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Study of ALXN2050 in Participants With Renal Impairment

Primary Purpose

Renal Impairment, Healthy

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
ALXN2050
Sponsored by
Alexion
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Renal Impairment focused on measuring Factor D Inhibitor, Pharmacokinetics, Pharmacodynamics, Safety, ALXN2050

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Body weight must be at least 50.0 kilograms (kg) and body mass index (BMI) within the range of 18.0 - 40.0 kg/meter squared (m^2) (inclusive) at the time of signing the informed consent.
  2. Contraceptive use by men or women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
  3. Must agree to receive prophylactic antibiotics to mitigate the potential risk of meningococcal infection.

    Participants with Impaired Renal Function

  4. Aside from impaired renal function, sufficiently healthy for study participation based upon medical history, physical examination, neurological examination, laboratory tests, vital signs, and electrocardiograms (ECGs).
  5. A clinical diagnosis of impaired stable renal function.
  6. No clinically significant change in renal status at least 1 month prior to first dose of study intervention and is not currently or has not previously been on hemodialysis or did not have any history of peritoneal dialysis.
  7. Stable creatinine clearance.
  8. Must be on a stable medication regimen. Concomitant medications must be approved by Alexion unless presented in the list of common concurrent medications for participants with impaired renal function.

    Matched Healthy Control Participants with Normal Renal Function

  9. Must match the sex and the race (similar ratio of white and non-white) of participants with impaired renal function, and at screening, age must be within ± 10 years and BMI must be within ± 20% of the matching participants with impaired renal function
  10. Healthy as determined by medical evaluation, including medical history, physical examination, neurological examination, laboratory tests, vital signs, and ECGs, and who possess a baseline eGFR ≥ 90 mL/min/1.73 m^2, based on MDRD equation at screening.

Exclusion Criteria:

  1. History or presence of seizures, head injury, head trauma, or any other brain disorder.
  2. History of procedures that could alter absorption or excretion of orally administered drugs.
  3. History of meningococcal infection or a first-degree relative with a history of meningococcal infection.
  4. Body temperature ≥38.0°Celcius at screening or check-in or history of febrile illness or other evidence of infection, systemic or otherwise, within 14 days prior to the first dose of study intervention.
  5. Participants with CH50 results outside the reference ranges at screening, unless approved by Alexion
  6. Significant blood loss or donation of blood within 3 months prior to the first dose of study intervention, donation of plasma within 30 days prior to the first dose of study intervention, receipt of blood products within 6 months prior to first dose of study intervention, or receipt of a vaccine within 30 days prior to the first dose of study intervention.
  7. Current enrollment or past participation within the last 30 days (or 5 half-lives, whichever is longer) prior to the first dose of study intervention in the current clinical study or any other clinical study involving an investigational study intervention or any other type of medical research.
  8. History or presence of drug or alcohol abuse within 1 year prior to the first dose of study intervention, current tobacco user, or positive results for alcohol and/or drug screen at screening or check-in.
  9. Pregnant or lactating.
  10. Does not produce sufficient urine output to permit urine sampling at screening and/or check-in or has a history of urinary incontinence prior to check-in.
  11. History of kidney transplant or actively on a transplant waiting list prior to check-in.
  12. Any acute or chronic non-renal condition prior to check-in that would limit the participant's ability to complete or participate in this clinical study.

Sites / Locations

  • Clinical Trial Site
  • Clinical Trial Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Cohort 1: Severe Impaired Renal Function

Cohort 2: Moderate Impaired Renal Function

Cohort 3: Mild Impaired Renal Function

Cohort 4: Healthy Control

Arm Description

Participants will receive ALXN2050.

Participants will receive ALXN2050.

Participants will receive ALXN2050.

Participants will receive ALXN2050.

Outcomes

Primary Outcome Measures

Area Under The Concentration-time Curve From Time 0 To The 12-hour Time Point (AUC0-12) Of Plasma ALXN2050 After Steady-state
Area Under The Concentration-time Curve Calculated To The Last Observable Concentration At Time t (AUCt) Of Plasma ALXN2050 After Steady-state
Maximum (Peak) Steady-state Plasma Concentration (Cmax,ss) Of Plasma ALXN2050
Time To Reach Maximum (Peak) Plasma Concentration Following ALXN2050 Administration At Steady-state (Tmax,ss)

Secondary Outcome Measures

Change From Baseline In Complement Factor D Concentration At 24, 48, And 72 Hours Postdose
Change From Baseline In Plasma b Fragment Of Complement Factor B Concentration
Change From Baseline In Complement Alternative Pathway Activity
Number Of Participants Receiving ALXN2050 With Treatment-emergent Adverse Events

Full Information

First Posted
November 5, 2020
Last Updated
September 28, 2023
Sponsor
Alexion
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1. Study Identification

Unique Protocol Identification Number
NCT04623710
Brief Title
Study of ALXN2050 in Participants With Renal Impairment
Official Title
A Phase 1, Open-Label, Multiple-Dose, Parallel Study to Determine the Effect of Renal Impairment on the Pharmacokinetics, Pharmacodynamics, Safety, and Tolerability of ALXN2050 in Adult Participants
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Completed
Study Start Date
July 8, 2021 (Actual)
Primary Completion Date
February 18, 2022 (Actual)
Study Completion Date
March 21, 2022 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

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

5. Study Description

Brief Summary
This study will investigate the impact of impaired renal function on the plasma pharmacokinetics of ALXN2050 in order to provide dosing recommendations for future indications in individuals with impaired renal function.
Detailed Description
The study will initiate (Part 1) with participants with severe impaired renal function (Cohort 1) and their matched healthy control participants (Cohort 4). Following data review, the study may proceed (Part 2) with participants with moderate (Cohort 2) and mild (Cohort 3) impaired renal function if deemed necessary.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Renal Impairment, Healthy
Keywords
Factor D Inhibitor, Pharmacokinetics, Pharmacodynamics, Safety, ALXN2050

