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Hepatic ImpairmentPhase 1NCT04482270

A Study to Investigate the Effect of Mild and Moderate Hepatic Impairment on the Safety and Tolerability of Fezolinetant Compared to Participants With Normal Hepatic Function

A Phase 1 study testing fezolinetant in people with Hepatic Impairment and Healthy Volunteers, run by Astellas Pharma Global Development, Inc. at 4 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

The purpose of this study is to evaluate the pharmacokinetics of a single oral dose of fezolinetant and ES259564 (fezolinetant metabolite) in female participants with mild and moderate hepatic impairment compared to healthy female participants with normal hepatic function. Read more about this study

Who is it for?
Ages 18 to 75 years, women onlyHealthy volunteers can take part
Conditions the study is for
Hepatic Impairment, Healthy Volunteers
What is being tested?
fezolinetant
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
26 participants
Where
4 sitesUnited States
Study dates
2 Sep 2020to 22 Mar 2021
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
  • Women only
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Subject has a Body Mass Index (BMI) range of 18.5 to 36.0 kg/m^2, inclusive and weighs at least 50 kg at screening.
  • Female subject is not pregnant and at least one of the following conditions apply:
  • Not a woman of childbearing potential (WOCBP)
  • WOCBP who agrees to follow the contraceptive guidance for at least 30 days prior to day -1 through at least 30 days after IP administration.
  • Female subject must agree not to breastfeed starting at screening and throughout the study period and for 30 days after IP administration.
  • Female subject must not donate ova starting at first dose of IP and throughout the study period and for 30 days after IP administration.
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  • Subject agrees not to participate in another interventional study while participating in the present study.
  • Additional Criterion for Subjects with Hepatic Impairment:
  • Subject has mild (Child-Pugh classification Class A, score 5 or 6) or moderate (Child-Pugh classification Class B, score 7 to 9) hepatic impairment.

