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Pharmacokinetic Study of BKM120 in Subjects With Hepatic Impairment

Primary Purpose

Hepatic Impairment

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
BKM120
Sponsored by
Novartis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Hepatic Impairment focused on measuring Hepatic impairment, Clinical pharmacology study, Volunteer study

Eligibility Criteria

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

Inclusion Criteria:

  • Subjects should be in good health (except for additional/ specific inclusion criteria related to hepatic impaired subjects) as determined by past medical history, physical examination, vital signs, electrocardiogram, and laboratory tests of no significance at screening
  • Subjects must weigh at least 45 kg to participate in this study, and must have a body mass index (BMI) from (18.5-35.0 kg/m2)
  • Subjects must be able to communicate well with the investigator, to understand the requirements of the study and agree to use strict contraception for 16 weeks after the last BKM120 dose

    ---Additional inclusion criteria Group 1 - control healthy subjects

  • Subjects should be matched to the hepatic impaired subjects of group 2 in gender, age (± 10 years), weight (± 20%), and BMI (±5%)

    ---Additional inclusion criteria Group 2 - hepatic impaired subjects

  • Subjects with physical signs consistent with stable hepatic impairment
  • Child-Pugh Clinical Assessment Score consistent with degree of hepatic impairment (mild , moderate or severe)
  • Subjects must be free of significant medical disorders unrelated to the subject's hepatic disorder as judged by the investigator.
  • Absolute neutrophil count (ANC) ≥ 1.5 x 109 /L
  • Platelet count ≥ 50 x 109 /L
  • serum creatinine ≤ 1.5 x ULN

Exclusion Criteria:

  • Significant illness, including infections, or hospitalization within the 2 weeks prior to dosing, except for the hepatic impaired subjects who due to their liver disease may be affected by significant medical problems which require frequent hospitalizations. Invasive systemic fungal infections need to be fully resolved prior to study entry
  • Use of tobacco products within 2 weeks prior to dosing or during the study.
  • Consumption of alcohol within 2 days prior to dosing or during the study
  • Subjects with known ongoing alcohol and or/drug abuse within 1 month prior to dosing, or evidence of such abuse as indicated by the laboratory assays conducted during screening and/or at baseline
  • Subjects not willing to avoid certain study prohibited food, drink, over the counter medicines and supplements
  • Any surgical or medical condition which might significantly alter the absorption, distribution, metabolism, or excretion of drugs, or which may jeopardize the subject in case of participation in the study.
  • Medical history of cardiac disease and/or clinically significant ECG abnormalities.
  • History of clinically significant hematologic, renal, endocrinologic, pulmonary cardiovascular, hepatic, or allergic disease medically documented
  • Medical history of relevant psychiatric disorders
  • Subjects with Diabetes Mellitus or subjects with glucose levels out of normal range as judge by the investigator
  • History of immunodeficiency diseases, including Human Immunodeficiency Virus (HIV), as confirmed by (HIV-1, HIV-2) test

    • Additional exclusion criteria Group 1 (matched healthy control subjects) History or presence of liver disease or liver injury as indicated by an abnormal liver function profile A positive Hepatitis C test or a positive Hepatitis B surface antigen (HBsAg)
    • Additional exclusion criteria Group 2- hepatic impaired subjects
  • Subjects with clinically significant abnormal findings, not consistent with clinical disease, upon physical examination, ECG or laboratory evaluation
  • Any evidence of progressive liver disease (within the last 4 weeks prior to the screening visit) as indicated by liver transaminases, alkaline phosphatase and GGT or a ≥ 50% worsening of serum bilirubin or prothrombin time
  • Total bilirubin > 6mg/dl
  • Subject has ascites requiring intervention

Sites / Locations

  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Mild Hepatic Impaired Group

Moderate Hepatic Impaired group

Severe Hepatic Impaired Group

Control Group

Arm Description

Subjects can only be enroled into this group if they fit the Child -Pugh score criteria of severity category - mildly hepatically impaired

Subjects can only be enroled into this group if they fit the Child -Pugh score criteria of severity category - moderately hepatically impaired

Subjects can only be enroled into this group if they fit the Child -Pugh score criteria of severity category - Severely hepatically impaired

