Phase 1
N=48
Phase I Open-label Study to Evaluate Pharmacokinetics of TAK-272 in Participants With Renal or Hepatic Impairment
Renal Impairment · Hepatic Impairment
Bottom Line
View on ClinicalTrials.gov: NCT02367872 ↗Enrolled (actual)
48
Serious AEs
0.0%
Results posted
Aug 2017
Primary outcome: Primary: AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Free Form of TAK-272 (TAK-272F) and Its Metabolite M-I — 2951; 1507; 3481; 8053 nanogram*hour per milliliter (ng*hr/mL)
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- TAK-272 (Drug)
- Age
- Adult, Older Adult · 20+ yrs
- Sex
- All
- Sponsor
- Takeda
- Primary completion
- Jun 2016
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY AUClast: Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration for Free Form of TAK-272 (TAK-272F) and Its Metabolite M-I |
2951; 1507; 3481; 8053; 4579; 5409 | — |
| PRIMARY Cmax: Maximum Observed Plasma Concentration for TAK-272F and Its Metabolite M-I |
753.5; 432.2; 580.5; 1555; 1061; 1078 | — |
| PRIMARY AUC∞: Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for TAK-272F and Its Metabolite M-I |
2971; 1527; 3519; 8106; 4647; 5471 | — |
| PRIMARY AUClast,u: Area Under the Unbound Plasma Concentration-time Curve From Time 0 to Time of Last Quantifiable Concentration for TAK-272F |
138.7; 83.51; 135.0; 154.7; 162.9; 192.4 | — |
| PRIMARY Cmax,u: Maximum Unbound Plasma Concentration for TAK-272F |
35.38; 23.92; 22.54; 29.88; 37.76; 38.41 | — |
| PRIMARY AUC∞,u: Area Under the Unbound Plasma Concentration-time Curve From Time 0 to Infinity for TAK-272F |
139.3; 84.51; 136.5; 155.5; 165.1; 194.6 | — |
| PRIMARY Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) for TAK-272F and Its Metabolite M-I |
0.7500; 0.5000; 1.000; 1.000; 0.7250; 0.9815 | — |
| PRIMARY Apparent Clearance (CL/F) for TAK-272F |
13.57; 28.05; 11.63; 5.290; 8.955; 7.535 | — |
| PRIMARY CLu/F: Apparent Clearance for Unbound Drug After Extravascular Administration for TAK-272F |
315.7; 500.8; 294.7; 271.5; 247.8; 210.2 | — |
| PRIMARY Cumulative Urinary Excretion Ratio of TAK-272F and Its Metabolite M-I From 0 to 72 Hours Post-dose in Cohorts 1R, 2R, 3R, 4R, 1H, 2H and 3H |
13.227; 10.710; 12.820; 4.947; 13.980; 15.205 | — |
| PRIMARY Plasma Protein Binding Rate of TAK-272F in Cohorts 1R, 2R, 3R, 4R, 5R, 1H, 2H and 3H |
5.298; 5.597; 3.970; 1.948; 3.598; 4.800 | — |
| PRIMARY Excretion Ratio of TAK-272F in Dialysate in Cohort 5R |
3.110 | — |
| SECONDARY Number of Participants Reporting One or More Treatment-emergent Adverse Events (TEAE) |
1; 1; 1; 2; 2; 1 | — |
| SECONDARY Number of Participants With TEAE Related to Vital Signs |
0; 0; 0; 1; 1; 0 | — |
| SECONDARY Number of Participants With TEAE Related to Body Weight |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Number of Participants With TEAE Related to 12-lead Electrocardiograms (ECG) |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Number of Participants With TEAE Related to Laboratory Tests |
0; 1; 0; 0; 0; 0 | — |
Summary
The purpose of this study is to examine the effects of renal and hepatic impairment on TAK-272 pharmacokinetics with a single oral administration of TAK-272 in participants with renal or hepatic impairment.
Eligibility Criteria
Inclusion Criteria
All participants
- In the opinion of the investigator or subinvestigator, the participant is capable of understanding and complying with protocol requirements.
- Signs and dates a written, informed consent form prior to the initiation of any study procedures.
- Is either male or female and aged 20 to 85 years, inclusive, at the time of informed consent.
- Weighs at least 45 kilogram (kg) for males and 40 kg for females and have a body mass index (BMI) of less than ( =) 90 milliliter per minute per 1.73 square meter (mL/min/1.73 m^2) at screening.
- Based on the participant's medical history, clinical laboratory values, and physical examination findings, the investigator or subinvestigator judges the participant to be in good health (hypertension, type 2 diabetes, and hypercholesteremia or dyslipidemia are controlled, if present).
- Is within +/-10 years of the mean age and +/-20 percent (%) of the mean weight for the 24 participants with renal impairment and 12 participants with hepatic impairment administered the study drug.
Participants with renal impairment (Cohorts 2R, 3R, 4R, 5R)
- Falls into any of the following categories:
- With mild renal impairment (Cohort 2R): eGFR >=60 mL/min/1.73 m^2 and =30 mL/min/1.73 m^2 and 2.0 times higher than the upper limit of normal at screening.
- Has a positive test result for hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) antibody, human immunodeficiency virus (HIV) antigen/antibody, or serological reactions for syphilis at screening.
Participants with renal impairment (Cohorts 2R, 3R, 4R, 5R)
- Has uncontrolled, clinically significant hepatic, neurologic, cardiovascular, blood, pulmonary, metabolic, gastrointestinal, urologic or endocrine disease, immune disease, infection or other abnormality, which may impact the ability of the participant to participate or potentially confound the study results.
- Sitting systolic blood pressure is 2.0 times higher than the upper limit of normal at screening.
- Has a positive test result for HBsAg, HCV antibody, HIV antigen/antibody, or serological reactions for syphilis at screening.
Participants with hepatic impairment (Cohorts 2H, 3H)
- Has uncontrolled, clinically significant renal, neurologic, cardiovascular, blood, pulmonary, metabolic, gastrointestinal, urologic or endocrine disease, immune disease, infection or other abnormality, which may impact the ability of the participant to participate or potentially confound the study results.
- Has ascites requiring invasive treatment.
- Systolic blood pressure is <80 mmHg at screening, in the pretreatment examination, or in the examination prior to the start of study drug administration and has repeated instances of the findings listed below, suggesting the presence of hypotension:
- Dizziness postural, facial pallor, cold sweats.
- eGFR is <60 mL/min/1.73 m^2 at screening.
- Has a positive test result for HIV antigen/antibody or the participant has a positive test result for serological reactions for syphilis and syphilis is judged not to have been cured at screening.
Data sourced from ClinicalTrials.gov (NCT02367872). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.