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A Study to Evaluate the Pharmacokinetics of Apatinib in Subjects With Impaired Renal Function

Primary Purpose

Subjects With Impaired Renal Function and Healthy Subjects

Status
Unknown status
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Apatinib Mesylate
Sponsored by
Jiangsu HengRui Medicine Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Subjects With Impaired Renal Function and Healthy Subjects

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

for subjects with impaired renal function

  • Able to comprehend and willing to sign an informed consent form (ICF)
  • 18-70 years of age.
  • 19 kg/m2<BMI <19-28 kg/m2
  • eGFR (MDRD equation) for mild impaired renal function: 60-89 mL/min/1.73 m2 eGFR (MDRD equation) for moderate impaired renal function: 30-59 mL/min/1.73 m2
  • In good health, except for kidney disease and complications, determined by no clinically significant findings from medical history, physical examination, 12-lead ECG;
  • Agree to take approved method of contraception during the clinical trail and 8 weeks after the last dose of apatinib. Female subject should be negative in the pregnancy test;

for healthy subjects:

  • Able to comprehend and willing to sign an informed consent form (ICF)
  • 18-70 years of age.
  • 19 kg/m2<BMI <19-28 kg/m2
  • eGFR (MDRD equation) for mild impaired renal function: ≥90mL/min/1.73 m2
  • In good health, determined by no clinically significant findings from medical history, physical examination, 12-lead ECG;
  • Agree to take approved method of contraception during the clinical trail and 8 weeks after the last dose of apatinib. Female subject should be negative in the pregnancy test;

Exclusion Criteria:

for subjects with renal impairment

  • Renal allograft recipients;
  • Need hemodialysis during study;
  • Uroclepsia or anuria;
  • Allergic to apatinib or ingredients;
  • History of heart disease in 12 months before study;
  • Coagulation disorders;
  • Hypertension and could not be controlled with hypotensor;
  • With hepatic or archenteric disease;
  • Participate in blood donation within 3 months before screening and donate blood volume ≥400mL, or receive blood transfusion, or donate blood volume≥200mL within 1 month prior dosing.
  • Take any clinical trial drugs within 3 months prior dosing;
  • Take any drugs that have effect on gastric acid and metabolic enzyme CYP 3A in 14 days before dosing;
  • Addicted to alcohol and tobacco, drinking 14 units of alcohol per week (1 unit = 285 mL of beer, or 100mL of wine), or take ≥5 cigarettes;
  • Positive in urine drug test;
  • Combined with other viral infections (anti-HCV, anti-HIV positive, HBsAg positive) or combined with syphilis infection;
  • Anyone who refuse to stop ingesting drinks containing methylxanthine, or grapefruit or grapefruit-containing products from 48 hours before dosing to the end of the study;
  • The investigator believes that the subjects are not eligible to participate in this trial.

for healthy subjects:

  • Renal allograft recipients;
  • Allergic to apatinib or ingredients;
  • History of heart disease in 12 months before study;
  • Coagulation disorders;
  • Hypertension and could not be controlled with hypotensor;
  • With hepatic or archenteric disease;
  • Participate in blood donation within 3 months before screening and donate blood volume ≥400mL, or receive blood transfusion, or donate blood volume≥200mL within 1 month prior dosing.
  • Take any clinical trial drugs within 3 months prior dosing;
  • Take any drugs that have effect on gastric acid and metabolic enzyme CYP 3A in 14 days before dosing;
  • Addicted to alcohol and tobacco, drinking 14 units of alcohol per week (1 unit =285 mL of beer, or 100mL of wine), or take ≥5 cigarettes;
  • Positive in urine drug test;
  • Combined with other viral infections (anti-HCV, anti-HIV positive, HBsAg positive) or combined with syphilis infection;
  • Anyone who refuse to stop ingesting drinks containing methylxanthine, or grapefruit or grapefruit-containing products from 48 hours before dosing to the end of the study;
  • The investigator believes that the subjects are not eligible to participate in this trial.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    Active Comparator

    Arm Label

    mild renal impairment

    moderate remal impairment

    normal renal impairment

    Arm Description

    Outcomes

    Primary Outcome Measures

    Cmax
    Maximum plasma concentration
    AUC0-t
    Area under the plasma concentration versus time curve from zero to 96h
    AUC0-∞
    Area under the plasma concentration versus time curve from zero to infinity

    Secondary Outcome Measures

    Full Information

    First Posted
    June 1, 2020
    Last Updated
    June 2, 2020
    Sponsor
    Jiangsu HengRui Medicine Co., Ltd.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04414852
    Brief Title
    A Study to Evaluate the Pharmacokinetics of Apatinib in Subjects With Impaired Renal Function
    Official Title
    A Multi-center, Non-randomized, Open-label, Parallel Study to Evaluate the Pharmacokinetics of Apatinib Mesylate in Subjects With Impaired Renal Function and Healthy Subjects
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    June 2020
    Overall Recruitment Status
    Unknown status
    Study Start Date
    June 5, 2020 (Anticipated)
    Primary Completion Date
    January 15, 2021 (Anticipated)
    Study Completion Date
    April 30, 2021 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Jiangsu HengRui Medicine Co., Ltd.

