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To Evaluate the Safety, and Pharmacokinetics of Parscaclisib in Participants With Normal Renal Function and Renal Impairment.

Primary Purpose

Advanced Malignancies

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
parsaclisib
Sponsored by
Incyte Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Advanced Malignancies

Eligibility Criteria

18 Years - 82 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Participants will be classified at screening by renal function based on eGFR as calculated by the MDRD formula and requirement for HD (Group 5).
  • Participants eligible for Group 5 with ESRD have received HD for at least 3 months prior to screening.
  • Participants eligible for Group 1 should be in good health as determined by no clinically significant deviations from normal for medical history, physical examination, vital signs, 12-lead ECGs, or clinical laboratory determinations at screening or Day -1.
  • Participants eligible for Groups 2 through 5 may have medical findings consistent with their degree of renal dysfunction.
  • Participants with abnormal findings considered not clinically significant by the medical monitor or investigator are eligible.

    0Body mass index within the range 18.0 to 40.0 kg/m2 (inclusive) at screening.

  • Willingness to avoid pregnancy or fathering children.
  • Ability to swallow and retain oral medication.

Exclusion Criteria:

  • History of uncontrolled or unstable cardiovascular, respiratory, hepatic, gastrointestinal, endocrine, hematopoietic, psychiatric, and/or neurological disease within 6 months of screening. Evidence of rapidly deteriorating renal function.
  • Participants who have a current, functioning organ transplant or have a scheduled organ transplant within 6 weeks after check-in.
  • History of malignancy within 5 years of screening, with the exception of cured basal cell carcinoma, squamous cell carcinoma of the skin, ductal carcinoma in situ, or Gleason 6 prostate cancer.
  • History of clinically significant gastrointestinal disease or surgery (cholecystectomy and appendectomy are allowed) that could impact the absorption of study drug.
  • Participants eligible for Group 1 who have a history of renal disease or renal injury as indicated by an abnormal, clinically significant renal function profile at screening or Day -1.
  • Participants eligible for Groups 2 through 5 who have had a change in disease status within 30 days of screening, as documented by the participant's medical history, deemed clinically significant by the investigator.
  • History or current diagnosis of uncontrolled or significant cardiac disease indicating significant risk of safety for participation in the study.
  • Any major surgery within 4 weeks of screening.
  • Donation of blood to a blood bank within 4 weeks of screening (within 2 weeks for plasma only).
  • Blood transfusion within 4 weeks of Day -1 (for Groups 1 through 4) or Period 1, Day
  • 1 (Group 5).
  • Chronic or current active infectious disease requiring systemic antibiotic, antifungal, or antiviral treatment.
  • Positive test for HBV (HBsAg, HBsAg antibody, and hepatitis B core antibody), HCV (HCV antibody), or HIV. Participants whose results are compatible with prior immunization for HBV may be included at the discretion of the investigator.

Participants eligible for Group 1 who have used tobacco- or nicotine-containing products within 6 months of screening.

