Liver Insufficiency
Conditions
Keywords
Liver Insufficiency, Hepatic impairment
Brief summary
To determine whether CVC exposures are altered in subjects with impaired hepatic function, compared to subjects with normal hepatic function. The results will help guide the clinical use of CVC in patients with hepatic impairment, determine the extent of PK changes, if any, and identify the potential need for dose adjustments of CVC in this population.
Interventions
Subjects with mild hepatic impairment will receive CVC, 1 tablet once daily, for 14 days. Matching healthy subjects will receive CVC, 1 tablet once daily, for 14 days.
Subjects with moderate hepatic impairment will receive CVC, 1 tablet once daily, for 14 days. Matching healthy subjects will receive CVC, 1 tablet once daily, for 14 days.
Sponsors
Study design
Eligibility
Inclusion criteria
* Males and non-pregnant, non-lactating females aged 18-65 * Weight ≥ 50.0 kg * BMI 18.0 - 40.0 kg/m2 * Able to participate, and willing to give written informed consent and to comply with the study restrictions * Subjects with hepatic impairment will have stable liver disease (Child Pugh A or Child Pugh B)
Exclusion criteria
* Pregnant or lactating women and male partners of women who are pregnant or lactating * Uncontrolled treated or untreated hypertension (systolic blood pressure ≥ 160 mmHg and/or diastolic blood pressure ≥ 105 mmHg) * QTcF \> 450 msec for males and \> 470 msec for females at Screening or Day -1 * Donation or loss of blood over 350 mL within 60 days prior to screening * Any evidence of progressive liver disease within the last 4 weeks for subjects with hepatic impairment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Multiple-dose pharmacokinetics of CVC | 0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 12 and 24 hours postdose on Days 1 and 14 | Intensive PK on Days 1 and 14. Trough PK on Days 3-13. Additional free (unbound) CVC will be assessed 2 hours and 24 hours postdose on Day 14. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Safety and tolerability | Days 1 through 35 for hepatic impaired subjects and Days 1-28 for healthy matching subjects | Adverse events, concomitant medications, vital signs, 12-lead triplicate ECGs, clinical laboratory tests (chemistry, hematology, urinalysis) and physical examinations will be assessed. |
Other
| Measure | Time frame |
|---|---|
| Pro-inflammatory cytokines and biomarkers of bacterial translocation | 28 days after receiving first dose of study drug |
Countries
United States