Severe Renal Impairment
Conditions
Keywords
Ranolazine, renal impairment
Brief summary
The purpose of this study is to assess the effect of severe renal impairment on the steady-state PK, as well as safety and tolerability, of ranolazine, compared to subjects with normal renal function.
Detailed description
The primary objective of this study is to assess the effects of severe renal impairment (RI) on the steady-state pharmacokinetics (PK) of ranolazine and key metabolites. The secondary objective of this study is to assess the safety and tolerability of multiple oral doses of ranolazine in subjects with severe RI.
Interventions
500mg BID up to 1000mg BID
Sponsors
Study design
Eligibility
Inclusion criteria
(All Cohorts): * Males and females, 18 to 75 years old, inclusive * Body mass index (BMI) 18 to 40 kg/m2, inclusive, at Screening * Females of child-bearing potential must have a negative pregnancy test at Screening and on Day -1 (Cohort A) or Day -6 (Cohort B) and must agree to use highly effective contraception methods from Screening throughout the duration of the Treatment Period and for 14 days following the last dose of study drug Inclusion criteria (Cohort A \[Healthy subjects with normal renal function\] only): * Estimated creatinine clearance (CLCR), according to the Cockcroft-Gault (C-G) equation, ≥ 90 mL/min at Screening * Age, BMI, and sex comparable to those of subjects of Cohort B * Good health status as determined by no clinically significant deviation from normal in medical history, physical examination, ECGs, and clinical laboratory determinations Inclusion criteria (Cohort B, Severe RI): * Diagnosis of CKD * Estimated glomerular filtration rate (eGFR), according to the Modification of Diet in Renal Disease (MDRD) equation, \< 30 mL/min/1.73 m2 (and not receiving dialysis) * Stable medication dose and dosing regimen for treatment of the complications of renal disease or other concomitant chronic illnesses for at least 2 weeks prior to study drug administration
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Area under the plasma concentration vs time curve over the dosing interval at steady state (AUCtau) and Maximum observed plasma concentration at steady-state (Cmax) | Day 7 for Cohorts A & B, and Day -1 for Cohort B only. | * Maximum observed plasma ranolazine concentration at steady-state (Cmax) \[Time frame: 0, 1, 2, 3, 4, 6, 8, 10, and 12 hours post-dose on Day 7 for Cohort A and Days -1 and 7 for Cohort B\] * Area under the plasma ranolazine concentration versus time curve over the dosing interval at steady state (AUCtau) \[Time frame: 0, 1, 2, 3, 4, 6, 8, 10, and 12 hours post-dose on Day 7 for Cohort A and Days -1 and 7 for Cohort B\] |
Secondary
| Measure | Time frame |
|---|---|
| Number of subjects with AEs | From Day -5 for Cohort B or Day 1 for Cohort A through the 14-day follow-up. |
Countries
United States