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CompletedNCT03465059Updated Apr 24, 2020

Safety and Pharmacokinetics of Zanubrutinib (BGB-3111) in Healthy Subjects and Those With Impaired Liver Function

A Phase 1 interventional study of Zanubrutinib in Hepatic Insufficiency & Healthy Subjects, sponsored by BeiGene. Completed at 2 sites in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2020-04-24.

Sponsored by BeiGene · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
29
Allocation
Non-randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

This study is designed to evaluate the safety and pharmacokinetics of zanubrutinib in subjects with impaired liver function in comparison with healthy subjects

02

Conditions studied

  • Hepatic Insufficiency & Healthy Subjects

Keywords

  • BGB-3111
  • Zanubrutinib
  • pharmacokinetics
  • healthy subjects
  • hepatic impairment
03

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male and/or female subjects in good health as determined by past medical history, physical examination, vital signs, ECG and laboratory tests at screening.
  • Subjects must have a body mass index (BMI) between 18 and 40 kg/m2 to participate at screening.
  • Female subject must be of non-childbearing potential, i.e. surgically sterile at least 6 months prior to screening with supportive clinical documentation OR post-menopausal must have no regular menstrual bleeding for at least 12 months prior to inclusion. Menopause will be confirmed by a plasma FSH level of >40 IU/L
  • Male subjects must agree to practice 2 highly effective methods of birth control at least one method must be barrier technique.

Additional Inclusion Criteria for Healthy Subjects Only:

  • In good health as determined by past medical history, physical examination, vital signs, ECG, and laboratory tests at screening; subjects without diseases/conditions
  • Matched with a hepatic impaired patient (mild, moderate or severe, as applicable) using the following criteria: sex, age ±10 years and body mass index (BMI)± 10 kilograms

Additional Inclusion Criteria for Hepatic Impaired Subjects Only:

  • History of cirrhosis with supportive documentation (ultrasonography, computed tomography scan, liver biopsy, magnetic resonance imaging, clinical laboratory tests results or physical signs consistent with a clinical diagnosis of liver cirrhosis.
  • Child-Pugh Clinical Assessment Score consistent with degree of hepatic impairment.
  • Blood pressure of 90 to 155 mmHg (systolic) and 50 to 100 mmHg (diastolic).
  • Otherwise considered healthy in general as determined by physical examination findings and laboratory assessments within normal limits.

Exclusion criteria

Exclusion Criteria:

  • Subjects with a clinically relevant history or presence of any clinically significant disease.
  • History of drug or alcohol abuse within the 12 months prior to dosing.
  • A positive human immunodeficiency virus (HIV) Type 1 or 2 test result at screening.
  • History of blood donation of 500 mL or more of blood within 2 months prior to screening
  • A positive tuberculosis test result.

Additional Exclusion Criteria for Hepatic Impaired Subjects Only:

  • Received a liver transplant
  • Acute or exacerbating hepatitis
  • Active Stage 3 or 4 hepatic encephalopathy
  • Previously diagnosed with hepatocellular carcinoma, or a history of cholestatic liver disease or biliary sepsis within the past 2 years.
  • Additional Exclusion Criteria for Healthy Subjects Only: A positive Hepatitis B surface antigen (HBsAg) or Hepatitis C test result.
  • History of any clinically significant chronic and/or active hepatic disease.
04

Study design

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

Study arms

  • Experimental
    Normal Hepatic Function

    Participants with normal hepatic function will be administered a single oral dose of Zanubrutinib (80 mg).

    Drug: Zanubrutinib

  • Experimental
    Mild Hepatic Impairment

    Participants with mild hepatic impairment (Child-Pugh Class A, score of 5 to 6, inclusive) will be administered a single dose of Zanubrutinib (80 mg).

    Drug: Zanubrutinib

  • Experimental
    Moderate Hepatic Impairment

    Participants with moderate hepatic impairment (Child-Pugh Class B, score of 7 to 9, inclusive) will be administered a single dose of Zanubrutinib (80 mg).

    Drug: Zanubrutinib

  • Experimental
    Severe Hepatic Impairment

    Participants with severe hepatic impairment (Child-Pugh Class C, score of 10 to 15, inclusive) will be administered a single dose of Zanubrutinib (80 mg).

    Drug: Zanubrutinib

Interventions

  • DrugZanubrutinib

    A single oral dose of 80 mg Zanubrutinib will be administered.

05

What researchers measure

Primary outcomes

  1. Plasma concentration of Zanubrutinib (BGB-3111) to evaluate protocol specified PK parameters

    Plasma concentration of Zanubrutinib (BGB-3111) to evaluate Area Under the Plasma Concentration-Time Curve (AUC) of Zanubrutinib

    Time frame: Days 1, 2 & 3

  2. Plasma concentration of Zanubrutinib (BGB-3111) to evaluate protocol specified PK parameters

    Plasma concentration of Zanubrutinib (BGB-3111) to evaluate Maximum Observed Plasma Concentration (Cmax) of Zanubrutinib

    Time frame: Days 1, 2 & 3

Secondary outcomes

  1. Treatment-Emergent Adverse Events (AE)

    Percentage of Participants with Treatment-Emergent Adverse Events (AE)

    Time frame: up to Day 17

06

Study locations

2 sites
  • University of Miami
    Miami, Florida 33124, United States
  • Orlando Clinical Research Center
    Orlando, Florida 32809, United States
07

References and documents

Publications

  • Ou YC, Preston RA, Marbury TC, Tang Z, Novotny W, Tawashi M, Li TK, Sahasranaman S. A phase 1, open-label, single-dose study of the pharmacokinetics of zanubrutinib in subjects with varying degrees of hepatic impairment. Leuk Lymphoma. 2020 Jun;61(6):1355-1363. doi: 10.1080/10428194.2020.1719097. Epub 2020 Feb 7. PubMed 32031037 ↗

Individual participant data

Plan to share: No

08

Registry details

Key details

Study ID
NCT03465059
Lead sponsor
BeiGene
Responsible party
Sponsor
First posted
Mar 14, 2018
Start date
May 30, 2018
Primary completion
Oct 19, 2018
Completion
Oct 19, 2018
Last update
Apr 24, 2020

Study contacts

William Novotny, MD
study director · BeiGene

Oversight

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

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