Pharmacokinetics, Safety, and Tolerability of Methylnaltrexone (MNTX) in Subjects With Impaired Renal Function

Sponsor
Bausch Health Americas, Inc. (Industry)
Overall Status
Completed
CT.gov ID
NCT01367509
Collaborator
(none)
32
1
1
15
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Study Details

Study Description

Brief Summary

This study is evaluating the Pharmacokinetics of MNTX in healthy control subjects and in patients with mild, moderate, or severe renal impairment who do not require hemodialysis.

Condition or Disease Intervention/Treatment Phase
  • Drug: Methylnaltrexone (MNTX)
Phase 1

Study Design

Study Type:
Interventional
Actual Enrollment :
32 participants
Allocation:
Non-Randomized
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase 1, Open-Label Study to Evaluate Single Dose Pharmacokinetics, Safety, and Tolerability of Methylnaltrexone (MNTX) in Subjects With Impaired Renal Function
Study Start Date :
Mar 1, 2004
Actual Primary Completion Date :
Jan 1, 2005
Actual Study Completion Date :
Jun 1, 2005

Arms and Interventions

Arm Intervention/Treatment
Experimental: Arm 1

SC Methylnaltrexone (MNTX)

Drug: Methylnaltrexone (MNTX)

Outcome Measures

Primary Outcome Measures

  1. Peak Plasma Concentration (Cmax) of MNTX in patients with impaired renal function compared to healthy subjects [6 days]

    To compare the PK of MNTX administered subcutaneously as a single dose in patients with impaired renal function with the PK of MNTX administered to healthy subjects.

Secondary Outcome Measures

  1. Peak time of maximum concentration (Tmax) of MNTX in patients with impaired renal function compared to healthy subjects [6 days]

    To compare the PK of MNTX administered subcutaneously as a single dose in patients with impaired renal function with the PK of MNTX administered to healthy subjects.

  2. Area under the plasma concentration (AUC) of MNTX in patients with impaired renal function compared to healthy subjects [6 days]

    To compare the PK of MNTX administered subcutaneously as a single dose in patients with impaired renal function with the PK of MNTX administered to healthy subjects.

  3. Percent of dose excreted in urine of MNTX in patients with impaired renal function compared to healthy subjects [6 days]

    To compare the PK of MNTX administered subcutaneously as a single dose in patients with impaired renal function with the PK of MNTX administered to healthy subjects.

  4. Urinary clearance of MNTX in patients with impaired renal function compared to healthy subjects [6 days]

    To compare the PK of MNTX administered subcutaneously as a single dose in patients with impaired renal function with the PK of MNTX administered to healthy subjects.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 80 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  1. Body weight >100 lbs. (> 45 kg), and body mass index (BMI) between 18-38 kg/m2, inclusive (BMI 18-30 for the matched reference group)

  2. For patients/subjects requiring pharmacotherapy, a stable drug regimen, defined as not having started a new drug or changed dosage within three (3) days or five (5) half-lives (whichever was longer) prior to administration of MNTX concomitant medication must either have conformed to the list of approved drugs and dosage or have been approved by the sponsor.

  3. Patients with normal renal function, demographically comparable to the patients with impaired renal function weights and ages were within the range of chronic kidney disease (CKD) group and the average for the matched reference group was within 10 years and 10 kg of the average for the CKD

  4. Patients with impaired renal function, good general health except for those illnesses associated with CKD.

Exclusion Criteria:
  1. Subjects/patients with any conditions possibly affecting drug absorption (eg. Gastrectomy or clinically significant diabetic gastroenteropathy)

  2. Methadone use

  3. Consumption of grapefruit or grapefruit juice within seven (7) days prior to administration of study medication.

  4. Patients requiring hemodialysis.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Progenics Pharmaceuticals, Inc. Tarrytown New York United States 10591

Sponsors and Collaborators

  • Bausch Health Americas, Inc.

Investigators

  • Study Director: Tage Ramakrishna, MD, Progenics Pharmaceuticals, Inc.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
, ,
ClinicalTrials.gov Identifier:
NCT01367509
Other Study ID Numbers:
  • MNTX 1105
First Posted:
Jun 7, 2011
Last Update Posted:
Nov 27, 2019
Last Verified:
Nov 1, 2019
Additional relevant MeSH terms:

Study Results

No Results Posted as of Nov 27, 2019