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Hepatic ImpairmentPhase 1NCT03765671

Elafibranor Pharmacokinetic Parameters in Hepatic Impaired Patients

A Phase 1 study testing Elafibranor in people with Hepatic Impairment and Liver Disease, run by Genfit at 2 sites in United States.

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

This study is being conducted in order to assess the need for dose adjustment for elafibranor in patients with hepatic impairment. Pharmacokinetic parameters of elafibranor and its active metabolite (GFT1007) will be compared in hepatic impaired patients (mild, moderate and severe according to Child-Pugh categories)… Read more about this study

Who is it for?
Ages 18 to 75 yearsHealthy volunteers can take part
What is being tested?
Elafibranor
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
2 sitesUnited States
Study dates
12 Dec 2018to 14 Jun 2019
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 18 to 75 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • For all participants:
  • Males or females, between 18 and 75 years of age, inclusive;
  • With a minimum body weight of 50 kg and within a BMI range of 18.0 to 40.0 kg/m², inclusive;
  • Females participating in this study must be of non-childbearing potential or using highly efficient contraception for the full duration of the study
  • Negative serum pregnancy test at screening (if applicable);
  • Negative human immunodeficiency virus antibody screens at Screening;
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  • For hepatically impaired participants:
  • Participants who have chronic (≥ 6 months) mild, moderate, or severe hepatic insufficiency (of any etiology) that has been clinically stable (no acute episodes of illness due to deterioration in hepatic function) for at least 1 month prior to Screening Currently on a stable medication regimen
  • For healthy volunteers with normal hepatic function:
  • Non-smokers
  • Matched to participants with Mild and/or Moderate and/or Severe hepatic impairment in age (± 10 years), BMI (± 20 percent) and gender.
  • Other protocol-defined inclusion criteria may apply

Who cannot join

  • For all participants:
  • A positive alcohol test result at Check-in;
  • A history of alcohol abuse in the prior 2 years;
  • Positive urine screen for drugs of abuse at Screening or Check-in.
  • Strenuous exercise within 72 hours prior to Check-in;
  • Blood donation or loss of blood (excluding volume drawn at screening or menses) of 50 mL to 499 mL of blood within 30 days, or more than 499 mL within 56 days prior to the dosing;
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  • History of stomach or intestinal surgery or resection that would potentially alter absorption and/or excretion of orally administered drugs except that appendectomy and hernia repair will be allowed. Bariatric surgery will not be allowed.
  • Presence or history of malignancy within the prior 3 years, with the exception of treated basal cell or squamous cell carcinoma;
  • Poor peripheral venous access;
  • Receipt of blood products within 2 months prior to Check-in;
  • For hepatically impaired participants:
  • History of unstable diabetes mellitus Subjects who have a transjugular intrahepatic portosystemic shunt and/or have undergone portacaval shunting;
  • Participant has shown evidence of hepatorenal syndrome or has creatinine clearance ≤ 60 mL/min Subject has required treatment for GI bleeding within the 6 months prior to Check in;
  • Recent history of paracentesis (< 3 months prior to Check-in);
  • Participants with Wilson's disease, alpha-1 antitrypsin deficiency, glycogen storage diseases, or galactosemia;
  • Participants with anemia secondary to hepatic disease, unless hemoglobin is ≥ 9 g/dL and anemia symptoms are not clinically significant. Subjects must have ≥ 35 000 platelets at screening and at Day -1;
  • For healthy volunteers with normal hepatic function:
  • Significant history or clinical manifestation of any metabolic (including thyroid), allergic, dermatological, hepatic, renal, hematological, pulmonary, cardiovascular (including any prior history of cardiomyopathy or cardiac failure), gastrointestinal (GI), neurological, or psychiatric disorder;
  • Positive serologic test for hepatitis B surface antigen or for hepatitis C virus antibody at Screening;
  • Frequent headaches (> twice a month) and/or migraines, recurrent nausea and/or vomiting;
  • Participants with symptomatic hypotension at Screening, whatever the decrease of blood pressure, or asymptomatic postural hypotension;
  • Cholecystectomy
  • Other protocol-defined exclusion criteria may apply

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Division of Clinical Pharmacology, University of Miami

    Miami, Florida, 33136

  • inVentiv Health Clinical Research

    Miami, Florida, 33136

Other trials in United States

About this study

Official title: An Open-label, Phase 1, Single-dose Study to Evaluate the Pharmacokinetics of Elafibranor 120 mg in Adult Subjects With Hepatic Impairment and Adult Healthy Control Subjects

This study is being conducted in order to assess the need for dose adjustment for elafibranor in patients with hepatic impairment. Pharmacokinetic parameters of elafibranor and its active metabolite (GFT1007) will be compared in hepatic impaired patients (mild, moderate and severe according to Child-Pugh categories) versus healthy participants after a single oral administration of elafibranor 120 mg.