  • Participants eligible for Groups 2 through 5 who smoke > 10 cigarettes per day or equivalent use of other tobacco- or nicotine-containing products and are unwilling to refrain from tobacco or nicotine use on dosing days and abide by CRU restrictions.
  • Positive breath test for ethanol or positive urine or serum screen for drugs of abuse that is not otherwise explained by permitted concomitant medications.
  • Current treatment or treatment within 30 days or 5 half-lives (whichever is longer) of study drug administration with another investigational medication or current enrollment in another investigational drug study.
  • Current treatment or treatment within 30 days or 5 half-lives (whichever is longer) of study drug administration with strong or moderate inducer or inhibitor of CYP3A4, P-gp,or BCRP.
  • For participants eligible for Group 1, use of prescription drugs within 14 days of study drug administration or nonprescription medications/products (including vitamins, minerals, and phytotherapeutic/herbal/plant-derived preparations) within 7 days of study drug administration. However, occasional paracetamol, ibuprofen, and standard-dose vitamins are permitted.
  • For participants eligible for Groups 2 through 5, use of prescription drugs within 14 days of study drug administration, with the exception of established therapy for renal disease and the treatment of associated disorders that have been stable for at least 7 days prior to study drug administration, as approved by the investigator and in consultation with the sponsor's medical monitor.
  • Current or recent history (within 30 days before screening) of a clinically significant bacterial, fungal, parasitic, or mycobacterial infection, or currently receiving systemic antibiotics. Current clinically significant viral infection at screening or check-in.
  • History of any significant drug allergy (such as anaphylaxis or hepatotoxicity) deemed clinically relevant by the investigator.
  • Inability to undergo venipuncture or tolerate venous access.
  • Participants eligible for Group 5 that are not expected to continue HD treatment for the duration of the study.
  • Receipt of live (including attenuated) vaccines or anticipation of need for such a vaccine during the study (Note: nonlive or inactivated vaccines are allowed up to 2 weeks prior to the first dose of study drug).
  • Known hypersensitivity or severe reaction to parsaclisib or excipients of parsaclisib.
  • History of alcoholism within 3 months of screening.
  • Women who are pregnant or breastfeeding.

Sites / Locations

  • Orange County Research Center
  • Clinical Pharmacology of Miami
  • Orlando Clinical Research Center
  • Prism Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Treat Group 1 : Normal Renal Function

Treat Group 2 : Mild Renal Impairment

Treat Group 3 : Moderate Renal Impairment

Treat Group 4 : Severe Renal Impairment

Treat Group 5 : Kidney Failure

Arm Description

eGFR: ≥ 90 mL/min/1.73 m^2

eGFR: 60-89 mL/min/1.73 m^2

eGFR: 30-59 mL/min/1.73 m^2

eGFR: 15-29 mL/min/1.73 m^2 and not on Hemo Dialysis

eGFR: < 15 mL/min/1.73 m^2 on Hemo Dialysis

Outcomes

Primary Outcome Measures

Pharmacokinetics Parameter Groups1-4 : Cmax of parsaclisib
Maximum Observed Plasma Concentration of parsaclisib
Pharmacokinetics Parameter Groups 1-4 : AUC 0-∞ of parsaclisib
Area Under the Concentration-time Curve From 0 to Infinity of parsaclisib
Pharmacokinetics Parameter Groups 1-4 : AUC(0-t) of parsaclisib
Area Under the concentration- time curve up to the last measurable concentration of parsaclisib
Pharmacokinetics Parameter Group 5: Cmax of parsaclisib
Maximum Observed Plasma Concentration of parsaclisib
Pharmacokinetics Parameter Group 5 : AUC 0-∞ of parsaclisib
Area Under the Concentration-time Curve From 0 to Infinity of parsaclisib
Pharmacokinetics Parameter Group 5: AUC(0-t) of parsaclisib
Area Under the concentration- time curve up to the last measurable concentration of parsaclisib

Secondary Outcome Measures

Number of Treatment Emergent Adverse Events (TEAE) Groups 1-4
Adverse events reported for the first time or worsening of a pre-existing event after first dose of study drug/treatment.
Pharmacokinetics Parameter Groups 1-4 : tmax of parsaclisib
Time to reach maximum plasma concentration of parsaclisib
Pharmacokinetics Parameter Groups 1-4 : t1/2 of parsaclisib
Apparent terminal phase disposition half-life of parsaclisib
Pharmacokinetics Parameter Groups 1-4 : CL/F of parsaclisib
Oral dose clearance of parsaclisib
Pharmacokinetics Parameter Groups 1-4 : Vz/F of parsaclisib
Apparent oral dose volume of distribution of parsaclisib
Pharmacokinetics Parameter Group 5 : tmax of parsaclisib
Time to reach maximum plasma concentration of parsaclisib
Pharmacokinetics Parameter Group 5 : t1/2 of parsaclisib
Apparent terminal phase disposition half-life of parsaclisib
Pharmacokinetics Parameter Group 5 : CL/F of parsaclisib
Oral dose clearance of parsaclisib
Pharmacokinetics Parameter Group 5 : Vz/F of parsaclisib
Apparent oral dose volume of distribution of parsaclisib
Pharmacokinetics Parameter Group 5 during Dialysis - : AUC1-5 of parsaclisib
Area Under the Concentration-time Curve From 1 to 5 hrs. of parsaclisib
Number of Treatment Emergent Adverse Events (TEAE) Group 5
Adverse events reported for the first time or worsening of a pre-existing event after first dose of study drug/treatment.

