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A Study to Evaluate the Effect of Hepatic Impairment on the Pharmacokinetics of Emraclidine

Primary Purpose

Hepatic Impairment

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Emraclidine
Sponsored by
Cerevel Therapeutics, LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatic Impairment

Eligibility Criteria

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

Key Inclusion Criteria: All Participants - Male and female participants, body mass index of ≥18.0 to 42.0 kilograms per meter square (kg/m^2), inclusive, and a total body weight ≥50 kilograms (kg) (110 pounds [lbs]). Additional Inclusion Criteria for Participants With Normal Hepatic Function Participants who are healthy, having no clinically relevant abnormalities. Have normal hepatic function. Alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), bilirubin and prothrombin time ≤ upper limit of normal (ULN) and albumin ≥ lower limit of normal (LLN) and ≤ ULN. Participants with a history of Gilbert syndrome are eligible provided direct bilirubin fraction is <20% of total bilirubin, and hemoglobin, and reticulocyte counts are all ≤ ULN. Additional Inclusion Criteria for Participants With Hepatic Impairment - Participants with stable hepatic impairment that meets the criteria for Class A, Class B, or Class C of the modified Child-Pugh Classification. Stable hepatic disease defined as no clinically significant change in disease status in the last 28 days prior to the screening visit. Key Exclusion Criteria: For All Participants Any condition or surgery that could possibly affect drug absorption, including, but not limited to, bowel resections, bariatric weight loss surgery/procedures, gastrectomy, and cholecystectomy. Receipt of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccination or booster within 7 days of planned dosing. Have recently been diagnosed with symptomatic coronavirus disease 2019 (COVID-19) or test positive for SARS-CoV-2 within 15 days prior to signing the informed consent form (ICF). Positive drug screen or a positive test for alcohol at Screening or Baseline (Check-in/Day -1) Visits. Use of prohibited medications prior to randomization or likely to require prohibited concomitant therapy during the trial. Current use of tobacco or nicotine-containing products (cigarettes, cigars, chewing tobacco, snuff, e-cigarettes, etc). Note: Light smokers (<5 cigarettes/day or equivalent) are allowed provided they abstain from the use of tobacco- or nicotine-containing products for at least 2 hours prior to PK assessments. Known allergy or hypersensitivity to the investigational medicinal product (IMP), closely related compounds, or any of their specified ingredients. Has received IMP in a clinical trial of emraclidine within 12 months of signing the ICF. Participants with a 12-lead ECG demonstrating any of the following at the Screening Visit and at Check-in (Day -1): QT interval corrected for heart rate using Fridericia's formula (QTcF) interval >470 milliseconds (ms) QRS interval >120 ms (unless right bundle branch block) PR interval >200 ms Left ventricular hypertrophy (LVH) with ST depressions and/or T wave inversions in leads with relatively tall R waves (ie, LVH with associated ST-T wave abnormalities) Type 2 second-degree or third-degree atrioventricular block Heart rate <45 beats per minute (bpm) or >100 bpm Abnormal ECG changes (such as clinically significant ST depression or elevation or T wave inversion). Abnormal heart rhythm (such as atrial fibrillation and atrial flutter) Blood pressure measurements demonstrating any of the following at the Screening Visit and/or at Check-in (Day -1): Supine systolic blood pressure ≥140 millimeters of mercury (mmHg) and/or diastolic blood pressure ≥90 mmHg Standing systolic and/or diastolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg Orthostatic hypotension, defined as a decrease of ≥20 mmHg in systolic blood pressure and/or ≥10 mmHg in diastolic blood pressure after at least 2 minutes of standing compared with the average of the resting supine blood pressure measurements. Additional Exclusion Criteria for Participants with Hepatic Impairment Estimated glomerular filtration rate (eGFR) <60 mL/min/1.73m^2 based on the Chronic Kidney Disease-Epidemiology Collaboration (CKD-EPI) equation at Screening or Check-in (Day -1) visits Acute hepatitis Grade ≥2 hepatic encephalopathy Participants who have received an organ transplant or are currently waiting for an organ transplant and are listed on the national transplant list. Primary biliary cholangitis or primary sclerosing cholangitis ALT or AST >5 × ULN or alkaline phosphatase >2 × ULN. Participants with a history of Gilbert syndrome are eligible provided direct bilirubin fraction is <20% of total bilirubin.

Sites / Locations

  • Miami, FloridaRecruiting
  • Orlando, FloridaRecruiting
  • San Antonio, TexasRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Severe Hepatic Impairment

Moderate Hepatic Impairment

Mild Hepatic Impairment

Normal Hepatic Function

Arm Description

Participants will receive a single oral dose of 10 milligrams (mg) emraclidine.

Participants will receive a single oral dose of 10 mg emraclidine.

Participants will receive a single oral dose of 10 mg emraclidine.

Participants will receive a single oral dose of 10 mg emraclidine.

