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Study of Danicopan in Participants With Normal Kidney Function and Participants With Kidney Dysfunction

Primary Purpose

Healthy, Renal Dysfunction

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

About this trial

This is an interventional basic science trial for Healthy focused on measuring Danicopan, ALXN2040, ACH-0144471, Renal Impairment, Pharmacokinetics, Pharmacodynamics, Factor D Inhibitor, Safety

Eligibility Criteria

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

Key Inclusion Criteria:

  • Body mass index (BMI) in the range of 18.0 to 40.0 kilograms (kg)/meter squared, inclusive, with a minimum body weight of 50 kg at screening.
  • Stable creatinine clearance.

Participants with RI must have met the following additional criteria to be enrolled in this study

  • A stable medication regimen was required. Concomitant medications must have been approved by the Sponsor and Investigator (or designee) or pre-specified in the protocol.
  • Abnormal laboratory values must not have been clinically relevant at screening or check-in.
  • Participants were in good general health at screening and check-in, allowing for the concurrent illnesses associated with chronic kidney disease.
  • Stable severe RI.

Healthy matched control participants with normal renal function must have met the following additional criteria to be enrolled in this study

  • In good health, determined by no clinically significant findings from medical history, physical examination, 12-lead electrocardiogram, and vital sign measurements at screening or check-in, as determined by the Investigator (or designee).
  • Participants had normal renal function.
  • Participants must have been demographically matched to a renally impaired participant by age (± 10 years), sex, and BMI (± 20%) at screening.

Key Exclusion Criteria:

  • History of any medical or psychiatric condition or disease (aside from RI for RI participants) that might have limited the participant's ability to complete or participate in this clinical study, confound the results of the study, or pose an additional risk to the participant by their participation in the study.
  • History of procedures that could alter absorption or excretion of orally administered drugs.
  • Body temperature ≥ 38°Celsius on Day - 1 or Day 1 predose; history of febrile illness, or other evidence of infection, within 14 days prior to study drug administration.
  • History or presence of drug or alcohol abuse within previous year; current tobacco/nicotine user; positive for alcohol and/or drug screen at screening.
  • Participation in any other investigational study drug trial in which receipt of an investigational study drug occurred within 5 half-lives (if known) or 30 days prior to check-in, whichever was longer.
  • For matched control participants, use of any prescription medications/products within 14 days prior to check-in and use of any over-the-counter, nonprescription preparations within 7 days prior to check-in, unless deemed acceptable by the Investigator (or designee).
  • Donation of whole blood from 3 months prior to study drug administration, or of plasma from 30 days prior to study drug administration; receipt of blood products within 6 months prior to check-in.
  • Participant required dialysis within the last 3 months prior to check-in.
  • Participant did not produce sufficient urine output to permit urine sampling at screening and/or check-in; 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 have limited the participant's ability to complete or participate in this clinical study.
  • Any major surgery within 4 weeks of study drug administration.

Sites / Locations

  • Clinical Trial Site
  • Clinical Trial Site
  • Clinical Trial Site
  • Clinical Trial Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Group 1: Matched Control Group Of Healthy Participants

Group 2: Severe RI And Not On Dialysis

Arm Description

Participants received a single 200-milligram (mg) treatment on Day 1.

Participants received a single 200-mg treatment on Day 1.

Outcomes

Primary Outcome Measures

Participants With Treatment-emergent Adverse Events

Secondary Outcome Measures

Area Under The Plasma Concentration-time Curve Extrapolated To Infinity (AUC0-inf) Of Danicopan
Maximum Observed Plasma Concentration (Cmax) Of Danicopan
Time To Reach The Maximum Observed Plasma Concentration (Tmax) Of Danicopan
Alternative Pathway Activity As Measured By Wieslab Assay
Change From Baseline In Plasma Bb Fragment Of Complement Factor B Concentration
Change From Baseline In Complement Factor D Concentration

Full Information

First Posted
June 21, 2021
Last Updated
June 21, 2021
Sponsor
Alexion
Collaborators
Achillion, a wholly owned subsidiary of Alexion
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1. Study Identification

Unique Protocol Identification Number
NCT04935294
Brief Title
Study of Danicopan in Participants With Normal Kidney Function and Participants With Kidney Dysfunction
Official Title
A Phase I, Open-Label, Parallel Group Study To Evaluate ACH-0144471 Safety, Tolerability, And Pharmacokinetics In Subjects With Normal Renal Function And Subjects With Renal Dysfunction
Study Type
Interventional

2. Study Status

Record Verification Date
June 2021
Overall Recruitment Status
Completed
Study Start Date
January 24, 2018 (Actual)
Primary Completion Date
May 29, 2018 (Actual)
Study Completion Date
May 29, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Alexion
Collaborators
Achillion, a wholly owned subsidiary of Alexion

