Digestive System Diseases, Liver Diseases
Conditions
Keywords
Mild and moderate Hepatic impairment, Healthy volunteer, Ozanimod
Brief summary
This is a Phase 1, multicenter, nonrandomized, open-label, parallel-group study in participants with mild or moderate hepatic impairment, and in participants with normal hepatic function. Degrees of hepatic impairment will be determined during screening by the participant's score according to Pugh's Modification of Child's Classification of Severity of Liver Disease. Participants will be enrolled in Groups 1 through 3 as follows: * Group 1 (mild hepatic impairment): A total of approximately 8 participants with a Child-Pugh score of 5 to 6. * Group 2 (moderate hepatic impairment): A total of approximately 8 participants with a Child-Pugh score of 7 to 9. * Group 3 (normal hepatic function): Approximately 8 to 16 participants will be matched to Participants in Groups 1 and 2. Normal hepatic function participants are allowed to match multiple hepatic impairment participants. Participants will be matched by sex, age (± 10 years), weight (± 20%), and smoking status.
Interventions
Ozanimod
Sponsors
Study design
Eligibility
Inclusion criteria
Acceptable methods of birth control in this study are the following: * Combined hormonal (oestrogen and progestogen containing) contraception, which may be oral, intravaginal, or transdermal * Progestogen-only hormonal contraception associated with inhibition of ovulation, which may be oral, injectable, or implantable * Placement of an intrauterine device or intrauterine hormone-releasing system * Bilateral tubal occlusion * Vasectomized partner * Complete sexual abstinence All participants: Periodic abstinence (calendar, symptothermal, post-ovulation methods), withdrawal (coitus interruptus), spermicides only, and lactational amenorrhea method are not acceptable methods of contraception. Inclusion Criteria for Participants with Mild or Moderate Hepatic Impairment (Groups 1 and 2) Each participant with mild or moderate hepatic impairment must satisfy the following criteria to be enrolled in the study: * Participant has mild (5 to 6 points) or moderate (7 to 9 points) hepatic impairment per the Child-Pugh system (Appendix B). * Participant should be enrolled into the group corresponding to the Child-Pugh classification score that most accurately reflects the most severe hepatic disease classification within the past 6 months of signing the ICF (based on past medical history or PE observation). * If a Child-Pugh score was previously calculated and documented in the last 6 months, and it is more severe than the one calculated at Screening, then that previous value will be used for study entry purposes. If the Screening Child-Pugh score is more severe, then it will be used. If no score was calculated in the 6 months prior to Screening, then the score obtained at Screening will be used. Adequate documentation should be provided to substantiate the Child-Pugh score assigned to each participant. * Participant must be medically stable for at least 4 weeks before Screening with clinically acceptable medical history (eg, no worsening of clinical signs of hepatic impairment, or no worsening of total bilirubin or prothrombin time by more than 50%), PE, clinical laboratory tests, vital signs, and 12-lead ECGs consistent with the underlying stable hepatic impairment condition, as judged by the Investigator. * Participant with laboratory parameters that are considered clinically significant beyond those consistent with their degree of hepatic impairment may be included if, in the opinion of the Investigator and Medical Monitor, these findings will not interfere with the study or introduce additional safety risk to the participant. * Participant must be stable on a concomitant medication and/or treatment regimen (defined as not starting a new treatment/medication\[s\] or a change in the dosage or frequency of the concomitant medication\[s\] within 2 weeks before dosing with ozanimod). * Participant must have estimated creatinine clearance ≥ 50 mL/min at Screening as calculated