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Investigation of Pharmacokinetics, Pharmacodynamics, Safety and Tolerability of Multiple Doses of Somapacitan in Subjects With Various Degrees of Impaired Renal Function Compared to Subjects With Normal Renal Function

Primary Purpose

Growth Hormone Disorder, Adult Growth Hormone Deficiency, Growth Hormone Deficiency in Children

Status
Completed
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
Somapacitan
Sponsored by
Novo Nordisk A/S
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Growth Hormone Disorder

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male or female, aged 18-75 years (both inclusive) at the time of signing informed consent
  • Body mass index between 18.5-34.9 kg/sqm (both inclusive)
  • Meeting the pre-defined glomerular filtration rate for any of the renal function groups 1-4 (based on the measured glomerular filtration rate using exogenous sinistrin (Inutest®) as a filtration marker) or being in treatment with haemodialysis

Exclusion Criteria:

  • Female who is pregnant, breast-feeding or intends to become pregnant or is of child-bearing potential and not using an adequate contraceptive method (adequate contraceptive measure as required by local regulation or practice). Male of reproductive age who or whose partner(s) is not using adequate contraceptive methods (adequate contraceptive measures as required by local regulation or practice) or male who is not willing to refrain from donating semen for at least 16 days after last trial product administration
  • Any disorder, except for conditions associated with renal impairment in the groups of subjects with reduced renal function, which in the investigator's opinion might jeopardise subject's safety, evaluation of results, or compliance with the protocol. For example, arterial hypertension, anaemia, impaired glucose tolerance or type 2 diabetes are accepted in the group of subjects with renal impairment

Sites / Locations

  • Novo Nordisk Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Normal renal function

Mild renal impairment

Moderate renal impairment

Severe renal impairment

Requiring haemodialysis treatment

Arm Description

Subjects with normal renal function

Subjects with mild renal impairment

Subjects with moderate renal impairment

Subjects with severe renal impairment

Subjects requiring haemodialysis treatment

Outcomes

Primary Outcome Measures

Area under the somapacitan serum concentration time curve
Calculated based on the serum concentrations measured in ug/l

Secondary Outcome Measures

Maximum serum concentration of somapacitan
Measured in ng/ml
Time to maximum serum concentration of somapacitan
Calculated based on the serum concentrations measured in ug/l
Incidence of adverse events
Count and % of events
Occurrence of anti-somapacitan antibodies
Count or % of events

Full Information

First Posted
June 12, 2017
Last Updated
April 16, 2020
Sponsor
Novo Nordisk A/S
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1. Study Identification

Unique Protocol Identification Number
NCT03186495
Brief Title
Investigation of Pharmacokinetics, Pharmacodynamics, Safety and Tolerability of Multiple Doses of Somapacitan in Subjects With Various Degrees of Impaired Renal Function Compared to Subjects With Normal Renal Function
Official Title
Investigation of Pharmacokinetics, Pharmacodynamics, Safety and Tolerability of Multiple Doses of Somapacitan in Subjects With Various Degrees of Impaired Renal Function Compared to Subjects With Normal Renal Function
Study Type
Interventional

2. Study Status

Record Verification Date
April 2020
Overall Recruitment Status
Completed
Study Start Date
June 20, 2017 (Actual)
Primary Completion Date
May 17, 2018 (Actual)
Study Completion Date
May 17, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novo Nordisk A/S

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
The trial is conducted in Europe. The aim of the trial is to investigate the steady state exposure of somapacitan in subjects with various degrees of renal impairment (mild, moderate, severe renal impairment, requiring haemodialysis treatment) 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
Growth Hormone Disorder, Adult Growth Hormone Deficiency, Growth Hormone Deficiency in Children

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Normal renal function
Arm Type
Experimental
Arm Description
Subjects with normal renal function
Arm Title
Mild renal impairment
Arm Type
Experimental
Arm Description
Subjects with mild renal impairment
Arm Title
Moderate renal impairment
Arm Type
Experimental
Arm Description
Subjects with moderate renal impairment
Arm Title
Severe renal impairment
Arm Type
Experimental
Arm Description
Subjects with severe renal impairment
Arm Title
Requiring haemodialysis treatment
Arm Type
Experimental
Arm Description
Subjects requiring haemodialysis treatment
Intervention Type
Drug
Intervention Name(s)
Somapacitan
Intervention Description
All subjects will receive three (0.08 mg/kg) consecutive once-weekly s.c. (under the skin) administrations of somapacitan
Primary Outcome Measure Information:
Title
Area under the somapacitan serum concentration time curve
Description
Calculated based on the serum concentrations measured in ug/l
Time Frame
From time 0 to 168 hours after the last dosing on Day 15.
Secondary Outcome Measure Information:
Title
Maximum serum concentration of somapacitan
Description
Measured in ng/ml
Time Frame
After the last dosing on Day 15 up until Day 43
Title
Time to maximum serum concentration of somapacitan
Description
Calculated based on the serum concentrations measured in ug/l
Time Frame
After the last dosing on Day 15 up until Day 43
Title
Incidence of adverse events
Description
Count and % of events
Time Frame
Day 0 - 43
Title
Occurrence of anti-somapacitan antibodies
Description
Count or % of events
Time Frame
Day 0 - 43

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female, aged 18-75 years (both inclusive) at the time of signing informed consent Body mass index between 18.5-34.9 kg/sqm (both inclusive) Meeting the pre-defined glomerular filtration rate for any of the renal function groups 1-4 (based on the measured glomerular filtration rate using exogenous sinistrin (Inutest®) as a filtration marker) or being in treatment with haemodialysis Exclusion Criteria: Female who is pregnant, breast-feeding or intends to become pregnant or is of child-bearing potential and not using an adequate contraceptive method (adequate contraceptive measure as required by local regulation or practice). Male of reproductive age who or whose partner(s) is not using adequate contraceptive methods (adequate contraceptive measures as required by local regulation or practice) or male who is not willing to refrain from donating semen for at least 16 days after last trial product administration Any disorder, except for conditions associated with renal impairment in the groups of subjects with reduced renal function, which in the investigator's opinion might jeopardise subject's safety, evaluation of results, or compliance with the protocol. For example, arterial hypertension, anaemia, impaired glucose tolerance or type 2 diabetes are accepted in the group of subjects with renal impairment
Facility Information:
Facility Name
Novo Nordisk Investigational Site
City
Berlin
ZIP/Postal Code
10117
Country
Germany

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
According to the Novo Nordisk disclosure commitment on novonordisk-trials.com
Citations:
PubMed Identifier
33754315
Citation
Bentz Damholt B, Dombernowsky SL, Dahl Bendtsen M, Bisgaard C, Hojby Rasmussen M. Effect of Kidney or Hepatic Impairment on the Pharmacokinetics and Pharmacodynamics of Somapacitan: Two Open-Label, Parallel-Group Trials. Clin Pharmacokinet. 2021 Aug;60(8):1015-1027. doi: 10.1007/s40262-021-00990-7. Epub 2021 Mar 23.
Results Reference
derived

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Investigation of Pharmacokinetics, Pharmacodynamics, Safety and Tolerability of Multiple Doses of Somapacitan in Subjects With Various Degrees of Impaired Renal Function Compared to Subjects With Normal Renal Function

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