4. Oversight

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

5. Study Description

Brief Summary
This was an open-label, nonrandomized, multi-center, single-dose, parallel group study to evaluate the effect of severe renal impairment (RI) on the safety, tolerability, pharmacokinetics, and pharmacodynamics of danicopan (ACH-0144471) compared to demographically-matched healthy participants with normal renal function.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Healthy, Renal Dysfunction
Keywords
Danicopan, ALXN2040, ACH-0144471, Renal Impairment, Pharmacokinetics, Pharmacodynamics, Factor D Inhibitor, Safety

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Group 1: Matched Control Group Of Healthy Participants
Arm Type
Experimental
Arm Description
Participants received a single 200-milligram (mg) treatment on Day 1.
Arm Title
Group 2: Severe RI And Not On Dialysis
Arm Type
Experimental
Arm Description
Participants received a single 200-mg treatment on Day 1.
Intervention Type
Drug
Intervention Name(s)
Danicopan
Other Intervention Name(s)
ALXN2040, ACH-0144471 (formerly), ACH-4471, ACH4471, 4471
Intervention Description
Oral tablet.
Primary Outcome Measure Information:
Title
Participants With Treatment-emergent Adverse Events
Time Frame
Day 1 through Day 10 (+/- 2 days)
Secondary Outcome Measure Information:
Title
Area Under The Plasma Concentration-time Curve Extrapolated To Infinity (AUC0-inf) Of Danicopan
Time Frame
Up to 72 hours postdose
Title
Maximum Observed Plasma Concentration (Cmax) Of Danicopan
Time Frame
Up to 72 hours postdose
Title
Time To Reach The Maximum Observed Plasma Concentration (Tmax) Of Danicopan
Time Frame
Up to 72 hours postdose
Title
Alternative Pathway Activity As Measured By Wieslab Assay
Time Frame
Up to 72 hours postdose
Title
Change From Baseline In Plasma Bb Fragment Of Complement Factor B Concentration
Time Frame
Baseline, Up to 72 hours postdose
Title
Change From Baseline In Complement Factor D Concentration
Time Frame
Baseline, Up to 72 hours postdose

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
Key Inclusion Criteria: Body mass index (BMI) in the range of 18.0 to 40.0 kilograms (kg)/meter squared, inclusive, with a minimum body weight of 50 kg at screening. Stable creatinine clearance. Participants with RI must have met the following additional criteria to be enrolled in this study A stable medication regimen was required. Concomitant medications must have been approved by the Sponsor and Investigator (or designee) or pre-specified in the protocol. Abnormal laboratory values must not have been clinically relevant at screening or check-in. Participants were in good general health at screening and check-in, allowing for the concurrent illnesses associated with chronic kidney disease. Stable severe RI. Healthy matched control participants with normal renal function must have met the following additional criteria to be enrolled in this study In good health, determined by no clinically significant findings from medical history, physical examination, 12-lead electrocardiogram, and vital sign measurements at screening or check-in, as determined by the Investigator (or designee). Participants had normal renal function. Participants must have been demographically matched to a renally impaired participant by age (± 10 years), sex, and BMI (± 20%) at screening. Key Exclusion Criteria: History of any medical or psychiatric condition or disease (aside from RI for RI participants) that might have limited the participant's ability to complete or participate in this clinical study, confound the results of the study, or pose an additional risk to the participant by their participation in the study. History of procedures that could alter absorption or excretion of orally administered drugs. Body temperature ≥ 38°Celsius on Day - 1 or Day 1 predose; history of febrile illness, or other evidence of infection, within 14 days prior to study drug administration. History or presence of drug or alcohol abuse within previous year; current tobacco/nicotine user; positive for alcohol and/or drug screen at screening. Participation in any other investigational study drug trial in which receipt of an investigational study drug occurred within 5 half-lives (if known) or 30 days prior to check-in, whichever was longer. For matched control participants, use of any prescription medications/products within 14 days prior to check-in and use of any over-the-counter, nonprescription preparations within 7 days prior to check-in, unless deemed acceptable by the Investigator (or designee). Donation of whole blood from 3 months prior to study drug administration, or of plasma from 30 days prior to study drug administration; receipt of blood products within 6 months prior to check-in. Participant required dialysis within the last 3 months prior to check-in. Participant did not produce sufficient urine output to permit urine sampling at screening and/or check-in; 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 have limited the participant's ability to complete or participate in this clinical study. Any major surgery within 4 weeks of study drug administration.
Facility Information:
Facility Name
Clinical Trial Site
City
Miami
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
Facility Name
Clinical Trial Site
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55404
Country
United States
Facility Name
Clinical Trial Site
City
Saint Paul
State/Province
Minnesota
ZIP/Postal Code
55114
Country
United States

12. IPD Sharing Statement

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Study of Danicopan in Participants With Normal Kidney Function and Participants With Kidney Dysfunction

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