A Study of Brensocatib Following a Single Oral Administration in Participants With or Without Renal Impairment

Sponsor
Insmed Incorporated (Industry)
Overall Status
Recruiting
CT.gov ID
NCT05673603
Collaborator
(none)
30
2
4
18.6
15
0.8

Study Details

Study Description

Brief Summary

The primary purpose of the study is to determine the pharmacokinetics (PK) following a single oral dose administration of brensocatib, safety, and tolerability of brensocatib when administered to participants with impaired renal function and in healthy participants.

Condition or Disease Intervention/Treatment Phase
Phase 1

Study Design

Study Type:
Interventional
Anticipated Enrollment :
30 participants
Allocation:
Non-Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase 1, Open-Label, Single Dose Parallel-Group Study of Brensocatib Following a Single Oral Administration in Subjects With or Without Renal Impairment
Actual Study Start Date :
Jul 20, 2021
Anticipated Primary Completion Date :
Feb 7, 2023
Anticipated Study Completion Date :
Feb 7, 2023

Arms and Interventions

Arm Intervention/Treatment
Experimental: Cohort 1 (Mild Impairment): Brensocatib

Participants with mild renal impairment will receive single oral dose of brensocatib on Day 1 under fasted conditions.

Drug: Brensocatib
Oral tablet
Other Names:
  • INS1007
  • Experimental: Cohort 2 (Moderate Impairment): Brensocatib

    Participants with moderate renal impairment will receive single oral dose of brensocatib on Day 1 under fasted conditions.

    Drug: Brensocatib
    Oral tablet
    Other Names:
  • INS1007
  • Experimental: Cohort 3 (Severe Impairment): Brensocatib

    Participants with severe renal impairment will receive single oral dose of brensocatib on Day 1 under fasted conditions.

    Drug: Brensocatib
    Oral tablet
    Other Names:
  • INS1007
  • Experimental: Cohort 4 (Normal): Brensocatib

    Healthy participants with normal renal function will receive single oral dose of brensocatib on Day 1 under fasted conditions. Healthy participants will be matched within the protocol criteria to one or more participants with renal impairment.

    Drug: Brensocatib
    Oral tablet
    Other Names:
  • INS1007
  • Outcome Measures

    Primary Outcome Measures

    1. Area Under the Plasma Concentration Time Curve (AUC) of Brensocatib [Pre-dose and at multiple timepoints post-dose on Days 1 to 14]

      Pharmacokinetics of brensocatib following a single dose will be assessed in participants with renal impairment and in healthy participants.

    2. Maximum Observed Plasma Concentration (Cmax) of Brensocatib [Pre-dose and at multiple timepoints post-dose on Days 1 to 14]

    3. Time to Reach Maximum Observed Plasma Concentration (Tmax) of Brensocatib [Pre-dose and at multiple timepoints post-dose on Days 1 to 14]

    4. Number of Participants who Experienced at Least one Adverse Event (AE) [Up to Day 14]

      Determination of the safety and tolerability of a single dose of brensocatib in participants with impaired renal function and in healthy participants.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 80 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • Has a body mass index (BMI) 18 to 35 kilograms per square meter (kg/m^2), inclusive, and a body weight of ≥50 kg at Screening.
    Inclusion Criteria (for Participants With Renal Impairment):
    • Mild, moderate, or severe renal impairment as determined by estimated glomerular filtration rate (eGFR) and calculated using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) formula.

    • Renal insufficiency or other related concomitant medical conditions (e.g., hypertension, anemia) has remained stable for at least 3 months before study drug dosing.

    Inclusion Criteria for Healthy Participants:
    • Normal renal function as determined by eGFR and calculated using the CKD-EDI formula, or by 24-hour urine creatinine clearance (CLcr) corrected for body size.

    • In good general health, as determined by medical history, clinical laboratory assessments, vital sign measurements, 12-lead electrocardiogram (ECG) results, and physical examination findings.

    Exclusion Criteria:
    • Positive test result for human immunodeficiency virus types 1 or 2 antibodies, hepatitis C virus antibodies, or hepatitis B surface antigen or hepatitis B core antibodies.

    • History of relevant drug and/or food allergies (i.e., allergy to brensocatib or any excipients, or any significant food allergy).

    • The participant has received study drug in another investigational study within 30 days of Screening.

    Exclusion Criteria (for Participants With Renal Impairment):
    • Has nephrotic syndrome, defined as urine dipstick 4+ for protein and plasma albumin <3.0 grams per deciliter (g/dL), and then confirmed if proteinuria >5 g/day.

    • Has an extrarenal cause of renal impairment (e.g., rapidly growing, space occupying lesions, adrenal enlargement).

    • Has a functioning renal transplant (participant may be included in the study if he or she had a failed renal transplant and is not taking immunosuppressants).

    • Has a hemoglobin value less than 8.5 g/dL.

    • Has Type 1 or Type 2 diabetes mellitus.

    Exclusion Criteria (for Healthy Participants):
    • Has used any prescription (excluding hormonal birth control, hormone replacement therapy, nonsteroidal anti-inflammatory drugs, or acetaminophen) or over-the-counter medications, including herbal or nutritional supplements, within 14 days before study drug dosing and throughout the study.

    Note: Other inclusion/exclusion criteria may apply.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 USA002 Orlando Florida United States 32809
    2 USA001 San Antonio Texas United States 78215

    Sponsors and Collaborators

    • Insmed Incorporated

    Investigators

    None specified.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Insmed Incorporated
    ClinicalTrials.gov Identifier:
    NCT05673603
    Other Study ID Numbers:
    • INS1007-102
    First Posted:
    Jan 6, 2023
    Last Update Posted:
    Jan 6, 2023
    Last Verified:
    Dec 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Insmed Incorporated
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Jan 6, 2023