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VNRX-5133 With VNRX-5022 in Subjects With Varying Degrees of Renal Impairment

Primary Purpose

Pharmacokinetics

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
VNRX-5133 and VNRX-5022
Sponsored by
Venatorx Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Pharmacokinetics

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • BMI: 18.5-40.0 kg/m2 with a minimum weight of 45 kg
  • Able and willing to abstain from alcohol from 48 h before admission until the follow-up visit
  • Suitable veins for cannulation/multiple venipunctures, as assessed by the Investigator at Screening
  • Males who are not surgically sterilized and females of childbearing potential must agree to use highly effective methods of contraception during the study and for 90 days after study drug administration.
  • Laboratory values meeting defined entry criteria

Subjects with normal renal function (Group 1) must also meet the following criteria:

  • Match to one or more subjects with renal impairment by gender, age, and weight

Subjects with renal impairment (Groups 2-5) must also meet the following criteria:

  • Stable, pre-existing renal impairment.

Exclusion Criteria:

  • Employee of the study site, Contract Research Organization (CRO) or the IND Sponsor
  • Female who is pregnant, lactating, or planning to attempt to become pregnant during the study or within 90 days after study drug administration
  • Male with a female partner who is pregnant or lactating during the study, or planning to attempt to become pregnant during the study or within 90 days after study drug administration
  • Use of any investigational drug or device within 30 days before study drug administration (90 days for an injectable biological agent)
  • The subject has a congenital or acquired immunodeficiency syndrome
  • Screening or Day -1, clinically significant abnormal ECG values
  • Active malignancy; exceptions are permitted for carcinoma in situ of the prostate or the skin (basal cell or squamous cell) are permitted
  • History of drug allergy of a severity that required urgent medical treatment, such as treatment with epinephrine in an Emergency Department
  • Known immediate hypersensitivity reaction following administration of a cephalosporin, penicillin, or other β-lactam antibacterial drug
  • History of donation of more than 450 mL of blood within 60 days before dosing in the site or planned donation before 30 days has elapsed since ingestion of study drug
  • Plasma or platelet donation within 7 days of dosing and throughout the study
  • Consumes more than 7 drinks/week for women or 14 drinks/week for men (1 drink = 5 ounces of wine, 12 ounces of beer, or 1.5 ounces of hard liquor) or has a significant history of alcohol abuse or drug/chemical abuse within the last 1 year
  • Oral temperature >38.5˚C or acute illness on Day -1
  • Previous participation in a study of VNRX-5133
  • Excluded concomitant medication

Sites / Locations

  • Orlando Cliniical Research Associates
  • New Orleans Center for Clinical Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Group 1 - Control

Group 2 - Mild Renal Impairment

Group 3 - Moderate Renal Impairment

Group 4 - Severe Renal Impairment

Group 5 - ESRD

Arm Description

Healthy control subjects will be matched by gender, weight, and age to subjects with renal impairment

Mild renal impairment

Moderate Renal Impairment

Severe Renal Impairment

End Stage Renal Disease undergoing chronic intermittent hemodialysis

Outcomes

Primary Outcome Measures

Peak Plasma Concentration (Cmax)
To assess the pharmacokinetics of VNRX-5133 and VNRX-5022 in combination by assessment of Cmax
Area under the plasma concentration versus time curve (AUC)
To assess the pharmacokinetics of VNRX-5133 and VNRX-5022 in combination by assessment of AUC
Safety and tolerability of VNRX-5133 and VNRX-5022 measured as number of subjects with adverse events.
Number of Subjects with AEs (Assessed via patient report, physical exam, ECGs, vital signs, laboratory investigations, and use of concomitant medications for the treatment of AEs)

Secondary Outcome Measures

Full Information

First Posted
March 21, 2018
Last Updated
February 7, 2019
Sponsor
Venatorx Pharmaceuticals, Inc.
Collaborators
National Institutes of Health (NIH)
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1. Study Identification

Unique Protocol Identification Number
NCT03690362
Brief Title
VNRX-5133 With VNRX-5022 in Subjects With Varying Degrees of Renal Impairment
Official Title
A Phase 1, Open-Label, Single-Dose Study to Evaluate the Pharmacokinetics, Safety, and Tolerability of VNRX-5133 With VNRX-5022 in Subjects With Varying Degrees of Renal Impairment
Study Type
Interventional

2. Study Status

Record Verification Date
February 2019
Overall Recruitment Status
Completed
Study Start Date
April 6, 2018 (Actual)
Primary Completion Date
November 21, 2018 (Actual)
Study Completion Date
November 21, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Venatorx Pharmaceuticals, Inc.
Collaborators
National Institutes of Health (NIH)

