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Study to Evaluate the Pharmacokinetics of Selonsertib in Participants With Normal and Impaired Hepatic Function

A Phase 1, Open-Label, Parallel-Group, Single Dose Study to Evaluate the Pharmacokinetics of GS-4997 in Subjects With Normal and Impaired Hepatic Function

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02509624
Enrollment
52
Registered
2015-07-28
Start date
2015-08-18
Completion date
2015-12-15
Last updated
2021-01-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Diabetic Kidney Disease

Brief summary

The primary objective of this study is to evaluate the pharmacokinetics (PK) of selonsertib in participants with impaired hepatic function relative to matched, healthy controls.

Interventions

6 mg tablets administered orally in fed state

Sponsors

Gilead Sciences
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

Key Inclusion Criteria: All participants: * Body mass index (BMI) from 18 to 40 kg/m\^2, inclusive at study screening * Creatinine clearance (CrCl) ≥ 60 mL/min (using the Cockcroft-Gault method) based on serum creatinine and actual body weight as measured at screening Participants with impaired hepatic function: * Aside from hepatic insufficiency, participants must be sufficiently healthy for study participation based upon screening evaluations. * Must have diagnosis of chronic (\> 6 months), stable hepatic impairment with no clinically significant change in hepatic status within the 3 months (90 days) prior to study drug administration (Day 1). * Participants with severe hepatic impairment must have a score on the Child-Pugh-Turcotte scale of 10-15 at screening. * Participants with moderate hepatic impairment must have a score on the Child-Pugh-Turcotte scale of 7-9 at screening. * Participants with mild hepatic impairment must have a score on the Child-Pugh-Turcotte scale of 5-6 at screening. Healthy participants (matched control): * Must be in good health based upon screening evaluations. Key

Exclusion criteria

All participants: * Pregnant or lactating females * Have received any investigational compound or device within 30 days prior to study dosing * Current alcohol or substance abuse * A positive test result for human immunodeficiency virus (HIV-1/2) antibody * Have poor venous access that limits phlebotomy * Have been treated with systemic steroids, anti-HIV agents, immunosuppressant therapies, or chemotherapeutic agents within 3 months prior to screening or expected to receive these agents during the study (eg, corticosteroids, immunoglobulins, and other immune- or cytokine-based therapies) that would be contraindicated for other

Design outcomes

Primary

MeasureTime frameDescription
Pharmacokinetic (PK) Parameter: AUCinf of Selonsertib and Its Metabolite GS-6075090 (predose), 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, 96, and 120 hours postdose on Day 1. Additional PK samples were collected at the Day 10 and 14 follow-up visits approximately the same time as the Day 1 predose sample.AUCinf is defined as the concentration of drug extrapolated to infinite time.
PK Parameter: AUClast of Selonsertib and Its Metabolite GS-6075090 (predose), 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, 96, and 120 hours postdose on Day 1. Additional PK samples were collected at the Day 10 and 14 follow-up visits approximately the same time as the Day 1 predose sample.AUClast is defined as the concentration of drug from time zero to the last observable concentration.
PK Parameter: Cmax of Selonsertib and Its Metabolite GS-6075090 (predose), 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, 96, and 120 hours postdose on Day 1. Additional PK samples were collected at the Day 10 and 14 follow-up visits approximately the same time as the Day 1 predose sample.Cmax is defined as the maximum concentration of drug.

Secondary

MeasureTime frameDescription
Percentage of Participants Experiencing Treatment-Emergent Study Drug-related Adverse Events (AEs)Day 1 plus 30 daysAn AE was any untoward medical occurrence in a clinical study participant which did not necessarily have a causal relationship with the treatment. An AE can therefore be any unfavorable and/or unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Treatment-emergent AEs were defined as events that met one of the following criteria: 1) Any AEs with an onset date of on or after the study drug start date and no later than 30 days after permanent discontinuation of study drug; or 2) Any AEs leading to premature discontinuation of study drug.
Percentage of Participants Experiencing Any Treatment-Emergent and Grade ≥ 3 Laboratory AbnormalitiesDay 1 plus 30 daysTreatment-emergent laboratory abnormalities were defined as values that increased at least 1 toxicity grade from predose at any postdose visit, up to and including the date of last dose of study drug plus 30 days for participants who permanently discontinued study drug. If the relevant baseline laboratory value was missing, then any abnormality of at least Grade 1 observed within the time frame specified above was considered treatment-emergent. Severity grades were defined based on modified Common Terminology Criteria for Adverse Events (CTCAE) Laboratory Abnormality and Adverse Event Severity Grading, where 1=Mild, 2=Moderate, 3=Severe, 4=Potentially Life Threatening. The most severe graded abnormality from all tests was counted for each participant.

