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Pharmacokinetics Of Jaktinib In Subjects With Hepatic Impairment And Normal Hepatic Function

Primary Purpose

Hepatic Insufficiency, Healthy Subjects

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
Jaktinib Hydrochloride Tablets
Sponsored by
Suzhou Zelgen Biopharmaceuticals Co.,Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatic Insufficiency

Eligibility Criteria

18 Years - 79 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Able to comprehend and willing to sign an informed consent form. Ability to comply with trial and follow-up procedures.
  • Age 18-79 years at the time of signing the ICF, either male or female.
  • Male subjects body weight at least 50 kg, and female subjects body weight at least 45 kg. Body mass index (BMI) between 18 and 32 kg/m2 to participate.
  • After physical examination, vital signs, laboratory examinations, 12-lead electrocardiogram examination, the investigator determined that it is suitable to participate in this study.
  • Subjects are willing to take effective contraceptive measures from screening to 3 months after administration.

Additional Inclusion Criteria for Hepatic Impaired Subjects Only:

  • Child-Pugh Clinical Assessment Score consistent with degree of hepatic impairment(Requires no use of albumin within 14 days), And it is dysfunction caused by previous primary liver disease.
  • Any examination such as B-ultrasound, CT, MRI, FibroScan or liver biopsy confirms the presence of cirrhosis.

Additional Inclusion Criteria for Healthy Subjects Only:

  • Have not taken any medicine within 2 weeks before administration; or have stable medication for at least 4 weeks before administration for the treatment of other comorbid diseases.

Exclusion Criteria:

  • Drug-induced liver injury.
  • Acute liver damage caused by various reasons.
  • Patients with liver failure, or combined with dominant hepatic encephalopathy, liver cancer, etc., which the investigator believes are not suitable for participating in the study.
  • Patients with a history of massive bleeding from esophageal varices without band ligation, sclerosing agent and TIPS treatment
  • Subjects with suspected allergies to Jaktinib or its excipient.
  • History of blood donation of 400 mL or more of blood within 3 months prior to screening.
  • Drug dependency, a positive urine drug screen.
  • Subjects with any significant clinical and laboratory abnormalities which may affect the safety evaluation.
  • Subjects suffering from arrhythmia and requiring treatment, or QTcB > 480ms at screening.
  • Subjects with clinical symptoms of active bacterial, viral, parasitic or fungal infections requiring treatment at screening.
  • Subjects with known human immunodeficiency virus (HIV),
  • Subjects with epilepsy or patients who have received psychotropic drug or sedatives during screening.
  • Subjects who had experienced malignant tumors within the past 5 years (except for adequately treated local basal cell carcinoma of the skin and cervical carcinoma in situ that have been cured).
  • Subjects who have participated in another clinical trial of a new drug or medical instrument within 3 months before screening.
  • Females who are breastfeeding or pregnant at Screening.

Exclusion Criteria for Healthy Subjects Only:

  • Subjects with hepatitis B surface antigen positive or HCV-RNA positive.
  • Patients with a history of liver dysfunction, or physical examination and laboratory examination at screening indicate that there is or may have liver dysfunction.

Sites / Locations

  • The First Affiliated Hospital of Soochow University

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Cohort A:Mild Hepatic Impairment

Cohort B:Moderate Hepatic Impairment

Cohort C:Normal Hepatic Function

Cohort D:Severe Hepatic Impairment

Arm Description

Participants with mild hepatic impairment (Child-Pugh Class A, score of 5 to 6, inclusive) will be administered a single dose of Jaktinib Hydrochloride Tablets.

Participants with moderate hepatic impairment (Child-Pugh Class B, score of 7 to 9, inclusive) will be administered a single dose of Jaktinib Hydrochloride Tablets.

Participants with normal hepatic function matched to participants with hepatic impairment in Cohorts A and B (matched with regards to age, sex, body mass index) will be administered a single oral dose of Jaktinib Hydrochloride Tablets.

Participants with severe hepatic impairment (Child-Pugh Class C, score of 10 to 11, inclusive) will be administered a single dose of Jaktinib Hydrochloride Tablets.

