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Pharmacokinetics of Mitiperstat in Participants With Hepatic Impairment

Primary Purpose

Hepatic Impairment

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Mitiperstat
Sponsored by
AstraZeneca
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatic Impairment focused on measuring Hepatic impairment, Liver disease

Eligibility Criteria

18 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Participant must be ≥ 18 to ≤ 85 years (inclusive), at the time of signing the informed consent. Weight ≥ 50kg and BMI ≥ 18 kg/m2 up to < 40 kg/m2. Male and/or females. Contraceptive use by females should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. Criterion not applicable to this CSP version. Female participants: Female participants must not be lactating. Female participants of childbearing potential who are sexually active with a non-sterilised male partner must agree to use an acceptable method of birth control, from enrolment throughout the study and until at least 4 weeks after the last dose of study intervention. Capable of giving signed informed consent. Participants with hepatic impairment only: Supporting documents confirming that the participant has liver cirrhosis with hepatic impairment must be available. Diagnosis of chronic and stable hepatic impairment. Exclusion Criteria: Any positive result on screening for serum or plasma hepatitis B surface antigen, hepatitis C antibody, and HIV. History of substance dependence or a positive screen for drugs of abuse, likely to impact participant safety or compliance with study procedures. History of alcohol abuse or excessive intake of alcohol in the last 12 months. Abnormal vital signs, after 10 minutes supine rest at screening or Day -1. Any clinically important abnormalities in rhythm, conduction or morphology of the resting 12-lead ECG at screening or Day -1: Vulnerable participants. For female participants only: currently pregnant or breast-feeding. Participants with hepatic impairment only Participants with previous transjugular intrahepatic portosystemic shunt (TIPS). Severe ascites defined as ascites requiring paracentesis and albumin at 4-week intervals or less. Fluctuating or rapidly deteriorating hepatic function, as indicated by strongly varying or worsening of clinical and/or laboratory signs of hepatic impairment within the screening period. Any evidence of additional severe or uncontrolled systemic disease or laboratory finding that makes it unsafe for the participant to participate in the study. Change in dose regimen of medically-required medication within the last 2 weeks before pre-study examination. Biliary obstruction or other causes of hepatic impairment not related to parenchymal disorder and/or disease of the liver. Clinically relevant hepatic encephalopathy. Oesophageal variceal bleeding in prior 3 months. Platelet count < 50 × 109/L and/or neutrophil count < 1.2 × 109/L and/or haemoglobin < 85 g/L. Post liver transplantation. History of acute or chronic pancreatitis, or pancreatic amylase or lipase greater than twice the ULN at screening.

Sites / Locations

  • Research SiteRecruiting
  • Research SiteRecruiting
  • Research SiteRecruiting
  • Research SiteRecruiting
  • Research SiteRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Cohort 1

Cohort 2

Cohort 3

Cohort 4

Arm Description

8 participants with mild hepatic impairment (Child-Pugh A) will be given Dose A of mitiperstat.

8 participants with moderate hepatic impairment (Child-Pugh B) will be given Dose A of mitiperstat.

8 participants with severe hepatic impairment (Child-Pugh C) will be given Dose A of mitiperstat.

8-12 participants with normal hepatic function will be given Dose A of mitiperstat.

Outcomes

Primary Outcome Measures

Maximum observed plasma concentration (Cmax)
The Cmax of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated and compared.
Area under the concentration-time curve from time zero to infinity (AUCinf)
The AUCinf of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated and compared.
Area under the concentration-time curve from time zero to last time of quantifiable concentration (AUClast)
The AUClast of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated and compared.
Apparent terminal elimination half-life (t½λz)
The t½λz of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated.
Time to Cmax (tmax)
The tmax of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated.
Apparent Clearance (CL/F)
The CL/F of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated.
Volume of distribution (apparent) following extravascular administration [based on terminal phase] (Vz/F)
The Vz/F of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated.
Cumulative amount of unchanged drug excreted into urine (Ae[0-24])
The Ae(0-24) of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated.
Renal clearance of drug from plasma (CLR)
The CLR of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated.
Non-renal clearance of drug from plasma (CLNR)
The CLNR of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated.
Percentage of dose excreted unchanged in urine from time 0 to time 24 (fe[0-24)
The fe(0-24) of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated.