Matching healthy control subjects who do not have hepatic impairment and are matched to the hepatic impaired subjects by sex, age, gender and BMI

Outcomes

Primary Outcome Measures

Plasma concentration of pharmacokinctis (PK) parameter Tmax
Measurment of effect of liver impairment on PK of BKM120 by assessment of the PK parameter TMax (time to maximum concentration)
Plasma concentration of PK parameter Cmax
Measurment of effect of liver impairment on PK of BKM120 by assessment of the PK parameter CMax (maximum concentration)
Plasma concentration of PK parameter AUC-t
Measurment of effect of liver impairment on PK of BKM120 by assessment of the PK parameter AUC-t (Area under the curve at specified timepoint) The specific key measure(s) or observation(s) that will be used to determine the effect of the intervention(s). Example: Change in left ventricular end systolic volume (LVESD) as measured by echocardiography Time to tumor progression Overall tumor response
Plasma concentration of PK parameter AUC-last
Measurment of effect of liver impairment on PK of BKM120 by assessment of the PK parameter AUC-last (Area under the curve at last timepoint) The specific key measure(s) or observation(s) that will be used to determine the effect of the intervention(s). Example: Change in left ventricular end systolic volume (LVESD) as measured by echocardiography Time to tumor progression Overall tumor response
Plasma concentration of PK parameter AUC-inf
Measurment of effect of liver impairment on PK of BKM120 by assessment of the PK parameter AUC-inf (Area under the curve to time infinity)
Plasma concentration of PK parameter CL/F
infMeasurment of effect of liver impairment on PK of BKM120 by assessment of the PK parameter CL/F (clearance)
Plasma concentration of PK parameter Vz/F
FMeasurment of effect of liver impairment on PK of BKM120 by assessment of the PK parameter Vz/F (Volume distribution)
Plasma concentration of PK parameter terminal T 1/2
Measurment of effect of liver impairment on PK of BKM120 by assessment of the PK parameter terminal T 1/2 (terminal half-life)

Secondary Outcome Measures

Adverse events severity
Severtiy of adverse events severity based on the CTCAE criteria to assess safety and tolerability of a single dose of BKM120
Change from baseline in laboratory parameters
Change from baseline in hematological and biochemical laboratory parameters
Change from baseline in ECG parameters
Change from baseline in ECG parameters
Change from baseline between PK parameters and total bilirubin, prothrombin time or INR and serum albumin
Relationship between PK parameters and baseline hepatic function parameters
measurement of plasma binding
Determination of the free fraction of BKM120 in plasmaexpressed weher relevant in terms of unbound drug concentration
Adverse events frequency
Frequency of adverse events severity based on the CTCAE criteria to assess safety and tolerability of a single dose of BKM120

Full Information

First Posted
November 12, 2012
Last Updated
December 6, 2020
Sponsor
Novartis Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT01727128
Brief Title
Pharmacokinetic Study of BKM120 in Subjects With Hepatic Impairment
Official Title
A Phase I, Multicenter, Open-label, Single-dose, Parallel Group Study to Assess the Pharmacokinetics of BKM120 in Subjects With Mild, Moderate and Severe Hepatic Impairmen
Study Type
Interventional

2. Study Status

Record Verification Date
April 2014
Overall Recruitment Status
Completed
Study Start Date
October 2011 (undefined)
Primary Completion Date
August 2013 (Actual)
Study Completion Date
August 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novartis Pharmaceuticals

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To assess pharamcokinetics, safety and tolerability of a single oral dose of BKM120 in subjects with mild, moderate and severe hepatic impairment

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatic Impairment
Keywords
Hepatic impairment, Clinical pharmacology study, Volunteer study

