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A Study to Investigate the Effect of Renal Function and Hemodialysis on the Pharmacokinetics (PK) of RO7079901

Primary Purpose

Renal Impairment

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
RO7079901
Sponsored by
Hoffmann-La Roche
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Renal Impairment

Eligibility Criteria

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

Inclusion Criteria:

- Body Mass Index (BMI) between 18 and 38 kilograms per square-meter (kg/m^2) and body weight of at least 45 kilograms (kg)

Control group participants, Part 1 only:

  • Normal renal function based on creatinine clearance greater than or equal to (>=) 90 milliliters per minute (mL/min) at the Screening visit
  • Healthy for age-group, as determined by the investigator on the basis of medical history, physical examination, clinical laboratory test results, vital signs, and 12-lead electrocardiogram (ECG)

Participants with renal impairment, Part 1 only:

  • Reduced renal function based on estimated creatinine clearance at the Screening visit. Creatinine clearance can be estimated from serum creatinine concentration at the Screening visit using the Cockcroft-Gault equation, or be a historical measured value obtained within the preceding 3 months. Participants with severe, moderate or mild renal impairment must have creatinine clearance of less than or equal to (<=) 29, 30 to 59, or 60 to 89 mL/min, respectively
  • Stable renal function. The stability of renal function will be confirmed by two determinations of serum creatinine separated by at least 7 days (one of which can be a historical value within the last 3 months). Renal function will be considered stable if the 2 serum creatinine values differ by <=30 percent (%) of the lower value

Participants with end-stage renal disease in Part 2 only:

  • Reduced renal function with a clinical diagnosis of end-stage renal disease requiring renal replacement therapy
  • Receiving hemodialysis for more than 3 months at the time of the Screening visit

Exclusion Criteria:

  • Recipient of a renal transplant (Part 1 only)
  • Presence of renal carcinoma, or acute renal disease caused by infection or drug toxicity
  • Nephrotic syndrome (defined as plasma albumin less than [<] 3 grams per deciliter [g/dL] and/or proteinuria greater than [>] 3 grams per day [g/day])
  • Hemoglobin concentration <10 g/dL, or <9 g/dL for participants with end-stage renal disease
  • Potassium concentration >5.5 millimoles per liter (mmol/L)
  • Clinically significant liver disease
  • Uncontrolled blood pressure
  • Any condition associated with intra-vascular volume depletion
  • Any unstable clinically significant disease
  • Any other ongoing condition or disease (apart from renal dysfunction), or clinically significant abnormalities in laboratory test results that the investigator considers would render the participant unsuitable for the study, place the participant at undue risk or interfere with the ability of the participant to complete the study
  • Major surgery or significant traumatic injury <28 days prior to the first administration (excluding biopsies), or anticipation of the need for major surgery during study treatment
  • Recent history of alcoholism, drug abuse, or addiction within the last year prior to screening
  • Positive test at Screening of any of the following: Hepatitis A, Hepatitis B, Hepatitis C, or human immunodeficiency virus (HIV)
  • Clinically significant change in disease status as judged by the investigator, or any major illness within the 4 weeks prior to the Screening visit, or febrile illness within 14 days prior to the Screening visit
  • Use of prohibited medications, or alteration to a concomitant medication treatment regimen considered relevant by the investigator within 14 days before the Screening visit
  • Known history of clinically significant hypersensitivity or severe allergic reaction to any drug, in particular antibiotics (e.g., cephalosporins, penicillins, carbapenems, or monobactams)
  • Participation in another clinical study with an investigational drug or device within the 1 month preceding the Screening vist
  • Donation or loss of over 500 milliliters (mL) of blood within the 3 months before the Screening visit

Sites / Locations

  • Clinical Pharmacology of Miami, Inc.
  • Orlando Clinical Research Center
  • DaVita Clinical Research
  • Prism Clinical Research
  • New Orleans Center for Clinical Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Active Comparator

Experimental

Arm Label

Label: RO7079901 (Mild) (Part 1)

RO7079901 (Moderate) (Part 1)

RO7079901 (Severe) (Part 1)

RO7079901 (Normal) (Part 1)

RO7079901 (End-stage) (Part 2)

Arm Description

Participants with mild renal impairment (but not undergoing hemodialysis) will be enrolled in this arm. Participants will receive the specified dose of RO7079901.

Participants with moderate renal impairment (but not undergoing hemodialysis) will be enrolled in this arm. Participants will receive the specified dose of RO7079901.

Participants with severe renal impairment (but not undergoing hemodialysis) will be enrolled in this arm. Participants will receive the specified dose of RO7079901.

Control group of participants with normal renal function will be enrolled in this arm. Participants will receive the specified dose of RO7079901.

