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Study to Estimate the Effects of Hepatic Impairment on the Pharmacokinetics (PK) of PF-07321332

A PHASE 1, NON-RANDOMIZED, OPEN-LABEL STUDY TO ASSESS THE PHARMACOKINETICS, SAFETY AND TOLERABILITY OF PF-07321332 BOOSTED WITH RITONAVIR IN ADULT PARTICIPANTS WITH MODERATE HEPATIC IMPAIRMENT AND HEALTHY PARTICIPANTS WITH NORMAL HEPATIC FUNCTION

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05005312
Enrollment
17
Registered
2021-08-13
Start date
2021-08-31
Completion date
2021-12-07
Last updated
2023-09-06

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

Conditions

Hepatic Impairment

Keywords

COVID-19, SARS-CoV-2

Brief summary

The study is to estimate the effect of hepatic impairment on the plasma PK of PF-07321332/ritonavir. Findings from this study will be used to develop dosing recommendations so that the dose and/or dosing interval may be adjusted appropriately in the presence of hepatic impairment.

Interventions

Tablet

DRUGRitonavir

PK Boosting agent

Sponsors

Pfizer
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

* Male and female participants who are classically healthy having no clinically relevant abnormalities. No known or suspected hepatic impairment * Stable hepatic impairment that meets the criteria for Class B of the Child-Pugh Classification

Exclusion criteria

* Any condition possibly affecting drug absorption (eg, prior bariatric surgery, gastrectomy, ileal resection). * Participants who have been vaccinated with COVID-19 vaccines within the past week of dosing * A positive urine drug test, for illicit drugs, at Screening * History of sensitivity reactions to ritonavir or any of the formulation components of PF-07321332 or ritonavir. * eGFR \<60 mL/min/1.73m2 based on the Chronic Kidney Disease-Epidemiology Collaboration (CKD-EPI) equation * Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) level ≥ upper limit of normal (ULN) (for healthy participants); AST or ALT \> 5x ULN (for hepatic impairment participants) * Albumin \> ULN (for healthy participants); * Prothrombin time \> ULN (for healthy participants); * Total bilirubin level ≥1.5 × ULN \[NOTE: Participants with a history of Gilbert syndrome (and hence elevated total bilirubin) are eligible provided direct bilirubin level is ≤ ULN).

Design outcomes

Primary

MeasureTime frameDescription
Maximum Observed Plasma Concentration (Cmax) of Plasma PF-07321332Day 1 at 0 (pre-dose for PF-07321332), 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours, Day 2 at 24 and 36 hours, and Day 3 at 48 hoursCmax was the maximum observed plasma concentration and was directly observed from data. Concentration values below the lower limit of quantification (LLQ) were set to zero. Geometric mean analysis was on the log scale. Zero values were not included in geometric mean and geometric coefficient of variation calculation. The geometric coefficient of variation was expressed in percentage.
Area Under the Plasma Concentration-Time Profile From Time Zero to Time of the Last Quantifiable Concentration (AUClast) of Plasma PF-07321332Day 1 at 0 (pre-dose for PF-07321332), 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours, Day 2 at 24 and 36 hours, and Day 3 at 48 hoursAUClast was area under the plasma concentration time-curve from zero (pre-dose) to the last measured concentration. The geometric coefficient of variation was expressed in percentage.
Area Under the Plasma Concentration-Time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) of Plasma PF-07321332Day 1 at 0 (pre-dose for PF-07321332), 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours, Day 2 at 24 and 36 hours, and Day 3 at 48 hoursAUCinf was defined as area under the plasma concentration-time curve from time zero to infinity. The geometric coefficient of variation was expressed in percentage.

