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Effect of Hepatic Impairment on M2951 (BTK Inhibitor) PK

Primary Purpose

Hepatic Impairment

Status
Completed
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
M2951 (BTK inhibitor)
Sponsored by
Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatic Impairment focused on measuring Hepatic Impairment, Pharmacokinetics

Eligibility Criteria

18 Years - 79 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Participants with normal hepatic function only will be overtly healthy as determined by medical evaluation, including no clinically significant abnormality identified on physical examination or laboratory evaluation and no active clinically significant disorder, condition, infection or disease that would pose a risk to participant safety or interfere with the study evaluation, procedures, or completion OR
  • Participants with moderately impaired hepatic function only will be considered to have moderately (Child-Pugh class B and confirmed liver cirrhosis) impaired hepatic function and has been clinically stable for at least 1 month prior to Screening OR
  • Participants with mildly impaired hepatic function only will be considered to have mildly (Child-Pugh class A and confirmed liver cirrhosis) impaired hepatic function and has been clinically stable for at least 1 month prior to Screening
  • Have a body weight within 50.0 and 120.0 kilogram (kg) and body mass index (BMI) within the range 19.0 and 36.0 kilogram per square meter (kg/m^2)
  • Female participants are not pregnant or breastfeeding, and at least one of the following conditions applies
  • Not a woman of childbearing potential (WOCBP)
  • Other protocol defined inclusion criteria could apply

Exclusion Criteria:

  • Clinical history of autoimmune disorder with hepatic influence (Hashimoto thyroiditis and rheumatic diseases allowed)
  • History of any malignancy
  • Diseases and surgeries of the gastrointestinal tract, which could influence the gastrointestinal anatomy and mobility. Prior history of cholecystectomy or inflammatory bowel disease, and any clinically relevant surgery within 6 months prior to Screening
  • History of chronic or recurrent acute infection or any bacterial, viral, parasitic or fungal infections within 30 days prior to Screening and at any time between Screening and admission, or hospitalization due to infection within 6 months prior to Screening
  • History of shingles within 12 months prior to Screening
  • History of drug hypersensitivity, ascertained or presumptive allergy/hypersensitivity to the active drug substance and/or formulation ingredients; history of serious allergic reactions leading to hospitalization or any other hypersensitivity reaction in general, which may affect the safety of the participant and/or outcome of the trial per the Investigator's discretion
  • Participants with impaired hepatic function will be excluded who had Primary and secondary biliary cirrhosis.
  • Participants with impaired hepatic function will be excluded with Clinical evidence of severe ascites.
  • Participants with impaired hepatic function will be excluded with Hepatic encephalopathy Grade greater than 1
  • Other protocol defined exclusion criteria could apply

Sites / Locations

  • CRS Clinical Research Services Kiel GmbH

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Group 1: Normal Hepatic Function

Group 2: Mild Hepatic Impairment

Group 3: Moderate Hepatic Impairment

Arm Description

Healthy participants who have normal hepatic function with sex, age (± 10 years; >= 18 years old and =< 79 years old), and weight (± 10 percent; >= 50 kilogram (kg) and =< 120 kg) matching with the mild and moderate hepatic impairment cohorts will receive single oral dose of M2951 (BTK inhibitor).

Participants with mild hepatic impairment based on Child-Pugh Class A score of 5 or 6 will receive single oral dose of M2951 (BTK inhibitor).

Participants with moderate hepatic impairment based on Child-Pugh Class B score of 7 to 9 will receive single oral dose of M2951 (BTK inhibitor).

Outcomes

Primary Outcome Measures

Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC 0-inf) of M2951 (BTK inhibitor)
Maximum Observed Plasma Concentration (Cmax) of M2951 (BTK inhibitor)

