A Multiple-Dose Study of Oral Oseltamivir in Participants on Hemodialysis (HD) and Continuous Ambulatory Peritoneal Dialysis (CAPD)

Sponsor
Hoffmann-La Roche (Industry)
Overall Status
Completed
CT.gov ID
NCT02617784
Collaborator
(none)
24
1
2
8
3

Study Details

Study Description

Brief Summary

This study is designed to assess the pharmacokinetics (PK) and safety of oseltamivir and its metabolite oseltamivir carboxylate in participants undergoing routine HD and CAPD for end-stage renal disease (ESRD). Participants will receive 6.5 and 6 weeks of the marketed oral oseltamivir suspension dosed according to the HD or CAPD schedule, respectively.

Condition or Disease Intervention/Treatment Phase
Phase 1

Study Design

Study Type:
Interventional
Actual Enrollment :
24 participants
Allocation:
Non-Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Single Center, Open Label, Multiple-Dose Oral Oseltamivir Suspension Study in End-Stage-Renal Disease (ESRD) Patients on Hemodialysis (HD) and Continuous Ambulatory Peritoneal Dialysis (CAPD)
Study Start Date :
Oct 1, 2001
Actual Primary Completion Date :
Jun 1, 2002
Actual Study Completion Date :
Jun 1, 2002

Arms and Interventions

Arm Intervention/Treatment
Experimental: Regimen A: Oseltamivir with HD

Participants will receive 30 milligrams (mg) of oseltamivir via oral suspension approximately 1 hour after alternating HD sessions. Sessions will occur three times per week within the 6.5-week study period, and participants will receive a total of 9 doses of oseltamivir.

Drug: Oseltamivir
Oseltamivir will be given as marketed oral suspension, 30 mg after HD or CAPD treatment.
Other Names:
  • Tamiflu
  • Experimental: Regimen B: Oseltamivir with CAPD

    Participants will receive 30 mg of oseltamivir via oral suspension once weekly after dialysis exchange. CAPD sessions will occur four times every 24 hours, and participants will receive a total of 6 doses of oseltamivir within the 6-week study period.

    Drug: Oseltamivir
    Oseltamivir will be given as marketed oral suspension, 30 mg after HD or CAPD treatment.
    Other Names:
  • Tamiflu
  • Outcome Measures

    Primary Outcome Measures

    1. Maximum Plasma Concentration (Cmax) of Oseltamivir in HD Participants During Days 1 to 5 [Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from Day 1 (D1) dose]

      Plasma samples were obtained up to 90 hours post-dose during the first dose analysis (Days 1 to 5), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in nanograms per milliliter (ng/mL).

    2. Cmax of Oseltamivir in HD Participants During Days 38 to 43 [Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from Day 38 (D38) dose]

      Plasma samples were obtained up to 90 hours post-dose during the second dose analysis (Days 38 to 43), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in ng/mL.

    3. Cmax of Metabolite Oseltamivir Carboxylate in HD Participants During Days 1 to 5 [Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D1 dose]

      Plasma samples were obtained up to 90 hours post-dose during the first dose analysis (Days 1 to 5), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in ng/mL.

    4. Cmax of Metabolite Oseltamivir Carboxylate in HD Participants During Days 38 to 43 [Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D38 dose]

      Plasma samples were obtained up to 90 hours post-dose during the second dose analysis (Days 38 to 43), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in ng/mL.

    5. Area Under the Concentration-Time Curve (AUC) of Oseltamivir in HD Participants During Days 1 to 5 [Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D1 dose]

      Plasma samples were obtained up to 90 hours post-dose during the first dose analysis (Days 1 to 5), and the AUC was determined from 0 to 12 hours (AUC12) and up to the last measurable concentration (AUClast). Values were averaged among all participants and expressed in nanograms by hours per milliliter (ng*h/mL).

    6. AUC of Oseltamivir in HD Participants During Days 38 to 43 [Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D38 dose]

      Plasma samples were obtained up to 90 hours post-dose during the second dose analysis (Days 38 to 43), and the AUC12 and AUClast were determined. Values were averaged among all participants and expressed in ng*h/mL.

    7. AUC of Metabolite Oseltamivir Carboxylate in HD Participants During Days 1 to 5 [Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D1 dose]

      Plasma samples were obtained up to 90 hours post-dose during the first dose analysis (Days 1 to 5), and the AUC was determined from 0 to 42 hours (AUC42) and up to the last measurable concentration (AUClast). Values were averaged among all participants and expressed in ng*h/mL.

    8. AUC of Metabolite Oseltamivir Carboxylate in HD Participants During Days 38 to 43 [Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D38 dose]

      Plasma samples were obtained up to 90 hours post-dose during the second dose analysis (Days 38 to 43), and the AUC42 and AUClast were determined. Values were averaged among all participants and expressed in ng*h/mL.

    9. Cmax of Oseltamivir in CAPD Participants During Days 1 to 6 [Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 dose]

      Plasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in ng/mL.

    10. Cmax of Oseltamivir in CAPD Participants During Days 36 to 43 [Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120, 168 hours from Day 36 (D36) dose]

      Plasma samples were obtained up to 168 hours post-dose during the second dose analysis (Days 36 to 43), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in ng/mL.

    11. Cmax of Metabolite Oseltamivir Carboxylate in CAPD Participants During Days 1 to 6 [Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 dose]

      Plasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in ng/mL.

    12. Cmax of Metabolite Oseltamivir Carboxylate in CAPD Participants During Days 36 to 43 [Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120, 168 hours from D36 dose]

      Plasma samples were obtained up to 168 hours post-dose during the second dose analysis (Days 36 to 43), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in ng/mL.

    13. AUC of Oseltamivir in CAPD Participants During Days 1 to 6 [Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 dose]

      Plasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6), and the AUC12 and AUClast were determined. Values were averaged among all participants and expressed in ng*h/mL.

    14. AUC of Oseltamivir in CAPD Participants During Days 36 to 43 [Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120, 168 hours from D36 dose]

      Plasma samples were obtained up to 168 hours post-dose during the second dose analysis (Days 36 to 43), and the AUC12 and AUClast were determined. Values were averaged among all participants and expressed in ng*h/mL.

    15. AUC of Metabolite Oseltamivir Carboxylate in CAPD Participants During Days 1 to 6 [Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 dose]

      Plasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6), and the AUC was determined from 0 to 48 hours (AUC48) and up to the last measurable concentration (AUClast). Values were averaged among all participants and expressed in ng*h/mL.

    16. AUC of Metabolite Oseltamivir Carboxylate in CAPD Participants During Days 36 to 43 [Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120, 168 hours from D36 dose]

      Plasma samples were obtained up to 168 hours post-dose during the second dose analysis (Days 36 to 43), and the AUC48 and AUClast were determined. Values were averaged among all participants and expressed in ng*h/mL.

    Secondary Outcome Measures

    1. Plasma Concentration of Oseltamivir by Timepoint in HD Participants [Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49 hours from D1 and D38 dose AND at 90 hours from D1 dose AND at 114 hours from D38 dose]

      Plasma samples were obtained up to 90 hours post-dose during the first dose analysis (Days 1 to 5) and up to 114 hours post-dose during the second dose analysis (Days 38 to 43). The concentration at each collection time was recorded and averaged among all participants and expressed in ng/mL.

    2. Plasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in HD Participants [Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49 hours from D1 and D38 dose AND at 90 hours from D1 dose AND at 114 hours from D38 dose]

      Plasma samples were obtained up to 90 hours post-dose during the first dose analysis (Days 1 to 5) and up to 114 hours post-dose during the second dose analysis (Days 38 to 43). The concentration at each collection time was recorded and averaged among all participants and expressed in ng/mL.

    3. Time to Maximum Plasma Concentration (Tmax) of Oseltamivir in HD Participants [Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D1 and D38 dose]

      Plasma samples were obtained up to 90 hours post-dose during the first (Days 1 to 5) and second (Days 38 to 43) dose analyses, and the observed time of maximum concentration was recorded. The Tmax following each dose was averaged among all participants and expressed in hours.

    4. Tmax of Metabolite Oseltamivir Carboxylate in HD Participants [Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D1 and D38 dose]

      Plasma samples were obtained up to 90 hours post-dose during the first (Days 1 to 5) and second (Days 38 to 43) dose analyses, and the observed time of maximum concentration was recorded. The Tmax following each dose was averaged among all participants and expressed in hours.

    5. Oral Plasma Clearance (CL/F) of Oseltamivir in HD Participants [Blood samples 0, 1, 2, 4, 8, 12 hours from D1 and D38 dose]

      Plasma samples up to 12 hours post-dose during the first (Days 1 to 5) and second (Days 38 to 43) dose analyses were used to calculate apparent clearance adjusted for oral bioavailability. The CL/F with each dose was averaged among all participants and expressed in liters per hour (L/h).

