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A Phase 1, Open-Label Evaluation of the Pharmacokinetics and Safety of a Single Dose of Apraglutide in Subjects With Normal and Impaired Hepatic Function

Primary Purpose

Hepatic Impairment

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Apraglutide
Sponsored by
VectivBio AG
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 Function, Hepatic Function

Eligibility Criteria

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

Inclusion Criteria: All Participants: Age between 18 and 75 years inclusive Subjects who are willing and able to comply with the study procedures Subjects able to understand and willing to sign the informed consent Body mass index (BMI) of ≥18 to ≤35 kg/m2; and a total body weight of >50 kg (110 lb). Women of childbearing potential (WOCBP) on highly effective method of contraception during the trial and for 1 month after the end of trial (EOT) visit. Sterilized or infertile or postmenopausal females. Male subjects with a female partner of childbearing potential: highly effective methods of contraception and no sperm donation during the trial and for 1 month after (EOT) visit. Participants with impaired hepatic function: Confirmed and documented diagnosis of cirrhosis Moderate liver disease (Child-Pugh B): clinically stable for at least 1 month prior to screening Mild liver disease (Child-Pugh A): clinically stable for at least 1 month prior to screening Exclusion Criteria: History of clinically significant GI, bronchopulmonary, neurological, cardiovascular, endocrine, or allergic disease Known hypersensitivity to the investigational medicinal product (IMP), any of their excipients or drugs of the same class If capable of reproduction, unwilling to use an effective form of contraception If a female of child-bearing potential, a positive urine/blood pregnancy test Breast-feeding women Positive urine/blood test for alcohol and drugs of abuse at Screening and on Day-1 Use of prohibited medications or herbal remedies Known presence or history of intestinal polyps Known presence or history of any type of cancer Pancreatic events such as acute pancreatitis, pancreatic duct stenosis, pancreas infection, and increased blood amylase and lipase (>2.0-5.0×upper limit of normal range) Participation in an investigational drug or device study within 30 days prior to Screening Donation of blood over 500 mL within 2 months prior to Screening Heavy use of tobacco products (i.e., smokes more than 10 cigarettes per day) Concomitant disease or condition that could interfere with, or for which the treatment of might interfere with, the conduct of the study, or that would, in the opinion of the Investigator, pose an unacceptable risk to the subject in this trial Any intercurrent clinically significant illness in the previous 28 days before Day 1 of this study Positive blood screen for human immunodeficiency virus (HIV) antigen/antibody combo, hepatitis A (HAV), hepatitis B surface antigen (HBsAgB), or hepatitis C virus (HCV) Unwillingness or inability to comply with the study protocol for any other reason

Sites / Locations

  • APEX
  • Summit Clinical Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Moderate hepatic impairment

Normal hepatic function

Mild hepatic impairment

Arm Description

Child-Pugh B

Child-Pugh A

Outcomes

Primary Outcome Measures

Plasma apraglutide primary PK parameter: AUCinf or AUClast
Area under the curve to infinity (AUCinf) or area under the curve from time zero to the last quantifiable concentration (AUClast) if AUCinf cannot be reliably estimated
Plasma apraglutide primary PK parameter: AUC0-168h
Area under the curve from time zero to 168 hours after apraglutide administration (AUC0-168h)
Maximum observed plasma concentration (Cmax)

Secondary Outcome Measures

Time of maximum plasma concentration (tmax)
Apparent clearance after extravascular administration (CL/F)
Apparent volume of distribution after extravascular administration (Vz/F)
Terminal elimination rate constant (λz)
Terminal half-life (t½)
Incidence, nature,and severity of adverse events (AE) with apraglutide

Full Information

First Posted
January 20, 2023
Last Updated
August 15, 2023
Sponsor
VectivBio AG
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1. Study Identification

Unique Protocol Identification Number
NCT05706623
Brief Title
A Phase 1, Open-Label Evaluation of the Pharmacokinetics and Safety of a Single Dose of Apraglutide in Subjects With Normal and Impaired Hepatic Function
Official Title
A Phase 1, Open-Label Evaluation of the Pharmacokinetics and Safety of a Single Dose of Apraglutide in Subjects With Normal and Impaired Hepatic Function
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Completed
Study Start Date
January 30, 2023 (Actual)
Primary Completion Date
April 4, 2023 (Actual)
Study Completion Date
April 4, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
VectivBio AG

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
The primary objective is to assess the PK of apraglutide in subjects with hepatic impairment compared with matched control subjects with normal hepatic function following single SC dose administration.
Detailed Description
A two stage design, open label, multi-center, non-randomized trial to evaluate the the safety and tolerability of a single subcutaneous dose of 5 mg apraglutide in subjects with varying degrees of hepatic function. The hepatic function will estimated with the Child-Pugh classification. Part 1: 8 subjects with moderate hepatic impairment (Cohort 1) and 8 subjects with normal hepatic function (Cohort 2). Part 2: 8 subjects with mild hepatic impairment (Cohort 3) and 8 subjects with normal hepatic function (from Cohort 2 where possible and additional subject). Part 2 will be conducted only if the geometric mean ratio (GMR) of AUCinf or AUClast for the moderate hepatic impairment group compared to the control group is ≥2.