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
This is a multi-center, open-label, PK and safety study of VNRX-5133 and VNRX-5022 when co-administered in male and female subjects with varying levels of renal impairment and healthy normal controls.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Model Description
The study will enroll approximately 32 subjects assigned to treatment groups based on renal function.
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
33 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1 - Control
Arm Type
Experimental
Arm Description
Healthy control subjects will be matched by gender, weight, and age to subjects with renal impairment
Arm Title
Group 2 - Mild Renal Impairment
Arm Type
Experimental
Arm Description
Mild renal impairment
Arm Title
Group 3 - Moderate Renal Impairment
Arm Type
Experimental
Arm Description
Moderate Renal Impairment
Arm Title
Group 4 - Severe Renal Impairment
Arm Type
Experimental
Arm Description
Severe Renal Impairment
Arm Title
Group 5 - ESRD
Arm Type
Experimental
Arm Description
End Stage Renal Disease undergoing chronic intermittent hemodialysis
Intervention Type
Drug
Intervention Name(s)
VNRX-5133 and VNRX-5022
Intervention Description
intravenous infusion
Primary Outcome Measure Information:
Title
Peak Plasma Concentration (Cmax)
Description
To assess the pharmacokinetics of VNRX-5133 and VNRX-5022 in combination by assessment of Cmax
Time Frame
72 hours
Title
Area under the plasma concentration versus time curve (AUC)
Description
To assess the pharmacokinetics of VNRX-5133 and VNRX-5022 in combination by assessment of AUC
Time Frame
72 hours
Title
Safety and tolerability of VNRX-5133 and VNRX-5022 measured as number of subjects with adverse events.
Description
Number of Subjects with AEs (Assessed via patient report, physical exam, ECGs, vital signs, laboratory investigations, and use of concomitant medications for the treatment of AEs)
Time Frame
8 Days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: BMI: 18.5-40.0 kg/m2 with a minimum weight of 45 kg Able and willing to abstain from alcohol from 48 h before admission until the follow-up visit Suitable veins for cannulation/multiple venipunctures, as assessed by the Investigator at Screening Males who are not surgically sterilized and females of childbearing potential must agree to use highly effective methods of contraception during the study and for 90 days after study drug administration. Laboratory values meeting defined entry criteria Subjects with normal renal function (Group 1) must also meet the following criteria: Match to one or more subjects with renal impairment by gender, age, and weight Subjects with renal impairment (Groups 2-5) must also meet the following criteria: Stable, pre-existing renal impairment. Exclusion Criteria: Employee of the study site, Contract Research Organization (CRO) or the IND Sponsor Female who is pregnant, lactating, or planning to attempt to become pregnant during the study or within 90 days after study drug administration Male with a female partner who is pregnant or lactating during the study, or planning to attempt to become pregnant during the study or within 90 days after study drug administration Use of any investigational drug or device within 30 days before study drug administration (90 days for an injectable biological agent) The subject has a congenital or acquired immunodeficiency syndrome Screening or Day -1, clinically significant abnormal ECG values Active malignancy; exceptions are permitted for carcinoma in situ of the prostate or the skin (basal cell or squamous cell) are permitted History of drug allergy of a severity that required urgent medical treatment, such as treatment with epinephrine in an Emergency Department Known immediate hypersensitivity reaction following administration of a cephalosporin, penicillin, or other β-lactam antibacterial drug History of donation of more than 450 mL of blood within 60 days before dosing in the site or planned donation before 30 days has elapsed since ingestion of study drug Plasma or platelet donation within 7 days of dosing and throughout the study Consumes more than 7 drinks/week for women or 14 drinks/week for men (1 drink = 5 ounces of wine, 12 ounces of beer, or 1.5 ounces of hard liquor) or has a significant history of alcohol abuse or drug/chemical abuse within the last 1 year Oral temperature >38.5˚C or acute illness on Day -1 Previous participation in a study of VNRX-5133 Excluded concomitant medication
Facility Information:
Facility Name
Orlando Cliniical Research Associates
City
Orlando
State/Province
Florida
ZIP/Postal Code
32809
Country
United States
Facility Name
New Orleans Center for Clinical Research
City
Knoxville
State/Province
Tennessee
ZIP/Postal Code
37920
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
35920662
Citation
Dowell JA, Marbury TC, Smith WB, Henkel T. Safety and Pharmacokinetics of Taniborbactam (VNRX-5133) with Cefepime in Subjects with Various Degrees of Renal Impairment. Antimicrob Agents Chemother. 2022 Sep 20;66(9):e0025322. doi: 10.1128/aac.00253-22. Epub 2022 Aug 3.
Results Reference
derived

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VNRX-5133 With VNRX-5022 in Subjects With Varying Degrees of Renal Impairment

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