    6. CL/F of Metabolite Oseltamivir Carboxylate in HD Participants [Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42 hours from D1 and D38 dose]

      Plasma samples up to 42 hours post-dose during the first (Days 1 to 5) and second (Days 38 to 43) dose analyses were used to calculate apparent clearance adjusted for oral bioavailability. The CL/F with each dose was averaged among all participants and expressed in L/h.

    7. Renal Clearance (CLr) of Oseltamivir in HD Participants [Blood samples 0, 1, 2, 4, 8, 12 hours from D1 dose; urine samples 0 to 12 hours from D1 dose]

      Plasma and urine samples up to 12 hours post-dose during the first dose analysis (Days 1 to 5) were used to calculate CLr, computed as [amount of drug excreted divided by the AUC12]. The CLr was averaged among all participants and expressed in L/h.

    8. CLr of Metabolite Oseltamivir Carboxylate in HD Participants [Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42 hours from D1 dose; urine samples 0 to 42 hours from D1 dose]

      Plasma and urine samples up to 42 hours post-dose during the first dose analysis (Days 1 to 5) were used to calculate CLr, computed as [amount of metabolite excreted divided by the AUC42]. The CLr was averaged among all participants and expressed in L/h.

    9. Dialysis Clearance (CLd) of Metabolite Oseltamivir Carboxylate in HD Participants [Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from from D1 and D38 dose; dialyzer samples 1, 2, 4, 5 hours from start of dialysis on Days 3 and 40]

      Plasma samples up to 90 hours post-dose during the first (Days 1 to 5) and second (Days 38 to 43) dose analyses, in addition to dialyzer samples obtained on Days 3 and 40, were used to calculate CLd, computed as [amount of metabolite recovered in dialysate divided by the AUC over the dialysis interval]. The CLd with each dose was averaged among all participants and expressed in L/h.

    10. Percentage of Oseltamivir Dose Excreted as Unchanged Drug in HD Participants [Urine samples 0 to 42 hours from D1 dose]

      Urine samples up to 42 hours post-dose during the first dose analysis (Days 1 to 5) were used to calculate drug excretion, computed as [amount of drug excreted divided by the oral oseltamivir dose] multiplied by 100. The value was averaged among all participants and expressed as a percent of the oseltamivir dose administered.

    11. Percentage of Oseltamivir Dose Excreted as Metabolite Oseltamivir Carboxylate in HD Participants [Urine samples 0 to 42 hours from D1 dose]

      Urine samples up to 42 hours post-dose during the first dose analysis (Days 1 to 5) were used to calculate metabolite excretion, computed as [amount of metabolite excreted divided by the oral oseltamivir dose] multiplied by 100. The value was averaged among all participants and expressed as a percent of the oseltamivir dose administered.

    12. Plasma Concentration of Metabolite Oseltamivir Carboxylate in Arterial and Venous Blood by Timepoint in HD Participants [Dialyzer samples 1, 2, 4, 5 hours from start of dialysis on Days 3 and 40]

      Dialyzer samples were obtained up to 5 hours from the start of dialysis on Days 3 and 40 (corresponding to HD sessions 2 and 18). Arterial concentrations were estimated using the inflow to the dialyzer, and venous concentrations were estimated using the outflow from the dialyzer. The concentration at each collection time was recorded and averaged among all participants and expressed in ng/mL.

    13. Plasma Concentration of Oseltamivir by Timepoint in CAPD Participants [Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 and D36 dose AND at 168 hours from D36 dose]

      Plasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6) and up to 168 hours post-dose during the second dose analysis (Days 36 to 43). The concentration at each collection time was recorded and averaged among all participants and expressed in ng/mL.

    14. Plasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in CAPD Participants [Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 and D36 dose AND at 168 hours from D36 dose]

      Plasma samples were obtained up to 120 post-dose during the first dose analysis (Days 1 to 6) and up to 168 hours post-dose during the second dose analysis (Days 36 to 43). The concentration at each collection time was recorded and averaged among all participants and expressed in ng/mL.

    15. Tmax of Oseltamivir in CAPD Participants [Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 and D36 dose AND at 168 hours from D36 dose]

      Plasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6) and up to 168 hours post-dose during the second dose analysis (Days 36 to 43), and the observed time of maximum concentration was recorded. The Tmax following each dose was averaged among all participants and expressed in hours.

    16. Tmax of Metabolite Oseltamivir Carboxylate in CAPD Participants [Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 and D36 dose AND at 168 hours from D36 dose]

      Plasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6) and up to 168 hours post-dose during the second dose analysis (Days 36 to 43), and the observed time of maximum concentration was recorded. The Tmax following each dose was averaged among all participants and expressed in hours.

    17. Elimination Rate Constant of Metabolite Oseltamivir Carboxylate in CAPD Participants [Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 and D36 dose AND at 168 hours from D36 dose; urine samples 0 to 48 hours from D1 dose; dialysate samples 0 to 48 hours from D1 dose]

      Plasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6) and up to 168 hours post-dose during the second dose analysis (Days 36 to 43). Urine and dialysate samples were also obtained up to 48 hours post-dose during the first dose analysis. The elimination rate constant was calculated as [natural log (ln)(2) divided by the half-life] and expressed as inverse hours (1/h).

    18. Terminal Elimination Half-Life of Metabolite Oseltamivir Carboxylate in CAPD Participants [Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 and D36 dose AND at 168 hours from D36 dose; urine samples 0 to 48 hours from D1 dose; dialysate samples 0 to 48 hours from D1 dose]

      Plasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6) and up to 168 hours post-dose during the second dose analysis (Days 36 to 43). Urine and dialysate samples were also obtained up to 48 hours post-dose during the first dose analysis. The time required for the concentration to decrease by one-half was recorded and averaged among all participants and expressed in hours.

    19. CL/F of Oseltamivir in CAPD Participants [Blood samples 0, 1, 2, 4, 8, 12 hours from D1 and D36 dose]

      Plasma samples up to 12 hours post-dose during the first (Days 1 to 6) and second (Days 36 to 43) dose analyses were used to calculate apparent clearance adjusted for oral bioavailability. The CL/F with each dose was averaged among all participants and expressed in L/h.

    20. CL/F of Metabolite Oseltamivir Carboxylate in CAPD Participants [Blood samples 0, 1, 2, 4, 8, 12, 24, 48 hours from D1 and D36 dose]

      Plasma samples up to 48 hours post-dose during the first (Days 1 to 6) and second (Days 36 to 43) dose analyses were used to calculate apparent clearance adjusted for oral bioavailability. The CL/F with each dose was averaged among all participants and expressed in L/h.

    21. CLr of Oseltamivir in CAPD Participants [Blood samples 0, 1, 2, 4, 8, 12 hours from D1 dose; urine samples 0 to 12 hours from D1 dose]

      Plasma and urine samples up to 12 hours post-dose during the first dose analysis (Days 1 to 6) were used to calculate CLr, computed as [amount of drug excreted divided by the AUC12]. The CLr was averaged among all participants and expressed in L/h.

    22. CLr of Metabolite Oseltamivir Carboxylate in CAPD Participants [Blood samples 0, 1, 2, 4, 8, 12, 24, 48 hours from D1 dose; urine samples 0 to 48 hours from D1 dose]

      Plasma and urine samples up to 48 hours post-dose during the first dose analysis (Days 1 to 6) were used to calculate CLr, computed as [amount of metabolite excreted divided by the AUC48]. The CLr was averaged among all participants and expressed in L/h.

    23. CLd of Metabolite Oseltamivir Carboxylate in CAPD Participants [Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 dose; dialysate samples 0 to 48 hours from D1 dose]

      Plasma samples up to 120 hours and dialysate samples up to 48 hours post-dose during the first dose analysis (Days 1 to 6) were used to calculate CLd, computed as [amount of metabolite recovered in dialysate divided by the AUC over the dialysis interval]. The CLd was averaged among all participants and expressed in L/h.

    24. Percentage of Oseltamivir Dose Renally Excreted as Unchanged Drug in CAPD Participants [Urine samples 0 to 48 hours from D1 dose]

      Urine samples up to 48 hours post-dose during the first dose analysis (Days 1 to 6) were used to calculate renal excretion, computed as [amount of drug in urine divided by the oral oseltamivir dose] multiplied by 100. The value was averaged among all participants and expressed as a percent of the oseltamivir dose administered.

    25. Percentage of Oseltamivir Dose Renally Excreted as Metabolite Oseltamivir Carboxylate in CAPD Participants [Urine samples 0 to 48 hours from D1 dose]

      Urine samples up to 48 hours post-dose during the first dose analysis (Days 1 to 6) were used to calculate renal excretion, computed as [amount of metabolite in urine divided by the oral oseltamivir dose] multiplied by 100. The value was averaged among all participants and expressed as a percent of the oseltamivir dose administered.

