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A Study to Evaluate Pharmacokinetics and Safety of Tegoprazan in Subjects With Hepatic Impairment and Healthy Controls

Primary Purpose

Hepatic Impairment, Healthy

Status
Recruiting
Phase
Phase 1
Locations
Korea, Republic of
Study Type
Interventional
Intervention
Tegoprazan 50mg
Sponsored by
HK inno.N Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatic Impairment

Eligibility Criteria

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

[Healthy Control Group]

Inclusion Criteria:

  • Subjects aged 19 to 70(inclusive) years at the time of signing the informed consent form.
  • Subjects with a body weight of ≥ 50 kg and ≤ 90 kg at screening.
  • Subjects with AST, ALT, and ALP levels of ≤ 1.5 × upper limit of the normal reference range (ULN) with total bilirubin < 2 mg/dL and PT (INR) < 1.7 at screening.
  • Subjects who have no chronic disease or any congenital disease within the last 5 years and no pathological symptoms or findings as a result of an internal examination
  • Subjects who provide voluntary written informed consent to study participation after being informed of detailed explanation and fully understanding study objectives, procedures and characteristics of the investigational product(IP).

Exclusion Criteria:

  • Subjects who show symptoms of acute disease at the time of screening.
  • Subjects with any clinically significant disease related to ongoing cardiovascular problem, respiratory system, kidney, endocrine system, hematologic, central nervous system, mental health disorder, or malignant tumor.
  • Subjects with history or current evidence of gastrointestinal or hepatobiliary disease which may affect PK evaluation of the IP.
  • Subjects with history or current evidence of clinically significant hypersensitivity to drugs containing any ingredient of proton pump inhibitors or potassium-competitive acid blockers and other drugs (such as aspirin and antibiotics).
  • Subjects with systolic blood pressure (BP) of < 90 mmHg or > 160 mmHg, or diastolic BP of < 50 mmHg or > 100 mmHg at screening.
  • Subjects who have received medication or food which may significantly affect absorption, distribution, metabolism, or elimination of study drug within 7 days prior to scheduled study treatment.
  • Subjects who have participated in any other clinical study or bioequivalence study and received investigational agent within 180 days prior to scheduled study treatment.
  • Subjects who have donated whole blood within 60 days prior to the scheduled study treatment, or has donated blood components or received transfusion within 30 days prior to scheduled study treatment.
  • Subjects who are unable to use a medically acceptable contraceptive method throughout the study.
  • Subjects who are determined ineligible for study participation by the investigator for other reasons.

[Subjects with Hepatic Impairment]

Inclusion Criteria:

  • Subjects with chronic liver disease who meet any of the followings:

    • Chronic Hepatitis B;
    • Chronic Hepatitis C;
    • Alcoholic liver disease;
    • Non-alcoholic fatty liver disease; or
    • Liver fibrosis and cirrhosis.
  • Subjects aged 19 to 70 years (inclusive) at the time of signing the informed consent form.
  • Subjects with body weight of ≥ 50 kg and ≤ 90 kg with a BMI of ≥ 18.0 kg/m2 and ≤ 30 kg/m2 at screening.
  • Subjects who meet any of following criteria:

    • AST, ALT, or ALP level > 1.5 × ULN at screening;
    • Total bilirubin ≥ 2 mg/dL at screening; or
    • PT (INR) ≥ 1.7 at screening.
  • Subjects who provide voluntary written informed consent to study participation after being informed of detailed explanation and fully understanding study objectives, procedures and characteristics of the IP.

Exclusion Criteria:

  • Subjects who show symptoms of acute disease at the time of screening.
  • Subjects with any clinically significant disease related to ongoing cardiovascular problem, respiratory system, kidney, endocrine system, hematologic, central nervous system, mental health disorder, or malignant tumor.
  • Subjects with a history or current evidence of gastrointestinal disease which may affect PK evaluation for the IP.
  • Subjects who have clinical changes to an estimated level that may affect PK evaluation of the study drug within 30 days prior to the scheduled dosing date.
  • Changes in existing medications including dosage regimen within 30 days prior to the scheduled dosing date.
  • Subjects with prior history or current evidence of clinically significant hypersensitivity to drugs containing any ingredient of proton pump inhibitors or potassium-competitive acid blockers and other drugs (such as aspirin and antibiotics).
  • Systolic BP of < 90 mmHg or > 160 mmHg, or diastolic BP of < 50 mmHg or > 100 mmHg at screening.
  • Any concomitant medications or foods which may significantly affect absorption, distribution, metabolism, or elimination of the study drug within 7 days prior to the scheduled dosing date.
  • Subjects who have participated in any other clinical study or bioequivalence study and received investigational agent within 180 days prior to scheduled study treatment.
  • Subjects who have donated whole blood within 60 days prior to the scheduled dosing date, or have donated blood components or received transfusion within 30 days prior to the scheduled dosing date.
  • Subjects who are unable to use medically acceptable contraceptive methods throughout the study.
  • Subjects who are determined to be ineligible for study participation by the investigator for other reasons.

