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Phase 1 Study to Evaluate the Pharmacokinetics, Safety, and Tolerability of Multiple Oral Doses of MGL-3196 in Subjects With Varying Degrees of Hepatic Impairment and Healthy Matched Control Subjects

Primary Purpose

Hepatic Impairment, NASH - Nonalcoholic Steatohepatitis, Cirrhosis, Liver

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
MGL-3196
Sponsored by
Madrigal Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatic Impairment

Eligibility Criteria

18 Years - 85 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Capable of understanding and willing and able to sign written informed consent
  • Male or female, between 18 and 85 years of age (inclusive)
  • BMI between 18 and 45 kg/m2 (inclusive)
  • In healthy subjects with normal hepatic function:

    • Considered by the Investigator to be healthy, based on medical and surgical history, physical examination including vital signs, 12-lead ECG, and laboratory test results
    • Match demographically with a subject in the hepatically impaired population according to gender, BMI (±20%), and age (±10 years)
  • In subjects with hepatic impairment:

    • Considered by the Investigator to be clinically stable with respect to underlying HI, based on medical and surgical history, physical examination including vital signs, 12-lead ECG, and laboratory test results
  • In subjects with NASH:

    • Confirmed diagnosis of NASH suggested by historical data, which include a previous liver biopsy within the last 5 years prior to randomization with evidence of NASH.
    • BMI ≥18 kg/m2

Exclusion Criteria:

  • Any clinically significant concomitant disease or condition (including treatment for such conditions) that, in the opinion of the Investigator, could either interfere with the study drug, pose an unacceptable risk to the subject, or compromise interpretation of study data
  • Gilbert's syndrome
  • Pre-existing condition interfering with normal gastrointestinal anatomy or motility, hepatic and/or renal function that could interfere with the absorption, metabolism, and/or excretion of study drug
  • eGFR <60 mL/min/1.73 m2 based on Modification of Diet in Renal Disease (MDRD) equation
  • Received an investigational drug or device from another study within 30 days (or 5 half-lives, whichever is longer) prior to study drug administration
  • In healthy subjects with normal hepatic function:

    • Systolic blood pressure outside the range of 90 to 150 mmHg, diastolic blood pressure outside the range of 40 to 95 mmHg or heart rate outside the range of 40 to 100 beats per minute (bpm)
    • History of regular alcohol consumption exceeding 7 drinks/week for females or 14 drinks/week for men (1 drink = 5 ounces of wine or 12 ounces of beer or 1.5 ounces of hard liquor) within 6 months prior to screening
  • In subjects with hepatic impairment:

    • Any non-hepatic acute or chronic condition (including, but not limited to, poorly controlled diabetes and encephalopathy Grade ≥3) that, in the opinion of the Investigator, would limit the subject's ability to complete and/or participate in the study
    • Acute exacerbation of HI or unstable hepatic function, as determined by the Investigator, 30 days prior to study drug administration
    • Has had a Transjugular Intrahepatic Portosystemic Shunt (TIPS) procedure performed

Sites / Locations

  • Madrigal Research Center
  • Madrigal Research Center
  • Madrigal Research Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

40 mg MGL-3196 Tablet

60 mg MGL-3196 Tablet

80 mg MGL-3196 Tablet

100 mg MGL-3196 Tablet

Arm Description

Multiple cohorts (normal, varying hepatic impairment, NASH non-cirrhosis, and NASH cirrhosis) evaluated

Multiple cohorts (normal, varying hepatic impairment, NASH non-cirrhosis, and NASH cirrhosis) evaluated

Multiple cohorts (normal, varying hepatic impairment, NASH non-cirrhosis, and NASH cirrhosis) evaluated

Multiple cohorts (normal, varying hepatic impairment, NASH non-cirrhosis, and NASH cirrhosis) evaluated

Outcomes

Primary Outcome Measures

Plasma pharmacokinetics - Cmax
Cmax after administration
Plasma pharmacokinetics - Tmax
Tmax after administration
Plasma pharmacokinetics - AUC (0-last)
AUC (0-last) after administration
Plasma pharmacokinetics - t1/2
t1/2 after administration
Effect on the incidence of adverse events

Secondary Outcome Measures

Full Information

First Posted
October 22, 2020
Last Updated
October 3, 2023
Sponsor
Madrigal Pharmaceuticals, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04643795
Brief Title
Phase 1 Study to Evaluate the Pharmacokinetics, Safety, and Tolerability of Multiple Oral Doses of MGL-3196 in Subjects With Varying Degrees of Hepatic Impairment and Healthy Matched Control Subjects
Official Title
A Phase I, Open Label, Non-randomized Study to Evaluate the Pharmacokinetics, Safety, and Tolerability of Multiple Oral Doses of MGL-3196 in Subjects With Varying Degrees of Hepatic Impairment and Healthy Matched Control Subjects With Normal Hepatic Function
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Completed
Study Start Date
October 25, 2018 (Actual)
Primary Completion Date
August 4, 2021 (Actual)
Study Completion Date
August 4, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Madrigal Pharmaceuticals, Inc.