    26. Percentage of Oseltamivir Dose Eliminated by Dialysis as Unchanged Drug in CAPD Participants [Dialysate samples 0 to 48 hours from D1 dose]

      Dialysate samples up to 48 hours post-dose during the first dose analysis (Days 1 to 6) were used to calculate dialysis elimination, computed as [amount of drug in dialysate divided by the oral oseltamivir dose] multiplied by 100. The value was averaged among all participants and expressed as a percent of the oseltamivir dose administered.

    27. Percentage of Oseltamivir Dose Eliminated by Dialysis as Metabolite Oseltamivir Carboxylate in CAPD Participants [Dialysate samples 0 to 48 hours from D1 dose]

      Dialysate samples up to 48 hours post-dose during the first dose analysis (Days 1 to 6) were used to calculate dialysis elimination, computed as [amount of metabolite in dialysate divided by the oral oseltamivir dose] multiplied by 100. The value was averaged among all participants and expressed as a percent of the oseltamivir dose administered.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Adults greater than or equal to (>/=) 18 years of age

    • ESRD defined as no residual renal function or a creatinine clearance (CrCl) less than (<) 10 milliliters per minute (mL/min)

    • Well established HD or CAPD therapy over a period of 3 months with stable CrCl < 10 mL/min

    • Body mass index (BMI) 18 to 34 kilograms per meter-squared (kg/m^2)

    • Use of contraception among women of childbearing potential

    Exclusion Criteria:
    • Clinical significant comorbid disease or terminal illness

    • Known human immunodeficiency virus (HIV) or hepatitis B or C

    • History of drug or alcohol abuse within the prior year

    • Donation or loss of >/= 400 milliliters (mL) of blood in the 3 months prior to Screening

    • Participation in a clinical study with an investigational drug in the 3 months prior to study drug

    • Pregnant or lactating women

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Christchurch New Zealand 8011

    Sponsors and Collaborators

    • Hoffmann-La Roche

    Investigators

    • Study Director: Clinical Trials, Hoffmann-La Roche

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Hoffmann-La Roche
    ClinicalTrials.gov Identifier:
    NCT02617784
    Other Study ID Numbers:
    • NP16472
    First Posted:
    Dec 1, 2015
    Last Update Posted:
    Feb 15, 2016
    Last Verified:
    Jan 1, 2016
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title Oseltamivir With HD Oseltamivir With CAPD
    Arm/Group Description Participants on hemodialysis (HD) received 9 doses of 30-milligram (mg) oseltamivir oral suspension, given 1 hour after completion of alternating HD sessions. All HD participants were planned to receive 19 routine HD sessions (three per week) during the 6.5-week study period. Participants on continuous ambulatory peritoneal dialysis (CAPD) received 6 doses of 30-mg oseltamivir oral suspension, given once weekly after dialysis exchange. All CAPD participants underwent routine CAPD sessions (four exchanges per 24 hours) during the 6-week study period.
    Period Title: Overall Study
    STARTED 12 12
    First Dose Assessment Period 12 12
    Second Dose Assessment Period 11 12
    COMPLETED 12 12
    NOT COMPLETED 0 0

    Baseline Characteristics

    Arm/Group Title Oseltamivir With HD Oseltamivir With CAPD Total
    Arm/Group Description Participants on HD received 9 doses of 30-mg oseltamivir oral suspension, given 1 hour after completion of alternating HD sessions. All HD participants were planned to receive 19 routine HD sessions (three per week) during the 6.5-week study period. Participants on CAPD received 6 doses of 30-mg oseltamivir oral suspension, given once weekly after dialysis exchange. All CAPD participants underwent routine CAPD sessions (four exchanges per 24 hours) during the 6-week study period. Total of all reporting groups
    Overall Participants 12 12 24
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    48.00
    (13.23)
    54.42
    (14.30)
    51.21
    (13.87)
    Sex: Female, Male (Count of Participants)
    Female
    1
    8.3%
    7
    58.3%
    8
    33.3%
    Male
    11
    91.7%
    5
    41.7%
    16
    66.7%

    Outcome Measures

    1. Primary Outcome
    Title Maximum Plasma Concentration (Cmax) of Oseltamivir in HD Participants During Days 1 to 5
    Description Plasma samples were obtained up to 90 hours post-dose during the first dose analysis (Days 1 to 5), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in nanograms per milliliter (ng/mL).
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from Day 1 (D1) dose

