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GeriatricsPhase 1NCT04171752

Elafibranor Pharmacokinetic Parameters in Elderly Healthy Volunteers

A Phase 1 study testing elafibranor in people with Geriatrics and Healthy, run by Genfit at 1 site in France.

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

In the elderly, pharmacokinetics is altered. Gastric juice pH is elevated which influences drug solubility and absorption. Drug distribution is decreased in the elderly because of decreased cardiac output, increased peripheral vascular resistance, diminished blood flow in the liver and the kidneys, reduced total… Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Geriatrics, Healthy
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
21 participants
Where
1 siteFrance
Study dates
22 Nov 2019to 30 Mar 2020
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 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • For All Participants:
  • Provide written informed consent prior to the conduct of any study related procedures;
  • With a minimum body weight (BW) of 50 kg and within a Body Mass Index (BMI) range of 18.0 to 30.0 kg/m^2 (all inclusive) at Screening visit;
  • Medically healthy as determined by the Investigator or medically qualified designee at both Screening and Inclusion visits. This will include no variation of BW of more than 5 percent between Screening and Inclusion visits;
  • Absence of clinically relevant abnormalities identified by a detailed medical history and complete physical examination;
  • Healthy participants, as determined by Normal Blood Pressure (BP) and Heart Rate (HR) at the screening and Inclusion visits after 5 minutes in supine position;
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  • Normal ECG recording on a 12-lead ECG at the screening and Inclusion visits and no sign of any trouble of sinusal automatism, or considered as non clinically significant by investigator;
  • Laboratory parameters within the normal range of the laboratory;
  • Able to comprehend and willing to sign an Informed Consent Form, and to abide by the study restrictions;
  • Non-smoker participant or smoker of not more than 5 cigarettes/day within 3 months prior to Inclusion visit, and able to restrain from smoking during the whole study duration;
  • Participant with normal dietary habits;
  • Covered by Health Insurance System and / or in compliance with the recommendations of National Law in force relating to biomedical research;
  • For Healthy Young Volunteers only:
  • Males or females, between 18 and 45 years of age (all inclusive) at screening;
  • Matched to healthy elderly participants by BMI (plus or minus 20 percent) and gender;
  • Females participating in this study must be of non-childbearing potential or using highly efficient contraception for the full duration of the study and for 1 month after the end of treatment;
  • Females of childbearing potential must have a negative qualitative serum pregnancy test at Screening visit and a negative urine pregnancy test at Inclusion visit;
  • For Elderly volunteers only:
  • Males or females aged 75 years old or older at Screening visit;
  • Participants with mild, chronic, stable disease and stable treatment dose - no change in dose for the 3 months prior to Screening visit - (hypertension, hyperlipidemia, osteoarthritis, treated benign prostate hypertrophy, stable and treated hypothyroidism, treated glaucoma);
  • Participants with suitable veins for cannulation or repeated venipuncture.

Who cannot join

  • For all participants:
  • Participants with a history of noncompliance to medical regimens;
  • Participant who, in the opinion of the Investigator, is likely to be not respectful or not cooperative during the study, or unable to cooperate because of a language problem or a mental deficiency;
  • Participant who cannot be contacted in case of emergency;
  • Participant who is in the exclusion period of a previous study;
  • Administrative or legal supervision;
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  • Inability to abstain from intensive muscular effort;
  • Participant who would receive more than 4500 euros as indemnities for his participation in biomedical research within the 12 last months, including the indemnities for the present study;
  • A positive alcohol test result or urine screen for drugs of abuse result at Screening or Inclusion visits;
  • Any history or suspicion of alcohol abuse;
  • Any history or suspicion of consumption of any drug of abuse (amphetamines, barbiturates, benzodiazepines, cannabis, cocaine, methamphetamines, methadone, methylenedioxymethamphetamine, opiates, tricyclic antidepressant), from screening to end of the study;
  • Consumption of nutritional supplements, herb-containing drug preparations (including Chinese medicines) or other foods or beverages (e.g., grapefruit and xanthine-containing foods or beverages) that may affect drug-metabolizing enzymes or transporters from screening to end of the study visit;
  • Evidence or history of gastrointestinal, hepatic, or renal disease, surgery or resection that would potentially alter absorption, distribution, metabolism, or excretion of orally administered drugs;
  • Participants who have clinically significant disease of cardiovascular, respiratory, renal, endocrine, hematological, gastrointestinal, neurological (central nervous system), psychiatric, systemic, infectious disorders or malignant tumor;
  • General anesthesia within 3 months before administration;
  • History or presence of allergy or unusual reactions to some drugs or anesthetics or known hypersensibility to the investigation product or its excipients;
  • Major surgery within 28 days prior to Screening visit or major surgery planned within 6 months following participation to the study;
  • Blood donation within 2 months before administration or blood donation planned during the study or within 2 months following participation to the study;
  • Receipt of blood products within 2 months prior to Inclusion visit;
  • Participants with symptomatic hypotension at Screening visit, whatever the decrease of blood pressure, or asymptomatic postural hypotension defined by a decrease in SBP ≥ 20 mmHg or DBP ≥ 10 mmHg within 3 minutes when changing from the supine to the standing position;
  • Frequent headaches and/or migraines, recurrent nausea and/or vomiting;
  • Participants who are positive for human immunodeficiency virus antibody, hepatitis B virus surface antigen, hepatitis C virus antibody;
  • Significant, uncontrolled, or life-threatening condition or organ or disease;
  • Show evidence of active renal disease (e.g. diabetic renal disease, polycystic kidney disease) or estimated glomerular filtration rate <60 mL/min/1.73m²;
  • Evidence of pelvic organ prolapsed, incontinence, or fistula of the urogenital system;
  • Have a history of syncope, presyncope, uncontrolled vertigo, postural dizziness, or at risk for falls, as judged to be clinically significant by the investigator;
  • Any drug intake during the 2 weeks or 5 half-life of the drug preceding the first administration except those defined in concomitant medication section
  • For Young Adults Volunteers only:
  • Females who are pregnant or breastfeeding. Female participants should not be enrolled if they plan to become pregnant during the time of study participation;
  • Any medications (except paracetamol 3g/day or contraception) intake within the 2 weeks or 5 half-life prior to Screening visit;
  • Evidence or history of clinically significant metabolic or allergic disease.

