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Elafibranor Pharmacokinetic Parameters in Renal Impaired Patients

Primary Purpose

Renal Impairment, Renal Insufficiency, Kidney Diseases

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Elafibranor
Sponsored by
Genfit
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Renal Impairment

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

For all participants

  1. Male or female subjects, aged 18 to 75 years inclusive;
  2. Females participating in this study must be of non-childbearing potential or using highly efficient contraception for the full duration of the study
  3. Negative serum pregnancy test at screening (if applicable);
  4. Non-smoker subject or smoker of not more than 5 cigarettes a day;

    For Renally Impaired Participants

  5. ESRD patient not yet on dialysis with an estimated glomerular filtration rate (eGFR) <15mL/min/1.73m^2;
  6. Documented renal impairment indicated by reduced eGFR within 12 months of screening or longer;
  7. Stable renal function as evidenced by ≤ 30 percent difference in two evaluation of eGFR on two separate occasions separated by at least 28 days with one measurement being the value at screening;
  8. Body Mass Index (BMI) between 20 and 36 kg/m^2 inclusive.

    For Healthy Volunteers with normal renal function:

  9. eGFR ≥ 90mL/min/1.73m^2;
  10. No proteinuria (< 0.15 g/L determined by urinalysis);
  11. Body Mass Index between 20 and 30 kg/m^2 inclusive and body weight not lower than 55kg;
  12. Matched to at least 1 renal impaired patient by ethnic group, sex, age (+/- 10 years) and BMI (+/- 20 percent).

Other protocol-defined inclusion criteria may apply

Exclusion Criteria:

All Participants

  1. Positive Hepatitis B surface antigen or anti Hepatitis C Virus antibody, or positive results for Human Immunodeficiency Virus 1 or 2 tests;
  2. History or presence of drug or alcohol abuse (alcohol consumption > 40 grams/day);
  3. Blood donation (including in the frame of a clinical trial) within 2 months before administration or blood donation planned during the study or within 2 months following participation to the study;
  4. Participants who are pregnant or breastfeeding. Participants should not be enrolled if they plan to become pregnant during the time of study participation;
  5. Positive results of screening for drugs of abuse;
  6. Evidence or history of clinically significant uncontrolled hematological, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurologic, metabolic, systemic, infectious, or allergic disease (including drug hypersensitivity or allergies, but excluding untreated, asymptomatic, seasonal allergies at time of dosing);
  7. General anesthesia within 3 months before administration;
  8. Major surgery within 28 days prior to randomization or major surgery planned during the next 6 months.

    For Renally Impaired Participants:

  9. History of renal transplant;
  10. Evidence of an unstable clinically important medical condition other than impaired renal function;
  11. Acute exacerbation or unstable renal function, as indicated by worsening of clinical and/or laboratory signs of renal impairment, within the 4 weeks before study drug administration;
  12. Participants undergoing any method of dialysis or hemofiltration;
  13. Disorders or surgery of the gastrointestinal tract which may interfere with drug absorption or may otherwise influence the pharmacokinetics of the investigational medicinal product (e.g., inflammatory bowel disease, resections of the small or large intestine, etc.);
  14. History of febrile illness within 5 days prior to dosing;
  15. Evidence of clinically significant liver disease or liver damage (e.g., hepatitis B or C, autoimmune hepatitis, primary biliary cirrhosis, non-alcoholic fatty liver disease, elevated aspartate aminotransferase or alanine aminotransferase that is considered clinically significant by the Investigator, etc.). Presence or history of protein drug hypersensitivity, or allergic disease diagnosed and treated by a physician
  16. Any drug intake during the 2 weeks or 5 half-life of the drug preceding the first administration except those defined in the protocol

    For Healthy Volunteers with normal renal function:

  17. Any history or presence of renal disease
  18. Frequent headaches (> twice a month) and / or migraines, recurrent nausea and / or vomiting;
  19. Symptomatic hypotension whatever the decrease of blood pressure or asymptomatic postural hypotension defined by a decrease in Systolic Blood Pressure (≥20 mmHg) or Diastolic Blood Pressure (≥10 mmHg) within three minutes when changing from the supine to the standing position;
  20. Inability to abstain from intensive muscular effort;
  21. Any drug intake (except paracetamol 3g/d or contraception) during the 2 weeks or 5 half-life of the drug preceding the first administration;
  22. Subject who would receive more than 4500 euros as indemnities for his participation in biomedical research within the 12 last months, including the indemnities for the present study.

