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Pharmacokinetic Study of Icenticaftor in Participants With Hepatic Impairment

Primary Purpose

Hepatic Failure

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Icenticaftor
Sponsored by
Novartis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatic Failure focused on measuring Hepatic impairment, Child-Pugh classification, Icenticaftor, QBW251

Eligibility Criteria

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

All Participants:

Inclusion Criteria:

  • Male and non-child bearing potential female participants, 18 to 75 years of age (inclusive) at Screening.
  • Participants must weigh at least 50.0 kg and must have a body mass index (BMI) within the range of 18.0 to 38.0 kg/m2, inclusive, at Screening.
  • Must be a non-smoker or agree to smoke no more than 5 cigarettes (or equivalent) per day from Screening until the End of Study. Participants must maintain the same smoking status throughout the study (i.e. smoker or non smoker).

Exclusion Criteria:

  • Use of other investigational drugs within 5 half-lives prior to dosing of study treatment, or within 30 days, whichever is longer; or longer if required by local regulations.
  • Are taking medications prohibited to be taken with the study treatment
  • Known history of, or current clinically significant arrhythmias. Have clinically significant ECG abnormality or history of long-QT syndrome or whose QT interval corrected by Fridericia's formula (QTcF) is prolonged (> 480 msec) at Screening. Participants having myocardial infarction ≥ 5 years ago are eligible to participate.
  • Major gastrointestinal tract surgery such as gastrectomy, gastroenterostomy, or bowel resection.

Healthy Participants:

  • Each participant must match in age (± 10 years), gender, weight (± 15%), and smoking status to participants in Group 2, 3, or 4.
  • Seated vital signs must be within the following ranges at Screening and Baseline:
  • Body temperature, 35.0 to 37.5°C, inclusive.
  • Systolic blood pressure, 89 to 149 mmHg, inclusive.
  • Diastolic blood pressure, 50 to 89 mmHg, inclusive.
  • Pulse rate, 40 to 90 bpm, inclusive.
  • Participants must be in good health as determined by medical history, physical examination, ECG, and clinical laboratory tests at Screening.

Exclusion Criteria:

  • Liver disease or liver injury as indicated by abnormal liver function tests.
  • Chronic infection with HBV or HCV.
  • History or presence of impaired renal function.

Hepatic Impairment Participants:

Inclusion Criteria:

  • Seated vital signs must be within the following ranges at Screening and Baseline:
  • Body temperature, 35.0 to 37.5°C, inclusive.
  • Systolic blood pressure, 89 to 159 mmHg, inclusive.
  • Diastolic blood pressure, 50 to 99 mmHg, inclusive.
  • Pulse rate, 50 to 99 bpm, inclusive.
  • Hepatic impairment as defined by the Child-Pugh classification for severity of liver disease

Exclusion Criteria:

  • Have severe complications of liver disease within the preceding 3 months of Screening.
  • Emergency room visit or hospitalization due to liver disease within the preceding 3 months of Screening.
  • Have received liver transplant at any time in the past.
  • Have encephalopathy Grade 3 or worse within 28 days prior to dosing of study treatment.
  • Have acute hepatitis B (HBV) or hepatitis C (HCV) infection.
  • Clinically significant abnormal findings in physical examination or clinical laboratory evaluations not consistent with known liver disease.

Other protocol-defined inclusion/exclusion criteria may apply

Sites / Locations

  • 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

Group 1 - Healthy subjects with normal hepatic function

Group 2 - Mild Hepatic Impairment

Group 3 - Moderate Hepatic Impairment

Group 4 - Severe Hepatic Impairment

Arm Description

Healthy subjects with normal hepatic function - Control

Mild hepatic impairment: Child-Pugh A (Score 5-6)

Moderate hepatic impairment: Child-Pugh B (Score 7-9)

Severe hepatic impairment: Child-Pugh C (Score 10-15)

