Trial Outcomes & Findings for A Study to Assess Pharmacokinetics (PK) of Preladenant in Participants With Chronic Renal Impairment (CRI) (P06512) (NCT NCT01323855)

NCT ID: NCT01323855

Last Updated: 2018-10-02

Results Overview

Blood samples were taken at the following timepoints: pre-dose, 0.25, 0.50, 0.75, 1, 2, 4, 6, 12, 16, 24, 30, 36 and 48 hours postdose in order to determine the AUC0-∞ of preladenant

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

46 participants

Primary outcome timeframe

Pre-dose to 48 hours post-dose

Results posted on

2018-10-02

Participant Flow

Male or female adults with different degrees of renal impairment along with matched healthy adults with normal renal function were selected for this study.

Participant milestones

Participant milestones
Measure
Part 1: Severe Renal Impairment
Participants with severe chronic renal impairment (CRI), defined as creatinine clearance of \<30 mL/min/1.73 m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
Part 2: Moderate Renal Impairment
Participants with moderate CRI defined as creatinine clearance of ≥30 and \<50 mL/min/1.73 m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
Part 2: Mild Renal Impairment
Participants with mild CRI, defined as creatinine clearance of ≥50 and ≤80 mL/min/1.73m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
Part 1: Normal Renal Function
Participants with normal renal function, defined as creatinine clearance of \>80 mL/min/1.73 m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
Part 2: Normal Renal Function
Participants with normal renal function, defined as creatinine clearance of \>80 mL/min/1.73 m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
Overall Study
STARTED
9
9
8
9
11
Overall Study
COMPLETED
9
9
8
9
11
Overall Study
NOT COMPLETED
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study to Assess Pharmacokinetics (PK) of Preladenant in Participants With Chronic Renal Impairment (CRI) (P06512)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Part 1: Severe Renal Impairment
n=9 Participants
Participants with severe CRI, defined as creatinine clearance of \<30 mL/min/1.73 m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
Part 2: Moderate Renal Impairment
n=9 Participants
Participants with moderate CRI defined as creatinine clearance of ≥30 and \<50 mL/min/1.73 m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
Part 2: Mild Renal Impairment
n=8 Participants
Participants with mild CRI, defined as creatinine clearance of ≥50 and ≤80 mL/min/1.73m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
Part 1: Normal Renal Function
n=9 Participants
Participants with normal renal function, defined as creatinine clearance of \>80 mL/min/1.73 m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
Part 2: Normal Renal Function
n=11 Participants
Participants with normal renal function, defined as creatinine clearance of \>80 mL/min/1.73 m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
Total
n=46 Participants
Total of all reporting groups
Age, Continuous
59.6 Years
STANDARD_DEVIATION 12.4 • n=5 Participants
66.9 Years
STANDARD_DEVIATION 7.8 • n=7 Participants
63.3 Years
STANDARD_DEVIATION 7.6 • n=5 Participants
59.3 Years
STANDARD_DEVIATION 11.3 • n=4 Participants
67.4 Years
STANDARD_DEVIATION 4.0 • n=21 Participants
63.5 Years
STANDARD_DEVIATION 9.3 • n=8 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
4 Participants
n=7 Participants
5 Participants
n=5 Participants
3 Participants
n=4 Participants
5 Participants
n=21 Participants
20 Participants
n=8 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
5 Participants
n=7 Participants
3 Participants
n=5 Participants
6 Participants
n=4 Participants
6 Participants
n=21 Participants
26 Participants
n=8 Participants

PRIMARY outcome

Timeframe: Pre-dose to 48 hours post-dose

Population: Four participants with severe CRI, and two matched healthy participants with insufficient terminal phase data to allow adequate characterization, were not analyzed. As only participants with severe CRI are presented, participants with mild or moderate CRI or their corresponding healthy matched controls were not analyzed in this outcome measure

Blood samples were taken at the following timepoints: pre-dose, 0.25, 0.50, 0.75, 1, 2, 4, 6, 12, 16, 24, 30, 36 and 48 hours postdose in order to determine the AUC0-∞ of preladenant

Outcome measures

Outcome measures
Measure
Part 1: Severe Renal Impairment
n=5 Participants
Participants with severe CRI, defined as creatinine clearance of \<30 mL/min/1.73 m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
Part 2: Moderate Renal Impairment
Participants with moderate CRI defined as creatinine clearance of ≥30 and \<50 mL/min/1.73 m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
Part 2: Mild Renal Impairment
Participants with mild CRI, defined as creatinine clearance of ≥50 and ≤80 mL/min/1.73m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
Part 1: Normal Renal Function
n=7 Participants
Participants with normal renal function, defined as creatinine clearance of \>80 mL/min/1.73 m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
Part 2: Normal Renal Function
Participants with normal renal function, defined as creatinine clearance of \>80 mL/min/1.73 m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
Area Under the Concentration-time Curve From Time 0 to Infinity (AUC0-∞) After Single Dosing With Preladenant for Participants With Severe CRI Versus Healthy Matched Controls
160.53 ng.hr/mL
Interval 81.13 to 317.62
135.12 ng.hr/mL
Interval 77.83 to 234.56

PRIMARY outcome

Timeframe: Pre-dose to 48 hours post-dose

Population: One participant with moderate CRI, and two matched healthy participants with insufficient terminal phase data to allow adequate characterization, were not analyzed. As only participants with moderate CRI are presented, participants with mild or severe CRI or their corresponding healthy matched controls were not analyzed in this outcome measure