Full Information

First Posted
April 2, 2021
Last Updated
August 16, 2022
Sponsor
Incyte Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT04831996
Brief Title
To Evaluate the Safety, and Pharmacokinetics of Parscaclisib in Participants With Normal Renal Function and Renal Impairment.
Official Title
A Phase 1, Open-Label Study to Evaluate the Pharmacokinetics and Safety of Parsaclisib in Participants With Normal Renal Function and Participants With Renal Impairment
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Completed
Study Start Date
May 4, 2021 (Actual)
Primary Completion Date
July 8, 2022 (Actual)
Study Completion Date
July 8, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Incyte Corporation

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 the study is to evaluate the pharmacokinetics and safety of parsaclisib in participants With normal renal function and participants with renal impairment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Malignancies

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Treat Group 1 : Normal Renal Function
Arm Type
Experimental
Arm Description
eGFR: ≥ 90 mL/min/1.73 m^2
Arm Title
Treat Group 2 : Mild Renal Impairment
Arm Type
Experimental
Arm Description
eGFR: 60-89 mL/min/1.73 m^2
Arm Title
Treat Group 3 : Moderate Renal Impairment
Arm Type
Experimental
Arm Description
eGFR: 30-59 mL/min/1.73 m^2
Arm Title
Treat Group 4 : Severe Renal Impairment
Arm Type
Experimental
Arm Description
eGFR: 15-29 mL/min/1.73 m^2 and not on Hemo Dialysis
Arm Title
Treat Group 5 : Kidney Failure
Arm Type
Experimental
Arm Description
eGFR: < 15 mL/min/1.73 m^2 on Hemo Dialysis
Intervention Type
Drug
Intervention Name(s)
parsaclisib
Other Intervention Name(s)
INCB050465
Intervention Description
parsaclisib will be administered orally after 8 hours of fasting.
Primary Outcome Measure Information:
Title
Pharmacokinetics Parameter Groups1-4 : Cmax of parsaclisib
Description
Maximum Observed Plasma Concentration of parsaclisib
Time Frame
4 Days
Title
Pharmacokinetics Parameter Groups 1-4 : AUC 0-∞ of parsaclisib
Description
Area Under the Concentration-time Curve From 0 to Infinity of parsaclisib
Time Frame
4 Days
Title
Pharmacokinetics Parameter Groups 1-4 : AUC(0-t) of parsaclisib
Description
Area Under the concentration- time curve up to the last measurable concentration of parsaclisib
Time Frame
4 Days
Title
Pharmacokinetics Parameter Group 5: Cmax of parsaclisib
Description
Maximum Observed Plasma Concentration of parsaclisib
Time Frame
4 Days for period 1 and 2
Title
Pharmacokinetics Parameter Group 5 : AUC 0-∞ of parsaclisib
Description
Area Under the Concentration-time Curve From 0 to Infinity of parsaclisib
Time Frame
4 Days for period 1 and 2
Title
Pharmacokinetics Parameter Group 5: AUC(0-t) of parsaclisib
Description
Area Under the concentration- time curve up to the last measurable concentration of parsaclisib
Time Frame
4 Days for period 1 and 2
Secondary Outcome Measure Information:
Title
Number of Treatment Emergent Adverse Events (TEAE) Groups 1-4
Description
Adverse events reported for the first time or worsening of a pre-existing event after first dose of study drug/treatment.
Time Frame
up to 11 Days
Title
Pharmacokinetics Parameter Groups 1-4 : tmax of parsaclisib
Description
Time to reach maximum plasma concentration of parsaclisib
Time Frame
4 Days
Title
Pharmacokinetics Parameter Groups 1-4 : t1/2 of parsaclisib
Description
Apparent terminal phase disposition half-life of parsaclisib
Time Frame
4 Days
Title
Pharmacokinetics Parameter Groups 1-4 : CL/F of parsaclisib
Description
Oral dose clearance of parsaclisib
Time Frame
4 Days
Title
Pharmacokinetics Parameter Groups 1-4 : Vz/F of parsaclisib
Description
Apparent oral dose volume of distribution of parsaclisib
Time Frame
4 Days
Title
Pharmacokinetics Parameter Group 5 : tmax of parsaclisib
Description
Time to reach maximum plasma concentration of parsaclisib
Time Frame
4 Days for period 1 and 2
Title
Pharmacokinetics Parameter Group 5 : t1/2 of parsaclisib