    Outcome Measure Data

    Analysis Population Description
    Pharmacokinetic (PK) Analysis Population (First Dose Subpopulation): All participants who completed treatment and provided evaluable data during the first dose assessment period.
    Arm/Group Title Oseltamivir With HD
    Arm/Group Description Participants on HD received 9 doses of 30-mg oseltamivir oral suspension, given 1 hour after completion of alternating HD sessions. All HD participants were planned to receive 19 routine HD sessions (three per week) during the 6.5-week study period.
    Measure Participants 12
    Mean (Standard Deviation) [ng/mL]
    20.2
    (12.3)
    2. Primary Outcome
    Title Cmax of Oseltamivir in HD Participants During Days 38 to 43
    Description Plasma samples were obtained up to 90 hours post-dose during the second dose analysis (Days 38 to 43), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in ng/mL.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from Day 38 (D38) dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population (Second Dose Subpopulation): All participants who completed treatment and provided evaluable data during the second dose assessment period.
    Arm/Group Title Oseltamivir With HD
    Arm/Group Description Participants on HD received 9 doses of 30-mg oseltamivir oral suspension, given 1 hour after completion of alternating HD sessions. All HD participants were planned to receive 19 routine HD sessions (three per week) during the 6.5-week study period.
    Measure Participants 11
    Mean (Standard Deviation) [ng/mL]
    22.6
    (9.69)
    3. Primary Outcome
    Title Cmax of Metabolite Oseltamivir Carboxylate in HD Participants During Days 1 to 5
    Description Plasma samples were obtained up to 90 hours post-dose during the first dose analysis (Days 1 to 5), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in ng/mL.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D1 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population (First Dose Subpopulation).
    Arm/Group Title Oseltamivir With HD
    Arm/Group Description Participants on HD received 9 doses of 30-mg oseltamivir oral suspension, given 1 hour after completion of alternating HD sessions. All HD participants were planned to receive 19 routine HD sessions (three per week) during the 6.5-week study period.
    Measure Participants 12
    Mean (Standard Deviation) [ng/mL]
    943
    (393)
    4. Primary Outcome
    Title Cmax of Metabolite Oseltamivir Carboxylate in HD Participants During Days 38 to 43
    Description Plasma samples were obtained up to 90 hours post-dose during the second dose analysis (Days 38 to 43), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in ng/mL.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D38 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population (Second Dose Subpopulation).
    Arm/Group Title Oseltamivir With HD
    Arm/Group Description Participants on HD received 9 doses of 30-mg oseltamivir oral suspension, given 1 hour after completion of alternating HD sessions. All HD participants were planned to receive 19 routine HD sessions (three per week) during the 6.5-week study period.
    Measure Participants 11
    Mean (Standard Deviation) [ng/mL]
    1120
    (320)
    5. Primary Outcome
    Title Area Under the Concentration-Time Curve (AUC) of Oseltamivir in HD Participants During Days 1 to 5
    Description Plasma samples were obtained up to 90 hours post-dose during the first dose analysis (Days 1 to 5), and the AUC was determined from 0 to 12 hours (AUC12) and up to the last measurable concentration (AUClast). Values were averaged among all participants and expressed in nanograms by hours per milliliter (ng*h/mL).
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D1 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population (First Dose Subpopulation).
    Arm/Group Title Oseltamivir With HD
    Arm/Group Description Participants on HD received 9 doses of 30-mg oseltamivir oral suspension, given 1 hour after completion of alternating HD sessions. All HD participants were planned to receive 19 routine HD sessions (three per week) during the 6.5-week study period.
    Measure Participants 12
    AUC12
    63.9
    (24.6)
    AUClast
    62.1
    (26.8)
    6. Primary Outcome
    Title AUC of Oseltamivir in HD Participants During Days 38 to 43
    Description Plasma samples were obtained up to 90 hours post-dose during the second dose analysis (Days 38 to 43), and the AUC12 and AUClast were determined. Values were averaged among all participants and expressed in ng*h/mL.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D38 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population (Second Dose Subpopulation).
    Arm/Group Title Oseltamivir With HD
    Arm/Group Description Participants on HD received 9 doses of 30-mg oseltamivir oral suspension, given 1 hour after completion of alternating HD sessions. All HD participants were planned to receive 19 routine HD sessions (three per week) during the 6.5-week study period.
    Measure Participants 11
    AUC12
    68.5
    (19.5)
    AUClast
    65.6
    (20.1)
    7. Primary Outcome
    Title AUC of Metabolite Oseltamivir Carboxylate in HD Participants During Days 1 to 5
    Description Plasma samples were obtained up to 90 hours post-dose during the first dose analysis (Days 1 to 5), and the AUC was determined from 0 to 42 hours (AUC42) and up to the last measurable concentration (AUClast). Values were averaged among all participants and expressed in ng*h/mL.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D1 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population (First Dose Subpopulation).
    Arm/Group Title Oseltamivir With HD
    Arm/Group Description Participants on HD received 9 doses of 30-mg oseltamivir oral suspension, given 1 hour after completion of alternating HD sessions. All HD participants were planned to receive 19 routine HD sessions (three per week) during the 6.5-week study period.
    Measure Participants 12
    AUC42
    31600
    (14100)
    AUClast
    44400
    (19000)
    8. Primary Outcome
    Title AUC of Metabolite Oseltamivir Carboxylate in HD Participants During Days 38 to 43
    Description Plasma samples were obtained up to 90 hours post-dose during the second dose analysis (Days 38 to 43), and the AUC42 and AUClast were determined. Values were averaged among all participants and expressed in ng*h/mL.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D38 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population (Second Dose Subpopulation).
    Arm/Group Title Oseltamivir With HD
    Arm/Group Description Participants on HD received 9 doses of 30-mg oseltamivir oral suspension, given 1 hour after completion of alternating HD sessions. All HD participants were planned to receive 19 routine HD sessions (three per week) during the 6.5-week study period.
    Measure Participants 11
    AUC42
    38200
    (11500)
    AUClast
    60400
    (16700)
    9. Primary Outcome
    Title Cmax of Oseltamivir in CAPD Participants During Days 1 to 6
    Description Plasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in ng/mL.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population (First Dose Subpopulation).
    Arm/Group Title Oseltamivir With CAPD
    Arm/Group Description Participants on CAPD received 6 doses of 30-mg oseltamivir oral suspension, given once weekly after dialysis exchange. All CAPD participants underwent routine CAPD sessions (four exchanges per 24 hours) during the 6-week study period.
    Measure Participants 12
    Mean (Standard Deviation) [ng/mL]
    32.0
    (20.4)
    10. Primary Outcome
    Title Cmax of Oseltamivir in CAPD Participants During Days 36 to 43
    Description Plasma samples were obtained up to 168 hours post-dose during the second dose analysis (Days 36 to 43), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in ng/mL.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120, 168 hours from Day 36 (D36) dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population (Second Dose Subpopulation).
    Arm/Group Title Oseltamivir With CAPD
    Arm/Group Description Participants on CAPD received 6 doses of 30-mg oseltamivir oral suspension, given once weekly after dialysis exchange. All CAPD participants underwent routine CAPD sessions (four exchanges per 24 hours) during the 6-week study period.
    Measure Participants 12
    Mean (Standard Deviation) [ng/mL]
    27.7
    (15.9)
    11. Primary Outcome
    Title Cmax of Metabolite Oseltamivir Carboxylate in CAPD Participants During Days 1 to 6
    Description Plasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in ng/mL.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population (First Dose Subpopulation).
    Arm/Group Title Oseltamivir With CAPD
    Arm/Group Description Participants on CAPD received 6 doses of 30-mg oseltamivir oral suspension, given once weekly after dialysis exchange. All CAPD participants underwent routine CAPD sessions (four exchanges per 24 hours) during the 6-week study period.
    Measure Participants 12
    Mean (Standard Deviation) [ng/mL]
    885
    (244)
    12. Primary Outcome
    Title Cmax of Metabolite Oseltamivir Carboxylate in CAPD Participants During Days 36 to 43
    Description Plasma samples were obtained up to 168 hours post-dose during the second dose analysis (Days 36 to 43), and the maximum observed concentration was recorded. The Cmax was averaged among all participants and expressed in ng/mL.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120, 168 hours from D36 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population (Second Dose Subpopulation).
    Arm/Group Title Oseltamivir With CAPD
    Arm/Group Description Participants on CAPD received 6 doses of 30-mg oseltamivir oral suspension, given once weekly after dialysis exchange. All CAPD participants underwent routine CAPD sessions (four exchanges per 24 hours) during the 6-week study period.
    Measure Participants 12
    Mean (Standard Deviation) [ng/mL]
    849
    (200)
    13. Primary Outcome
    Title AUC of Oseltamivir in CAPD Participants During Days 1 to 6
    Description Plasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6), and the AUC12 and AUClast were determined. Values were averaged among all participants and expressed in ng*h/mL.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population (First Dose Subpopulation).
    Arm/Group Title Oseltamivir With CAPD
    Arm/Group Description Participants on CAPD received 6 doses of 30-mg oseltamivir oral suspension, given once weekly after dialysis exchange. All CAPD participants underwent routine CAPD sessions (four exchanges per 24 hours) during the 6-week study period.
    Measure Participants 12
    AUC12
    85.6
    (40.7)
    AUClast
    78.5
    (41.8)
    14. Primary Outcome
    Title AUC of Oseltamivir in CAPD Participants During Days 36 to 43
    Description Plasma samples were obtained up to 168 hours post-dose during the second dose analysis (Days 36 to 43), and the AUC12 and AUClast were determined. Values were averaged among all participants and expressed in ng*h/mL.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120, 168 hours from D36 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population (Second Dose Subpopulation).
    Arm/Group Title Oseltamivir With CAPD
    Arm/Group Description Participants on CAPD received 6 doses of 30-mg oseltamivir oral suspension, given once weekly after dialysis exchange. All CAPD participants underwent routine CAPD sessions (four exchanges per 24 hours) during the 6-week study period.
    Measure Participants 12
    AUC12
    72.4
    (28.3)
    AUClast
    67.7
    (27.7)
    15. Primary Outcome
    Title AUC of Metabolite Oseltamivir Carboxylate in CAPD Participants During Days 1 to 6
    Description Plasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6), and the AUC was determined from 0 to 48 hours (AUC48) and up to the last measurable concentration (AUClast). Values were averaged among all participants and expressed in ng*h/mL.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population (First Dose Subpopulation).
    Arm/Group Title Oseltamivir With CAPD
    Arm/Group Description Participants on CAPD received 6 doses of 30-mg oseltamivir oral suspension, given once weekly after dialysis exchange. All CAPD participants underwent routine CAPD sessions (four exchanges per 24 hours) during the 6-week study period.
