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Pharmacokinetics and Safety of ABT-493 and/or ABT-530 in Subjects With Normal and Impaired Hepatic Function

Primary Purpose

Hepatic Impairment

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
ABT-493
ABT-530
Sponsored by
AbbVie
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Hepatic Impairment focused on measuring Hepatic Impairment, Hepatitis C Virus Infection

Eligibility Criteria

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

Inclusion Criteria: All Subjects

  • If female, subject must be either postmenopausal for at least 2 years or surgically sterile (bilateral tubal ligation, bilateral oophorectomy or hysterectomy).
  • Females must have negative results for pregnancy test performed:

    • At Screening on a urine specimen obtained within 28 days prior to initial study drug administration, and
    • On a serum sample obtained on Study Day -1 of Period 1.
  • Males must be surgically sterile or practicing at least one of the following methods of birth control (sperm donation within the study period is not allowed):

    • Abstinence
    • Partner(s) using an Intrauterine Device (IUD)
    • Partner(s) using oral, injected, or implanted methods of hormonal contraceptives
    • Subject and/or partner(s) using double-barrier method.

Subjects with Normal Hepatic Function

In addition to the inclusion criteria above for all subjects, the following criteria must be met for subjects with normal hepatic function enrolled in Group IV:

  • Judged to be in general good health based upon the results of a medical history, physical examination, laboratory profile (including liver function parameters within the limits of normal) and 12-lead electrocardiogram (ECG).
  • Negative hepatitis B surface antigen (HBsAg) and hepatitis C virus antibody (HCV Ab) test results.
  • Body Mass Index (BMI) is ≥ 18 to < 38 kg/m2, inclusive.

Subjects with Hepatic Impairment

In addition to the inclusion criteria for all subjects, the following criteria must be met for all subjects with hepatic impairment enrolled in Groups I, II and III:

  • Judged to be in stable condition and acceptable for study participation based upon the results of a medical history, physical examination, laboratory profile and ECG.
  • BMI is ≥ 18 to < 38 kg/m2, inclusive, for subjects with hepatic impairment without ascites or subjects with subclinical ascites detected only by ultrasound or other imaging. For subjects with hepatic impairment and clinically significant ascites, BMI is permitted in the range between ≥ 18 to < 40 kg/m2, inclusive.
  • Child-Pugh classification of Categories A (mild), B (moderate), or C (severe).
  • Medical history of chronic liver disease including and not limited to chronic hepatitis B, history of alcoholic liver disease and chronic hepatitis C.
  • Presence of clinically significant hepatic impairment as indicated by either:

    1. Evidence of liver cirrhosis OR
    2. Medical history of at least one of the following criteria:

      • Clinical diagnosis of liver disease
      • Total bilirubin, > 2 mg/dl, with indirect/direct ratio < 1 or prolonged prothrombin time elevation > 1.7 or an albumin value below the lower limit of the laboratory reference range and excluding non-hepatic causes of the previous laboratory abnormalities.

Exclusion Criteria: - History of significant sensitivity to any drug.

  • Pregnant or breastfeeding female.
  • Recent (6-month) history of drug or alcohol abuse.
  • Positive test result for hepatitis A virus immunoglobulin M (HAV-IgM) or human immunodeficiency virus antibody (HIV Ab). Negative HIV status will be confirmed at Screening and the results will be maintained confidentially by the study site.
  • Detectable HCV RNA.

Sites / Locations

  • Site Reference ID/Investigator# 130589
  • Site Reference ID/Investigator# 130591
  • Site Reference ID/Investigator# 130588
  • Site Reference ID/Investigator# 130590

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Group I

Group II

Group III

Group IV

Arm Description

Subjects with mild hepatic impairment

Subjects with moderate hepatic impairment

Subjects with severe hepatic impairment

Subjects with normal hepatic function

Outcomes

Primary Outcome Measures

Overall measurement of pharmacokinetic parameter values of ABT-493 and ABT-530
Pharmacokinetic parameter values include the maximum plasma concentration (Cmax), the terminal phase elimination rate constant (B), the area under the plasma concentration-time curve (AUC) from time 0 to time of the last measurable concentration (AUCt).
Overall measurement of safety parameters
Measurement of safety parameters include physical examinations, clinical laboratory tests, 12-lead ECGs (electrocardiograms) and vital signs.
Number of subjects with adverse events

Secondary Outcome Measures

Full Information

First Posted
November 19, 2014
Last Updated
October 20, 2015
Sponsor
AbbVie
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1. Study Identification

Unique Protocol Identification Number
NCT02296905
Brief Title
Pharmacokinetics and Safety of ABT-493 and/or ABT-530 in Subjects With Normal and Impaired Hepatic Function
Official Title
Pharmacokinetics and Safety of ABT-493 and/or ABT-530 in Subjects With Normal and Impaired Hepatic Function
Study Type
Interventional

2. Study Status

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

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is an open-label, single-dose study designed to assess the pharmacokinetics and safety of ABT-493 and/or ABT-530 in subjects with impaired hepatic function and compare them to those in subjects with normal hepatic function. Twenty-four subjects will be selected and enrolled according to the subject selection criteria: 6 subjects with mild stable chronic hepatic impairment (Group I), 6 subjects with moderate stable chronic hepatic impairment (Group II), 6 subjects with severe stable chronic hepatic impairment (Group III) and 6 subjects with normal hepatic function (Group IV).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatic Impairment
Keywords
Hepatic Impairment, Hepatitis C Virus Infection

