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Pharmacokinetics of Delafloxacin in Subjects With and Without Hepatic Impairment

Primary Purpose

Hepatic Impairment

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Delafloxacin
Sponsored by
Melinta Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatic Impairment focused on measuring Hepatic Impairment, single dose, intravenous

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Body mass index (BMI) between 18.5 and 40 kg/m2, inclusive.
  • Able to provide written, informed consent before initiation of any study related procedures, and is able, in the opinion of the investigator, to comply with all the requirements of the study.

Hepatically Impaired Subjects Only (Groups A, B, and C):

-Has a clinical diagnosis of cirrhosis and has been classified as having mild (Group A), moderate (Group B), or severe (Group C) hepatic impairment as defined by the Child-Pugh classification system (Section 7.2).

Healthy Subjects Only (Group D):

-Must be in good health as determined by the investigator based on medical history, clinical laboratory results, vital sign measurements, 12 lead electrocardiogram [ECG] results, and physical examination findings

Exclusion Criteria:

  • All Subjects (Groups A through D):
  • Has a clinically significant abnormality in past medical history or at the screening physical examination (excluding hepatic impairment and other related stable medical conditions within the hepatically impaired population of subjects) that in the investigator's or sponsor's opinion may place the subject at risk or interfere with outcome variables of the study. This includes, but is not limited to, history or current cardiac, renal, neurologic, gastrointestinal, respiratory, hematologic, or immunologic disease.
  • History or presence of an abnormal ECG that, in the investigator's opinion, is clinically significant and would preclude study participation.
  • Has any surgical or medical condition (active or chronic) that may interfere with drug absorption, distribution, metabolism, or excretion of the study drug, or any other condition that may place the subject at risk (history of cholecystectomy is allowed).
  • Has a functioning liver transplant
  • Has a history of drug and/or alcohol abuse within 6 months before Screening
  • Has a history of or current clinically significant mental disorder or an antagonistic personality that compromises the validity of the informed consent.
  • Has donated blood or plasma within 30 days before dosing, or has lost more than 1200 mL of blood within 4 months before the first dose of study drug.
  • Has a history of AIDS or subject has positive results for HIV at Screening.

Hepatically Impaired Subjects Only (Groups A, B, and C):

  • Has had clinical exacerbation of liver disease within 14 days before study drug administration (eg, abdominal pain, ascites, nausea, vomiting, anorexia, fever, or worsening of laboratory results related to hepatic function).
  • Has evidence of acute viral hepatitis within 1 month before Day -1, has clinically demonstrable massive tense ascites, has evidence of severe or acute renal failure, has active stage 3 or stage 4 encephalopathy.

Healthy Subjects Only (Group D):

-Has a positive test result for hepatitis B surface antigen or hepatitis C virus antibody.

Sites / Locations

  • Melinta 112 Study Site
  • Melinta 112 Study Site

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Delafloxacin

Arm Description

Single Dose 300 mg IV

Outcomes

Primary Outcome Measures

Plasma pharmacokinetic parameters: • AUC0-t, AUC0 inf, Cmax, Tmax, λz, t1/2, MRTinf, CL, CLnr, Vss, Vz

Secondary Outcome Measures

Safety endpoints: AEs, clinical laboratory results (serum chemistry, coagulation, hematology, and urinalysis), vital sign measurements, 12-lead ECG measurements, and physical examination findings

Full Information

First Posted
September 17, 2014
Last Updated
April 29, 2015
Sponsor
Melinta Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02245243
Brief Title
Pharmacokinetics of Delafloxacin in Subjects With and Without Hepatic Impairment
Official Title
An Open Label Evaluation of the Single Dose Pharmacokinetics of Delafloxacin in Subjects With and Without Hepatic Impairment
Study Type
Interventional

2. Study Status

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

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Melinta Therapeutics, Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the pharmacokinetic profile, safety, and tolerability of a single intravenous (IV) dose of delafloxacin in normal healthy subjects and subjects with mild, moderate, or severe hepatic impairment.
Detailed Description
pharmacokinetic profile, safety, and tolerability of a single intravenous (IV) dose of delafloxacin in normal healthy subjects and subjects with mild, moderate, or severe hepatic impairment. AUC0-t, AUC0 inf, Cmax, Tmax, λz, t1/2, MRTinf, CL, CLnr, Vss, Vz