Outcomes

Primary Outcome Measures

Maximum observed icenticaftor plasma concentration (Cmax) after single oral dose
Icenticaftor plasma concentrations will be determined by a validated liquid chromatography with tandem mass spectrometry (LC-MS/MS) method. Cmax of icenticaftor will be determined with Phoenix WinNonlin (Version 6.4 or higher).
Area under the plasma concentration-time curve from time zero to the last measurable concentration sampling time (AUClast) of icenticaftor after single oral dose
AUClast of icenticaftor will be determined using non-compartment methods with Phoenix WinNonlin (Version 6.4 or higher). The linear trapezoidal rule will be used for AUClast calculation.
Area under the plasma concentration-time curve from time zero to infinity (AUCinf) of icenticaftor after single oral dose
AUCinf of icenticaftor will be determined using non-compartment methods with Phoenix WinNonlin (Version 6.4 or higher). The linear trapezoidal rule will be used for AUCinf calculation.
Time to reach maximum icenticaftor plasma concentration (Tmax) after single oral dose
Icenticaftor plasma concentrations will be determined by a validated liquid chromatography with tandem mass spectrometry (LC-MS/MS) method. Tmax of icenticaftor will be determined with Phoenix WinNonlin (Version 6.4 or higher).
Apparent plasma clearance (CL/F) of icenticaftor after single oral dose
CL/F of icenticaftor will be determined using non-compartment methods with Phoenix WinNonlin (Version 6.4 or higher).
Apparent volume of distribution during terminal phase (Vz/F) of icenticaftor after single oral dose
Vz/F of icenticaftor will be determined using non-compartment methods with Phoenix WinNonlin (Version 6.4 or higher).
Elimination half-life (T1/2) of icenticaftor after single oral dose
T1/2 of icenticaftor will be determined using non-compartment methods with Phoenix WinNonlin (Version 6.4 or higher). Regression analysis of the terminal plasma elimination phase will be used for T1/2 calculation.

Secondary Outcome Measures

Plasma protein binding free fraction (unbound fraction [fu]) of icenticaftor
The free fraction in plasma fu of icenticaftor will be evaluated at 3 hours post-dose using equilibrium dialysis method.
Cmax of unbound icenticaftor (Cmax,u)
Icenticaftor Cmax,u will be calculated as Cmax*fu.
AUClast of unbound icenticaftor (AUClast,u)
Icenticaftor AUClast,u will be calculated as AUClast*fu.
AUCinf of unbound icenticaftor (AUCinf,u)
Icenticaftor AUCinf,u will be calculated as AUCinf*fu.
CL/F of unbound icenticaftor (CL/F,u)
Icenticaftor CL/F,u will be calculated as CL/F/fu.

Full Information

First Posted
September 29, 2020
Last Updated
August 17, 2023
Sponsor
Novartis Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT04587622
Brief Title
Pharmacokinetic Study of Icenticaftor in Participants With Hepatic Impairment
Official Title
A Phase 1, Open-label, Single-dose, Parallel-group Study to Evaluate the Systemic Pharmacokinetics of Icenticaftor in Participants With Mild, Moderate, or Severe Hepatic Impairment Compared to Matched Healthy Control Participants
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Completed
Study Start Date
October 30, 2020 (Actual)
Primary Completion Date
September 15, 2022 (Actual)
Study Completion Date
September 15, 2022 (Actual)

3. Sponsor/Collaborators

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

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 primary purpose of this study is to evaluate the effect of hepatic impairment on the systemic pharmacokinetics, safety, and tolerability of icenticaftor in participants with varying degrees of hepatic impairment.
Detailed Description
This is a Phase 1, multi-center study with parallel groups. The study employs a single-dose, open-label design in subjects with mild, moderate, or severe hepatic impairment along with matched healthy control subjects with normal hepatic function. Subjects with normal hepatic function will be matched with subjects with hepatic impairment for gender, age (± 10 years), body weight (± 15%), and smoking status (smoker or non-smoker). Up to a total of 48 participants will be enrolled in this study (approximately 8 in each mild [Child-Pugh A], moderate [Child-Pugh B], severe hepatic impairment [Child-Pugh C] groups), and up to 24 healthy control subjects). Each participant will receive a single oral dose of 300 mg of icenticaftor (QBW251) on Day 1 under fasting conditions. The study is comprised of an up to 28-day screening period (Days -28 to -1), a baseline evaluation (Day -1) prior to treatment on Day 1, and a follow-up period of 7 days for pharmacokinetics (PK) sample collection (pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose). A safety follow-up contact will be done 30 days after administration of the study drug. The primary purpose of this study is to evaluate the effect of hepatic impairment on the systemic PK, safety, and tolerability of icenticaftor in participants with varying degrees of hepatic impairment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatic Failure
Keywords
Hepatic impairment, Child-Pugh classification, Icenticaftor, QBW251

