matched to renal impaired patients(ESRD) in the study by age (±7 years), sex and BMI Subjects with mild renal impairment (eGFR 60-89 mL/min/1.73mE2) OR moderate renal impairment (eGFR 30-59 mL/min/1.73mE2) OR severe renal impairment (eGFR 15-29 mL/min/1.73mE2) OR dialysis end stage renal disease(ESRD) Exclusion Criteria All subjects: The subject's systolic blood pressure is outside the range of 100-180mmHg, or diastolic blood pressure is outside the range of 50-110mmHg Repeatedly Screening ECG parameters (PR ≥ 210 mse,QRS ≥ 120 msec, QTcF ≥ 500 msec) Repeatedly lab(AST >1.25xULN, ALT>1.25xULN ,Total bilirubin >1.5xULN) A positive pre-study drug screen.(amphetamines, barbiturates, cocaine, opiates, cannabinoids, benzodiazepin) Clinically significant allergic diseases or History of thiazolidinedione class's anaphylaxis reactions Can not stop to be taking caffeine (caffeine > 400mg/day), drinking(alcohol > 30 g/day) or severe heavy smoker(cigarette > 10 cigarettes/day) during clinical trials Consumption of food which may affect study within 7 days prior to first dose of study medication or taking a dietary supplement now or continued. Consumption of drug which may affect study within 7 days prior to first dose of study medication. Previously donate whole blood within 60 days or component blood within 30 days prior to first dose of study medication. blood transfusion within 30 days prior to first dose of study medication. Subjects with participation in another clinical trial within 60 days prior to the study An impossible one who participates in clinical trial by Principal investigator's decision Normal Renal Function subjects: Subjects with a history of chronic disease or an acute illness within 28 days of study medication administration Subjects with a history of gastrointestinal disease effected study medication or surgery(except appendectomy, hernia surgery) Current or chronic history of liver disease or ascites or hepatic encephalopathy Renally impaired subjects: Type I diabetes, Diabetic ketoacidosis, diabetic coma or a history of coma (controllable Type II diabetes including possible) Uncontrollable hypertension or severe heart failure require treatment with steroid or immunosuppressive drug History of renal transplant or undergoing other dialysis method except hemodialysis Needs treatment for acute disease, uncontrolled other disease or diabetic complications Current or chronic history of liver disease or ascites or hepatic encephalopathy Subjects with a history of chronic disease or an acute illness within 28 days of study medication administration Subjects with a history of gastrointestinal disease effected study medication or surgery(except appendectomy, hernia surgery)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jae Kuk Shin, Ph.D. M.D
Organizational Affiliation
The Inje University Busan Paik Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
The Inje University Busan Paik Hospital
City
Busan
Country
Korea, Republic of

12. IPD Sharing Statement

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Comparative Evaluation of Pharmacokinetics After CKD-501 Between Renal Impaired and Normal Renal Function Subjects

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