Uremic Pruritus
Conditions
Keywords
TRK-820, Hemodialysis, Uremic Pruritus
Brief summary
This study is a 2-part study. Part A is a single-dose, open-label study design to determine the PK, safety and tolerability of 5 μg TRK-820 oral administration in subjects with end-stage renal disease (ESRD) who require hemodialysis. Part B is a multiple dose, open-label study design to determine the PK, PD, safety and tolerability of multiple doses in subjects with ESRD who require hemodialysis with refractory uremic pruritus (UP). Each subject will receive 3 doses of TRK-820 (2.5, 5 and 10 μg).
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult non-smoking male and female subjects (≥ 18 years of age) who have ESRD requiring hemodialysis, at least 3 times a week. * Subjects has a clinical diagnosis of UP, which is uncontrolled by current medications or treatments.(Part B only)
Exclusion criteria
* Subject has a known hypersensitivity to opioids or the ingredients of the study medication. * Subject has pruritus other than related to ESRD (i.e., UP).(Part B only)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pharmacokinetic parameters: area under the time curve from time zero to 24 hours postdose(AUC0-24h) | Part A; predose to 24 hours postdose, Part B; predose to 24 hours postdose each dose |
| Pharmacokinetic parameters: area under the time curve from time zero to the last quantifiable concentration(AUC0-last) | Part A; predose to 60 hours postdose, Part B; predose to 48 hours postdose each dose |
| Pharmacokinetic parameters: area under the time curve from time zero extrapolated to infinity(AUC0-inf) | Part A; predose to 60 hours postdose, Part B; predose to 48 hours postdose each dose |
| Pharmacokinetic parameters: maximum observed plasma concentration (Cmax) | Part A; predose to 60 hours postdose, Part B; predose to 48 hours postdose each dose |
| Pharmacokinetic parameters: time to maximum plasma concentration(Tmax) | Part A; predose to 60 hours postdose, Part B; predose to 48 hours postdose each dose |
| Pharmacokinetic parameters: apparent elimination half-life in plasma(t½) | Part A; predose to 60 hours postdose, Part B; predose to 48 hours postdose each dose |
| Pharmacokinetic parameters: plasma concentration at 24 hours postdose(C24h) | Part A; 24 hours postdose, Part B; 24 hours postdose each dose |
| Pharmacokinetic parameters: apparent total clearance(CL/F) | Part A; predose to 60 hours postdose, Part B; predose to 48 hours postdose each dose |
| Pharmacokinetic parameters: terminal elimination rate(λz) | Part A; predose to 60 hours postdose, Part B; predose to 48 hours postdose each dose |
| Pharmacokinetic parameters: apparent distribution volume(Vz/F) | Part A; predose to 60 hours postdose, Part B; predose to 48 hours postdose each dose |
| Pharmacokinetic parameters: mean residence time(MRT) | Part A; predose to 60 hours postdose, Part B; predose to 48 hours postdose each dose |
| Pharmacodynamic parameters: Visual Analogue Scale (VAS) reduction from baseline | Part B only; Baseline to week 5 |
Countries
Bulgaria, Germany