Secondary

MeasureTime frameDescription
Number of Participants With an Treatment Emergent Adverse Event (TEAE)Up to 2 monthsAn AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Treatment-emergent adverse event (TEAE) means event between first dose of study treatment and up to 30 days after last dose that were absent before treatment or that worsened relative to pretreatment state. An SAE was an AE resulting in any of death; inpatient hospitalization; life-threatening experience; disability; congenital anomaly or deemed significant for any other reason.
Number of Participants With Abnormal Laboratory Assessments (Without Regard to Baseline Abnormality)Up to 2 monthsFollowing laboratory parameters were assessed against pre-defined abnormality criteria: hematology; clinical chemistry; urinalysis.
Number of Participants With Abnormal Electrocardiograms (ECGs)Up to 2 monthsECG categorical summarization criteria: 1. PR interval (the interval between the start of the P wave and the start of the QRS complex, corresponding to the time between the onset of the atrial depolarization and onset of ventricular depolarization): a) greater than or equal to (\>=) 300 millisecond (msec), b) \>=25% increase when baseline is \> 200 msec or \>=50% increase when baseline is less than or equal to (\<=) 200 msec. 2\. QRS duration (time from ECG Q wave to the end of the S wave corresponding to ventricle depolarization): a) \>=140 msec, b) \>=50% increase from baseline. 3\. QTcF interval (QT corrected using the Fridericia formula): a) \>450 msec and \<=480 msec, b) \>480 msec and \<=500 msec, c) \>500 msec, d) \>30 msec and \<=60 msec increase from baseline, e) \>60 msec increase from baseline.
Number of Participants With Abnormal Vital SignsUp to 2 monthsCriteria for vital signs abnormalities: increase or decrease from baseline in systolic blood pressure (SBP) \>=30 mm Hg and increase or decrease from baseline in diastolic blood pressure (DBP) \>=20 mm Hg; the value of SBP \<90 mm Hg; the value of DBP \<50 mm Hg; the value of pulse rate \<40 bpm or \>120 bpm.

Countries

United States

Participant flow

Pre-assignment details

Seventeen participants were assigned to treatment. One participant in the moderate hepatic impairment group was excluded from the safety and pharmacokinetic (PK) analysis set as this participant was randomized but was discontinued on Day 1 prior to dosing with study treatment PF-07321332. All 16 treated participants included 8 participants without hepatic impairment (Cohort 1) and 8 participants with moderate hepatic impairment (Cohort 2) completed the study.,

Participants by arm

ArmCount
Normal Hepatic Function
Participants with normal hepatic function and matched, by average age, weight, and gender as much as practically possible with participants with moderate hepatic impairment. Participants received single 100 mg dose of PF-07321332 administered orally in combination with the PK boosting agent ritonavir administered as a 100 mg dose at -12, 0, 12, and 24 hours relative to PF-07321332 dosing.
8
Moderate Hepatic Impairment
Moderate Hepatic Impairment: Participants with moderate hepatic impairment (grade B) with a Child-Pugh Score of 7-9. The CP classification assesses 5 hepatic parameters (serum total bilirubin, serum albumin, prothrombin time prolongation, ascites, and encephalopathy grade) on a scale of 1 to 3 (most severe derangement). Total moderate hepatic impairment score range is 7 to 9. Participants received single 100 mg dose of PF-07321332 administered orally in combination with the PK boosting agent ritonavir administered as a 100 mg dose at -12, 0, 12, and 24 hours relative to PF-07321332 dosing.
8
Total16

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyEnrolled, but not treated01

Baseline characteristics

CharacteristicModerate Hepatic ImpairmentTotalNormal Hepatic Function
Age, Continuous56.1 Years
STANDARD_DEVIATION 9.33
54.4 Years
STANDARD_DEVIATION 7.83
52.8 Years
STANDARD_DEVIATION 6.16
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants6 Participants2 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants10 Participants6 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Black or African American
1 Participants3 Participants2 Participants
Race/Ethnicity, Customized
White
7 Participants13 Participants6 Participants
Sex: Female, Male
Female
1 Participants2 Participants1 Participants
Sex: Female, Male
Male
7 Participants14 Participants7 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 80 / 8
other
Total, other adverse events
3 / 84 / 8
serious
Total, serious adverse events
0 / 80 / 8

Outcome results

Primary

Area Under the Plasma Concentration-Time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) of Plasma PF-07321332

AUCinf was defined as area under the plasma concentration-time curve from time zero to infinity. The geometric coefficient of variation was expressed in percentage.

