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HealthyPhase 1NCT02171832

Single Dose of BI 1744 CL in Patients With Mild and Moderate Hepatic Impairment Compared to Subjects With Normal Hepatic Function

A Phase 1 study testing BI 1744 CL, low dose and BI 1744 CL, high dose in people with Healthy and Liver Diseases, run by Boehringer Ingelheim.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The main objective of this study was to investigate the influence of mild and moderate liver impairment on the pharmacokinetics, safety and selected pharmacodynamic parameters of BI 1744 CL in comparison to a control group with normal hepatic function after single orally inhaled administration of BI 1744 CL with the… Read more about this study

Who is it for?
Ages 21 to 75 yearsHealthy volunteers can take part
Conditions the study is for
Healthy, Liver Diseases
What is being tested?
BI 1744 CL, low dose and BI 1744 CL, high dose
Could I receive a placebo?
No, everyone receives an active treatment
How many people
32 participants
Where
No sites listed yet
Study dates
Jul 2009to Dec 2009
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 to 75 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Healthy subjects:
  • Healthy males and females according to the following criteria: Based upon a complete medical history, including the physical examination, vital signs (BP, PR), 12-lead ECG, clinical laboratory tests. The healthy subjects must meet the matching criteria based on the matching approach
  • Age >21 and <75 years
  • Body Mass Index (BMI) >18.5 and <32 kg/m2
  • Creatinine clearance >70 mL/min according to Cockcroft \& Gault
  • Signed and dated written informed consent prior to admission to the study in accordance with Good Clinical Practice (GCP) and the local legislation
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  • Hepatically impaired subjects:
  • Hepatically male and female impaired subjects determined by results of screening classified as
  • Group 1 (Child-Pugh A; Child-Pugh score of 5-6 points) and as
  • Group 2 (Child-Pugh B; Child-Pugh score of 7-9 points)
  • Age >21 and <75 years
  • BMI >18.5 and <34 kg/m2
  • Creatinine clearance >40 mL/min according to Cockcroft \& Gault (for hepatically impaired patients)
  • Signed and dated written informed consent prior to admission to the study in accordance with GCP and the local legislation

