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WithdrawnNCT05541159Updated Feb 29, 2024

Pharmacokinetics Study of TNO155 in Participants With Mild, Moderate, or Severe Renal Impairment Compared to Matched Healthy Participants

A Phase 1 interventional study of TNO155 in Renal Impairment, sponsored by Novartis Pharmaceuticals. Withdrawn. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-02-29.

Sponsored by Novartis Pharmaceuticals · Phase 1, Interventional, and Diagnostic

Why this study was withdrawn
Sponsor's decision
Phase
Phase 1
Study type
Interventional
Enrollment
0
Allocation
Non-randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The purpose of this Phase 1 study is to evaluate the effect of various degrees of renal impairment on plasma pharmacokinetics (PK), safety and tolerability of TNO155. The results of this study will guide the Novartis recommendation regarding whether or not a dose adjustment may be needed when treating patients with renal impairment

Read the detailed description

This is a study to evaluate the PK of TNO155 in participants with mild, moderate or severe renal impairment compared to matched healthy control participants with normal renal function. The study will be divided into 2 parts. Participants in the renal impairment groups will be staged by their respective degree of renal function (mild, moderate, or severe) according to the estimated glomerular filtration rate (eGFR) determined at the screening visit. Each renal impairment participant must be matched to a healthy control participant with respect to age (±10 years), body weight (±20%) and sex. Each participant in the healthy control group (Group 1) can be matched to one or more participants from any renal impairment group (Groups 2, 3, and 4).

On Day 1 morning, participants will receive a single oral dose of TNO155 .All participants will be domiciled from Day -1 until Day 11. All participants should have a poststudy safety follow-up contact conducted approximately 30 days after administration of study treatment. The study will be considered complete once all the participants have finished the required assessments, dropped out, or been lost to follow-up before completing the required assessments.

02

Conditions studied

  • Renal Impairment

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Keywords

  • TNO155
  • renal Impairment
  • SHP2
03

In context

Renal Insufficiency

1,995 studies on the registry are indexed under Renal Insufficiency; 173 are open to participants now.

Browse Renal Insufficiency studies →

Lead sponsor

Novartis Pharmaceuticals is the lead sponsor of 2,673 studies on the registry; 228 are open to participants now.

Of its 576 completed or terminated interventional studies of FDA-regulated products, 431 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

All participants Participants must weigh at least 50 kg and no more than 120 kg and must have a body mass index (BMI) within the range of 18.0 to 38.0 kg/m2, inclusive, for healthy participants. Must be a non-smoker or and agree to remain a non-smoker from screening until the End of Study.

Group 1

•eGFR as determined by Chronic Kidney Disease Epidemiology Collaboration [CKD EPI] equation and conversion within normal range as determined by GFR 90 mL/min at screening and baseline.

Groups 2 to 4

  • Participants with different levels of impaired renal function satisfying criteria for renal impairment as determined at screening by the eGFR at screening
  • Participants must have documented stable renal disease without evidence of renal progressive disease

Exclusion criteria

Exclusion Criteria:

All Participants

  • Use of drugs (prescription, non-prescription and herbal remedies such as St John's wort), within 4 weeks prior to dosing until completion of the End of Study Visit.
  • Participant has received a renal transplant at any time in the past and is on immunosuppressant therapy Left ventricular ejection fraction (LVEF) \< 50% or below the institutional standard lower limit, at screening or baseline.
  • Uncontrolled hypertension despite medical treatment at screening or baseline. Group 1
  • Significant illness, which has not been resolved within 2 weeks prior to dosing of study treatment.
  • History or presence of renal disease or kidney injury Groups 2, 3 and 4
  • Severe albuminuria
  • Other laboratory values grade 2 severity according to NCI Common Terminology Criteria for Adverse Events (NCI-CTCAE)
  • Participants undergoing any method of dialysis.
  • Participants with renal impairment due to hepatic disease (hepatorenal syndrome).

Other protocol-defined inclusion/exclusion criteria may apply

05

Study design

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

Study arms

  • Experimental
    Group 1

    Healthy control participants with normal renal function

    Drug: TNO155

  • Experimental
    Group 2

    Mild renal impairment

    Drug: TNO155

  • Experimental
    Group 3

    Moderate renal impairment

    Drug: TNO155

  • Experimental
    Group 4

    Severe renal impairment

    Drug: TNO155

Interventions

  • DrugTNO155

    Single oral dose of TNO155 on Day 1

06

What researchers measure

Primary outcomes

  1. Area under the concentration-versus-time curve (AUC) from time zero to the last measurable plasma concentration (AUClast) of TNO155

    AUClast will be calculated based on TNO155 plasma concentrations and non-compartmental methods.