Who cannot join

  • Subject has received any investigational therapy within 28 days or five half-lives, whichever is longer, prior to Day -1.
  • Subject has any condition which makes the subject unsuitable for study participation.
  • Female subject who has been pregnant within six months prior to screening or breastfeeding within three months prior to screening.
  • Subject has a known or suspected hypersensitivity to fezolinetant or any components of the formulation used.
  • Subject has had previous exposure with fezolinetant.
  • Subject has used any inducer of cytochrome P450 (CYP) 1A2 in the three months prior or inhibitors of CYP 1A2 in the two weeks or five half-lives of the inhibitor, whichever is longer, prior to Day -1.
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  • Subject has any clinically significant history of allergic conditions (including drug allergies, asthma, eczema or anaphylactic reactions, but excluding untreated, asymptomatic, seasonal allergies) prior to IP administration.
  • Subject has/had febrile illness or symptomatic, viral (excluding chronic hepatitis B and C), bacterial (including upper respiratory infection) or fungal (noncutaneous) infection within one week prior to Day -1.
  • Subject has smoked, used tobacco-containing products and nicotine or nicotine-containing products (e.g., electronic vapes) within six months prior to screening or the subject tests positive for cotinine at screening or on Day -1.
  • Subject has had significant blood loss, donated ≥ 1 unit (450 mL) of whole blood or donated plasma within seven days prior to Day -1 and/or received a transfusion of any blood or blood products within 60 days.
  • Subject is an employee of Astellas, the study-related contract research organizations (CROs) or the clinical unit.
  • Subject has creatinine level outside normal limits on Day -1. In such a case, the assessment may be repeated once.
  • Additional Criteria for Subjects with Hepatic Impairment:
  • Subject has any history or evidence of any clinically significant cardiovascular, gastrointestinal, endocrinologic, hematologic, immunologic, metabolic, dermatologic, psychiatric, renal and/or other major disease or malignancy, not related to current disease state.
  • Subject has a history of consuming > 7 units of alcoholic beverages per week within three months prior to screening or has a history of alcoholism or drug/chemical/substance abuse within one year prior to screening (note: 1 unit = 12 ounces of beer, 4 ounces of wine, 1 ounce of spirits/hard liquor) or the subject tests positive for alcohol at screening or on Day -1.
  • Subject has a mean pulse < 45 or > 90 beats per minute (bpm); mean systolic blood pressure (SBP) > 160 millimeters of mercury (mmHg); mean diastolic blood pressure (DBP) > 100 mmHg (measurements taken in triplicate after subject has been resting in the supine position for at least five minutes; pulse will be measured automatically) on Day -1. If the mean blood pressure exceeds the limits above, one additional triplicate may be taken.
  • Subject has a mean corrected QT interval using Fridericia's formula (QTcF) of > 480 millisecond (msec) on Day -1. If the mean QTcF exceeds the limits above, one additional triplicate electrocardiogram (ECG) may be taken.
  • Subject has used any drugs of abuse (amphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine and/or opiates) within three months prior to Day -1 or the subject tests positive for drugs of abuse (amphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine and opiates) at screening or on Day -1, unless the positive test is due to prescription drug use that is approved by the principal investigator and sponsor.
  • Subject has a positive serology test for hepatitis A virus (HAV) antibodies (immunoglobulin M [IgM]) or antibodies to human immunodeficiency virus (HIV) type 1 and/or type 2 at screening.
  • Subject has fluctuating or rapidly deteriorating hepatic function, as indicated by strongly varying or worsening of clinical and/or laboratory signs of hepatic impairment within the screening period (e.g., advanced ascites, infection of ascites, fever, active gastrointestinal bleeding).
  • Subject who has had a change in dose regimen of medically required medication(s) in the two weeks prior to screening (permitted concomitant medications) and/or subject for whom dose changes are likely to occur during the study (minor dose changes are allowed in agreement with the sponsor) and/or subject has used nonpermitted concomitant medication(s) in the three weeks prior to admission to the clinical unit (nonpermitted concomitant medications include any known hepatic enzyme-altering agents or compounds known to restrict metabolism, vitamins, hormonal contraceptives, hormone replacement therapy [HRT] and natural and herbal remedies, e.g., St. John's Wort).
  • Subject has a presence of a hepatocellular carcinoma, or an acute liver disease caused by an infection or drug toxicity.
  • Subject has severe portal hypertension or surgical portosystemic shunts, including transjugular intrahepatic portosystemic shunt.
  • Subject has biliary liver cirrhosis, biliary obstruction or other cause of hepatic impairment not related to parenchymal disorder and/or disease of the liver.
  • Subject has signs of significant hepatic encephalopathy (hepatic encephalopathy Grade ≥ 2).
  • Subject has severe ascites and/or pleural effusion.
  • Subject has esophageal/gastric variceal bleeding in the past six months prior to screening, unless banded.
  • Subject has thrombocyte level below 40 × 10^9 per liter and /or hemoglobin < 90 grams per liter.
  • Subject has previous liver transplantation.
  • Additional Criteria for Healthy Subjects with Normal Hepatic Function:
  • Subject has any of the liver function tests (alkaline phosphatase [ALP], alanine aminotransferase [ALT], aspartate aminotransferase [AST] and total bilirubin [TBL]) ≥ 1.5 × the Upper Limit of Normal (ULN) or international normalized ratio (INR) > 1.1 on Day -1. In such a case, the assessment may be repeated once.
  • Subject has any history or evidence of any clinically significant cardiovascular, gastrointestinal, endocrinologic, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, neurologic, dermatologic, psychiatric, renal and/or other major disease or malignancy.
  • Subject has a history of consuming > 7 units of alcoholic beverages per week within six months prior to screening or has a history of alcoholism or drug/chemical/substance abuse within two years prior to screening (note: 1 unit = 12 ounces of beer, 4 ounces of wine, 1 ounce of spirits/hard liquor) or the subject tests positive for alcohol at screening or on Day -1.
  • Subject has any clinically significant abnormality following the physical examination, ECG and protocol-defined clinical laboratory tests at screening or on Day -1.
  • Subject has a mean pulse < 45 or > 90 bpm; mean SBP > 140 mmHg; mean DBP > 90 mmHg (measurements taken in triplicate after subject has been resting in the supine position for at least five minutes; pulse will be measured automatically) on Day -1. If the mean blood pressure exceeds the limits above, one additional triplicate may be taken.
  • Subject has a mean QTcF of > 450 msec on Day -1. If the mean QTcF exceeds the limits above, one additional triplicate ECG may be taken.
  • Subject has used any prescribed or nonprescribed drugs (including vitamins, hormonal contraceptives, HRT and natural and herbal remedies, e.g., St. John's Wort) in the two weeks prior to IP administration, except for occasional use of acetaminophen (up to 2 g/day) and topical dermatological products, including corticosteroid products.
  • Subject has used any drugs of abuse (amphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine and/or opiates) within three months prior to Day -1 or the subject tests positive for drugs of abuse (amphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine and opiates) at screening or on Day -1.
  • Subject has a positive serology test for HAV antibodies (IgM), hepatitis B surface antigen, hepatitis C virus antibodies or antibodies to HIV type 1 and/or type 2 at screening.

Trial locations and contacts

4 sites in 1 country.

United States4 sites
  • Clinical Research of West Florida, Inc.

    Clearwater, Florida, 33765

  • Clinical Pharmacology of Miami, LLC

    Miami, Florida, 33014-361

  • Orlando Clinical Research Center

    Orlando, Florida, 32809

  • American Research Corporation

    San Antonio, Texas, 72815

Other trials in United States

About this study

Official title: A Phase 1 Study to Investigate the Effect of Mild and Moderate Hepatic Impairment on the Pharmacokinetics, Safety and Tolerability of Fezolinetant Compared to Subjects With Normal Hepatic Function

The purpose of this study is to evaluate the pharmacokinetics of a single oral dose of fezolinetant and ES259564 (fezolinetant metabolite) in female participants with mild and moderate hepatic impairment compared to healthy female participants with normal hepatic function.

This study will also evaluate the safety and tolerability of a single oral dose of fezolinetant in female participants with mild and moderate hepatic impairment and healthy female participants with normal hepatic function.