    4. Oversight

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

    5. Study Description

    Brief Summary
    The primary objective of the study is to compare the pharmacokinetics of apatinib in subjects with impaired renal function and healthy subjects, to give dose recommendations for patients with impaired renal function.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Subjects With Impaired Renal Function and Healthy Subjects

    7. Study Design

    Primary Purpose
    Other
    Study Phase
    Phase 1
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    24 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    mild renal impairment
    Arm Type
    Experimental
    Arm Title
    moderate remal impairment
    Arm Type
    Experimental
    Arm Title
    normal renal impairment
    Arm Type
    Active Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    Apatinib Mesylate
    Intervention Description
    All the subjects will be administrated with 250mg apatinib on day 1
    Primary Outcome Measure Information:
    Title
    Cmax
    Description
    Maximum plasma concentration
    Time Frame
    0-96 hours
    Title
    AUC0-t
    Description
    Area under the plasma concentration versus time curve from zero to 96h
    Time Frame
    0-96 hours
    Title
    AUC0-∞
    Description
    Area under the plasma concentration versus time curve from zero to infinity
    Time Frame
    0-96 hours

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    70 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: for subjects with impaired renal function Able to comprehend and willing to sign an informed consent form (ICF) 18-70 years of age. 19 kg/m2<BMI <19-28 kg/m2 eGFR (MDRD equation) for mild impaired renal function: 60-89 mL/min/1.73 m2 eGFR (MDRD equation) for moderate impaired renal function: 30-59 mL/min/1.73 m2 In good health, except for kidney disease and complications, determined by no clinically significant findings from medical history, physical examination, 12-lead ECG; Agree to take approved method of contraception during the clinical trail and 8 weeks after the last dose of apatinib. Female subject should be negative in the pregnancy test; for healthy subjects: Able to comprehend and willing to sign an informed consent form (ICF) 18-70 years of age. 19 kg/m2<BMI <19-28 kg/m2 eGFR (MDRD equation) for mild impaired renal function: ≥90mL/min/1.73 m2 In good health, determined by no clinically significant findings from medical history, physical examination, 12-lead ECG; Agree to take approved method of contraception during the clinical trail and 8 weeks after the last dose of apatinib. Female subject should be negative in the pregnancy test; Exclusion Criteria: for subjects with renal impairment Renal allograft recipients; Need hemodialysis during study; Uroclepsia or anuria; Allergic to apatinib or ingredients; History of heart disease in 12 months before study; Coagulation disorders; Hypertension and could not be controlled with hypotensor; With hepatic or archenteric disease; Participate in blood donation within 3 months before screening and donate blood volume ≥400mL, or receive blood transfusion, or donate blood volume≥200mL within 1 month prior dosing. Take any clinical trial drugs within 3 months prior dosing; Take any drugs that have effect on gastric acid and metabolic enzyme CYP 3A in 14 days before dosing; Addicted to alcohol and tobacco, drinking 14 units of alcohol per week (1 unit = 285 mL of beer, or 100mL of wine), or take ≥5 cigarettes; Positive in urine drug test; Combined with other viral infections (anti-HCV, anti-HIV positive, HBsAg positive) or combined with syphilis infection; Anyone who refuse to stop ingesting drinks containing methylxanthine, or grapefruit or grapefruit-containing products from 48 hours before dosing to the end of the study; The investigator believes that the subjects are not eligible to participate in this trial. for healthy subjects: Renal allograft recipients; Allergic to apatinib or ingredients; History of heart disease in 12 months before study; Coagulation disorders; Hypertension and could not be controlled with hypotensor; With hepatic or archenteric disease; Participate in blood donation within 3 months before screening and donate blood volume ≥400mL, or receive blood transfusion, or donate blood volume≥200mL within 1 month prior dosing. Take any clinical trial drugs within 3 months prior dosing; Take any drugs that have effect on gastric acid and metabolic enzyme CYP 3A in 14 days before dosing; Addicted to alcohol and tobacco, drinking 14 units of alcohol per week (1 unit =285 mL of beer, or 100mL of wine), or take ≥5 cigarettes; Positive in urine drug test; Combined with other viral infections (anti-HCV, anti-HIV positive, HBsAg positive) or combined with syphilis infection; Anyone who refuse to stop ingesting drinks containing methylxanthine, or grapefruit or grapefruit-containing products from 48 hours before dosing to the end of the study; The investigator believes that the subjects are not eligible to participate in this trial.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Yuya Wang
    Phone
    13918749176
    Email
    wangyuya@hrglobe.cn

    12. IPD Sharing Statement

    Learn more about this trial

    A Study to Evaluate the Pharmacokinetics of Apatinib in Subjects With Impaired Renal Function

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