Liver DysfunctionPhase 1NCT05559242
Pharmacokinetic Study of Anlotinib Hydrochloride Capsules in Healthy Subjects and Liver Dysfunction Patients
A Phase 1 study testing Anlotinib Hydrochloride Capsule in people with Liver Dysfunction, run by Chia Tai Tianqing Pharmaceutical Group Co., Ltd. at 2 sites in China.
Trial summary
To evaluate the pharmacokinetic difference of anlotinib hydrochloride capsule between mild/moderate liver dysfunction subjects and healthy subjects, and to provide basis for formulating the clinical drug regimen for patients with liver dysfunction. Read more about this study
- Who is it for?
- Ages 18 to 75 yearsHealthy volunteers can take part
- Conditions the study is for
- Liver Dysfunction
- What is being tested?
- Anlotinib Hydrochloride Capsule
- 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 sitesChina
- Study dates
- Oct 2022to Jul 2023
- 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
- Criteria 1 to 4 are applicable to all subjects.
- The subjects volunteered to participate in the study, signed the informed consent, and had good compliance;
- Age: 18-75 years old (including both end values) (the healthy subject group and the liver dysfunction group are age matched, the mean is ± 10 years); Both male and female (healthy subjects group and liver dysfunction group were matched by gender, mean ± 1 case);
- Body mass index (BMI) ≥ 18 and ≤ 30 kg / m2, and male weight ≥ 50 kg or female weight ≥ 45 kg (weight matching between healthy subjects and liver dysfunction group, mean ± 10%);
- Female subjects of childbearing age should agree to use contraceptive measures (such as IUDs, contraceptives or condoms) during the study and within 6 months after the end of the study; Serum pregnancy test was negative within 7 days before study enrollment, and must be a non lactating subject; Male subjects should agree to use contraceptives during the study period and within 6 months after the end of the study period;
- Criteria 5 to 8 are applicable to subjects with liver dysfunction. 5. For the subjects with liver dysfunction, they are diagnosed as chronic (≥ 6 months) stable liver function impairment through past medical history, physical examination, serological indicators (such as albumin, bilirubin, glutamic pyruvic transaminase, glutamic oxaloacetic transaminase, prothrombin time, etc.), liver biopsy or imaging (such as computed tomography, magnetic resonance imaging, ultrasound, laparoscopy, etc.); 6. Subjects with liver dysfunction caused by previous primary liver diseases and assessed as grade A / mild (5-6 points) or grade B / moderate (7-9 points) according to child Pugh grading score (albumin was not used within 14 days); 7. The main organs have good functions and meet the following standards: The blood routine examination shall meet the following standards (no blood transfusion or correction with hematopoietic stimulator drugs within 7 days before screening): hemoglobin (Hgb) ≥ 90g / L; Neutrophil absolute value (neut) ≥ 1.5 × 109/L; Biochemical examination shall meet the following standards: serum creatinine (CR) ≤ 1.5 × ULN or creatinine clearance rate (CCR) ≥ 60ml / min; Liver function test shall meet the following standards: alanine transferase (ALT) and aspartate transferase (AST) ≤ 5 × ULN; Coagulation function test shall meet the following standards: prothrombin time (PT) extension ≤ 6S, prothrombin activity (PTA) ≥ 40%; Cardiac color Doppler evaluation: left ventricular ejection fraction (LVEF) ≥ 50%; 8. No drugs affecting CYP3A4 were used within 2 weeks before the study;
- Criteria 9, 10 are applicable to healthy subjects. 9. Main organ function is good, laboratory examination (blood routine, blood biochemistry, coagulation function, etc.), cardiac color ultrasound, 12 lead electrocardiogram, abdominal B-ultrasound and other examinations are normal or abnormal, but they are judged by the investigator to be of no clinical significance; 10. Those who did not use any prescription drugs, over-the-counter drugs, Chinese herbal medicines or food supplements within 2 weeks before the study medication;
Who cannot join
- Exclusion criteria 1 to 15 are applicable to all subjects.
