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Study of Ulipristal Acetate in Female Patients With Moderately or Severely Impaired Renal Function, Compared With Matched Healthy Female Subjects

Primary Purpose

Renal Function

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Ulipristal acetate
Sponsored by
Allergan
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Renal Function

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria for Patients with Renal Impairment:

  • Have a negative result from a serum pregnancy test at screening and a negative result from a serum or urine pregnancy test on Day -1
  • If premenopausal, have regular menstrual cycles (cycles of 24-35 days duration) over the past 6 months as reported by the patient
  • If female of childbearing potential, agree to use an effective method of contraception (i.e., condom plus diaphragm with spermicide, condom with spermicide, or nonhormonal intrauterine device) and not become pregnant throughout the study. Subjects who are at least 2-years postmenopausal (with supporting documentation from an obstetrician/gynecologist) or who have had tubal ligation or hysterectomy will not be considered to be of childbearing potential
  • Be nonsmoking (never smoked or have not smoked within the previous 6 months) or a light smoker (fewer than 10 cigarettes per day within the previous 3 months)
  • For Patients with Renal Impairment, have medical history, physical examination, laboratory, and other test results consistent with their degree of renal impairment, as determined by the Investigator
  • For Patients with Normal Renal Function, have a state of general good health based on medical history and routine physical examination and are matched to the age and weight of the renal dysfunction patients (mean group difference ±10 years for age and < 20% for weight)

Exclusion Criteria:

  • Known hypersensitivity to Ulipristal Acetate (UPA) or other selective progesterone receptor modulators
  • For Patients with Renal Impairment, clinically significant disease state, in the opinion of the examining physician, in any body system (other than renal function impairment)
  • For Patients with Normal Renal Function, clinically significant disease state, in the opinion of the examining physician, in any body system
  • Positive test results for anti-human immunodeficiency virus type 1, hepatitis B surface antigen, or anti-hepatitis C virus at screening
  • Abnormal and clinically significant results on physical examination, medical history, serum chemistry, hematology, or urinalysis
  • History of alcohol or other substance abuse within the previous 5 years
  • Positive test results for benzoylecgonine (cocaine), methadone, barbiturates, amphetamines, benzodiazepines, alcohol, cannabinoids, opiates, or phencyclidine at screening or Day -1. Patients with Renal Impairment many be enrolled if the positive test result is due to prescription drug use and approved by the Principal Investigator and Sponsor Study Physician, on a case-by-case basis
  • Participation in any other clinical investigation using an experimental drug requiring repeated blood or plasma draws within 30 days of IP administration
  • Participation in a blood or plasma donation program within 60 or 30 days, respectively, of Investigational Product (IP) administration
  • Previously participated in an investigational study of Ulipristal Acetate
  • Breastfeeding

Sites / Locations

  • Division of Clinical Pharmacology, University of Miami
  • Clinical Pharmacology of Miami
  • Orlando Clinical Research Center
  • Prism Clinical Research
  • QPS Bio-Kinetic

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Normal Renal Function

Moderate Renal Impairment

Severe Renal Impairment

Arm Description

Ulipristal acetate, 10 mg, oral administration

Ulipristal acetate, 10 mg, oral administration

Ulipristal acetate, 10 mg, oral administration

Outcomes

Primary Outcome Measures

Area under the plasma concentration versus time curve of ulipristal acetate from time 0 to time t (AUC 0-t)
Maximum plasma drug concentration (Cmax) of ulipristal acetate
Time of maximum plasma drug concentration (Tmax) of ulipristal acetate
Terminal elimination half-life (T½) of ulipristal acetate
Apparent total body clearance of ulipristal acetate from plasma after extravascular administration (CL/F) of ulipristal acetate
Apparent volume of distribution during the terminal phase after extravascular administration (Vz/F) of ulipristal acetate
Area under the plasma concentration versus time curve of ulipristal acetate from time 0 to infinity (AUC 0-∞)

