Renal Insufficiency
Conditions
Keywords
Renal Impairment, Pharmacokinetics, CC-122, Mild, Moderate, Severe
Brief summary
Multi-center, open-label, single-dose study to assess the PK of a single oral dose of 3 mg CC-122 in subjects with mild, moderate, and severe renal impairment as compared to sex, age (± 15 years), and weight (± 20%) matched control subjects with normal renal function.
Detailed description
This will be a multi-center, open-label, single-dose study to assess the PK of a single oral dose of 3 mg CC-122 in subjects with mild, moderate, and severe renal impairment as compared to sex, age (± 15 years), and weight (± 20%) matched control subjects with normal renal function. Estimated renal function for the purpose of group assignment will be determined at screening. Matched control subjects will have normal renal function, defined using the Cockcroft-Gault (C G) equation, as an estimated creatinine clearance (CLcr) of ≥ 90 mL/min. Subjects with impaired renal function will be classified by stage of renal impairment (mild, moderate, or severe) using estimated glomerular filtration rate (eGFR), calculated by the Modification of Diet in Renal Disease (MDRD) equation. Each group will enroll at least 2 subjects of each sex During the course of the study, each subject will participate in a Screening period (Days - 21 to -2), Treatment Period (including baseline visit), and a follow-up telephone call between Days 11 to 18. Subjects will be screened for eligibility. Eligible subjects will return to the clinical site on Day 1 for baseline assessments, and will be domiciled at the clinical site from Day 1 to Day 4. PK samples will be collected through 72 hours post dose. Safety will be monitored throughout study. The study will be conducted in compliance with the International Council on Harmonisation (ICH) of Technical Requirements for Registration of Pharmaceuticals for Human Use/Good Clinical Practice (GCP) and applicable regulatory requirements.
Interventions
All subjects will receive one 3 mg CC-122 capsule the morning of Day 1 which will be administered in the fasted state.
Sponsors
Study design
Eligibility
Inclusion criteria
* Each subject must satisfy all of the following criteria to be enrolled in the study: * Subject must understand and voluntarily sign an Informed Consent Form prior to any study-related assessments/procedures being conducted. * Subject is able to communicate with the Investigator, understand and comply with the requirements of the study, and agree to adhere to restrictions and examination schedules and other protocol requirements. * Subject is ≥ 18 and ≤ 80 years of age at the time of signing the informed consent. * Subject has a body mass index between 18 and 40 kg/m2 (inclusive). * Subject is afebrile * Subject has a normal or clinically acceptable 12-lead Electrocardiogram at screening. In addition: * If male, subject has a QTcF value ≤ 470 msec at screening. * If female, subject has a QTcF value ≤ 480 msec at screening. * Subject agrees to comply and abide by the requirements and restrictions outlined in the CC-122 Pregnancy Prevention Plan for Subjects in Clinical Trials. * Female subjects must have been surgically sterilized (hysterectomy, bilateral oophorectomy, proper documentation required) at least 6 months before screening, or be postmenopausal (defined as 24 consecutive months without menses before screening, with a follicle-stimulating hormone level of\> 40 IU/L at screening). * Male subject must practice true abstinence\* (which must be reviewed on a monthly basis, as applicable) or agree to use a condom during sexual contact with a pregnant female or a female of childbearing potential while participating in the study, during dose interruptions (if applicable) and for at least 90 days following study drug discontinuation, even if he has undergone a successful vasectomy. * True abstinence is acceptable when this is in line with the preferred and usual lifestyle of the subject. Period abstinence (eg, calendar, ovulation, symptothermal, post-ovulation methods) and withdrawal are not acceptable methods of contraception. Inclusion Criteria for Subjects with Mild, Moderate, or Severe Renal Impairment. * Each subject with mild, moderate, or severe renal impairment must also meet ALL of the criteria listed below for entry: * Subject has mild, moderate, or severe (not requiring dialysis) renal impairment as defined by Estimated glomerular filtration rate (eGFR) at screening. * Subject has supine systolic BP: 90 to 180 mmHg, supine diastolic BP: 60 to 110 mmHg, and pulse rate: 40 to 110 bpm. * Must be medically stable for at least 1 month before study drug administration with clinically acceptable medical history, Physical exam (PE), clinical laboratory tests, vital signs, and 12-lead ECGs consistent with the underlying stable mild moderate or severe renal impairment condition, as judged by the Investigator. * Must be stable in concomitant medication regimen (defined as not starting a new medication\[s\] or a change in the dosage or frequency of the concomitant medication\[s\] within 7 days or 5 half-lives \[whichever is longer\] before dosing with study drug). Inclusion Criteria for a Matched Healthy Subject * Each matched healthy subject must meet ALL the criteria listed below for entry: * Subject has supine systolic BP: 90 to 160 mmHg, supine diastolic BP: 50 to 100 mmHg, and pulse rate: 40 to 100 bpm * Must be free of any clinically significant disease that would interfere with the study evaluations. * Must have normal renal function, as defined by an eGFR ≥ 90 mL/min/1.73 m2 (calculated using the Modification of Diet in Renal Disease (MDRD) equation). * Must match subjects in Group 1, 3, and 5 with respect to sex, age (± 15 years), and weight (± 20%). * Must be in good health as determined by past medical history, PE, vital signs, ECG, and clinical laboratory safety tests. Clinical laboratory safety tests (i.e., hematology, chemistry, and urinalysis) and 12-lead ECGs must be within normal limits or clinically acceptable as judged by the Investigator.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pharmacokinetics - Ae | Up to 72 hours | Amount of excretion |
| Pharmacokinetics - Tmax | up to 72 hours | Time to Observed maximum serum concentration (Cmax) |
| Pharmacokinetics - Cmax | up to 72 hours | Observed maximum serum concentration (Cmax) |
| Pharmacokinetics - AUC0-t | up to 72 hours | Area under the serum concentration-time curve calculated from time zero to the last measured time point |
| Pharmacokinetics - AUC0-∞ | up to 72 hours | Area under the serum concentration-time curve calculated from time zero to infinity |
| Pharmacokinetics - t1/2 | Up to 72 hours | Terminal elimination half-life |
| Pharmacokinetics - CL/F | Up to 72 hours | Apparent clearance of drug from serum when dosed orally |
| Pharmacokinetics - Vz/F | Up to 72 hours | Apparent volume of distribution when dosed subcutaneously during the terminal phase |
| Pharmacokinetics - CLR | Up to 72 hours | Renal Clearance |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adverse Events (AEs) | Up to 40 days | Number of participants with adverse events |
Countries
United States