Being tested
Elafibranor
Medical subject headings
Liver Diseases

What participants receive

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

  • ElafibranorDrug

    Also called GFT505

    120mg oral single dose

Study groups in NCT03765671
Study groupRoleWhat they receive
Mild Child-Pugh AExperimentalSingle oral dose of elafibranor 120mg
Receives: Drug: Elafibranor
Moderate Child-Pugh BExperimentalSingle oral dose of elafibranor 120mg
Receives: Drug: Elafibranor
Severe Child-Pugh CExperimentalSingle oral dose of elafibranor 120mg
Receives: Drug: Elafibranor
HealthyExperimentalSingle oral dose of elafibranor 120mg
Receives: Drug: Elafibranor

What is being measured

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

  1. Area under curve from dosing time to last measurement (AUC(0-t)) of elafibranor and active metabolite

    In participants with mild, moderate and severe hepatic impairment compared to healthy volunteers

    Measured: pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose. Additionally, after elafibranor administration at 288 and 384 hours for hepatic impaired patients

  2. Area under curve from dosing time to infinity (AUC(0-∞)) of elafibranor and active metabolite

    In participants with mild, moderate and severe hepatic impairment compared to healthy volunteers

    Measured: pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose. Additionally, after elafibranor administration at 288 and 384 hours for hepatic impaired patients

Secondary outcomes (14)
  1. Plasma pharmacokinetics: maximum plasma drug concentration (Cmax)

    for elafibranor and metabolites

    Measured: pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose. Additionally, after elafibranor administration at 288 and 384 hours for hepatic impaired participants

  2. Plasma pharmacokinetics: elimination half-life (t1/2)

    for elafibranor and metabolites

    Measured: pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose. Additionally, after elafibranor administration at 288 and 384 hours for hepatic impaired participants

  3. Plasma pharmacokinetics: apparent volume of distribution (Vd/F)

    for elafibranor

    Measured: pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose. Additionally, after elafibranor administration at 288 and 384 hours for hepatic impaired participants

  4. Plasma pharmacokinetics: renal clearance (CLr)

    for elafibranor and metabolites

    Measured: pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose. Additionally, after elafibranor administration at 288 and 384 hours for hepatic impaired participants

  5. Plasma pharmacokinetics: apparent non renal clearance (CLnr/F)

    for elafibranor

    Measured: pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose. Additionally, after elafibranor administration at 288 and 384 hours for hepatic impaired participants

  6. Plasma pharmacokinetics: apparent total clearance (CL/F)

    for elafibranor

    Measured: pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose. Additionally, after elafibranor administration at 288 and 384 hours for hepatic impaired participants

  7. Plasma pharmacokinetics: area under the plasma concentration-time curve extrapolated from time t to infinity as a percentage of total area under the plasma concentration-time curve (%AUCextra)

    for elafibranor and metabolites

    Measured: pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose. Additionally, after elafibranor administration at 288 and 384 hours for hepatic impaired participants

  8. Plasma pharmacokinetics: area under curve from dosing time to last measurement (AUC(0-t)) of glucuronide metabolites and corresponding aglycones

    for the glucuronide metabolites of elafibranor and corresponding aglycones

    Measured: pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose. Additionally, after elafibranor administration at 288 and 384 hours for hepatic impaired participants

  9. Plasma pharmacokinetics: area under curve from dosing time to infinity (AUC(0-∞)) of glucuronide metabolites and corresponding aglycones

    for the glucuronide metabolites of elafibranor and corresponding aglycones

    Measured: pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose. Additionally, after elafibranor administration at 288 and 384 hours for hepatic impaired patients

  10. Urine pharmacokinetics: amount excreted (Ae)

    for elafibranor and metabolites, if applicable. 24 hours urine collection from dosing to 216 hours post-dose

    Measured: pre-dose and then 24, 48, 72, 96, 120, 144, 168, 192, 216 hours post-dose

  11. Urine pharmacokinetics: cumulative amount excreted (Ae0-t)

    for elafibranor and metabolites, if applicable. 24 hours urine collection from dosing to 216 hours post-dose

    Measured: pre-dose and then 24, 48, 72, 96, 120, 144, 168, 192, 216 hours post-dose

  12. Urine pharmacokinetics: percentage of dose excreted (Fe)

    for elafibranor and metabolites, if applicable. 24 hours urine collection from dosing to 216 hours post-dose

    Measured: pre-dose and then 24, 48, 72, 96, 120, 144, 168, 192, 216 hours post-dose

  13. Urine pharmacokinetics: cumulative percent of dose excreted (Fe0-t)

    for elafibranor and metabolites, if applicable. 24 hours urine collection from dosing to 216 hours post-dose

    Measured: pre-dose and then 24, 48, 72, 96, 120, 144, 168, 192, 216 hours post-dose

  14. Urine pharmacokinetics: renal clearance (CLR)

    for elafibranor and metabolites, if applicable. 24 hours urine collection from dosing to 216 hours post-dose

    Measured: pre-dose and then 24, 48, 72, 96, 120, 144, 168, 192, 216 hours post-dose

Timeline

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

  1. First posted5 Dec 2018
  2. Study start12 Dec 2018
  3. Primary completion7 Jun 2019
  4. Study completion14 Jun 2019

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
Basic science
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
30 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03765671
Sponsor's protocol ID
GFT505-118-14
Status last verified
Aug 2019
First submitted
30 Nov 2018
Last updated
22 Aug 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Elafibranor in people with Hepatic Impairment and Liver Disease, run by Genfit at 2 sites in United States.

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 12 inclusion and 23 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 22 Aug 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

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?

Area under curve from dosing time to last measurement (AUC(0-t)) of elafibranor and active metabolite (time frame: pre-dose and at 0.17, 0.33, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, 192 and 216 hours post-dose. Additionally, after elafibranor administration at 288 and 384 hours for hepatic impaired patients). 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 22 Aug 2019.

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