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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.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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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);
Show all 29Show fewer
  • 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.

Hong Ren, Master of Medicine contact

+86 13983888786

renhong0531@vip.sina.com.cn

Nong Yang, Master of Medicine contact

+86 13055193557

yangnongpi@163.com

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

Other trials in China

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.

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 groups in NCT05559242
Study groupRoleWhat they receive
Anlotinib Hydrochloride CapsulesExperimentalAnlotinib 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.

  1. Peak concentration (Cmax)

    Maximum plasma drug concentration

    Measured: predose, 1,2,4,8,11,24,48,96,144,192,240,336 hours after administration

  2. 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

  3. 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)
  1. 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

  2. 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

  3. 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

  4. 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

  5. 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.

  1. First posted29 Sep 2022
  2. Study startOct 2022 (estimated)
  3. Primary completionJun 2023 (estimated)
  4. Study completionJul 2023 (estimated)

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
30 participants (estimated)
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

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.

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