Hepatic Impairment
Conditions
Keywords
Hepatic impairment,, osilodrostat,, LCI699
Brief summary
To assess the pharmacokinetics of a single oral dose of osilodrostat (LCI699) 30 mg in subjects with mild, moderate and severe hepatic impairment compared with subjects with normal hepatic function.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Weight ≥50 kg and BMI between 18-38kg/m2. * Stable liver cirrhosis and evidence of hepatic impairment. * Free of significant medical disorders unrelated to underlying hepatic impairment
Exclusion criteria
* History of any surgical or medical condition which might significantly alter the absorption, distribution, metabolism or excretion of drugs * Subjects with ongoing alcohol or drug abuse * Symptoms or history of encephalopathy (Grade 2 or above) * History or presence of liver disease or liver injury (healthy volunteers only) * History or presence of impaired renal function * Clinical evidence of severe ascites. * Total Bilirubin \> 6 mg/dL, * Subjects with a serum free cortisol test results that is below the lower limit of normal (based on central laboratory) during the screening period * Concomitant use of a drug that is a strong inducer of the CYP3A4/5 pathway Other protocol-defined inclusion/
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| PK of a single dose of 30 mg osilodrostat: Vz/F | Predose (Day 0) , and timepoints 0.5, 1, 1.5, 2, 3,4, 6, 8, 12, 24, 36, 48, 72, 96 hours post dose. | To assess the influence of hepatic impairment on the pharmacokinetics (PK) of LCI699i in subjects with varying degrees of hepatic impairment compared to subjects with normal hepatic function. |
| PK of a single dose of 30 mg osilodrostat: T1/2 | Predose (Day 0) , and at timepoints 0.5, 1, 1.5, 2, 3,4, 6, 8, 12, 24, 36, 48, 72, 96 hours post dose. | To assess the influence of hepatic impairment on the pharmacokinetics (PK) of LCI699i in subjects with varying degrees of hepatic impairment compared to subjects with normal hepatic function. |
| PK of a single dose of 30 mg osilodrostat: CL/F | Predose (Day 0) , and at timepoints 0.5, 1, 1.5, 2, 3,4, 6, 8, 12, 24, 36, 48, 72, 96 hours post dose. | To assess the influence of hepatic impairment on the pharmacokinetics (PK) of LCI699i in subjects with varying degrees of hepatic impairment compared to subjects with normal hepatic function. |
| Pharmacokinetics (PK) of a single dose of 30 mg osilodrostat: AUClast | Predose (Day 0) , and at timepoints 0.5, 1, 1.5, 2, 3,4, 6, 8, 12, 24, 36, 48, 72, 96 hours post dose. | To assess the influence of hepatic impairment on the pharmacokinetics (PK) of LCI699i in subjects with varying degrees of hepatic impairment compared to subjects with normal hepatic function. |
| PK of a single dose of 30 mg osilodrostat: AUCinf | Predose (Day 0) , and at imepoints 0.5, 1, 1.5, 2, 3,4, 6, 8, 12, 24, 36, 48, 72, 96 hours post dose. | To assess the influence of hepatic impairment on the pharmacokinetics (PK) of LCI699i in subjects with varying degrees of hepatic impairment compared to subjects with normal hepatic function. |
| PK of a single dose of 30 mg osilodrostat: Cmax | Predose (Day 0) , and at timepoints 0.5, 1, 1.5, 2, 3,4, 6, 8, 12, 24, 36, 48, 72, 96 hours post dose. | To assess the influence of hepatic impairment on the pharmacokinetics (PK) of LCI699i in subjects with varying degrees of hepatic impairment compared to subjects with normal hepatic function. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with adverse events (AEs) | Pre-treatment, during treatment (Day 1) and 30 days post treatment. | This will be assessed using laboratory abnormalities, ECG and vital sign assessments of a single 30 mg dose of LCI699 |
| The relationship between PK parameters (Cmax and AUC) and baseline hepatic function parameters namely; total bilirubin, albumin, INR (or prothrombin, if INR unavailable) | Predose ( Day 0) and at timepoints 0.5, 1, 1.5, 2, 3,4, 6, 8, 12, 24, 36, 48, 72, 96 hours post dose. | To evaluate the relationship between hepatic function parameters and pharmacokinetics. |
Countries
United States