Outcomes

Primary Outcome Measures

Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-t)]of Jaktinib and its metabolites(ZG0244 and ZG0245)
AUC (0-t)= Area under the plasma concentration versus time curve from time zero (pre-dose) to time of last quantifiable concentration (0-t)
Maximum Observed Plasma Concentration (Cmax) of Jaktinib and its metabolites(ZG0244 and ZG0245)
To evaluate Maximum Observed Plasma Concentration (Cmax) of Jaktinib and its metabolites(ZG0244 and ZG0245)
Area Under the Plasma Concentration-Time Curve From 0 to Infinite Time (AUC[0-infinity]) Post Dose of Jaktinib and its metabolites(ZG0244 and ZG0245)
The AUC (0-infinity) is the area under the plasma Jaktinib and its metabolites(ZG0244 and ZG0245)concentration-time curve from time 0 to infinite time, calculated as the sum of AUC (0-last) and C(last)/lambda(z)

Secondary Outcome Measures

Number of Participants with Adverse Events (AEs) and Serious AEs
An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.

Full Information

First Posted
July 23, 2021
Last Updated
November 28, 2022
Sponsor
Suzhou Zelgen Biopharmaceuticals Co.,Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT04993404
Brief Title
Pharmacokinetics Of Jaktinib In Subjects With Hepatic Impairment And Normal Hepatic Function
Official Title
Study To Evaluate The Pharmacokinetics Of Jaktinib Hydrochloride Tablets In Subjects With Hepatic Impairment And Normal Hepatic Function
Study Type
Interventional

2. Study Status

Record Verification Date
November 2022
Overall Recruitment Status
Completed
Study Start Date
August 27, 2021 (Actual)
Primary Completion Date
September 19, 2022 (Actual)
Study Completion Date
September 19, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Suzhou Zelgen Biopharmaceuticals Co.,Ltd

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This multi-center, open-label, parallel-controlled, single-dose Phase 1 study is being conducted to directly characterize the pharmacokinetic (PK) profiles and safety of Jaktinib following administration of a single oral dose in subjects with varying degrees of hepatic impairment compared to healthy matched control subjects with normal hepatic function(matched by age, weight, and sex).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatic Insufficiency, Healthy Subjects