by the Cockcroft-Gault formula. Inclusion Criteria for Matched Normal Hepatic Function Participants (Group 3) Each matched participant must satisfy the following criteria to be enrolled in the study: * Participant is in good health as determined by past medical history, PE, vital signs, ECG, and clinical laboratory safety tests. Clinical laboratory safety tests (ie, hematology, coagulation, chemistry, and urinalysis) must be within normal limits or clinically acceptable as judged by the Investigator. * Participant must match a participant in Groups 1 and/or 2, with respect to sex, age (± 10 years), weight (± 20%) and smoking status. One normal hepatic function participant can be matched to 2 hepatic impairment participants (one in Group 1 and one in Group 2), but no more than one hepatic impairment participant in the same group.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pharmacokinetics - AUClast on Day 8 (Ozanimod, CC112273 and CC1084037) | Up to day 8 | AUC from time zero to the last measured time point |
| Pharmacokinetics - AUC∞ on Day 8 (Ozanimod, CC112273 and CC1084037) | Up to day 8 | Area under the plasma concentration-time curve from time zero extrapolated to infinity |
| Pharmacokinetics - Cmax on Day 8 (Ozanimod, CC112273 and CC1084037) | Up to day 8 | Maximum observed plasma concentration |
| Pharmacokinetics - Cmin on Day 8 (Ozanimod, CC112273 and CC1084037) | Up to day 8 | Minimum observed plasma concentration |
| Pharmacokinetics - AUCtau on Day 8 (Ozanimod, CC112273 and CC1084037) | Up to day 8 | Area under the plasma concentration-time curve from time zero to dosing interval |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pharmacokinetics - AUCtau,u (Ozanimod, CC112273 and CC1084037) | Days 1, 5, and 8 | Unbound AUCtau |
| Pharmacokinetics - M/P AUCtau ratio (CC112273 and CC1084037) | Days 1, 5, and 8 | Molecular weight corrected metabolite-to-parent AUC from time zero to dosing interval ratio |
| Adverse Events (AEs) | From the time the ICF is signed until 64 ± 3 days after the last dose of ozanimod treatment | An AE is any noxious, unintended, or untoward medical occurrence that may appear or worsen in a Participant during the course of a study. It may be a new intercurrent illness, a worsening concomitant illness, an injury, or any concomitant impairment of the Participant's health, including laboratory test values, regardless of etiology. Any worsening (ie, any clinically significant adverse change in the frequency or intensity of a preexisting condition) should be considered an AE |
| Pharmacokinetics -Cmax on Days 1 and 5 (Ozanimod, CC112273 and CC1084037) | Days 1 and 5 | Maximum observed plasma concentration |
| Pharmacokinetics -Cmin on Days 1 and 5 (Ozanimod, CC112273 and CC1084037) | Days 1, and 5 | Minimum observed plasma concentration |
| Pharmacokinetics - CL/F (Ozanimod) | From Day 8 till Day 72 | Apparent total plasma clearance when dosed orally |
| Pharmacokinetics - Tmax (Ozanimod, CC112273 and CC1084037) | Days 1, 5, and 8 | Time to reach maximum observed plasma concentration |
| Pharmacokinetics - AUClast (Ozanimod, CC112273 and CC1084037) | From Day 8 till Day 72 | AUC from time zero to the last measured time point |
| Pharmacokinetics - t1/2 (Ozanimod, CC112273 and CC1084037) | From Day 8 till Day 72 | Terminal elimination half-life |
| Pharmacokinetics - Vz/F (Ozanimod) | From Day 8 till Day 72 | Apparent volume of distribution when dosed orally |
| Pharmacokinetics - AUCtau on Days 1 and 5 (Ozanimod, CC112273 and CC1084037) | Days 1 and 5 | Area under the plasma concentration-time curve from time zero to dosing interval |
| Pharmacokinetics - fu (Ozanimod, CC112273 and CC1084037) | Day 1 and Day 8 | Unbound fraction |
| Pharmacokinetics - Cmax,u (Ozanimod, CC112273 and CC1084037) | Days 1, 5, and 8 | Maximum observed plasma concentration |
| Pharmacokinetics - AUC∞,u (Ozanimod, CC112273 and CC1084037) | From Day 8 till Day 72 | Unbound AUC∞ |
| Pharmacokinetics - AUClast,u (Ozanimod, CC112273 and CC1084037) | From Day 8 till Day 72 | Unbound AUClast |
Countries
United States