    Measure Participants 12
    AUC48
    33400
    (9700)
    AUClast
    56800
    (18300)
    16. Primary Outcome
    Title AUC of Metabolite Oseltamivir Carboxylate in CAPD Participants During Days 36 to 43
    Description Plasma samples were obtained up to 168 hours post-dose during the second dose analysis (Days 36 to 43), and the AUC48 and AUClast were determined. Values were averaged among all participants and expressed in ng*h/mL.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120, 168 hours from D36 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population (Second Dose Subpopulation).
    Arm/Group Title Oseltamivir With CAPD
    Arm/Group Description Participants on CAPD received 6 doses of 30-mg oseltamivir oral suspension, given once weekly after dialysis exchange. All CAPD participants underwent routine CAPD sessions (four exchanges per 24 hours) during the 6-week study period.
    Measure Participants 12
    AUC48
    32400
    (8210)
    AUClast
    60800
    (18800)
    17. Secondary Outcome
    Title Plasma Concentration of Oseltamivir by Timepoint in HD Participants
    Description Plasma samples were obtained up to 90 hours post-dose during the first dose analysis (Days 1 to 5) and up to 114 hours post-dose during the second dose analysis (Days 38 to 43). The concentration at each collection time was recorded and averaged among all participants and expressed in ng/mL.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49 hours from D1 and D38 dose AND at 90 hours from D1 dose AND at 114 hours from D38 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population; number (n) equals (=) number of participants included at specified timepoints in the analysis.
    Arm/Group Title Oseltamivir With HD
    Arm/Group Description Participants on HD received 9 doses of 30-mg oseltamivir oral suspension, given 1 hour after completion of alternating HD sessions. All HD participants were planned to receive 19 routine HD sessions (three per week) during the 6.5-week study period.
    Measure Participants 12
    0 hours from D1 dose (n=12)
    0
    (0)
    1 hour from D1 dose (n=12)
    18.0
    (14.2)
    2 hours from D1 dose (n=12)
    12.5
    (6.58)
    4 hours from D1 dose (n=12)
    6.06
    (2.37)
    8 hours from D1 dose (n=12)
    1.93
    (1.64)
    12 hours from D1 dose (n=12)
    0.513
    (0.783)
    20 hours from D1 dose (n=12)
    0.104
    (0.361)
    32 hours from D1 dose (n=12)
    0.0
    (0.0)
    42 hours from D1 dose (n=12)
    0.0
    (0.0)
    48 hours from D1 dose (n=12)
    0.0
    (0.0)
    49 hours from D1 dose (n=12)
    0.0
    (0.0)
    90 hours from D1 dose (n=12)
    0.0
    (0.0)
    0 hours from D38 dose (n=11)
    0.413
    (0.938)
    1 hour from D38 dose (n=11)
    21.5
    (9.96)
    2 hours from D38 dose (n=11)
    15.4
    (5.98)
    4 hours from D38 dose (n=11)
    6.07
    (2.80)
    8 hours from D38 dose (n=11)
    1.30
    (0.801)
    12 hours from D38 dose (n=11)
    0.193
    (0.429)
    20 hours from D38 dose (n=11)
    0.0
    (0.0)
    32 hours from D38 dose (n=11)
    0.0
    (0.0)
    42 hours from D38 dose (n=11)
    0.0
    (0.0)
    48 hours from D38 dose (n=11)
    0.0
    (0.0)
    49 hours from D38 dose (n=11)
    0.0
    (0.0)
    114 hours from D38 dose (n=11)
    0.0
    (0.0)
    18. Secondary Outcome
    Title Plasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in HD Participants
    Description Plasma samples were obtained up to 90 hours post-dose during the first dose analysis (Days 1 to 5) and up to 114 hours post-dose during the second dose analysis (Days 38 to 43). The concentration at each collection time was recorded and averaged among all participants and expressed in ng/mL.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49 hours from D1 and D38 dose AND at 90 hours from D1 dose AND at 114 hours from D38 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population; n = number of participants included at specified timepoints in the analysis.
    Arm/Group Title Oseltamivir With HD
    Arm/Group Description Participants on HD received 9 doses of 30-mg oseltamivir oral suspension, given 1 hour after completion of alternating HD sessions. All HD participants were planned to receive 19 routine HD sessions (three per week) during the 6.5-week study period.
    Measure Participants 12
    0 hours from D1 dose (n=12)
    0.908
    (3.15)
    1 hour from D1 dose (n=12)
    25.7
    (24.5)
    2 hours from D1 dose (n=12)
    107
    (83.7)
    4 hours from D1 dose (n=12)
    276
    (181)
    8 hours from D1 dose (n=12)
    589
    (321)
    12 hours from D1 dose (n=12)
    772
    (363)
    20 hours from D1 dose (n=12)
    908
    (383)
    32 hours from D1 dose (n=12)
    926
    (399)
    42 hours from D1 dose (n=12)
    877
    (393)
    48 hours from D1 dose (n=12)
    212
    (78.6)
    49 hours from D1 dose (n=12)
    233
    (88.2)
    90 hours from D1 dose (n=12)
    240
    (123)
    0 hours from D38 dose (n=11)
    59.0
    (32.1)
    1 hour from D38 dose (n=11)
    95.0
    (32.8)
    2 hours from D38 dose (n=11)
    200
    (58.7)
    4 hours from D38 dose (n=11)
    413
    (137)
    8 hours from D38 dose (n=11)
    745
    (239)
    12 hours from D38 dose (n=11)
    933
    (295)
    20 hours from D38 dose (n=11)
    1090
    (327)
    32 hours from D38 dose (n=11)
    1080
    (328)
    42 hours from D38 dose (n=11)
    1050
    (340)
    48 hours from D38 dose (n=11)
    263
    (61.4)
    49 hours from D38 dose (n=11)
    279
    (66.4)
    114 hours from D38 dose (n=11)
    283
    (112)
    19. Secondary Outcome
    Title Time to Maximum Plasma Concentration (Tmax) of Oseltamivir in HD Participants
    Description Plasma samples were obtained up to 90 hours post-dose during the first (Days 1 to 5) and second (Days 38 to 43) dose analyses, and the observed time of maximum concentration was recorded. The Tmax following each dose was averaged among all participants and expressed in hours.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D1 and D38 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population; n = number of participants included in the specific dose analysis.
    Arm/Group Title Oseltamivir With HD
    Arm/Group Description Participants on HD received 9 doses of 30-mg oseltamivir oral suspension, given 1 hour after completion of alternating HD sessions. All HD participants were planned to receive 19 routine HD sessions (three per week) during the 6.5-week study period.
    Measure Participants 12
    Days 1 to 5 (n=12)
    1.75
    (1.14)
    Days 38 to 43 (n=11)
    1.18
    (0.40)
    20. Secondary Outcome
    Title Tmax of Metabolite Oseltamivir Carboxylate in HD Participants
    Description Plasma samples were obtained up to 90 hours post-dose during the first (Days 1 to 5) and second (Days 38 to 43) dose analyses, and the observed time of maximum concentration was recorded. The Tmax following each dose was averaged among all participants and expressed in hours.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from D1 and D38 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population; n = number of participants included in the specific dose analysis.
    Arm/Group Title Oseltamivir With HD
    Arm/Group Description Participants on HD received 9 doses of 30-mg oseltamivir oral suspension, given 1 hour after completion of alternating HD sessions. All HD participants were planned to receive 19 routine HD sessions (three per week) during the 6.5-week study period.
    Measure Participants 12
    Days 1 to 5 (n=12)
    29.7
    (8.0)
    Days 38 to 43 (n=11)
    29.2
    (9.61)
    21. Secondary Outcome
    Title Oral Plasma Clearance (CL/F) of Oseltamivir in HD Participants
    Description Plasma samples up to 12 hours post-dose during the first (Days 1 to 5) and second (Days 38 to 43) dose analyses were used to calculate apparent clearance adjusted for oral bioavailability. The CL/F with each dose was averaged among all participants and expressed in liters per hour (L/h).
    Time Frame Blood samples 0, 1, 2, 4, 8, 12 hours from D1 and D38 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population; n = number of participants included in the specific dose analysis.
    Arm/Group Title Oseltamivir With HD
    Arm/Group Description Participants on HD received 9 doses of 30-mg oseltamivir oral suspension, given 1 hour after completion of alternating HD sessions. All HD participants were planned to receive 19 routine HD sessions (three per week) during the 6.5-week study period.
    Measure Participants 12
    Days 1 to 5 (n=12)
    677
    (727)
    Days 38 to 43 (n=11)
    474
    (141)
    22. Secondary Outcome
    Title CL/F of Metabolite Oseltamivir Carboxylate in HD Participants
    Description Plasma samples up to 42 hours post-dose during the first (Days 1 to 5) and second (Days 38 to 43) dose analyses were used to calculate apparent clearance adjusted for oral bioavailability. The CL/F with each dose was averaged among all participants and expressed in L/h.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42 hours from D1 and D38 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population; n = number of participants included in the specific dose analysis.
    Arm/Group Title Oseltamivir With HD
    Arm/Group Description Participants on HD received 9 doses of 30-mg oseltamivir oral suspension, given 1 hour after completion of alternating HD sessions. All HD participants were planned to receive 19 routine HD sessions (three per week) during the 6.5-week study period.
    Measure Participants 12
    Days 1 to 5 (n=12)
    1.20
    (1.05)
    Days 38 to 43 (n=11)
    0.779
    (0.239)
    23. Secondary Outcome
    Title Renal Clearance (CLr) of Oseltamivir in HD Participants
    Description Plasma and urine samples up to 12 hours post-dose during the first dose analysis (Days 1 to 5) were used to calculate CLr, computed as [amount of drug excreted divided by the AUC12]. The CLr was averaged among all participants and expressed in L/h.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12 hours from D1 dose; urine samples 0 to 12 hours from D1 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population (First Dose Subpopulation).
    Arm/Group Title Oseltamivir With HD
    Arm/Group Description Participants on HD received 9 doses of 30-mg oseltamivir oral suspension, given 1 hour after completion of alternating HD sessions. All HD participants were planned to receive 19 routine HD sessions (three per week) during the 6.5-week study period.
    Measure Participants 12
    Mean (Standard Deviation) [L/h]
    0.0521
    (0.133)
    24. Secondary Outcome
    Title CLr of Metabolite Oseltamivir Carboxylate in HD Participants
    Description Plasma and urine samples up to 42 hours post-dose during the first dose analysis (Days 1 to 5) were used to calculate CLr, computed as [amount of metabolite excreted divided by the AUC42]. The CLr was averaged among all participants and expressed in L/h.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42 hours from D1 dose; urine samples 0 to 42 hours from D1 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population (First Dose Subpopulation).
    Arm/Group Title Oseltamivir With HD
    Arm/Group Description Participants on HD received 9 doses of 30-mg oseltamivir oral suspension, given 1 hour after completion of alternating HD sessions. All HD participants were planned to receive 19 routine HD sessions (three per week) during the 6.5-week study period.
    Measure Participants 12
    Mean (Standard Deviation) [L/h]
    0.0203
    (0.0568)
    25. Secondary Outcome
    Title Dialysis Clearance (CLd) of Metabolite Oseltamivir Carboxylate in HD Participants
    Description Plasma samples up to 90 hours post-dose during the first (Days 1 to 5) and second (Days 38 to 43) dose analyses, in addition to dialyzer samples obtained on Days 3 and 40, were used to calculate CLd, computed as [amount of metabolite recovered in dialysate divided by the AUC over the dialysis interval]. The CLd with each dose was averaged among all participants and expressed in L/h.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 20, 32, 42, 48, 49, 90 hours from from D1 and D38 dose; dialyzer samples 1, 2, 4, 5 hours from start of dialysis on Days 3 and 40