Outcomes

Primary Outcome Measures

Maximum Observed Plasma Concentration (Cmax) of Emraclidine
Maximum Observed Unbound Plasma Concentration (Cmax,u) of Emraclidine
Area Under the Plasma Concentration-time Curve from Time Zero to t (AUC0-t) of Emraclidine
Area Under the Unbound Plasma Concentration-time Curve from Time Zero to t (AUC0-t,u) of Emraclidine
Area Under the Plasma Concentration-time Curve from Time Zero to Infinity (AUCinf) of Emraclidine
Area Under the Unbound Plasma Concentration-time Curve From Time Zero to Infinity (AUCinf,u) of Emraclidine

Secondary Outcome Measures

Incidence and Severity of Treatment Emergent Adverse Events (TEAEs)
Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Values
Number of Participants With Clinically Significant Changes in Vital Signs
Number of Participants With Clinically Significant Changes in Laboratory Assessments
Number of Participants With Clinically Significant Changes in Physical and Neurological Examination Results
Changes in Columbia Suicide Severity Rating Scale (C-SSRS) Score
The C-SSRS includes 'yes' or 'no' responses for assessment of suicidal ideation and behavior as well as numeric ratings for severity of ideation, if present (from 1 to 5, with 5 being the most severe). Greater lethality or potential lethality of suicidal behaviors (endorsed on the behavior subscale) indicates increased risk.

Full Information

First Posted
June 29, 2023
Last Updated
October 11, 2023
Sponsor
Cerevel Therapeutics, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT05935033
Brief Title
A Study to Evaluate the Effect of Hepatic Impairment on the Pharmacokinetics of Emraclidine
Official Title
A Phase 1, Open-label Trial to Evaluate the Pharmacokinetics and Safety Following a Single Dose of Emraclidine in Adult Participants With Mild, Moderate, and Severe Hepatic Impairment Compared With Adult Participants With Normal Hepatic Function
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
June 30, 2023 (Actual)
Primary Completion Date
December 15, 2024 (Anticipated)
Study Completion Date
December 23, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Cerevel Therapeutics, LLC

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
The primary purpose of this study is to assess the effect of hepatic impairment on the pharmacokinetics (PK) of emraclidine following administration of a single oral dose in participants with mild, moderate, and severe hepatic impairment relative to matched 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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Severe Hepatic Impairment
Arm Type
Experimental
Arm Description
Participants will receive a single oral dose of 10 milligrams (mg) emraclidine.
Arm Title
Moderate Hepatic Impairment
Arm Type
Experimental
Arm Description
Participants will receive a single oral dose of 10 mg emraclidine.
Arm Title
Mild Hepatic Impairment
Arm Type
Experimental
Arm Description
Participants will receive a single oral dose of 10 mg emraclidine.
Arm Title
Normal Hepatic Function
Arm Type
Experimental
Arm Description
Participants will receive a single oral dose of 10 mg emraclidine.
Intervention Type
Drug
Intervention Name(s)
Emraclidine
Other Intervention Name(s)
CVL-231
Intervention Description
Tablet
Primary Outcome Measure Information:
Title
Maximum Observed Plasma Concentration (Cmax) of Emraclidine
Time Frame
Pre-dose and at multiple timepoints post-dose up to Day 7
Title
Maximum Observed Unbound Plasma Concentration (Cmax,u) of Emraclidine
Time Frame
Pre-dose and at multiple timepoints post-dose up to Day 7
Title
Area Under the Plasma Concentration-time Curve from Time Zero to t (AUC0-t) of Emraclidine
Time Frame
Pre-dose and at multiple timepoints post-dose up to Day 7
Title
Area Under the Unbound Plasma Concentration-time Curve from Time Zero to t (AUC0-t,u) of Emraclidine
Time Frame
Pre-dose and at multiple timepoints post-dose up to Day 7
Title
Area Under the Plasma Concentration-time Curve from Time Zero to Infinity (AUCinf) of Emraclidine
Time Frame
Pre-dose and at multiple timepoints post-dose up to Day 7
Title
Area Under the Unbound Plasma Concentration-time Curve From Time Zero to Infinity (AUCinf,u) of Emraclidine
Time Frame
Pre-dose and at multiple timepoints post-dose up to Day 7
Secondary Outcome Measure Information:
Title
Incidence and Severity of Treatment Emergent Adverse Events (TEAEs)
Time Frame
Day 1 up to Follow-up (Day 15)
Title
Number of Participants With Clinically Significant Changes in Electrocardiogram (ECG) Values
Time Frame
Days 1 to 7
Title
Number of Participants With Clinically Significant Changes in Vital Signs
Time Frame
Days 1 to 7
Title
Number of Participants With Clinically Significant Changes in Laboratory Assessments
Time Frame
Days 1 to 7
Title
Number of Participants With Clinically Significant Changes in Physical and Neurological Examination Results
Time Frame
Days 1 to 7
Title
Changes in Columbia Suicide Severity Rating Scale (C-SSRS) Score
Description
The C-SSRS includes 'yes' or 'no' responses for assessment of suicidal ideation and behavior as well as numeric ratings for severity of ideation, if present (from 1 to 5, with 5 being the most severe). Greater lethality or potential lethality of suicidal behaviors (endorsed on the behavior subscale) indicates increased risk.
Time Frame
Days 1 to 7

