Effect of Renal Impairment on Evobrutinib Pharmacokinetics (PK)

Sponsor
Merck KGaA, Darmstadt, Germany (Industry)
Overall Status
Completed
CT.gov ID
NCT03436394
Collaborator
(none)
31
1
4
11.1
2.8

Study Details

Study Description

Brief Summary

The study will investigate the PK and safety of evobrutinib in subjects with different degree of renal impairment as compared to subjects with normal renal function.

Condition or Disease Intervention/Treatment Phase
Phase 1

Study Design

Study Type:
Interventional
Actual Enrollment :
31 participants
Allocation:
Non-Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Other
Official Title:
Phase I, Open-label, Single Dose Study to Investigate the Effect of Renal Impairment on the Pharmacokinetics (PK) of Evobrutinib (M2951) Compared to Normal Renal Function in Male and Female Subjects
Actual Study Start Date :
Mar 21, 2018
Actual Primary Completion Date :
Feb 22, 2019
Actual Study Completion Date :
Feb 22, 2019

Arms and Interventions

Arm Intervention/Treatment
Experimental: Evobrutinib: Normal Renal Function

Subjects with estimated glomerular filtration rate (eGFR) greater than or equal to (>=) 90 milliliter per minute per 1.73 meter square (mL/min/1.73 m^2) will receive a single oral dose of evobrutinib under fasting conditions.

Drug: Evobrutinib
Subjects will be administered a single oral dose of evobrutinib under fasting conditions.
Other Names:
  • MSC2364447C
  • M2951
  • Experimental: Evobrutinib: Severe Renal Impairment

    Subjects with eGFR less than (<) 30 mL/min/1.73 m^2 will receive a single oral dose of evobrutinib under fasting conditions.

    Drug: Evobrutinib
    Subjects will be administered a single oral dose of evobrutinib under fasting conditions.
    Other Names:
  • MSC2364447C
  • M2951
  • Experimental: Evobrutinib: Moderate Renal Impairment

    Subjects with eGFR >= to 30 mL/min/1.73 m^2 and < 60 mL/min/1.73 m^2 will receive a single oral dose of evobrutinib under fasting conditions.

    Drug: Evobrutinib
    Subjects will be administered a single oral dose of evobrutinib under fasting conditions.
    Other Names:
  • MSC2364447C
  • M2951
  • Experimental: Evobrutinib: Mild Renal Impairment

    Subjects with eGFR >= to 60 mL/min/1.73 m^2 and < 90 mL/min/1.73 m^2 will receive a single oral dose of evobrutinib under fasting conditions.

    Drug: Evobrutinib
    Subjects will be administered a single oral dose of evobrutinib under fasting conditions.
    Other Names:
  • MSC2364447C
  • M2951
  • Outcome Measures

    Primary Outcome Measures

    1. Area Under the Plasma Concentration-Time Curve From Time Zero to the Last Quantifiable Concentration (AUC 0-t) of Evobrutinib [Pre-dose up to 30 hours post-dose]

    2. Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC 0-inf) of Evobrutinib [Pre-dose up to 30 hours post-dose]

    3. Maximum Observed Plasma Concentration (Cmax) of Evobrutinib [Pre-dose up to 30 hours post-dose]

    Secondary Outcome Measures

    1. Occurrences of Treatment-emergent Adverse Events (TEAEs) [Day 1 up to Day 6]

    2. Number of Subjects With TEAEs According to Severity [Day 1 up to Day 6]

    3. Number of Subjects With Clinically Significant Abnormalities in Vital Signs, Laboratory Parameters and 12-lead Electrocardiogram (ECG) Findings [Day 1 up to Day 6]

      Number of subjects with clinically significant abnormalities will be reported.