Secondary Outcome Measures

Area under the plasma concentration versus time curve of PGL4002 (ulipristal acetate active metabolite) from time 0 to time t (AUC 0-t)
Time of maximum plasma drug concentration (Tmax) of PGL4002 (ulipristal acetate active metabolite)
Terminal elimination half-life (T½) of PGL4002 (ulipristal acetate active metabolite)
Maximum plasma drug concentration (Cmax) of PGL4002 (ulipristal acetate active metabolite)
Cumulative amount of ulipristal acetate excreted into urine from time zero to time t (Ae0-t)
Renal clearance of ulipristal acetate from plasma (CLR)
Percent of dose excreted as unchanged ulipristal acetate in urine (%Dose)
Cumulative amount of PGL4002 excreted into urine from time zero to time t (Ae0-t)
Renal clearance of PGL4002 from plasma (CLR)
Area under the plasma concentration versus time curve of PGL4002 (ulipristal acetate active metabolite) from time 0 to infinity (AUC 0-∞)

Full Information

First Posted
December 16, 2015
Last Updated
February 6, 2018
Sponsor
Allergan
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1. Study Identification

Unique Protocol Identification Number
NCT02634437
Brief Title
Study of Ulipristal Acetate in Female Patients With Moderately or Severely Impaired Renal Function, Compared With Matched Healthy Female Subjects
Official Title
A Single-Dose, Open-Label, Pharmacokinetic Study Of Ulipristal Acetate In Healthy Subjects With Normal Renal Function And Patients With Moderately Or Severly Impaired Renal Function
Study Type
Interventional

2. Study Status

Record Verification Date
February 2018
Overall Recruitment Status
Completed
Study Start Date
December 1, 2015 (Actual)
Primary Completion Date
December 9, 2016 (Actual)
Study Completion Date
December 9, 2016 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study is designed to observe the effect of renal function on the pharmacokinetic, safety, and tolerability profiles of Ulipristal acetate following administration of a single oral dose of a 10 mg Ulipristal acetate tablet.

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Normal Renal Function
Arm Type
Experimental
Arm Description
Ulipristal acetate, 10 mg, oral administration
Arm Title
Moderate Renal Impairment
Arm Type
Experimental
Arm Description
Ulipristal acetate, 10 mg, oral administration
Arm Title
Severe Renal Impairment
Arm Type
Experimental
Arm Description
Ulipristal acetate, 10 mg, oral administration
Intervention Type
Drug
Intervention Name(s)
Ulipristal acetate
Primary Outcome Measure Information:
Title
Area under the plasma concentration versus time curve of ulipristal acetate from time 0 to time t (AUC 0-t)
Time Frame
Day 1 (0 hour) to Day 8 (168 hours)
Title
Maximum plasma drug concentration (Cmax) of ulipristal acetate
Time Frame
Day 1 (0 hour) to Day 8 (168 hours)
Title
Time of maximum plasma drug concentration (Tmax) of ulipristal acetate
Time Frame
Day 1 (0 hour) to Day 8 (168 hours)
Title
Terminal elimination half-life (T½) of ulipristal acetate
Time Frame
Day 1 (0 hour) to Day 8 (168 hours)
Title
Apparent total body clearance of ulipristal acetate from plasma after extravascular administration (CL/F) of ulipristal acetate
Time Frame
Day 1 (0 hour) to Day 8 (168 hours)
Title
Apparent volume of distribution during the terminal phase after extravascular administration (Vz/F) of ulipristal acetate
Time Frame
Day 1 (0 hour) to Day 8 (168 hours)
Title
Area under the plasma concentration versus time curve of ulipristal acetate from time 0 to infinity (AUC 0-∞)
Time Frame
Day 1 (0 hour) to Day 8 (168 hours)
Secondary Outcome Measure Information:
Title
Area under the plasma concentration versus time curve of PGL4002 (ulipristal acetate active metabolite) from time 0 to time t (AUC 0-t)
Time Frame
Day 1 (0 hour) to Day 8 (168 hours)
Title
Time of maximum plasma drug concentration (Tmax) of PGL4002 (ulipristal acetate active metabolite)
Time Frame
Day 1 (0 hour) to Day 8 (168 hours)
Title
Terminal elimination half-life (T½) of PGL4002 (ulipristal acetate active metabolite)
Time Frame
Day 1 (0 hour) to Day 8 (168 hours)
Title
Maximum plasma drug concentration (Cmax) of PGL4002 (ulipristal acetate active metabolite)
Time Frame
Day 1 (0 hour) to Day 8 (168 hours)
Title
Cumulative amount of ulipristal acetate excreted into urine from time zero to time t (Ae0-t)
Time Frame
Day 1 (0 hour) to Day 8 (168 hours)
Title
Renal clearance of ulipristal acetate from plasma (CLR)
Time Frame
Day 1 (0 hour) to Day 8 (168 hours)
Title
Percent of dose excreted as unchanged ulipristal acetate in urine (%Dose)
Time Frame
Day 1 (0 hour) to Day 8 (168 hours)
Title
Cumulative amount of PGL4002 excreted into urine from time zero to time t (Ae0-t)
Time Frame
Day 1 (0 hour) to Day 8 (168 hours)
Title
Renal clearance of PGL4002 from plasma (CLR)
Time Frame
Day 1 (0 hour) to Day 8 (168 hours)
Title
Area under the plasma concentration versus time curve of PGL4002 (ulipristal acetate active metabolite) from time 0 to infinity (AUC 0-∞)
Time Frame
Day 1 (0 hour) to Day 8 (168 hours)

