search
Back to results

Safety and Pharmacokinetics of Zanubrutinib (BGB-3111) in Healthy Subjects and Those With Impaired Liver Function

Primary Purpose

Hepatic Insufficiency & Healthy Subjects

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Zanubrutinib
Sponsored by
BeiGene
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatic Insufficiency & Healthy Subjects focused on measuring BGB-3111, Zanubrutinib, pharmacokinetics, healthy subjects, hepatic impairment

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male and/or female subjects in good health as determined by past medical history, physical examination, vital signs, ECG and laboratory tests at screening.
  • Subjects must have a body mass index (BMI) between 18 and 40 kg/m2 to participate at screening.
  • Female subject must be of non-childbearing potential, i.e. surgically sterile at least 6 months prior to screening with supportive clinical documentation OR post-menopausal must have no regular menstrual bleeding for at least 12 months prior to inclusion. Menopause will be confirmed by a plasma FSH level of >40 IU/L
  • Male subjects must agree to practice 2 highly effective methods of birth control at least one method must be barrier technique.

Additional Inclusion Criteria for Healthy Subjects Only:

  • In good health as determined by past medical history, physical examination, vital signs, ECG, and laboratory tests at screening; subjects without diseases/conditions
  • Matched with a hepatic impaired patient (mild, moderate or severe, as applicable) using the following criteria: sex, age ±10 years and body mass index (BMI)± 10 kilograms

Additional Inclusion Criteria for Hepatic Impaired Subjects Only:

  • History of cirrhosis with supportive documentation (ultrasonography, computed tomography scan, liver biopsy, magnetic resonance imaging, clinical laboratory tests results or physical signs consistent with a clinical diagnosis of liver cirrhosis.
  • Child-Pugh Clinical Assessment Score consistent with degree of hepatic impairment.
  • Blood pressure of 90 to 155 mmHg (systolic) and 50 to 100 mmHg (diastolic).
  • Otherwise considered healthy in general as determined by physical examination findings and laboratory assessments within normal limits.

Exclusion Criteria:

  • Subjects with a clinically relevant history or presence of any clinically significant disease.
  • History of drug or alcohol abuse within the 12 months prior to dosing.
  • A positive human immunodeficiency virus (HIV) Type 1 or 2 test result at screening.
  • History of blood donation of 500 mL or more of blood within 2 months prior to screening
  • A positive tuberculosis test result.

Additional Exclusion Criteria for Hepatic Impaired Subjects Only:

  • Received a liver transplant
  • Acute or exacerbating hepatitis
  • Active Stage 3 or 4 hepatic encephalopathy
  • Previously diagnosed with hepatocellular carcinoma, or a history of cholestatic liver disease or biliary sepsis within the past 2 years.
  • Additional Exclusion Criteria for Healthy Subjects Only: A positive Hepatitis B surface antigen (HBsAg) or Hepatitis C test result.
  • History of any clinically significant chronic and/or active hepatic disease.

Sites / Locations

  • University of Miami
  • Orlando Clinical Research Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Normal Hepatic Function

Mild Hepatic Impairment

Moderate Hepatic Impairment

Severe Hepatic Impairment

Arm Description

Participants with normal hepatic function will be administered a single oral dose of Zanubrutinib (80 mg).

Participants with mild hepatic impairment (Child-Pugh Class A, score of 5 to 6, inclusive) will be administered a single dose of Zanubrutinib (80 mg).

Participants with moderate hepatic impairment (Child-Pugh Class B, score of 7 to 9, inclusive) will be administered a single dose of Zanubrutinib (80 mg).

Participants with severe hepatic impairment (Child-Pugh Class C, score of 10 to 15, inclusive) will be administered a single dose of Zanubrutinib (80 mg).

Outcomes

Primary Outcome Measures

Plasma concentration of Zanubrutinib (BGB-3111) to evaluate protocol specified PK parameters
Plasma concentration of Zanubrutinib (BGB-3111) to evaluate Area Under the Plasma Concentration-Time Curve (AUC) of Zanubrutinib
Plasma concentration of Zanubrutinib (BGB-3111) to evaluate protocol specified PK parameters
Plasma concentration of Zanubrutinib (BGB-3111) to evaluate Maximum Observed Plasma Concentration (Cmax) of Zanubrutinib

Secondary Outcome Measures

Treatment-Emergent Adverse Events (AE)
Percentage of Participants with Treatment-Emergent Adverse Events (AE)

Full Information

First Posted
March 7, 2018
Last Updated
April 22, 2020
Sponsor
BeiGene
search

1. Study Identification

Unique Protocol Identification Number
NCT03465059
Brief Title
Safety and Pharmacokinetics of Zanubrutinib (BGB-3111) in Healthy Subjects and Those With Impaired Liver Function
Official Title
A Phase 1, Open-label, Single-dose Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Zanubrutinib (BGB-3111) in Subjects With Varying Degrees of Hepatic Impairment
Study Type
Interventional

2. Study Status

Record Verification Date
April 2020
Overall Recruitment Status
Completed
Study Start Date
May 30, 2018 (Actual)
Primary Completion Date
October 19, 2018 (Actual)
Study Completion Date
October 19, 2018 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study is designed to evaluate the safety and pharmacokinetics of zanubrutinib in subjects with impaired liver function in comparison with healthy subjects

