Thrombosis, Factor XI, Renal Impairment, ESRD (End-Stage Renal Disease)
Conditions
Brief summary
An oral dose of BMS-986177 administered in End-stage Renal Dysfunction (ESRD) participants before and after a hemodialysis session to evaluate safety, tolerability, and pharmacokinetics in this patient population.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Classified at screening as having ESRD requiring hemodialysis at least 3 times per week for 3 months. * Clinical, ECG, and laboratory findings consistent with renal dysfunction * BMI of 18.0 to 38.0 kg/m2 inclusive * Subjects must receive unfractionated heparin during dialysis treatments and are able to withstand a decrease in their established heparin dose (75% of current dose) * Women Not of child bearing potential (WNOCBP). Sexually active fertile men with partners who are WOCBP must use non-hormonal highly effective birth control
Exclusion criteria
* History of uncontrolled or unstable cardiovascular, respiratory, hepatic, gastrointestinal, endocrine, hematopoietic, psychiatric, and/or neurological disease within 6 months of screening * Evidence or history of coagulopathy, prolonged or unexplained clinically significant bleeding, or frequent unexplained bruising * Current or recent (within 3 months of study drug administration) clinically significant gastrointestinal disease or gastrointestinal surgery that could interfere with absorption of study drug * Any condition requiring anticoagulation such as, but not limited to, atrial fibrillation, mechanical prosthetic valve, deep venous thrombosis, or pulmonary embolism (other than heparin required during hemodialysis) * Need for aspirin or need for P2Y12 antagonist therapy (for example clopidogrel, prasugrel, or ticagrelor) * Other protocol defined
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the Change from baseline in Physical examination parameters. | Day -1 - day 3 |
| To assess the change from baseline in clinical laboratory values. | Day -1 - day 3 |
| To assess the change from baseline in vital signs assessment. | Day -1 - day 3 |
| To assess the Number of subjects with Adverse events (AEs). | Day -1 - day 3 |
| To assess the change from baseline in Electrocardiogram (ECG) assessment. | Day -1 - day 3 |
Secondary
| Measure | Time frame |
|---|---|
| To assess the change from baseline in Factor XI clotting activity (FX1c ). | Day -1 - day 3 |
| To assess the change from baseline in activated partial thromboplastin time (aPTT). | Day -1 - day 3 |
Countries
United States