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Pharmacokinetics and Safety of Single Subcutaneous Pasireotide (SOM230) in Subjects With Varying Degrees of Hepatic Function

Primary Purpose

Hepatic Cirrhosis, Alcoholism

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

About this trial

This is an interventional other trial for Hepatic Cirrhosis focused on measuring Pasireotide, PK profile,, Single dose, Pasireotide subcutaneous injection, Safety, Mild hepatic impaired patients, Moderate hepatic impaired patients, Severe hepatic impaired patients

Eligibility Criteria

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

Inclusion criteria:

Common Inclusion criteria for all subjects:

  • Male or female subjects between 18 and 75 years of age, inclusive.
  • Vital signs at screening and baseline which are within normal ranges.
  • Subjects must have a BMI between 20 kg/m2 and 30 kg/m2.

Inclusion Criteria for cohort 1:

• Generally healthy subjects as determined by past medical history, physical examination, vital signs, electrocardiogram and standard laboratory tests at screening.

Inclusion Criteria for cohort 2-4:

  • Subjects with confirmed cirrhosis by at least one of the following criteria:
  • Histologically by prior liver biopsy showing cirrhosis.
  • Clinically by physical examination, and/or laboratory data, and/or liver imaging, and/or endoscopic findings.

Exclusion criteria:

Common Exclusion criteria for all subjects:

  • Donation or loss of 400 mL or more of blood within eight weeks prior to dosing.
  • Subjects with additional active malignant disease within the last five years (with the exception of non-melanoma skin cancers that were not metastatic and have been treated curatively).
  • Subjects with abnormal clinical laboratory values (except the clinical laboratory values linked to hepatic dysfunction).
  • Any surgical or medical condition that may interfere with the conduct of the study, may jeopardize the subject in case of participation in the study or may significantly alter the absorption, distribution, metabolism or excretion of drugs.
  • History of immunocompromise, including a positive HIV test result (ELISA and Western blot). A HIV test will not be required; however, previous medical history will be reviewed
  • Female subjects who are pregnant (positive pregnancy test at screening or at baseline) or lactating, or are of childbearing potential and not practicing a medically acceptable method of birth control.

Exclusion Criteria for cohort 1:

  • Clinical evidence of liver disease or liver injury as indicated by abnormal liver function tests.
  • A positive Hepatitis B surface antigen (HBsAg) or Hepatitis C test result (antibody positive subjects will be allowed if non-viremic).

Exclusion Criteria for cohort 2-4:

  • Symptoms or history of encephalopathy (Stage III or worse) within three months prior to dosing.
  • Clinical evidence of severe ascites. Exclusion criteria

Common Exclusion criteria for all subjects:

  • Donation or loss of 400 mL or more of blood within eight weeks prior to dosing.
  • Subjects with additional active malignant disease within the last five years (with the exception of non-melanoma skin cancers that were not metastatic and have been treated curatively).
  • Subjects with abnormal clinical laboratory values (except the clinical laboratory values linked to hepatic dysfunction).
  • Any surgical or medical condition that may interfere with the conduct of the study, may jeopardize the subject in case of participation in the study or may significantly alter the absorption, distribution, metabolism or excretion of drugs.
  • History of immunocompromise, including a positive HIV test result (ELISA and Western blot). A HIV test will not be required; however, previous medical history will be reviewed
  • Female subjects who are pregnant (positive pregnancy test at screening or at baseline) or lactating, or are of childbearing potential and not practicing a medically acceptable method of birth control.

Exclusion Criteria for cohort 1:

  • Clinical evidence of liver disease or liver injury as indicated by abnormal liver function tests.
  • A positive Hepatitis B surface antigen (HBsAg) or Hepatitis C test result (antibody positive subjects will be allowed if non-viremic).

Exclusion Criteria for cohort 2-4:

  • Symptoms or history of encephalopathy (Stage III or worse) within three months prior to dosing.
  • Clinical evidence of severe ascites.

Sites / Locations

  • McGuire Research Institute VAMC
  • Universite Catholique de Louvain
  • Novartis Investigative site
  • Novartis Investigative Site

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Pasireotide

Arm Description

Outcomes

Primary Outcome Measures

Determination of the pharmacokinetic profile of single dose of pasireotide s.c. injection.

Secondary Outcome Measures

Determination of the safety after a single dose of pasireotide s.c. injection

Full Information

First Posted
June 11, 2008
Last Updated
December 17, 2020
Sponsor
Novartis Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT00698464
Brief Title
Pharmacokinetics and Safety of Single Subcutaneous Pasireotide (SOM230) in Subjects With Varying Degrees of Hepatic Function
Official Title
A Phase I, Open-label, Multi-center, Single Dose Study to Evaluate the Pharmacokinetics and Safety of Subcutaneous Pasireotide (SOM230) in Subjects With Varying Degrees of Hepatic Function
Study Type
Interventional

2. Study Status

Record Verification Date
November 2016
Overall Recruitment Status
Completed
Study Start Date
July 2008 (undefined)
Primary Completion Date
April 2009 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

