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CompletedNCT03436394Updated May 16, 2019

Effect of Renal Impairment on Evobrutinib Pharmacokinetics (PK)

A Phase 1 interventional study of Evobrutinib in Renal Impairment, sponsored by Merck KGaA, Darmstadt, Germany. Completed at 1 site in Germany. Open to participants aged 18 Years to 79 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-05-16.

Sponsored by Merck KGaA, Darmstadt, Germany · Phase 1, Interventional, and Other

Phase
Phase 1
Study type
Interventional
Enrollment
31
Allocation
Non-randomized
Ages
18 Years to 79 Years
Sex
All
01

Study summary

The study will investigate the PK and safety of evobrutinib in subjects with different degree of renal impairment as compared to subjects with normal renal function.

02

Conditions studied

  • Renal Impairment

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Keywords

  • Renal Impairment
  • Evobrutinib
  • Pharmacokinetics
03

Who can participate

Ages eligible
18 Years to 79 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Male and Female subjects with total body weight between 50.0 and 100.0 kilograms(kg) (inclusive) and body mass index (BMI) between 19.0 and 36.0 kg per meter square (inclusive) at the time of the screening examination
  • For subjects with impaired renal function: Subjects must have an eGFR according to the Modification of diet in renal disease (MDRD) equation of less than 90 mL per minute at screening and the possibility of stratification to one of the groups and a stable renal function as defined by either: if the time interval between screening and dosing is greater than 10 days, two eGFR with the second estimate within 20% of prior value or historical records of stable function over the past 3 months if within 20 percentage of screening value and within 10 days of dosing
  • Other protocol defined inclusion criteria could apply

Exclusion criteria

Exclusion Criteria:

  • History or presence of respiratory, gastrointestinal (including bariatric or other gastric surgeries, or other conditions that may affect drug absorption) hepatic (including hepatorenal syndrome), hematological, lymphatic, neurological (including seizures), cardiovascular (including ventricular dysfunction and congestive heart failure), psychiatric, musculoskeletal, genitourinary, immunological, dermatological, connective tissue diseases or disorders that may affect the safety of the subject.
  • Clinical history of any autoimmune disorder
  • Prior history of cholecystectomy or splenectomy, and any clinically relevant surgery within 6 months prior to Screening, which might interfere with the objectives of the study or the study procedures
  • History of any malignancy except superficial basal cell carcinoma treated for curative intent may be allowed
  • Other protocol defined exclusion criteria could apply
04

Study design

Phase
Phase 1
Primary purpose
Other
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
31 participants (actual)

Study arms

  • Experimental
    Evobrutinib: Normal Renal Function

    Subjects with estimated glomerular filtration rate (eGFR) greater than or equal to (\>=) 90 milliliter per minute per 1.73 meter square (mL/min/1.73 m\^2) will receive a single oral dose of evobrutinib under fasting conditions.

    Drug: Evobrutinib

  • Experimental
    Evobrutinib: Severe Renal Impairment

    Subjects with eGFR less than (\<) 30 mL/min/1.73 m\^2 will receive a single oral dose of evobrutinib under fasting conditions.

    Drug: Evobrutinib

  • Experimental
    Evobrutinib: Moderate Renal Impairment

    Subjects with eGFR \>= to 30 mL/min/1.73 m\^2 and \< 60 mL/min/1.73 m\^2 will receive a single oral dose of evobrutinib under fasting conditions.

    Drug: Evobrutinib

  • Experimental
    Evobrutinib: Mild Renal Impairment

    Subjects with eGFR \>= to 60 mL/min/1.73 m\^2 and \< 90 mL/min/1.73 m\^2 will receive a single oral dose of evobrutinib under fasting conditions.

    Drug: Evobrutinib

Interventions

  • DrugEvobrutinib

    Subjects will be administered a single oral dose of evobrutinib under fasting conditions.

    Also known as: MSC2364447C, M2951

05

What researchers measure

Primary outcomes

  1. Area Under the Plasma Concentration-Time Curve From Time Zero to the Last Quantifiable Concentration (AUC 0-t) of Evobrutinib

    Time frame: Pre-dose up to 30 hours post-dose

  2. Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinity (AUC 0-inf) of Evobrutinib

    Time frame: Pre-dose up to 30 hours post-dose

  3. Maximum Observed Plasma Concentration (Cmax) of Evobrutinib

    Time frame: Pre-dose up to 30 hours post-dose

Secondary outcomes

  1. Occurrences of Treatment-emergent Adverse Events (TEAEs)

    Time frame: Day 1 up to Day 6

  2. Number of Subjects With TEAEs According to Severity

    Time frame: Day 1 up to Day 6

  3. Number of Subjects With Clinically Significant Abnormalities in Vital Signs, Laboratory Parameters and 12-lead Electrocardiogram (ECG) Findings

    Number of subjects with clinically significant abnormalities will be reported.

    Time frame: Day 1 up to Day 6

  4. Time to Reach the Maximum Plasma Concentration (tmax) of Evobrutinib

    Time frame: Pre-dose up to 30 hours post-dose

  5. Time Prior to the First Measurable (Non-Zero) Concentration (t lag) of Evobrutinib

    Time frame: Pre-dose up to 30 hours post-dose

  6. Terminal Rate Constant (λz) of Evobrutinib

    Time frame: Pre-dose up to 30 hours post-dose

  7. Terminal Half-Life (t1/2) of Evobrutinib

    Time frame: Pre-dose up to 30 hours post-dose

  8. Area Under the Plasma Concentration-Time Curve From Time Zero to 24 Hours After Dosing (AUC 0-24h) of Evobrutinib

    Time frame: Pre-dose up to 24 hours post-dose

  9. Area Under the Plasma Concentration-Time Curve From Time Zero to 8 Hours After Dosing (AUC 0-8h) of Evobrutinib

    Time frame: Pre-dose up to 8 hours post-dose

  10. Apparent Clearance (CL/f) of Evobrutinib

    Time frame: Pre-dose up to 30 hours post-dose

  11. Apparent Volume of Distribution During Terminal Phase (Vz/f) of Evobrutinib

    Time frame: Pre-dose up to 30 hours post-dose

  12. Amount of Unchanged Drug (Evobrutinib) Excreted in Urine During Collection Interval (0-8 hours) (Ae0-8h)

    Time frame: Pre-dose up to 8 hours post-dose

  13. Fraction of Administered Drug (Evobrutinib) Excreted in Urine (fe)

    Time frame: Pre-dose up to 30 hours post-dose

  14. Fraction of Unbound Drug (Evobrutinib) in the Plasma (fu)

    Time frame: Pre-dose up to 30 hours post-dose

  15. Renal Clearance of Evobrutinib (CLR)

    Time frame: Pre-dose up to 30 hours post-dose

  16. Non-Renal Clearance of Evobrutinib (CLNonR/f)

    Time frame: Pre-dose up to 30 hours post-dose

06

Study locations

1 site
  • Please Contact the Merck KGaA Communication Center
    Darmstadt, 64293, Germany
07

Registry details

Key details

Study ID
NCT03436394
Lead sponsor
Merck KGaA, Darmstadt, Germany
Responsible party
Sponsor
First posted
Feb 19, 2018
Start date
Mar 21, 2018
Primary completion
Feb 22, 2019
Completion
Feb 22, 2019
Last update
May 16, 2019

Study contacts

Medical Responsible
study director · Merck KGaA, Darmstadt, Germany

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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