Description
Apparent terminal phase disposition half-life of parsaclisib
Time Frame
4 Days for period 1 and 2
Title
Pharmacokinetics Parameter Group 5 : CL/F of parsaclisib
Description
Oral dose clearance of parsaclisib
Time Frame
4 Days for period 1 and 2
Title
Pharmacokinetics Parameter Group 5 : Vz/F of parsaclisib
Description
Apparent oral dose volume of distribution of parsaclisib
Time Frame
4 Days for period 1 and 2
Title
Pharmacokinetics Parameter Group 5 during Dialysis - : AUC1-5 of parsaclisib
Description
Area Under the Concentration-time Curve From 1 to 5 hrs. of parsaclisib
Time Frame
4 Days for period 1 and 2
Title
Number of Treatment Emergent Adverse Events (TEAE) Group 5
Description
Adverse events reported for the first time or worsening of a pre-existing event after first dose of study drug/treatment.
Time Frame
up to 18 Days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
82 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Participants will be classified at screening by renal function based on eGFR as calculated by the MDRD formula and requirement for HD (Group 5). Participants eligible for Group 5 with ESRD have received HD for at least 3 months prior to screening. Participants eligible for Group 1 should be in good health as determined by no clinically significant deviations from normal for medical history, physical examination, vital signs, 12-lead ECGs, or clinical laboratory determinations at screening or Day -1. Participants eligible for Groups 2 through 5 may have medical findings consistent with their degree of renal dysfunction. Participants with abnormal findings considered not clinically significant by the medical monitor or investigator are eligible. 0Body mass index within the range 18.0 to 40.0 kg/m2 (inclusive) at screening. Willingness to avoid pregnancy or fathering children. Ability to swallow and retain oral medication. Exclusion Criteria: History of uncontrolled or unstable cardiovascular, respiratory, hepatic, gastrointestinal, endocrine, hematopoietic, psychiatric, and/or neurological disease within 6 months of screening. Evidence of rapidly deteriorating renal function. Participants who have a current, functioning organ transplant or have a scheduled organ transplant within 6 weeks after check-in. History of malignancy within 5 years of screening, with the exception of cured basal cell carcinoma, squamous cell carcinoma of the skin, ductal carcinoma in situ, or Gleason 6 prostate cancer. History of clinically significant gastrointestinal disease or surgery (cholecystectomy and appendectomy are allowed) that could impact the absorption of study drug. Participants eligible for Group 1 who have a history of renal disease or renal injury as indicated by an abnormal, clinically significant renal function profile at screening or Day -1. Participants eligible for Groups 2 through 5 who have had a change in disease status within 30 days of screening, as documented by the participant's medical history, deemed clinically significant by the investigator. History or current diagnosis of uncontrolled or significant cardiac disease indicating significant risk of safety for participation in the study. Any major surgery within 4 weeks of screening. Donation of blood to a blood bank within 4 weeks of screening (within 2 weeks for plasma only). Blood transfusion within 4 weeks of Day -1 (for Groups 1 through 4) or Period 1, Day 1 (Group 5). Chronic or current active infectious disease requiring systemic antibiotic, antifungal, or antiviral treatment. Positive test for HBV (HBsAg, HBsAg antibody, and hepatitis B core antibody), HCV (HCV antibody), or HIV. Participants whose results are compatible with prior immunization for HBV may be included at the discretion of the investigator. Participants eligible for Group 1 who have used tobacco- or nicotine-containing products within 6 months of screening. Participants eligible for Groups 2 through 5 who smoke > 10 cigarettes per day or equivalent use of other tobacco- or nicotine-containing products and