Renal Insufficiency
Conditions
Keywords
Renal Insufficiency, CC-220, Iberdomide, Phase 1
Brief summary
This is an open-label study of iberdomide in participants with severe renal impairment or participants receiving dialysis compared to participants with normal renal function. An open-label design was selected based on the objective nature of the primary endpoints (i.e., Pharmacokinetics parameter estimates based on measurement of iberdomide and M12 concentrations). Participants with severe renal impairment (RI), participants with kidney failure on intermittent hemodialysis (IHD), and participants with normal renal function are being included in the current study. Participants with severe RI and kidney failure participants will be matched to participants with normal renal function based on sex, age (approximately ± 10 years), and body mass index (BMI; approximately ± 30%).
Interventions
Administration of a single oral dose of 1mg iberdomide in participants
Sponsors
Study design
Eligibility
Inclusion criteria
Inclusion Criteria for All Participants (All Groups) Participants must satisfy the following criteria to be enrolled in the study: 1. Participant is ≥ 18 and ≤ 82 years of age at the time of signing the informed consent form (ICF). 2. Participant must understand and voluntarily sign an ICF prior to any study-related assessments/procedures being conducted. 3. Participant is able to communicate with the Investigator, understand and comply with the requirements of the study, and agree to adhere to restrictions, the study visit schedule, and other protocol requirements, including contraception requirements. 4. Participant has a body mass index (BMI) ≥ 18 and ≤ 40 kg/m2 at screening. 5. Participant has a body weight \> 50 kg at screening. 6. Participant is afebrile (febrile is defined as ≥ 38°C or 100.4°F). Inclusion Criteria for Participants with Severe Renal Impairment (RI) - Group 1 Participants in Group 1 must also satisfy the following criteria to be enrolled in the study: 7. Participant has a supine systolic blood pressure (BP) ≥ 90 and ≤ 180 mm Hg, supine diastolic BP ≥ 60 and ≤ 110 mm Hg, and pulse rate ≥ 40 and ≤ 110 beats per minute. 8. Participant has severe renal impairment as defined by an eGFR \< 30 mL/min/1.73 m2 (and not requiring dialysis) at screening. The eGFR will be calculated using the Modification of Diet in Renal Disease (MDRD) equation. 9. Participant must be medically stable for at least 1 month before the first IP administration with a clinically acceptable medical history, physical examination (PE), clinical laboratory safety test results, vital sign measurements, and 12-lead electrocardiograms (ECGs) consistent with the underlying stable RI condition, as judged by the Investigator. a. Participant must have a QTcF value \< 480 ms. 10. Participant 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 the first IP administration). Inclusion Criteria for Participants with Kidney Failure on IHD - Group 2 Participants in Group 2 must also satisfy the following criteria to be enrolled in the study: 11. Participant has a pulse rate ≥ 40 and ≤ 110 beats per minute. Blood pressure measurements must be consistent with the participant's underlying medical condition(s) and judged by the Investigator as being clinically acceptable for purposes of study entry. 12. Participant must be medically stable for at least 1 month before the first IP administration with a clinically acceptable medical history, PE, clinical laboratory safety test results, vital sign measurements, and 12-lead ECGs consistent with the underlying kidney failure, as judged by the Investigator. 13. Participant must be stable in concomitant medication regimen 14. Participant has been attending an average of 3 hemodialysis treatments per week within the 3 months prior to screening. Inclusion Criteria for Participants with Normal Renal Function -Group 3 15. Participant has a supine systolic BP ≥ 90 and ≤ 160 mm Hg, supine diastolic BP ≥ 50 and ≤ 100 mm Hg, and pulse rate ≥ 40 and ≤ 100 beats per minute. 16. Participant is in good health, as determined by past medical history, PE, vital signs, 12-lead ECG, and clinical laboratory safety test results, and has normal renal function, as defined by having a Clcr \> 90 mL/min estimated using the C-G equation, at screening. 1. If male, participant has a QTcF value \< 470 ms; 2. If female, participant has a QTcF value \< 480 ms. 17. Participant must match at least 1 participant in Groups 1 or 2 with respect to sex, age (approximately ± 10 years), and BMI (approximately ± 30%).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Iberdomide Pharmacokinetics - CLD | 4 hours post-start of dialysis | Dialysis clearance |
| Iberdomide Pharmacokinetics - AUC(0-T) | Up to 72 hours following the last dose of iberdomide | Estimation of area under the plasma concentration -time curve (AUC) calculated from time zero to time t, where t is the time point of the last measurable concentration |
| Metabolite M12 Pharmacokinetics - AUC(0-T) | Up to 72 hours following the last dose of iberdomide | Estimation of AUC calculated from time zero to time t, where t is the time point of the last measurable concentration |
| Iberdomide Pharmacokinetics - AUC(INF) | Up to 72 hours following the last dose of iberdomide | Estimation of AUC calculated from time zero extrapolated to infinity |
| Metabolite M12 Pharmacokinetics - AUC(INF) | Up to 72 hours following the last dose of iberdomide | Estimation of AUC calculated from time zero extrapolated to infinity |
| Iberdomide Pharmacokinetics - Cmax | Up to 72 hours following the last dose of iberdomide | Estimation of maximum observed plasma concentration |
| Iberdomide Pharmacokinetics - Tmax | Up to 72 hours following the last dose of iberdomide | Estimated time to Cmax |
| Metabolite M12 Pharmacokinetics - Tmax | Up to 72 hours following the last dose of iberdomide | Estimated time to Cmax |
| Iberdomide Pharmacokinetics - T-HALF | Up to 72 hours following the last dose of iberdomide | Estimation of terminal elimination half-life in plasma |
| Metabolite M12 Pharmacokinetics - T-HALF | Up to 72 hours following the last dose of iberdomide | Estimation of terminal elimination half-life in plasma |
| Iberdomide Pharmacokinetics - CLT/F | Up to 72 hours following the last dose of iberdomide | Apparent total plasma clearance when dosed orally |
| Iberdomide Pharmacokinetics - CLNR/F | Up to 72 hours following the last dose of iberdomide | Apparent nonrenal clearance |
| Iberdomide Pharmacokinetics - VZ/F | Up to 72 hours following the last dose of iberdomide | Estimation of apparent volume of distribution when dosed orally |
| Iberdomide Pharmacokinetics - CLR | Up to 72 hours following the last dose of iberdomide | Renal Clearance |
| Metabolite M12 Pharmacokinetics - CLR | Up to 72 hours following the last dose of iberdomide | Renal clearance |
| Iberdomide Pharmacokinetics - UR | Up to 72 hours following the last dose of iberdomide | Estimation of amount excreted in urine |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of Adverse Events (AEs) | From enrollment until at least 28 days after completion of the study 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 (i.e., any clinically significant adverse change in the frequency or intensity of a preexisting condition) should be considered an AE |
Countries
United States