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 Function, Hepatic Function

7. Study Design

Primary Purpose
Treatment
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
Moderate hepatic impairment
Arm Type
Experimental
Arm Description
Child-Pugh B
Arm Title
Normal hepatic function
Arm Type
Experimental
Arm Title
Mild hepatic impairment
Arm Type
Experimental
Arm Description
Child-Pugh A
Intervention Type
Drug
Intervention Name(s)
Apraglutide
Intervention Description
Single dose of apraglutide 5mg.
Primary Outcome Measure Information:
Title
Plasma apraglutide primary PK parameter: AUCinf or AUClast
Description
Area under the curve to infinity (AUCinf) or area under the curve from time zero to the last quantifiable concentration (AUClast) if AUCinf cannot be reliably estimated
Time Frame
0 to 312 hours
Title
Plasma apraglutide primary PK parameter: AUC0-168h
Description
Area under the curve from time zero to 168 hours after apraglutide administration (AUC0-168h)
Time Frame
0 to 168 hours
Title
Maximum observed plasma concentration (Cmax)
Time Frame
0 to 168 hours
Secondary Outcome Measure Information:
Title
Time of maximum plasma concentration (tmax)
Time Frame
0 to 168 hours
Title
Apparent clearance after extravascular administration (CL/F)
Time Frame
0 to 168 hours
Title
Apparent volume of distribution after extravascular administration (Vz/F)
Time Frame
0 to 168 hours
Title
Terminal elimination rate constant (λz)
Time Frame
0 to 168 hours
Title
Terminal half-life (t½)
Time Frame
0 to 168 hours
Title
Incidence, nature,and severity of adverse events (AE) with apraglutide
Time Frame
Baseline to Day 16

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
Inclusion Criteria: All Participants: Age between 18 and 75 years inclusive Subjects who are willing and able to comply with the study procedures Subjects able to understand and willing to sign the informed consent Body mass index (BMI) of ≥18 to ≤35 kg/m2; and a total body weight of >50 kg (110 lb). Women of childbearing potential (WOCBP) on highly effective method of contraception during the trial and for 1 month after the end of trial (EOT) visit. Sterilized or infertile or postmenopausal females. Male subjects with a female partner of childbearing potential: highly effective methods of contraception and no sperm donation during the trial and for 1 month after (EOT) visit. Participants with impaired hepatic function: Confirmed and documented diagnosis of cirrhosis Moderate liver disease (Child-Pugh B): clinically stable for at least 1 month prior to screening Mild liver disease (Child-Pugh A): clinically stable for at least 1 month prior to screening Exclusion Criteria: History of clinically significant GI, bronchopulmonary, neurological, cardiovascular, endocrine, or allergic disease Known hypersensitivity to the investigational medicinal product (IMP), any of their excipients or drugs of the same class If capable of reproduction, unwilling to use an effective form of contraception If a female of child-bearing potential, a positive urine/blood pregnancy test Breast-feeding women Positive urine/blood test for alcohol and drugs of abuse at Screening and on Day-1 Use of prohibited medications or herbal remedies Known presence or history of intestinal polyps Known presence or history of any type of cancer Pancreatic events such as acute pancreatitis, pancreatic duct stenosis, pancreas infection, and increased blood amylase and lipase (>2.0-5.0×upper limit of normal range) Participation in an investigational drug or device study within 30 days prior to Screening Donation of blood over 500 mL within 2 months prior to Screening Heavy use of tobacco products (i.e., smokes more than 10 cigarettes per day) Concomitant disease or condition that could interfere with, or for which the treatment of might interfere with, the conduct of the study, or that would, in the opinion of the Investigator, pose an unacceptable risk to the subject in this trial Any intercurrent clinically significant illness in the previous 28 days before Day 1 of this study Positive blood screen for human immunodeficiency virus (HIV) antigen/antibody combo, hepatitis A (HAV), hepatitis B surface antigen (HBsAgB), or hepatitis C virus (HCV) Unwillingness or inability to comply with the study protocol for any other reason
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bolognani
Organizational Affiliation
VectivBio AG
Official's Role
Study Director
Facility Information:
Facility Name
APEX
City
Münich
Country
Germany
Facility Name
Summit Clinical Research
City
Bratislava
Country
Slovakia

12. IPD Sharing Statement

Learn more about this trial

A Phase 1, Open-Label Evaluation of the Pharmacokinetics and Safety of a Single Dose of Apraglutide in Subjects With Normal and Impaired Hepatic Function

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