Kiel, Schleswig-Holstein, 24105, Germany
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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Notify MeKey information
Conditions
Age range
18 year–79 year
Sex eligibility
All sexes
Study type
Interventional
Phase
Phase 1
Primary location
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)
Drug0.5 mg riociguat as an immediate-release (IR) tablet
Primary outcomes
-
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)
-
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
-
t½
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
-
fu
Time frame: From 2 hours post-dose up to 24 hours post-dose
Fraction unbound for BAY 63-2521 and its metabolite M1
-
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
-
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
-
AUC/D
Time frame: Pre-dose up to 72 hours post-dose
AUC divided by dose for BAY 63-2521 and its metabolite M1
-
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
-
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
-
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
-
Cmax/D
Time frame: Pre-dose up to 72 hours post-dose
Cmax divided by dose for BAY 63-2521 and its metabolite M1
-
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
-
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
-
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
-
MRT
Time frame: Pre-dose up to 72 hours post-dose
Mean residence time for BAY 63-2521 and its metabolite M1
-
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
-
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
-
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
-
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
-
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
-
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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