Hepatic Impairment
Conditions
Brief summary
This is a phase 1, open-label, single-dose, parallel-cohort study to determine the pharmacokinetics (PK) of divarasib in healthy participants and participants with varying degrees of hepatic impairment, as defined by Child-Pugh classification.
Interventions
Divarasib will be administered as a single oral dose as specified for the respective cohort.
Sponsors
Study design
Eligibility
Inclusion criteria
Key Inclusion Criteria * Males or females of non-childbearing potential * Within body mass index (BMI) range of 18.0 to 45.0 kg/m2 Participants with Hepatic Impairment * Considered to have mild, moderate, or severe hepatic impairment by Child-Pugh Score classification and has been clinically stable for at least 1 month prior to Screening * Chronic (\>6 months), stable hepatic insufficiency with features of cirrhosis due to any etiology. Participants must also remain stable throughout the Screening period Key
Exclusion criteria
* Significant history or clinical manifestation of any metabolic, allergic, dermatological, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal (GI), neurological, or psychiatric disorder * History of significant hypersensitivity, intolerance, or allergy to any drug compound, food, or other substance, unless approved by the investigator Participants with Hepatic Impairment * Have a QTcF \>480 msec for males and \>490 msec for females at Screening or Check-in. If any parameter is out of range, the ECG may be repeated for confirmation * Any evidence of progressive liver disease that has worsened or is worsening, as determined by the investigator, within 1 month prior to Screening * Demonstrated evidence of hepatorenal syndrome * Ascites requiring paracentesis or other intervention up to 3 days prior to the study * Hepatic encephalopathy Grade 2 or above
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Plasma Concentration of Divarasib | Day 1 to Day 7 |
| Maximum Observed Concentration (Cmax) of Divarasib | Day 1 to Day 7 |
| Area Under the Concentration-time Curve from Hour 0 to the last measurable concentration (AUC0-t) of Divarasib | Day 1 to Day 7 |
| Area Under the Concentration-time Curve Extrapolated to Infinity (AUC0-inf) of Divarasib | Day 1 to Day 7 |
Secondary
| Measure | Time frame |
|---|---|
| Percentage of Participants With Adverse Events (AEs) | Up to Week 10 |
Countries
United States