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: All Participants - Male and female participants, body mass index of ≥18.0 to 42.0 kilograms per meter square (kg/m^2), inclusive, and a total body weight ≥50 kilograms (kg) (110 pounds [lbs]). Additional Inclusion Criteria for Participants With Normal Hepatic Function Participants who are healthy, having no clinically relevant abnormalities. Have normal hepatic function. Alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), bilirubin and prothrombin time ≤ upper limit of normal (ULN) and albumin ≥ lower limit of normal (LLN) and ≤ ULN. Participants with a history of Gilbert syndrome are eligible provided direct bilirubin fraction is <20% of total bilirubin, and hemoglobin, and reticulocyte counts are all ≤ ULN. Additional Inclusion Criteria for Participants With Hepatic Impairment - Participants with stable hepatic impairment that meets the criteria for Class A, Class B, or Class C of the modified Child-Pugh Classification. Stable hepatic disease defined as no clinically significant change in disease status in the last 28 days prior to the screening visit. Key Exclusion Criteria: For All Participants Any condition or surgery that could possibly affect drug absorption, including, but not limited to, bowel resections, bariatric weight loss surgery/procedures, gastrectomy, and cholecystectomy. Receipt of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccination or booster within 7 days of planned dosing. Have recently been diagnosed with symptomatic coronavirus disease 2019 (COVID-19) or test positive for SARS-CoV-2 within 15 days prior to signing the informed consent form (ICF). Positive drug screen or a positive test for alcohol at Screening or Baseline (Check-in/Day -1) Visits. Use of prohibited medications prior to randomization or likely to require prohibited concomitant therapy during the trial. Current use of tobacco or nicotine-containing products (cigarettes, cigars, chewing tobacco, snuff, e-cigarettes, etc). Note: Light smokers (<5 cigarettes/day or equivalent) are allowed provided they abstain from the use of tobacco- or nicotine-containing products for at least 2 hours prior to PK assessments. Known allergy or hypersensitivity to the investigational medicinal product (IMP), closely related compounds, or any of their specified ingredients. Has received IMP in a clinical trial of emraclidine within 12 months of signing the ICF. Participants with a 12-lead ECG demonstrating any of the following at the Screening Visit and at Check-in (Day -1): QT interval corrected for heart rate using Fridericia's formula (QTcF) interval >470 milliseconds (ms) QRS interval >120 ms (unless right bundle branch block) PR interval >200 ms Left ventricular hypertrophy (LVH) with ST depressions and/or T wave inversions in leads with relatively tall R waves (ie, LVH with associated ST-T wave abnormalities) Type 2 second-degree or third-degree atrioventricular block Heart rate <45 beats per minute (bpm) or >100 bpm Abnormal ECG changes (such as clinically significant ST depression or elevation or T wave inversion). Abnormal heart rhythm (such as atrial fibrillation and atrial flutter) Blood pressure measurements demonstrating any of the following at the Screening Visit and/or at Check-in (Day -1): Supine systolic blood pressure ≥140 millimeters of mercury (mmHg) and/or diastolic blood pressure ≥90 mmHg Standing systolic and/or diastolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg Orthostatic hypotension, defined as a decrease of ≥20 mmHg in systolic blood pressure and/or ≥10 mmHg in diastolic blood pressure after at least 2 minutes of standing compared with the average of the resting supine blood pressure measurements. Additional Exclusion Criteria for Participants with Hepatic Impairment Estimated glomerular filtration rate (eGFR) <60 mL/min/1.73m^2 based on the Chronic Kidney Disease-Epidemiology Collaboration (CKD-EPI) equation at Screening or Check-in (Day -1) visits Acute hepatitis Grade ≥2 hepatic encephalopathy Participants who have received an organ transplant or are currently waiting for an organ transplant and are listed on the national transplant list. Primary biliary cholangitis or primary sclerosing cholangitis ALT or AST >5 × ULN or alkaline phosphatase >2 × ULN. Participants with a history of Gilbert syndrome are eligible provided direct bilirubin fraction is <20% of total bilirubin.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
María Inés Enei
Phone
+54 911 652 128 10
Email
Ines.Enei@ppd.com
Facility Information:
Facility Name
Miami, Florida
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Individual Site Status
Recruiting
Facility Name
Orlando, Florida
City
Orlando
State/Province
Florida
ZIP/Postal Code
32809
Country
United States
Individual Site Status
Recruiting
Facility Name
San Antonio, Texas
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
No

Learn more about this trial

A Study to Evaluate the Effect of Hepatic Impairment on the Pharmacokinetics of Emraclidine

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