Countries

United States

Participant flow

Recruitment details

Participants were enrolled at study sites in United States. The first participant was screened on 17 August 2015. The last study visit occurred on 15 December 2015.

Pre-assignment details

107 participants were screened. In the control groups (normal hepatic function), each participant was matched for age, gender, race, and body mass index with a participant in the hepatic impairment group. 22 total unique participants with normal hepatic function were enrolled in Cohorts 1, 2, and 3. 3 participants served as matched control in both Cohort 1 and 2. 1 participant served as a matched control in both Cohort 1 and 3. 4 participants served as matched control in both Cohort 2 and 3.

Participants by arm

ArmCount
Cohort 1: Moderate Hepatic Impairment
Participants with moderate hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
10
Cohort 2: Severe Hepatic Impairment
Participants with severe hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
10
Cohort 3: Mild Hepatic Impairment
Participants with mild hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
10
Healthy Control
Matched normal hepatic function participants received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
22
Total52

Baseline characteristics

CharacteristicCohort 1: Moderate Hepatic ImpairmentCohort 2: Severe Hepatic ImpairmentCohort 3: Mild Hepatic ImpairmentHealthy ControlTotal
Age, Continuous59 years
STANDARD_DEVIATION 5
54 years
STANDARD_DEVIATION 5.8
53 years
STANDARD_DEVIATION 10.4
53 years
STANDARD_DEVIATION 8.4
54 years
STANDARD_DEVIATION 7.9
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants8 Participants4 Participants12 Participants27 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants2 Participants6 Participants10 Participants25 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants1 Participants1 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants1 Participants0 Participants1 Participants
Race (NIH/OMB)
Black or African American
3 Participants0 Participants0 Participants7 Participants10 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
7 Participants10 Participants9 Participants14 Participants40 Participants
Sex: Female, Male
Female
2 Participants3 Participants3 Participants5 Participants13 Participants
Sex: Female, Male
Male
8 Participants7 Participants7 Participants17 Participants39 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —
other
Total, other adverse events
3 / 100 / 102 / 102 / 22
serious
Total, serious adverse events
0 / 100 / 100 / 100 / 22

Outcome results

Primary

Pharmacokinetic (PK) Parameter: AUCinf of Selonsertib and Its Metabolite GS-607509

AUCinf is defined as the concentration of drug extrapolated to infinite time.

Time frame: 0 (predose), 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, 96, and 120 hours postdose on Day 1. Additional PK samples were collected at the Day 10 and 14 follow-up visits approximately the same time as the Day 1 predose sample.

Population: PK Analysis Set included all enrolled participants who received at least 1 dose of selonsertib and had at least 1 evaluable PK concentration data value reported by the PK laboratory for the respective analytes. 3 participants served as matched control in both Cohort 1 and 2. 1 participant served as a matched control in both Cohort 1 and 3. 4 participants served as matched control in both Cohort 2 and 3.