Who cannot join

  • Healthy subjects who meet any of the following criteria will not be entered into this trial:
  • Any finding of the medical examination (including BP [>140 mmHg systolic and or >95 mmHg diastolic], PR and ECG) deviating from normal and of clinical relevance
  • Any evidence of a clinically relevant concomitant disease
  • Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders
  • Relevant gastrointestinal tract surgery (except appendectomy, herniotomy)
  • Diseases of the central nervous system (such as epilepsy, seizures) or psychiatric disorders or neurological disorders
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  • History of relevant orthostatic hypotension, fainting spells or blackouts
  • Chronic or relevant acute infections (e.g. including Hepatitis B and C and HIV)
  • History of allergy/hypersensitivity (including drug allergies) that are deemed relevant to the trial as judged by the investigator
  • History or presence of allergy against iodine and/or contrast agent, latent or manifest hyperthyrosis or allergic diathesis to indocyanine green
  • Intake of drugs that are contraindicated in connection with the indocyanine green test
  • Intake of drugs with a long half-life (>24 hours) within at least one month or less than 10 half-lives of the respective drug prior to administration or during the trial
  • Participation in another trial with an investigational drug within one month after previous single dose administration or two months after previous multiple dose administration prior to administration or during the trial
  • Smoker (more than 10 cigarettes or 3 cigars or 3 pipes per day)
  • Inability to refrain from smoking when confined to the study site on trial days
  • Alcohol abuse (more than 40 g/day in males, more than 20 g/day in females)
  • Drug abuse, in the investigator's judgement upon review of the patient's history and urine screening for abused substances
  • Veins unsuited for iv puncture on either arm (e.g. veins which are difficult to locate, access or puncture, veins with a tendency to rupture during or after puncture)
  • Blood donation (more than 100 mL within four weeks prior to administration or during the trial)
  • Excessive physical activities (within 48 hours prior to trial or during the trial)
  • Any laboratory value outside the reference range that is of clinical relevance in the opinion of the investigator
  • Inability to comply with dietary regimen of study centre
  • Subjects not able to understand and comply with protocol requirements, instructions and protocol-stated restrictions
  • Hepatically impaired subjects who meet any of the following criteria will not be entered into this trial:
  • Medical disorder, condition or history of such that would impair the subject's ability to participate or complete this study in the opinion of the investigator or the sponsor
  • Severe cerebrovascular or cardiac disorders, e.g. myocardial infarction less than 6 months prior to dosing, congestive heart failure of New York Heart Association (NYHA) grade III or IV, severe arrhythmia
  • Relevant gastrointestinal tract surgery (except appendectomy, herniotomy, oesophagean varices)
  • Diseases of the central nervous system (such as epilepsy, seizures) or psychiatric disorders or neurological disorders
  • Evidence of hepatic encephalopathy related to chronic liver disease > grade 2 (exclusion by Number Connection Test)
  • History of relevant orthostatic hypotension, fainting spells or blackouts
  • Resting heart rate in the awake subject below 45 beats per minute (BPM) or above 100 BPM; Systolic blood pressure below 100 mmHg or above 160 mmHg, Diastolic blood pressure above 95 mmHg
  • Chronic or relevant acute infections (e.g. HIV) except e.g. Hepatitis B and C
  • History of allergy/hypersensitivity (including drug allergies) that are deemed relevant to the trial as judged by the investigator
  • History or presence of allergy against iodine and/or contrast agent, latent or manifest hyperthyrosis or allergic diathesis to indocyanine green
  • Intake of drugs with a long half-life (>24 hours) within at least one month or less than 10 half-lives of the respective drug prior to administration or during the trial, excluded are those drugs, the patient is currently taking for treatment of the hepatic or concomitant disease.
  • Change of chronic medication less than 4 weeks prior to dosing
  • Participation in another trial with an investigational drug within one month after previous single dose administration or two months after previous multiple dose administration prior to administration or during the trial
  • Smoker (more than 10 cigarettes or 3 cigars or 3 pipes per day)
  • Inability to refrain from smoking when confined to the study site on trial days
  • Alcohol abuse (more than 60 g/day in males, more than 40 g/day in females)
  • Drug abuse, in the investigator's judgement upon review of the patient's history and urine screening for abused substances
  • Veins unsuited for iv puncture on either arm (e.g. veins which are difficult to locate, access or puncture, veins with a tendency to rupture during or after puncture)
  • Blood donation (more than 100 mL within four weeks prior to administration or during the trial)
  • History of Gastro intestinal tract bleeding within the past 3 months
  • Excessive physical activities (within 48 hours prior to trial or during the trial)
  • Clinically relevant laboratory abnormalities (except for liver function tests according to Child-Pugh classification or laboratory constellations of parameters that are typically altered in patients fulfilling the Child Pugh criteria) including relevant electrolyte disturbances
  • Serum albumin <20 g/L
  • Hemoglobin <8 g/dL
  • Inability to comply with dietary regimen of study centre
  • Subjects not able to understand and comply with protocol requirements, instructions and protocol-stated restrictions
  • Exclusion criteria specific for this study due to the known class side effect profile of ß2- mimetics (for healthy or hepatically impaired subjects):
  • Asthma or history of pulmonary hyperreactivity
  • Hyperthyrosis
  • Allergic rhinitis in need of treatment
  • Clinically relevant cardiac arrhythmia
  • For female subjects (healthy or hepatically impaired):
  • Pregnancy or planning to become pregnant within 2 months of study completion
  • Positive pregnancy test
  • No adequate contraception in women of childbearing potential (adequate contraception: e.g. sterilisation, intrauterine device or oral contraception not containing ethinyl estradiol or ethinyl estradiol with an additional barrier method) for at least 3 months prior to participation in the study
  • Inability to maintain this adequate contraception during the whole trial period.
  • Lactation period

