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Impact of Severe Hepatic Impairment on Pharmacokinetics of Cenicriviroc and Its Metabolites

Primary Purpose

Hepatic Impairment

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

About this trial

This is an interventional treatment trial for Hepatic Impairment focused on measuring Liver insufficiency, Hepatic Impairment, Cenicriviroc, Pharmacokinetics

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria for all participants:

  • Sign the ICF and have the mental capability to understand it
  • If female, have a negative result from a serum pregnancy test at screening and a negative result from a serum or urine pregnancy test on Day -1
  • If male, agree to use an effective method of contraception (ie, condom plus diaphragm with spermicide or condom plus spermicide) and not have their partners become pregnant for at least 30 days after dosing study treatment, or have been sterilized for at least 1 year
  • If female of childbearing potential, agree to use an effective method of contraception (ie, condom plus diaphragm with spermicide, condom plus spermicide, or nonhormonal intrauterine device) and not become pregnant for at least 30 days after dosing study treatment. Females who are at least 2 years postmenopausal (with supporting documentation from an obstetrician/gynecologist) or who have had tubal ligation or hysterectomy (with supporting documentation from the physician who performed the surgery) will not be considered to be of childbearing potential
  • Be nonsmoking (never smoked or have not smoked in the previous 2 years) or a light smoker (fewer than 10 cigarettes per day within 1 week prior to study treatment administration)
  • Have a body mass index (BMI) ≥ 18 kg/m2 and ≤ 42 kg/m2

Inclusion Criteria for Participants with Severely Impaired Hepatic Function:

  • Have chronic liver disease and/or cirrhosis documented by the presence of at least 1 of the following:

    1. Liver biopsy with histologic findings consistent with cirrhosis
    2. Computerized tomographic or ultrasonographic evidence of liver disease with or without portal hypertension
    3. Physical examination and clinical and laboratory evidence of chronic liver disease
    4. Colloid shift on a liver-spleen scan

      Exclusion Criteria for all participants:

  • Known hypersensitivity to cenicriviroc and other chemokine receptor 2 and/or 5 (CCR2 and/or CCR5) antagonists such as maraviroc (CCR5 antagonist)
  • History of substance abuse within the previous 2 years
  • Dosing in any other clinical investigation using an experimental drug requiring repeated blood or plasma draws within 30 days of study treatment administration
  • Participation in a blood or plasma donation program within 60 or 30 days, respectively, of study treatment administration
  • Consumption of caffeine within 48 hours prior to dosing; consumption of grapefruit containing products, vegetables from the mustard green family (eg, kale, broccoli, watercress, collard greens, kohlrabi, Brussels sprouts, mustard), foods containing poppy seeds, and charbroiled meats within 14 days prior to dosing; or consumption of alcohol within 72 hours prior to dosing before study treatment administration
  • Employee, or immediate relative of an employee, of the sponsor, any of its affiliates or partners, or the study center
  • Previously taken cenicriviroc or previously participated in an investigational study of cenicriviroc
  • Pregnant or breastfeeding (female participants)

Exclusion Criteria for Participants with Severely Impaired Hepatic Function:

  • Have an acute exacerbation of liver disease as indicated by worsening clinical signs and/or laboratory tests within the 4 weeks before study treatment administration
  • Have ascites that will require paracentesis within 1 week of dosing or during the study period
  • Have gastrointestinal hemorrhage due to esophageal varices, peptic ulcers or Mallory Weiss Syndrome within 6 months before Day 1, unless banded and stable
  • Have a Child-Pugh score of < 10
  • Any clinical condition other than hepatic impairment or previous surgery that might affect the absorption, distribution, biotransformation, or excretion of cenicriviroc and its metabolites

Sites / Locations

  • Clinical Pharmacology of Miami
  • Orlando Clinical Research Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Severe hepatic impairment

Normal Hepatic function

Arm Description

Cenicriviroc tablet; single-dose oral administration

Cenicriviroc tablet; single-dose oral administration

Outcomes

Primary Outcome Measures

Area under the plasma concentration versus time curve (AUC) from time 0 to time t (AUC0-t)
AUC from time 0 to infinity (AUC0-∞)
Maximum plasma drug concentration (Cmax)

Secondary Outcome Measures

Time of maximum plasma drug concentration (Tmax)
Terminal elimination rate constant
Terminal elimination half-life (T½)
Total body clearance of drug from plasma (CL/F for CVC only)
Volume of distribution during the terminal phase (Vz/F for CVC only)

Full Information

First Posted
August 2, 2017
Last Updated
January 9, 2018
Sponsor
Allergan
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1. Study Identification

Unique Protocol Identification Number
NCT03376841
Brief Title
Impact of Severe Hepatic Impairment on Pharmacokinetics of Cenicriviroc and Its Metabolites
Official Title
An Open-Label Study to Evaluate the Effect of Severe Hepatic Impairment on the Pharmacokinetics of Cenicriviroc and Its Metabolites Following Single Dose Administration
Study Type
Interventional

2. Study Status

Record Verification Date
January 2018
Overall Recruitment Status
Completed
Study Start Date
June 6, 2017 (Actual)
Primary Completion Date
November 24, 2017 (Actual)
Study Completion Date
December 17, 2017 (Actual)

3. Sponsor/Collaborators

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

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 objective of this study is to assess the pharmacokinetics (PK), safety, and tolerability profiles of cenicriviroc (CVC) and its metabolites (M-I and M-II) in participants with severely impaired hepatic function compared with matched healthy participants following single-dose administration

