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Completed

NCT Number: NCT03687554

Effect of Venglustat in Patients With Renal Impairment

Primary Objective:

To study the effect of mild, moderate and severe renal impairment on the pharmacokinetics (PK) of Venglustat following a single dose.

Secondary Objective:

To assess the tolerability of Venglustat given as a single dose in subjects with mild, moderate and severe renal impairment in comparison with matched subjects with normal renal function.

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Key information

About this study

Approximately 41 days, including a 21-day screening period, a 1-day treatment period, followed by a 9-day period of plasma sampling for assessment of primary endpoints.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

For all Subjects:

  • Male and/or female subjects, between 18 and 79 years of age, inclusive.
  • Body weight between 50.0 and 115.0 kg, inclusive, if male, and between 40.0 and 100.0 kg, inclusive, if female, body mass index between 18.0 and 34.9 kg/m2, inclusive
  • Normal electrocardiogram (ECG)
  • Having given written informed consent prior to undertaking any study-related procedure
  • Not under any administrative or legal supervision
  • Male subject, whose partners are of childbearing potential (including lactating women), must accept to use, during sexual intercourse, a double contraception method according to the following algorithm: (condom) plus (spermicide or intra-uterine device or hormonal contraceptive) from the inclusion up to 4 months after the last dosing
  • Male subject, whose partners are pregnant, must use, during sexual intercourse, a condom from the inclusion up to 4 months after the last dosing
  • Male subject has agreed not to donate sperm from the inclusion up to 4 months after the last dosing
  • Female subject must use a double contraception method including a highly effective method of birth control from at least 30 days prior to the inclusion to 30 days after the last IMP administration, except if she has undergone sterilization (documented) at least 3 months earlier or is postmenopausal

Specific for subjects with renal impairment:

  • Stable chronic renal impairment
  • Vital signs and laboratory parameters within acceptable range for subjects with renal impairment

Specific for matched healthy subjects:

  • Normal renal function
  • Certified as healthy by a comprehensive clinical assessment (detailed medical history and complete physical exam)
  • Normal vital signs and laboratory parameters

Exclusion criteria

  • Frequent headaches and/or migraine, recurrent nausea and/or vomiting (for vomiting only: more than twice a month)
  • Blood donation, any volume, within 2 months before inclusion
  • Symptomatic postural hypotension, irrespective of the decrease in blood pressure, or asymptomatic postural hypotension judged clinically relevant by the Investigator
  • Any significant change in chronic treatment medication within 14 days before inclusion
  • Any drug which could impact by any mechanism of action, the pharmacokinetics of the investigational medicinal product, including moderate and strong cytochrome P3A (CYP3A) inhibitors or inducers; any vaccination within the last 28 days and any biologics (antibody or its derivatives) given within 4 months before inclusion
  • Positive result on any of the following tests: hepatitis B surface (HBs Ag) antigen, anti-hepatitis C virus (anti-HCV) antibodies, anti-human immunodeficiency virus 1 and 2 antibodies (anti-HIV1 and anti HIV2 Ab)
  • Positive result on urine drug screen or plasma alcohol test
  • Active hepatitis, hepatic insufficiency
  • If female, pregnancy [defined as positive β-Human Chorionic Gonadotropin (β-HCG) blood test], breast-feeding

Specific for subjects with renal impairment:

  • Uncontrolled clinically relevant cardiovascular, pulmonary, gastrointestinal, metabolic, hematological, neurological, osteomuscular, articular, psychiatric, systemic, ocular, or infectious disease, or signs of acute illness
  • Acute renal failure (de novo or superimposed on preexisting chronic renal impairment), nephrotic syndrome
  • History of or current hematuria of urologic origin that limits the subject's participation in the study
  • Subjects requiring dialysis during the study

Specific for matched healthy controls:

  • Any history or presence of clinically relevant cardiovascular, pulmonary, gastrointestinal, hepatic, renal, metabolic, hematological, neurological, osteomuscular, articular, psychiatric, systemic, ocular, gynecologic (if female) or infectious disease, or signs of acute illness

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Treatment and study plan

Venglustat GZ/SAR402671

Drug

Pharmaceutical form: Hard Capsule Route of administration: Oral

Primary outcomes

  1. Assessment of pharmacokinetic (PK) parameters of Venglustat: Area under the curve (AUC)

    Time frame: Day 1 to Day 10

    Venglustat area under the plasma concentration versus time curve (AUC)

Secondary outcomes

  1. Venglustat plasma pharmacokinetic (PK) parameter: Cmax

    Time frame: Day 1

    Maximum plasma concentration observed (Cmax)

  2. Venglustat plasma pharmacokinetic (PK) parameter: AUClast

    Time frame: Day 1 to Day 10

    Area under the plasma concentration versus time curve calculated from time zero to the real time tlast (AUClast)

  3. Venglustat plasma pharmacokinetic (PK) parameter: unbound Cmax

    Time frame: Day 1 to Day 10

    Maximum plasma concentration observed of unbound drug (unbound Cmax)

  4. Venglustat plasma pharmacokinetic (PK) parameter: unbound AUC

    Time frame: Day 1 to Day 10

    Change in unbound Venglustat area under the plasma concentration versus time curve (unbound AUC)

  5. Venglustat plasma pharmacokinetic (PK) parameter: CL/F

    Time frame: Day 1 to Day 10

    Apparent total body clearance of Venglustat from plasma (CL/F)

  6. Venglustat plasma pharmacokinetic (PK) parameter: Vss/F

    Time frame: Day 1 to Day 10

    Apparent volume of distribution of Venglustat at steady state (Vss/F)

  7. Venglustat plasma pharmacokinetic (PK) parameter: fu

    Time frame: Day 1 to Day 10

    Fraction of unbound venglustat in plasma (fu)

  8. Venglustat plasma pharmacokinetic (PK) parameter: t1/2z

    Time frame: Day 1 to Day 10

    Terminal half-life associated with the terminal slope (t1/2z)

  9. Venglustat plasma pharmacokinetic (PK) parameter: t1/2eff

    Time frame: Day 1 to Day 10

    Effective half-life (t1/2eff)

  10. Venglustat urine pharmacokinetic (PK) parameter: Ae(0-24)

    Time frame: Day 1 and Day 2

    Cumulated amount excreted in urine from time 0 to time 24h after Venglustat administration

  11. Venglustat urine pharmacokinetic (PK) parameter: fe(0-24)

    Time frame: Day 1 and Day 2

    Fraction of dose excreted in urine from time 0 to time 24h after Venglustat administration

  12. Venglustat urine pharmacokinetic (PK) parameter: CLR(0-24)

    Time frame: Day 1 and Day 2

    Renal clearance of the drug determined in the 0-24h interval (CLR(0-24))

  13. Venglustat plasma pharmacokinetic (PK) parameter: Rac,pred

    Time frame: Day 1 to Day 10

    Predicted accumulation ratio (Rac,pred)

Sponsors and collaborators

Lead sponsor

Genzyme, a Sanofi Company

Industry

Registry information

Official study title

A Phase I, Single-Center, Open-label, Single Dose Pharmacokinetic and Tolerability Study of GZ402671 in Subjects With Mild, Moderate and Severe Renal Impairment, and in Matched Subjects With Normal Renal Function

Important dates

Study start
2018
Primary completion
2019
Study completion
2019
First posted
Sep 27, 2018
Registry last updated
Apr 25, 2022

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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