Secondary Outcome Measures

Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
Number of Participants With Clinically Significant Change From Baseline in Vital Signs, Laboratory Parameters and Electrocardiogram Findings
Number of participants with clinically significant change from baseline in vital signs, laboratory parameters and electrocardiogram findings will be reported.
Time to Reach Maximum Plasma Concentration (Tmax) of M2951 (BTK inhibitor)
Apparent Elimination Half Life (t1/2) of M2951 (BTK inhibitor)
Area Under The Plasma Concentration-Time Curve From Time Zero to Time 12 Hours After M2951 (BTK inhibitor) Administration (AUC0-12)
Area Under the Plasma Concentration-Time Curve From Time Zero to Time 24 Hours After M2951(BTK inhibitor) Administration (AUC0-24)
Area Under the Plasma Concentration-Time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUC0-t) of M2951 (BTK inhibitor)
Apparent Total Body Clearance (CL/f) of M2951 (BTK inhibitor)
Apparent Volume of Distribution During Terminal Phase (VZ/f) of M2951 (BTK inhibitor)
Fraction of Unbound Drug (M2951 [BTK inhibitor]) in the Plasma (fu)
Area Under Plasma Concentration for Unbound Drug (M2951 [BTK inhibitor]) From Time Zero to Infinity (AUC0-inf-u)
Maximum Observed Plasma Concentration of Unbound M2951 (BTK inhibitor) (Cmax, u)
Apparent Oral Clearance (CL,u/F) of Unbound M2951 (BTK inhibitor)

Full Information

First Posted
September 10, 2020
Last Updated
July 9, 2021
Sponsor
Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany
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1. Study Identification

Unique Protocol Identification Number
NCT04546789
Brief Title
Effect of Hepatic Impairment on M2951 (BTK Inhibitor) PK
Official Title
Phase I Open-label, Single Dose Study to Investigate the Effect of Hepatic Impairment on the PK of Evobrutinib (M2951)
Study Type
Interventional

2. Study Status

Record Verification Date
July 2021
Overall Recruitment Status
Completed
Study Start Date
September 30, 2020 (Actual)
Primary Completion Date
May 16, 2021 (Actual)
Study Completion Date
May 16, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany

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 to investigate the pharmacokinetic (PK) and safety of M2951 (Bruton's tyrosine kinase [BTK] inhibitor) in participants with different degrees of hepatic impairment compared to participants with normal hepatic function.

