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Completed

NCT Number: NCT04364464

Study on the Safety of BAY 63-2521, How it is Tolerated and the Way the Body Absorbs, Distributes and Gets Rid of the Study Drug Given as a Single Oral Dose of 1 mg Tablet in Participants With Renal Impairment and Healthy Participants Matched for Age-, Gender-, and Weight

BAY 63-2521 is intended to be used for a disease that affects the blood flow through the lungs. Renal impairment is a common condition in patients with this disease. The goal of the study is to learn more about the safety of BAY 63-2521, how it is tolerated and the way the body absorbs, distributes and gets rid of the study dug given as a single oral dose of 1 mg tablet in participants with renal impairment and healthy participants matched for age-, gender-, and weight

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Key information

Age range

18 year–79 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Kiel, Schleswig-Holstein, 24105, Germany

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 female white subjects with 18 to ≤79 years of age, BMI between 18 and 34 kg/m^2
  • Women without childbearing potential or with childbearing potential but only if the pregnancy test is negative and are under highly effective contraception

Inclusion criteria

for subjects with renal failure:

  • Stable renal disease, ie. a serum creatinine value determined at least 3 - 6 months before the pre-study visit was not allowed to vary by more than 20% from the serum creatinine value determined at the pre-study visit

Inclusion criteria

for healthy subjects:

  • Mean age and body weight not allowed to vary by more than +/- 10 years and +/- 10 kg from the subjects with renal impairment, respectively

Exclusion criteria

for all subjects:

  • Febrile illness within 1 week before the start of the study
  • Hypersensitivity to riociguat and / or to inactive constituents
  • Smoking

Exclusion criteria

for subjects with renal failure:

  • Resting heart rate in the awake subject below 45 BPM or above 90 BPM
  • Acute renal failure or nephritis
  • Any organ transplant
  • Diastolic blood pressure (DBP) >100 mmHg and / or systolic blood pressure (SBP) >180 mmHg
  • Hemoglobin <8 g/dL, Proteinuria >8 g/24 hours, Serum albumin <30 g/L, Platelet count <100 x 109/L
  • History of bleeding within the past 3 months
  • Diabetes mellitus with a fasting blood glucose >220 mg/dL or HbA1c >10%
  • Concomitant use of any medication except medications necessary for the treatment of the kidney disease or related complications
  • Concomitant use of phosphodiesterase-5 inhibitors, endothelin receptor antagonists (ERAs, eg bosentan), intravenous or inhalative prostacyclins, or nitrates
  • Concomitant use of potent CYP3A4 inhibitors

Exclusion criteria

for healthy subjects:

  • Conspicuous findings in medical history or pre-study examination
  • History of relevant diseases of vital organs, central nervous system, or other organs
  • SBP below 100 mmHg or above 145 mmHg and / or DBP above 95 mmHg
  • Regular daily consumption of more than 1 liter of usual beer or the equivalent quantity of approximately 40 g of alcohol in another form

Treatment and study plan

Riociguat (Adempas, BAY 63-2521)

Drug

0.5 mg riociguat as an immediate-release (IR) tablet

Primary outcomes

  1. AUC

    Time frame: Pre-dose up to 72 hours post-dose

    Area under the plasma concentration vs time curve from zero to infinity for total (bound and unbound) drug after single dose for BAY 63-2521 and its metabolite M1 (BAY 60-4552)

  2. Cmax

    Time frame: Pre-dose up to 72 hours post-dose

    Maximum total (bound and unbound) drug concentration in plasma after single dose administration for BAY 63-2521 and its metabolite M1

  3. Time frame: Pre-dose up to 72 hours post-dose

    Half-life associated with the terminal slope for BAY 63-2521 and its metabolite M1

  4. fu

    Time frame: From 2 hours post-dose up to 24 hours post-dose

    Fraction unbound for BAY 63-2521 and its metabolite M1

  5. AUCu

    Time frame: From 2 hours post-dose up to 24 hours post-dose

    AUC for unbound drug for BAY 63-2521 and its metabolite M1

  6. Cmax,u

    Time frame: From 2 hours post-dose up to 24 hours post-dose

    Cmax for unbound drug for BAY 63-2521 and its metabolite M1

Secondary outcomes

  1. AUC/D

    Time frame: Pre-dose up to 72 hours post-dose

    AUC divided by dose for BAY 63-2521 and its metabolite M1

  2. AUCnorm

    Time frame: Pre-dose up to 72 hours post-dose

    AUC divided by dose per kg body weight for BAY 63-2521 and its metabolite M1

  3. AUCu,norm

    Time frame: From 2 hours post-dose up to 24 hours post-dose

    AUCnorm for unbound drug for BAY 63-2521 and its metabolite M1

  4. AUC(0-tlast)

    Time frame: Pre-dose up to 72 hours post-dose

    AUC from time 0 to the last data point for BAY 63-2521 and its metabolite M1

  5. Cmax/D

    Time frame: Pre-dose up to 72 hours post-dose

    Cmax divided by dose for BAY 63-2521 and its metabolite M1

  6. Cmax,norm

    Time frame: Pre-dose up to 72 hours post-dose

    Cmax divided by dose per kg body weight for BAY 63-2521 and its metabolite M1

  7. Cmax,u,norm

    Time frame: From 2 hours post-dose up to 24 hours post-dose

    Cmax,norm for unbound drug for BAY 63-2521 and its metabolite M1

  8. tmax

    Time frame: Pre-dose up to 72 hours post-dose

    Time to reach Cmax (in case of two identical Cmax values, the first tmax was used) for BAY 63-2521 and its metabolite M1

  9. MRT

    Time frame: Pre-dose up to 72 hours post-dose

    Mean residence time for BAY 63-2521 and its metabolite M1

  10. CL/F

    Time frame: Pre-dose up to 72 hours post-dose

    Total body clearance of drug calculated after extravascular administration (eg apparent oral clearance) for BAY 63-2521 and its metabolite M1

  11. CLu/F

    Time frame: From 2 hours post-dose up to 24 hours post-dose

    CL/F for unbound drug for BAY 63-2521 and its metabolite M1

  12. Vz/F

    Time frame: Pre-dose up to 72 hours post-dose

    Apparent volume of distribution during terminal phase after extravascular administration for BAY 63-2521 and its metabolite M1

  13. AE,ur

    Time frame: From 24 hours prior to drug administration up to 72 hours post-dose

    Amount of (total) drug excreted in urine for BAY 63-2521 and its metabolite M1

  14. CLR

    Time frame: From 24 hours prior to drug administration up to 72 hours post-dose

    Renal body clearance of drug for BAY 63-2521 and its metabolite M1

  15. Number of participants with adverse events

    Time frame: Approximately 5 weeks

Sponsors and collaborators

Lead sponsor

Bayer

Industry

Registry information

Official study title

Investigation of Pharmacokinetics, Safety, and Tolerability of BAY 63-2521 in Male and Female Subjects With Renal Impairment and in Age- and Weight- Matched Healthy Subjects Following a Single Oral Dose of 1 mg BAY 63-2521 in a Single-center, Non-randomized, Non-controlled, Non-blinded, Observational Study With Group Stratification

Important dates

Study start
2010
Primary completion
2011
Study completion
2011
First posted
Apr 28, 2020
Registry last updated
Apr 28, 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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