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Completed

NCT Number: NCT03605277

Pharmacokinetics Study of Asciminib in Subjects With Impaired Renal Function Compared to Matched Healthy Volunteers

The purpose of this study is to characterize the pharmacokinetics (PK) and safety profile of asciminib following a single oral dose in adult subjects with renal impairment compared to a matched group of healthy subjects with normal renal function.

The results will determine whether or not a dose adjustment should be recommended when treating patients with asciminib who have impaired renal function.

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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, Sofia, Bulgaria

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Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Male or sterile / post-menopausal female
  • BMI between 18 and 36 kg/m2, body weight greater than or equal to 50 kg and no more than 120 kg
  • Adequate venous access for blood sampling
  • For healthy volunteers: subject must be matched to at least one renal impaired subject by age (+/- 10 years), body weight (+/- 20%) and gender
  • For renal impaired subjects: documented stable renal disease without evidence of progressive decline in renal function (stable renal disease is defined as no significant change, such as, stable aGFR < 90, for 12 weeks prior to study entry)

Exclusion criteria

  • women of child-bearing potential / pregnant / nursing
  • contraindication or hypersensitivity to any drug or metabolites from similar class as asciminib or to any excipients of the study drug
  • cardiac or cardiac repolarization abnormality
  • history of psychiatric illness within the past 2 years
  • history of acute or chronic pancreatitis
  • subject on dialysis
  • smokers (use of tobacco products in the previous 3 months) and not willing to abstain from using tobacco during the study
  • any surgical or medical condition altering the absorption, distribution, metabolism or excretion of drug
  • history of immunodeficiency diseases, including a positive Human Immunodeficiency Virus (HIV) test result at screening
  • chronic infection with Hepatitis B virus (HBV) or Hepatitis C virus (HCV) at screening
  • donation or loss of 400 mL or more of blood or plasma within 8 weeks prior to dosing or other amount considered to compromise the health of the subject if previous history of anemia exists
  • use of the following drugs within 28 days prior to dosing: drugs that prolong the QT interval; CYP3A4 inhibitors and inducers; BCRP, UGT and PgP inhibitors and inducers

Other protocol-defined inclusion/exclusion criteria may apply

Treatment and study plan

Asciminib

Drug

40 mg single dose

Other names: ABL001

Primary outcomes

  1. Pharmacokinetics: Plasma concentration of asciminib by AUClast

    Time frame: pre-dose (0 hour) and at 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48 and 72 hours post-dose

    The AUC from time zero to the last measurable concentration sampling time (tlast) (ng*h/mL)

  2. Pharmacokinetics: Plasma concentration of asciminib by AUCinf

    Time frame: pre-dose (0 hour) and at 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48 and 72 hours post-dose

    The AUC from time zero to infinity (ng*h/mL)

  3. Pharmacokinetics: Plasma concentration of asciminib by Cmax

    Time frame: pre-dose (0 hour) and at 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48 and 72 hours post-dose

    The maximum (peak) observed plasma, blood, serum, or other body fluid drug concentration after single dose administration (ng/mL)

  4. Pharmacokinetics: Clearance of asciminib from plasma by CL/F

    Time frame: pre-dose (0 hour) and at 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48 and 72 hours post-dose

    The total body clearance of drug from the plasma (L/h)

Secondary outcomes

  1. Asciminib PK parameters unbound AUClast (AUClast)u and unbound AUCinf (AUCinf)u based on unbound fraction in plasma

    Time frame: pre-dose (0 hour) and at 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48 and 72 hours post-dose

    including but not limited to: (AUClast)u: area under the unbound plasma concentration-time curve calculated to the last quantifiable concentration point (ng*h/mL)),

    • (AUCinf)u: unbound plasma concentration-time curve extrapolated to infinity. It is calculated as AUCinf ,u= AUClast ,u+ Clast,u/Lambda_z. (ng*h/mL)
  2. Asciminib PK parameters unbound Cmax (Cmax)u based on unbound fraction in plasma

    Time frame: pre-dose (0 hour) and at 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48 and 72 hours post-dose

    The observed maximum unbound plasma concentration following administration (ng/mL)

  3. Asciminib secondary PK parameters Tmax, T1/2

    Time frame: pre-dose (0 hour) and at 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48 and 72 hours post-dose

    including but not limited to:

    • Tmax: the time to reach maximum (peak) plasma, blood, serum, or other body fluid drug concentration after single dose administration (h)
    • T1/2: the elimination half-life associated with the terminal slope (lz) of a semi logarithmic concentration-time curve (h).
  4. Asciminib secondary PK parameter AUC0-72h

    Time frame: pre-dose (0 hour) and at 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48 and 72 hours post-dose

    The area under the unbound plasma concentration-time curve from time zero to 72 h post-dosing (ng*h/mL)

  5. Asciminib secondary PK parameters Vz/F

    Time frame: pre-dose (0 hour) and at 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48 and 72 hours post-dose

    apparent unbound drug volume of distribution during the terminal elimination phase following extravascular administration

  6. Percentage of participants with plasma protein binding as expressed by unbound fraction in plasma

    Time frame: 2 hours post-dose

    asciminib plasma protein binding in subjects with impaired renal function and subjects with normal renal function

Sponsors and collaborators

Lead sponsor

Novartis Pharmaceuticals

Industry

Registry information

Official study title

A Phase I, Open-label and Single-dose Study to Evaluate the Pharmacokinetics and Safety of a Single 40 mg Oral Dose of ABL001 (Asciminib) in Subjects With Impaired Renal Function Compared to Matched Control Subjects With Normal Renal Function

Important dates

Study start
2018
Primary completion
2019
Study completion
2019
First posted
Jul 30, 2018
Registry last updated
Oct 12, 2021

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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