are unwilling to refrain from tobacco or nicotine use on dosing days and abide by CRU restrictions. Positive breath test for ethanol or positive urine or serum screen for drugs of abuse that is not otherwise explained by permitted concomitant medications. Current treatment or treatment within 30 days or 5 half-lives (whichever is longer) of study drug administration with another investigational medication or current enrollment in another investigational drug study. Current treatment or treatment within 30 days or 5 half-lives (whichever is longer) of study drug administration with strong or moderate inducer or inhibitor of CYP3A4, P-gp,or BCRP. For participants eligible for Group 1, use of prescription drugs within 14 days of study drug administration or nonprescription medications/products (including vitamins, minerals, and phytotherapeutic/herbal/plant-derived preparations) within 7 days of study drug administration. However, occasional paracetamol, ibuprofen, and standard-dose vitamins are permitted. For participants eligible for Groups 2 through 5, use of prescription drugs within 14 days of study drug administration, with the exception of established therapy for renal disease and the treatment of associated disorders that have been stable for at least 7 days prior to study drug administration, as approved by the investigator and in consultation with the sponsor's medical monitor. Current or recent history (within 30 days before screening) of a clinically significant bacterial, fungal, parasitic, or mycobacterial infection, or currently receiving systemic antibiotics. Current clinically significant viral infection at screening or check-in. History of any significant drug allergy (such as anaphylaxis or hepatotoxicity) deemed clinically relevant by the investigator. Inability to undergo venipuncture or tolerate venous access. Participants eligible for Group 5 that are not expected to continue HD treatment for the duration of the study. Receipt of live (including attenuated) vaccines or anticipation of need for such a vaccine during the study (Note: nonlive or inactivated vaccines are allowed up to 2 weeks prior to the first dose of study drug). Known hypersensitivity or severe reaction to parsaclisib or excipients of parsaclisib. History of alcoholism within 3 months of screening. Women who are pregnant or breastfeeding.
Facility Information:
Facility Name
Orange County Research Center
City
Tustin
State/Province
California
ZIP/Postal Code
92780
Country
United States
Facility Name
Clinical Pharmacology of Miami
City
Hialeah
State/Province
Florida
ZIP/Postal Code
33014
Country
United States
Facility Name
Orlando Clinical Research Center
City
Orlando
State/Province
Florida
ZIP/Postal Code
32809
Country
United States
Facility Name
Prism Research
City
Saint Paul
State/Province
Minnesota
ZIP/Postal Code
55114
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Incyte shares data with qualified external researchers after a research proposal is submitted. These requests are reviewed and approved by a review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. The trial data availability is according to the criteria and process described on https://www.incyte.com/our-company/compliance-and-transparency
IPD Sharing Time Frame
Data will be shared after the primary publication or 2 years after the study has ended for market authorized products and indications.
IPD Sharing Access Criteria
Data from eligible studies will be shared with qualified researchers according to the criteria and process described in the Data Sharing section of the www.incyteclinicaltrials.com website. For approved requests, the researchers will be granted access to anonymized data under the terms of a data sharing agreement.
IPD Sharing URL
https://www.incyte.com/our-company/compliance-and-transparency

Learn more about this trial

To Evaluate the Safety, and Pharmacokinetics of Parscaclisib in Participants With Normal Renal Function and Renal Impairment.

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