Trial Outcomes & Findings for Study to Evaluate the Pharmacokinetics of Selonsertib in Participants With Normal and Impaired Hepatic Function (NCT NCT02509624)

NCT ID: NCT02509624

Last Updated: 2021-01-27

Results Overview

AUCinf is defined as the concentration of drug extrapolated to infinite time.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

52 participants

Primary outcome timeframe

0 (predose), 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, 96, and 120 hours postdose on Day 1. Additional PK samples were collected at the Day 10 and 14 follow-up visits approximately the same time as the Day 1 predose sample.

Results posted on

2021-01-27

Participant Flow

Participants were enrolled at study sites in United States. The first participant was screened on 17 August 2015. The last study visit occurred on 15 December 2015.

107 participants were screened. In the control groups (normal hepatic function), each participant was matched for age, gender, race, and body mass index with a participant in the hepatic impairment group. 22 total unique participants with normal hepatic function were enrolled in Cohorts 1, 2, and 3. 3 participants served as matched control in both Cohort 1 and 2. 1 participant served as a matched control in both Cohort 1 and 3. 4 participants served as matched control in both Cohort 2 and 3.

Participant milestones

Participant milestones
Measure
Cohort 1: Moderate Hepatic Impairment
Participants with moderate hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Cohort 2: Severe Hepatic Impairment
Participants with severe hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Cohort 3: Mild Hepatic Impairment
Participants with mild hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Healthy Control
Matched normal hepatic function participants received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Overall Study
STARTED
10
10
10
22
Overall Study
COMPLETED
10
10
10
22
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study to Evaluate the Pharmacokinetics of Selonsertib in Participants With Normal and Impaired Hepatic Function

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cohort 1: Moderate Hepatic Impairment
n=10 Participants
Participants with moderate hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Cohort 2: Severe Hepatic Impairment
n=10 Participants
Participants with severe hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Cohort 3: Mild Hepatic Impairment
n=10 Participants
Participants with mild hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Healthy Control
n=22 Participants
Matched normal hepatic function participants received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Total
n=52 Participants
Total of all reporting groups
Age, Continuous
59 years
STANDARD_DEVIATION 5.0 • n=5 Participants
54 years
STANDARD_DEVIATION 5.8 • n=7 Participants
53 years
STANDARD_DEVIATION 10.4 • n=5 Participants
53 years
STANDARD_DEVIATION 8.4 • n=4 Participants
54 years
STANDARD_DEVIATION 7.9 • n=21 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
3 Participants
n=7 Participants
3 Participants
n=5 Participants
5 Participants
n=4 Participants
13 Participants
n=21 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
7 Participants
n=7 Participants
7 Participants
n=5 Participants
17 Participants
n=4 Participants
39 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
8 Participants
n=7 Participants
4 Participants
n=5 Participants
12 Participants
n=4 Participants
27 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants
n=5 Participants
2 Participants
n=7 Participants
6 Participants
n=5 Participants
10 Participants
n=4 Participants
25 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
7 Participants
n=4 Participants
10 Participants
n=21 Participants
Race (NIH/OMB)
White
7 Participants
n=5 Participants
10 Participants
n=7 Participants
9 Participants
n=5 Participants
14 Participants
n=4 Participants
40 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants

PRIMARY outcome

Timeframe: 0 (predose), 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, 96, and 120 hours postdose on Day 1. Additional PK samples were collected at the Day 10 and 14 follow-up visits approximately the same time as the Day 1 predose sample.

Population: PK Analysis Set included all enrolled participants who received at least 1 dose of selonsertib and had at least 1 evaluable PK concentration data value reported by the PK laboratory for the respective analytes. 3 participants served as matched control in both Cohort 1 and 2. 1 participant served as a matched control in both Cohort 1 and 3. 4 participants served as matched control in both Cohort 2 and 3.

AUCinf is defined as the concentration of drug extrapolated to infinite time.

