A Study to Assess S-217622 in Participants With Mild and Moderate Hepatic Impairment and Healthy Control Participants

Sponsor
Shionogi (Industry)
Overall Status
Not yet recruiting
CT.gov ID
NCT05409911
Collaborator
(none)
48
3
5.6

Study Details

Study Description

Brief Summary

The objective of this study is to assess the pharmacokinetics (PK), safety, and tolerability of S-217622 in participants with mild and moderate hepatic impairment compared with control participants with normal hepatic function.

Condition or Disease Intervention/Treatment Phase
Phase 1

Study Design

Study Type:
Interventional
Anticipated Enrollment :
48 participants
Allocation:
Non-Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase 1, Open-label, Parallel-group Study to Assess the Pharmacokinetics, Safety, and Tolerability of S-217622 in Participants With Mild and Moderate Hepatic Impairment and Healthy Control Participants
Anticipated Study Start Date :
Jun 13, 2022
Anticipated Primary Completion Date :
Nov 30, 2022
Anticipated Study Completion Date :
Nov 30, 2022

Arms and Interventions

Arm Intervention/Treatment
Experimental: S-217622: Group A

Participants with mild hepatic impairment will receive a single dose of S-217622 on Day 1, in a fasted state.

Drug: S-217622
Tablet for oral administration

Experimental: S-217622: Group B

Participants with moderate hepatic impairment will receive a single dose of S-217622 on Day 1, in a fasted state.

Drug: S-217622
Tablet for oral administration

Experimental: S-217622: Group C

Participants with normal hepatic function will receive a single dose of S-217622 on Day 1, in a fasted state.

Drug: S-217622
Tablet for oral administration

Outcome Measures

Primary Outcome Measures

  1. Maximum Observed Plasma Concentration (Cmax) of S-217622 [0 (predose) up to 336 hours postdose on Day 1 to Day 15]

  2. Time to Maximum Plasma Concentration (Tmax) of S-217622 [0 (predose) up to 336 hours postdose on Day 1 to Day 15]

  3. Area Under the Plasma Concentration-Time Curve (AUC) of S-217622 [0 (predose) up to 336 hours postdose on Day 1 to Day 15]

  4. Terminal Elimination Half-Life (t1/2,z) of S-217622 [0 (predose) up to 336 hours postdose on Day 1 to Day 15]

  5. Terminal Elimination Rate Constant (λz) of S-217622 [0 (predose) up to 336 hours postdose on Day 1 to Day 15]

  6. Mean Residence Time (MRT) of S-217622 [0 (predose) up to 336 hours postdose on Day 1 to Day 15]

  7. Apparent Total Clearance (CL/F) of S-217622 [0 (predose) up to 336 hours postdose on Day 1 to Day 15]

  8. Apparent Volume of Distribution (Vz/F) of S-217622 [0 (predose) up to 336 hours postdose on Day 1 to Day 15]

  9. Renal Clearance (CLR) of S-217622 [0 (predose) up to 336 hours postdose on Day 1 to Day 15]

  10. Fraction of Dose Excreted in Urine (Feu) of S-217622 [0 (predose) up to 336 hours postdose on Day 1 to Day 15]

  11. Fraction Unbound in Plasma (FU) of S-217622 [0 (predose) up to 336 hours postdose on Day 1 to Day 15]

Secondary Outcome Measures

  1. Number of Participants with Treatment-Emergent Adverse Events [Up to Day 21]

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 80 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  • Body weight ≥50 kilograms (kg) and body mass index (BMI) within the range of ≥18.5 to <38.0 kilogram-meter squared (kg/m^2) at the Screening visit.

Participants With Hepatic Impairment

  • A diagnosis of clinically stable hepatic disease for at least 1 month prior to the Screening visit, confirmed by medical history or previous confirmation of hepatic cirrhosis by liver biopsy or medical imaging technique (including laparoscopy, computerized tomography [CT] scan, magnetic resonance imaging [MRI], or ultrasonography).

  • Mild or moderate hepatic impairment based on the Child-Pugh classification score at the Screening visit to determine eligibility:

  1. Mild (Class A) hepatic impairment (Child-Pugh classification score 5 to 6)

  2. Moderate (Class B) hepatic impairment (Child-Pugh classification score 7 to 9)

  • A stable medication regimen is required, defined as not starting new drug(s) or changing dosage(s) within 14 days prior to administration of study intervention through the Follow-up/Early Termination visit.

Healthy Participants

  • Matched to each participant with moderate (and mild when possible) hepatic impairment with respect to sex, age (± 5 years), and BMI (± 10%).
Exclusion Criteria:
  • History or presence of/significant history of or current cardiovascular, respiratory, renal, gastrointestinal (GI), endocrinological, hematological, or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs; constituting a risk when taking the study intervention; or interfering with the interpretation of data.

  • History of GI surgery including but not limited to gastric resection and/or intestinal resection that resulted in a clinically significant abnormality in GI function.

  • Lymphoma, leukemia, or any malignancy within the past 5 years except for basal cell or squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for 3 years.

  • Breast cancer within the past 10 years.

  • Participant with poor venous access.

Other inclusion and exclusion criteria may apply.

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

  • Shionogi

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Shionogi
ClinicalTrials.gov Identifier:
NCT05409911
Other Study ID Numbers:
  • 2127T1213
First Posted:
Jun 8, 2022
Last Update Posted:
Jun 8, 2022
Last Verified:
May 1, 2022
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

No Results Posted as of Jun 8, 2022