Trial Outcomes & Findings for Assessing the Behavior of Met DR in Subjects With Kidney Dysfunction (NCT NCT01658514)

NCT ID: NCT01658514

Last Updated: 2015-12-30

Results Overview

AUC (0-t) = Area under the curve from the time of dosing (0 h) to the time of the last quantifiable concentration following dose administration

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

39 participants

Primary outcome timeframe

from the time of dosing (0 h) to 72 hours postdose

Results posted on

2015-12-30

Participant Flow

Participant milestones

Participant milestones
Measure
Sequence ABC
A = 1 dose of 1000 mg Met XR B = 1 dose of 1000 mg Met DR C = 1 dose of placebo each treatment was separated by a wash out period of 2 to 10 days
Sequence CAB
A = 1 dose of 1000 mg Met XR B = 1 dose of 1000 mg Met DR C = 1 dose of placebo each treatment was separated by a wash out period of 2 to 10 days
Sequence BCA
A = 1 dose of 1000 mg Met XR B = 1 dose of 1000 mg Met DR C = 1 dose of placebo each treatment was separated by a wash out period of 2 to 10 days
Overall Study
STARTED
14
11
14
Overall Study
Completed Treatment A
14
11
12
Overall Study
Completed Treatment B
13
11
14
Overall Study
Completed Treatment C
13
11
12
Overall Study
Started - Normal RF Cohort Only
3
2
3
Overall Study
Completed - Normal RF Cohort Only
3
2
3
Overall Study
Started - Mild RI Cohort Only
4
3
4
Overall Study
Completed - Mild RI Cohort Only
4
3
4
Overall Study
Started - Moderate RI Cohort Only
4
4
4
Overall Study
Completed - Moderate RI Cohort Only
3
4
2
Overall Study
Started - Severe RI Cohort Only
3
2
3
Overall Study
Completed - Severe RI Cohort Only
3
2
3
Overall Study
COMPLETED
13
11
12
Overall Study
NOT COMPLETED
1
0
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Sequence ABC
A = 1 dose of 1000 mg Met XR B = 1 dose of 1000 mg Met DR C = 1 dose of placebo each treatment was separated by a wash out period of 2 to 10 days
Sequence CAB
A = 1 dose of 1000 mg Met XR B = 1 dose of 1000 mg Met DR C = 1 dose of placebo each treatment was separated by a wash out period of 2 to 10 days
Sequence BCA
A = 1 dose of 1000 mg Met XR B = 1 dose of 1000 mg Met DR C = 1 dose of placebo each treatment was separated by a wash out period of 2 to 10 days
Overall Study
Protocol Violation
1
0
2

Baseline Characteristics

Assessing the Behavior of Met DR in Subjects With Kidney Dysfunction

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Normal
n=8 Participants
Normal Renal Function = eGFR ≥90 mL/min/1.73 m²
Mild RI
n=11 Participants
Mild Renal Impairment = eGFR ≥60 to \<90 mL/min/1.73 m²
Moderate RI
n=12 Participants
Moderate Renal Impairment = eGFR ≥30 to \<60 mL/min/1.73 m²
Severe RI
n=8 Participants
Severe Renal Impairment = eGFR ≥15 to \<30 mL/min/1.73 m²
Total
n=39 Participants
Total of all reporting groups
Age, Continuous
54.5 years
STANDARD_DEVIATION 11.01 • n=93 Participants
60.8 years
STANDARD_DEVIATION 6.62 • n=4 Participants
72.6 years
STANDARD_DEVIATION 3.90 • n=27 Participants
70.5 years
STANDARD_DEVIATION 5.50 • n=483 Participants
65.1 years
STANDARD_DEVIATION 9.83 • n=36 Participants
Sex: Female, Male
Female
2 Participants
n=93 Participants
4 Participants
n=4 Participants
0 Participants
n=27 Participants
1 Participants
n=483 Participants
7 Participants
n=36 Participants
Sex: Female, Male
Male
6 Participants
n=93 Participants
7 Participants
n=4 Participants
12 Participants
n=27 Participants
7 Participants
n=483 Participants
32 Participants
n=36 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=93 Participants
1 Participants
n=4 Participants
2 Participants
n=27 Participants
0 Participants
n=483 Participants
3 Participants
n=36 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=93 Participants
10 Participants
n=4 Participants
10 Participants
n=27 Participants
8 Participants
n=483 Participants
36 Participants
n=36 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
1 Participants
n=483 Participants
1 Participants
n=36 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=93 Participants
5 Participants
n=4 Participants
2 Participants
n=27 Participants
4 Participants
n=483 Participants
12 Participants
n=36 Participants
Race (NIH/OMB)
White
7 Participants
n=93 Participants
6 Participants
n=4 Participants
10 Participants
n=27 Participants
3 Participants
n=483 Participants
26 Participants
n=36 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
Body Weight
94.9 kg
STANDARD_DEVIATION 18.02 • n=93 Participants
94.9 kg
STANDARD_DEVIATION 12.06 • n=4 Participants
94.2 kg
STANDARD_DEVIATION 14.96 • n=27 Participants
99.8 kg
STANDARD_DEVIATION 10.69 • n=483 Participants
95.7 kg
STANDARD_DEVIATION 13.73 • n=36 Participants
BMI
32.8 kg/m²
STANDARD_DEVIATION 3.81 • n=93 Participants
31.8 kg/m²
STANDARD_DEVIATION 3.79 • n=4 Participants
30.4 kg/m²
STANDARD_DEVIATION 3.33 • n=27 Participants
33.3 kg/m²
STANDARD_DEVIATION 4.09 • n=483 Participants
31.9 kg/m²
STANDARD_DEVIATION 3.75 • n=36 Participants