ArmMeasureGroupValue (MEAN)Dispersion
Cohort 1: Moderate Hepatic ImpairmentPharmacokinetic (PK) Parameter: AUCinf of Selonsertib and Its Metabolite GS-607509AUCinf of Selonsertib3316.1 hr*ng/mLStandard Deviation 1734.11
Cohort 1: Moderate Hepatic ImpairmentPharmacokinetic (PK) Parameter: AUCinf of Selonsertib and Its Metabolite GS-607509AUCinf of GS-6075095941.8 hr*ng/mLStandard Deviation 2286.8
Cohort 2: Severe Hepatic ImpairmentPharmacokinetic (PK) Parameter: AUCinf of Selonsertib and Its Metabolite GS-607509AUCinf of Selonsertib3266.7 hr*ng/mLStandard Deviation 766.39
Cohort 2: Severe Hepatic ImpairmentPharmacokinetic (PK) Parameter: AUCinf of Selonsertib and Its Metabolite GS-607509AUCinf of GS-6075095711.2 hr*ng/mLStandard Deviation 3401.94
Cohort 3: Mild Hepatic ImpairmentPharmacokinetic (PK) Parameter: AUCinf of Selonsertib and Its Metabolite GS-607509AUCinf of Selonsertib2962.1 hr*ng/mLStandard Deviation 901.12
Cohort 3: Mild Hepatic ImpairmentPharmacokinetic (PK) Parameter: AUCinf of Selonsertib and Its Metabolite GS-607509AUCinf of GS-60750910203.6 hr*ng/mLStandard Deviation 8689.39
Matched Healthy Control for Cohort 1Pharmacokinetic (PK) Parameter: AUCinf of Selonsertib and Its Metabolite GS-607509AUCinf of Selonsertib2835.3 hr*ng/mLStandard Deviation 499.58
Matched Healthy Control for Cohort 1Pharmacokinetic (PK) Parameter: AUCinf of Selonsertib and Its Metabolite GS-607509AUCinf of GS-6075099993.3 hr*ng/mLStandard Deviation 4599.91
Matched Healthy Control for Cohort 2Pharmacokinetic (PK) Parameter: AUCinf of Selonsertib and Its Metabolite GS-607509AUCinf of Selonsertib2277.9 hr*ng/mLStandard Deviation 490.96
Matched Healthy Control for Cohort 2Pharmacokinetic (PK) Parameter: AUCinf of Selonsertib and Its Metabolite GS-607509AUCinf of GS-6075099603.4 hr*ng/mLStandard Deviation 8057.84
Matched Healthy Control for Cohort 3Pharmacokinetic (PK) Parameter: AUCinf of Selonsertib and Its Metabolite GS-607509AUCinf of Selonsertib2711.6 hr*ng/mLStandard Deviation 919.83
Matched Healthy Control for Cohort 3Pharmacokinetic (PK) Parameter: AUCinf of Selonsertib and Its Metabolite GS-607509AUCinf of GS-6075099846.6 hr*ng/mLStandard Deviation 8954.4
Comparison: AUCinf of selonsertib90% CI: [77.08, 143.23]
Comparison: AUCinf of selonsertib90% CI: [120.52, 168.84]
Comparison: AUCinf of selonsertib90% CI: [86.99, 140.49]
Comparison: AUCinf of GS-60750990% CI: [43.84, 87.81]
Comparison: AUCinf of GS-60750990% CI: [36.72, 120.21]
Comparison: AUCinf of GS-60750990% CI: [51.75, 206.83]
Primary

PK Parameter: AUClast of Selonsertib and Its Metabolite GS-607509

AUClast is defined as the concentration of drug from time zero to the last observable concentration.

Time frame: 0 (predose), 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, 96, and 120 hours postdose on Day 1. Additional PK samples were collected at the Day 10 and 14 follow-up visits approximately the same time as the Day 1 predose sample.

Population: Participants in the PK Analysis Set were analyzed. 3 participants served as matched control in both Cohort 1 and 2. 1 participant served as a matched control in both Cohort 1 and 3. 4 participants served as matched control in both Cohort 2 and 3.

ArmMeasureGroupValue (MEAN)Dispersion
Cohort 1: Moderate Hepatic ImpairmentPK Parameter: AUClast of Selonsertib and Its Metabolite GS-607509AUClast of Selonsertib2964.1 hr*ng/mLStandard Deviation 1493.69
Cohort 1: Moderate Hepatic ImpairmentPK Parameter: AUClast of Selonsertib and Its Metabolite GS-607509AUClast of GS-6075095405.2 hr*ng/mLStandard Deviation 2211.86
Cohort 2: Severe Hepatic ImpairmentPK Parameter: AUClast of Selonsertib and Its Metabolite GS-607509AUClast of Selonsertib3032.7 hr*ng/mLStandard Deviation 728.55
Cohort 2: Severe Hepatic ImpairmentPK Parameter: AUClast of Selonsertib and Its Metabolite GS-607509AUClast of GS-6075094868.0 hr*ng/mLStandard Deviation 3072.43
Cohort 3: Mild Hepatic ImpairmentPK Parameter: AUClast of Selonsertib and Its Metabolite GS-607509AUClast of Selonsertib2790.8 hr*ng/mLStandard Deviation 847.18
Cohort 3: Mild Hepatic ImpairmentPK Parameter: AUClast of Selonsertib and Its Metabolite GS-607509AUClast of GS-6075098475.8 hr*ng/mLStandard Deviation 7165.86
Matched Healthy Control for Cohort 1PK Parameter: AUClast of Selonsertib and Its Metabolite GS-607509AUClast of Selonsertib2679.9 hr*ng/mLStandard Deviation 486.23
Matched Healthy Control for Cohort 1PK Parameter: AUClast of Selonsertib and Its Metabolite GS-607509AUClast of GS-6075099117.6 hr*ng/mLStandard Deviation 4127.22
Matched Healthy Control for Cohort 2PK Parameter: AUClast of Selonsertib and Its Metabolite GS-607509AUClast of Selonsertib2129.7 hr*ng/mLStandard Deviation 493.83
Matched Healthy Control for Cohort 2PK Parameter: AUClast of Selonsertib and Its Metabolite GS-607509AUClast of GS-6075098157.5 hr*ng/mLStandard Deviation 6019.61
Matched Healthy Control for Cohort 3PK Parameter: AUClast of Selonsertib and Its Metabolite GS-607509AUClast of Selonsertib2530.9 hr*ng/mLStandard Deviation 902.55
Matched Healthy Control for Cohort 3PK Parameter: AUClast of Selonsertib and Its Metabolite GS-607509AUClast of GS-6075098326.5 hr*ng/mLStandard Deviation 6604.26
Comparison: AUClast of selonsertib90% CI: [73.38, 135.92]
Comparison: AUClast of selonsertib90% CI: [118.5, 169.55]
Comparison: AUClast of selonsertib90% CI: [87.69, 143.65]
Comparison: AUClast of GS-60750990% CI: [43.06, 86.98]
Comparison: AUClast of GS-60750990% CI: [33.62, 110.91]
Comparison: AUClast of GS-60750990% CI: [48.47, 190.67]
Primary