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Mild Hepatic Impaired Group
Arm Type
Experimental
Arm Description
Subjects can only be enroled into this group if they fit the Child -Pugh score criteria of severity category - mildly hepatically impaired
Arm Title
Moderate Hepatic Impaired group
Arm Type
Experimental
Arm Description
Subjects can only be enroled into this group if they fit the Child -Pugh score criteria of severity category - moderately hepatically impaired
Arm Title
Severe Hepatic Impaired Group
Arm Type
Experimental
Arm Description
Subjects can only be enroled into this group if they fit the Child -Pugh score criteria of severity category - Severely hepatically impaired
Arm Title
Control Group
Arm Type
Experimental
Arm Description
Matching healthy control subjects who do not have hepatic impairment and are matched to the hepatic impaired subjects by sex, age, gender and BMI
Intervention Type
Drug
Intervention Name(s)
BKM120
Primary Outcome Measure Information:
Title
Plasma concentration of pharmacokinctis (PK) parameter Tmax
Description
Measurment of effect of liver impairment on PK of BKM120 by assessment of the PK parameter TMax (time to maximum concentration)
Time Frame
predose,0.5,1,1.5,2,3,4,6,8,12,24,48,72,96,144,192,240,288,336 hours post dose
Title
Plasma concentration of PK parameter Cmax
Description
Measurment of effect of liver impairment on PK of BKM120 by assessment of the PK parameter CMax (maximum concentration)
Time Frame
predose,0.5,1,1.5,2,3,4,6,8,12,24,48,72,96,144,192,240,288,336 hours post dose
Title
Plasma concentration of PK parameter AUC-t
Description
Measurment of effect of liver impairment on PK of BKM120 by assessment of the PK parameter AUC-t (Area under the curve at specified timepoint) The specific key measure(s) or observation(s) that will be used to determine the effect of the intervention(s). Example: Change in left ventricular end systolic volume (LVESD) as measured by echocardiography Time to tumor progression Overall tumor response
Time Frame
predose,0.5,1,1.5,2,3,4,6,8,12,24,48,72,96,144,192,240,288,336 hours post dose
Title
Plasma concentration of PK parameter AUC-last
Description
Measurment of effect of liver impairment on PK of BKM120 by assessment of the PK parameter AUC-last (Area under the curve at last timepoint) The specific key measure(s) or observation(s) that will be used to determine the effect of the intervention(s). Example: Change in left ventricular end systolic volume (LVESD) as measured by echocardiography Time to tumor progression Overall tumor response
Time Frame
predose,0.5,1,1.5,2,3,4,6,8,12,24,48,72,96,144,192,240,288,336 hours post dose
Title
Plasma concentration of PK parameter AUC-inf
Description
Measurment of effect of liver impairment on PK of BKM120 by assessment of the PK parameter AUC-inf (Area under the curve to time infinity)
Time Frame
predose,0.5,1,1.5,2,3,4,6,8,12,24,48,72,96,144,192,240,288,336 hours post dose
Title
Plasma concentration of PK parameter CL/F
Description
infMeasurment of effect of liver impairment on PK of BKM120 by assessment of the PK parameter CL/F (clearance)
Time Frame
predose,0.5,1,1.5,2,3,4,6,8,12,24,48,72,96,144,192,240,288,336 hours post dose
Title
Plasma concentration of PK parameter Vz/F
Description
FMeasurment of effect of liver impairment on PK of BKM120 by assessment of the PK parameter Vz/F (Volume distribution)
Time Frame
predose,0.5,1,1.5,2,3,4,6,8,12,24,48,72,96,144,192,240,288,336 hours post dose
Title
Plasma concentration of PK parameter terminal T 1/2
Description
Measurment of effect of liver impairment on PK of BKM120 by assessment of the PK parameter terminal T 1/2 (terminal half-life)
Time Frame
predose,0.5,1,1.5,2,3,4,6,8,12,24,48,72,96,144,192,240,288,336 hours post dose
Secondary Outcome Measure Information:
Title
Adverse events severity
Description
Severtiy of adverse events severity based on the CTCAE criteria to assess safety and tolerability of a single dose of BKM120
Time Frame
From baseline day-1 to 30 days post dose
Title
Change from baseline in laboratory parameters
Description
Change from baseline in hematological and biochemical laboratory parameters
Time Frame
From baseline day-1 to 30 days post dose
Title
Change from baseline in ECG parameters
Description
Change from baseline in ECG parameters
Time Frame
From baseline day-1 to 30 days post dose
Title
Change from baseline between PK parameters and total bilirubin, prothrombin time or INR and serum albumin
Description
Relationship between PK parameters and baseline hepatic function parameters
Time Frame
From baseline day-1 to 15 days post dose
Title
measurement of plasma binding
Description
Determination of the free fraction of BKM120 in plasmaexpressed weher relevant in terms of unbound drug concentration