Participants with stable end-stage renal disease undergoing hemodialysis will be enrolled in this arm. Participants will receive the specified dose of RO7079901.

Outcomes

Primary Outcome Measures

Total Body Clearance (CL) of RO7079901 Using Plasma Concentration Data
Volume of Distribution of the Central Compartment (Vc) of RO7079901 Using Plasma Concentration Data
Total Volume of Distribution (Vz) of RO7079901 Using Plasma Concentration Data
Volume of Distribution at Steady-State (Vss) of RO7079901 Using Plasma Concentration Data
Renal Clearance (CLr) of RO7079901
Part 2: Dialysis Clearance (CLd) of RO7079901
Measured Creatinine Clearance (mCLcr)
Estimated Creatinine Clearance Using the Cockcroft and Gault Formula (eCLcr[CG])
Estimated Creatinine Clearance Using the Modified Jelliffe Formula (eCLcr[Jelliffe])
Estimated Glomerular Filtration Rate (eGFR) Using the Modification of Diet in Renal Disease (MDRD) Formula (eGFR[MDRD])
eGFR Using the Chronic Kidney Disease Epidemiology (CKD-EPI) Formula (eGFR[CKD-EPI])

Secondary Outcome Measures

Area Under the Plasma Concentration-Time Curve From Time 0 to infinity (AUC0-inf) of RO7079901
Maximum Plasma Concentration (Cmax) of RO7079901
Time to Reach Cmax (tmax) of RO7079901
Terminal Elimination Half-life (t1/2) of RO7079901
Cumulative Amount Excreted in Urine (Ae) of RO7079901
Fraction Excreted in Urine (Fe) of RO7079901
Percentage of Participants with Adverse Events (AEs)

Full Information

First Posted
November 24, 2016
Last Updated
December 7, 2017
Sponsor
Hoffmann-La Roche
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1. Study Identification

Unique Protocol Identification Number
NCT02975388
Brief Title
A Study to Investigate the Effect of Renal Function and Hemodialysis on the Pharmacokinetics (PK) of RO7079901
Official Title
A Multi-Center, Open-Label, Two-Part Study to Investigate the Effect of Renal Function and Hemodialysis on the Pharmacokinetics of RO7079901
Study Type
Interventional

2. Study Status

Record Verification Date
December 2017
Overall Recruitment Status
Completed
Study Start Date
December 20, 2016 (Actual)
Primary Completion Date
July 6, 2017 (Actual)
Study Completion Date
July 6, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Hoffmann-La Roche

4. Oversight

5. Study Description

Brief Summary
This is a multi-center, non-randomized, open-label, two-part study to investigate the effect of renal function and hemodialysis on PK of RO7079901. Part 1 will be conducted in adult male and female participants with stable mild, moderate or severe renal impairment and a control group of participants with normal renal function. Part 2 will be conducted in adult male and female participants with stable end-stage renal disease undergoing hemodialysis.

