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A Study to Evaluate the Pharmacokinetics, Safety, and Pharmacodynamics of Olpasiran in Participants With Normal Renal Function and Participants With Various Degrees of Renal Impairment

Primary Purpose

Renal Impairment

Status
Active
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Olpasiran
Sponsored by
Amgen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Renal Impairment focused on measuring Olpasiran, Renal Impairment, Normal Renal Function, AMG 890

Eligibility Criteria

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

Inclusion:

  • Male participants or female participants of nonchildbearing potential between 18 and 75 years of age (inclusive) at the time of Screening.
  • Body mass index between 18 and 40 kg/m^2 (inclusive) at the time of Screening.
  • Eligible participants classified based on established need for renal replacement therapy and eGFR at Screening. Assignment will be based on eGFR at Screening.

    1. Group 1 (Normal): eGFR ≥ 90 mL/min and no history of renal disease.
    2. Group 2 (Mild): 60 ≤ eGFR ≤ 89 mL/min.
    3. Group 3 (Moderate): 30 ≤ eGFR ≤ 59 mL/min.
    4. Group 4 (Severe): 15 ≤ eGFR ≤ 29 mL/min without dialysis.
    5. Group 5 (Kidney Failure): eGFR < 15 mL/min and dialysis patients (off-dialysis).
    6. Group 6 (Kidney Failure): eGFR < 15 mL/min and dialysis patients (on-dialysis).

Exclusion:

  • Active liver disease or hepatic dysfunction, defined as aspartate aminotransferase or alanine aminotransferase > 2 times the upper limit of normal.
  • Clinically significant hyperkalemia (defined by serum potassium concentration as > 5.5 mEq/L for Groups 1 to 4, > 6 mEq/L for Groups 5 and 6) at Screening or Check-in.
  • History of hypersensitivity, intolerance, or allergy to any drug compound, or other substance, unless approved by the Investigator (or designee) and in consultation with the Sponsor.
  • Female participants with a positive pregnancy test at Screening or Check-in.
  • Participant has received a dose of an investigational drug within the past 30 days or 5 halflives, whichever is longer, prior to Check-in.

Participants in Group 1 only (participants with normal renal function) are excluded if:

• A history of renal disease or renal injury as indicated by medical history or an abnormal renal function profile at Screening or Check-in.

Participants in Groups 2 to 6 (participants with varying degrees of renal impairment) are excluded if:

• A change in disease status within 30 days of Screening, as documented by the participant's medical history, deemed clinically significant by the Investigator.

Sites / Locations

  • Inland Empire Clinical Trials, LLC
  • CRSCA HC LLC, dba Creekside Post Acute
  • Clinical Pharmacology Of Miami, LLC
  • Advanced Pharma CR, LLC
  • Orlando Clinical Research Center
  • Nucleus Network - Minneapolis

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Single Dose Olpasiran Renal Impairment

Single Dose Olpasiran Normal Renal Function

Arm Description

Participants will be enrolled in 1 of 5 renal function groups based on their renal impairment status, as determined by estimated glomerular filtration rate (eGFR). All participants will receive a single dose of olpasiran on Day 1.

Participants with normal renal function will be enrolled and will receive a single dose of olpasiran on Day 1.

Outcomes

Primary Outcome Measures

Maximum Observed Serum Concentration (Cmax) of Olpasiran
Area Under the Plasma Concentration-time Curve from Time Zero to the Last Quantifiable Concentration (AUClast) of Olpasiran
Area Under the Plasma Concentration-time Curve from Time Zero to Infinity (AUCinf) of Olpasiran
Dialysis Clearance of Drug From Plasma (CLD) of Olpasiran

Secondary Outcome Measures

Area Under the Effect Time Curve (AUEC) of Plasma Lipoprotein a (Lp[a])
Maximum Inhibitory Effect (Imax) of Plasma Lp(a)
Time to Reach Imax of Lp(a)
Number of Participants Who Experience an Adverse Event (AE)
Number of Participants with Clinically Significant Changes in Clinical Laboratory Evaluations
Number of Participants with Clinically Significant Changes in 12-lead Electrocardiogram (ECG) Measurements
Number of Participants with Clinically Significant Changes in Vital Signs