- Allergic constitution, including severe drug allergy or drug allergy history; Those who are known to be allergic to anlotinib hydrochloride capsules or their excipients;
- Those who lost blood or donated blood ≥ 450 ml or received blood transfusion within one month before screening; Or having taken any clinical trial drug;
- Alcohol breath test is positive or there is a history of alcoholism within 2 weeks before screening (drinking 14 units of alcohol per week: 1 unit = 360ml of beer or 45ml of spirits with 40% alcohol or 150ml of wine); Those who cannot abstain from smoking and drinking during the test;
- Those with serious infection, trauma, gastrointestinal surgery or other major surgical operations within 4 weeks before screening;
- There are many factors that affect oral administration and drug absorption (such as inability to swallow, gastrointestinal tract resection, ulcerative colitis, symptomatic / inflammatory bowel disease, chronic diarrhea, intestinal obstruction and other digestive tract diseases);
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- Those who have taken in special diet (such as grapefruit juice / grapefruit juice, methyl xanthine rich coffee, tea, cola, chocolate, energy drinks, etc.) or have taken strenuous exercise or other factors affecting drug absorption, distribution, metabolism, excretion, etc. within 2 days before the study medication;
- Those with a history of drug abuse or positive drug screening;
- Those who have taken the study drug or participated in clinical trials of other drugs and taken the study drug within one month before screening;
- Female subjects who are breastfeeding or whose serum pregnancy results are positive during the screening period;
- Have a history of malignant tumor in the past 5 years (except for cured skin basal cell carcinoma and cervical carcinoma in situ);
- HIV antibody positive;
- There are any serious and / or uncontrollable diseases, including:
- blood pressure control is not ideal (systolic blood pressure ≥ 150mmhg or diastolic blood pressure ≥ 100 mmHg);
- Have grade ≥ 2 myocardial ischemia or myocardial infarction, arrhythmia (including QTc ≥ 480ms) and grade ≥ 2 congestive heart failure;
- Arterial / venous thrombosis events occurred within 6 months, such as cerebrovascular accidents (including transient ischemic attack, cerebral hemorrhage, cerebral infarction), deep vein thrombosis and pulmonary embolism;
- There are other serious physical or mental diseases, or the history and / or abnormal clinical laboratory tests that the investigator considers may affect the test results, including but not limited to the history of circulatory system, endocrine system, nervous system, digestive system, urinary system or blood, immune, mental and metabolic diseases (excluding the primary liver diseases of patients with liver dysfunction);
- There is a history of live attenuated vaccine vaccination within 2 weeks before screening or live attenuated vaccine vaccination is planned during the trial;
- According to the judgment of the investigator, there are concomitant diseases that seriously endanger the safety of the subject or affect the completion of the study, or subjects who are considered unsuitable for enrollment for other reasons;
- Exclusion criteria 16 is only applicable to subjects with liver dysfunction 16. Subjects with liver dysfunction can not be included in the group if they have any of the following conditions:
- drug-induced liver injury;
- Liver transplantation;
- Patients with acute liver function injury caused by various reasons within 2 months before screening;
- Patients with severe peritoneal effusion or pleural effusion requiring puncture drainage;
- Patients with hepatorenal syndrome;
- Patients with biliary cirrhosis, biliary obstruction, cholestatic liver disease and other diseases affecting bile excretion;
- Patients with severe portal hypertension or who have received previous portosystemic shunt, including transjugular intrahepatic portosystemic shunt;
- Patients in the state of liver failure at present, or patients with cirrhosis complicated with obvious hepatic encephalopathy, liver cancer, rupture and bleeding of esophageal and gastric varices and other complications that researchers think are inappropriate;
- Exclusion criteria 17 is only applicable to healthy subjects. 17. Hepatitis B surface antigen (HBsAg) positive or HCV-RNA positive.
Trial locations and contacts
2 sites in 1 country.
China2 sites
Hunan Cancer Hospital
Changsha, Hunan, 410006
Nong Yang, Master of Medicine, +86 13055193557, yangnongpi@163.com
The Second Affiliated Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality, 40010
Hong Ren, Master of Medicine, +86 13983888786, renhong0531@vip.sina.com.cn
About this study
Official title: To Evaluate the Phase I Pharmacokinetics of Anlotinib Hydrochloride Capsules in Liver Dysfunction Patients and Healthy Subjects
To evaluate the pharmacokinetic difference of anlotinib hydrochloride capsule between mild/moderate liver dysfunction subjects and healthy subjects, and to provide basis for formulating the clinical drug regimen for patients with liver dysfunction.
