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Pharmacokinetics of Triferic (Ferric Pyrophosphate Citrate) Administered Intravenously to Healthy Adult Volunteers (RMFPC-12)

Primary Purpose

End Stage Renal Disease

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Triferic
Sponsored by
Rockwell Medical Technologies, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for End Stage Renal Disease focused on measuring pharmacokinetics, healthy adult volunteer

Eligibility Criteria

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

Inclusion Criteria: Subjects must meet all of the following criteria to be eligible for inclusion in the study:

  1. The subject must be able to provide informed consent and have personally signed and dated the study written informed consent document before completing any study-related procedures.
  2. The subject must be 18-65 years of age inclusive at the time of consent.
  3. The subject must have a transferrin saturation (TSAT) of 15-50% during Screening.
  4. The subject must agree to discontinue all iron preparations for 14 days prior to Baseline.
  5. If the subject is female, she must be premenopausal, non-pregnant and non-lactating, and be at least 90 days post-partum (if applicable) at Screening. Women of childbearing potential must be willing to use appropriate birth control during the entire duration of the study.
  6. The subject must be willing and able to comply with all study procedures and restrictions.
  7. The subject must have no clinically-significant abnormal findings on medical history, vital signs, physical examination, or clinical laboratory results during Screening.
  8. The subject must have a body mass index (BMI) of ≤32.0 kg/m2 at Screening and weigh >60.0 kg.

Exclusion Criteria:

A subject will not be eligible for inclusion in the study if any of the following criteria apply:

  1. The subject has a hemoglobin (Hgb) concentration <13.0 g/dL for men or <12 g/dL for women during Screening.
  2. The subject has a total iron binding capacity (TIBC) <250 µg/dL during Screening.
  3. The subject has had administration of IV or oral iron supplements (including multivitamins with iron) within 14 days prior to Baseline.
  4. Subject has concurrent or recurrent disease (e.g., cardiovascular, renal, hepatic, gastrointestinal, malignant, etc.) that could affect the action or disposition of the investigational product utilized in this study, or could affect clinical or laboratory assessments.
  5. Subject has a C-reactive protein level (CRP) >5 mg/L during Screening, or any rheumatic or autoimmune disease that requires systemic anti-inflammatory or immunomodulatory therapy.
  6. Subject has an acute illness within 14 days prior to Baseline.
  7. Subject has known or suspected intolerance or hypersensitivity to iron-containing products.
  8. Subject has a history of alcohol or substance abuse within the past year.
  9. Subject has a positive screen for cotinine or drugs of abuse.
  10. Subject is positive for HIV, hepatitis B, or hepatitis C.
  11. Subject uses tobacco in any form (e.g., smoking or chewing) or other nicotine-containing products in any form (e.g., gum, patch, etc.). Ex-users must report that they have stopped using tobacco for at least 30 days prior to Baseline.
  12. Subject donated blood or blood products (e.g., plasma or platelets) within 60 days prior to Baseline.
  13. Subject participated in an investigational drug study within 30 days prior to Baseline.
  14. Subject is pregnant or intends to become pregnant before completing the study.
  15. Subject's current medical status, in the investigator's opinion, would preclude participation in the study.

Sites / Locations

  • Jasper Clinic

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Treatment Period: 6 mg Triferic IV over 3 hours

Treatment Period: 35 micrograms/kg IV push

Arm Description

Each subject will receive a single 6 mg dose of Triferic administered as a continuous intravenous infusion over 3 hours on Day 2. The Triferic IV dosing solution will have been prepared by diluting Triferic from ampules (5.44 mg/mL) in an appropriate amount of D5W to a concentration of 0.020 mg/mL. Administration of 300 mL IV at 100 mL/hr for 3 hours results in delivery of 6 mg of Triferic iron.

Each subject will receive Triferic as 35 µg/kg body weight IV push over 30-60 seconds on Day 3. The Triferic IV push dosing solution will have been prepared by diluting Triferic from ampules (5.44 mg/mL) in an appropriate amount of D5W to a concentration of 35 µg Triferic iron/kg body weight per subject in 4.5 mL.