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria for Patients with Renal Impairment: Have a negative result from a serum pregnancy test at screening and a negative result from a serum or urine pregnancy test on Day -1 If premenopausal, have regular menstrual cycles (cycles of 24-35 days duration) over the past 6 months as reported by the patient If female of childbearing potential, agree to use an effective method of contraception (i.e., condom plus diaphragm with spermicide, condom with spermicide, or nonhormonal intrauterine device) and not become pregnant throughout the study. Subjects who are at least 2-years postmenopausal (with supporting documentation from an obstetrician/gynecologist) or who have had tubal ligation or hysterectomy will not be considered to be of childbearing potential Be nonsmoking (never smoked or have not smoked within the previous 6 months) or a light smoker (fewer than 10 cigarettes per day within the previous 3 months) For Patients with Renal Impairment, have medical history, physical examination, laboratory, and other test results consistent with their degree of renal impairment, as determined by the Investigator For Patients with Normal Renal Function, have a state of general good health based on medical history and routine physical examination and are matched to the age and weight of the renal dysfunction patients (mean group difference ±10 years for age and < 20% for weight) Exclusion Criteria: Known hypersensitivity to Ulipristal Acetate (UPA) or other selective progesterone receptor modulators For Patients with Renal Impairment, clinically significant disease state, in the opinion of the examining physician, in any body system (other than renal function impairment) For Patients with Normal Renal Function, clinically significant disease state, in the opinion of the examining physician, in any body system Positive test results for anti-human immunodeficiency virus type 1, hepatitis B surface antigen, or anti-hepatitis C virus at screening Abnormal and clinically significant results on physical examination, medical history, serum chemistry, hematology, or urinalysis History of alcohol or other substance abuse within the previous 5 years Positive test results for benzoylecgonine (cocaine), methadone, barbiturates, amphetamines, benzodiazepines, alcohol, cannabinoids, opiates, or phencyclidine at screening or Day -1. Patients with Renal Impairment many be enrolled if the positive test result is due to prescription drug use and approved by the Principal Investigator and Sponsor Study Physician, on a case-by-case basis Participation in any other clinical investigation using an experimental drug requiring repeated blood or plasma draws within 30 days of IP administration Participation in a blood or plasma donation program within 60 or 30 days, respectively, of Investigational Product (IP) administration Previously participated in an investigational study of Ulipristal Acetate Breastfeeding
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Laishun Chen
Organizational Affiliation
Forest Laboratories Inc, an affiliate of Allergan plc
Official's Role
Study Director
Facility Information:
Facility Name
Division of Clinical Pharmacology, University of Miami
City
Miami
State/Province
Florida
ZIP/Postal Code
33104
Country
United States
Facility Name
Clinical Pharmacology of Miami
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Facility Name
Orlando Clinical Research Center
City
Orlando
State/Province
Florida
ZIP/Postal Code
32809
Country
United States
Facility Name
Prism Clinical Research
City
Saint Paul
State/Province
Minnesota
ZIP/Postal Code
55114
Country
United States
Facility Name
QPS Bio-Kinetic
City
Springfield
State/Province
Missouri
ZIP/Postal Code
65802
Country
United States

12. IPD Sharing Statement

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Study of Ulipristal Acetate in Female Patients With Moderately or Severely Impaired Renal Function, Compared With Matched Healthy Female Subjects

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