Sites / Locations

  • Gachon University Gil Medical CenterRecruiting
  • CHA Bundang Medical CenterRecruiting
  • Samsung Medical CenterRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Active Comparator

Experimental

Experimental

Experimental

Arm Label

Subjects with normal hepatic function

Subjects with mild hepatic impairment

Subjects with moderate hepatic impairment

Subjects with severe hepatic impairment

Arm Description

Single dose of Tegoprazan 50mg

Single dose of Tegoprazan 50mg

Single dose of Tegoprazan 50mg

Single dose of Tegoprazan 50mg

Outcomes

Primary Outcome Measures

Pharmacokinetic Assessment
AUClast of tegoprazan and M1
Pharmacokinetic Assessment
Cmax of tegoprazan and M1

Secondary Outcome Measures

Pharmacokinetic Assessment
CL/F of tegoprazan
Pharmacokinetic Assessment
t½ of tegoprazan
Pharmacokinetic Assessment
AUCinf of tegoprazan
Pharmacokinetic Assessment
fu of tegoprazan
Pharmacokinetic Assessment
CLrenal of tegoprazan and M1
Pharmacokinetic Assessment
Ae of tegoprazan and M1

Full Information

First Posted
July 28, 2020
Last Updated
November 5, 2020
Sponsor
HK inno.N Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT04494269
Brief Title
A Study to Evaluate Pharmacokinetics and Safety of Tegoprazan in Subjects With Hepatic Impairment and Healthy Controls
Official Title
An Open-label, Multi-center, Single-dose, Parallel-group Study to Evaluate Pharmacokinetics and Safety of Tegoprazan in Subjects With Hepatic Impairment and Healthy Controls
Study Type
Interventional

2. Study Status

Record Verification Date
July 2020
Overall Recruitment Status
Recruiting
Study Start Date
September 8, 2020 (Actual)
Primary Completion Date
June 2023 (Anticipated)
Study Completion Date
December 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
HK inno.N Corporation

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 main purpose of this study is to compare the pharmacokinetic and safety of tegoprazan following single oral dose in subjects with hepatic impairment versus healthy control.
Detailed Description
[Pharmacokinetic Assessment] Measurements - Tegoprazan and desmethyl tegoprazan (M1) in blood and urine Endpoints Primary endpoints: AUClast and Cmax of tegoprazan and M1 Secondary endpoints: CL/F, t1/2, AUCinf, and fu of tegoprazan; CLrenal and Ae of tegoprazan and M1 [Safety Assessment] Adverse events (AEs) Clinical laboratory tests Vital sign Physical examination Electrocardiogram (ECG)

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Subjects with normal hepatic function
Arm Type
Active Comparator
Arm Description
Single dose of Tegoprazan 50mg
Arm Title
Subjects with mild hepatic impairment
Arm Type
Experimental
Arm Description
Single dose of Tegoprazan 50mg
Arm Title
Subjects with moderate hepatic impairment
Arm Type
Experimental
Arm Description
Single dose of Tegoprazan 50mg
Arm Title
Subjects with severe hepatic impairment
Arm Type
Experimental
Arm Description
Single dose of Tegoprazan 50mg
Intervention Type
Drug
Intervention Name(s)
Tegoprazan 50mg
Other Intervention Name(s)
K-CAB
Intervention Description
Oral administration once daily
Primary Outcome Measure Information:
Title
Pharmacokinetic Assessment
Description
AUClast of tegoprazan and M1
Time Frame
Up to 48 hours
Title
Pharmacokinetic Assessment
Description
Cmax of tegoprazan and M1
Time Frame
Up to 48 hours
Secondary Outcome Measure Information:
Title
Pharmacokinetic Assessment
Description
CL/F of tegoprazan
Time Frame
Up to 48 hours
Title
Pharmacokinetic Assessment
Description
t½ of tegoprazan
Time Frame
Up to 48 hours
Title
Pharmacokinetic Assessment
Description
AUCinf of tegoprazan
Time Frame
Up to 48 hours
Title
Pharmacokinetic Assessment
Description
fu of tegoprazan
Time Frame
Up to 48 hours
Title
Pharmacokinetic Assessment
Description
CLrenal of tegoprazan and M1
Time Frame
Up to 48 hours
Title
Pharmacokinetic Assessment
Description
Ae of tegoprazan and M1
Time Frame
Up to 48 hours