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population; n = number of participants included in the specific dose analysis.
    Arm/Group Title Oseltamivir With HD
    Arm/Group Description Participants on HD received 9 doses of 30-mg oseltamivir oral suspension, given 1 hour after completion of alternating HD sessions. All HD participants were planned to receive 19 routine HD sessions (three per week) during the 6.5-week study period.
    Measure Participants 12
    Days 1 to 5 (n=12)
    7.42
    (0.447)
    Days 38 to 43 (n=11)
    8.43
    (3.02)
    26. Secondary Outcome
    Title Percentage of Oseltamivir Dose Excreted as Unchanged Drug in HD Participants
    Description Urine samples up to 42 hours post-dose during the first dose analysis (Days 1 to 5) were used to calculate drug excretion, computed as [amount of drug excreted divided by the oral oseltamivir dose] multiplied by 100. The value was averaged among all participants and expressed as a percent of the oseltamivir dose administered.
    Time Frame Urine samples 0 to 42 hours from D1 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population (First Dose Subpopulation).
    Arm/Group Title Oseltamivir With HD
    Arm/Group Description Participants on HD received 9 doses of 30-mg oseltamivir oral suspension, given 1 hour after completion of alternating HD sessions. All HD participants were planned to receive 19 routine HD sessions (three per week) during the 6.5-week study period.
    Measure Participants 12
    Mean (Standard Deviation) [percentage of oseltamivir dose]
    0.00982
    (0.0221)
    27. Secondary Outcome
    Title Percentage of Oseltamivir Dose Excreted as Metabolite Oseltamivir Carboxylate in HD Participants
    Description Urine samples up to 42 hours post-dose during the first dose analysis (Days 1 to 5) were used to calculate metabolite excretion, computed as [amount of metabolite excreted divided by the oral oseltamivir dose] multiplied by 100. The value was averaged among all participants and expressed as a percent of the oseltamivir dose administered.
    Time Frame Urine samples 0 to 42 hours from D1 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population (First Dose Subpopulation).
    Arm/Group Title Oseltamivir With HD
    Arm/Group Description Participants on HD received 9 doses of 30-mg oseltamivir oral suspension, given 1 hour after completion of alternating HD sessions. All HD participants were planned to receive 19 routine HD sessions (three per week) during the 6.5-week study period.
    Measure Participants 12
    Mean (Standard Deviation) [percentage of osteltamivir dose]
    1.86
    (4.66)
    28. Secondary Outcome
    Title Plasma Concentration of Metabolite Oseltamivir Carboxylate in Arterial and Venous Blood by Timepoint in HD Participants
    Description Dialyzer samples were obtained up to 5 hours from the start of dialysis on Days 3 and 40 (corresponding to HD sessions 2 and 18). Arterial concentrations were estimated using the inflow to the dialyzer, and venous concentrations were estimated using the outflow from the dialyzer. The concentration at each collection time was recorded and averaged among all participants and expressed in ng/mL.
    Time Frame Dialyzer samples 1, 2, 4, 5 hours from start of dialysis on Days 3 and 40