- Conditions
- Liver Dysfunction
- Being tested
- Anlotinib Hydrochloride Capsule
- Medical subject headings
- Liver Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Anlotinib Hydrochloride CapsuleDrug
Anlotinib hydrochloride is a muti-target tyrosine kinase inhibitor
| Study group | Role | What they receive |
|---|---|---|
| Anlotinib Hydrochloride Capsules | Experimental | Anlotinib hydrochloride capsules, 12mg, 1 time in total Receives: Drug: Anlotinib Hydrochloride Capsule |
What is being measured
The primary outcome is the main question the study is designed to answer.
Peak concentration (Cmax)
Maximum plasma drug concentration
Measured: predose, 1,2,4,8,11,24,48,96,144,192,240,336 hours after administration
Area under curve (0-t)
Area under the plasma concentration-time curve from time 0 to last time of quantifiable concentration
Measured: predose, 1,2,4,8,11,24,48,96,144,192,240,336 hours after administration
Area under curve (0-∞)
Area under the plasma concentration-time curve from time 0 and extrapolated to infinite time
Measured: predose, 1,2,4,8,11,24,48,96,144,192,240,336 hours after administration
Secondary outcomes (5)
Time to reach maximum concentration (TMAX)
Time to reach maximum concentration (TMAX)
Measured: predose, 1,2,4,8,11,24,48,96,144,192,240,336,hours after administration
Elimination half life (t1/2)
Elimination half life (t1/2)
Measured: predose, 1,2,4,8,11,24,48,96,144,192,240,336,hours after administration
Apparent clearance (CL/F)
Apparent clearance (CL/F)
Measured: predose, 1,2,4,8,11,24,48,96,144,192,240,336,hours after administration
Apparent distribution volume (Vd/F)
Apparent distribution volume (Vd/F)
Measured: predose, 1,2,4,8,11,24,48,96,144,192,240,336,hours after administration
Adverse event rate
Incidence and severity of adverse events and serious adverse events, and abnormal laboratory examination indicators
Measured: From the first administration to 15 days after the administration
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Sep 2022
- Study startOct 2022 (estimated)
- Primary completionJun 2023 (estimated)
- Study completionJul 2023 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Liver DysfunctionStudies of the same condition, open and under way.
- More trials run by Chia Tai Tianqing Pharmaceutical Group Co., Ltd.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 30 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Chia Tai Tianqing Pharmaceutical Group Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05559242
- Sponsor's protocol ID
- ALTN-I-10
- Status last verified
- Sep 2022
- First submitted
- 27 Sep 2022
- Last updated
- 29 Sep 2022
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 29 Sep 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- To Evaluate the Phase I Pharmacokinetics of Anlotinib Hydrochloride Capsules in Liver Dysfunction Patients and Healthy Subjects
- ClinicalTrials.gov ID
- NCT05559242
- Acronym / sponsor ID
- ALTN-I-10
- Conditions
- Liver Dysfunction
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 30 participants (estimated)
- Lead sponsor
- Chia Tai Tianqing Pharmaceutical Group Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- Oct 2022 (estimated)
- Primary completion
- Jun 2023 (estimated)
- Study completion
- Jul 2023 (estimated)
- First posted
- 29 Sep 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To evaluate the pharmacokinetic difference of anlotinib hydrochloride capsule between mild/moderate liver dysfunction subjects and healthy subjects, and to provide basis for formulating the clinical drug regimen for patients with liver dysfunction.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Anlotinib Hydrochloride Capsules | Experimental | Drug: Anlotinib Hydrochloride CapsuleAnlotinib hydrochloride capsules, 12mg, 1 time in total |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Criteria 1 to 4 are applicable to all subjects.
