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HealthyPhase 1NCT02172118

BI 1744 CL in Patients With Severe Renal Impairment in Comparison to Subjects With Normal Renal Function

A Phase 1 study testing BI 1774 CL in people with Healthy, 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

Study to assess the influence of severe renal impairment on the pharmacokinetics (PK), safety, and selected pharmacodynamic (PD) parameters of BI 1744 CL (30 μg administered by inhalation with the Respimat® Inhaler) Read more about this study

Who is it for?
Ages 21 to 75 yearsHealthy volunteers can take part
Conditions the study is for
Healthy
What is being tested?
BI 1774 CL
Could I receive a placebo?
No, everyone receives an active treatment
How many people
22 participants
Where
No sites listed yet
Study dates
Aug 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 male and female subjects determined by results of screening with a creatinine clearance >80 mL/min (Treatment Group 2)
  • Age 21 - 75 years
  • Body Mass Index (BMI) >=18.5 and <=32 kg/m2
  • Signed and dated written informed consent prior to admission to the study in accordance with Good Clinical Practice (GCP) and the local legislation
  • Renally impaired subjects:
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  • Renally impaired male or female subjects (Treatment Group 1) determined by results of screening with the following creatinine clearance as estimated according to Cockroft-Gault: Creatinine clearance <30 mL/min (Treatment Group 1, Renal Function Group 4)
  • Age 21 - 75 years
  • BMI >=18.5 and <=34 kg/m2
  • 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 blood pressure (BP) [>140 mmHg systolic and or >95 mmHg diastolic], pulse rate (PR) and electrocardiogram (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
  • 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
  • Inability to comply with dietary regimen of study centre
  • Subjects not able to understand and comply with protocol requirements, instructions and protocol-stated restrictions
  • Renally impaired subjects who meet any of the following criteria will not be entered into this trial:
  • Moderate and severe concurrent liver function impairment (e.g. due to hepatorenal syndrome)
  • Patients with significant diseases other than renal impairment will be excluded. A significant disease is defined as a disease which in the opinion of the investigator
  • put the patient at risk because of participation in the study
  • may influence the results of the study
  • may influence the patient's ability to participate in the study
  • is not in a stable condition
  • Diabetic or hypertensive patients can be entered in this trial if the disease is not significant according to these criteria.
  • Relevant gastrointestinal tract surgery (except appendectomy, herniotomy)
  • Diseases of the central nervous system (such as epilepsy, seizures) or psychiatric disorders or neurological disorders
  • 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
  • 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 renal or concomitant disease
  • Subjects with a change of their 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 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)
  • Clinically relevant laboratory abnormalities (except for renal function tests or deviations of clinical laboratory values that are related to renal impairment)
  • Hemoglobin < 8 g/dL indicating severe renal anemia (use of erythropoetin is allowed to maintain hematocrit)
  • Inability to comply with dietary regimen of study centre
  • Subjects not able to understand and comply with protocol requirements, instructions and protocol-stated restrictions
  • Systolic blood pressure < 100 or > 180 mm Hg, diastolic blood pressure < 60 or > 110 mm Hg, pulse rate < 50 or > 100 1/min
  • Exclusion criteria specific for this study due to the known class side effect profile of ß2- mimetics (healthy or renally impaired subjects):
  • Asthma or history of pulmonary hyperreactivity
  • Hyperthyrosis
  • Allergic rhinitis in need of treatment
  • Clinically relevant cardiac arrhythmia
  • For female subjects (healthy or renally 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 Single Dose of BI 1744 CL (30 μg Administered With the Respimat® Inhaler) in Patients With Severe Renal Impairment in Comparison to Subjects With Normal Renal Function in a Monocentric, Open Label, Parallel Group Phase I Trial

Study to assess the influence of severe renal impairment on the pharmacokinetics (PK), safety, and selected pharmacodynamic (PD) parameters of BI 1744 CL (30 μg administered by inhalation with the Respimat® Inhaler)

Conditions
Healthy
Being tested
BI 1774 CL

What participants receive

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

  • BI 1774 CLDrug

Study groups in NCT02172118
Study groupRoleWhat they receive
severely renally impaired patientsExperimentalNot described
Receives: Drug: BI 1774 CL
healthy volunteersExperimentalNot described
Receives: Drug: BI 1774 CL

What is being measured

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

  1. AUC0-4 (area under the concentration time curve of the analyte in plasma over the time interval from 0 to 4 hours after dosing)

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

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

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

Secondary outcomes (14)
  1. tmax (time from dosing to the maximum concentration of the analyte in plasma)

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

  2. AUC (area under the concentration-time curve of the analyte in plasma at different time points)

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

  3. %AUCtz-∞ (percentage of area under the concentration-time curve obtained by extrapolation)

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

  4. λz (terminal rate constant in plasma)

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

  12. Plasma protein binding of BI 1744 BS

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

  13. Number of patients with adverse events

    Measured: up to 5 weeks

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

    Measured: within 5 to 14 days after drug administration

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 startAug 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
22 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02172118
Sponsor's protocol ID
1222.35
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 1774 CL in people with Healthy, 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 10 inclusion and 60 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?

AUC0-4 (area under the concentration time curve of the analyte in plasma over the time interval from 0 to 4 hours after dosing) (time frame: before and at 0:05, 0:10, 0:20, 0:40, 1:00, 2:00, 4:00, 6:00, 8:00, 12:00, 24:00, 48:00, 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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