Read the detailed description

The study will comprise of three groups based on hepatic function. Participants will be screened for up to 28 days prior to investigational product (IP) administration on Day 1. Eligible participants will be admitted to the clinical unit on Day -1 and will be residential for a single period of six days/five nights. On Day 1, participants will receive a single oral dose of fezolinetant under fasting conditions followed by a 96-hour in-house blood and urine sampling period. Participants are to remain semirecumbent for four hours postdose. Standard safety and tolerability assessments will be conducted. Participants will be discharged from the clinical unit on Day 5 on the condition that all required assessments have been performed and that there are no medical reasons for a longer stay in the clinical unit.

The study will be completed with an end-of-study visit (ESV). The ESV will take place five to nine days after the last pharmacokinetic sample is collected or at the time of early discontinuation from the study.

Being tested
fezolinetant
Keywords
ES259564, Pharmacokinetics, fezolinetant, Healthy Volunteers, Hepatic Impairment

What participants receive

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

  • fezolinetantDrug

    Also called ESN364

    Oral

Study groups in NCT04482270
Study groupRoleWhat they receive
Fezolinetant: Mild Hepatic ImpairmentExperimentalParticipants will receive a single oral dose of fezolinetant under fasting conditions on Day 1.
Receives: Drug: fezolinetant
Fezolinetant: Moderate Hepatic ImpairmentExperimentalParticipants will receive a single oral dose of fezolinetant under fasting conditions on Day 1.
Receives: Drug: fezolinetant
Fezolinetant: Normal Hepatic FunctionExperimentalParticipants will receive a single oral dose of fezolinetant under fasting conditions on Day 1.
Receives: Drug: fezolinetant

What is being measured

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

  1. Pharmacokinetics (PK) of Fezolinetant in Plasma: Area Under the Concentration-time Curve (AUC) From the Time of Dosing Extrapolated to Time Infinity (AUCinf)

    AUCinf will be recorded from the PK plasma samples collected.

    Measured: Up to 5 days

  2. PK of Fezolinetant in Plasma: AUC From the Time of Dosing to the Last Measurable Concentration (AUClast)

    AUClast will be recorded from the PK plasma samples collected.

    Measured: Up to 5 days

  3. PK of Fezolinetant in Plasma: Maximum Concentration (Cmax)

    Cmax will be recorded from the PK plasma samples collected.

    Measured: Up to 5 days

  4. PK of Fezolinetant in Plasma: Apparent Clearance (CL/F)

    CL/F will be recorded from the PK plasma samples collected.

    Measured: Up to 5 days

  5. PK of Fezolinetant in Plasma: Apparent volume of Distribution During Terminal Phase After Non-intravenous Administration (Vz/F)

    Vz/F will be recorded from the PK plasma samples collected.

    Measured: Up to 5 days

  6. PK of Fezolinetant Metabolite ES259564 in Plasma: AUCinf

    AUCinf will be recorded from the PK plasma samples collected.

    Measured: Up to 5 days

  7. PK of Fezolinetant Metabolite ES259564 in Plasma: AUClast

    AUClast will be recorded from the PK plasma samples collected.

    Measured: Up to 5 days

  8. PK of Fezolinetant Metabolite ES259564 in Plasma: Cmax

    Cmax will be recorded from the PK plasma samples collected.

    Measured: Up to 5 days

Secondary outcomes (4)
  1. Number of Participants With Adverse Events (AEs)

    AEs will be coded using Medical Dictionary for Regulatory Activities (MedDRA). An AE is any untoward medical occurrence in a participant administered an IP and which does not necessarily have to have a causal relationship with this treatment.

    Measured: Up to 14 days

  2. Number of Participants With Laboratory Value Abnormalities and/or Adverse Events (AEs)

    Number of participants with potentially clinically significant laboratory values.

    Measured: Up to 14 days

  3. Number of Participants With Vital Sign Abnormalities and/or Adverse Events (AEs)

    Number of participants with potentially clinically significant vital sign values.

    Measured: Up to 14 days

  4. Number of Participants With 12-lead Electrocardiogram (ECG) Abnormalities and/or Adverse Events (AEs)

    Number of participants with potentially clinically significant 12-lead ECG values.

    Measured: Up to 14 days

Timeline

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

  1. First posted22 Jul 2020
  2. Study start2 Sep 2020
  3. Primary completion22 Mar 2021
  4. Study completion22 Mar 2021

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
26 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04482270
Sponsor's protocol ID
2693-CL-0007
Status last verified
Oct 2024
First submitted
20 Jul 2020
Last updated
17 Oct 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: Access to anonymized individual participant level data will not be provided for this trial. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing fezolinetant in people with Hepatic Impairment and Healthy Volunteers, run by Astellas Pharma Global Development, Inc. at 4 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 9 inclusion and 39 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 17 Oct 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 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?

Pharmacokinetics (PK) of Fezolinetant in Plasma: Area Under the Concentration-time Curve (AUC) From the Time of Dosing Extrapolated to Time Infinity (AUCinf) (time frame: Up to 5 days). The study lists 8 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 17 Oct 2024.

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