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Healthy VolunteersPhase 1NCT04252417

HI Study to Assess and Compare the Pharmacokinetic Parameters of MD1003 in Hepatic Impaired Patients and Healthy Subjects

A Phase 1 study testing MD1003 in people with Healthy Volunteers and Hepatic Impairment of Moderate Child Pugh Category, run by MedDay Pharmaceuticals SA at 3 sites in 2 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This is a Phase 1, multicentric, open-label,two arms to assess and compare the effect of single oral administration of MD1003 on the pharmacokinetic parameters in hepatic impaired patients and healthy subjects with normal hepatic function. Read more about this study

Who is it for?
Ages 18 to 75 yearsHealthy volunteers can take part
What is being tested?
MD1003
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
15 participants
Where
3 sitesin 2 countries
Study dates
11 Oct 2019to 17 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 to 75 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • For eligibility into the trial, subjects and patients must meet all the following inclusion criteria:
  • Male or female subjects, aged 18 to 75 years inclusive;
  • Females participating in this study must be of non-childbearing potential or using acceptable contraception for the full duration of the study and for 1 month after the end of treatment, as described below:
  • Cessation of menses for at least 12 months due to ovarian failure;
  • Surgical sterilization such as bilateral oophorectomy, hysterectomy, or medically documented ovarian failure;
  • Using an acceptable effective non-hormonal method of contraception (bilateral tubal occlusion, vasectomized partner or intra-uterine device, sexual abstinence, male or female condom with spermicide);
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  • Negative serum pregnancy test at screening (if applicable);
  • Normal renal function according to the age
  • Non-smoker subject or smoker of not more than 5 cigarettes a day;
  • Signing a written informed consent prior to selection;
  • Covered by Health Insurance System and / or in compliance with the recommendations of National Law in force relating to biomedical research.
  • For hepatic impaired patients:
  • Hepatic impairment of moderate Child Pugh category determined at screening (Class B: 7 to 9 points);
  • Stable Hepatic dysfunction e.g. no clinical significant change in disease status within the last 30 days documented by recent medical history, including no worsening of clinical signs of hepatic impairment or no worsening of total Bilirubin or Prothrombin time>50%.
  • Stable treatment regimen or dose of medication
  • Supine blood pressure ≤ 170/110 mmHg;
  • Body Mass Index (BMI) between 20 and 34 kg/m² inclusive.
  • For healthy subject with normal hepatic function:
  • Considered as healthy after a comprehensive clinical assessment (detailed medical history and complete physical examination);
  • Body Mass Index (BMI) between 20 and 30 kg/m2 inclusive and body weight (BW) not lower than 55kg;
  • Normal Blood Pressure (BP) and Heart Rate (HR) at the screening visit after 10 minutes in supine position:
  • 90 mmHg ≤ Systolic Blood Pressure (SBP) ≤ 145 mmHg,
  • 50 mmHg ≤ Diastolic Blood Pressure (DBP) ≤ 90 mmHg,
  • 45 bpm ≤ HR ≤ 90 bpm,
  • Or considered NCs by investigators;
  • Normal ECG recording on a 12-lead ECG at the screening visit:
  • 120 < PR < 220 ms,
  • QRS < 110 ms,
  • QTcf ≤ 430 ms for male and < 450 ms for female,
  • No sign of any trouble of sinusal automatism,
  • Or considered NCs by investigators;
  • Laboratory parameters within the normal range of the laboratory (hematological, blood chemistry tests, urinalysis). Individual values out of the normal range can be accepted if judged clinically non relevant by the Investigator. In particular, the hepatic function should be considered as normal;
  • Normal dietary habits;
  • Matched to at least 1 hepatic impaired patient by ethnic group, sex, age (+/- 10 years) and BMI (+/- 20%).

