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Effect of Renal Impairment on Evobrutinib Pharmacokinetics (PK)

Primary Purpose

Renal Impairment

Status
Completed
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
Evobrutinib
Sponsored by
Merck KGaA, Darmstadt, Germany
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Renal Impairment focused on measuring Renal Impairment, Evobrutinib, Pharmacokinetics

Eligibility Criteria

18 Years - 79 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Male and Female subjects with total body weight between 50.0 and 100.0 kilograms(kg) (inclusive) and body mass index (BMI) between 19.0 and 36.0 kg per meter square (inclusive) at the time of the screening examination
  • For subjects with impaired renal function: Subjects must have an eGFR according to the Modification of diet in renal disease (MDRD) equation of less than 90 mL per minute at screening and the possibility of stratification to one of the groups and a stable renal function as defined by either: if the time interval between screening and dosing is greater than 10 days, two eGFR with the second estimate within 20% of prior value or historical records of stable function over the past 3 months if within 20 percentage of screening value and within 10 days of dosing
  • Other protocol defined inclusion criteria could apply

Exclusion Criteria:

  • History or presence of respiratory, gastrointestinal (including bariatric or other gastric surgeries, or other conditions that may affect drug absorption) hepatic (including hepatorenal syndrome), hematological, lymphatic, neurological (including seizures), cardiovascular (including ventricular dysfunction and congestive heart failure), psychiatric, musculoskeletal, genitourinary, immunological, dermatological, connective tissue diseases or disorders that may affect the safety of the subject.
  • Clinical history of any autoimmune disorder
  • Prior history of cholecystectomy or splenectomy, and any clinically relevant surgery within 6 months prior to Screening, which might interfere with the objectives of the study or the study procedures
  • History of any malignancy except superficial basal cell carcinoma treated for curative intent may be allowed
  • Other protocol defined exclusion criteria could apply

Sites / Locations

  • Please Contact the Merck KGaA Communication Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Evobrutinib: Normal Renal Function

Evobrutinib: Severe Renal Impairment

Evobrutinib: Moderate Renal Impairment

Evobrutinib: Mild Renal Impairment

Arm Description

Subjects with estimated glomerular filtration rate (eGFR) greater than or equal to (>=) 90 milliliter per minute per 1.73 meter square (mL/min/1.73 m^2) will receive a single oral dose of evobrutinib under fasting conditions.

Subjects with eGFR less than (<) 30 mL/min/1.73 m^2 will receive a single oral dose of evobrutinib under fasting conditions.

Subjects with eGFR >= to 30 mL/min/1.73 m^2 and < 60 mL/min/1.73 m^2 will receive a single oral dose of evobrutinib under fasting conditions.

Subjects with eGFR >= to 60 mL/min/1.73 m^2 and < 90 mL/min/1.73 m^2 will receive a single oral dose of evobrutinib under fasting conditions.

Outcomes

Primary Outcome Measures

Area Under the Plasma Concentration-Time Curve From Time Zero to the Last Quantifiable Concentration (AUC 0-t) of Evobrutinib
Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC 0-inf) of Evobrutinib
Maximum Observed Plasma Concentration (Cmax) of Evobrutinib

Secondary Outcome Measures

Occurrences of Treatment-emergent Adverse Events (TEAEs)
Number of Subjects With TEAEs According to Severity
Number of Subjects With Clinically Significant Abnormalities in Vital Signs, Laboratory Parameters and 12-lead Electrocardiogram (ECG) Findings
Number of subjects with clinically significant abnormalities will be reported.
Time to Reach the Maximum Plasma Concentration (tmax) of Evobrutinib
Time Prior to the First Measurable (Non-Zero) Concentration (t lag) of Evobrutinib
Terminal Rate Constant (λz) of Evobrutinib
Terminal Half-Life (t1/2) of Evobrutinib
Area Under the Plasma Concentration-Time Curve From Time Zero to 24 Hours After Dosing (AUC 0-24h) of Evobrutinib
Area Under the Plasma Concentration-Time Curve From Time Zero to 8 Hours After Dosing (AUC 0-8h) of Evobrutinib
Apparent Clearance (CL/f) of Evobrutinib
Apparent Volume of Distribution During Terminal Phase (Vz/f) of Evobrutinib
Amount of Unchanged Drug (Evobrutinib) Excreted in Urine During Collection Interval (0-8 hours) (Ae0-8h)
Fraction of Administered Drug (Evobrutinib) Excreted in Urine (fe)
Fraction of Unbound Drug (Evobrutinib) in the Plasma (fu)
Renal Clearance of Evobrutinib (CLR)
Non-Renal Clearance of Evobrutinib (CLNonR/f)