Time frame: Day 1 at 0 (pre-dose for PF-07321332), 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours, Day 2 at 24 and 36 hours, and Day 3 at 48 hours

Population: The PK parameter analysis population was defined as all participants assigned to investigational product and treated who had at least 1 of the PK parameters of primary interest measured.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Normal Hepatic FunctionArea Under the Plasma Concentration-Time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) of Plasma PF-0732133215.24 ug*hr/mLGeometric Coefficient of Variation 36
Moderate Hepatic ImpairmentArea Under the Plasma Concentration-Time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) of Plasma PF-0732133215.06 ug*hr/mLGeometric Coefficient of Variation 43
90% CI: [70.65, 138.12]ANOVA
Primary

Area Under the Plasma Concentration-Time Profile From Time Zero to Time of the Last Quantifiable Concentration (AUClast) of Plasma PF-07321332

AUClast was area under the plasma concentration time-curve from zero (pre-dose) to the last measured concentration. The geometric coefficient of variation was expressed in percentage.

Time frame: Day 1 at 0 (pre-dose for PF-07321332), 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours, Day 2 at 24 and 36 hours, and Day 3 at 48 hours

Population: The PK parameter analysis population was defined as all participants assigned to investigational product and treated who had at least 1 of the PK parameters of primary interest measured.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Normal Hepatic FunctionArea Under the Plasma Concentration-Time Profile From Time Zero to Time of the Last Quantifiable Concentration (AUClast) of Plasma PF-0732133214.97 micrograms/milliliter/hour (ug*hr/mL)Geometric Coefficient of Variation 36
Moderate Hepatic ImpairmentArea Under the Plasma Concentration-Time Profile From Time Zero to Time of the Last Quantifiable Concentration (AUClast) of Plasma PF-0732133214.86 micrograms/milliliter/hour (ug*hr/mL)Geometric Coefficient of Variation 43
90% CI: [70.81, 139.21]ANOVA
Primary

Maximum Observed Plasma Concentration (Cmax) of Plasma PF-07321332

Cmax was the maximum observed plasma concentration and was directly observed from data. Concentration values below the lower limit of quantification (LLQ) were set to zero. Geometric mean analysis was on the log scale. Zero values were not included in geometric mean and geometric coefficient of variation calculation. The geometric coefficient of variation was expressed in percentage.

Time frame: Day 1 at 0 (pre-dose for PF-07321332), 0.5, 1, 2, 3, 4, 6, 8, 10, and 12 hours, Day 2 at 24 and 36 hours, and Day 3 at 48 hours

Population: The PK parameter analysis population was defined as all participants assigned to investigational product and treated who had at least 1 of the PK parameters of primary interest measured.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Normal Hepatic FunctionMaximum Observed Plasma Concentration (Cmax) of Plasma PF-073213321.886 micrograms per milliliter (ug/mL)Geometric Coefficient of Variation 20
Moderate Hepatic ImpairmentMaximum Observed Plasma Concentration (Cmax) of Plasma PF-073213321.923 micrograms per milliliter (ug/mL)Geometric Coefficient of Variation 48
90% CI: [74.2, 140.11]ANOVA
Secondary

Number of Participants With Abnormal Electrocardiograms (ECGs)

ECG categorical summarization criteria: 1. PR interval (the interval between the start of the P wave and the start of the QRS complex, corresponding to the time between the onset of the atrial depolarization and onset of ventricular depolarization): a) greater than or equal to (\>=) 300 millisecond (msec), b) \>=25% increase when baseline is \> 200 msec or \>=50% increase when baseline is less than or equal to (\<=) 200 msec. 2\. QRS duration (time from ECG Q wave to the end of the S wave corresponding to ventricle depolarization): a) \>=140 msec, b) \>=50% increase from baseline. 3\. QTcF interval (QT corrected using the Fridericia formula): a) \>450 msec and \<=480 msec, b) \>480 msec and \<=500 msec, c) \>500 msec, d) \>30 msec and \<=60 msec increase from baseline, e) \>60 msec increase from baseline.