Who cannot join

  • Subjects or Patients meeting any of the following criteria will not be included into the trial:
  • Positive Hepatitis B surface (HBs) antigen or anti Hepatitis C Virus (HCV) antibody, or positive results for Human Immunodeficiency Virus (HIV) 1 or 2 tests);
  • Subject/Patient who, in the judgment of the Investigator, is likely to be non-compliant or uncooperative during the study, or unable to cooperate because of a language problem, poor mental development;
  • Subject/Patient who cannot be contacted in case of emergency;
  • History or presence of allergy or unusual reactions to some drugs or anesthetics or known hypersensitivity to the investigation product or its excipients (including lactose);
  • Any medications intake within 3 months that may interfere with absorption, distribution, metabolism or excretion of the study drug, or any medication that may result in induction or inhibition of microsomal enzymes;
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  • Subject/Patient who is in the exclusion period of a previous study;
  • Administrative or legal supervision;
  • Blood donation (including in the frame of a clinical trial) within 2 months before administration or blood donation planned during the study or within 2 months following participation to the study;
  • Subjects/Patients who are pregnant or breastfeeding. Subjects/Patients should not be enrolled if they plan to become pregnant during the time of study participation;
  • Excessive consumption of beverages with xanthine bases (> 4 cups or glasses / day);
  • History or presence of drug abuse;
  • Positive results of screening for drugs of abuse;
  • Intake of any food or any beverage containing grapefruit or grapefruit juice within 48h prior to the first dosing and the inability to stop such intake during the study.
  • Evidence or history of clinically significant hematological, endocrine, pulmonary, gastrointestinal, cardiovascular, renal, psychiatric, neurologic, metabolic, systemic, infectious, or allergic disease (including drug hypersensitivity or allergies, but excluding untreated, asymptomatic, seasonal allergies at time of dosing);
  • General anesthesia within 3 months before administration;
  • Major surgery within 28 days prior to inclusionor major surgery planned during the next 6 months.
  • For hepatic impaired patients:
  • Other underlying diseases that may alter Child Pugh components like metastatic cancer to the brain or peritoneal surface or cancer cachexia (hypoalbuminemia, encephalopathy, ascites);
  • History of liver transplant;
  • The patient has an acute exacerbation or unstable hepatic function, as indicated by worsening of clinical and/or laboratory signs of hepatic impairment, within the 4 weeks before study drug administration;
  • Hepatocellular carcinoma confirmed by alpha-fetoprotein rate < 50 mg/dL no longer than 3 months before inclusion;
  • Signs of encephalopathy (grade 1 to 4 e.g. moderate to severe);
  • Presence of clinical ascites (slight to severe);
  • Drug addict patients treated with methadone or buprenorphine;
  • Presence of clinical ascites and/or pleural effusion. According to the investigator's judgement, small ascites radiologically detected but not clinically relevant could be accepted;
  • Severe hepatic encephalopathy, (Grade > 2, portal systemic encephalopathy score);
  • Recent history of gastrointestinal bleeding due to esophageal varices. According to the investigator's judgement, patient who had esophageal varices can be included if surgically treated by ligation, or sclerosis and with a prophylactic treatment by non-selective β-blockers (e.g., propranolol) and after checking by echography.
  • History of hepatic cytolysis due to medication;
  • Disorders or surgery of the gastrointestinal tract which may interfere with drug absorption or may otherwise influence the pharmacokinetics of the investigational medicinal product (e.g., inflammatory bowel disease, resections of the small or large intestine, etc.);
  • History of febrile illness within 5 days prior to dosing;
  • Any forbidden drug (as defined in protocol) intake during the 2 weeks or 5 half-lives of the drug preceding the first administration.
  • For Healthy Subjects with normal hepatic function:
  • Any history or presence of cardiovascular, pulmonary, gastro-intestinal, hepatic, renal, metabolic, hematological, neurologic, psychiatric, systemic, infectious or allergic disease
  • Frequent headaches (> twice a month) and / or migraines, recurrent nausea and / or vomiting;
  • Symptomatic hypotension whatever the decrease of blood pressure or asymptomatic postural hypotension defined by a decrease in SBP or DBP equal to or greater than 20 mmHg within two minutes when changing from the supine to the standing position;
  • Inability to abstain from intensive muscular effort;
  • History or presence of alcohol abuse (alcohol consumption > 40 grams/day);
  • Any drug intake (except paracetamol 3g/d) during the 2 weeks or 5 half-lives of the drug preceding the first administration;
  • Subject 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.

Trial locations and contacts

3 sites in 2 countries.

3 sites in 2 countries

Hungary2 sites
  • DRC Drug Research Center Ltd.

    Balatonfüred, 8231

  • Clinical Research Units Hungary Ltd.

    Miskolc, 3528

Other trials in Hungary

France1 site
  • Eurofins Optimed

    Gières, 38610

Other trials in France

About this study

Official title: Open Label, Phase I Study to Assess and Compare the Pharmacokinetic Parameters After Single Oral Administration of MD1003 100 mg in Hepatic Impaired Patients and Healthy Subjects With Normal Hepatic Function

This is a Phase 1, multicentric, open-label,two arms to assess and compare the effect of single oral administration of MD1003 on the pharmacokinetic parameters in hepatic impaired patients and healthy subjects with normal hepatic function.

The planned enrollment is 16 subjects (8 impaired patients and 8 healthy subjects).

Read the detailed description

The study is a multicentric, open label, phase I, two arms study to compare pharmacokinetics of MD1003 after a single oral dose of MD1003 100 mg in eight (8) healthy male/female subjects and eight (8) male/female patients of moderate Child Pugh category. Healthy subjects and patients will receive a single oral dose of MD1003 100 mg. The healthy subjects will match with impaired hepatic function patients on ethnic group, sex, age (+/- 10 years) and BMI (+/- 20%).

Participants will be admitted into the Clinical Research Units (CRU) on Day-3. On the morning of Day 1, subjects will receive a single 100 mg oral dose of MD1003 following an overnight fast (i.e., at least 10 hours). Participants will be confined to the CRU until discharge on Day 8, with PK blood sample draws for measurement of MD1003 and its main metabolites being taken throughout the confinement (Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72, 96, 120, 144, 168h post dose). A Follow up post study visit will occur on Day 14 (± 2 days).

Adverse events (AEs), clinical laboratory evaluations, vital signs assessments, 12-lead electrocardiograms (ECGs), and physical examination (PE) findings will be monitored at Screening and at specified times during the study. All AEs will be recorded throughout the study (i.e., from signing of the Informed Consent Form until Study Completion).