4. Oversight

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

5. Study Description

Brief Summary
The purpose of this study is to directly characterize the pharmacokinetic (PK) profiles of MGL-3196 and its major metabolite (MGL-3623) following administration of multiple oral doses (QD x 6 days) in subjects with varying degrees of hepatic impairment (HI) compared to healthy matched control subjects with normal hepatic function, including a subset of NASH subjects.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatic Impairment, NASH - Nonalcoholic Steatohepatitis, Cirrhosis, Liver

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
40 mg MGL-3196 Tablet
Arm Type
Experimental
Arm Description
Multiple cohorts (normal, varying hepatic impairment, NASH non-cirrhosis, and NASH cirrhosis) evaluated
Arm Title
60 mg MGL-3196 Tablet
Arm Type
Experimental
Arm Description
Multiple cohorts (normal, varying hepatic impairment, NASH non-cirrhosis, and NASH cirrhosis) evaluated
Arm Title
80 mg MGL-3196 Tablet
Arm Type
Experimental
Arm Description
Multiple cohorts (normal, varying hepatic impairment, NASH non-cirrhosis, and NASH cirrhosis) evaluated
Arm Title
100 mg MGL-3196 Tablet
Arm Type
Experimental
Arm Description
Multiple cohorts (normal, varying hepatic impairment, NASH non-cirrhosis, and NASH cirrhosis) evaluated
Intervention Type
Drug
Intervention Name(s)
MGL-3196
Intervention Description
Once daily oral dose for 6 days
Primary Outcome Measure Information:
Title
Plasma pharmacokinetics - Cmax
Description
Cmax after administration
Time Frame
16 days
Title
Plasma pharmacokinetics - Tmax
Description
Tmax after administration
Time Frame
16 days
Title
Plasma pharmacokinetics - AUC (0-last)
Description
AUC (0-last) after administration
Time Frame
16 days
Title
Plasma pharmacokinetics - t1/2
Description
t1/2 after administration
Time Frame
16 days
Title
Effect on the incidence of adverse events
Time Frame
16 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Capable of understanding and willing and able to sign written informed consent Male or female, between 18 and 85 years of age (inclusive) BMI between 18 and 45 kg/m2 (inclusive) In healthy subjects with normal hepatic function: Considered by the Investigator to be healthy, based on medical and surgical history, physical examination including vital signs, 12-lead ECG, and laboratory test results Match demographically with a subject in the hepatically impaired population according to gender, BMI (±20%), and age (±10 years) In subjects with hepatic impairment: Considered by the Investigator to be clinically stable with respect to underlying HI, based on medical and surgical history, physical examination including vital signs, 12-lead ECG, and laboratory test results In subjects with NASH: Confirmed diagnosis of NASH suggested by historical data, which include a previous liver biopsy within the last 5 years prior to randomization with evidence of NASH. BMI ≥18 kg/m2 Exclusion Criteria: Any clinically significant concomitant disease or condition (including treatment for such conditions) that, in the opinion of the Investigator, could either interfere with the study drug, pose an unacceptable risk to the subject, or compromise interpretation of study data Gilbert's syndrome Pre-existing condition interfering with normal gastrointestinal anatomy or motility, hepatic and/or renal function that could interfere with the absorption, metabolism, and/or excretion of study drug eGFR <60 mL/min/1.73 m2 based on Modification of Diet in Renal Disease (MDRD) equation Received an investigational drug or device from another study within 30 days (or 5 half-lives, whichever is longer) prior to study drug administration In healthy subjects with normal hepatic function: Systolic blood pressure outside the range of 90 to 150 mmHg, diastolic blood pressure outside the range of 40 to 95 mmHg or heart rate outside the range of 40 to 100 beats per minute (bpm) History of regular alcohol consumption exceeding 7 drinks/week for females or 14 drinks/week for men (1 drink = 5 ounces of wine or 12 ounces of beer or 1.5 ounces of hard liquor) within 6 months prior to screening In subjects with hepatic impairment: Any non-hepatic acute or chronic condition (including, but not limited to, poorly controlled diabetes and encephalopathy Grade ≥3) that, in the opinion of the Investigator, would limit the subject's ability to complete and/or participate in the study Acute exacerbation of HI or unstable hepatic function, as determined by the Investigator, 30 days prior to study drug administration Has had a Transjugular Intrahepatic Portosystemic Shunt (TIPS) procedure performed
Facility Information:
Facility Name
Madrigal Research Center
City
Orlando
State/Province
Florida
ZIP/Postal Code
32809
Country
United States
Facility Name
Madrigal Research Center
City
Saint Paul
State/Province
Minnesota
ZIP/Postal Code
55114
Country
United States
Facility Name
Madrigal Research Center
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Phase 1 Study to Evaluate the Pharmacokinetics, Safety, and Tolerability of Multiple Oral Doses of MGL-3196 in Subjects With Varying Degrees of Hepatic Impairment and Healthy Matched Control Subjects

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