Phase 1
N=52
Study to Evaluate the Pharmacokinetics of Selonsertib in Participants With Normal and Impaired Hepatic Function
Diabetic Kidney Disease
Bottom Line
View on ClinicalTrials.gov: NCT02509624 ↗Enrolled (actual)
52
Serious AEs
0.0%
Results posted
Jan 2021
Primary outcome: Primary: Pharmacokinetic (PK) Parameter: AUCinf of Selonsertib and Its Metabolite GS-607509 — 3316.1; 3266.7; 2962.1; 2835.3 hr*ng/mL
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- Selonsertib (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Gilead Sciences
- Primary completion
- Dec 2015
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Pharmacokinetic (PK) Parameter: AUCinf of Selonsertib and Its Metabolite GS-607509 |
3316.1; 3266.7; 2962.1; 2835.3; 2277.9; 2711.6 | — |
| PRIMARY PK Parameter: AUClast of Selonsertib and Its Metabolite GS-607509 |
2964.1; 3032.7; 2790.8; 2679.9; 2129.7; 2530.9 | — |
| PRIMARY PK Parameter: Cmax of Selonsertib and Its Metabolite GS-607509 |
93.7; 82.4; 110.6; 105.4; 91.9; 110.3 | — |
| SECONDARY Percentage of Participants Experiencing Treatment-Emergent Study Drug-related Adverse Events (AEs) |
20.0; 0; 10.0; 13.6 | — |
| SECONDARY Percentage of Participants Experiencing Any Treatment-Emergent and Grade ≥ 3 Laboratory Abnormalities |
90.0; 90.0; 70.0; 59.1; 20.0; 40.0 | — |
Summary
The primary objective of this study is to evaluate the pharmacokinetics (PK) of selonsertib in participants with impaired hepatic function relative to matched, healthy controls.
Eligibility Criteria
Key Inclusion Criteria
All participants:
- Body mass index (BMI) from 18 to 40 kg/m^2, inclusive at study screening
- Creatinine clearance (CrCl) ≥ 60 mL/min (using the Cockcroft-Gault method) based on serum creatinine and actual body weight as measured at screening
Participants with impaired hepatic function:
- Aside from hepatic insufficiency, participants must be sufficiently healthy for study participation based upon screening evaluations.
- Must have diagnosis of chronic (> 6 months), stable hepatic impairment with no clinically significant change in hepatic status within the 3 months (90 days) prior to study drug administration (Day 1).
- Participants with severe hepatic impairment must have a score on the Child-Pugh-Turcotte scale of 10-15 at screening.
- Participants with moderate hepatic impairment must have a score on the Child-Pugh-Turcotte scale of 7-9 at screening.
- Participants with mild hepatic impairment must have a score on the Child-Pugh-Turcotte scale of 5-6 at screening.
Healthy participants (matched control):
- Must be in good health based upon screening evaluations.
Key Exclusion Criteria
All participants:
- Pregnant or lactating females
- Have received any investigational compound or device within 30 days prior to study dosing
- Current alcohol or substance abuse
- A positive test result for human immunodeficiency virus (HIV-1/2) antibody
- Have poor venous access that limits phlebotomy
- Have been treated with systemic steroids, anti-HIV agents, immunosuppressant therapies, or chemotherapeutic agents within 3 months prior to screening or expected to receive these agents during the study (eg, corticosteroids, immunoglobulins, and other immune- or cytokine-based therapies) that would be contraindicated for other exclusion criteria.
- Significant serious skin disease, such as but not limited to rash, food allergy, eczema, psoriasis, or urticaria
- Significant drug sensitivity or drug allergy (such as anaphylaxis or hepatoxicity)
- Unstable cardiac disease, including history of myocardial infarction within 1 year of screening, recurrent episodes of ventricular tachycardia despite appropriate medical therapy, decompensated congestive heart failure, or dilated cardiomyopathy with left ventricular ejection fraction 1 time per month.
- Participants with hepatic impairment with co-morbid diseases not associated with hepatic impairment requiring medication(s) must be taking the medication(s) without a change in dose for > 3 months prior to screening.
- Changes in concomitant medications or dosage used to treat symptoms of hepatic impairment or associated co-morbid conditions that could lead to clinically significant changes in medical conditions during the course of the study that would affect the ability to interpret potential drug-drug interactions within 28 days prior to dosing.
Healthy participants (matched control):
- A positive test result for hepatitis C virus (HCV) antibody, hepatitis B surface antigen (HBsAg), or hepatitis B core antibody (anti-HBc)
- Positive test for drugs of abuse, including alcohol at screening or on Day -1/check-in.
- Have any serious or active medical or psychiatric illness (including depression) which, in the opinion of the investigator, would interfere with treatment, assessment, or compliance with the protocol.
- History of liver disease.
- Have taken any prescription medications or over-the-counter medications including herbal products within 28 days of commencing study drug dosing with the exception of vitamins, acetaminophen, ibuprofen, and hormonal contraceptive medications.
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Data sourced from ClinicalTrials.gov (NCT02509624). 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.