PRIMARY outcome

Timeframe: from the time of dosing (0 h) to 72 hours postdose

Population: PK Evaluable Population

AUC (0-t) = Area under the curve from the time of dosing (0 h) to the time of the last quantifiable concentration following dose administration

Outcome measures

Outcome measures
Measure
Met DR
n=34 Participants
One dose of 1000 mg Metformin Delayed-Release
Met XR
n=34 Participants
One dose of 1000 mg Metformin Extended-Release
AUC (0-t) of Plasma Metformin
Normal (N = 8)
5362 ng*h/mL
Standard Error 943
10411 ng*h/mL
Standard Error 1831
AUC (0-t) of Plasma Metformin
Mild RI (N = 10)
8705 ng*h/mL
Standard Error 1368
11788 ng*h/mL
Standard Error 1853
AUC (0-t) of Plasma Metformin
Moderate RI (N = 9)
11477 ng*h/mL
Standard Error 1915
20240 ng*h/mL
Standard Error 3377
AUC (0-t) of Plasma Metformin
Severe RI (N = 7)
22893 ng*h/mL
Standard Error 4307
43683 ng*h/mL
Standard Error 8218

PRIMARY outcome

Timeframe: from the time of dosing (0 h) to 72 hours postdose

Population: PK Evaluable Population

Cmax = Maximum concentration from the time of dosing (0 h) to the time of the last quantifiable metformin concentration following dose administration

Outcome measures

Outcome measures
Measure
Met DR
n=34 Participants
One dose of 1000 mg Metformin Delayed-Release
Met XR
n=34 Participants
One dose of 1000 mg Metformin Extended-Release
Cmax of Plasma Metformin
Moderate RI (N = 9)
925 ng/mL
Standard Error 139
1634 ng/mL
Standard Error 245
Cmax of Plasma Metformin
Normal (N = 8)
969 ng/mL
Standard Error 153
1479 ng/mL
Standard Error 234
Cmax of Plasma Metformin
Mild RI (N = 10)
1036 ng/mL
Standard Error 147
1340 ng/mL
Standard Error 189
Cmax of Plasma Metformin
Severe RI (N = 7)
1414 ng/mL
Standard Error 239
2590 ng/mL
Standard Error 438

PRIMARY outcome

Timeframe: from the time of dosing (0 h) to 24 hours postdose

Population: PD Evaluable Population

To determine the exposure-response relationship of metformin and plasma lactate concentrations

Outcome measures

Outcome measures
Measure
Met DR
n=34 Participants
One dose of 1000 mg Metformin Delayed-Release
Met XR
n=34 Participants
One dose of 1000 mg Metformin Extended-Release
Correlation of Placebo-adjusted Change From Pre-dose Value in Lactate Versus Metformin Concentration
0.000011129 R²
0.069527 R²