Trial locations and contacts

1 site in 1 country.

France1 site
  • BIOTRIAL

    Rennes, 35042

Other trials in France

About this study

Official title: Open-label, Phase 1, Single-dose Study to Evaluate the Pharmacokinetics of Elafibranor 120 mg in Healthy Elderly and Young Adults Volunteers

In the elderly, pharmacokinetics is altered. Gastric juice pH is elevated which influences drug solubility and absorption. Drug distribution is decreased in the elderly because of decreased cardiac output, increased peripheral vascular resistance, diminished blood flow in the liver and the kidneys, reduced total amount of water in the body. Drug metabolism and biotransformation mainly take place in the liver and is often reduced. Drug elimination is altered very often because of reduced excretory (renal and hepatic) function. All these changes may lead to significant pharmacokinetic changes in geriatric population. A formal pharmacokinetic clinical study is being conducted in order to assess the need of dose adjustment in the elderly population.

Conditions
Geriatrics, Healthy
Being tested
elafibranor
Keywords
elafibranor

What participants receive

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

  • elafibranorDrug

    Also called GFT505

    elafibranor 120mg is a coated tablet for oral administration

Study groups in NCT04171752
Study groupRoleWhat they receive
Young AdultsExperimentalSingle oral dose of elafibranor 120mg
Receives: Drug: elafibranor
ElderlyExperimentalSingle 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. Plasma pharmacokinetics: Area under curve from dosing time to infinity (AUC(0-∞)) of elafibranor and active metabolite

    In Healthy Young Adults compared to Healthy Elderly

    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 elderly volunteers

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

    In Healthy Young Adults compared to Healthy Elderly

    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 elderly volunteers

  3. Plasma pharmacokinetics: maximum plasma drug concentration (Cmax) of elafibranor and active metabolite

    In Healthy Young Adults compared to Healthy Elderly

    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 elderly volunteers

Secondary outcomes (14)
  1. 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 elderly volunteers

  2. Plasma pharmacokinetics: area under the plasma concentration-time curve extrapolated from time t to infinity as a percentage of total area under the plasma

    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 elderly volunteers

  3. Plasma pharmacokinetics: time of maximum observed concentration (tmax)

    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 elderly volunteers

  4. Plasma pharmacokinetics: maximum plasma drug concentration (Cmax)

    For other 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 elderly volunteers

  5. Plasma pharmacokinetics: Area under curve from dosing time to infinity (AUC(0-∞))

    For other 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 elderly volunteers

  6. Plasma pharmacokinetics: Area under curve from dosing time to last measurement (AUC(0-t))

    For other 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 elderly volunteers

  7. 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 elderly volunteers

  8. Plasma pharmacokinetics: renal clearance (CLr)

    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 elderly volunteers

  9. 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 elderly volunteers

  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 posted21 Nov 2019
  2. Study start22 Nov 2019
  3. Primary completion22 Mar 2020
  4. Study completion30 Mar 2020

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
Model description
Open-label, non-randomized, single-center, single-dose, two arms Phase 1 study in healthy elderly, aged of at least 75 years old (inclusive) and in healthy young adults, aged between 18 and 45 years old (all inclusive)
Masking
None (open label)
Enrolment
21 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04171752
Sponsor's protocol ID
GFT505-119-16
Other IDs
2019-001819-23, 2019
Status last verified
Aug 2020
First submitted
19 Nov 2019
Last updated
13 Aug 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing elafibranor in people with Geriatrics and Healthy, run by Genfit at 1 site in France.

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 21 inclusion and 31 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 13 Aug 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. 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?

Plasma pharmacokinetics: Area under curve from dosing time to infinity (AUC(0-∞)) 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 elderly volunteers). The study lists 3 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 13 Aug 2020.

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