Full Information

First Posted
February 6, 2018
Last Updated
May 15, 2019
Sponsor
Merck KGaA, Darmstadt, Germany
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1. Study Identification

Unique Protocol Identification Number
NCT03436394
Brief Title
Effect of Renal Impairment on Evobrutinib Pharmacokinetics (PK)
Official Title
Phase I, Open-label, Single Dose Study to Investigate the Effect of Renal Impairment on the Pharmacokinetics (PK) of Evobrutinib (M2951) Compared to Normal Renal Function in Male and Female Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
May 2019
Overall Recruitment Status
Completed
Study Start Date
March 21, 2018 (Actual)
Primary Completion Date
February 22, 2019 (Actual)
Study Completion Date
February 22, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Merck KGaA, Darmstadt, Germany

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The study will investigate the PK and safety of evobrutinib in subjects with different degree of renal impairment as compared to subjects with normal renal function.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Renal Impairment
Keywords
Renal Impairment, Evobrutinib, Pharmacokinetics

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Evobrutinib: Normal Renal Function
Arm Type
Experimental
Arm Description
Subjects with estimated glomerular filtration rate (eGFR) greater than or equal to (>=) 90 milliliter per minute per 1.73 meter square (mL/min/1.73 m^2) will receive a single oral dose of evobrutinib under fasting conditions.
Arm Title
Evobrutinib: Severe Renal Impairment
Arm Type
Experimental
Arm Description
Subjects with eGFR less than (<) 30 mL/min/1.73 m^2 will receive a single oral dose of evobrutinib under fasting conditions.
Arm Title
Evobrutinib: Moderate Renal Impairment
Arm Type
Experimental
Arm Description
Subjects with eGFR >= to 30 mL/min/1.73 m^2 and < 60 mL/min/1.73 m^2 will receive a single oral dose of evobrutinib under fasting conditions.
Arm Title
Evobrutinib: Mild Renal Impairment
Arm Type
Experimental
Arm Description
Subjects with eGFR >= to 60 mL/min/1.73 m^2 and < 90 mL/min/1.73 m^2 will receive a single oral dose of evobrutinib under fasting conditions.
Intervention Type
Drug
Intervention Name(s)
Evobrutinib
Other Intervention Name(s)
MSC2364447C, M2951
Intervention Description
Subjects will be administered a single oral dose of evobrutinib under fasting conditions.
Primary Outcome Measure Information:
Title
Area Under the Plasma Concentration-Time Curve From Time Zero to the Last Quantifiable Concentration (AUC 0-t) of Evobrutinib
Time Frame
Pre-dose up to 30 hours post-dose
Title
Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC 0-inf) of Evobrutinib
Time Frame
Pre-dose up to 30 hours post-dose
Title
Maximum Observed Plasma Concentration (Cmax) of Evobrutinib
Time Frame
Pre-dose up to 30 hours post-dose
Secondary Outcome Measure Information:
Title
Occurrences of Treatment-emergent Adverse Events (TEAEs)
Time Frame
Day 1 up to Day 6
Title
Number of Subjects With TEAEs According to Severity
Time Frame
Day 1 up to Day 6
Title
Number of Subjects With Clinically Significant Abnormalities in Vital Signs, Laboratory Parameters and 12-lead Electrocardiogram (ECG) Findings
Description
Number of subjects with clinically significant abnormalities will be reported.
Time Frame
Day 1 up to Day 6
Title
Time to Reach the Maximum Plasma Concentration (tmax) of Evobrutinib
Time Frame
Pre-dose up to 30 hours post-dose
Title
Time Prior to the First Measurable (Non-Zero) Concentration (t lag) of Evobrutinib
Time Frame
Pre-dose up to 30 hours post-dose
Title