Other protocol-defined exclusion criteria may apply

Sites / Locations

  • Eurofins Optimed
  • ARENSIA Exploratory Medicine Unit, Nephrology Hospital Dr. Carol Davilla

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

End Stage Renal Disease

Healthy

Arm Description

Single oral dose of elafibranor 120mg

Single oral dose of elafibranor 120mg

Outcomes

Primary Outcome Measures

Area under curve from dosing time to last measurement (AUC(0-t)) of elafibranor and active metabolite
In participants with end stage renal disease compared to healthy volunteers
Area under curve from dosing time to infinity (AUC(0-∞)) of elafibranor and active metabolite
In participants with end stage renal disease compared to healthy volunteers

Secondary Outcome Measures

Plasma pharmacokinetics: maximum plasma drug concentration (Cmax)
for elafibranor and metabolites
Plasma pharmacokinetics: elimination half-life (t1/2)
for elafibranor and metabolites
Plasma pharmacokinetics: apparent volume of distribution (Vd/F)
for elafibranor
Plasma pharmacokinetics: renal clearance (CLr)
for elafibranor and metabolites
Plasma pharmacokinetics: apparent non renal clearance (CLnr/F)
for elafibranor
Plasma pharmacokinetics: apparent total clearance (CL/F)
for elafibranor
Plasma pharmacokinetics: area under the plasma concentration-time curve extrapolated from time t to infinity as a percentage of total area under the plasma concentration-time curve (%AUCextra)
for elafibranor and metabolites
Plasma pharmacokinetics: area under curve from dosing time to last measurement (AUC(0-t)) of glucuronide metabolites and corresponding aglycones
for the glucuronide metabolites of elafibranor and corresponding aglycones
Plasma pharmacokinetics: area under curve from dosing time to infinity (AUC(0-∞)) of glucuronide metabolites and corresponding aglycones
for the glucuronide metabolites of elafibranor and corresponding aglycones
Urine pharmacokinetics: amount excreted (Ae)
for elafibranor and metabolites, if applicable. 24 hours urine collection from dosing to 216 hours post-dose
Urine pharmacokinetics: cumulative amount excreted (Ae0-t)
for elafibranor and metabolites, if applicable. 24 hours urine collection from dosing to 216 hours post-dose
Urine pharmacokinetics: percentage of dose excreted (Fe)
for elafibranor and metabolites, if applicable. 24 hours urine collection from dosing to 216 hours post-dose
Urine pharmacokinetics: cumulative percent of dose excreted (Fe0-t)
for elafibranor and metabolites, if applicable. 24 hours urine collection from dosing to 216 hours post-dose
Urine pharmacokinetics: renal clearance (CLR)
for elafibranor and metabolites, if applicable. 24 hours urine collection from dosing to 216 hours post-dose

Full Information

First Posted
February 15, 2019
Last Updated
August 12, 2020
Sponsor
Genfit
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1. Study Identification

Unique Protocol Identification Number
NCT03844555
Brief Title
Elafibranor Pharmacokinetic Parameters in Renal Impaired Patients
Official Title
Open Label, Phase I Study to Assess and Compare the Pharmacokinetic Parameters After Single Oral Administration of Elafibranor 120 mg in Renal Impaired Patients and Healthy Subjects With Normal Renal Function
Study Type
Interventional

2. Study Status

Record Verification Date
August 2020
Overall Recruitment Status
Completed
Study Start Date
February 28, 2019 (Actual)
Primary Completion Date
March 15, 2020 (Actual)
Study Completion Date
March 21, 2020 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

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

5. Study Description

Brief Summary
This study is being conducted in order to assess the need for dose adjustment for elafibranor in participants with renal impairment. Pharmacokinetic parameters of elafibranor and its active metabolite (GFT1007) will be compared in severe renal impaired participants (eGFR<15mL/mn/1.73m^2) versus healthy participants after a single oral administration of elafibranor 120 mg

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Renal Impairment, Renal Insufficiency, Kidney Diseases, Pharmacokinetics

