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Completed

NCT Number: NCT04643795

Phase 1 Study to Evaluate the Pharmacokinetics, Safety, and Tolerability of Multiple Oral Doses of MGL-3196 in Subjects With Varying Degrees of Hepatic Impairment and Healthy Matched Control Subjects

The purpose of this study is to directly characterize the pharmacokinetic (PK) profiles of MGL-3196 and its major metabolite (MGL-3623) following administration of multiple oral doses (QD x 6 days) in subjects with varying degrees of hepatic impairment (HI) compared to healthy matched control subjects with normal hepatic function, including a subset of NASH subjects.

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Key information

Age range

18 year–85 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Madrigal Research Center, 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.

Inclusion criteria

  • Capable of understanding and willing and able to sign written informed consent
  • Male or female, between 18 and 85 years of age (inclusive)
  • BMI between 18 and 45 kg/m2 (inclusive)
  • In healthy subjects with normal hepatic function:
  • Considered by the Investigator to be healthy, based on medical and surgical history, physical examination including vital signs, 12-lead ECG, and laboratory test results
  • Match demographically with a subject in the hepatically impaired population according to gender, BMI (±20%), and age (±10 years)
  • In subjects with hepatic impairment:
  • Considered by the Investigator to be clinically stable with respect to underlying HI, based on medical and surgical history, physical examination including vital signs, 12-lead ECG, and laboratory test results
  • In subjects with NASH:
  • Confirmed diagnosis of NASH suggested by historical data, which include a previous liver biopsy within the last 5 years prior to randomization with evidence of NASH.
  • BMI ≥18 kg/m2

Exclusion criteria

  • Any clinically significant concomitant disease or condition (including treatment for such conditions) that, in the opinion of the Investigator, could either interfere with the study drug, pose an unacceptable risk to the subject, or compromise interpretation of study data
  • Gilbert's syndrome
  • Pre-existing condition interfering with normal gastrointestinal anatomy or motility, hepatic and/or renal function that could interfere with the absorption, metabolism, and/or excretion of study drug
  • eGFR <60 mL/min/1.73 m2 based on Modification of Diet in Renal Disease (MDRD) equation
  • Received an investigational drug or device from another study within 30 days (or 5 half-lives, whichever is longer) prior to study drug administration
  • In healthy subjects with normal hepatic function:
  • Systolic blood pressure outside the range of 90 to 150 mmHg, diastolic blood pressure outside the range of 40 to 95 mmHg or heart rate outside the range of 40 to 100 beats per minute (bpm)
  • History of regular alcohol consumption exceeding 7 drinks/week for females or 14 drinks/week for men (1 drink = 5 ounces of wine or 12 ounces of beer or 1.5 ounces of hard liquor) within 6 months prior to screening
  • In subjects with hepatic impairment:
  • Any non-hepatic acute or chronic condition (including, but not limited to, poorly controlled diabetes and encephalopathy Grade ≥3) that, in the opinion of the Investigator, would limit the subject's ability to complete and/or participate in the study
  • Acute exacerbation of HI or unstable hepatic function, as determined by the Investigator, 30 days prior to study drug administration
  • Has had a Transjugular Intrahepatic Portosystemic Shunt (TIPS) procedure performed

Treatment and study plan

MGL-3196

Drug

Once daily oral dose for 6 days

Primary outcomes

  1. Plasma pharmacokinetics - Cmax

    Time frame: 16 days

    Cmax after administration

  2. Plasma pharmacokinetics - Tmax

    Time frame: 16 days

    Tmax after administration

  3. Plasma pharmacokinetics - AUC (0-last)

    Time frame: 16 days

    AUC (0-last) after administration

  4. Plasma pharmacokinetics - t1/2

    Time frame: 16 days

    t1/2 after administration

  5. Effect on the incidence of adverse events

    Time frame: 16 days

Sponsors and collaborators

Lead sponsor

Madrigal Pharmaceuticals, Inc.

Industry

Registry information

Official study title

A Phase I, Open Label, Non-randomized Study to Evaluate the Pharmacokinetics, Safety, and Tolerability of Multiple Oral Doses of MGL-3196 in Subjects With Varying Degrees of Hepatic Impairment and Healthy Matched Control Subjects With Normal Hepatic Function

Important dates

Study start
2018
Primary completion
2021
Study completion
2021
First posted
Nov 25, 2020
Registry last updated
Oct 5, 2023

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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