Terminal Rate Constant (λz) of Evobrutinib
Time Frame
Pre-dose up to 30 hours post-dose
Title
Terminal Half-Life (t1/2) of Evobrutinib
Time Frame
Pre-dose up to 30 hours post-dose
Title
Area Under the Plasma Concentration-Time Curve From Time Zero to 24 Hours After Dosing (AUC 0-24h) of Evobrutinib
Time Frame
Pre-dose up to 24 hours post-dose
Title
Area Under the Plasma Concentration-Time Curve From Time Zero to 8 Hours After Dosing (AUC 0-8h) of Evobrutinib
Time Frame
Pre-dose up to 8 hours post-dose
Title
Apparent Clearance (CL/f) of Evobrutinib
Time Frame
Pre-dose up to 30 hours post-dose
Title
Apparent Volume of Distribution During Terminal Phase (Vz/f) of Evobrutinib
Time Frame
Pre-dose up to 30 hours post-dose
Title
Amount of Unchanged Drug (Evobrutinib) Excreted in Urine During Collection Interval (0-8 hours) (Ae0-8h)
Time Frame
Pre-dose up to 8 hours post-dose
Title
Fraction of Administered Drug (Evobrutinib) Excreted in Urine (fe)
Time Frame
Pre-dose up to 30 hours post-dose
Title
Fraction of Unbound Drug (Evobrutinib) in the Plasma (fu)
Time Frame
Pre-dose up to 30 hours post-dose
Title
Renal Clearance of Evobrutinib (CLR)
Time Frame
Pre-dose up to 30 hours post-dose
Title
Non-Renal Clearance of Evobrutinib (CLNonR/f)
Time Frame
Pre-dose up to 30 hours post-dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
79 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male and Female subjects with total body weight between 50.0 and 100.0 kilograms(kg) (inclusive) and body mass index (BMI) between 19.0 and 36.0 kg per meter square (inclusive) at the time of the screening examination For subjects with impaired renal function: Subjects must have an eGFR according to the Modification of diet in renal disease (MDRD) equation of less than 90 mL per minute at screening and the possibility of stratification to one of the groups and a stable renal function as defined by either: if the time interval between screening and dosing is greater than 10 days, two eGFR with the second estimate within 20% of prior value or historical records of stable function over the past 3 months if within 20 percentage of screening value and within 10 days of dosing Other protocol defined inclusion criteria could apply Exclusion Criteria: History or presence of respiratory, gastrointestinal (including bariatric or other gastric surgeries, or other conditions that may affect drug absorption) hepatic (including hepatorenal syndrome), hematological, lymphatic, neurological (including seizures), cardiovascular (including ventricular dysfunction and congestive heart failure), psychiatric, musculoskeletal, genitourinary, immunological, dermatological, connective tissue diseases or disorders that may affect the safety of the subject. Clinical history of any autoimmune disorder Prior history of cholecystectomy or splenectomy, and any clinically relevant surgery within 6 months prior to Screening, which might interfere with the objectives of the study or the study procedures History of any malignancy except superficial basal cell carcinoma treated for curative intent may be allowed Other protocol defined exclusion criteria could apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Responsible
Organizational Affiliation
Merck KGaA, Darmstadt, Germany
Official's Role
Study Director
Facility Information:
Facility Name
Please Contact the Merck KGaA Communication Center
City
Darmstadt
ZIP/Postal Code
64293
Country
Germany

12. IPD Sharing Statement

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Effect of Renal Impairment on Evobrutinib Pharmacokinetics (PK)

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