Time frame: Up to 2 months

Population: Population analysis set included all participants randomly assigned to study intervention and who took at least 1 dose of study intervention.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Normal Hepatic FunctionNumber of Participants With Abnormal Electrocardiograms (ECGs)QT INTERVAL NOT OTHERWISE SPECIFIED (MSEC): Value > 5000 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Electrocardiograms (ECGs)QTC INTERVAL NOT OTHERWISE SPECIFIED (MSEC): 30 < Change ≤ 600 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Electrocardiograms (ECGs)PR INTERVAL NOT OTHERWISE SPECIFIED (MSEC): %Change ≥ 25/50%0 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Electrocardiograms (ECGs)QTC INTERVAL NOT OTHERWISE SPECIFIED (MSEC): Change > 600 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Electrocardiograms (ECGs)QTC INTERVAL NOT OTHERWISE SPECIFIED (MSEC): 450 < Value ≤ 4800 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Electrocardiograms (ECGs)QTCF - FRIDERICIA'S CORRECTION FORMULA NOT OTHERWISE SPECIFIED (MSEC): 450 < Value ≤ 4800 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Electrocardiograms (ECGs)QRS INTERVAL NOT OTHERWISE SPECIFIED (MSEC): %Change ≥ 50%0 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Electrocardiograms (ECGs)QTCF - FRIDERICIA'S CORRECTION FORMULA NOT OTHERWISE SPECIFIED (MSEC): 480 < Value ≤ 5000 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Electrocardiograms (ECGs)QTC INTERVAL NOT OTHERWISE SPECIFIED (MSEC): 480 < Value ≤ 5000 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Electrocardiograms (ECGs)QTCF - FRIDERICIA'S CORRECTION FORMULA NOT OTHERWISE SPECIFIED (MSEC): Value > 5000 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Electrocardiograms (ECGs)QRS INTERVAL NOT OTHERWISE SPECIFIED (MSEC): Value ≥ 1400 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Electrocardiograms (ECGs)QTCF - FRIDERICIA'S CORRECTION FORMULA NOT OTHERWISE SPECIFIED (MSEC): 30 < Change ≤ 600 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Electrocardiograms (ECGs)QTC INTERVAL NOT OTHERWISE SPECIFIED (MSEC): Value > 5000 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Electrocardiograms (ECGs)QTCF - FRIDERICIA'S CORRECTION FORMULA NOT OTHERWISE SPECIFIED (MSEC): Change > 600 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Electrocardiograms (ECGs)PR INTERVAL NOT OTHERWISE SPECIFIED (MSEC): Value ≥ 3000 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Electrocardiograms (ECGs)QTCF - FRIDERICIA'S CORRECTION FORMULA NOT OTHERWISE SPECIFIED (MSEC): Change > 600 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Electrocardiograms (ECGs)PR INTERVAL NOT OTHERWISE SPECIFIED (MSEC): Value ≥ 3000 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Electrocardiograms (ECGs)PR INTERVAL NOT OTHERWISE SPECIFIED (MSEC): %Change ≥ 25/50%0 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Electrocardiograms (ECGs)QRS INTERVAL NOT OTHERWISE SPECIFIED (MSEC): Value ≥ 1400 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Electrocardiograms (ECGs)QRS INTERVAL NOT OTHERWISE SPECIFIED (MSEC): %Change ≥ 50%0 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Electrocardiograms (ECGs)QT INTERVAL NOT OTHERWISE SPECIFIED (MSEC): Value > 5000 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Electrocardiograms (ECGs)QTC INTERVAL NOT OTHERWISE SPECIFIED (MSEC): 450 < Value ≤ 4800 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Electrocardiograms (ECGs)QTC INTERVAL NOT OTHERWISE SPECIFIED (MSEC): 480 < Value ≤ 5000 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Electrocardiograms (ECGs)QTC INTERVAL NOT OTHERWISE SPECIFIED (MSEC): Value > 5000 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Electrocardiograms (ECGs)QTC INTERVAL NOT OTHERWISE SPECIFIED (MSEC): 30 < Change ≤ 600 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Electrocardiograms (ECGs)QTC INTERVAL NOT OTHERWISE SPECIFIED (MSEC): Change > 600 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Electrocardiograms (ECGs)QTCF - FRIDERICIA'S CORRECTION FORMULA NOT OTHERWISE SPECIFIED (MSEC): 450 < Value ≤ 4800 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Electrocardiograms (ECGs)QTCF - FRIDERICIA'S CORRECTION FORMULA NOT OTHERWISE SPECIFIED (MSEC): 480 < Value ≤ 5000 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Electrocardiograms (ECGs)QTCF - FRIDERICIA'S CORRECTION FORMULA NOT OTHERWISE SPECIFIED (MSEC): Value > 5000 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Electrocardiograms (ECGs)QTCF - FRIDERICIA'S CORRECTION FORMULA NOT OTHERWISE SPECIFIED (MSEC): 30 < Change ≤ 600 Participants
Secondary