Full Information

First Posted
August 3, 2022
Last Updated
September 28, 2023
Sponsor
Amgen
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1. Study Identification

Unique Protocol Identification Number
NCT05489614
Brief Title
A Study to Evaluate the Pharmacokinetics, Safety, and Pharmacodynamics of Olpasiran in Participants With Normal Renal Function and Participants With Various Degrees of Renal Impairment
Official Title
A Phase I, Open-label, Single-Dose Study to Evaluate the Pharmacokinetics, Safety, and Pharmacodynamics of Olpasiran in Subjects With Normal Renal Function and Subjects With Various Degrees of Renal Impairment
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
September 13, 2022 (Actual)
Primary Completion Date
October 24, 2023 (Anticipated)
Study Completion Date
December 21, 2023 (Anticipated)

3. Sponsor/Collaborators

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

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 objective of this study is to evaluate the pharmacokinetics (PK) of a single dose of olpasiran in participants with normal renal function and participants with various degrees of renal impairment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Renal Impairment
Keywords
Olpasiran, Renal Impairment, Normal Renal Function, AMG 890

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Single Dose Olpasiran Renal Impairment
Arm Type
Experimental
Arm Description
Participants will be enrolled in 1 of 5 renal function groups based on their renal impairment status, as determined by estimated glomerular filtration rate (eGFR). All participants will receive a single dose of olpasiran on Day 1.
Arm Title
Single Dose Olpasiran Normal Renal Function
Arm Type
Experimental
Arm Description
Participants with normal renal function will be enrolled and will receive a single dose of olpasiran on Day 1.
Intervention Type
Drug
Intervention Name(s)
Olpasiran
Other Intervention Name(s)
AMG 890
Intervention Description
Participants will receive olpasiran by subcutaneous (SC) injection.
Primary Outcome Measure Information:
Title
Maximum Observed Serum Concentration (Cmax) of Olpasiran
Time Frame
Predose, 0.5, 1, 3, 6, 9, 12, 24, 36, 48, 72, 96, 144 hours (postdose), Day 15, and Day 29
Title
Area Under the Plasma Concentration-time Curve from Time Zero to the Last Quantifiable Concentration (AUClast) of Olpasiran
Time Frame
Predose, 0.5, 1, 3, 6, 9, 12, 24, 36, 48, 72, 96, 144 hours (postdose), Day 15, and Day 29
Title
Area Under the Plasma Concentration-time Curve from Time Zero to Infinity (AUCinf) of Olpasiran
Time Frame
Predose, 0.5, 1, 3, 6, 9, 12, 24, 36, 48, 72, 96, 144 hours (postdose), Day 15, and Day 29
Title
Dialysis Clearance of Drug From Plasma (CLD) of Olpasiran
Time Frame
Pre-Dialysis, 0.5, 1, 3 hours after the start of Dialysis, and immediately following the end of Dialysis, Day 1, Day 4
Secondary Outcome Measure Information:
Title
Area Under the Effect Time Curve (AUEC) of Plasma Lipoprotein a (Lp[a])
Time Frame
Screening, Day 1, Day 2, Day 4, Day 7, Day 15, Day 29, Day 57, and Day 85
Title
Maximum Inhibitory Effect (Imax) of Plasma Lp(a)
Time Frame
Screening, Day 1, Day 2, Day 4, Day 7, Day 15, Day 29, Day 57, and Day 85
Title
Time to Reach Imax of Lp(a)
Time Frame
Screening, Day 1, Day 2, Day 4, Day 7, Day 15, Day 29, Day 57, and Day 85
Title
Number of Participants Who Experience an Adverse Event (AE)
Time Frame
Up to Day 85
Title
Number of Participants with Clinically Significant Changes in Clinical Laboratory Evaluations
Time Frame
Up to Day 85
Title
Number of Participants with Clinically Significant Changes in 12-lead Electrocardiogram (ECG) Measurements
Time Frame
Up to Day 85
Title
Number of Participants with Clinically Significant Changes in Vital Signs
Time Frame
Up to Day 85

