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OpenTrials
Completed

NCT Number: NCT03681457

Evaluation of the Pharmacokinetics of Tropifexor in Subjects With Mild, Moderate, or Severe Hepatic Impairment Compared to Healthy Control Subjects

The primary purpose of this study is to evaluate the effect of hepatic impairment on the systemic exposure of tropifexor and to evaluate the safety of tropifexor in subjects with hepatic impairment. The results of this study will support treatment and dosing decisions for patients with varying degrees of hepatic impairment.

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Key information

Age range

18 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Novartis Investigative Site, Orlando, 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.

All subjects:

Inclusions Criteria:

  • Subjects must weight at least 50 kg, with a BMI within the range of 18 to 38 kg/m2
  • Must be willing to remain in the clinical research unit as required by the protocol

Exclusion criteria

  • Use of other study drugs at the time of enrollment, or within 5 half-lives of enrollment, or within 30 days, whichever is longer; or longer if required by local regulations
  • History of hypersensitivity to the study treatment or to drugs of similar chemical classes
  • Pregnant or nursing women
  • Women of child-bearing potential

Healthy Volunteers:

Inclusion criteria

  • In good health as determined by past medical history, physical examination, ECG, laboratory tests, and urinalysis at Screening.

Exclusion criteria

  • Liver disease or liver injury
  • Chronic infection with Hepatitis B or Hepatitis C
  • History or presence of impaired renal function

Hepatically Impaired Subjects:

Inclusion criteria

  • Hepatic impairment as defined by the Child-Pugh classification for severity of liver disease

Exclusion criteria

  • Severe complications of liver disease within the preceding 3 months
  • Emergency room visit or hospitalization due to liver disease within the preceding 3 months for mildly and moderately hepatically impaired subjects, and within the preceding 1 month for severely hepatically impaired subjects
  • Subject has received liver transplant at any time in the past and is on immunosuppressant therapy
  • Acute Hepatitis B or Hepatitis C infection

Other protocol-defined inclusion/exclusion criteria may apply.

Treatment and study plan

LJN452

Drug

Dose A single dose

Primary outcomes

  1. Cmax

    Time frame: Up to 8 days

    The maximum (peak) observed drug concentration after single dose administration (mass x volume-1)

  2. Tmax

    Time frame: Up to 8 days

    Time to reach the maximum (peak) plasma drug concentration after single dose administration (time)

  3. AUClast

    Time frame: Up to 8 days

    The area under the concentration-time curve from time zero to the time of the last quantifiable concentration sampling time (mass x time x volume-1)

  4. AUCinf

    Time frame: Up to 8 days

    The area under the concentration-time curve from time zero to infinity (mass x time x volume-1)

  5. T1/2

    Time frame: Up to 8 days

    The elimination half-life associated with the terminal slope of a semi-logarithmic concentration-time curve

  6. CL/F

    Time frame: Up to 8 days

    The apparent total body clearance of the drug from plasma (volume x time-1)

  7. Vz/F

    Time frame: Up to 8 days

    The apparent volume of distribution during the terminal phase

Secondary outcomes

  1. fu

    Time frame: Day 1

    Fraction of analyte unbound calculated in-vitro

  2. Cmax,u

    Time frame: Day 1

    The maximum (peak) observed plasma drug concentration after single dose administration (Cmax) of unbound drug (mass x time x volume-1), calculated as Cmax*fu

  3. AUClast,u

    Time frame: Day 1

    The area under the concentration-time curve from time zero to the last quantifiable concentration sampling time of unbound drug (mass x time x volume-1), calculated as AUClast*fu

  4. AUCinf,u

    Time frame: Day 1

    The area under the concentration-time curve from time zero to infinity of unbound drug (mass x time x volume-1), calculated as AUCinf*fu

  5. CL/F,u

    Time frame: Day 1

    The apparent total body clearance of drug from the plasma of unbound drug (volume x time-1), calculated as CL/F/fu

Sponsors and collaborators

Lead sponsor

Novartis Pharmaceuticals

Industry

Registry information

Official study title

A Phase 1, Open-label, Single-dose, Multi-center, Parallel Group Study to Evaluate the Pharmacokinetics of Tropifexor (LJN452) in Subjects With Mild, Moderate or Severe Hepatic Impairment Compared to Healthy Control Subjects

Important dates

Study start
2018
Primary completion
2019
Study completion
2019
First posted
Sep 24, 2018
Registry last updated
Dec 14, 2020

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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