    Time frame: Up to 240 hours post single dose

  2. AUC from time zero to time "t" (AUC0-t) of TNO155

    AUC0-t will be calculated as needed based on TNO155 plasma concentrations and non-compartmental methods. The definition of time "t" may be data-driven post-hoc to mitigate treatment bias due to within participant differences in Tlast between the treatments, or may be selected to allow between-study exposure comparisons that use a common time window.

    Time frame: AUC from time zero to time "t" (AUC0-t) of TNO155

  3. AUC from time zero to infinity (AUCinf) of TNO155

    AUCinf will be calculated based on TNO155 plasma concentrations and non-compartmental methods.

    Time frame: Up to 240 hours post single dose

  4. Maximum (peak) observed plasma concentration (Cmax) of TNO155

    Cmax will be calculated based on TNO155 plasma concentrations and non-compartmental methods.

    Time frame: Up to 240 hours post single dose

  5. Time to reach maximum observed plasma concentration (Tmax) of TNO155

    Tmax will be calculated based on TNO155 plasma concentrations and non-compartmental methods

    Time frame: Up to 240 hours post single dose

  6. Elimination half-life (T1/2) of TNO155

    T1/2 will be calculated based on TNO155 plasma concentrations and non-compartmental methods.

    Time frame: Up to 240 hours post single dose

  7. Sampling time of the last measurable plasma concentration (Tlast) of TNO155

    Tlast will be calculated based on TNO155 plasma concentrations and non-compartmental methods.

    Time frame: Up to 240 hours post single dose

  8. Apparent plasma clearance (CL/F) of TNO155

    CL/F will be calculated based on TNO155 plasma concentrations and non-compartmental methods.

    Time frame: Up to 240 hours post single dose

  9. Apparent volume of distribution during terminal phase (Vz/F) of TNO155

    Vz/F will be calculated based on TNO155 plasma concentrations and non-compartmental methods.

    Time frame: Up to 240 hours post single dose

Secondary outcomes

  1. Incidence of Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Incidence of AEs and SAEs, including changes in vital signs, electrocardiograms (ECGs) and laboratory results qualifying and reported as AEs.

    Time frame: Up to 30 days post single dose

  2. Unbound Cmax (Cmax,u) of TNO155

    Cmax,u will be calculated based on the unbound fraction of TNO155 in plasma.

    Time frame: Up to 240 hours post single dose

  3. Unbound AUClast (AUClast,u) of TNO155

    AUClast,u will be calculated based on the unbound fraction of TNO155 in plasma.

    Time frame: Up to 240 hours post single dose

  4. Unbound AUCinf (AUCinf,u) of TNO155

    AUCinf,u will be calculated based on the unbound fraction of TNO155 in plasma

    Time frame: Up to 240 hours post single dose

  5. Unbound CL/F (CL/F,u) of TNO155

    CL/F,u will be calculated based on the unbound fraction of TNO155 in plasma.

    Time frame: Up to 240 hours post single dose

  6. Renal clearance (CLr) of TNO155

    CLr will be calculated based on urinary excretion data of TNO155.

    Time frame: Up to 240 hours post single dose

  7. Apparent non-renal clearance (CLNR/F) of TNO155

    CLNR/F will be calculated based on urinary excretion data of TNO155.

    Time frame: Up to 240 hours post single dose

  8. Fraction of dose excreted in urine (fe) of TNO155

    Fe will be calculated based on urinary excretion data of TNO155.

    Time frame: Up to 240 hours post single dose

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 29, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05541159
Lead sponsor
Novartis Pharmaceuticals
Collaborators
Pharmaceutical Research Associates
Responsible party
Sponsor
First posted
Sep 15, 2022
Start date
Mar 19, 2025 (estimated)
Primary completion
Jul 15, 2025 (estimated)
Completion
Jul 15, 2025 (estimated)
Last update
Feb 29, 2024

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals

Oversight

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

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This study is withdrawn, as verified in Feb 2024. You cannot join it, but the record below documents what was studied.

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