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population.
    Arm/Group Title Oseltamivir With HD
    Arm/Group Description Participants on HD received 9 doses of 30-mg oseltamivir oral suspension, given 1 hour after completion of alternating HD sessions. All HD participants were planned to receive 19 routine HD sessions (three per week) during the 6.5-week study period.
    Measure Participants 12
    Arterial: 1 hour (Day 3)
    570
    (229)
    Arterial: 2 hours (Day 3)
    412
    (157)
    Arterial: 4 hours (Day 3)
    227
    (82.2)
    Arterial: 5 hours (Day 3)
    171
    (61.8)
    Venous: 1 hour (Day 3)
    284
    (121)
    Venous: 2 hours (Day 3)
    202
    (74.4)
    Venous: 4 hours (Day 3)
    127
    (69.1)
    Venous: 5 hours (Day 3)
    84.3
    (29.6)
    Arterial: 1 hour (Day 40)
    666
    (179)
    Arterial: 2 hours (Day 40)
    496
    (125)
    Arterial: 4 hours (Day 40)
    281
    (58.8)
    Arterial: 5 hours (Day 40)
    218
    (45.6)
    Venous: 1 hour (Day 40)
    317
    (103)
    Venous: 2 hours (Day 40)
    229
    (69.6)
    Venous: 4 hours (Day 40)
    128
    (37.3)
    Venous: 5 hours (Day 40)
    95.4
    (27.7)
    29. Secondary Outcome
    Title Plasma Concentration of Oseltamivir by Timepoint in CAPD Participants
    Description Plasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6) and up to 168 hours post-dose during the second dose analysis (Days 36 to 43). The concentration at each collection time was recorded and averaged among all participants and expressed in ng/mL.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 and D36 dose AND at 168 hours from D36 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population.
    Arm/Group Title Oseltamivir With CAPD
    Arm/Group Description Participants on CAPD received 6 doses of 30-mg oseltamivir oral suspension, given once weekly after dialysis exchange. All CAPD participants underwent routine CAPD sessions (four exchanges per 24 hours) during the 6-week study period.
    Measure Participants 12
    0 hours from D1 dose
    0.0
    (0.0)
    1 hour from D1 dose
    27.8
    (21.9)
    2 hours from D1 dose
    22.6
    (12.6)
    4 hours from D1 dose
    6.98
    (2.70)
    8 hours from D1 dose
    0.630
    (0.833)
    12 hours from D1 dose
    0.100
    (0.346)
    24 hours from D1 dose
    0.0
    (0.0)
    48 hours from D1 dose
    0.0
    (0.0)
    72 hours from D1 dose
    0.0
    (0.0)
    120 hours from D1 dose
    0.0
    (0.0)
    0 hours from D36 dose
    0.0
    (0.0)
    1 hour from D36 dose
    24.8
    (16.8)
    2 hours from D36 dose
    18.0
    (8.88)
    4 hours from D36 dose
    5.78
    (2.09)
    8 hours from D36 dose
    0.754
    (0.705)
    12 hours from D36 dose
    0.103
    (0.358)
    24 hours from D36 dose
    0.0
    (0.0)
    48 hours from D36 dose
    0.0
    (0.0)
    72 hours from D36 dose
    0.0
    (0.0)
    120 hours from D36 dose
    0.0
    (0.0)
    168 hours from D36 dose
    0.0
    (0.0)
    30. Secondary Outcome
    Title Plasma Concentration of Metabolite Oseltamivir Carboxylate by Timepoint in CAPD Participants
    Description Plasma samples were obtained up to 120 post-dose during the first dose analysis (Days 1 to 6) and up to 168 hours post-dose during the second dose analysis (Days 36 to 43). The concentration at each collection time was recorded and averaged among all participants and expressed in ng/mL.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 and D36 dose AND at 168 hours from D36 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population.
    Arm/Group Title Oseltamivir With CAPD
    Arm/Group Description Participants on CAPD received 6 doses of 30-mg oseltamivir oral suspension, given once weekly after dialysis exchange. All CAPD participants underwent routine CAPD sessions (four exchanges per 24 hours) during the 6-week study period.
    Measure Participants 12
    0 hours from D1 dose
    0.0
    (0.0)
    1 hour from D1 dose
    20.3
    (19.9)
    2 hours from D1 dose
    121
    (72.7)
    4 hours from D1 dose
    381
    (171)
    8 hours from D1 dose
    691
    (217)
    12 hours from D1 dose
    812
    (251)
    24 hours from D1 dose
    879
    (245)
    48 hours from D1 dose
    580
    (193)
    72 hours from D1 dose
    360
    (148)
    120 hours from D1 dose
    147
    (80.9)
    0 hours from D36 dose
    69.2
    (40.1)
    1 hour from D36 dose
    97.0
    (52.3)
    2 hours from D36 dose
    184
    (84.7)
    4 hours from D36 dose
    403
    (149)
    8 hours from D36 dose
    663
    (179)
    12 hours from D36 dose
    802
    (200)
    24 hours from D36 dose
    831
    (201)
    48 hours from D36 dose
    563
    (172)
    72 hours from D36 dose
    362
    (138)
    120 hours from D36 dose
    149
    (71.6)
    168 hours from D36 dose
    63.0
    (38.1)
    31. Secondary Outcome
    Title Tmax of Oseltamivir in CAPD Participants
    Description Plasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6) and up to 168 hours post-dose during the second dose analysis (Days 36 to 43), and the observed time of maximum concentration was recorded. The Tmax following each dose was averaged among all participants and expressed in hours.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 and D36 dose AND at 168 hours from D36 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population.
    Arm/Group Title Oseltamivir With CAPD
    Arm/Group Description Participants on CAPD received 6 doses of 30-mg oseltamivir oral suspension, given once weekly after dialysis exchange. All CAPD participants underwent routine CAPD sessions (four exchanges per 24 hours) during the 6-week study period.
    Measure Participants 12
    Days 1 to 6
    1.50
    (0.52)
    Days 36 to 43
    1.28
    (0.0470)
    32. Secondary Outcome
    Title Tmax of Metabolite Oseltamivir Carboxylate in CAPD Participants
    Description Plasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6) and up to 168 hours post-dose during the second dose analysis (Days 36 to 43), and the observed time of maximum concentration was recorded. The Tmax following each dose was averaged among all participants and expressed in hours.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 and D36 dose AND at 168 hours from D36 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population.
    Arm/Group Title Oseltamivir With CAPD
    Arm/Group Description Participants on CAPD received 6 doses of 30-mg oseltamivir oral suspension, given once weekly after dialysis exchange. All CAPD participants underwent routine CAPD sessions (four exchanges per 24 hours) during the 6-week study period.
    Measure Participants 12
    Days 1 to 6
    20.0
    (5.91)
    Days 36 to 43
    19.0
    (6.18)
    33. Secondary Outcome
    Title Elimination Rate Constant of Metabolite Oseltamivir Carboxylate in CAPD Participants
    Description Plasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6) and up to 168 hours post-dose during the second dose analysis (Days 36 to 43). Urine and dialysate samples were also obtained up to 48 hours post-dose during the first dose analysis. The elimination rate constant was calculated as [natural log (ln)(2) divided by the half-life] and expressed as inverse hours (1/h).
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 and D36 dose AND at 168 hours from D36 dose; urine samples 0 to 48 hours from D1 dose; dialysate samples 0 to 48 hours from D1 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population.
    Arm/Group Title Oseltamivir With CAPD
    Arm/Group Description Participants on CAPD received 6 doses of 30-mg oseltamivir oral suspension, given once weekly after dialysis exchange. All CAPD participants underwent routine CAPD sessions (four exchanges per 24 hours) during the 6-week study period.
    Measure Participants 12
    Days 1 to 6
    0.0211
    (0.00578)
    Days 36 to 43
    0.0200
    (0.00488)
    34. Secondary Outcome
    Title Terminal Elimination Half-Life of Metabolite Oseltamivir Carboxylate in CAPD Participants
    Description Plasma samples were obtained up to 120 hours post-dose during the first dose analysis (Days 1 to 6) and up to 168 hours post-dose during the second dose analysis (Days 36 to 43). Urine and dialysate samples were also obtained up to 48 hours post-dose during the first dose analysis. The time required for the concentration to decrease by one-half was recorded and averaged among all participants and expressed in hours.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 and D36 dose AND at 168 hours from D36 dose; urine samples 0 to 48 hours from D1 dose; dialysate samples 0 to 48 hours from D1 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population.
    Arm/Group Title Oseltamivir With CAPD
    Arm/Group Description Participants on CAPD received 6 doses of 30-mg oseltamivir oral suspension, given once weekly after dialysis exchange. All CAPD participants underwent routine CAPD sessions (four exchanges per 24 hours) during the 6-week study period.
    Measure Participants 12
    Days 1 to 6
    34.8
    (8.39)
    Days 36 to 43
    36.3
    (7.53)
    35. Secondary Outcome
    Title CL/F of Oseltamivir in CAPD Participants
    Description Plasma samples up to 12 hours post-dose during the first (Days 1 to 6) and second (Days 36 to 43) dose analyses were used to calculate apparent clearance adjusted for oral bioavailability. The CL/F with each dose was averaged among all participants and expressed in L/h.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12 hours from D1 and D36 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population.
    Arm/Group Title Oseltamivir With CAPD
    Arm/Group Description Participants on CAPD received 6 doses of 30-mg oseltamivir oral suspension, given once weekly after dialysis exchange. All CAPD participants underwent routine CAPD sessions (four exchanges per 24 hours) during the 6-week study period.
    Measure Participants 12
    Days 1 to 6
    424
    (183)
    Days 36 to 43
    485
    (215)
    36. Secondary Outcome
    Title CL/F of Metabolite Oseltamivir Carboxylate in CAPD Participants
    Description Plasma samples up to 48 hours post-dose during the first (Days 1 to 6) and second (Days 36 to 43) dose analyses were used to calculate apparent clearance adjusted for oral bioavailability. The CL/F with each dose was averaged among all participants and expressed in L/h.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 24, 48 hours from D1 and D36 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population.
    Arm/Group Title Oseltamivir With CAPD
    Arm/Group Description Participants on CAPD received 6 doses of 30-mg oseltamivir oral suspension, given once weekly after dialysis exchange. All CAPD participants underwent routine CAPD sessions (four exchanges per 24 hours) during the 6-week study period.
    Measure Participants 12
    Days 1 to 6
    0.882
    (0.250)
    Days 36 to 43
    0.898
    (0.246)
    37. Secondary Outcome
    Title CLr of Oseltamivir in CAPD Participants
    Description Plasma and urine samples up to 12 hours post-dose during the first dose analysis (Days 1 to 6) were used to calculate CLr, computed as [amount of drug excreted divided by the AUC12]. The CLr was averaged among all participants and expressed in L/h.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12 hours from D1 dose; urine samples 0 to 12 hours from D1 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population (First Dose Subpopulation).
    Arm/Group Title Oseltamivir With CAPD
    Arm/Group Description Participants on CAPD received 6 doses of 30-mg oseltamivir oral suspension, given once weekly after dialysis exchange. All CAPD participants underwent routine CAPD sessions (four exchanges per 24 hours) during the 6-week study period.
    Measure Participants 12
    Mean (Standard Deviation) [L/h]
    0.146
    (0.250)
    38. Secondary Outcome
    Title CLr of Metabolite Oseltamivir Carboxylate in CAPD Participants
    Description Plasma and urine samples up to 48 hours post-dose during the first dose analysis (Days 1 to 6) were used to calculate CLr, computed as [amount of metabolite excreted divided by the AUC48]. The CLr was averaged among all participants and expressed in L/h.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 24, 48 hours from D1 dose; urine samples 0 to 48 hours from D1 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population (First Dose Subpopulation).
    Arm/Group Title Oseltamivir With CAPD
    Arm/Group Description Participants on CAPD received 6 doses of 30-mg oseltamivir oral suspension, given once weekly after dialysis exchange. All CAPD participants underwent routine CAPD sessions (four exchanges per 24 hours) during the 6-week study period.
    Measure Participants 12
    Mean (Standard Deviation) [L/h]
    0.0665
    (0.114)
    39. Secondary Outcome
    Title CLd of Metabolite Oseltamivir Carboxylate in CAPD Participants
    Description Plasma samples up to 120 hours and dialysate samples up to 48 hours post-dose during the first dose analysis (Days 1 to 6) were used to calculate CLd, computed as [amount of metabolite recovered in dialysate divided by the AUC over the dialysis interval]. The CLd was averaged among all participants and expressed in L/h.
    Time Frame Blood samples 0, 1, 2, 4, 8, 12, 24, 48, 72, 120 hours from D1 dose; dialysate samples 0 to 48 hours from D1 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population (First Dose Subpopulation).
    Arm/Group Title Oseltamivir With CAPD
    Arm/Group Description Participants on CAPD received 6 doses of 30-mg oseltamivir oral suspension, given once weekly after dialysis exchange. All CAPD participants underwent routine CAPD sessions (four exchanges per 24 hours) during the 6-week study period.
    Measure Participants 12
    Mean (Standard Deviation) [L/h]
    0.425
    (0.0456)
    40. Secondary Outcome
    Title Percentage of Oseltamivir Dose Renally Excreted as Unchanged Drug in CAPD Participants
    Description Urine samples up to 48 hours post-dose during the first dose analysis (Days 1 to 6) were used to calculate renal excretion, computed as [amount of drug in urine divided by the oral oseltamivir dose] multiplied by 100. The value was averaged among all participants and expressed as a percent of the oseltamivir dose administered.
    Time Frame Urine samples 0 to 48 hours from D1 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population (First Dose Subpopulation).
    Arm/Group Title Oseltamivir With CAPD
    Arm/Group Description Participants on CAPD received 6 doses of 30-mg oseltamivir oral suspension, given once weekly after dialysis exchange. All CAPD participants underwent routine CAPD sessions (four exchanges per 24 hours) during the 6-week study period.
    Measure Participants 12
    Mean (Standard Deviation) [percentage of oseltamivir dose]
    0.0290
    (0.0490)
    41. Secondary Outcome
    Title Percentage of Oseltamivir Dose Renally Excreted as Metabolite Oseltamivir Carboxylate in CAPD Participants
    Description Urine samples up to 48 hours post-dose during the first dose analysis (Days 1 to 6) were used to calculate renal excretion, computed as [amount of metabolite in urine divided by the oral oseltamivir dose] multiplied by 100. The value was averaged among all participants and expressed as a percent of the oseltamivir dose administered.
    Time Frame Urine samples 0 to 48 hours from D1 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population (First Dose Subpopulation).
    Arm/Group Title Oseltamivir With CAPD
    Arm/Group Description Participants on CAPD received 6 doses of 30-mg oseltamivir oral suspension, given once weekly after dialysis exchange. All CAPD participants underwent routine CAPD sessions (four exchanges per 24 hours) during the 6-week study period.
    Measure Participants 12
    Mean (Standard Deviation) [percentage of oseltamivir dose]
    6.44
    (10.8)
    42. Secondary Outcome
    Title Percentage of Oseltamivir Dose Eliminated by Dialysis as Unchanged Drug in CAPD Participants
    Description Dialysate samples up to 48 hours post-dose during the first dose analysis (Days 1 to 6) were used to calculate dialysis elimination, computed as [amount of drug in dialysate divided by the oral oseltamivir dose] multiplied by 100. The value was averaged among all participants and expressed as a percent of the oseltamivir dose administered.
    Time Frame Dialysate samples 0 to 48 hours from D1 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population (First Dose Subpopulation).
    Arm/Group Title Oseltamivir With CAPD
    Arm/Group Description Participants on CAPD received 6 doses of 30-mg oseltamivir oral suspension, given once weekly after dialysis exchange. All CAPD participants underwent routine CAPD sessions (four exchanges per 24 hours) during the 6-week study period.
    Measure Participants 12
    Mean (Standard Deviation) [percentage of oseltamivir dose]
    0.00367
    (0.0127)
    43. Secondary Outcome
    Title Percentage of Oseltamivir Dose Eliminated by Dialysis as Metabolite Oseltamivir Carboxylate in CAPD Participants
    Description Dialysate samples up to 48 hours post-dose during the first dose analysis (Days 1 to 6) were used to calculate dialysis elimination, computed as [amount of metabolite in dialysate divided by the oral oseltamivir dose] multiplied by 100. The value was averaged among all participants and expressed as a percent of the oseltamivir dose administered.
    Time Frame Dialysate samples 0 to 48 hours from D1 dose