PK Parameter: Cmax of Selonsertib and Its Metabolite GS-607509

Cmax is defined as the maximum concentration of drug.

Time frame: 0 (predose), 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, 96, and 120 hours postdose on Day 1. Additional PK samples were collected at the Day 10 and 14 follow-up visits approximately the same time as the Day 1 predose sample.

Population: Participants in the PK Analysis Set were analyzed. 3 participants served as matched control in both Cohort 1 and 2. 1 participant served as a matched control in both Cohort 1 and 3. 4 participants served as matched control in both Cohort 2 and 3.

ArmMeasureGroupValue (MEAN)Dispersion
Cohort 1: Moderate Hepatic ImpairmentPK Parameter: Cmax of Selonsertib and Its Metabolite GS-607509Cmax of Selonsertib93.7 ng/mLStandard Deviation 20.66
Cohort 1: Moderate Hepatic ImpairmentPK Parameter: Cmax of Selonsertib and Its Metabolite GS-607509Cmax of GS-60750944.1 ng/mLStandard Deviation 15.01
Cohort 2: Severe Hepatic ImpairmentPK Parameter: Cmax of Selonsertib and Its Metabolite GS-607509Cmax of Selonsertib82.4 ng/mLStandard Deviation 10.63
Cohort 2: Severe Hepatic ImpairmentPK Parameter: Cmax of Selonsertib and Its Metabolite GS-607509Cmax of GS-60750931.2 ng/mLStandard Deviation 15.34
Cohort 3: Mild Hepatic ImpairmentPK Parameter: Cmax of Selonsertib and Its Metabolite GS-607509Cmax of Selonsertib110.6 ng/mLStandard Deviation 24.77
Cohort 3: Mild Hepatic ImpairmentPK Parameter: Cmax of Selonsertib and Its Metabolite GS-607509Cmax of GS-60750963.5 ng/mLStandard Deviation 31.42
Matched Healthy Control for Cohort 1PK Parameter: Cmax of Selonsertib and Its Metabolite GS-607509Cmax of Selonsertib105.4 ng/mLStandard Deviation 22.13
Matched Healthy Control for Cohort 1PK Parameter: Cmax of Selonsertib and Its Metabolite GS-607509Cmax of GS-60750962.3 ng/mLStandard Deviation 23.44
Matched Healthy Control for Cohort 2PK Parameter: Cmax of Selonsertib and Its Metabolite GS-607509Cmax of Selonsertib91.9 ng/mLStandard Deviation 22.01
Matched Healthy Control for Cohort 2PK Parameter: Cmax of Selonsertib and Its Metabolite GS-607509Cmax of GS-60750963.2 ng/mLStandard Deviation 27.03
Matched Healthy Control for Cohort 3PK Parameter: Cmax of Selonsertib and Its Metabolite GS-607509Cmax of Selonsertib110.3 ng/mLStandard Deviation 23.4
Matched Healthy Control for Cohort 3PK Parameter: Cmax of Selonsertib and Its Metabolite GS-607509Cmax of GS-60750964.2 ng/mLStandard Deviation 21.99
Comparison: Cmax of selonsertib90% CI: [74.83, 105.1]
Comparison: Cmax of selonsertib90% CI: [78.76, 105.52]
Comparison: Cmax of selonsertib90% CI: [83.73, 119.88]
Comparison: Cmax of GS-60750990% CI: [54.58, 93.5]
Comparison: Cmax of GS-60750990% CI: [32.59, 67.54]
Comparison: Cmax of GS-60750990% CI: [67.6, 130.5]
Secondary

