Phase 1
N=16
Daprodustat Hepatic Impairment Study
Anaemia
Bottom Line
View on ClinicalTrials.gov: NCT03223337 ↗Enrolled (actual)
16
Serious AEs
0.0%
Results posted
Sep 2019
Primary outcome: Primary: Part 1: Area Under the Concentration-time Curve From Time Zero (Pre-dose) Extrapolated to Infinite Time (AUC [0-infinity]) of GSK1278863 and Its Metabolites — 296.2407; 148.3225; 77.6352; 47.1340 Hour*nanogram per milliliter
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- Daprodustat (GSK1278863) (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- GlaxoSmithKline
- Primary completion
- Aug 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Part 1: Area Under the Concentration-time Curve From Time Zero (Pre-dose) Extrapolated to Infinite Time (AUC [0-infinity]) of GSK1278863 and Its Metabolites |
296.2407; 148.3225; 77.6352; 47.1340; 47.5557; 28.9896 | — |
| PRIMARY Part 2: AUC (0-infinity) of GSK1278863 and Its Metabolites |
299.8773; 205.7559; 91.3799; 47.1647; 63.6211; 31.7637 | — |
| PRIMARY Part 1: Percentage of AUC (0-infinity) Obtained by Extrapolation (Percentage AUCex) of GSK1278863 and Its Metabolites |
0.0463; 0.0486; 0.1919; 0.4176; 0.5756; 0.6763 | — |
| PRIMARY Part 2: Percentage AUCex of GSK1278863 and Its Metabolites |
0.1148; 0.0601; 0.2943; 0.8105; 0.2584; 0.9054 | — |
| PRIMARY Part 1: Area Under the Concentration-time Curve From Time Zero (Pre-dose) to Last Time of Quantifiable Concentration (AUC [0-t]) of GSK1278863 and Its Metabolites |
296.1035; 148.2504; 77.4861; 46.9368; 47.2803; 28.7930 | — |
| PRIMARY Part 2: AUC (0-t) of GSK1278863 and Its Metabolites |
299.5322; 205.6322; 91.1105; 46.7771; 63.4564; 31.4750 | — |
| PRIMARY Part 1: Maximum Observed Concentration (Cmax) of GSK1278863 and Its Metabolites |
139.705; 70.607; 13.046; 10.199; 10.022; 8.025 | — |
| PRIMARY Part 2: Cmax of GSK1278863 and Its Metabolites. |
113.232; 112.142; 15.792; 8.846; 13.614; 7.723 | — |
| PRIMARY Part 1: Apparent Terminal Phase Half-life (t1/2) of GSK1278863 and Its Metabolites |
3.9867; 4.4054; 4.1830; 5.6415; 2.6559; 3.6385 | — |
| PRIMARY Part 2: T1/2 of GSK1278863 and Its Metabolites |
4.5251; 4.2792; 4.8118; 4.7439; 4.1059; 3.0578 | — |
| PRIMARY Part 1: Time of Occurrence of Cmax (Tmax) of GSK1278863 and Its Metabolites |
1.50; 2.00; 3.00; 3.50; 3.00; 3.00 | 0.6822 |
| PRIMARY Part 2: Tmax of GSK1278863 and Its Metabolites |
1.50; 1.50; 3.00; 3.00; 3.00; 3.00 | 0.6224 |
| PRIMARY Part 1: Unbound Concentration in Plasma of GSK1278863 and Its Metabolites |
0.27989; 0.11076; NA; NA; NA; NA | — |
| PRIMARY Part 2: Unbound Concentration in Plasma of GSK1278863 and Its Metabolites |
1.24213; 0.15692; 0.04343; 0.01527; NA; NA | — |
| PRIMARY Part 1: Unbound Fraction in Plasma of GSK1278863 and Its Metabolites |
0.0034; 0.0028; NA; NA; NA; NA | — |
| PRIMARY Part 2: Unbound Fraction in Plasma of GSK1278863 and Its Metabolites |
0.0134; 0.0032; 0.1231; 0.1246; NA; NA | — |
| SECONDARY Part 1: Maximum Observed Erythropoietin Concentration (Cmax, EPO) Following Administration of GSK1278863 |
48.898; 28.391 | — |
| SECONDARY Part 2: Cmax, EPO Following Administration of GSK1278863 |
43.933; 45.871 | — |
| SECONDARY Part 1: Time of the Maximum Observed Erythropoietin Concentration (Tmax, EPO) Following Administration of GSK1278863 |
10.0; 10.0 | — |
| SECONDARY Part 2: Tmax, EPO Following Administration of GSK1278863 |
10.0; 10.0 | — |
| SECONDARY Part 1: Erythropoietin Area Under the Concentration-time Curve From Time Zero (Pre-dose) to the Last Time of Quantifiable Concentration (AUC [0-t, EPO]) Following Administration of GSK1278863 |
1262.3724; 697.7140 | — |
| SECONDARY Part 2: AUC (0-t, EPO) Following Administration of GSK1278863 |
1258.6211; 1061.7549 | — |
| SECONDARY Part 1: Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) |
0; 0; 1; 2 | — |
| SECONDARY Part 2: Number of Participants With AEs and SAEs |
0; 0; 0; 0 | — |
| SECONDARY Part 1: Number of Participants With Worst Case Hematology Results Relative to Potential Clinical Importance (PCI) Criteria Post-Baseline Relative to Baseline |
0; 0; 8; 8; 0; 0 | — |
| SECONDARY Part 2: Number of Participants With Worst Case Hematology Results Relative to PCI Criteria Post-Baseline Relative to Baseline |
0; 0; 12; 9; 0; 0 | — |
| SECONDARY Part 1: Number of Participants With Worst Case Chemistry Results Relative to PCI Criteria Post-Baseline Relative to Baseline |
0; 0; 8; 8; 0; 0 | — |
| SECONDARY Part 2: Number of Participants With Worst Case Chemistry Results Relative to PCI Criteria Post-Baseline Relative to Baseline |
0; 0; 12; 9; 0; 0 | — |
| SECONDARY Part 1: Number of Participants With Abnormal Urinalysis Findings |
0; 0 | — |
| SECONDARY Part 2: Number of Participants With Abnormal Urinalysis Findings |
0; 0 | — |
Summary