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatic Impairment
Keywords
Hepatic Impairment, single dose, intravenous

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Delafloxacin
Arm Type
Experimental
Arm Description
Single Dose 300 mg IV
Intervention Type
Drug
Intervention Name(s)
Delafloxacin
Intervention Description
Plasma pharmacokinetic parameters: AUC0-t, AUC0 inf, Cmax, Tmax, λz, t1/2, MRTinf, CL, CLnr, Vss, Vz
Primary Outcome Measure Information:
Title
Plasma pharmacokinetic parameters: • AUC0-t, AUC0 inf, Cmax, Tmax, λz, t1/2, MRTinf, CL, CLnr, Vss, Vz
Time Frame
Baseline through 72 hours post-dose
Secondary Outcome Measure Information:
Title
Safety endpoints: AEs, clinical laboratory results (serum chemistry, coagulation, hematology, and urinalysis), vital sign measurements, 12-lead ECG measurements, and physical examination findings
Time Frame
Baseline through 72 hours post-dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Body mass index (BMI) between 18.5 and 40 kg/m2, inclusive. Able to provide written, informed consent before initiation of any study related procedures, and is able, in the opinion of the investigator, to comply with all the requirements of the study. Hepatically Impaired Subjects Only (Groups A, B, and C): -Has a clinical diagnosis of cirrhosis and has been classified as having mild (Group A), moderate (Group B), or severe (Group C) hepatic impairment as defined by the Child-Pugh classification system (Section 7.2). Healthy Subjects Only (Group D): -Must be in good health as determined by the investigator based on medical history, clinical laboratory results, vital sign measurements, 12 lead electrocardiogram [ECG] results, and physical examination findings Exclusion Criteria: All Subjects (Groups A through D): Has a clinically significant abnormality in past medical history or at the screening physical examination (excluding hepatic impairment and other related stable medical conditions within the hepatically impaired population of subjects) that in the investigator's or sponsor's opinion may place the subject at risk or interfere with outcome variables of the study. This includes, but is not limited to, history or current cardiac, renal, neurologic, gastrointestinal, respiratory, hematologic, or immunologic disease. History or presence of an abnormal ECG that, in the investigator's opinion, is clinically significant and would preclude study participation. Has any surgical or medical condition (active or chronic) that may interfere with drug absorption, distribution, metabolism, or excretion of the study drug, or any other condition that may place the subject at risk (history of cholecystectomy is allowed). Has a functioning liver transplant Has a history of drug and/or alcohol abuse within 6 months before Screening Has a history of or current clinically significant mental disorder or an antagonistic personality that compromises the validity of the informed consent. Has donated blood or plasma within 30 days before dosing, or has lost more than 1200 mL of blood within 4 months before the first dose of study drug. Has a history of AIDS or subject has positive results for HIV at Screening. Hepatically Impaired Subjects Only (Groups A, B, and C): Has had clinical exacerbation of liver disease within 14 days before study drug administration (eg, abdominal pain, ascites, nausea, vomiting, anorexia, fever, or worsening of laboratory results related to hepatic function). Has evidence of acute viral hepatitis within 1 month before Day -1, has clinically demonstrable massive tense ascites, has evidence of severe or acute renal failure, has active stage 3 or stage 4 encephalopathy. Healthy Subjects Only (Group D): -Has a positive test result for hepatitis B surface antigen or hepatitis C virus antibody.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sue K Cammarata, MD
Organizational Affiliation
CMO, MelintaTtherapeutics, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Melinta 112 Study Site
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Facility Name
Melinta 112 Study Site
City
Orlando
State/Province
Florida
ZIP/Postal Code
32809
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
27570245
Citation
Hoover R, Marbury TC, Preston RA, Quintas M, Lawrence LE, Paulson SK, Luke DR, Cammarata SK. Clinical Pharmacology of Delafloxacin in Patients With Hepatic Impairment. J Clin Pharmacol. 2017 Mar;57(3):328-335. doi: 10.1002/jcph.817. Epub 2016 Oct 14.
Results Reference
derived

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Pharmacokinetics of Delafloxacin in Subjects With and Without Hepatic Impairment

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