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Group 1 - Healthy subjects with normal hepatic function
Arm Type
Experimental
Arm Description
Healthy subjects with normal hepatic function - Control
Arm Title
Group 2 - Mild Hepatic Impairment
Arm Type
Experimental
Arm Description
Mild hepatic impairment: Child-Pugh A (Score 5-6)
Arm Title
Group 3 - Moderate Hepatic Impairment
Arm Type
Experimental
Arm Description
Moderate hepatic impairment: Child-Pugh B (Score 7-9)
Arm Title
Group 4 - Severe Hepatic Impairment
Arm Type
Experimental
Arm Description
Severe hepatic impairment: Child-Pugh C (Score 10-15)
Intervention Type
Drug
Intervention Name(s)
Icenticaftor
Other Intervention Name(s)
QBW251
Intervention Description
Single oral dose of 300 mg of icenticaftor (QBW251)
Primary Outcome Measure Information:
Title
Maximum observed icenticaftor plasma concentration (Cmax) after single oral dose
Description
Icenticaftor plasma concentrations will be determined by a validated liquid chromatography with tandem mass spectrometry (LC-MS/MS) method. Cmax of icenticaftor will be determined with Phoenix WinNonlin (Version 6.4 or higher).
Time Frame
pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose
Title
Area under the plasma concentration-time curve from time zero to the last measurable concentration sampling time (AUClast) of icenticaftor after single oral dose
Description
AUClast of icenticaftor will be determined using non-compartment methods with Phoenix WinNonlin (Version 6.4 or higher). The linear trapezoidal rule will be used for AUClast calculation.
Time Frame
pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose
Title
Area under the plasma concentration-time curve from time zero to infinity (AUCinf) of icenticaftor after single oral dose
Description
AUCinf of icenticaftor will be determined using non-compartment methods with Phoenix WinNonlin (Version 6.4 or higher). The linear trapezoidal rule will be used for AUCinf calculation.
Time Frame
pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose
Title
Time to reach maximum icenticaftor plasma concentration (Tmax) after single oral dose
Description
Icenticaftor plasma concentrations will be determined by a validated liquid chromatography with tandem mass spectrometry (LC-MS/MS) method. Tmax of icenticaftor will be determined with Phoenix WinNonlin (Version 6.4 or higher).
Time Frame
pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose
Title
Apparent plasma clearance (CL/F) of icenticaftor after single oral dose
Description
CL/F of icenticaftor will be determined using non-compartment methods with Phoenix WinNonlin (Version 6.4 or higher).
Time Frame
pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose
Title
Apparent volume of distribution during terminal phase (Vz/F) of icenticaftor after single oral dose
Description
Vz/F of icenticaftor will be determined using non-compartment methods with Phoenix WinNonlin (Version 6.4 or higher).
Time Frame
pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose
Title
Elimination half-life (T1/2) of icenticaftor after single oral dose
Description
T1/2 of icenticaftor will be determined using non-compartment methods with Phoenix WinNonlin (Version 6.4 or higher). Regression analysis of the terminal plasma elimination phase will be used for T1/2 calculation.
Time Frame
pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose
Secondary Outcome Measure Information:
Title
Plasma protein binding free fraction (unbound fraction [fu]) of icenticaftor
Description
The free fraction in plasma fu of icenticaftor will be evaluated at 3 hours post-dose using equilibrium dialysis method.
Time Frame
3 hours post-dose
Title
Cmax of unbound icenticaftor (Cmax,u)
Description
Icenticaftor Cmax,u will be calculated as Cmax*fu.
Time Frame
pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose
Title
AUClast of unbound icenticaftor (AUClast,u)
Description
Icenticaftor AUClast,u will be calculated as AUClast*fu.
Time Frame
pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose