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
[Healthy Control Group] Inclusion Criteria: Subjects aged 19 to 70(inclusive) years at the time of signing the informed consent form. Subjects with a body weight of ≥ 50 kg and ≤ 90 kg at screening. Subjects with AST, ALT, and ALP levels of ≤ 1.5 × upper limit of the normal reference range (ULN) with total bilirubin < 2 mg/dL and PT (INR) < 1.7 at screening. Subjects who have no chronic disease or any congenital disease within the last 5 years and no pathological symptoms or findings as a result of an internal examination Subjects who provide voluntary written informed consent to study participation after being informed of detailed explanation and fully understanding study objectives, procedures and characteristics of the investigational product(IP). Exclusion Criteria: Subjects who show symptoms of acute disease at the time of screening. Subjects with any clinically significant disease related to ongoing cardiovascular problem, respiratory system, kidney, endocrine system, hematologic, central nervous system, mental health disorder, or malignant tumor. Subjects with history or current evidence of gastrointestinal or hepatobiliary disease which may affect PK evaluation of the IP. Subjects with history or current evidence of clinically significant hypersensitivity to drugs containing any ingredient of proton pump inhibitors or potassium-competitive acid blockers and other drugs (such as aspirin and antibiotics). Subjects with systolic blood pressure (BP) of < 90 mmHg or > 160 mmHg, or diastolic BP of < 50 mmHg or > 100 mmHg at screening. Subjects who have received medication or food which may significantly affect absorption, distribution, metabolism, or elimination of study drug within 7 days prior to scheduled study treatment. Subjects who have participated in any other clinical study or bioequivalence study and received investigational agent within 180 days prior to scheduled study treatment. Subjects who have donated whole blood within 60 days prior to the scheduled study treatment, or has donated blood components or received transfusion within 30 days prior to scheduled study treatment. Subjects who are unable to use a medically acceptable contraceptive method throughout the study. Subjects who are determined ineligible for study participation by the investigator for other reasons. [Subjects with Hepatic Impairment] Inclusion Criteria: Subjects with chronic liver disease who meet any of the followings: Chronic Hepatitis B; Chronic Hepatitis C; Alcoholic liver disease; Non-alcoholic fatty liver disease; or Liver fibrosis and cirrhosis. Subjects aged 19 to 70 years (inclusive) at the time of signing the informed consent form. Subjects with body weight of ≥ 50 kg and ≤ 90 kg with a BMI of ≥ 18.0 kg/m2 and ≤ 30 kg/m2 at screening. Subjects who meet any of following criteria: AST, ALT, or ALP level > 1.5 × ULN at screening; Total bilirubin ≥ 2 mg/dL at screening; or PT (INR) ≥ 1.7 at screening. Subjects who provide voluntary written informed consent to study participation after being informed of detailed explanation and fully understanding study objectives, procedures and characteristics of the IP. Exclusion Criteria: Subjects who show symptoms of acute disease at the time of screening. Subjects with any clinically significant disease related to ongoing cardiovascular problem, respiratory system, kidney, endocrine system, hematologic, central nervous system, mental health disorder, or malignant tumor. Subjects with a history or current evidence of gastrointestinal disease which may affect PK evaluation for the IP. Subjects who have clinical changes to an estimated level that may affect PK evaluation of the study drug within 30 days prior to the scheduled dosing date. Changes in existing medications including dosage regimen within 30 days prior to the scheduled dosing date. Subjects with prior history or current evidence of clinically significant hypersensitivity to drugs containing any ingredient of proton pump inhibitors or potassium-competitive acid blockers and other drugs (such as aspirin and antibiotics). Systolic BP of < 90 mmHg or > 160 mmHg, or diastolic BP of < 50 mmHg or > 100 mmHg at screening. Any concomitant medications or foods which may significantly affect absorption, distribution, metabolism, or elimination of the study drug within 7 days prior to the scheduled dosing date. Subjects who have participated in any other clinical study or bioequivalence study and received investigational agent within 180 days prior to scheduled study treatment. Subjects who have donated whole blood within 60 days prior to the scheduled dosing date, or have donated blood components or received transfusion within 30 days prior to the scheduled dosing date. Subjects who are unable to use medically acceptable contraceptive methods throughout the study. Subjects who are determined to be ineligible for study participation by the investigator for other reasons.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Youngshin Keum, R.Ph, Pharm.D
Phone
+82-2-6477-0204
Email
ys.keum@inno-n.com
First Name & Middle Initial & Last Name or Official Title & Degree
Seokuee Kim, MD, PhD
Phone
+82-2-6477-0207
Email
seokuee.kim@inno-n.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jung-Ryul Kim, MD, PhD
Organizational Affiliation
Samsung Medical Center
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Yang-Won Min, MD, PhD
Organizational Affiliation
Samsung Medical Center
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dong-Seong Shin, MD, PhD
Organizational Affiliation
Gachon University Gil Medical Center
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Eon-Hye Kim, MD, PhD
Organizational Affiliation
CHA Bundang Medical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Gachon University Gil Medical Center
City
Incheon
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
CHA Bundang Medical Center
City
Seongnam-si
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Name
Samsung Medical Center
City
Seoul
Country
Korea, Republic of
Individual Site Status
Recruiting

12. IPD Sharing Statement

Learn more about this trial

A Study to Evaluate Pharmacokinetics and Safety of Tegoprazan in Subjects With Hepatic Impairment and Healthy Controls

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