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OpenTrials
Completed

NCT Number: NCT03341884

A Study of Ipatasertib in Participants With Mild, Moderate or Severe Hepatic Impairment Compared to Healthy Participants

This is a Phase 1 study evaluating the pharmacokinetics, tolerability and safety of a single dose of ipatasertib in participants with mild, moderate or severe hepatic impairment compared to healthy participants.

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Key information

Age range

18 year–74 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Clinical Pharmacology of Miami, Inc., Miami, Florida, United States

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Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • In good health (except for specific inclusion criteria related to hepatic impairment), as determined by the Investigator, based on no clinically significant findings from medical history, physical examination, 12-lead electrocardiogram, and vital signs
  • Females will not be pregnant or breastfeeding, and must be either postmenopausal or agree to use a study-approved method of contraception from the time of signing the informed consent until 30 days after discharge
  • Males will either be sterile or agree to use male condom with spermicide from check-in (Day -1) until 90 days following the dose of study drug

Additional Inclusion Criteria for Healthy Subjects Only:

  • Liver enzyme tests must be less than or equal to the upper limits of normal

Additional Exclusion Criteria for Hepatic Impaired Subjects Only:

  • Hepatic impairment must have a Child-Pugh score of 5 to 6 (mild), 7 to 9 (moderate), or 10 to 15 (severe) and have stable hepatic insufficiency within 1 month prior to Screening

Exclusion criteria

  • History of ulcerative colitis or stomach or intestinal surgery or resection
  • History of unstable diabetes mellitus
  • History of alcoholism or drug addiction within 1 year prior to Check-in (Day -1)
  • Use of oral, implantable, transdermal, or injectable contraceptives from the time of signing the informed consent (females only) or 10 days prior to Check-in through 45 days after the dose administration
  • Poor peripheral venous access
  • Receipt of blood products within 2 months prior to check-in

Additional Exclusion Criteria for Healthy Subjects Only:

  • Use of any tobacco- or nicotine-containing products within 6 months prior to check-in and during the entire study
  • Significant history or clinical manifestation of any metabolic, allergic, dermatological, hepatic, renal, hematological, pulmonary, cardiovascular, gastrointestinal, neurological, or psychiatric disorder

Additional Exclusion Criteria for Hepatic Impaired Subjects Only:

  • Any evidence of progressive liver disease that has worsened or is worsening within 1 month prior to the screening visit
  • Participant has shown evidence of hepatorenal syndrome
  • Ascites requiring paracentesis
  • Participant has required treatment for GI bleeding within 12 months prior to Check-in
  • Participant has required additional medication for hepatic encephalopathy within the 12 months (6 months for severe hepatic impairment) prior to check-in
  • Total bilirubin levels >6 mg/dL

Treatment and study plan

Ipatasertib

Drug

A single oral dose of 100 mg ipatasertib will be administered.

Other names: GDC-0068

Primary outcomes

  1. Area Under the Plasma Concentration-Time Curve (AUC) from 0 to Infinity (AUC0-inf) of Ipatasertib

    Time frame: up to Day 15

    AUC0-inf is defined as AUC extrapolated from Hour 0 to infinity of ipatasertib in the plasma.

  2. Maximum Observed Plasma Concentration (Cmax) of Ipatasertib

    Time frame: up to Day 15

    Maximum observed concentration of ipatasertib as determined by measuring drug concentration in blood samples over time.

Secondary outcomes

  1. Percentage of Participants with Treatment-Emergent Adverse Events (AE)

    Time frame: up to Day 15

    An AE is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events.

  2. Time to Reach Maximum Observed Concentration (tmax) of Ipatasertib

    Time frame: up to Day 15

    Time from dose administration to observed maximum serum concentration for ipatasertib as determined by measuring drug concentration in blood samples over time.

  3. AUC from 0 to last measurable concentration (AUC0-t)

    Time frame: up to Day 15

    Area under the plasma concentration-time curve from Hour 0 to the last measurable concentration of ipatasertib.

  4. Half-life (t1/2) of Ipatasertib

    Time frame: up to Day 15

    Half-life of ipatasertib is the time elapsed for the drug concentration to decrease by half as determined by measuring drug concentration in blood samples over time.

  5. Apparent Plasma Clearance (CL/F) of Ipatasertib

    Time frame: Up to Day 15

    Apparent clearance (CL/F) of ipatasertib, where CL is clearance and F is bioavailability (relative amount of extravascularly-administered drug that reaches systemic circulation unchanged). Determined by measuring drug concentration in blood samples over time.

  6. Apparent Volume of Distribution (V/F) of Ipatasertib

    Time frame: up to Day 15

    Apparent volume of distribution (V/F) during the terminal phase of ipatasertib.

Sponsors and collaborators

Lead sponsor

Genentech, Inc.

Industry

Registry information

Official study title

A Phase 1, Open-Label, Single-Dose Study to Evaluate the Pharmacokinetics and Safety of Ipatasertib in Subjects With Mild, Moderate or Severe Hepatic Impairment Compared to Healthy Subjects

Important dates

Study start
2017
Primary completion
2018
Study completion
2018
First posted
Nov 14, 2017
Registry last updated
Nov 18, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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