- Criteria 5 to 8 are applicable to subjects with liver dysfunction. 5. For the subjects with liver dysfunction, they are diagnosed as chronic (≥ 6 months) stable liver function impairment through past medical history, physical examination, serological indicators (such as albumin, bilirubin, glutamic pyruvic transaminase, glutamic oxaloacetic transaminase, prothrombin time, etc.), liver biopsy or imaging (such as computed tomography, magnetic resonance imaging, ultrasound, laparoscopy, etc.); 6. Subjects with liver dysfunction caused by previous primary liver diseases and assessed as grade A / mild (5-6 points) or grade B / moderate (7-9 points) according to child Pugh grading score (albumin was not used within 14 days); 7. The main organs have good functions and meet the following standards: The blood routine examination shall meet the following standards (no blood transfusion or correction with hematopoietic stimulator drugs within 7 days before screening): hemoglobin (Hgb) ≥ 90g / L; Neutrophil absolute value (neut) ≥ 1.5 × 109/L; Biochemical examination shall meet the following standards: serum creatinine (CR) ≤ 1.5 × ULN or creatinine clearance rate (CCR) ≥ 60ml / min; Liver function test shall meet the following standards: alanine transferase (ALT) and aspartate transferase (AST) ≤ 5 × ULN; Coagulation function test shall meet the following standards: prothrombin time (PT) extension ≤ 6S, prothrombin activity (PTA) ≥ 40%; Cardiac color Doppler evaluation: left ventricular ejection fraction (LVEF) ≥ 50%; 8. No drugs affecting CYP3A4 were used within 2 weeks before the study;
- Criteria 9, 10 are applicable to healthy subjects. 9. Main organ function is good, laboratory examination (blood routine, blood biochemistry, coagulation function, etc.), cardiac color ultrasound, 12 lead electrocardiogram, abdominal B-ultrasound and other examinations are normal or abnormal, but they are judged by the investigator to be of no clinical significance; 10. Those who did not use any prescription drugs, over-the-counter drugs, Chinese herbal medicines or food supplements within 2 weeks before the study medication;
Key exclusion criteria (29 listed)
- Exclusion criteria 1 to 15 are applicable to all subjects.
- Exclusion criteria 16 is only applicable to subjects with liver dysfunction 16. Subjects with liver dysfunction can not be included in the group if they have any of the following conditions:
- Exclusion criteria 17 is only applicable to healthy subjects. 17. Hepatitis B surface antigen (HBsAg) positive or HCV-RNA positive.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Anlotinib Hydrochloride CapsuleAnlotinib hydrochloride is a muti-target tyrosine kinase inhibitor | Drug | Anlotinib Hydrochloride Capsules |
Primary outcome
Peak concentration (Cmax)
Time frame: predose, 1,2,4,8,11,24,48,96,144,192,240,336 hours after administration
Maximum plasma drug concentration
Area under curve (0-t)
Time frame: predose, 1,2,4,8,11,24,48,96,144,192,240,336 hours after administration
Area under the plasma concentration-time curve from time 0 to last time of quantifiable concentration
Area under curve (0-∞)
Time frame: predose, 1,2,4,8,11,24,48,96,144,192,240,336 hours after administration
Area under the plasma concentration-time curve from time 0 and extrapolated to infinite time
5 secondary outcomes
Time to reach maximum concentration (TMAX)
Time frame: predose, 1,2,4,8,11,24,48,96,144,192,240,336,hours after administration
Elimination half life (t1/2)
Time frame: predose, 1,2,4,8,11,24,48,96,144,192,240,336,hours after administration
Apparent clearance (CL/F)
Time frame: predose, 1,2,4,8,11,24,48,96,144,192,240,336,hours after administration
Apparent distribution volume (Vd/F)
Time frame: predose, 1,2,4,8,11,24,48,96,144,192,240,336,hours after administration
Adverse event rate
Time frame: From the first administration to 15 days after the administration
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Sep 2022.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Anlotinib Hydrochloride Capsule in people with Liver Dysfunction, run by Chia Tai Tianqing Pharmaceutical Group Co., Ltd. at 2 sites in China.
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 7 inclusion and 29 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: status not confirmed, as of the sponsor's last update on 29 Sep 2022. 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 China. 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?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Hong Ren, Master of Medicine (+86 13983888786, renhong0531@vip.sina.com.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Peak concentration (Cmax) (time frame: predose, 1,2,4,8,11,24,48,96,144,192,240,336 hours after administration). 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 29 Sep 2022.