search
Back to results

Elafibranor Pharmacokinetic Parameters in Hepatic Impaired Patients

Primary Purpose

Hepatic Impairment, Liver Disease, Pharmacokinetics

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Elafibranor
Sponsored by
Genfit
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Hepatic Impairment

Eligibility Criteria

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

Inclusion Criteria:

- For all participants:

  1. Males or females, between 18 and 75 years of age, inclusive;
  2. With a minimum body weight of 50 kg and within a BMI range of 18.0 to 40.0 kg/m², inclusive;
  3. Females participating in this study must be of non-childbearing potential or using highly efficient contraception for the full duration of the study
  4. Negative serum pregnancy test at screening (if applicable);
  5. Negative human immunodeficiency virus antibody screens at Screening;

    • For hepatically impaired participants:
  6. Participants who have chronic (≥ 6 months) mild, moderate, or severe hepatic insufficiency (of any etiology) that has been clinically stable (no acute episodes of illness due to deterioration in hepatic function) for at least 1 month prior to Screening Currently on a stable medication regimen

    • For healthy volunteers with normal hepatic function:
  7. Non-smokers
  8. Matched to participants with Mild and/or Moderate and/or Severe hepatic impairment in age (± 10 years), BMI (± 20 percent) and gender.

Other protocol-defined inclusion criteria may apply

Exclusion Criteria:

- For all participants:

  1. A positive alcohol test result at Check-in;
  2. A history of alcohol abuse in the prior 2 years;
  3. Positive urine screen for drugs of abuse at Screening or Check-in.
  4. Strenuous exercise within 72 hours prior to Check-in;
  5. Blood donation or loss of blood (excluding volume drawn at screening or menses) of 50 mL to 499 mL of blood within 30 days, or more than 499 mL within 56 days prior to the dosing;
  6. History of stomach or intestinal surgery or resection that would potentially alter absorption and/or excretion of orally administered drugs except that appendectomy and hernia repair will be allowed. Bariatric surgery will not be allowed.
  7. Presence or history of malignancy within the prior 3 years, with the exception of treated basal cell or squamous cell carcinoma;
  8. Poor peripheral venous access;
  9. Receipt of blood products within 2 months prior to Check-in;

    • For hepatically impaired participants:
  10. History of unstable diabetes mellitus Subjects who have a transjugular intrahepatic portosystemic shunt and/or have undergone portacaval shunting;
  11. Participant has shown evidence of hepatorenal syndrome or has creatinine clearance ≤ 60 mL/min Subject has required treatment for GI bleeding within the 6 months prior to Check in;
  12. Recent history of paracentesis (< 3 months prior to Check-in);
  13. Participants with Wilson's disease, alpha-1 antitrypsin deficiency, glycogen storage diseases, or galactosemia;
  14. Participants with anemia secondary to hepatic disease, unless hemoglobin is ≥ 9 g/dL and anemia symptoms are not clinically significant. Subjects must have ≥ 35 000 platelets at screening and at Day -1;

    • For healthy volunteers with normal hepatic function:
  15. Significant history or clinical manifestation of any metabolic (including thyroid), allergic, dermatological, hepatic, renal, hematological, pulmonary, cardiovascular (including any prior history of cardiomyopathy or cardiac failure), gastrointestinal (GI), neurological, or psychiatric disorder;
  16. Positive serologic test for hepatitis B surface antigen or for hepatitis C virus antibody at Screening;
  17. Frequent headaches (> twice a month) and/or migraines, recurrent nausea and/or vomiting;
  18. Participants with symptomatic hypotension at Screening, whatever the decrease of blood pressure, or asymptomatic postural hypotension;
  19. Cholecystectomy

Other protocol-defined exclusion criteria may apply

Sites / Locations

  • Division of Clinical Pharmacology, University of Miami
  • inVentiv Health Clinical Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Mild Child-Pugh A