Blood samples were taken at the following timepoints: pre-dose, 0.25, 0.50, 0.75, 1, 2, 4, 6, 12, 16, 24, 30, 36 and 48 hours postdose in order to determine the AUC0-∞ of preladenant

Outcome measures

Outcome measures
Measure
Part 1: Severe Renal Impairment
Participants with severe CRI, defined as creatinine clearance of \<30 mL/min/1.73 m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
Part 2: Moderate Renal Impairment
n=8 Participants
Participants with moderate CRI defined as creatinine clearance of ≥30 and \<50 mL/min/1.73 m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
Part 2: Mild Renal Impairment
Participants with mild CRI, defined as creatinine clearance of ≥50 and ≤80 mL/min/1.73m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
Part 1: Normal Renal Function
Participants with normal renal function, defined as creatinine clearance of \>80 mL/min/1.73 m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
Part 2: Normal Renal Function
n=5 Participants
Participants with normal renal function, defined as creatinine clearance of \>80 mL/min/1.73 m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
AUC0-∞ After Single Dosing With Preladenant for Participants With Moderate CRI Versus Healthy Matched Controls
197.43 ng.hr/mL
Interval 99.12 to 393.25
152.18 ng.hr/mL
Interval 67.65 to 342.34

PRIMARY outcome

Timeframe: Pre-dose to 48 hours post-dose

Population: One participant with mild CRI, and two matched healthy participants with insufficient terminal phase data to allow adequate characterization, were not analyzed. As only participants with mild CRI are presented, participants with severe or moderate CRI or their corresponding healthy matched controls were not analyzed in this outcome measure

Blood samples were taken at the following timepoints: pre-dose, 0.25, 0.50, 0.75, 1, 2, 4, 6, 12, 16, 24, 30, 36 and 48 hours postdose in order to determine the AUC0-∞ of preladenant

Outcome measures

Outcome measures
Measure
Part 1: Severe Renal Impairment
Participants with severe CRI, defined as creatinine clearance of \<30 mL/min/1.73 m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
Part 2: Moderate Renal Impairment
Participants with moderate CRI defined as creatinine clearance of ≥30 and \<50 mL/min/1.73 m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
Part 2: Mild Renal Impairment
n=7 Participants
Participants with mild CRI, defined as creatinine clearance of ≥50 and ≤80 mL/min/1.73m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
Part 1: Normal Renal Function
Participants with normal renal function, defined as creatinine clearance of \>80 mL/min/1.73 m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
Part 2: Normal Renal Function
n=4 Participants
Participants with normal renal function, defined as creatinine clearance of \>80 mL/min/1.73 m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
AUC0-∞ After Single Dosing With Preladenant for Participants With Mild CRI Versus Healthy Matched Controls
275.50 ng.hr/mL
Interval 183.51 to 413.61
104.66 ng.hr/mL
Interval 65.54 to 167.15

Adverse Events

Part 1: Severe Renal Impairment

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Part 2: Moderate Renal Impairment

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Part 2: Mild Renal Impairment

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Part 1: Normal Renal Function

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Part 2: Normal Renal Function

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Part 1: Severe Renal Impairment
n=9 participants at risk
Participants with severe CRI, defined as creatinine clearance of \<30 mL/min/1.73 m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
Part 2: Moderate Renal Impairment
n=9 participants at risk
Participants with moderate CRI defined as creatinine clearance of ≥30 and \<50 mL/min/1.73 m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
Part 2: Mild Renal Impairment
n=8 participants at risk
Participants with mild CRI, defined as creatinine clearance of ≥50 and ≤80 mL/min/1.73m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
Part 1: Normal Renal Function
n=9 participants at risk
Participants with normal renal function, defined as creatinine clearance of \>80 mL/min/1.73 m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
Part 2: Normal Renal Function
n=11 participants at risk
Participants with normal renal function, defined as creatinine clearance of \>80 mL/min/1.73 m\^2, were treated with a single tablet of 5 mg preladenant, administered orally
Investigations
ALANINE AMINOTRANSFERASE INCREASED
0.00%
0/9 • Up to Day 7
All enrolled participants
0.00%
0/9 • Up to Day 7
All enrolled participants
12.5%
1/8 • Number of events 1 • Up to Day 7
All enrolled participants
0.00%
0/9 • Up to Day 7
All enrolled participants
0.00%
0/11 • Up to Day 7
All enrolled participants
Investigations
GAMMA-GLUTAMYLTRANSFERASE INCREASED
0.00%
0/9 • Up to Day 7
All enrolled participants
0.00%
0/9 • Up to Day 7
All enrolled participants
12.5%
1/8 • Number of events 1 • Up to Day 7
All enrolled participants
0.00%
0/9 • Up to Day 7
All enrolled participants
0.00%
0/11 • Up to Day 7
All enrolled participants

Additional Information

Senior Vice President, Global Clinical Development

Merck Sharp & Dohme Corp.

Phone: 1-800-672-6372

Results disclosure agreements

  • Principal investigator is a sponsor employee The investigator agrees not to publish or publicly present any interim results of the trial without the prior written consent of the sponsor. The investigator further agrees to provide to the sponsor 45 days prior to submission for publication or presentation, review copies of abstracts or manuscripts for publication that report any results of the trial.
  • Publication restrictions are in place

Restriction type: OTHER