Phase 1
Completed N=52
Study to Evaluate the Pharmacokinetics of Selonsertib in Participants With Normal and Impaired Hepatic Function
Source: ClinicalTrials.gov NCT02509624 ↗Enrolled (actual)
52
Serious AEs
0.0%
Results posted
Jan 2021
Primary outcomePrimary: Pharmacokinetic (PK) Parameter: AUCinf of Selonsertib and Its Metabolite GS-607509 — 3316.1; 3266.7; 2962.1; 2835.3 hr*ng/mL
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.
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 | — |
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. Informational only — not medical advice.