Outcomes

Primary Outcome Measures

Pharmacokinetics of Triferic Iron Administered IV to Healthy Adults: Maximum Drug Concentration (Cmax) of Total Serum Iron
Blood samples will be drawn at time = 0, 1, 2, 3, 3.5, 4, 4.5, 5, 6, 8, 12, and 16 hours after the start of Triferic administration on study Day 2 (IV infusion of 6 mg Triferic over 3 hours) and Day 3 (35 microgram/kg IV dose of Triferic given over 30 - 60 seconds) in order to determine the Peak Serum Concentration, corrected (Cmax) of total serum iron.
Pharmacokinetics of Triferic Iron Administered IV to Healthy Adults: Area Under the Serum Iron Concentration Time Curve From Time Zero to the Time of Last Quantified Concentration (AUC(Last)) of Total Serum Iron
Blood samples will be drawn at time = 0, 1, 2, 3, 3.5, 4, 4.5, 5, 6, 8, 12, and 16 hours after the start of Triferic administration on study Day 2 (IV infusion of 6 mg Triferic over 3 hours) and study day 3 (35 microgram/kg IV Triferic dose administered in 30 - 60 seconds) in order to determine the AUC(last) of total serum iron.

Secondary Outcome Measures

Incidence of Treatment Emergent Adverse Events
The number of patients that experienced treatment emergent adverse events will be quantified.
Incidence of Treatment Emergent Serious Adverse Events
The number of patients that experienced treatment emergent serious adverse events (TESEAs) will be quantified.

Full Information

First Posted
December 15, 2015
Last Updated
August 6, 2019
Sponsor
Rockwell Medical Technologies, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02636049
Brief Title
Pharmacokinetics of Triferic (Ferric Pyrophosphate Citrate) Administered Intravenously to Healthy Adult Volunteers
Acronym
RMFPC-12
Official Title
Pharmacokinetics of Triferic (Ferric Pyrophosphate Citrate) Administered Intravenously to Healthy Adult Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
August 2019
Overall Recruitment Status
Completed
Study Start Date
October 2015 (undefined)
Primary Completion Date
October 2015 (Actual)
Study Completion Date
October 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Rockwell Medical Technologies, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a Phase 1, open-label, three-period sequential dosing study being conducted to determine the pharmacokinetics of Triferic iron administered intravenously (IV) to healthy adults.
Detailed Description
This is a Phase 1, open-label, three-period sequential dosing study being conducted primarily to determine the pharmacokinetics of Triferic iron administered intravenously to healthy adults.. Participation will be up to 5 weeks total duration including Screening, Baseline, Treatment Period, and Follow-up. Following Screening, subjects will be admitted to the clinic on Day -1, prior to Baseline (Day 1). During the Treatment Period, subjects will receive two doses of Triferic. Each subject will receive a single 6-mg dose of Triferic administered IV over 3 hours (hr) on one day (Day 2), and a single 35-µg/kg dose of Triferic administered IV push the following day (Day 3). On Day 4, subjects will be discharged from the clinic and will return approximately one week later for their final Follow-up visit.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
End Stage Renal Disease
Keywords
pharmacokinetics, healthy adult volunteer