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Label: RO7079901 (Mild) (Part 1)
Arm Type
Experimental
Arm Description
Participants with mild renal impairment (but not undergoing hemodialysis) will be enrolled in this arm. Participants will receive the specified dose of RO7079901.
Arm Title
RO7079901 (Moderate) (Part 1)
Arm Type
Experimental
Arm Description
Participants with moderate renal impairment (but not undergoing hemodialysis) will be enrolled in this arm. Participants will receive the specified dose of RO7079901.
Arm Title
RO7079901 (Severe) (Part 1)
Arm Type
Experimental
Arm Description
Participants with severe renal impairment (but not undergoing hemodialysis) will be enrolled in this arm. Participants will receive the specified dose of RO7079901.
Arm Title
RO7079901 (Normal) (Part 1)
Arm Type
Active Comparator
Arm Description
Control group of participants with normal renal function will be enrolled in this arm. Participants will receive the specified dose of RO7079901.
Arm Title
RO7079901 (End-stage) (Part 2)
Arm Type
Experimental
Arm Description
Participants with stable end-stage renal disease undergoing hemodialysis will be enrolled in this arm. Participants will receive the specified dose of RO7079901.
Intervention Type
Drug
Intervention Name(s)
RO7079901
Intervention Description
Participants will receive a single dose of 1000 milligrams (mg) RO7079901 as a 30-minute intravenous (IV) infusion.
Primary Outcome Measure Information:
Title
Total Body Clearance (CL) of RO7079901 Using Plasma Concentration Data
Time Frame
Blood: Part 1 - Predose (-1 to 0 hour [hr]), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hr postdose; Part 2 - Predose (-1 to 0 hr), 0.5, 1, 1.5 (start of hemodialysis), 4.5 (end of hemodialysis), 8, 12, and 24 hr postdose (infusion length: 0.5 hr)
Title
Volume of Distribution of the Central Compartment (Vc) of RO7079901 Using Plasma Concentration Data
Time Frame
Blood: Part 1 - Predose (-1 to 0 hr), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hr postdose; Part 2 - Predose (-1 to 0 hr), 0.5, 1, 1.5 (start of hemodialysis), 4.5 (end of hemodialysis), 8, 12, and 24 hr postdose (infusion length: 0.5 hr)
Title
Total Volume of Distribution (Vz) of RO7079901 Using Plasma Concentration Data
Time Frame
Blood: Part 1 - Predose (-1 to 0 hr), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hr postdose; Part 2 - Predose (-1 to 0 hr), 0.5, 1, 1.5 (start of hemodialysis), 4.5 (end of hemodialysis), 8, 12, and 24 hr postdose (infusion length: 0.5 hr)
Title
Volume of Distribution at Steady-State (Vss) of RO7079901 Using Plasma Concentration Data
Time Frame
Blood: Part 1 - Predose (-1 to 0 hr), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hr postdose; Part 2 - Predose (-1 to 0 hr), 0.5, 1, 1.5 (start of hemodialysis), 4.5 (end of hemodialysis), 8, 12, and 24 hr postdose (infusion length: 0.5 hr)
Title
Renal Clearance (CLr) of RO7079901
Time Frame
Urine: Part 1 - 0-4, 4-8, 8-12, 12-24 hr postdose; Part 2 - 0-12 hr postdose ( infusion length: 0.5 hr)
Title
Part 2: Dialysis Clearance (CLd) of RO7079901
Time Frame
Dialyzer input, output blood and dialyzer fluid: 1.5 hours postdose (start of hemodialysis); 2.5, 3.5, 4.5 hours postdose (end of hemodialysis) (infusion length: 0.5 hr)
Title
Measured Creatinine Clearance (mCLcr)
Time Frame
Blood and Urine: Day -1 ( over the 24-hr period predose corresponding to time of micturition), Day 1 ( Part 1)
Title
Estimated Creatinine Clearance Using the Cockcroft and Gault Formula (eCLcr[CG])
Time Frame
Blood and Urine: Day -1 (over the 24-hr period predose corresponding to time of micturition), Day 1 (Part 1)
Title
Estimated Creatinine Clearance Using the Modified Jelliffe Formula (eCLcr[Jelliffe])
Time Frame
Blood and Urine: Day -1 (over the 24-hr period predose corresponding to time of micturition), Day 1 (Part 1)
Title
Estimated Glomerular Filtration Rate (eGFR) Using the Modification of Diet in Renal Disease (MDRD) Formula (eGFR[MDRD])
Time Frame
Blood and Urine: Day -1 (over the 24-hr period predose corresponding to time of micturition), Day 1 (Part 1)
Title
eGFR Using the Chronic Kidney Disease Epidemiology (CKD-EPI) Formula (eGFR[CKD-EPI])
Time Frame
Blood and Urine: Day -1 (over the 24-hr period predose corresponding to time of micturition), Day 1 (Part 1)
Secondary Outcome Measure Information:
Title
Area Under the Plasma Concentration-Time Curve From Time 0 to infinity (AUC0-inf) of RO7079901
Time Frame
Blood: Part 1 - Predose (-1 to 0 hr), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hr postdose; Part 2 - Predose (-1 to 0 hr), 0.5, 1, 1.5 (start of hemodialysis), 4.5 (end of hemodialysis), 8, 12, and 24 hr postdose (infusion length: 0.5 hr)
Title
Maximum Plasma Concentration (Cmax) of RO7079901
Time Frame
Blood: Part 1 - Predose (-1 to 0 hr), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hr postdose; Part 2 - Predose (-1 to 0 hr), 0.5, 1, 1.5 (start of hemodialysis), 4.5 (end of hemodialysis), 8, 12, and 24 hr postdose (infusion length: 0.5 hr)
Title
Time to Reach Cmax (tmax) of RO7079901
Time Frame
Blood: Part 1 - Predose (-1 to 0 hr), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hr postdose; Part 2 - Predose (-1 to 0 hr), 0.5, 1, 1.5 (start of hemodialysis), 4.5 (end of hemodialysis), 8, 12, and 24 hr postdose (infusion length: 0.5 hr)
Title
Terminal Elimination Half-life (t1/2) of RO7079901
Time Frame
Blood: Part 1 - Predose (-1 to 0 hr), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hr postdose; Part 2 - Predose (-1 to 0 hr), 0.5, 1, 1.5 (start of hemodialysis), 4.5 (end of hemodialysis), 8, 12, and 24 hr postdose (infusion length: 0.5 hr)
Title
Cumulative Amount Excreted in Urine (Ae) of RO7079901
Time Frame
Urine: Part 1 - 0-4, 4-8, 8-12, 12-24 hr postdose; Part 2 - 0-12 hr postdose (infusion length: 0.5 hr)
Title
Fraction Excreted in Urine (Fe) of RO7079901
Time Frame
Blood:Predose (-1 to 0hr), 0.5, 1, 1.5, 8, 12, 24 hr postdose(Parts 1 and 2); 2, 3, 4, 6 hr postdose(Part 1); 4.5 hr postdose(end of hemodialysis)(Part 2); Urine:0-4, 4-8, 8-12, 12-24 hr postdose(Part 1); 0-12 hr postdose(Part 2)(infusion length: 0.5 hr)
Title
Percentage of Participants with Adverse Events (AEs)
Time Frame
Baseline up to end of the study (up to approximately 7 months)