Secondary Outcome Measures

Adverse Events (AEs), and Serious Adverse Events (SAEs)
The safety, and tolerability of a single dose of mitiperstat in participants with hepatic impairment and controls with normal hepatic function will be assessed.

Full Information

First Posted
February 21, 2023
Last Updated
October 23, 2023
Sponsor
AstraZeneca
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1. Study Identification

Unique Protocol Identification Number
NCT05751759
Brief Title
Pharmacokinetics of Mitiperstat in Participants With Hepatic Impairment
Official Title
A Phase I Single Dose, Non-Randomised, Open-Label, Parallel Group Study to Investigate the Effect of Hepatic Impairment on the Pharmacokinetics, Safety and Tolerability of Mitiperstat
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
March 20, 2023 (Actual)
Primary Completion Date
August 20, 2024 (Anticipated)
Study Completion Date
August 20, 2024 (Anticipated)

3. Sponsor/Collaborators

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

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 assess the effect of hepatic impairment on the pharmacokinetics (PK), safety and tolerability of mitiperstat.
Detailed Description
This is a Phase I, single dose, non-randomised, open-label, parallel group study to examine the PK, safety, and tolerability of mitiperstat in participants with hepatic impairment and participants with normal hepatic function. Participants will be assigned to one of the following cohorts as per Child-Pugh classification: Cohort 1: Eight participants with Mild hepatic impairment (Child-Pugh A) Cohort 2: Eight participants with Moderate hepatic impairment (Child-Pugh B) Cohort 3: Eight participants with Severe hepatic impairment (Child-Pugh C) Cohort 4: Eight to twelve participants with Normal hepatic function A final safety follow-up visit on Day 21 will be there after all procedures are completed on Day 15.

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Cohort 1
Arm Type
Experimental
Arm Description
8 participants with mild hepatic impairment (Child-Pugh A) will be given Dose A of mitiperstat.
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
8 participants with moderate hepatic impairment (Child-Pugh B) will be given Dose A of mitiperstat.
Arm Title
Cohort 3
Arm Type
Experimental
Arm Description
8 participants with severe hepatic impairment (Child-Pugh C) will be given Dose A of mitiperstat.
Arm Title
Cohort 4
Arm Type
Experimental
Arm Description
8-12 participants with normal hepatic function will be given Dose A of mitiperstat.
Intervention Type
Drug
Intervention Name(s)
Mitiperstat
Other Intervention Name(s)
AZD4831
Intervention Description
Participants receive mitiperstat orally.
Primary Outcome Measure Information:
Title
Maximum observed plasma concentration (Cmax)
Description
The Cmax of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated and compared.
Time Frame
Day 1 to Day 15
Title
Area under the concentration-time curve from time zero to infinity (AUCinf)
Description
The AUCinf of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated and compared.
Time Frame
Day 1 to Day 15
Title
Area under the concentration-time curve from time zero to last time of quantifiable concentration (AUClast)
Description
The AUClast of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated and compared.
Time Frame
Day 1 to Day 15
Title
Apparent terminal elimination half-life (t½λz)
Description
The t½λz of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated.
Time Frame
Day 1 to Day 15
Title
Time to Cmax (tmax)
Description
The tmax of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated.
Time Frame
Day 1 to Day 15
Title
Apparent Clearance (CL/F)
Description
The CL/F of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated.
Time Frame
Day 1 to Day 15
Title
Volume of distribution (apparent) following extravascular administration [based on terminal phase] (Vz/F)
Description
The Vz/F of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated.
Time Frame
Day 1 to Day 15
Title
Cumulative amount of unchanged drug excreted into urine (Ae[0-24])
Description
The Ae(0-24) of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated.
Time Frame
Day 1 to Day 15
Title
Renal clearance of drug from plasma (CLR)
Description
The CLR of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated.
Time Frame
Day 1 to Day 15
Title
Non-renal clearance of drug from plasma (CLNR)
Description
The CLNR of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated.
Time Frame
Day 1 to Day 15
Title
Percentage of dose excreted unchanged in urine from time 0 to time 24 (fe[0-24)
Description
The fe(0-24) of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated.
Time Frame
Day 1 to Day 15
Secondary Outcome Measure Information:
Title
Adverse Events (AEs), and Serious Adverse Events (SAEs)
Description
The safety, and tolerability of a single dose of mitiperstat in participants with hepatic impairment and controls with normal hepatic function will be assessed.
Time Frame
From time of dose to the final follow-up visit (Day 21 [± 4 days])