Number of Participants With Abnormal Laboratory Assessments (Without Regard to Baseline Abnormality)

Following laboratory parameters were assessed against pre-defined abnormality criteria: hematology; clinical chemistry; urinalysis.

Time frame: Up to 2 months

Population: Population analysis set included all participants randomly assigned to study intervention and who took at least 1 dose of study intervention.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Normal Hepatic FunctionNumber of Participants With Abnormal Laboratory Assessments (Without Regard to Baseline Abnormality)CLINICAL CHEMISTRY: Calcium (mg/dL) >1.1× ULN1 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Laboratory Assessments (Without Regard to Baseline Abnormality)CLINICAL CHEMISTRY: Glucose (mg/dL) >1.5× ULN0 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Laboratory Assessments (Without Regard to Baseline Abnormality)HEMATOLOGY: Eosinophils (10^3/mm^3) >1.2× upper limit of normal (ULN)1 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Laboratory Assessments (Without Regard to Baseline Abnormality)URINALYSIS: URINE Hemoglobin ≥11 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Laboratory Assessments (Without Regard to Baseline Abnormality)CLINICAL CHEMISTRY: Direct Bilirubin (mg/dL) >1.5× ULN0 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Laboratory Assessments (Without Regard to Baseline Abnormality)URINALYSIS: Urobilinogen ≥10 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Laboratory Assessments (Without Regard to Baseline Abnormality)HEMATOLOGY: Platelets (10^3/mm^3) <0.5× lower limit of normal (LLN)0 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Laboratory Assessments (Without Regard to Baseline Abnormality)URINALYSIS: Leukocyte Esterase ≥10 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Laboratory Assessments (Without Regard to Baseline Abnormality)CLINICAL CHEMISTRY: Aspartate Aminotransferase (U/L) >3.0× ULN0 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Laboratory Assessments (Without Regard to Baseline Abnormality)URINALYSIS: Urine Microscopic Exam ≥11 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Laboratory Assessments (Without Regard to Baseline Abnormality)HEMATOLOGY: Monocytes (10^3/mm^3) >1.2× ULN0 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Laboratory Assessments (Without Regard to Baseline Abnormality)URINALYSIS: Urine Microscopic Exam ≥10 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Laboratory Assessments (Without Regard to Baseline Abnormality)HEMATOLOGY: Platelets (10^3/mm^3) <0.5× lower limit of normal (LLN)1 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Laboratory Assessments (Without Regard to Baseline Abnormality)HEMATOLOGY: Eosinophils (10^3/mm^3) >1.2× upper limit of normal (ULN)2 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Laboratory Assessments (Without Regard to Baseline Abnormality)HEMATOLOGY: Monocytes (10^3/mm^3) >1.2× ULN1 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Laboratory Assessments (Without Regard to Baseline Abnormality)CLINICAL CHEMISTRY: Direct Bilirubin (mg/dL) >1.5× ULN1 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Laboratory Assessments (Without Regard to Baseline Abnormality)CLINICAL CHEMISTRY: Aspartate Aminotransferase (U/L) >3.0× ULN1 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Laboratory Assessments (Without Regard to Baseline Abnormality)CLINICAL CHEMISTRY: Glucose (mg/dL) >1.5× ULN1 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Laboratory Assessments (Without Regard to Baseline Abnormality)URINALYSIS: URINE Hemoglobin ≥10 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Laboratory Assessments (Without Regard to Baseline Abnormality)URINALYSIS: Urobilinogen ≥11 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Laboratory Assessments (Without Regard to Baseline Abnormality)URINALYSIS: Leukocyte Esterase ≥11 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Laboratory Assessments (Without Regard to Baseline Abnormality)CLINICAL CHEMISTRY: Calcium (mg/dL) >1.1× ULN0 Participants
Secondary

