Skip to content

A Phase 1, Multicenter, Open-Label Study to Evaluate the Effect of Mild or Moderate Hepatic Impairment on the Multiple-Dose Pharmacokinetics of Ozanimod

A Phase 1, Multicenter, Open-Label Study to Evaluate the Effect of Mild or Moderate Hepatic Impairment on the Multiple-Dose Pharmacokinetics of Ozanimod

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04639115
Enrollment
26
Registered
2020-11-20
Start date
2020-12-18
Completion date
2022-04-06
Last updated
2022-06-14

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

Conditions

Digestive System Diseases, Liver Diseases

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

DRUGOzanimod

Ozanimod

Sponsors

Celgene
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
Yes

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

MeasureTime frameDescription
Pharmacokinetics - AUClast on Day 8 (Ozanimod, CC112273 and CC1084037)Up to day 8AUC from time zero to the last measured time point
Pharmacokinetics - AUC∞ on Day 8 (Ozanimod, CC112273 and CC1084037)Up to day 8Area under the plasma concentration-time curve from time zero extrapolated to infinity
Pharmacokinetics - Cmax on Day 8 (Ozanimod, CC112273 and CC1084037)Up to day 8Maximum observed plasma concentration
Pharmacokinetics - Cmin on Day 8 (Ozanimod, CC112273 and CC1084037)Up to day 8Minimum observed plasma concentration
Pharmacokinetics - AUCtau on Day 8 (Ozanimod, CC112273 and CC1084037)Up to day 8Area under the plasma concentration-time curve from time zero to dosing interval

Secondary

MeasureTime frameDescription
Pharmacokinetics - AUCtau,u (Ozanimod, CC112273 and CC1084037)Days 1, 5, and 8Unbound AUCtau
Pharmacokinetics - M/P AUCtau ratio (CC112273 and CC1084037)Days 1, 5, and 8Molecular 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 treatmentAn 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 5Maximum observed plasma concentration
Pharmacokinetics -Cmin on Days 1 and 5 (Ozanimod, CC112273 and CC1084037)Days 1, and 5Minimum observed plasma concentration
Pharmacokinetics - CL/F (Ozanimod)From Day 8 till Day 72Apparent total plasma clearance when dosed orally
Pharmacokinetics - Tmax (Ozanimod, CC112273 and CC1084037)Days 1, 5, and 8Time to reach maximum observed plasma concentration
Pharmacokinetics - AUClast (Ozanimod, CC112273 and CC1084037)From Day 8 till Day 72AUC from time zero to the last measured time point
Pharmacokinetics - t1/2 (Ozanimod, CC112273 and CC1084037)From Day 8 till Day 72Terminal elimination half-life
Pharmacokinetics - Vz/F (Ozanimod)From Day 8 till Day 72Apparent volume of distribution when dosed orally
Pharmacokinetics - AUCtau on Days 1 and 5 (Ozanimod, CC112273 and CC1084037)Days 1 and 5Area under the plasma concentration-time curve from time zero to dosing interval
Pharmacokinetics - fu (Ozanimod, CC112273 and CC1084037)Day 1 and Day 8Unbound fraction
Pharmacokinetics - Cmax,u (Ozanimod, CC112273 and CC1084037)Days 1, 5, and 8Maximum observed plasma concentration
Pharmacokinetics - AUC∞,u (Ozanimod, CC112273 and CC1084037)From Day 8 till Day 72Unbound AUC∞
Pharmacokinetics - AUClast,u (Ozanimod, CC112273 and CC1084037)From Day 8 till Day 72Unbound AUClast

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 8, 2026