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Completed

NCT Number: NCT05283915

Study to Assess the Plasma Concentration of Tolebrutinib Given as a Tablet to Adult Participants With Mild Hepatic Impairment Compared to Participants With Normal Hepatic Function

The purpose of this parallel group, Phase 1, open-label, 2-arm, single dose, multi-center study is to assess the effect of mild hepatic impairment on pharmacokinetics (PK), safety and tolerability of tolebrutinib compared with normal hepatic function, in male and female participants aged 18 to 79 years.

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Key information

Age range

18 year–79 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Clinical Pharmacology of Miami Site Number : 8400002, Miami, Florida, United States

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About this study

The total duration of the study per participant is up to 41 days including:

  • A screening period of up to 4 weeks (Days -28 to -2)
  • A 5-day, open-label treatment period
  • Up to 7 days post-treatment follow-up period

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

For participants with mild hepatic impairment

  • Stable chronic liver disease assessed by medical history, physical examination, and laboratory values
  • Child-Pugh total score ranging from 5 to 6, inclusive.
  • Laboratory parameters within the acceptable range for participants with hepatic impairment; however, estimated glomerular filtration rate (eGFR) should be above or equal to 60 mL/min

For all participants

  • Body weight between 50.0 and 115.0 kg, inclusive, if male, between 40.0 and 100 kg, inclusive, if female, and body mass index (BMI) within the range 18 to 40 kg/m2, inclusive, at screening.
  • Participant with platelet count ≥150 000/μL at the screening visit and at Day -1

Exclusion criteria

For all participants :

  • Symptomatic postural hypotension, whatever the decrease in blood pressure, or asymptomatic postural hypotension defined as a decrease in systolic blood pressure ≥30 mmHg within 3 minutes when changing from supine to standing position at screening and Day -1
  • Frequent headaches and/or migraine, recurrent nausea and/or vomiting (for vomiting only: more than twice a month).
  • History of drug or alcohol abuse within 1 year before inclusion.
  • Smoking regularly more than 15 cigarettes or equivalent per day, unable to refrain from smoking over 8 cigarettes per day during the institutionalization.
  • Any consumption of citrus fruits (grapefruit, orange, etc) or their juices within 72 hours before inclusion.
  • Use of any herbal medicines 2 weeks before IMP administration
  • Treatment with a strong or moderate CYP3A inhibitors, a strong, moderate or mild CYP2C8 inhibitors OR CYP3A, CYP2C8 inducers within 14 days before the study treatment administration or 5 half-lives, whichever is longer

Specific for participants with mild hepatic impairment:

  • Uncontrolled clinically relevant cardiovascular, pulmonary, gastrointestinal, metabolic, hematological, neurological, psychiatric, systemic, ocular, gynecologic, renal, infectious disease, moderate or severe hepatic impairment (Child-Pugh total score greater than or equal to 7), or signs of acute illness.
  • Hepatocarcinoma.
  • Acute liver disease.
  • Hepatic encephalopathy Grade 2, 3, and 4.
  • Esophageal bleeding which is caused by esophageal varices within 3 months before inclusion.

NOTE: Other Inclusion/Exclusion criteria may apply. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial

Treatment and study plan

Tolebrutinib

Drug

Pharmaceutical form: Film-coated tablet Route of administration: oral

Primary outcomes

  1. Assessment of PK parameters Tolebrutinib: AUC

    Time frame: From Day 1 to Day 4

    Area under the plasma concentration (AUC) versus time curve extrapolated to infinity

  2. Assessment of PK parameters M2: AUC

    Time frame: From Day 1 to Day 4

Secondary outcomes

  1. Assessment of PK parameters Tolebrutinib: Cmax

    Time frame: From Day 1 to Day 4

    Maximum plasma concentration observed (Cmax)

  2. Assessment of PK parameters M2: Cmax

    Time frame: From Day 1 to Day 4

  3. Assessment of PK parameters Tolebrutinib: AUClast

    Time frame: From Day 1 to Day 4

    Area under the serum concentration versus time curve calculated using the trapezoidal method from time zero to the real time Tlast

  4. Assessment of PK parameters M2: AUClast

    Time frame: From Day 1 to Day 4

  5. Number of participants with treatment-emergent adverse events (TEAEs)

    Time frame: From Day 1 to Day 8

Sponsors and collaborators

Lead sponsor

Sanofi

Industry

Registry information

Official study title

An Open-label Phase 1, Pharmacokinetic and Tolerability Study of Tolebrutinib Given as a Single Dose in Adult Participants With Mild Hepatic Impairment, and in Matched Participants With Normal Hepatic Function

Important dates

Study start
2022
Primary completion
2022
Study completion
2022
First posted
Mar 17, 2022
Registry last updated
Jan 15, 2025

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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