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Group 1: Normal Hepatic Function
Arm Type
Experimental
Arm Description
Healthy participants who have normal hepatic function with sex, age (± 10 years; >= 18 years old and =< 79 years old), and weight (± 10 percent; >= 50 kilogram (kg) and =< 120 kg) matching with the mild and moderate hepatic impairment cohorts will receive single oral dose of M2951 (BTK inhibitor).
Arm Title
Group 2: Mild Hepatic Impairment
Arm Type
Experimental
Arm Description
Participants with mild hepatic impairment based on Child-Pugh Class A score of 5 or 6 will receive single oral dose of M2951 (BTK inhibitor).
Arm Title
Group 3: Moderate Hepatic Impairment
Arm Type
Experimental
Arm Description
Participants with moderate hepatic impairment based on Child-Pugh Class B score of 7 to 9 will receive single oral dose of M2951 (BTK inhibitor).
Intervention Type
Drug
Intervention Name(s)
M2951 (BTK inhibitor)
Other Intervention Name(s)
Evobrutinib
Intervention Description
Participants will receive a single oral dose of M2951 (BTK inhibitor).
Primary Outcome Measure Information:
Title
Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC 0-inf) of M2951 (BTK inhibitor)
Time Frame
Pre-dose up to 32 hours post-dose
Title
Maximum Observed Plasma Concentration (Cmax) of M2951 (BTK inhibitor)
Time Frame
Pre-dose up to 32 hours post-dose
Secondary Outcome Measure Information:
Title
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
Time Frame
Day 1 up to Day 6
Title
Number of Participants With Clinically Significant Change From Baseline in Vital Signs, Laboratory Parameters and Electrocardiogram Findings
Description
Number of participants with clinically significant change from baseline in vital signs, laboratory parameters and electrocardiogram findings will be reported.
Time Frame
Day 1 up to Day 6
Title
Time to Reach Maximum Plasma Concentration (Tmax) of M2951 (BTK inhibitor)
Time Frame
Pre-dose up to 32 hours post-dose
Title
Apparent Elimination Half Life (t1/2) of M2951 (BTK inhibitor)
Time Frame
Pre-dose up to 32 hours post-dose
Title
Area Under The Plasma Concentration-Time Curve From Time Zero to Time 12 Hours After M2951 (BTK inhibitor) Administration (AUC0-12)
Time Frame
Pre-dose up to 12 hours
Title
Area Under the Plasma Concentration-Time Curve From Time Zero to Time 24 Hours After M2951(BTK inhibitor) Administration (AUC0-24)
Time Frame
Pre-dose up to 24 hours post-dose
Title
Area Under the Plasma Concentration-Time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUC0-t) of M2951 (BTK inhibitor)
Time Frame
Pre-dose up to 32 hours post-dose
Title
Apparent Total Body Clearance (CL/f) of M2951 (BTK inhibitor)
Time Frame
Pre-dose up to 32 hours post-dose
Title
Apparent Volume of Distribution During Terminal Phase (VZ/f) of M2951 (BTK inhibitor)
Time Frame
Pre-dose up to 32 hours post-dose
Title
Fraction of Unbound Drug (M2951 [BTK inhibitor]) in the Plasma (fu)
Time Frame
Pre-dose up to 32 hours post-dose
Title
Area Under Plasma Concentration for Unbound Drug (M2951 [BTK inhibitor]) From Time Zero to Infinity (AUC0-inf-u)
Time Frame
Pre-dose up to 32 hours post-dose
Title
Maximum Observed Plasma Concentration of Unbound M2951 (BTK inhibitor) (Cmax, u)
Time Frame
Pre-dose up to 32 hours post-dose
Title
Apparent Oral Clearance (CL,u/F) of Unbound M2951 (BTK inhibitor)
Time Frame
Pre-dose up to 32 hours post-dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
79 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Participants with normal hepatic function only will be overtly healthy as determined by medical evaluation, including no clinically significant abnormality identified on physical examination or laboratory evaluation and no active clinically significant disorder, condition, infection or disease that would pose a risk to participant safety or interfere with the study evaluation, procedures, or completion OR Participants with moderately impaired hepatic function only will be considered to have moderately (Child-Pugh class B and confirmed liver cirrhosis) impaired hepatic function and has been clinically stable for at least 1 month prior to Screening OR Participants with mildly impaired hepatic function only will be considered to have mildly (Child-Pugh class A and confirmed liver cirrhosis) impaired hepatic function and has been clinically stable for at least 1 month prior to Screening Have a body weight within 50.0 and 120.0 kilogram (kg) and body mass index (BMI) within the range 19.0 and 36.0 kilogram per square meter (kg/m^2) Female participants are not pregnant or breastfeeding, and at least one of the following conditions applies Not a woman of childbearing potential (WOCBP) Other protocol defined inclusion criteria could apply Exclusion Criteria: Clinical history of autoimmune disorder with hepatic influence (Hashimoto thyroiditis and rheumatic diseases allowed) History of any malignancy Diseases and surgeries of the gastrointestinal tract, which could influence the gastrointestinal anatomy and mobility. Prior history of cholecystectomy or inflammatory bowel disease, and any clinically relevant surgery within 6 months prior to Screening History of chronic or recurrent acute infection or any bacterial, viral, parasitic or fungal infections within 30 days prior to Screening and at any time between Screening and admission, or hospitalization due to infection within 6 months prior to Screening History of shingles within 12 months prior to Screening History of drug hypersensitivity, ascertained or presumptive allergy/hypersensitivity to the active drug substance and/or formulation ingredients; history of serious allergic reactions leading to hospitalization or any other hypersensitivity reaction in general, which may affect the safety of the participant and/or outcome of the trial per the Investigator's discretion Participants with impaired hepatic function will be excluded who had Primary and secondary biliary cirrhosis. Participants with impaired hepatic function will be excluded with Clinical evidence of severe ascites. Participants with impaired hepatic function will be excluded with Hepatic encephalopathy Grade greater than 1 Other protocol defined exclusion criteria could apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Responsible
Organizational Affiliation
Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany
Official's Role
Study Director
Facility Information:
Facility Name
CRS Clinical Research Services Kiel GmbH
City
Kiel
Country
Germany

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
Per company policy, following approval of a new product or a new indication for an approved product in both the EU and the US, Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany, will share study protocols, anonymized patient level and study level data and redacted clinical study reports from clinical trials in patients with qualified scientific and medical researchers, upon request, as necessary for conducting legitimate research. Further information on how to request data can be found on our website https://www.merckgroup.com/en/research/our-approach-to-research-and-development/healthcare/clinical-trials/commitment-responsible-data-sharing.html
Links:
URL
https://clinicaltrials.emdgroup.com/en/trial-details/?id=MS200527_0059
Description
Trial Awareness and Transparency website

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Effect of Hepatic Impairment on M2951 (BTK Inhibitor) PK

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