Adverse Events

Placebo

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Met DR

Serious events: 0 serious events
Other events: 12 other events
Deaths: 0 deaths

Met XR

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Placebo
n=36 participants at risk
One dose of Placebo
Met DR
n=38 participants at risk
One dose of 1000 mg Metformin Delayed-Release
Met XR
n=37 participants at risk
One dose of 1000 mg Metformin Extended-Release
Gastrointestinal disorders
Diarrhoea
0.00%
0/36 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
7.9%
3/38 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
10.8%
4/37 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
General disorders
Vessel Puncture Site Haemorrhage
0.00%
0/36 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
5.3%
2/38 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
2.7%
1/37 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
Metabolism and nutrition disorders
Hyperglycaemia
0.00%
0/36 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
5.3%
2/38 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
2.7%
1/37 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
Nervous system disorders
Dizziness
0.00%
0/36 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
0.00%
0/38 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
5.4%
2/37 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
Gastrointestinal disorders
Dyspepsia
2.8%
1/36 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
2.6%
1/38 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
2.7%
1/37 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
Gastrointestinal disorders
Nausea
0.00%
0/36 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
2.6%
1/38 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
2.7%
1/37 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
Gastrointestinal disorders
Abdominal Distension
0.00%
0/36 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
2.6%
1/38 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
0.00%
0/37 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
Gastrointestinal disorders
Constipation
2.8%
1/36 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
0.00%
0/38 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
0.00%
0/37 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
Gastrointestinal disorders
Food Poisoning
2.8%
1/36 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
0.00%
0/38 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
0.00%
0/37 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
Gastrointestinal disorders
Gastrooesophageal Reflux Disease
0.00%
0/36 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
2.6%
1/38 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
0.00%
0/37 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
Gastrointestinal disorders
Toothache
0.00%
0/36 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
0.00%
0/38 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
2.7%
1/37 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
Gastrointestinal disorders
Vomiting
0.00%
0/36 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
0.00%
0/38 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
2.7%
1/37 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
General disorders
Fatigue
0.00%
0/36 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
0.00%
0/38 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
2.7%
1/37 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
General disorders
Infusion Site Haemorrhage
0.00%
0/36 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
2.6%
1/38 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
0.00%
0/37 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
General disorders
Oedema Peripheral
0.00%
0/36 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
2.6%
1/38 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
0.00%
0/37 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
General disorders
Pyrexia
0.00%
0/36 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
0.00%
0/38 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
2.7%
1/37 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
General disorders
Vessel Puncture Site Pain
0.00%
0/36 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
0.00%
0/38 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
2.7%
1/37 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
General disorders
Vessel Puncture Site Reaction
0.00%
0/36 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
0.00%
0/38 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
2.7%
1/37 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
Metabolism and nutrition disorders
Gout
0.00%
0/36 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
2.6%
1/38 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
0.00%
0/37 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
Metabolism and nutrition disorders
Hypoglycaemia
2.8%
1/36 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
0.00%
0/38 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
0.00%
0/37 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
Nervous system disorders
Headache
0.00%
0/36 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
2.6%
1/38 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
0.00%
0/37 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
Infections and infestations
Nasopharyngitis
0.00%
0/36 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
2.6%
1/38 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
0.00%
0/37 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
Infections and infestations
Upper Respiratory Tract Infection
0.00%
0/36 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
0.00%
0/38 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
2.7%
1/37 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
Investigations
Blood Creatine Phosphokinase Increased
2.8%
1/36 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
0.00%
0/38 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
0.00%
0/37 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
Musculoskeletal and connective tissue disorders
Flank Pain
0.00%
0/36 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
2.6%
1/38 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
0.00%
0/37 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
Renal and urinary disorders
Pollakiuria
0.00%
0/36 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
2.6%
1/38 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
0.00%
0/37 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
Respiratory, thoracic and mediastinal disorders
Throat Tightness
0.00%
0/36 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
2.6%
1/38 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.
0.00%
0/37 • Approximately 19 to 76 days depending on the number of days before the start of Visits 2 and 3 and the number of washout days between the treatment visits.

Additional Information

Senior Director, Development

Elcelyx Therapeutics, Inc

Phone: 858-876-1814

Results disclosure agreements

  • Principal investigator is a sponsor employee The results of the Study may be published by INSTITUTE, however the publication shall not disclose any SPONSOR Confidential Information, the INSTITUTE shall send the SPONSOR a copy of any such proposed publication 90 days prior to submission for publication, the INSTITUTE, on request of the SPONSOR, shall delete any SPONSOR Confidential Information in the proposed publication, and the INSTITUTE shall, on the SPONSOR's request, delay submission while the SPONSOR files applications for patents.
  • Publication restrictions are in place

Restriction type: OTHER