ClinicalTrials.gg
RecruitingNCT07751250Updated Sep 4, 2026

Comparative PK Assessment Study of Casdatifan in Moderate Hepatically Impaired Participants Versus Matched Participants With Normal Hepatic Function

A Phase 1 interventional study of Casdatifan in Healthy Participants and Hepatic Impairment, sponsored by Arcus Biosciences, Inc.. Recruiting at 1 site in United States. Open to participants aged 18 Years to 84 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-04.

Sponsored by Arcus Biosciences, Inc. · Phase 1, Interventional, and Basic science

From the registry’s dates

  • Started Aug 2026; still recruiting 2 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
16
Allocation
Non-randomized
Ages
18 Years to 84 Years
Sex
All
01

Study summary

The purpose of the study is to compare the single dose PK of casdatifan between participants with moderate hepatic impairment (HI) and healthy matched control participants with normal hepatic function.

02

Conditions studied

  • Healthy Participants
  • Hepatic Impairment

Keywords

  • Casdatifan
  • AB521
  • HIF-2α
  • Pharmacokinetics
  • Hepatic Impairment
03

In context

Lead sponsor

Arcus Biosciences, Inc. is the lead sponsor of 32 studies on the registry; 4 are open to participants now.

Of its 23 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 84 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

All Participants:

  • Male participants must be vasectomized
  • ≥ 18.0 and ≤ 42.0 kg/m2 and body weight ≥ 45 kg at screening.

Participants with Moderate HI (Group 1)

  • Is classified as having moderate HI by the classification system (Class B, score of 7 to 9, inclusive) at screening.
  • Has a diagnosis of chronic (> 6 months), stable (no acute episodes of illness within the previous 2 months due to deterioration in hepatic function) hepatic insufficiency at screening

Healthy Participants:

  • Healthy with no medical history, physical examination, clinical laboratory profiles, vital signs, and ECGs, as deemed by the PI or designee

Exclusion criteria

Exclusion Criteria:

All Participants:

  • Participants with Gilbert's syndrome.

Participants with Moderate HI (Group 1):

  • Positive for or Ab, and detectable viral load at screening.
  • Severe complications of liver disease within the preceding 3 months of screening.
  • Fluctuating or rapidly deteriorating hepatic function from screening until prior to dosing, in the opinion of the PI or designee.

Healthy Control Participants:

  • History or presence of medical or psychiatric condition or disease, or presence of any illness that, in the opinion of the PI or designee, might confound the results of the study or poses an additional risk to the participant by their participation in the study

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

05

Study design

Phase
Phase 1
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
16 participants (estimated)

Study arms

  • Experimental
    Group 1: Moderate Hepatic Impairment

    Administered as specified in the treatment arm.

    Drug: Casdatifan

  • Experimental
    Group 2: Healthy Control Participants

    Administered as specified in the treatment arm.

    Drug: Casdatifan

Interventions

  • Participants will receive a 100 mg single oral dose of casdatifan.

06

What researchers measure

Primary outcomes

  1. Area under the concentration time curve, from time 0 to the last observed non-zero concentration, of casdatifan in plasma (AUC0-t)

    Time frame: Up to 10 days post-dose

  2. Area under the concentration time curve from time 0 extrapolated to infinity of casdatifan in plasma (AUC0-inf)

    Time frame: Up to 10 days post-dose

  3. Maximum observed concentration of casdatifan in plasma (Cmax)

    Time frame: Up to 10 days post-dose

Secondary outcomes

  1. Time to reach Cmax of casdatifan in plasma (Tmax)

    Time frame: Up to 10 days post-dose

  2. Apparent first order terminal elimination rate constant calculated from a semi log plot of the plasma concentration versus time curve (Kel)

    Time frame: Up to 10 days post-dose

  3. Percent of AUC0-inf extrapolated (AUC%extrap)

    Time frame: Up to 10 days post-dose

  4. Apparent first order terminal elimination half life (t½)

    Time frame: Up to 10 days post-dose

  5. Apparent total clearance (CL/F)

    Time frame: Up to 10 days post-dose

  6. Apparent total clearance (Vz/F)

    Time frame: Up to 10 days post-dose

  7. Unbound fraction (fu) of casdatifan

    Time frame: Up to 10 days post-dose

  8. Number of participants experiencing Adverse Events (AEs)

    Time frame: Up to 23 days post-dose

07

Study locations

1 of 1 sites recruiting
  • Research Site
    San Antonio, Texas 78215, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — Arcus will provide access to individual de-identified participant data and related study documents (e.g., protocol, Statistical Analysis Plan [SAP], Clinical Study Report [CSR]) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. For more information, please visit our website. URL: https://trials.arcusbio.com/our-transparency-policy

Supporting information: Study protocol, Statistical analysis plan, Clinical study report

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 Sep 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07751250
Responsible party
Sponsor
First posted
Aug 7, 2026
Start date
Aug 14, 2026
Primary completion
May 2027 (estimated)
Completion
May 2027 (estimated)
Last update
Sep 4, 2026

Study contacts

Medical Director
Contact
ClinicalTrialInquiry@arcusbio.com
+1-510-462-3330
Medical Director
study director · Arcus Biosciences

Oversight

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

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