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: Male participants or female participants of nonchildbearing potential between 18 and 75 years of age (inclusive) at the time of Screening. Body mass index between 18 and 40 kg/m^2 (inclusive) at the time of Screening. Eligible participants classified based on established need for renal replacement therapy and eGFR at Screening. Assignment will be based on eGFR at Screening. Group 1 (Normal): eGFR ≥ 90 mL/min and no history of renal disease. Group 2 (Mild): 60 ≤ eGFR ≤ 89 mL/min. Group 3 (Moderate): 30 ≤ eGFR ≤ 59 mL/min. Group 4 (Severe): 15 ≤ eGFR ≤ 29 mL/min without dialysis. Group 5 (Kidney Failure): eGFR < 15 mL/min and dialysis patients (off-dialysis). Group 6 (Kidney Failure): eGFR < 15 mL/min and dialysis patients (on-dialysis). Exclusion: Active liver disease or hepatic dysfunction, defined as aspartate aminotransferase or alanine aminotransferase > 2 times the upper limit of normal. Clinically significant hyperkalemia (defined by serum potassium concentration as > 5.5 mEq/L for Groups 1 to 4, > 6 mEq/L for Groups 5 and 6) at Screening or Check-in. History of hypersensitivity, intolerance, or allergy to any drug compound, or other substance, unless approved by the Investigator (or designee) and in consultation with the Sponsor. Female participants with a positive pregnancy test at Screening or Check-in. Participant has received a dose of an investigational drug within the past 30 days or 5 halflives, whichever is longer, prior to Check-in. Participants in Group 1 only (participants with normal renal function) are excluded if: • A history of renal disease or renal injury as indicated by medical history or an abnormal renal function profile at Screening or Check-in. Participants in Groups 2 to 6 (participants with varying degrees of renal impairment) are excluded if: • A change in disease status within 30 days of Screening, as documented by the participant's medical history, deemed clinically significant by the Investigator.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
MD
Organizational Affiliation
Amgen
Official's Role
Study Director
Facility Information:
Facility Name
Inland Empire Clinical Trials, LLC
City
Rialto
State/Province
California
ZIP/Postal Code
92377-4697
Country
United States
Facility Name
CRSCA HC LLC, dba Creekside Post Acute
City
Yucaipa
State/Province
California
ZIP/Postal Code
92399
Country
United States
Facility Name
Clinical Pharmacology Of Miami, LLC
City
Miami
State/Province
Florida
ZIP/Postal Code
33014
Country
United States
Facility Name
Advanced Pharma CR, LLC
City
Miami
State/Province
Florida
ZIP/Postal Code
33147-4040
Country
United States
Facility Name
Orlando Clinical Research Center
City
Orlando
State/Province
Florida
ZIP/Postal Code
32809
Country
United States
Facility Name
Nucleus Network - Minneapolis
City
Saint Paul
State/Province
Minnesota
ZIP/Postal Code
55114
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.
IPD Sharing Time Frame
Data sharing requests relating to this study will be considered beginning 18 months after the study has ended and either 1) the product and indication have been granted marketing authorization in both the US and Europe or 2 ) clinical development for the product and/or indication discontinues and the data will not be submitted to regulatory authorities. There is no end date for eligibility to submit a data sharing request for this study.
IPD Sharing Access Criteria
Qualified researchers may submit a request containing the research objectives, the Amgen product(s) and Amgen study/studies in scope, endpoints/outcomes of interest, statistical analysis plan, data requirements, publication plan, and qualifications of the researcher(s). In general, Amgen does not grant external requests for individual patient data for the purpose of re-evaluating safety and efficacy issues already addressed in the product labelling. Requests are reviewed by a committee of internal advisors. If not approved, a Data Sharing Independent Review Panel will arbitrate and make the final decision. Upon approval, information necessary to address the research question will be provided under the terms of a data sharing agreement. This may include anonymized individual patient data and/or available supporting documents, containing fragments of analysis code where provided in analysis specifications. Further details are available at the URL below.
IPD Sharing URL
http://www.amgen.com/datasharing
Links:
URL
http://www.amgentrials.com
Description
AmgenTrials clinical trials website

Learn more about this trial

A Study to Evaluate the Pharmacokinetics, Safety, and Pharmacodynamics of Olpasiran in Participants With Normal Renal Function and Participants With Various Degrees of Renal Impairment

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