About this study

Official title: Pharmacokinetics, Safety and Tolerability of a Single Dose of BI 1744 CL (20 μg Administered With the Respimat® Inhaler) in Patients With Mild and Moderate Hepatic Impairment (Child Pugh Classifications A and B) in Comparison to a Single Dose of BI 1744 CL (30 μg Administered With the Respimat® Inhaler) in Subjects With Normal Hepatic Function in a Monocentric, Open Label, Parallel Group Phase I Trial

The main objective of this study was to investigate the influence of mild and moderate liver impairment on the pharmacokinetics, safety and selected pharmacodynamic parameters of BI 1744 CL in comparison to a control group with normal hepatic function after single orally inhaled administration of BI 1744 CL with the Respimat® Inhaler.

Being tested
BI 1744 CL, low dose, BI 1744 CL, high dose
Medical subject headings
Liver Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BI 1744 CL, low doseDrug

  • BI 1744 CL, high doseDrug

Study groups in NCT02171832
Study groupRoleWhat they receive
Mildly liver impaired patientsExperimentalNot described
Receives: Drug: BI 1744 CL, low dose
Moderately liver impaired patientsExperimentalNot described
Receives: Drug: BI 1744 CL, low dose
Healthy volunteersExperimentalNot described
Receives: Drug: BI 1744 CL, high dose

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. AUC0-∞,norm (dose-normalized area under the concentration time curve of the analyte in plasma over the time interval from 0 extrapolated to infinity)

    Measured: before and 0:05, 0:10, 0:20, 0:40, 1:00, 2:00, 4:00, 6:00, 8:00, 12:00, 24:00, 48:00, and 72:00 hours following drug administration

  2. Cmax,norm (dose-normalized maximum concentration of the analyte in plasma)

    Measured: before and 0:05, 0:10, 0:20, 0:40, 1:00, 2:00, 4:00, 6:00, 8:00, 12:00, 24:00, 48:00, and 72:00 hours following drug administration

Secondary outcomes (21)
  1. AUC0-∞ (area under the concentration time curve of the analyte in plasma over the time interval from 0 extrapolated to infinity)

    Measured: before and 0:05, 0:10, 0:20, 0:40, 1:00, 2:00, 4:00, 6:00, 8:00, 12:00, 24:00, 48:00, and 72:00 hours following drug administration

  2. Cmax (maximum concentration of the analyte in plasma)

    Measured: before and 0:05, 0:10, 0:20, 0:40, 1:00, 2:00, 4:00, 6:00, 8:00, 12:00, 24:00, 48:00, and 72:00 hours following drug administration

  3. tmax (time from dosing to the maximum concentration of the analyte in plasma)

    Measured: before and 0:05, 0:10, 0:20, 0:40, 1:00, 2:00, 4:00, 6:00, 8:00, 12:00, 24:00, 48:00, and 72:00 hours following drug administration

  4. AUC0-tz(,norm) ((dose-normalized ) area under the concentration-time curve of the analyte in plasma over the time interval from 0 to the time of the last quantifiable data point)

    Measured: before and 0:05, 0:10, 0:20, 0:40, 1:00, 2:00, 4:00, 6:00, 8:00, 12:00, 24:00, 48:00, and 72:00 hours following drug administration

  5. %AUCtz-∞ (the percentage of the AUC 0-∞ that is obtained by extrapolation)

    Measured: before and 0:05, 0:10, 0:20, 0:40, 1:00, 2:00, 4:00, 6:00, 8:00, 12:00, 24:00, 48:00, and 72:00 hours following drug administration

  6. λz (terminal rate constant in plasma)