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Cohort 1: Severe Impaired Renal Function
Arm Type
Experimental
Arm Description
Participants will receive ALXN2050.
Arm Title
Cohort 2: Moderate Impaired Renal Function
Arm Type
Experimental
Arm Description
Participants will receive ALXN2050.
Arm Title
Cohort 3: Mild Impaired Renal Function
Arm Type
Experimental
Arm Description
Participants will receive ALXN2050.
Arm Title
Cohort 4: Healthy Control
Arm Type
Experimental
Arm Description
Participants will receive ALXN2050.
Intervention Type
Drug
Intervention Name(s)
ALXN2050
Other Intervention Name(s)
ACH-0145228 (formerly)
Intervention Description
ALXN2050 (120 milligrams) will be administered orally twice daily on Days 1 through 3, with an additional dose (120 milligrams) administered orally on the morning of Day 4.
Primary Outcome Measure Information:
Title
Area Under The Concentration-time Curve From Time 0 To The 12-hour Time Point (AUC0-12) Of Plasma ALXN2050 After Steady-state
Time Frame
Up to 72 hours postdose
Title
Area Under The Concentration-time Curve Calculated To The Last Observable Concentration At Time t (AUCt) Of Plasma ALXN2050 After Steady-state
Time Frame
Up to 72 hours postdose
Title
Maximum (Peak) Steady-state Plasma Concentration (Cmax,ss) Of Plasma ALXN2050
Time Frame
Up to 72 hours postdose
Title
Time To Reach Maximum (Peak) Plasma Concentration Following ALXN2050 Administration At Steady-state (Tmax,ss)
Time Frame
Up to 72 hours postdose
Secondary Outcome Measure Information:
Title
Change From Baseline In Complement Factor D Concentration At 24, 48, And 72 Hours Postdose
Time Frame
Baseline, 24, 48, and 72 hours postdose
Title
Change From Baseline In Plasma b Fragment Of Complement Factor B Concentration
Time Frame
Baseline, up to 72 hours postdose
Title
Change From Baseline In Complement Alternative Pathway Activity
Time Frame
Baseline, up to 72 hours postdose
Title
Number Of Participants Receiving ALXN2050 With Treatment-emergent Adverse Events
Time Frame
Day 1 (postdose) through follow-up (30 [+/- 2] days after last study drug administration)]

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Body weight must be at least 50.0 kilograms (kg) and body mass index (BMI) within the range of 18.0 - 40.0 kg/meter squared (m^2) (inclusive) at the time of signing the informed consent. Contraceptive use by men or women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. Must agree to receive prophylactic antibiotics to mitigate the potential risk of meningococcal infection. Participants with Impaired Renal Function Aside from impaired renal function, sufficiently healthy for study participation based upon medical history, physical examination, neurological examination, laboratory tests, vital signs, and electrocardiograms (ECGs). A clinical diagnosis of impaired stable renal function. No clinically significant change in renal status at least 1 month prior to first dose of study intervention and is not currently or has not previously been on hemodialysis or did not have any history of peritoneal dialysis. Stable creatinine clearance. Must be on a stable medication regimen. Concomitant medications must be approved by Alexion unless presented in the list of common concurrent medications for participants with impaired renal function. Matched Healthy Control Participants with Normal Renal Function Must match the sex and the race (similar ratio of white and non-white) of participants with impaired renal function, and at screening, age must be within ± 10 years and BMI must be within ± 20% of the matching participants with impaired renal function Healthy as determined by medical evaluation, including medical history, physical examination, neurological examination, laboratory tests, vital signs, and ECGs, and who possess a baseline eGFR ≥ 90 mL/min/1.73 m^2, based on MDRD equation at screening. Exclusion Criteria: History or presence of seizures, head injury, head trauma, or any other brain disorder. History of procedures that could alter absorption or excretion of orally administered drugs. History of meningococcal infection or a first-degree relative with a history of meningococcal infection. Body temperature ≥38.0°Celcius at screening or check-in or history of febrile illness or other evidence of infection, systemic or otherwise, within 14 days prior to the first dose of study intervention. Participants with CH50 results outside the reference ranges at screening, unless approved by Alexion Significant blood loss or donation of blood within 3 months prior to the first dose of study intervention, donation of plasma within 30 days prior to the first dose of study intervention, receipt of blood products within 6 months prior to first dose of study intervention, or receipt of a vaccine within 30 days prior to the first dose of study intervention. Current enrollment or past participation within the last 30 days (or 5 half-lives, whichever is longer) prior to the first dose of study intervention in the current clinical study or any other clinical study involving an investigational study intervention or any other type of medical research. History or presence of drug or alcohol abuse within 1 year prior to the first dose of study intervention, current tobacco user, or positive results for alcohol and/or drug screen at screening or check-in. Pregnant or lactating. Does not produce sufficient urine output to permit urine sampling at screening and/or check-in or has a history of urinary incontinence prior to check-in. History of kidney transplant or actively on a transplant waiting list prior to check-in. Any acute or chronic non-renal condition prior to check-in that would limit the participant's ability to complete or participate in this clinical study.
Facility Information:
Facility Name
Clinical Trial Site
City
Hialeah
State/Province
Florida
ZIP/Postal Code
33014
Country
United States
Facility Name
Clinical Trial Site
City
Orlando
State/Province
Florida
ZIP/Postal Code
32809
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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Study of ALXN2050 in Participants With Renal Impairment

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