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatic Insufficiency & Healthy Subjects
Keywords
BGB-3111, Zanubrutinib, pharmacokinetics, healthy subjects, hepatic impairment

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Normal Hepatic Function
Arm Type
Experimental
Arm Description
Participants with normal hepatic function will be administered a single oral dose of Zanubrutinib (80 mg).
Arm Title
Mild Hepatic Impairment
Arm Type
Experimental
Arm Description
Participants with mild hepatic impairment (Child-Pugh Class A, score of 5 to 6, inclusive) will be administered a single dose of Zanubrutinib (80 mg).
Arm Title
Moderate Hepatic Impairment
Arm Type
Experimental
Arm Description
Participants with moderate hepatic impairment (Child-Pugh Class B, score of 7 to 9, inclusive) will be administered a single dose of Zanubrutinib (80 mg).
Arm Title
Severe Hepatic Impairment
Arm Type
Experimental
Arm Description
Participants with severe hepatic impairment (Child-Pugh Class C, score of 10 to 15, inclusive) will be administered a single dose of Zanubrutinib (80 mg).
Intervention Type
Drug
Intervention Name(s)
Zanubrutinib
Intervention Description
A single oral dose of 80 mg Zanubrutinib will be administered.
Primary Outcome Measure Information:
Title
Plasma concentration of Zanubrutinib (BGB-3111) to evaluate protocol specified PK parameters
Description
Plasma concentration of Zanubrutinib (BGB-3111) to evaluate Area Under the Plasma Concentration-Time Curve (AUC) of Zanubrutinib
Time Frame
Days 1, 2 & 3
Title
Plasma concentration of Zanubrutinib (BGB-3111) to evaluate protocol specified PK parameters
Description
Plasma concentration of Zanubrutinib (BGB-3111) to evaluate Maximum Observed Plasma Concentration (Cmax) of Zanubrutinib
Time Frame
Days 1, 2 & 3
Secondary Outcome Measure Information:
Title
Treatment-Emergent Adverse Events (AE)
Description
Percentage of Participants with Treatment-Emergent Adverse Events (AE)
Time Frame
up to Day 17

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male and/or female subjects in good health as determined by past medical history, physical examination, vital signs, ECG and laboratory tests at screening. Subjects must have a body mass index (BMI) between 18 and 40 kg/m2 to participate at screening. Female subject must be of non-childbearing potential, i.e. surgically sterile at least 6 months prior to screening with supportive clinical documentation OR post-menopausal must have no regular menstrual bleeding for at least 12 months prior to inclusion. Menopause will be confirmed by a plasma FSH level of >40 IU/L Male subjects must agree to practice 2 highly effective methods of birth control at least one method must be barrier technique. Additional Inclusion Criteria for Healthy Subjects Only: In good health as determined by past medical history, physical examination, vital signs, ECG, and laboratory tests at screening; subjects without diseases/conditions Matched with a hepatic impaired patient (mild, moderate or severe, as applicable) using the following criteria: sex, age ±10 years and body mass index (BMI)± 10 kilograms Additional Inclusion Criteria for Hepatic Impaired Subjects Only: History of cirrhosis with supportive documentation (ultrasonography, computed tomography scan, liver biopsy, magnetic resonance imaging, clinical laboratory tests results or physical signs consistent with a clinical diagnosis of liver cirrhosis. Child-Pugh Clinical Assessment Score consistent with degree of hepatic impairment. Blood pressure of 90 to 155 mmHg (systolic) and 50 to 100 mmHg (diastolic). Otherwise considered healthy in general as determined by physical examination findings and laboratory assessments within normal limits. Exclusion Criteria: Subjects with a clinically relevant history or presence of any clinically significant disease. History of drug or alcohol abuse within the 12 months prior to dosing. A positive human immunodeficiency virus (HIV) Type 1 or 2 test result at screening. History of blood donation of 500 mL or more of blood within 2 months prior to screening A positive tuberculosis test result. Additional Exclusion Criteria for Hepatic Impaired Subjects Only: Received a liver transplant Acute or exacerbating hepatitis Active Stage 3 or 4 hepatic encephalopathy Previously diagnosed with hepatocellular carcinoma, or a history of cholestatic liver disease or biliary sepsis within the past 2 years. Additional Exclusion Criteria for Healthy Subjects Only: A positive Hepatitis B surface antigen (HBsAg) or Hepatitis C test result. History of any clinically significant chronic and/or active hepatic disease.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
William Novotny, MD
Organizational Affiliation
BeiGene
Official's Role
Study Director
Facility Information:
Facility Name
University of Miami
City
Miami
State/Province
Florida
ZIP/Postal Code
33124
Country
United States
Facility Name
Orlando Clinical Research Center
City
Orlando
State/Province
Florida
ZIP/Postal Code
32809
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
32031037
Citation
Ou YC, Preston RA, Marbury TC, Tang Z, Novotny W, Tawashi M, Li TK, Sahasranaman S. A phase 1, open-label, single-dose study of the pharmacokinetics of zanubrutinib in subjects with varying degrees of hepatic impairment. Leuk Lymphoma. 2020 Jun;61(6):1355-1363. doi: 10.1080/10428194.2020.1719097. Epub 2020 Feb 7.
Results Reference
result

Learn more about this trial

Safety and Pharmacokinetics of Zanubrutinib (BGB-3111) in Healthy Subjects and Those With Impaired Liver Function

We'll reach out to this number within 24 hrs