Moderate Child-Pugh B

Severe Child-Pugh C

Healthy

Arm Description

Single oral dose of elafibranor 120mg

Single oral dose of elafibranor 120mg

Single oral dose of elafibranor 120mg

Single oral dose of elafibranor 120mg

Outcomes

Primary Outcome Measures

Area under curve from dosing time to last measurement (AUC(0-t)) of elafibranor and active metabolite
In participants with mild, moderate and severe hepatic impairment compared to healthy volunteers
Area under curve from dosing time to infinity (AUC(0-∞)) of elafibranor and active metabolite
In participants with mild, moderate and severe hepatic impairment compared to healthy volunteers

Secondary Outcome Measures

Plasma pharmacokinetics: maximum plasma drug concentration (Cmax)
for elafibranor and metabolites
Plasma pharmacokinetics: elimination half-life (t1/2)
for elafibranor and metabolites
Plasma pharmacokinetics: apparent volume of distribution (Vd/F)
for elafibranor
Plasma pharmacokinetics: renal clearance (CLr)
for elafibranor and metabolites
Plasma pharmacokinetics: apparent non renal clearance (CLnr/F)
for elafibranor
Plasma pharmacokinetics: apparent total clearance (CL/F)
for elafibranor
Plasma pharmacokinetics: area under the plasma concentration-time curve extrapolated from time t to infinity as a percentage of total area under the plasma concentration-time curve (%AUCextra)
for elafibranor and metabolites
Plasma pharmacokinetics: area under curve from dosing time to last measurement (AUC(0-t)) of glucuronide metabolites and corresponding aglycones
for the glucuronide metabolites of elafibranor and corresponding aglycones
Plasma pharmacokinetics: area under curve from dosing time to infinity (AUC(0-∞)) of glucuronide metabolites and corresponding aglycones
for the glucuronide metabolites of elafibranor and corresponding aglycones
Urine pharmacokinetics: amount excreted (Ae)
for elafibranor and metabolites, if applicable. 24 hours urine collection from dosing to 216 hours post-dose
Urine pharmacokinetics: cumulative amount excreted (Ae0-t)
for elafibranor and metabolites, if applicable. 24 hours urine collection from dosing to 216 hours post-dose
Urine pharmacokinetics: percentage of dose excreted (Fe)
for elafibranor and metabolites, if applicable. 24 hours urine collection from dosing to 216 hours post-dose
Urine pharmacokinetics: cumulative percent of dose excreted (Fe0-t)
for elafibranor and metabolites, if applicable. 24 hours urine collection from dosing to 216 hours post-dose
Urine pharmacokinetics: renal clearance (CLR)
for elafibranor and metabolites, if applicable. 24 hours urine collection from dosing to 216 hours post-dose

Full Information

First Posted
November 30, 2018
Last Updated
August 21, 2019
Sponsor
Genfit
Collaborators
Syneos Health, University of Miami
search

1. Study Identification

Unique Protocol Identification Number
NCT03765671
Brief Title
Elafibranor Pharmacokinetic Parameters in Hepatic Impaired Patients
Official Title
An Open-label, Phase 1, Single-dose Study to Evaluate the Pharmacokinetics of Elafibranor 120 mg in Adult Subjects With Hepatic Impairment and Adult Healthy Control Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
August 2019
Overall Recruitment Status
Completed
Study Start Date
December 12, 2018 (Actual)
Primary Completion Date
June 7, 2019 (Actual)
Study Completion Date
June 14, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Genfit
Collaborators
Syneos Health, University of Miami

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 is being conducted in order to assess the need for dose adjustment for elafibranor in patients with hepatic impairment. Pharmacokinetic parameters of elafibranor and its active metabolite (GFT1007) will be compared in hepatic impaired patients (mild, moderate and severe according to Child-Pugh categories) versus healthy participants after a single oral administration of elafibranor 120 mg.