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Treatment Period: 6 mg Triferic IV over 3 hours
Arm Type
Experimental
Arm Description
Each subject will receive a single 6 mg dose of Triferic administered as a continuous intravenous infusion over 3 hours on Day 2. The Triferic IV dosing solution will have been prepared by diluting Triferic from ampules (5.44 mg/mL) in an appropriate amount of D5W to a concentration of 0.020 mg/mL. Administration of 300 mL IV at 100 mL/hr for 3 hours results in delivery of 6 mg of Triferic iron.
Arm Title
Treatment Period: 35 micrograms/kg IV push
Arm Type
Experimental
Arm Description
Each subject will receive Triferic as 35 µg/kg body weight IV push over 30-60 seconds on Day 3. The Triferic IV push dosing solution will have been prepared by diluting Triferic from ampules (5.44 mg/mL) in an appropriate amount of D5W to a concentration of 35 µg Triferic iron/kg body weight per subject in 4.5 mL.
Intervention Type
Drug
Intervention Name(s)
Triferic
Other Intervention Name(s)
ferric pyrophosphate citrate, FPC
Intervention Description
Triferic is supplied as sterile 5 mL ampules containing 5.44 mg/mL of iron in water for injection. Each 5 mL ampule contains 27.2 mg of Triferic iron.
Primary Outcome Measure Information:
Title
Pharmacokinetics of Triferic Iron Administered IV to Healthy Adults: Maximum Drug Concentration (Cmax) of Total Serum Iron
Description
Blood samples will be drawn at time = 0, 1, 2, 3, 3.5, 4, 4.5, 5, 6, 8, 12, and 16 hours after the start of Triferic administration on study Day 2 (IV infusion of 6 mg Triferic over 3 hours) and Day 3 (35 microgram/kg IV dose of Triferic given over 30 - 60 seconds) in order to determine the Peak Serum Concentration, corrected (Cmax) of total serum iron.
Time Frame
16 hours
Title
Pharmacokinetics of Triferic Iron Administered IV to Healthy Adults: Area Under the Serum Iron Concentration Time Curve From Time Zero to the Time of Last Quantified Concentration (AUC(Last)) of Total Serum Iron
Description
Blood samples will be drawn at time = 0, 1, 2, 3, 3.5, 4, 4.5, 5, 6, 8, 12, and 16 hours after the start of Triferic administration on study Day 2 (IV infusion of 6 mg Triferic over 3 hours) and study day 3 (35 microgram/kg IV Triferic dose administered in 30 - 60 seconds) in order to determine the AUC(last) of total serum iron.
Time Frame
16 hours
Secondary Outcome Measure Information:
Title
Incidence of Treatment Emergent Adverse Events
Description
The number of patients that experienced treatment emergent adverse events will be quantified.
Time Frame
10 - 14 days
Title
Incidence of Treatment Emergent Serious Adverse Events
Description
The number of patients that experienced treatment emergent serious adverse events (TESEAs) will be quantified.
Time Frame
10 - 14 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: Subjects must meet all of the following criteria to be eligible for inclusion in the study: The subject must be able to provide informed consent and have personally signed and dated the study written informed consent document before completing any study-related procedures. The subject must be 18-65 years of age inclusive at the time of consent. The subject must have a transferrin saturation (TSAT) of 15-50% during Screening. The subject must agree to discontinue all iron preparations for 14 days prior to Baseline. If the subject is female, she must be premenopausal, non-pregnant and non-lactating, and be at least 90 days post-partum (if applicable) at Screening. Women of childbearing potential must be willing to use appropriate birth control during the entire duration of the study. The subject must be willing and able to comply with all study procedures and restrictions. The subject must have no clinically-significant abnormal findings on medical history, vital signs, physical examination, or clinical laboratory results during Screening. The subject must have a body mass index (BMI) of ≤32.0 kg/m2 at Screening and weigh >60.0 kg. Exclusion Criteria: A subject will not be eligible for inclusion in the study if any of the following criteria apply: The subject has a hemoglobin (Hgb) concentration <13.0 g/dL for men or <12 g/dL for women during Screening. The subject has a total iron binding capacity (TIBC) <250 µg/dL during Screening. The subject has had administration of IV or oral iron supplements (including multivitamins with iron) within 14 days prior to Baseline. Subject has concurrent or recurrent disease (e.g., cardiovascular, renal, hepatic, gastrointestinal, malignant, etc.) that could affect the action or disposition of the investigational product utilized in this study, or could affect clinical or laboratory assessments. Subject has a C-reactive protein level (CRP) >5 mg/L during Screening, or any rheumatic or autoimmune disease that requires systemic anti-inflammatory or immunomodulatory therapy. Subject has an acute illness within 14 days prior to Baseline. Subject has known or suspected intolerance or hypersensitivity to iron-containing products. Subject has a history of alcohol or substance abuse within the past year. Subject has a positive screen for cotinine or drugs of abuse. Subject is positive for HIV, hepatitis B, or hepatitis C. Subject uses tobacco in any form (e.g., smoking or chewing) or other nicotine-containing products in any form (e.g., gum, patch, etc.). Ex-users must report that they have stopped using tobacco for at least 30 days prior to Baseline. Subject donated blood or blood products (e.g., plasma or platelets) within 60 days prior to Baseline. Subject participated in an investigational drug study within 30 days prior to Baseline. Subject is pregnant or intends to become pregnant before completing the study. Subject's current medical status, in the investigator's opinion, would preclude participation in the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Raymond D Pratt, MD FACP
Organizational Affiliation
Rockwell Medical, Inc
Official's Role
Study Director
Facility Information:
Facility Name
Jasper Clinic
City
Kalamazoo
State/Province
Michigan
ZIP/Postal Code
49007
Country
United States

12. IPD Sharing Statement

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Pharmacokinetics of Triferic (Ferric Pyrophosphate Citrate) Administered Intravenously to Healthy Adult Volunteers

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