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

4. Oversight

5. Study Description

Brief Summary
The purpose of this study is to evaluate the effect of varying degrees of hepatic function (Child-Pugh classification) on the pharmacokinetics and safety of pasireotide s.c. in subjects.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatic Cirrhosis, Alcoholism
Keywords
Pasireotide, PK profile,, Single dose, Pasireotide subcutaneous injection, Safety, Mild hepatic impaired patients, Moderate hepatic impaired patients, Severe hepatic impaired patients

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
34 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Pasireotide
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Pasireotide
Intervention Description
Single subcutaneous injection of 600 µg of Pasireotide.
Primary Outcome Measure Information:
Title
Determination of the pharmacokinetic profile of single dose of pasireotide s.c. injection.
Time Frame
5 days
Secondary Outcome Measure Information:
Title
Determination of the safety after a single dose of pasireotide s.c. injection
Time Frame
5 days

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: Common Inclusion criteria for all subjects: Male or female subjects between 18 and 75 years of age, inclusive. Vital signs at screening and baseline which are within normal ranges. Subjects must have a BMI between 20 kg/m2 and 30 kg/m2. Inclusion Criteria for cohort 1: • Generally healthy subjects as determined by past medical history, physical examination, vital signs, electrocardiogram and standard laboratory tests at screening. Inclusion Criteria for cohort 2-4: Subjects with confirmed cirrhosis by at least one of the following criteria: Histologically by prior liver biopsy showing cirrhosis. Clinically by physical examination, and/or laboratory data, and/or liver imaging, and/or endoscopic findings. Exclusion criteria: Common Exclusion criteria for all subjects: Donation or loss of 400 mL or more of blood within eight weeks prior to dosing. Subjects with additional active malignant disease within the last five years (with the exception of non-melanoma skin cancers that were not metastatic and have been treated curatively). Subjects with abnormal clinical laboratory values (except the clinical laboratory values linked to hepatic dysfunction). Any surgical or medical condition that may interfere with the conduct of the study, may jeopardize the subject in case of participation in the study or may significantly alter the absorption, distribution, metabolism or excretion of drugs. History of immunocompromise, including a positive HIV test result (ELISA and Western blot). A HIV test will not be required; however, previous medical history will be reviewed Female subjects who are pregnant (positive pregnancy test at screening or at baseline) or lactating, or are of childbearing potential and not practicing a medically acceptable method of birth control. Exclusion Criteria for cohort 1: Clinical evidence of liver disease or liver injury as indicated by abnormal liver function tests. A positive Hepatitis B surface antigen (HBsAg) or Hepatitis C test result (antibody positive subjects will be allowed if non-viremic). Exclusion Criteria for cohort 2-4: Symptoms or history of encephalopathy (Stage III or worse) within three months prior to dosing. Clinical evidence of severe ascites. Exclusion criteria Common Exclusion criteria for all subjects: Donation or loss of 400 mL or more of blood within eight weeks prior to dosing. Subjects with additional active malignant disease within the last five years (with the exception of non-melanoma skin cancers that were not metastatic and have been treated curatively). Subjects with abnormal clinical laboratory values (except the clinical laboratory values linked to hepatic dysfunction). Any surgical or medical condition that may interfere with the conduct of the study, may jeopardize the subject in case of participation in the study or may significantly alter the absorption, distribution, metabolism or excretion of drugs. History of immunocompromise, including a positive HIV test result (ELISA and Western blot). A HIV test will not be required; however, previous medical history will be reviewed Female subjects who are pregnant (positive pregnancy test at screening or at baseline) or lactating, or are of childbearing potential and not practicing a medically acceptable method of birth control. Exclusion Criteria for cohort 1: Clinical evidence of liver disease or liver injury as indicated by abnormal liver function tests. A positive Hepatitis B surface antigen (HBsAg) or Hepatitis C test result (antibody positive subjects will be allowed if non-viremic). Exclusion Criteria for cohort 2-4: Symptoms or history of encephalopathy (Stage III or worse) within three months prior to dosing. Clinical evidence of severe ascites.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Novartis Pharmaceuticlas
Organizational Affiliation
Novartis Pharmaceuticlas
Official's Role
Study Director
Facility Information:
Facility Name
McGuire Research Institute VAMC
City
Richmond
State/Province
Virginia
ZIP/Postal Code
23249
Country
United States
Facility Name
Universite Catholique de Louvain
City
Brussels
Country
Belgium
Facility Name
Novartis Investigative site
City
Berlin
Country
Germany
Facility Name
Novartis Investigative Site
City
George
Country
South Africa

12. IPD Sharing Statement

Citations:
PubMed Identifier
22282526
Citation
Horsmans Y, Hu K, Ruffin M, Wang Y, Song D, Bouillaud E, Wang Y, Mazur D, Botha FP, Heuman DM. Effect of hepatic impairment on the pharmacokinetics of pasireotide (SOM230): results from a multicenter phase I study. J Clin Pharmacol. 2012 Apr;52(4):552-8. doi: 10.1177/0091270011400072. Epub 2012 Jan 26.
Results Reference
result
Links:
URL
https://www.novctrd.com/ctrdweb/trialresult/trialresults/pdf?trialResultId=2920
Description
Novartis Clinical Trial Results on CSOM230B2114

Learn more about this trial

Pharmacokinetics and Safety of Single Subcutaneous Pasireotide (SOM230) in Subjects With Varying Degrees of Hepatic Function

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