    Outcome Measure Data

    Analysis Population Description
    PK Analysis Population (First Dose Subpopulation).
    Arm/Group Title Oseltamivir With CAPD
    Arm/Group Description Participants on CAPD received 6 doses of 30-mg oseltamivir oral suspension, given once weekly after dialysis exchange. All CAPD participants underwent routine CAPD sessions (four exchanges per 24 hours) during the 6-week study period.
    Measure Participants 12
    Mean (Standard Deviation) [percentage of oseltamivir dose]
    32.6
    (8.77)

    Adverse Events

    Time Frame From Day 1 to 43 and up to 14 days after last PK assessment (up to approximately 57 days total)
    Adverse Event Reporting Description Safety Population
    Arm/Group Title Oseltamivir With HD Oseltamivir With CAPD
    Arm/Group Description Participants on HD received 9 doses of 30-mg oseltamivir oral suspension, given 1 hour after completion of alternating HD sessions. All HD participants were planned to receive 19 routine HD sessions (three per week) during the 6.5-week study period. Participants on CAPD received 6 doses of 30-mg oseltamivir oral suspension, given once weekly after dialysis exchange. All CAPD participants underwent routine CAPD sessions (four exchanges per 24 hours) during the 6-week study period.
    All Cause Mortality
    Oseltamivir With HD Oseltamivir With CAPD
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN)
    Serious Adverse Events
    Oseltamivir With HD Oseltamivir With CAPD
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 1/12 (8.3%) 2/12 (16.7%)
    Cardiac disorders
    Angina unstable 1/12 (8.3%) 0/12 (0%)
    Pericarditis not otherwise specified 0/12 (0%) 1/12 (8.3%)
    Gastrointestinal disorders
    Peritonitis 0/12 (0%) 1/12 (8.3%)
    Musculoskeletal and connective tissue disorders
    Coccydynia 0/12 (0%) 1/12 (8.3%)
    Other (Not Including Serious) Adverse Events
    Oseltamivir With HD Oseltamivir With CAPD
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 8/12 (66.7%) 10/12 (83.3%)
    Blood and lymphatic system disorders
    Anaemia not otherwise specified 0/12 (0%) 1/12 (8.3%)
    Anaemia not otherwise specified, aggravated 0/12 (0%) 1/12 (8.3%)
    Gastrointestinal disorders
    Vomiting not otherwise specified 1/12 (8.3%) 3/12 (25%)
    Nausea 2/12 (16.7%) 1/12 (8.3%)
    Peritonitis 0/12 (0%) 3/12 (25%)
    Diarrhoea not otherwise specified 1/12 (8.3%) 1/12 (8.3%)
    Constipation 0/12 (0%) 1/12 (8.3%)
    Dyspepsia 1/12 (8.3%) 0/12 (0%)
    Mouth ulceration 1/12 (8.3%) 0/12 (0%)
    General disorders
    Dizziness (excluding vertigo) 2/12 (16.7%) 0/12 (0%)
    Malaise 0/12 (0%) 2/12 (16.7%)
    Fatigue 1/12 (8.3%) 0/12 (0%)
    Haemorrhage not otherwise specified 1/12 (8.3%) 0/12 (0%)
    Injection site pain 0/12 (0%) 1/12 (8.3%)
    Pain in jaw 0/12 (0%) 1/12 (8.3%)
    Hepatobiliary disorders
    Hepatic function abnormal not otherwise specified 0/12 (0%) 1/12 (8.3%)
    Infections and infestations
    Blood culture positive 0/12 (0%) 1/12 (8.3%)
    Herpes zoster 0/12 (0%) 1/12 (8.3%)
    Urinary tract infection not otherwise specified 0/12 (0%) 1/12 (8.3%)
    Vaginitis 0/12 (0%) 1/12 (8.3%)
    Vaginosis bacterial not otherwise specified 0/12 (0%) 1/12 (8.3%)
    Injury, poisoning and procedural complications
    Skin injury not otherwise specified 0/12 (0%) 1/12 (8.3%)
    Investigations
    Haemoglobin decreased 0/12 (0%) 1/12 (8.3%)
    Metabolism and nutrition disorders
    Appetite decreased 0/12 (0%) 1/12 (8.3%)
    Calcification metastatic 1/12 (8.3%) 0/12 (0%)
    Gout 1/12 (8.3%) 0/12 (0%)
    Hypokalaemia 0/12 (0%) 1/12 (8.3%)
    Musculoskeletal and connective tissue disorders
    Arthralgia 0/12 (0%) 2/12 (16.7%)
    Myalgia 0/12 (0%) 1/12 (8.3%)
    Neck pain 1/12 (8.3%) 0/12 (0%)
    Nervous system disorders
    Headache not otherwise specified 4/12 (33.3%) 4/12 (33.3%)
    Psychiatric disorders
    Depression not otherwise specified 0/12 (0%) 1/12 (8.3%)
    Renal and urinary disorders
    Haematuria 1/12 (8.3%) 0/12 (0%)
    Respiratory, thoracic and mediastinal disorders
    Sinus congestion 0/12 (0%) 1/12 (8.3%)
    Sneezing 0/12 (0%) 1/12 (8.3%)
    Sore throat not otherwise specified 1/12 (8.3%) 0/12 (0%)
    Skin and subcutaneous tissue disorders
    Pruritus 1/12 (8.3%) 1/12 (8.3%)
    Skin disorder not otherwise specified 0/12 (0%) 1/12 (8.3%)
    Tongue oedema 1/12 (8.3%) 0/12 (0%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.

    Results Point of Contact

    Name/Title Medical Communications
    Organization Hoffmann-LaRoche
    Phone 800-821-8590
    Email genentech@druginfo.com
    Responsible Party:
    Hoffmann-La Roche
    ClinicalTrials.gov Identifier:
    NCT02617784
    Other Study ID Numbers:
    • NP16472
    First Posted:
    Dec 1, 2015
    Last Update Posted:
    Feb 15, 2016
    Last Verified:
    Jan 1, 2016