Percentage of Participants Experiencing Any Treatment-Emergent and Grade ≥ 3 Laboratory Abnormalities

Treatment-emergent laboratory abnormalities were defined as values that increased at least 1 toxicity grade from predose at any postdose visit, up to and including the date of last dose of study drug plus 30 days for participants who permanently discontinued study drug. If the relevant baseline laboratory value was missing, then any abnormality of at least Grade 1 observed within the time frame specified above was considered treatment-emergent. Severity grades were defined based on modified Common Terminology Criteria for Adverse Events (CTCAE) Laboratory Abnormality and Adverse Event Severity Grading, where 1=Mild, 2=Moderate, 3=Severe, 4=Potentially Life Threatening. The most severe graded abnormality from all tests was counted for each participant.

Time frame: Day 1 plus 30 days

Population: Participants in the Safety Analysis Set were analyzed.

ArmMeasureGroupValue (NUMBER)
Cohort 1: Moderate Hepatic ImpairmentPercentage of Participants Experiencing Any Treatment-Emergent and Grade ≥ 3 Laboratory AbnormalitiesAny Treatment-Emergent Laboratory Abnormalities90.0 percentage of participants
Cohort 1: Moderate Hepatic ImpairmentPercentage of Participants Experiencing Any Treatment-Emergent and Grade ≥ 3 Laboratory AbnormalitiesGrade ≥ 3 Laboratory Abnormalities20.0 percentage of participants
Cohort 2: Severe Hepatic ImpairmentPercentage of Participants Experiencing Any Treatment-Emergent and Grade ≥ 3 Laboratory AbnormalitiesGrade ≥ 3 Laboratory Abnormalities40.0 percentage of participants
Cohort 2: Severe Hepatic ImpairmentPercentage of Participants Experiencing Any Treatment-Emergent and Grade ≥ 3 Laboratory AbnormalitiesAny Treatment-Emergent Laboratory Abnormalities90.0 percentage of participants
Cohort 3: Mild Hepatic ImpairmentPercentage of Participants Experiencing Any Treatment-Emergent and Grade ≥ 3 Laboratory AbnormalitiesAny Treatment-Emergent Laboratory Abnormalities70.0 percentage of participants
Cohort 3: Mild Hepatic ImpairmentPercentage of Participants Experiencing Any Treatment-Emergent and Grade ≥ 3 Laboratory AbnormalitiesGrade ≥ 3 Laboratory Abnormalities10.0 percentage of participants
Matched Healthy Control for Cohort 1Percentage of Participants Experiencing Any Treatment-Emergent and Grade ≥ 3 Laboratory AbnormalitiesAny Treatment-Emergent Laboratory Abnormalities59.1 percentage of participants
Matched Healthy Control for Cohort 1Percentage of Participants Experiencing Any Treatment-Emergent and Grade ≥ 3 Laboratory AbnormalitiesGrade ≥ 3 Laboratory Abnormalities4.5 percentage of participants
Secondary

Percentage of Participants Experiencing Treatment-Emergent Study Drug-related Adverse Events (AEs)

An AE was any untoward medical occurrence in a clinical study participant which did not necessarily have a causal relationship with the treatment. An AE can therefore be any unfavorable and/or unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Treatment-emergent AEs were defined as events that met one of the following criteria: 1) Any AEs with an onset date of on or after the study drug start date and no later than 30 days after permanent discontinuation of study drug; or 2) Any AEs leading to premature discontinuation of study drug.

Time frame: Day 1 plus 30 days

Population: The Safety Analysis Set included all enrolled participants who received at least 1 dose of study drug.

ArmMeasureValue (NUMBER)
Cohort 1: Moderate Hepatic ImpairmentPercentage of Participants Experiencing Treatment-Emergent Study Drug-related Adverse Events (AEs)20.0 percentage of participants
Cohort 2: Severe Hepatic ImpairmentPercentage of Participants Experiencing Treatment-Emergent Study Drug-related Adverse Events (AEs)0 percentage of participants
Cohort 3: Mild Hepatic ImpairmentPercentage of Participants Experiencing Treatment-Emergent Study Drug-related Adverse Events (AEs)10.0 percentage of participants
Matched Healthy Control for Cohort 1Percentage of Participants Experiencing Treatment-Emergent Study Drug-related Adverse Events (AEs)13.6 percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026