Time Frame
From baseline day-1 to 15 days post dose
Title
Adverse events frequency
Description
Frequency of adverse events severity based on the CTCAE criteria to assess safety and tolerability of a single dose of BKM120
Time Frame
From baseline day-1 to 30 days 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: Subjects should be in good health (except for additional/ specific inclusion criteria related to hepatic impaired subjects) as determined by past medical history, physical examination, vital signs, electrocardiogram, and laboratory tests of no significance at screening Subjects must weigh at least 45 kg to participate in this study, and must have a body mass index (BMI) from (18.5-35.0 kg/m2) Subjects must be able to communicate well with the investigator, to understand the requirements of the study and agree to use strict contraception for 16 weeks after the last BKM120 dose ---Additional inclusion criteria Group 1 - control healthy subjects Subjects should be matched to the hepatic impaired subjects of group 2 in gender, age (± 10 years), weight (± 20%), and BMI (±5%) ---Additional inclusion criteria Group 2 - hepatic impaired subjects Subjects with physical signs consistent with stable hepatic impairment Child-Pugh Clinical Assessment Score consistent with degree of hepatic impairment (mild , moderate or severe) Subjects must be free of significant medical disorders unrelated to the subject's hepatic disorder as judged by the investigator. Absolute neutrophil count (ANC) ≥ 1.5 x 109 /L Platelet count ≥ 50 x 109 /L serum creatinine ≤ 1.5 x ULN Exclusion Criteria: Significant illness, including infections, or hospitalization within the 2 weeks prior to dosing, except for the hepatic impaired subjects who due to their liver disease may be affected by significant medical problems which require frequent hospitalizations. Invasive systemic fungal infections need to be fully resolved prior to study entry Use of tobacco products within 2 weeks prior to dosing or during the study. Consumption of alcohol within 2 days prior to dosing or during the study Subjects with known ongoing alcohol and or/drug abuse within 1 month prior to dosing, or evidence of such abuse as indicated by the laboratory assays conducted during screening and/or at baseline Subjects not willing to avoid certain study prohibited food, drink, over the counter medicines and supplements Any surgical or medical condition which might significantly alter the absorption, distribution, metabolism, or excretion of drugs, or which may jeopardize the subject in case of participation in the study. Medical history of cardiac disease and/or clinically significant ECG abnormalities. History of clinically significant hematologic, renal, endocrinologic, pulmonary cardiovascular, hepatic, or allergic disease medically documented Medical history of relevant psychiatric disorders Subjects with Diabetes Mellitus or subjects with glucose levels out of normal range as judge by the investigator History of immunodeficiency diseases, including Human Immunodeficiency Virus (HIV), as confirmed by (HIV-1, HIV-2) test Additional exclusion criteria Group 1 (matched healthy control subjects) History or presence of liver disease or liver injury as indicated by an abnormal liver function profile A positive Hepatitis C test or a positive Hepatitis B surface antigen (HBsAg) Additional exclusion criteria Group 2- hepatic impaired subjects Subjects with clinically significant abnormal findings, not consistent with clinical disease, upon physical examination, ECG or laboratory evaluation Any evidence of progressive liver disease (within the last 4 weeks prior to the screening visit) as indicated by liver transaminases, alkaline phosphatase and GGT or a ≥ 50% worsening of serum bilirubin or prothrombin time Total bilirubin > 6mg/dl Subject has ascites requiring intervention
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Novartis Pharmaceuticals
Organizational Affiliation
Novartis Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Novartis Investigative Site
City
Sofia
ZIP/Postal Code
1618
Country
Bulgaria
Facility Name
Novartis Investigative Site
City
Berlin
ZIP/Postal Code
14050
Country
Germany
Facility Name
Novartis Investigative Site
City
Moscow
ZIP/Postal Code
117198
Country
Russian Federation

12. IPD Sharing Statement

Links:
URL
https://www.novctrd.com/ctrdweb/trialresult/trialresults/pdf?trialResultId=12183
Description
Results for CBKM120C2104 can be found on the Novartis Clinical Trial Results Website

Learn more about this trial

Pharmacokinetic Study of BKM120 in Subjects With Hepatic Impairment

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