Daprodustat (GSK1278863), is a small molecule currently in development for the treatment of anemia of chronic kidney disease (CKD). Results of the earlier studies shows that liver is involved in the clearance of Daprodustat and hence, hepatic impairment can affect Daprodustat levels in the body. This single dose study will assess the effect of liver impairment on the pharmacokinetics (PK) and pharmacodynamics (PD) of daprodustat. The study will be conducted in two parts, Part 1 will include subjects with moderate hepatic impairment and matched healthy control subjects whereas Part 2 will include subjects will either mild or severe hepatic impairment and matched healthy control subjects. Approximately 8 subjects will be included in each of the group and all subjects will receive 6 milligram (mg) of daprodustat as a single oral dose in the fasted state. Total duration of participation in the study for a subject will be up to 7 weeks.
Eligibility Criteria
Inclusion Criteria
For all subjects:
- Subject must be at least 18 years of age inclusive, at the time of signing the informed consent.
- Hemoglobin values at screening =45 kilograms (kg) and body mass index (BMI) within the range 18-40 kg per meter square (kg/m^2) (inclusive).
- Male or female subjects will be included. A female subject is eligible to participate if she is not breastfeeding, and at least one of the following applies: Not pregnant as confirmed by two pregnancy tests; Not a woman of childbearing potential (WOCBP); For WOCBP that are currently utilizing a highly-effective contraceptive method prior to enrolment, agrees to follow the contraceptive guidance during the treatment period to the follow-up visit.
- Capable of giving signed informed consent form.
Additional inclusion criteria for Hepatically-Impaired subjects:
- Subjects in Part 1 with Moderate Hepatic Impairment Only (Cohort 1): Is considered to have moderate hepatic impairment (of any etiology) and has been clinically stable for at least 1 month prior to screening. To be classified as having moderate hepatic impairment, subjects must have a Child-Pugh (Class B) score of 7-9 AND previous confirmation of liver cirrhosis by liver biopsy or other medical imaging technique (including laparoscopy, computerized tomography (CT) scan, magnetic resonance imaging (MRI) or ultrasonography) associated with an unambiguous medical history (such as evidence of portal hypertension).
- Subjects in Part 2 with Mild OR Severe Hepatic Impairment Only (Cohort 3; if conducted): Is considered to have mild or severe hepatic impairment (of any etiology) and has been clinically stable for at least 1 month prior to screening. To be classified as having mild OR severe hepatic impairment, subjects must have: classified as having mild hepatic impairment, subjects must have a Child- Pugh (Class A) score of 5-6 AND previous confirmation of chronic liver disease by liver biopsy or other medical imaging technique (including laparoscopy, CT scan, MRI or ultrasonography) associated with an unambiguous medical history (such as evidence of portal hypertension); classified as having severe hepatic impairment, subjects must have Child- Pugh (Class C) score of 10-13 AND previous confirmation of chronic liver disease by liver biopsy or other medical imaging technique (including laparoscopy, CT scan, MRI or ultrasonography) associated with an unambiguous medical history (such as evidence of portal hypertension).
- Supplemental inclusion criteria for ALL hepatically-impaired subjects: Chronic (>6 months), stable (no acute episodes of illness due to deterioration in hepatic function within the previous 1 month prior to screening) hepatic impairment due to any etiology. Subjects must also remain stable throughout the Screening period. Assessment of the stability of the subjects hepatic function will be determined by the investigator.
Additional inclusion criteria for healthy control subjects:
- Healthy control subjects will be matched for age +/-10 years to subjects in the respective hepatic impairment cohort but must also be at least 18 years of age inclusive, at the time of signing the informed consent.
- Healthy as determined by the investigator or medically qualified designee based on a medical evaluation including medical history, physical examination, laboratory tests and cardiac monitoring.
- A subject with a clinical abnormality or laboratory parameter(s) which is/are not specifically listed in the inclusion or exclusion criteria, outside the reference range for the population being studied may be included only if the investigator and/or the Medical Monitor agree and document that the finding is unlikely to introduce additional risk factors and will not interfere with the study procedures.
- Healthy control subjects will be matched for BMI +/-15% to subjects in the respective hepatic impairment cohort but must also remain in the range of body weight >=45 kg and BMI within the range
Data sourced from ClinicalTrials.gov (NCT03223337). 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.