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
End Stage Renal Disease
Arm Type
Experimental
Arm Description
Single oral dose of elafibranor 120mg
Arm Title
Healthy
Arm Type
Experimental
Arm Description
Single oral dose of elafibranor 120mg
Intervention Type
Drug
Intervention Name(s)
Elafibranor
Other Intervention Name(s)
GFT505
Intervention Description
120mg oral single dose
Primary Outcome Measure Information:
Title
Area under curve from dosing time to last measurement (AUC(0-t)) of elafibranor and active metabolite
Description
In participants with end stage renal disease compared to healthy volunteers
Time Frame
pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose
Title
Area under curve from dosing time to infinity (AUC(0-∞)) of elafibranor and active metabolite
Description
In participants with end stage renal disease compared to healthy volunteers
Time Frame
pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose
Secondary Outcome Measure Information:
Title
Plasma pharmacokinetics: maximum plasma drug concentration (Cmax)
Description
for elafibranor and metabolites
Time Frame
pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose
Title
Plasma pharmacokinetics: elimination half-life (t1/2)
Description
for elafibranor and metabolites
Time Frame
pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose
Title
Plasma pharmacokinetics: apparent volume of distribution (Vd/F)
Description
for elafibranor
Time Frame
pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose
Title
Plasma pharmacokinetics: renal clearance (CLr)
Description
for elafibranor and metabolites
Time Frame
pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose
Title
Plasma pharmacokinetics: apparent non renal clearance (CLnr/F)
Description
for elafibranor
Time Frame
pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose
Title
Plasma pharmacokinetics: apparent total clearance (CL/F)
Description
for elafibranor
Time Frame
pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose
Title
Plasma pharmacokinetics: area under the plasma concentration-time curve extrapolated from time t to infinity as a percentage of total area under the plasma concentration-time curve (%AUCextra)
Description
for elafibranor and metabolites
Time Frame
pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose
Title
Plasma pharmacokinetics: area under curve from dosing time to last measurement (AUC(0-t)) of glucuronide metabolites and corresponding aglycones
Description
for the glucuronide metabolites of elafibranor and corresponding aglycones
Time Frame
pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose
Title
Plasma pharmacokinetics: area under curve from dosing time to infinity (AUC(0-∞)) of glucuronide metabolites and corresponding aglycones
Description
for the glucuronide metabolites of elafibranor and corresponding aglycones
Time Frame
pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose
Title
Urine pharmacokinetics: amount excreted (Ae)
Description
for elafibranor and metabolites, if applicable. 24 hours urine collection from dosing to 216 hours post-dose
Time Frame
pre-dose and then 24, 48, 72, 96, 120, 144, 168, 192, 216 hours post-dose
Title
Urine pharmacokinetics: cumulative amount excreted (Ae0-t)
Description
for elafibranor and metabolites, if applicable. 24 hours urine collection from dosing to 216 hours post-dose
Time Frame
pre-dose and then 24, 48, 72, 96, 120, 144, 168, 192, 216 hours post-dose
Title
Urine pharmacokinetics: percentage of dose excreted (Fe)
Description
for elafibranor and metabolites, if applicable. 24 hours urine collection from dosing to 216 hours post-dose
Time Frame
pre-dose and then 24, 48, 72, 96, 120, 144, 168, 192, 216 hours post-dose
Title
Urine pharmacokinetics: cumulative percent of dose excreted (Fe0-t)
Description
for elafibranor and metabolites, if applicable. 24 hours urine collection from dosing to 216 hours post-dose
Time Frame
pre-dose and then 24, 48, 72, 96, 120, 144, 168, 192, 216 hours post-dose
Title
Urine pharmacokinetics: renal clearance (CLR)
Description
for elafibranor and metabolites, if applicable. 24 hours urine collection from dosing to 216 hours post-dose
Time Frame