The Study Completion is defined as the last subject's end-of-study assessment.

Being tested
MD1003

What participants receive

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

  • MD1003Drug

    Single oral dose administration of MD1003 at Day 1

Study groups in NCT04252417
Study groupRoleWhat they receive
Patients with hepatic impaired functionActive comparator8 patients with hepatic impairment of moderate Child Pugh category
Receives: Drug: MD1003
Healthy subjectsActive comparatorHealthy volunteers will be matched with impaired hepatic function patients
Receives: Drug: MD1003

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 measurment (AUC (0-t)) for MD1003

    Blood samples will be collected

    Measured: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

  2. Area under curve from dosing tme to infinity (AUC(0-∞)) for MD1003

    Blood samples will be collected

    Measured: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

  3. Observed maximum plasma concentration (Cmax) for MD1003

    Blood samples will be collected

    Measured: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

  4. Measurement of concentration of MD1003

    Blood samples will be collected

    Measured: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

  5. Measurement of concentration of Bisnorbiotin

    Blood samples will be collected

    Measured: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

  6. Measurement of concentration of Biotin sulfoxide

    Blood samples will be collected

    Measured: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

Secondary outcomes (20)
  1. Measurement of plasma elimination half-life (t1/2) for MD1003

    Blood samples will be collected

    Measured: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

  2. Measurement of time to reach observed maximum plasma concentration (tmax) for MD1003

    Blood samples will be collected

    Measured: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

  3. Measurement of apparent volume of distribution (Vd/F) for MD1003

    Blood samples will be collected

    Measured: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

  4. Measurement of elimination rate constant (Kel) for MD1003

    Blood samples will be collected

    Measured: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

  5. Measurement of percentage of extrapolated AUCinf (%AUCextra) for MD1003

    Blood samples will be collected

    Measured: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

  6. Measurement of apparent clearance (CL/F) for MD1003

    Blood samples will be collected

    Measured: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

  7. Area under curve from dosing time to last measurment (AUC (0-t)) for Bisnorbiotin

    Blood samples will be collected

    Measured: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

  8. Area under curve from dosing time to last measurment (AUC (0-t)) for Biotin sulfoxide

    Blood samples will be collected

    Measured: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

  9. Area under curve from dosing tme to infinity (AUC(0-∞)) for Bisnorbiotin

    Blood samples will be collected

    Measured: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

  10. Area under curve from dosing tme to infinity (AUC(0-∞)) for Biotin sulfoxide

    Blood samples will be collected

    Measured: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

  11. Observed maximum plasma concentration (Cmax) for Bisnorbiotin

    Blood samples will be collected

    Measured: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

  12. Observed maximum plasma concentration (Cmax) for Biotin sulfoxide

    Blood samples will be collected

    Measured: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

  13. Measurement of time to reach observed maximum plasma concentration (tmax) for Bisnorbiotin

    Blood samples will be collected

    Measured: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

  14. Measurement of time to reach observed maximum plasma concentration (tmax) for Biotin sulfoxide

    Blood samples will be collected

    Measured: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

  15. Measurement of plasma elimination half-life (t1/2) Bisnorbiotin

    Blood samples will be collected

    Measured: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

  16. Measurement of plasma elimination half-life (t1/2) Biotin sulfoxide

    Blood samples will be collected

    Measured: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

  17. Measurement of elimination rate constant (Kel) for Bisnorbiotin

    Blood samples will be collected

    Measured: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

  18. Measurement of elimination rate constant (Kel) for Biotin sulfoxide

    Blood samples will be collected

    Measured: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

  19. Measurement of percentage of extrapolated AUCinf (%AUCextra) for Bisnorbiotin

    Blood samples will be collected

    Measured: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

  20. Measurement of percentage of extrapolated AUCinf (%AUCextra) for Biotin sulfoxide

    Blood samples will be collected

    Measured: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72, 96, 120, 144 and 168 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 Feb 2020
  2. Study start11 Oct 2019
  3. Primary completion17 Mar 2020
  4. Study completion17 Mar 2020

Why it stopped: Due to other Phase 3 trial failure to meet primary endpoint

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
Other
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
Open label, Parallel-group, Single oral dose
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
15 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04252417
Sponsor's protocol ID
MD1003CT201901HI
Other IDs
2019-002315-26, 2019
Status last verified
Jan 2020
First submitted
31 Jan 2020
Last updated
13 May 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing MD1003 in people with Healthy Volunteers and Hepatic Impairment of Moderate Child Pugh Category, run by MedDay Pharmaceuticals SA at 3 sites in 2 countries.

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 34 inclusion and 40 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: stopped early, as of the sponsor's last update on 13 May 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Hungary, 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 was stopped early (reason given: Due to other Phase 3 trial failure to meet primary endpoint). Results are not available in the source record.

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 measurment (AUC (0-t)) for MD1003 (time frame: predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose). The study lists 6 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 May 2020; AzTrials last refreshed its copy on 6 Nov 2026.

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