Title
AUCinf of unbound icenticaftor (AUCinf,u)
Description
Icenticaftor AUCinf,u will be calculated as AUCinf*fu.
Time Frame
pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose
Title
CL/F of unbound icenticaftor (CL/F,u)
Description
Icenticaftor CL/F,u will be calculated as CL/F/fu.
Time Frame
pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120, 144 and 168 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
All Participants: Inclusion Criteria: Male and non-child bearing potential female participants, 18 to 75 years of age (inclusive) at Screening. Participants must weigh at least 50.0 kg and must have a body mass index (BMI) within the range of 18.0 to 38.0 kg/m2, inclusive, at Screening. Must be a non-smoker or agree to smoke no more than 5 cigarettes (or equivalent) per day from Screening until the End of Study. Participants must maintain the same smoking status throughout the study (i.e. smoker or non smoker). Exclusion Criteria: Use of other investigational drugs within 5 half-lives prior to dosing of study treatment, or within 30 days, whichever is longer; or longer if required by local regulations. Are taking medications prohibited to be taken with the study treatment Known history of, or current clinically significant arrhythmias. Have clinically significant ECG abnormality or history of long-QT syndrome or whose QT interval corrected by Fridericia's formula (QTcF) is prolonged (> 480 msec) at Screening. Participants having myocardial infarction ≥ 5 years ago are eligible to participate. Major gastrointestinal tract surgery such as gastrectomy, gastroenterostomy, or bowel resection. Healthy Participants: Each participant must match in age (± 10 years), gender, weight (± 15%), and smoking status to participants in Group 2, 3, or 4. Seated vital signs must be within the following ranges at Screening and Baseline: Body temperature, 35.0 to 37.5°C, inclusive. Systolic blood pressure, 89 to 149 mmHg, inclusive. Diastolic blood pressure, 50 to 89 mmHg, inclusive. Pulse rate, 40 to 90 bpm, inclusive. Participants must be in good health as determined by medical history, physical examination, ECG, and clinical laboratory tests at Screening. Exclusion Criteria: Liver disease or liver injury as indicated by abnormal liver function tests. Chronic infection with HBV or HCV. History or presence of impaired renal function. Hepatic Impairment Participants: Inclusion Criteria: Seated vital signs must be within the following ranges at Screening and Baseline: Body temperature, 35.0 to 37.5°C, inclusive. Systolic blood pressure, 89 to 159 mmHg, inclusive. Diastolic blood pressure, 50 to 99 mmHg, inclusive. Pulse rate, 50 to 99 bpm, inclusive. Hepatic impairment as defined by the Child-Pugh classification for severity of liver disease Exclusion Criteria: Have severe complications of liver disease within the preceding 3 months of Screening. Emergency room visit or hospitalization due to liver disease within the preceding 3 months of Screening. Have received liver transplant at any time in the past. Have encephalopathy Grade 3 or worse within 28 days prior to dosing of study treatment. Have acute hepatitis B (HBV) or hepatitis C (HCV) infection. Clinically significant abnormal findings in physical examination or clinical laboratory evaluations not consistent with known liver disease. Other protocol-defined inclusion/exclusion criteria may apply
Facility Information:
Facility Name
Novartis Investigative Site
City
Miami
State/Province
Florida
ZIP/Postal Code
33014-3616
Country
United States
Facility Name
Novartis Investigative Site
City
Orlando
State/Province
Florida
ZIP/Postal Code
32809
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Links:
URL
https://www.novctrd.com/ctrdweb/trialresult/trialresults/pdf?trialResultId=18083
Description
Results for CQBW251A2104 from the Novartis Clinical Trials Website

Learn more about this trial

Pharmacokinetic Study of Icenticaftor in Participants With Hepatic Impairment

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