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participant must be ≥ 18 to ≤ 85 years (inclusive), at the time of signing the informed consent. Weight ≥ 50kg and BMI ≥ 18 kg/m2 up to < 40 kg/m2. Male and/or females. Contraceptive use by females should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. Criterion not applicable to this CSP version. Female participants: Female participants must not be lactating. Female participants of childbearing potential who are sexually active with a non-sterilised male partner must agree to use an acceptable method of birth control, from enrolment throughout the study and until at least 4 weeks after the last dose of study intervention. Capable of giving signed informed consent. Participants with hepatic impairment only: Supporting documents confirming that the participant has liver cirrhosis with hepatic impairment must be available. Diagnosis of chronic and stable hepatic impairment. Exclusion Criteria: Any positive result on screening for serum or plasma hepatitis B surface antigen, hepatitis C antibody, and HIV. History of substance dependence or a positive screen for drugs of abuse, likely to impact participant safety or compliance with study procedures. History of alcohol abuse or excessive intake of alcohol in the last 12 months. Abnormal vital signs, after 10 minutes supine rest at screening or Day -1. Any clinically important abnormalities in rhythm, conduction or morphology of the resting 12-lead ECG at screening or Day -1: Vulnerable participants. For female participants only: currently pregnant or breast-feeding. Participants with hepatic impairment only Participants with previous transjugular intrahepatic portosystemic shunt (TIPS). Severe ascites defined as ascites requiring paracentesis and albumin at 4-week intervals or less. Fluctuating or rapidly deteriorating hepatic function, as indicated by strongly varying or worsening of clinical and/or laboratory signs of hepatic impairment within the screening period. Any evidence of additional severe or uncontrolled systemic disease or laboratory finding that makes it unsafe for the participant to participate in the study. Change in dose regimen of medically-required medication within the last 2 weeks before pre-study examination. Biliary obstruction or other causes of hepatic impairment not related to parenchymal disorder and/or disease of the liver. Clinically relevant hepatic encephalopathy. Oesophageal variceal bleeding in prior 3 months. Platelet count < 50 × 109/L and/or neutrophil count < 1.2 × 109/L and/or haemoglobin < 85 g/L. Post liver transplantation. History of acute or chronic pancreatitis, or pancreatic amylase or lipase greater than twice the ULN at screening.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
AstraZeneca Clinical Study Information Center
Phone
1-877-240-9479
Email
information.center@astrazeneca.com
Facility Information:
Facility Name
Research Site
City
Rialto
State/Province
California
ZIP/Postal Code
92377
Country
United States
Individual Site Status
Recruiting
Facility Name
Research Site
City
Hialeah
State/Province
Florida
ZIP/Postal Code
33016
Country
United States
Individual Site Status
Recruiting
Facility Name
Research Site
City
Orlando
State/Province
Florida
ZIP/Postal Code
32808
Country
United States
Individual Site Status
Recruiting
Facility Name
Research Site
City
Canton
State/Province
Ohio
ZIP/Postal Code
44718
Country
United States
Individual Site Status
Recruiting
Facility Name
Research Site
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78215
Country
United States
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers can request access to anonymized individual participant-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
IPD Sharing Time Frame
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please refer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
IPD Sharing Access Criteria
When a request has been approved AstraZeneca will provide access to the de-identified individual patient-level data in an approved sponsored tool. Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
IPD Sharing URL
https://astrazenecagroup-dt.pharmacm.com/DT/Home

Learn more about this trial

Pharmacokinetics of Mitiperstat in Participants With Hepatic Impairment

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