    4. Time to Reach the Maximum Plasma Concentration (tmax) of Evobrutinib [Pre-dose up to 30 hours post-dose]

    5. Time Prior to the First Measurable (Non-Zero) Concentration (t lag) of Evobrutinib [Pre-dose up to 30 hours post-dose]

    6. Terminal Rate Constant (λz) of Evobrutinib [Pre-dose up to 30 hours post-dose]

    7. Terminal Half-Life (t1/2) of Evobrutinib [Pre-dose up to 30 hours post-dose]

    8. Area Under the Plasma Concentration-Time Curve From Time Zero to 24 Hours After Dosing (AUC 0-24h) of Evobrutinib [Pre-dose up to 24 hours post-dose]

    9. Area Under the Plasma Concentration-Time Curve From Time Zero to 8 Hours After Dosing (AUC 0-8h) of Evobrutinib [Pre-dose up to 8 hours post-dose]

    10. Apparent Clearance (CL/f) of Evobrutinib [Pre-dose up to 30 hours post-dose]

    11. Apparent Volume of Distribution During Terminal Phase (Vz/f) of Evobrutinib [Pre-dose up to 30 hours post-dose]

    12. Amount of Unchanged Drug (Evobrutinib) Excreted in Urine During Collection Interval (0-8 hours) (Ae0-8h) [Pre-dose up to 8 hours post-dose]

    13. Fraction of Administered Drug (Evobrutinib) Excreted in Urine (fe) [Pre-dose up to 30 hours post-dose]

    14. Fraction of Unbound Drug (Evobrutinib) in the Plasma (fu) [Pre-dose up to 30 hours post-dose]

    15. Renal Clearance of Evobrutinib (CLR) [Pre-dose up to 30 hours post-dose]

    16. Non-Renal Clearance of Evobrutinib (CLNonR/f) [Pre-dose up to 30 hours post-dose]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 79 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • Male and Female subjects with total body weight between 50.0 and 100.0 kilograms(kg) (inclusive) and body mass index (BMI) between 19.0 and 36.0 kg per meter square (inclusive) at the time of the screening examination

    • For subjects with impaired renal function: Subjects must have an eGFR according to the Modification of diet in renal disease (MDRD) equation of less than 90 mL per minute at screening and the possibility of stratification to one of the groups and a stable renal function as defined by either: if the time interval between screening and dosing is greater than 10 days, two eGFR with the second estimate within 20% of prior value or historical records of stable function over the past 3 months if within 20 percentage of screening value and within 10 days of dosing

    • Other protocol defined inclusion criteria could apply

    Exclusion Criteria:
    • History or presence of respiratory, gastrointestinal (including bariatric or other gastric surgeries, or other conditions that may affect drug absorption) hepatic (including hepatorenal syndrome), hematological, lymphatic, neurological (including seizures), cardiovascular (including ventricular dysfunction and congestive heart failure), psychiatric, musculoskeletal, genitourinary, immunological, dermatological, connective tissue diseases or disorders that may affect the safety of the subject.

    • Clinical history of any autoimmune disorder

    • Prior history of cholecystectomy or splenectomy, and any clinically relevant surgery within 6 months prior to Screening, which might interfere with the objectives of the study or the study procedures

    • History of any malignancy except superficial basal cell carcinoma treated for curative intent may be allowed

    • Other protocol defined exclusion criteria could apply

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Please Contact the Merck KGaA Communication Center Darmstadt Germany 64293

    Sponsors and Collaborators

    • Merck KGaA, Darmstadt, Germany

    Investigators

    • Study Director: Medical Responsible, Merck KGaA, Darmstadt, Germany

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Merck KGaA, Darmstadt, Germany
    ClinicalTrials.gov Identifier:
    NCT03436394
    Other Study ID Numbers:
    • MS200527_0026
    • 2017-004102-18
    First Posted:
    Feb 19, 2018
    Last Update Posted:
    May 16, 2019
    Last Verified:
    May 1, 2019
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Merck KGaA, Darmstadt, Germany
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of May 16, 2019