Number of Participants With Abnormal Vital Signs

Criteria for vital signs abnormalities: increase or decrease from baseline in systolic blood pressure (SBP) \>=30 mm Hg and increase or decrease from baseline in diastolic blood pressure (DBP) \>=20 mm Hg; the value of SBP \<90 mm Hg; the value of DBP \<50 mm Hg; the value of pulse rate \<40 bpm or \>120 bpm.

Time frame: Up to 2 months

Population: Population analysis set included all participants randomly assigned to study intervention and who took at least 1 dose of study intervention.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Normal Hepatic FunctionNumber of Participants With Abnormal Vital SignsDBP: Change >= 20 mmHg increase from baseline0 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Vital SignsSBP: Change >= 30 mmHg decrease from baseline0 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Vital SignsDBP: Change >= 20 mmHg decrease from baseline0 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Vital SignsSBP: Value <90mmHg0 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Vital SignsPulse Rate: Value <40 bpm0 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Vital SignsDBP: Value <50 mmHg0 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Vital SignsPulse Rate: Value >120 bpm0 Participants
Normal Hepatic FunctionNumber of Participants With Abnormal Vital SignsSBP: Change >= 30 mmHg increase from baseline0 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Vital SignsPulse Rate: Value >120 bpm0 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Vital SignsSBP: Value <90mmHg0 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Vital SignsSBP: Change >= 30 mmHg decrease from baseline0 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Vital SignsDBP: Value <50 mmHg0 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Vital SignsDBP: Change >= 20 mmHg increase from baseline0 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Vital SignsDBP: Change >= 20 mmHg decrease from baseline0 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Vital SignsPulse Rate: Value <40 bpm0 Participants
Moderate Hepatic ImpairmentNumber of Participants With Abnormal Vital SignsSBP: Change >= 30 mmHg increase from baseline1 Participants
Secondary

Number of Participants With an Treatment Emergent Adverse Event (TEAE)

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Treatment-emergent adverse event (TEAE) means event between first dose of study treatment and up to 30 days after last dose that were absent before treatment or that worsened relative to pretreatment state. An SAE was an AE resulting in any of death; inpatient hospitalization; life-threatening experience; disability; congenital anomaly or deemed significant for any other reason.

Time frame: Up to 2 months

Population: Population analysis set included all participants randomly assigned to study intervention and who took at least 1 dose of study intervention.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Normal Hepatic FunctionNumber of Participants With an Treatment Emergent Adverse Event (TEAE)Participants with adverse events (All Causalities)3 Participants
Normal Hepatic FunctionNumber of Participants With an Treatment Emergent Adverse Event (TEAE)Participants with adverse events (Treatment Related)0 Participants
Moderate Hepatic ImpairmentNumber of Participants With an Treatment Emergent Adverse Event (TEAE)Participants with adverse events (All Causalities)4 Participants
Moderate Hepatic ImpairmentNumber of Participants With an Treatment Emergent Adverse Event (TEAE)Participants with adverse events (Treatment Related)3 Participants

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