Colonoscopy, Bowel Preparation
Conditions
Brief summary
To evaluate and compare the effects on safety measures and clinical chemistry after BLI800 in two groups of patients and one group of healthy controls. The patient groups will be those with mild or moderate hepatic impairment or moderate renal disease.
Interventions
BLI-800 oral solution (two doses)
Sponsors
Study design
Eligibility
Inclusion criteria
* Are male or female adults who are: * With Child-Pugh Hepatic Dysfunction Stage A or B, or * With Moderate Renal Disease or * Healthy subjects matched to those who are enrolled in this study * Subjects who are considered to have only clinically non-significant conditions, as judged by the Principal Investigator and based on physical examination, laboratory profiles, medical history and ECG. * Female subjects who are not surgically sterile (i.e., having had a hysterectomy, bilateral oophorectomy or tubal ligation) or who are not at least 2 years naturally postmenopausal must agree to use an acceptable form of contraception. * Provide voluntary consent in writing to participate in this study.
Exclusion criteria
* Subjects with known or suspected ileus, severe ulcerative colitis, gastrointestinal obstruction, gastric retention, bowel perforation, toxic colitis, or megacolon. * Subjects with impaired consciousness that predisposes them to pulmonary aspiration. * Subjects who, in the opinion of the Principal Investigator, have uncontrolled clinically significant pre-existing electrolyte disturbances, based on the Screening visit laboratory results. * Subjects with present or prior NYHA Functional Classification grade III or IV congestive heart failure. * Subjects who are pregnant or lactating, or intending to become pregnant during the study. * Subjects of childbearing potential who refuse a pregnancy test. * Subjects who have participated in an investigational clinical, surgical, drug, or device study within the past 30 days. * Subjects with a history of allergic or adverse response to any BLI-800 component. * Subjects who donated more than one pint of blood within 30 days prior to the study. * Subjects who donated plasma within 7 days prior to the study. * Subjects who had an abnormal diet or substantial changes in eating habits within 30 days prior to the start of the study. * Subjects who have had a bowel cleansing procedure within the past month or who have taken a laxative within the 5 days (120 hours) prior to dosing or who require a laxative every day. * Subjects who, in the opinion of the Investigator, should not be included in the study for any reason, including inability to follow study procedures.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Maximum Observed Concentration (Cmax) | 1 day |
| Time to Maximum Concentration | 1 day |
| Terminal Half-life | 1 day |
| Area Under the Curve for the 24-hour Dosing Interval | 1 day |
| Elimination Rate Constant | 1 day |
Secondary
| Measure | Time frame |
|---|---|
| Urinary Sulfate Concentration | pre-dose to 6 days post-dose |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Renal Group BLI-800 oral solution in patients with moderate renal impairment | 6 |
| Healthy Volunteers BLI-800 oral solution in healthy volunteers | 6 |
| Hepatic Group BLI-800 oral solution in patients with mild/moderate hepatic impairment. | 6 |
| Total | 18 |
Baseline characteristics
| Characteristic | Healthy Volunteers | Hepatic Group | Renal Group | Total |
|---|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 1 Participants | 1 Participants |
| Age, Categorical Between 18 and 65 years | 6 Participants | 6 Participants | 5 Participants | 17 Participants |
| Age Continuous | 49.0 years STANDARD_DEVIATION 6.93 | 51.2 years STANDARD_DEVIATION 5.74 | 53.8 years STANDARD_DEVIATION 7.96 | 51.3 years STANDARD_DEVIATION 6.83 |
| Region of Enrollment United States | 6 participants | 6 participants | 6 participants | 18 participants |
| Sex: Female, Male Female | 4 Participants | 4 Participants | 3 Participants | 11 Participants |
| Sex: Female, Male Male | 2 Participants | 2 Participants | 3 Participants | 7 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — |
| other Total, other adverse events | 5 / 6 | 4 / 6 | 5 / 6 |
| serious Total, serious adverse events | 0 / 6 | 0 / 6 | 0 / 6 |
Outcome results
Area Under the Curve for the 24-hour Dosing Interval
Time frame: 1 day
| Arm | Measure | Value (MEAN) |
|---|---|---|
| Renal Group | Area Under the Curve for the 24-hour Dosing Interval | 12,332.95 µmol*hr/L |
| Healthy Volunteers | Area Under the Curve for the 24-hour Dosing Interval | 8,029.88 µmol*hr/L |
| Hepatic Group | Area Under the Curve for the 24-hour Dosing Interval | 10,751.75 µmol*hr/L |
Elimination Rate Constant
Time frame: 1 day
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Renal Group | Elimination Rate Constant | 0.127 1/hr | Standard Deviation 0.09 |
| Healthy Volunteers | Elimination Rate Constant | 0.107 1/hr | Standard Deviation 0.06 |
| Hepatic Group | Elimination Rate Constant | 0.141 1/hr | Standard Deviation 0.05 |
Maximum Observed Concentration (Cmax)
Time frame: 1 day
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Renal Group | Maximum Observed Concentration (Cmax) | 717.0 µmol/L | Standard Deviation 270.84 |
| Healthy Volunteers | Maximum Observed Concentration (Cmax) | 499.5 µmol/L | Standard Deviation 165 |
| Hepatic Group | Maximum Observed Concentration (Cmax) | 560.2 µmol/L | Standard Deviation 152.75 |
Terminal Half-life
Time frame: 1 day
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Renal Group | Terminal Half-life | 10.16 hours | Standard Deviation 9.32 |
| Healthy Volunteers | Terminal Half-life | 8.51 hours | Standard Deviation 4.57 |
| Hepatic Group | Terminal Half-life | 5.58 hours | Standard Deviation 2.31 |
Time to Maximum Concentration
Time frame: 1 day
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Renal Group | Time to Maximum Concentration | 17.5 hours | Standard Deviation 2.95 |
| Healthy Volunteers | Time to Maximum Concentration | 16.8 hours | Standard Deviation 8.16 |
| Hepatic Group | Time to Maximum Concentration | 14.2 hours | Standard Deviation 5 |
Urinary Sulfate Concentration
Time frame: pre-dose to 6 days post-dose
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Renal Group | Urinary Sulfate Concentration | Day 3 | 135.53 mg/dL | Standard Deviation 86.28 |
| Renal Group | Urinary Sulfate Concentration | Pre-dose 1 | 91.58 mg/dL | Standard Deviation 40.12 |
| Renal Group | Urinary Sulfate Concentration | Day 6 | 96.98 mg/dL | Standard Deviation 47.61 |
| Healthy Volunteers | Urinary Sulfate Concentration | Day 3 | 145.62 mg/dL | Standard Deviation 111.02 |
| Healthy Volunteers | Urinary Sulfate Concentration | Pre-dose 1 | 131.20 mg/dL | Standard Deviation 46.98 |
| Healthy Volunteers | Urinary Sulfate Concentration | Day 6 | 134.65 mg/dL | Standard Deviation 74.72 |
| Hepatic Group | Urinary Sulfate Concentration | Pre-dose 1 | 86.92 mg/dL | Standard Deviation 50.09 |
| Hepatic Group | Urinary Sulfate Concentration | Day 6 | 70.82 mg/dL | Standard Deviation 83.64 |
| Hepatic Group | Urinary Sulfate Concentration | Day 3 | 89.83 mg/dL | Standard Deviation 67.81 |