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Group I
Arm Type
Experimental
Arm Description
Subjects with mild hepatic impairment
Arm Title
Group II
Arm Type
Experimental
Arm Description
Subjects with moderate hepatic impairment
Arm Title
Group III
Arm Type
Experimental
Arm Description
Subjects with severe hepatic impairment
Arm Title
Group IV
Arm Type
Experimental
Arm Description
Subjects with normal hepatic function
Intervention Type
Drug
Intervention Name(s)
ABT-493
Intervention Description
Up to 2 single doses of ABT-493 will be given orally in combination with ABT-530.
Intervention Type
Drug
Intervention Name(s)
ABT-530
Intervention Description
Up to 3 single doses of ABT-530 will be given orally alone or in combination with ABT-493.
Primary Outcome Measure Information:
Title
Overall measurement of pharmacokinetic parameter values of ABT-493 and ABT-530
Description
Pharmacokinetic parameter values include the maximum plasma concentration (Cmax), the terminal phase elimination rate constant (B), the area under the plasma concentration-time curve (AUC) from time 0 to time of the last measurable concentration (AUCt).
Time Frame
7 days
Title
Overall measurement of safety parameters
Description
Measurement of safety parameters include physical examinations, clinical laboratory tests, 12-lead ECGs (electrocardiograms) and vital signs.
Time Frame
Up to 38 days
Title
Number of subjects with adverse events
Time Frame
Up to 58 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: All Subjects If female, subject must be either postmenopausal for at least 2 years or surgically sterile (bilateral tubal ligation, bilateral oophorectomy or hysterectomy). Females must have negative results for pregnancy test performed: At Screening on a urine specimen obtained within 28 days prior to initial study drug administration, and On a serum sample obtained on Study Day -1 of Period 1. Males must be surgically sterile or practicing at least one of the following methods of birth control (sperm donation within the study period is not allowed): Abstinence Partner(s) using an Intrauterine Device (IUD) Partner(s) using oral, injected, or implanted methods of hormonal contraceptives Subject and/or partner(s) using double-barrier method. Subjects with Normal Hepatic Function In addition to the inclusion criteria above for all subjects, the following criteria must be met for subjects with normal hepatic function enrolled in Group IV: Judged to be in general good health based upon the results of a medical history, physical examination, laboratory profile (including liver function parameters within the limits of normal) and 12-lead electrocardiogram (ECG). Negative hepatitis B surface antigen (HBsAg) and hepatitis C virus antibody (HCV Ab) test results. Body Mass Index (BMI) is ≥ 18 to < 38 kg/m2, inclusive. Subjects with Hepatic Impairment In addition to the inclusion criteria for all subjects, the following criteria must be met for all subjects with hepatic impairment enrolled in Groups I, II and III: Judged to be in stable condition and acceptable for study participation based upon the results of a medical history, physical examination, laboratory profile and ECG. BMI is ≥ 18 to < 38 kg/m2, inclusive, for subjects with hepatic impairment without ascites or subjects with subclinical ascites detected only by ultrasound or other imaging. For subjects with hepatic impairment and clinically significant ascites, BMI is permitted in the range between ≥ 18 to < 40 kg/m2, inclusive. Child-Pugh classification of Categories A (mild), B (moderate), or C (severe). Medical history of chronic liver disease including and not limited to chronic hepatitis B, history of alcoholic liver disease and chronic hepatitis C. Presence of clinically significant hepatic impairment as indicated by either: Evidence of liver cirrhosis OR Medical history of at least one of the following criteria: Clinical diagnosis of liver disease Total bilirubin, > 2 mg/dl, with indirect/direct ratio < 1 or prolonged prothrombin time elevation > 1.7 or an albumin value below the lower limit of the laboratory reference range and excluding non-hepatic causes of the previous laboratory abnormalities. Exclusion Criteria: - History of significant sensitivity to any drug. Pregnant or breastfeeding female. Recent (6-month) history of drug or alcohol abuse. Positive test result for hepatitis A virus immunoglobulin M (HAV-IgM) or human immunodeficiency virus antibody (HIV Ab). Negative HIV status will be confirmed at Screening and the results will be maintained confidentially by the study site. Detectable HCV RNA.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
David Pugatch, MD
Organizational Affiliation
AbbVie
Official's Role
Study Director
Facility Information:
Facility Name
Site Reference ID/Investigator# 130589
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Facility Name
Site Reference ID/Investigator# 130591
City
Orlando
State/Province
Florida
ZIP/Postal Code
32809
Country
United States
Facility Name
Site Reference ID/Investigator# 130588
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78215
Country
United States
Facility Name
Site Reference ID/Investigator# 130590
City
Grafton
ZIP/Postal Code
1010
Country
New Zealand

12. IPD Sharing Statement

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Pharmacokinetics and Safety of ABT-493 and/or ABT-530 in Subjects With Normal and Impaired Hepatic Function

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