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Mild Child-Pugh A
Arm Type
Experimental
Arm Description
Single oral dose of elafibranor 120mg
Arm Title
Moderate Child-Pugh B
Arm Type
Experimental
Arm Description
Single oral dose of elafibranor 120mg
Arm Title
Severe Child-Pugh C
Arm Type
Experimental
Arm Description
Single oral dose of elafibranor 120mg
Arm Title
Healthy
Arm Type
Experimental
Arm Description
Single oral dose of elafibranor 120mg
Intervention Type
Drug
Intervention Name(s)
Elafibranor
Other Intervention Name(s)
GFT505
Intervention Description
120mg oral single dose
Primary Outcome Measure Information:
Title
Area under curve from dosing time to last measurement (AUC(0-t)) of elafibranor and active metabolite
Description
In participants with mild, moderate and severe hepatic impairment compared to healthy volunteers
Time Frame
pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose. Additionally, after elafibranor administration at 288 and 384 hours for hepatic impaired patients
Title
Area under curve from dosing time to infinity (AUC(0-∞)) of elafibranor and active metabolite
Description
In participants with mild, moderate and severe hepatic impairment compared to healthy volunteers
Time Frame
pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose. Additionally, after elafibranor administration at 288 and 384 hours for hepatic impaired patients
Secondary Outcome Measure Information:
Title
Plasma pharmacokinetics: maximum plasma drug concentration (Cmax)
Description
for elafibranor and metabolites
Time Frame
pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose. Additionally, after elafibranor administration at 288 and 384 hours for hepatic impaired participants
Title
Plasma pharmacokinetics: elimination half-life (t1/2)
Description
for elafibranor and metabolites
Time Frame
pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose. Additionally, after elafibranor administration at 288 and 384 hours for hepatic impaired participants
Title
Plasma pharmacokinetics: apparent volume of distribution (Vd/F)
Description
for elafibranor
Time Frame
pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose. Additionally, after elafibranor administration at 288 and 384 hours for hepatic impaired participants
Title
Plasma pharmacokinetics: renal clearance (CLr)
Description
for elafibranor and metabolites
Time Frame
pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose. Additionally, after elafibranor administration at 288 and 384 hours for hepatic impaired participants
Title
Plasma pharmacokinetics: apparent non renal clearance (CLnr/F)
Description
for elafibranor
Time Frame
pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose. Additionally, after elafibranor administration at 288 and 384 hours for hepatic impaired participants
Title
Plasma pharmacokinetics: apparent total clearance (CL/F)
Description
for elafibranor
Time Frame
pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose. Additionally, after elafibranor administration at 288 and 384 hours for hepatic impaired participants
Title
Plasma pharmacokinetics: area under the plasma concentration-time curve extrapolated from time t to infinity as a percentage of total area under the plasma concentration-time curve (%AUCextra)
Description
for elafibranor and metabolites
Time Frame
pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose. Additionally, after elafibranor administration at 288 and 384 hours for hepatic impaired participants
Title
Plasma pharmacokinetics: area under curve from dosing time to last measurement (AUC(0-t)) of glucuronide metabolites and corresponding aglycones
Description
for the glucuronide metabolites of elafibranor and corresponding aglycones
Time Frame
pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose. Additionally, after elafibranor administration at 288 and 384 hours for hepatic impaired participants
Title
Plasma pharmacokinetics: area under curve from dosing time to infinity (AUC(0-∞)) of glucuronide metabolites and corresponding aglycones
Description
for the glucuronide metabolites of elafibranor and corresponding aglycones
Time Frame
pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose. Additionally, after elafibranor administration at 288 and 384 hours for hepatic impaired patients
Title
Urine pharmacokinetics: amount excreted (Ae)
Description
for elafibranor and metabolites, if applicable. 24 hours urine collection from dosing to 216 hours post-dose
Time Frame
pre-dose and then 24, 48, 72, 96, 120, 144, 168, 192, 216 hours post-dose
Title
Urine pharmacokinetics: cumulative amount excreted (Ae0-t)
Description
for elafibranor and metabolites, if applicable. 24 hours urine collection from dosing to 216 hours post-dose
Time Frame
pre-dose and then 24, 48, 72, 96, 120, 144, 168, 192, 216 hours post-dose
Title
Urine pharmacokinetics: percentage of dose excreted (Fe)
Description
for elafibranor and metabolites, if applicable. 24 hours urine collection from dosing to 216 hours post-dose
Time Frame
pre-dose and then 24, 48, 72, 96, 120, 144, 168, 192, 216 hours post-dose
Title
Urine pharmacokinetics: cumulative percent of dose excreted (Fe0-t)
Description
for elafibranor and metabolites, if applicable. 24 hours urine collection from dosing to 216 hours post-dose
Time Frame
pre-dose and then 24, 48, 72, 96, 120, 144, 168, 192, 216 hours post-dose
Title
Urine pharmacokinetics: renal clearance (CLR)
Description
for elafibranor and metabolites, if applicable. 24 hours urine collection from dosing to 216 hours post-dose
Time Frame
pre-dose and then 24, 48, 72, 96, 120, 144, 168, 192, 216 hours post-dose