6. Conditions and Keywords

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

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
Severe hepatic impairment
Arm Type
Experimental
Arm Description
Cenicriviroc tablet; single-dose oral administration
Arm Title
Normal Hepatic function
Arm Type
Experimental
Arm Description
Cenicriviroc tablet; single-dose oral administration
Intervention Type
Drug
Intervention Name(s)
Cenicriviroc
Other Intervention Name(s)
CVC
Intervention Description
1 tablet; single-dose oral administration
Primary Outcome Measure Information:
Title
Area under the plasma concentration versus time curve (AUC) from time 0 to time t (AUC0-t)
Time Frame
6 days (144 hours)
Title
AUC from time 0 to infinity (AUC0-∞)
Time Frame
6 days (144 hours)
Title
Maximum plasma drug concentration (Cmax)
Time Frame
6 days (144 hours)
Secondary Outcome Measure Information:
Title
Time of maximum plasma drug concentration (Tmax)
Time Frame
6 days (144 hours)
Title
Terminal elimination rate constant
Time Frame
6 days (144 hours)
Title
Terminal elimination half-life (T½)
Time Frame
6 days (144 hours)
Title
Total body clearance of drug from plasma (CL/F for CVC only)
Time Frame
6 days (144 hours)
Title
Volume of distribution during the terminal phase (Vz/F for CVC only)
Time Frame
6 days (144 hours)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria for all participants: Sign the ICF and have the mental capability to understand it If female, have a negative result from a serum pregnancy test at screening and a negative result from a serum or urine pregnancy test on Day -1 If male, agree to use an effective method of contraception (ie, condom plus diaphragm with spermicide or condom plus spermicide) and not have their partners become pregnant for at least 30 days after dosing study treatment, or have been sterilized for at least 1 year If female of childbearing potential, agree to use an effective method of contraception (ie, condom plus diaphragm with spermicide, condom plus spermicide, or nonhormonal intrauterine device) and not become pregnant for at least 30 days after dosing study treatment. Females who are at least 2 years postmenopausal (with supporting documentation from an obstetrician/gynecologist) or who have had tubal ligation or hysterectomy (with supporting documentation from the physician who performed the surgery) will not be considered to be of childbearing potential Be nonsmoking (never smoked or have not smoked in the previous 2 years) or a light smoker (fewer than 10 cigarettes per day within 1 week prior to study treatment administration) Have a body mass index (BMI) ≥ 18 kg/m2 and ≤ 42 kg/m2 Inclusion Criteria for Participants with Severely Impaired Hepatic Function: Have chronic liver disease and/or cirrhosis documented by the presence of at least 1 of the following: Liver biopsy with histologic findings consistent with cirrhosis Computerized tomographic or ultrasonographic evidence of liver disease with or without portal hypertension Physical examination and clinical and laboratory evidence of chronic liver disease Colloid shift on a liver-spleen scan Exclusion Criteria for all participants: Known hypersensitivity to cenicriviroc and other chemokine receptor 2 and/or 5 (CCR2 and/or CCR5) antagonists such as maraviroc (CCR5 antagonist) History of substance abuse within the previous 2 years Dosing in any other clinical investigation using an experimental drug requiring repeated blood or plasma draws within 30 days of study treatment administration Participation in a blood or plasma donation program within 60 or 30 days, respectively, of study treatment administration Consumption of caffeine within 48 hours prior to dosing; consumption of grapefruit containing products, vegetables from the mustard green family (eg, kale, broccoli, watercress, collard greens, kohlrabi, Brussels sprouts, mustard), foods containing poppy seeds, and charbroiled meats within 14 days prior to dosing; or consumption of alcohol within 72 hours prior to dosing before study treatment administration Employee, or immediate relative of an employee, of the sponsor, any of its affiliates or partners, or the study center Previously taken cenicriviroc or previously participated in an investigational study of cenicriviroc Pregnant or breastfeeding (female participants) Exclusion Criteria for Participants with Severely Impaired Hepatic Function: Have an acute exacerbation of liver disease as indicated by worsening clinical signs and/or laboratory tests within the 4 weeks before study treatment administration Have ascites that will require paracentesis within 1 week of dosing or during the study period Have gastrointestinal hemorrhage due to esophageal varices, peptic ulcers or Mallory Weiss Syndrome within 6 months before Day 1, unless banded and stable Have a Child-Pugh score of < 10 Any clinical condition other than hepatic impairment or previous surgery that might affect the absorption, distribution, biotransformation, or excretion of cenicriviroc and its metabolites
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Surya Ayalasomayajula
Organizational Affiliation
Allergan
Official's Role
Study Director
Facility Information:
Facility Name
Clinical Pharmacology of Miami
City
Miami
State/Province
Florida
ZIP/Postal Code
33014
Country
United States
Facility Name
Orlando Clinical Research Center
City
Orlando
State/Province
Florida
ZIP/Postal Code
32809
Country
United States

12. IPD Sharing Statement

Links:
URL
http://AllerganClinicalTrials.com
Description
Additional information on study locations near you may be found at AllerganClinicalTrials.com. For any study not on AllerganClinicalTrials.com, please contact IR-CTRegistration@Allergan.com for assistance.

Learn more about this trial

Impact of Severe Hepatic Impairment on Pharmacokinetics of Cenicriviroc and Its Metabolites

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