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Pharmacokinetics of WCK 2349 In Patients With Hepatic Impairment

Primary Purpose

Hepatic Impairment

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
WCK 2349
Sponsored by
Wockhardt
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Hepatic Impairment

Eligibility Criteria

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

Inclusion Criteria:

  • Body Mass Index (BMI): 18.0 - 38.0 (Body weight in kg / Height in m2), both inclusive.
  • Subjects must fulfill the following criteria:

Patients with hepatic impairment:

  • Considered clinically stable in the opinion of the Investigator
  • Patients with different degrees of impaired hepatic function as assessed by a Child-Pugh classification score: mild (5-6 points), moderate (7-9 points) and severe (10-15 points) impaired hepatic function.
  • Documented history of cirrhosis diagnosed by liver biopsy, ultrasonography (USG), computed tomography (CT) scan, or magnetic resonance imaging (MRI) OR

Healthy volunteers:

  • Have normal hepatic function
  • Participants with a history of self-limited hepatitis A with complete resolution documented at least 6 months prior to entry will be allowed

Exclusion Criteria:

  • Known hypersensitivity to quinolones/fluoroquinolones.
  • Subjects must not fulfill the following criteria:

In hepatically impaired patients:

  • Use of prohibited concomitant medication, with the exception of those essential for the management of hepatic impairment and the treatment of concomitant stable medical conditions for the hepatically impaired patients as per the discretion of the Investigator.
  • Fluctuating or rapidly deteriorating hepatic function as indicated by recent history or widely varying or worsening of clinical and/or laboratory signs of hepatic impairment as judged by the Investigator.
  • Concomitant treatment with Interferon or other prohibited medications
  • Active stage 3 and stage 4 encephalopathy OR

Healthy Volunteers:

  • Use of any concomitant medication within 7 days from the screening except those deemed safe for the study by the Investigator and Medical Monitor.
  • History of any clinically significant chronic and/or active hepatic disease including elevations of serum transaminases including aspartate aminotransferase (AST) and alanine aminotransferase (ALT) [except those which are considered non-significant by the Investigator; however, these should not exceed 1.5 times the Upper Limit of Normal (ULN)], hepatitis (Hepatitis A, B or C), biliary tract disease, or history of any significant gastrointestinal surgery.

Sites / Locations

  • University of Miami,Division of Clinical Pharmacology

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

WCK 2349

Arm Description

Each subject will receive a single oral dose of WCK 2349 1000 mg (i.e., 2 tablets of 400 mg and 1 tablet of 200 mg) with 240 mL water on Day 1 in the morning. Study drug will be administered after a fast of at least 8 hours.

Outcomes

Primary Outcome Measures

To compare the pharmacokinetics parameters -AUC,Cmax, tmax, λz, t1/2, systemic clearance and apparent volume of distribution.
To compare the pharmacokinetics of levonadifloxacin and its sulfate metabolite after a single dose of oral WCK 2349 in patients with hepatic impairment and healthy volunteers

Secondary Outcome Measures

To evaluate the safety and tolerability parameters- Number of AE , Vital signs, clinical laboratory values, abnormal physical examinations and ECGs
To evaluate the safety and tolerability of oral WCK 2349 in patients with hepatic impairment and healthy volunteers

Full Information

First Posted
September 10, 2014
Last Updated
October 28, 2015
Sponsor
Wockhardt
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1. Study Identification

Unique Protocol Identification Number
NCT02244827
Brief Title
Pharmacokinetics of WCK 2349 In Patients With Hepatic Impairment
Official Title
A Phase I, Open Label, Single Dose Study to Evaluate The Pharmacokinetics of WCK 2349 In Patients With Hepatic Impairment
Study Type
Interventional

2. Study Status

Record Verification Date
October 2015
Overall Recruitment Status
Completed
Study Start Date
September 2014 (undefined)
Primary Completion Date
December 2014 (Actual)
Study Completion Date
June 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Wockhardt

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is aimed to compare the pharmacokinetics of levonadifloxacin and its sulfate metabolite after a single dose of oral WCK 2349 1000 mg in patients with hepatic impairment and healthy volunteers.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
48 (Actual)

8. Arms, Groups, and Interventions

Arm Title
WCK 2349
Arm Type
Experimental
Arm Description
Each subject will receive a single oral dose of WCK 2349 1000 mg (i.e., 2 tablets of 400 mg and 1 tablet of 200 mg) with 240 mL water on Day 1 in the morning. Study drug will be administered after a fast of at least 8 hours.
Intervention Type
Drug
Intervention Name(s)
WCK 2349
Other Intervention Name(s)
levonadifloxacin (active drug)
Intervention Description
levonadifloxacin (active drug) and the sulfate metabolite
Primary Outcome Measure Information:
Title
To compare the pharmacokinetics parameters -AUC,Cmax, tmax, λz, t1/2, systemic clearance and apparent volume of distribution.
Description
To compare the pharmacokinetics of levonadifloxacin and its sulfate metabolite after a single dose of oral WCK 2349 in patients with hepatic impairment and healthy volunteers
Time Frame
48 hours
Secondary Outcome Measure Information:
Title
To evaluate the safety and tolerability parameters- Number of AE , Vital signs, clinical laboratory values, abnormal physical examinations and ECGs
Description
To evaluate the safety and tolerability of oral WCK 2349 in patients with hepatic impairment and healthy volunteers
Time Frame
7 weeks

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: Body Mass Index (BMI): 18.0 - 38.0 (Body weight in kg / Height in m2), both inclusive. Subjects must fulfill the following criteria: Patients with hepatic impairment: Considered clinically stable in the opinion of the Investigator Patients with different degrees of impaired hepatic function as assessed by a Child-Pugh classification score: mild (5-6 points), moderate (7-9 points) and severe (10-15 points) impaired hepatic function. Documented history of cirrhosis diagnosed by liver biopsy, ultrasonography (USG), computed tomography (CT) scan, or magnetic resonance imaging (MRI) OR Healthy volunteers: Have normal hepatic function Participants with a history of self-limited hepatitis A with complete resolution documented at least 6 months prior to entry will be allowed Exclusion Criteria: Known hypersensitivity to quinolones/fluoroquinolones. Subjects must not fulfill the following criteria: In hepatically impaired patients: Use of prohibited concomitant medication, with the exception of those essential for the management of hepatic impairment and the treatment of concomitant stable medical conditions for the hepatically impaired patients as per the discretion of the Investigator. Fluctuating or rapidly deteriorating hepatic function as indicated by recent history or widely varying or worsening of clinical and/or laboratory signs of hepatic impairment as judged by the Investigator. Concomitant treatment with Interferon or other prohibited medications Active stage 3 and stage 4 encephalopathy OR Healthy Volunteers: Use of any concomitant medication within 7 days from the screening except those deemed safe for the study by the Investigator and Medical Monitor. History of any clinically significant chronic and/or active hepatic disease including elevations of serum transaminases including aspartate aminotransferase (AST) and alanine aminotransferase (ALT) [except those which are considered non-significant by the Investigator; however, these should not exceed 1.5 times the Upper Limit of Normal (ULN)], hepatitis (Hepatitis A, B or C), biliary tract disease, or history of any significant gastrointestinal surgery.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Richard A Preston, M.D.
Organizational Affiliation
Division of Clinical Pharmacology,University of Miami
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Miami,Division of Clinical Pharmacology
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States

12. IPD Sharing Statement

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Pharmacokinetics of WCK 2349 In Patients With Hepatic Impairment

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