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 and 38 kilograms per square-meter (kg/m^2) and body weight of at least 45 kilograms (kg) Control group participants, Part 1 only: Normal renal function based on creatinine clearance greater than or equal to (>=) 90 milliliters per minute (mL/min) at the Screening visit Healthy for age-group, as determined by the investigator on the basis of medical history, physical examination, clinical laboratory test results, vital signs, and 12-lead electrocardiogram (ECG) Participants with renal impairment, Part 1 only: Reduced renal function based on estimated creatinine clearance at the Screening visit. Creatinine clearance can be estimated from serum creatinine concentration at the Screening visit using the Cockcroft-Gault equation, or be a historical measured value obtained within the preceding 3 months. Participants with severe, moderate or mild renal impairment must have creatinine clearance of less than or equal to (<=) 29, 30 to 59, or 60 to 89 mL/min, respectively Stable renal function. The stability of renal function will be confirmed by two determinations of serum creatinine separated by at least 7 days (one of which can be a historical value within the last 3 months). Renal function will be considered stable if the 2 serum creatinine values differ by <=30 percent (%) of the lower value Participants with end-stage renal disease in Part 2 only: Reduced renal function with a clinical diagnosis of end-stage renal disease requiring renal replacement therapy Receiving hemodialysis for more than 3 months at the time of the Screening visit Exclusion Criteria: Recipient of a renal transplant (Part 1 only) Presence of renal carcinoma, or acute renal disease caused by infection or drug toxicity Nephrotic syndrome (defined as plasma albumin less than [<] 3 grams per deciliter [g/dL] and/or proteinuria greater than [>] 3 grams per day [g/day]) Hemoglobin concentration <10 g/dL, or <9 g/dL for participants with end-stage renal disease Potassium concentration >5.5 millimoles per liter (mmol/L) Clinically significant liver disease Uncontrolled blood pressure Any condition associated with intra-vascular volume depletion Any unstable clinically significant disease Any other ongoing condition or disease (apart from renal dysfunction), or clinically significant abnormalities in laboratory test results that the investigator considers would render the participant unsuitable for the study, place the participant at undue risk or interfere with the ability of the participant to complete the study Major surgery or significant traumatic injury <28 days prior to the first administration (excluding biopsies), or anticipation of the need for major surgery during study treatment Recent history of alcoholism, drug abuse, or addiction within the last year prior to screening Positive test at Screening of any of the following: Hepatitis A, Hepatitis B, Hepatitis C, or human immunodeficiency virus (HIV) Clinically significant change in disease status as judged by the investigator, or any major illness within the 4 weeks prior to the Screening visit, or febrile illness within 14 days prior to the Screening visit Use of prohibited medications, or alteration to a concomitant medication treatment regimen considered relevant by the investigator within 14 days before the Screening visit Known history of clinically significant hypersensitivity or severe allergic reaction to any drug, in particular antibiotics (e.g., cephalosporins, penicillins, carbapenems, or monobactams) Participation in another clinical study with an investigational drug or device within the 1 month preceding the Screening vist Donation or loss of over 500 milliliters (mL) of blood within the 3 months before the Screening visit
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trials
Organizational Affiliation
Hoffmann-LaRoche
Official's Role
Study Director
Facility Information:
Facility Name
Clinical Pharmacology of Miami, Inc.
City
Miami
State/Province
Florida
ZIP/Postal Code
33014
Country
United States
Facility Name
Orlando Clinical Research Center
City
Orlando
State/Province
Florida
ZIP/Postal Code
32809
Country
United States
Facility Name
DaVita Clinical Research
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55404
Country
United States
Facility Name
Prism Clinical Research
City
Saint Paul
State/Province
Minnesota
ZIP/Postal Code
55114
Country
United States
Facility Name
New Orleans Center for Clinical Research
City
Knoxville
State/Province
Tennessee
ZIP/Postal Code
37920
Country
United States

12. IPD Sharing Statement

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A Study to Investigate the Effect of Renal Function and Hemodialysis on the Pharmacokinetics (PK) of RO7079901

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