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Cohort A:Mild Hepatic Impairment
Arm Type
Experimental
Arm Description
Participants with mild hepatic impairment (Child-Pugh Class A, score of 5 to 6, inclusive) will be administered a single dose of Jaktinib Hydrochloride Tablets.
Arm Title
Cohort B:Moderate Hepatic Impairment
Arm Type
Experimental
Arm Description
Participants with moderate hepatic impairment (Child-Pugh Class B, score of 7 to 9, inclusive) will be administered a single dose of Jaktinib Hydrochloride Tablets.
Arm Title
Cohort C:Normal Hepatic Function
Arm Type
Experimental
Arm Description
Participants with normal hepatic function matched to participants with hepatic impairment in Cohorts A and B (matched with regards to age, sex, body mass index) will be administered a single oral dose of Jaktinib Hydrochloride Tablets.
Arm Title
Cohort D:Severe Hepatic Impairment
Arm Type
Experimental
Arm Description
Participants with severe hepatic impairment (Child-Pugh Class C, score of 10 to 11, inclusive) will be administered a single dose of Jaktinib Hydrochloride Tablets.
Intervention Type
Drug
Intervention Name(s)
Jaktinib Hydrochloride Tablets
Other Intervention Name(s)
Jaktinib
Intervention Description
A single oral dose of 100 mg Jaktinib Hydrochloride Tablets will be administered.
Primary Outcome Measure Information:
Title
Area Under the Curve From Time Zero to Last Quantifiable Concentration [AUC (0-t)]of Jaktinib and its metabolites(ZG0244 and ZG0245)
Description
AUC (0-t)= Area under the plasma concentration versus time curve from time zero (pre-dose) to time of last quantifiable concentration (0-t)
Time Frame
From day 1 to day 3
Title
Maximum Observed Plasma Concentration (Cmax) of Jaktinib and its metabolites(ZG0244 and ZG0245)
Description
To evaluate Maximum Observed Plasma Concentration (Cmax) of Jaktinib and its metabolites(ZG0244 and ZG0245)
Time Frame
From day 1 to day 3
Title
Area Under the Plasma Concentration-Time Curve From 0 to Infinite Time (AUC[0-infinity]) Post Dose of Jaktinib and its metabolites(ZG0244 and ZG0245)
Description
The AUC (0-infinity) is the area under the plasma Jaktinib and its metabolites(ZG0244 and ZG0245)concentration-time curve from time 0 to infinite time, calculated as the sum of AUC (0-last) and C(last)/lambda(z)
Time Frame
From day 1 to day 3
Secondary Outcome Measure Information:
Title
Number of Participants with Adverse Events (AEs) and Serious AEs
Description
An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.
Time Frame
Screening up to follow-up (7 days after dose administration)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
79 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Able to comprehend and willing to sign an informed consent form. Ability to comply with trial and follow-up procedures. Age 18-79 years at the time of signing the ICF, either male or female. Male subjects body weight at least 50 kg, and female subjects body weight at least 45 kg. Body mass index (BMI) between 18 and 32 kg/m2 to participate. After physical examination, vital signs, laboratory examinations, 12-lead electrocardiogram examination, the investigator determined that it is suitable to participate in this study. Subjects are willing to take effective contraceptive measures from screening to 3 months after administration. Additional Inclusion Criteria for Hepatic Impaired Subjects Only: Child-Pugh Clinical Assessment Score consistent with degree of hepatic impairment(Requires no use of albumin within 14 days), And it is dysfunction caused by previous primary liver disease. Any examination such as B-ultrasound, CT, MRI, FibroScan or liver biopsy confirms the presence of cirrhosis. Additional Inclusion Criteria for Healthy Subjects Only: Have not taken any medicine within 2 weeks before administration; or have stable medication for at least 4 weeks before administration for the treatment of other comorbid diseases. Exclusion Criteria: Drug-induced liver injury. Acute liver damage caused by various reasons. Patients with liver failure, or combined with dominant hepatic encephalopathy, liver cancer, etc., which the investigator believes are not suitable for participating in the study. Patients with a history of massive bleeding from esophageal varices without band ligation, sclerosing agent and TIPS treatment Subjects with suspected allergies to Jaktinib or its excipient. History of blood donation of 400 mL or more of blood within 3 months prior to screening. Drug dependency, a positive urine drug screen. Subjects with any significant clinical and laboratory abnormalities which may affect the safety evaluation. Subjects suffering from arrhythmia and requiring treatment, or QTcB > 480ms at screening. Subjects with clinical symptoms of active bacterial, viral, parasitic or fungal infections requiring treatment at screening. Subjects with known human immunodeficiency virus (HIV), Subjects with epilepsy or patients who have received psychotropic drug or sedatives during screening. Subjects who had experienced malignant tumors within the past 5 years (except for adequately treated local basal cell carcinoma of the skin and cervical carcinoma in situ that have been cured). Subjects who have participated in another clinical trial of a new drug or medical instrument within 3 months before screening. Females who are breastfeeding or pregnant at Screening. Exclusion Criteria for Healthy Subjects Only: Subjects with hepatitis B surface antigen positive or HCV-RNA positive. Patients with a history of liver dysfunction, or physical examination and laboratory examination at screening indicate that there is or may have liver dysfunction.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Liyan Miao, PhD
Organizational Affiliation
The First Affiliated Hospital of Soochow University
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Weifeng Zhao, PhD
Organizational Affiliation
The First Affiliated Hospital of Soochow University
Official's Role
Principal Investigator
Facility Information:
Facility Name
The First Affiliated Hospital of Soochow University
City
Suzhou
State/Province
Jiangsu
ZIP/Postal Code
215006
Country
China

12. IPD Sharing Statement

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Pharmacokinetics Of Jaktinib In Subjects With Hepatic Impairment And Normal Hepatic Function

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