    Measured: before and 0:05, 0:10, 0:20, 0:40, 1:00, 2:00, 4:00, 6:00, 8:00, 12:00, 24:00, 48:00, and 72:00 hours following drug administration

  7. t1/2 (terminal half-life of the analyte in plasma)

    Measured: before and 0:05, 0:10, 0:20, 0:40, 1:00, 2:00, 4:00, 6:00, 8:00, 12:00, 24:00, 48:00, and 72:00 hours following drug administration

  8. CL/F (apparent clearance of the analyte in the plasma after extravascular administration)

    Measured: before and 0:05, 0:10, 0:20, 0:40, 1:00, 2:00, 4:00, 6:00, 8:00, 12:00, 24:00, 48:00, and 72:00 hours following drug administration

  9. MRTih (mean residence time of the analyte in plasma in the body after inhalation)

    Measured: before and 0:05, 0:10, 0:20, 0:40, 1:00, 2:00, 4:00, 6:00, 8:00, 12:00, 24:00, 48:00, and 72:00 hours following drug administration

  10. Vz/F (apparent volume of distribution during the terminal phase λz following an extravascular dose)

    Measured: before and 0:05, 0:10, 0:20, 0:40, 1:00, 2:00, 4:00, 6:00, 8:00, 12:00, 24:00, 48:00, and 72:00 hours following drug administration

  11. Aet1-t2 (amount of analyte that is eliminated in urine from the time point t1 to t2)

    Measured: before and 0-8, 8-12, 12-24, 24-48, 48-72 hours following drug administration

  12. fet1-t2 (fraction of analyte excreted in urine from the time point t1 to t2)

    Measured: before and 0-8, 8-12, 12-24, 24-48, 48-72 hours following drug administration

  13. CLR,t1-t2 (renal clearance of the analyte in urine from the time point t1 to t2)

    Measured: before and 0-8, 8-12, 12-24, 24-48, 48-72 hours following drug administration

  14. Plasma protein binding

    Measured: before and 0:05, 0:10, 0:20, 0:40, 1:00, 2:00, 4:00, 6:00, 8:00, 12:00, 24:00, 48:00, and 72:00 hours following drug administration

  15. CL (total clearance of the analyte in plasma after intravascular administration)

    Measured: before and 0:05, 0:10, 0:20, 0:40, 1:00, 2:00, 4:00, 6:00, 8:00, 12:00, 24:00, 48:00, and 72:00 hours following drug administration

  16. Number of patients with abnormal findings in physical examination

    Measured: Baseline, day 14

  17. Number of patients with clinically significant changes in vital signs (blood pressure (BP), pulse rate (PR))

    Measured: Baseline, up to day 14

  18. Number of patients with abnormal findings in 12-lead ECG (electrocardiogram)

    Measured: Baseline, up to day 14

  19. Number of patients with clinically significant changes in clinical laboratory tests

    Measured: Baseline, up to day 14

  20. Number of patients with adverse events

    Measured: 5 weeks

  21. Assessment of tolerability by the investigator on a 4-point scale

    Measured: Day 14

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Jun 2014 (estimated)
  2. Study startJul 2009
  3. Primary completionDec 2009

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
32 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02171832
Sponsor's protocol ID
1222.20
Status last verified
Jun 2014
First submitted
20 Jun 2014
Last updated
24 Jun 2014
Results posted
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing BI 1744 CL, low dose and BI 1744 CL, high dose in people with Healthy and Liver Diseases, run by Boehringer Ingelheim.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 14 inclusion and 61 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Jun 2014. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

AUC0-∞,norm (dose-normalized area under the concentration time curve of the analyte in plasma over the time interval from 0 extrapolated to infinity) (time frame: before and 0:05, 0:10, 0:20, 0:40, 1:00, 2:00, 4:00, 6:00, 8:00, 12:00, 24:00, 48:00, and 72:00 hours following drug administration). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Jun 2014.

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