pre-dose and then 24, 48, 72, 96, 120, 144, 168, 192, 216 hours post-dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: For all participants Male or female subjects, aged 18 to 75 years inclusive; Females participating in this study must be of non-childbearing potential or using highly efficient contraception for the full duration of the study Negative serum pregnancy test at screening (if applicable); Non-smoker subject or smoker of not more than 5 cigarettes a day; For Renally Impaired Participants ESRD patient not yet on dialysis with an estimated glomerular filtration rate (eGFR) <15mL/min/1.73m^2; Documented renal impairment indicated by reduced eGFR within 12 months of screening or longer; Stable renal function as evidenced by ≤ 30 percent difference in two evaluation of eGFR on two separate occasions separated by at least 28 days with one measurement being the value at screening; Body Mass Index (BMI) between 20 and 36 kg/m^2 inclusive. For Healthy Volunteers with normal renal function: eGFR ≥ 90mL/min/1.73m^2; No proteinuria (< 0.15 g/L determined by urinalysis); Body Mass Index between 20 and 30 kg/m^2 inclusive and body weight not lower than 55kg; Matched to at least 1 renal impaired patient by ethnic group, sex, age (+/- 10 years) and BMI (+/- 20 percent). Other protocol-defined inclusion criteria may apply Exclusion Criteria: All Participants Positive Hepatitis B surface antigen or anti Hepatitis C Virus antibody, or positive results for Human Immunodeficiency Virus 1 or 2 tests; History or presence of drug or alcohol abuse (alcohol consumption > 40 grams/day); Blood donation (including in the frame of a clinical trial) within 2 months before administration or blood donation planned during the study or within 2 months following participation to the study; Participants who are pregnant or breastfeeding. Participants should not be enrolled if they plan to become pregnant during the time of study participation; Positive results of screening for drugs of abuse; Evidence or history of clinically significant uncontrolled hematological, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurologic, metabolic, systemic, infectious, or allergic disease (including drug hypersensitivity or allergies, but excluding untreated, asymptomatic, seasonal allergies at time of dosing); General anesthesia within 3 months before administration; Major surgery within 28 days prior to randomization or major surgery planned during the next 6 months. For Renally Impaired Participants: History of renal transplant; Evidence of an unstable clinically important medical condition other than impaired renal function; Acute exacerbation or unstable renal function, as indicated by worsening of clinical and/or laboratory signs of renal impairment, within the 4 weeks before study drug administration; Participants undergoing any method of dialysis or hemofiltration; Disorders or surgery of the gastrointestinal tract which may interfere with drug absorption or may otherwise influence the pharmacokinetics of the investigational medicinal product (e.g., inflammatory bowel disease, resections of the small or large intestine, etc.); History of febrile illness within 5 days prior to dosing; Evidence of clinically significant liver disease or liver damage (e.g., hepatitis B or C, autoimmune hepatitis, primary biliary cirrhosis, non-alcoholic fatty liver disease, elevated aspartate aminotransferase or alanine aminotransferase that is considered clinically significant by the Investigator, etc.). Presence or history of protein drug hypersensitivity, or allergic disease diagnosed and treated by a physician Any drug intake during the 2 weeks or 5 half-life of the drug preceding the first administration except those defined in the protocol For Healthy Volunteers with normal renal function: Any history or presence of renal disease Frequent headaches (> twice a month) and / or migraines, recurrent nausea and / or vomiting; Symptomatic hypotension whatever the decrease of blood pressure or asymptomatic postural hypotension defined by a decrease in Systolic Blood Pressure (≥20 mmHg) or Diastolic Blood Pressure (≥10 mmHg) within three minutes when changing from the supine to the standing position; Inability to abstain from intensive muscular effort; Any drug intake (except paracetamol 3g/d or contraception) during the 2 weeks or 5 half-life of the drug preceding the first administration; Subject who would receive more than 4500 euros as indemnities for his participation in biomedical research within the 12 last months, including the indemnities for the present study. Other protocol-defined exclusion criteria may apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pascal Birman, MD
Organizational Affiliation
Genfit
Official's Role
Study Director
Facility Information:
Facility Name
Eurofins Optimed
City
Gières
ZIP/Postal Code
38610
Country
France
Facility Name
ARENSIA Exploratory Medicine Unit, Nephrology Hospital Dr. Carol Davilla
City
Bucharest
ZIP/Postal Code
010701
Country
Romania

12. IPD Sharing Statement

Plan to Share IPD
No

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Elafibranor Pharmacokinetic Parameters in Renal Impaired Patients

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