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: - For all participants: Males or females, between 18 and 75 years of age, inclusive; With a minimum body weight of 50 kg and within a BMI range of 18.0 to 40.0 kg/m², inclusive; Females participating in this study must be of non-childbearing potential or using highly efficient contraception for the full duration of the study Negative serum pregnancy test at screening (if applicable); Negative human immunodeficiency virus antibody screens at Screening; For hepatically impaired participants: Participants who have chronic (≥ 6 months) mild, moderate, or severe hepatic insufficiency (of any etiology) that has been clinically stable (no acute episodes of illness due to deterioration in hepatic function) for at least 1 month prior to Screening Currently on a stable medication regimen For healthy volunteers with normal hepatic function: Non-smokers Matched to participants with Mild and/or Moderate and/or Severe hepatic impairment in age (± 10 years), BMI (± 20 percent) and gender. Other protocol-defined inclusion criteria may apply Exclusion Criteria: - For all participants: A positive alcohol test result at Check-in; A history of alcohol abuse in the prior 2 years; Positive urine screen for drugs of abuse at Screening or Check-in. Strenuous exercise within 72 hours prior to Check-in; Blood donation or loss of blood (excluding volume drawn at screening or menses) of 50 mL to 499 mL of blood within 30 days, or more than 499 mL within 56 days prior to the dosing; History of stomach or intestinal surgery or resection that would potentially alter absorption and/or excretion of orally administered drugs except that appendectomy and hernia repair will be allowed. Bariatric surgery will not be allowed. Presence or history of malignancy within the prior 3 years, with the exception of treated basal cell or squamous cell carcinoma; Poor peripheral venous access; Receipt of blood products within 2 months prior to Check-in; For hepatically impaired participants: History of unstable diabetes mellitus Subjects who have a transjugular intrahepatic portosystemic shunt and/or have undergone portacaval shunting; Participant has shown evidence of hepatorenal syndrome or has creatinine clearance ≤ 60 mL/min Subject has required treatment for GI bleeding within the 6 months prior to Check in; Recent history of paracentesis (< 3 months prior to Check-in); Participants with Wilson's disease, alpha-1 antitrypsin deficiency, glycogen storage diseases, or galactosemia; Participants with anemia secondary to hepatic disease, unless hemoglobin is ≥ 9 g/dL and anemia symptoms are not clinically significant. Subjects must have ≥ 35 000 platelets at screening and at Day -1; For healthy volunteers with normal hepatic function: Significant history or clinical manifestation of any metabolic (including thyroid), allergic, dermatological, hepatic, renal, hematological, pulmonary, cardiovascular (including any prior history of cardiomyopathy or cardiac failure), gastrointestinal (GI), neurological, or psychiatric disorder; Positive serologic test for hepatitis B surface antigen or for hepatitis C virus antibody at Screening; Frequent headaches (> twice a month) and/or migraines, recurrent nausea and/or vomiting; Participants with symptomatic hypotension at Screening, whatever the decrease of blood pressure, or asymptomatic postural hypotension; Cholecystectomy Other protocol-defined exclusion criteria may apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pascal BIRMAN, MD
Organizational Affiliation
Genfit
Official's Role
Study Director
Facility Information:
Facility Name
Division of Clinical Pharmacology, University of Miami
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Facility Name
inVentiv Health Clinical Research
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Elafibranor Pharmacokinetic Parameters in Hepatic Impaired Patients

We'll reach out to this number within 24 hrs