Outcome measures

Outcome measures
Measure
Cohort 1: Moderate Hepatic Impairment
n=10 Participants
Participants with moderate hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Cohort 2: Severe Hepatic Impairment
n=10 Participants
Participants with severe hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Cohort 3: Mild Hepatic Impairment
n=10 Participants
Participants with mild hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Matched Healthy Control for Cohort 1
n=10 Participants
Matched normal hepatic function participants to moderate hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Matched Healthy Control for Cohort 2
n=10 Participants
Matched normal hepatic function participants to severe hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Matched Healthy Control for Cohort 3
n=10 Participants
Matched normal hepatic function participants to mild hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Pharmacokinetic (PK) Parameter: AUCinf of Selonsertib and Its Metabolite GS-607509
AUCinf of Selonsertib
3316.1 hr*ng/mL
Standard Deviation 1734.11
3266.7 hr*ng/mL
Standard Deviation 766.39
2962.1 hr*ng/mL
Standard Deviation 901.12
2835.3 hr*ng/mL
Standard Deviation 499.58
2277.9 hr*ng/mL
Standard Deviation 490.96
2711.6 hr*ng/mL
Standard Deviation 919.83
Pharmacokinetic (PK) Parameter: AUCinf of Selonsertib and Its Metabolite GS-607509
AUCinf of GS-607509
5941.8 hr*ng/mL
Standard Deviation 2286.80
5711.2 hr*ng/mL
Standard Deviation 3401.94
10203.6 hr*ng/mL
Standard Deviation 8689.39
9993.3 hr*ng/mL
Standard Deviation 4599.91
9603.4 hr*ng/mL
Standard Deviation 8057.84
9846.6 hr*ng/mL
Standard Deviation 8954.40

PRIMARY outcome

Timeframe: 0 (predose), 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, 96, and 120 hours postdose on Day 1. Additional PK samples were collected at the Day 10 and 14 follow-up visits approximately the same time as the Day 1 predose sample.

Population: Participants in the PK Analysis Set were analyzed. 3 participants served as matched control in both Cohort 1 and 2. 1 participant served as a matched control in both Cohort 1 and 3. 4 participants served as matched control in both Cohort 2 and 3.

AUClast is defined as the concentration of drug from time zero to the last observable concentration.

Outcome measures

Outcome measures
Measure
Cohort 1: Moderate Hepatic Impairment
n=10 Participants
Participants with moderate hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Cohort 2: Severe Hepatic Impairment
n=10 Participants
Participants with severe hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Cohort 3: Mild Hepatic Impairment
n=10 Participants
Participants with mild hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Matched Healthy Control for Cohort 1
n=10 Participants
Matched normal hepatic function participants to moderate hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Matched Healthy Control for Cohort 2
n=10 Participants
Matched normal hepatic function participants to severe hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Matched Healthy Control for Cohort 3
n=10 Participants
Matched normal hepatic function participants to mild hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
PK Parameter: AUClast of Selonsertib and Its Metabolite GS-607509
AUClast of GS-607509
5405.2 hr*ng/mL
Standard Deviation 2211.86
4868.0 hr*ng/mL
Standard Deviation 3072.43
8475.8 hr*ng/mL
Standard Deviation 7165.86
9117.6 hr*ng/mL
Standard Deviation 4127.22
8157.5 hr*ng/mL
Standard Deviation 6019.61
8326.5 hr*ng/mL
Standard Deviation 6604.26
PK Parameter: AUClast of Selonsertib and Its Metabolite GS-607509
AUClast of Selonsertib
2964.1 hr*ng/mL
Standard Deviation 1493.69
3032.7 hr*ng/mL
Standard Deviation 728.55
2790.8 hr*ng/mL
Standard Deviation 847.18
2679.9 hr*ng/mL
Standard Deviation 486.23
2129.7 hr*ng/mL
Standard Deviation 493.83
2530.9 hr*ng/mL
Standard Deviation 902.55

PRIMARY outcome

Timeframe: 0 (predose), 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, 96, and 120 hours postdose on Day 1. Additional PK samples were collected at the Day 10 and 14 follow-up visits approximately the same time as the Day 1 predose sample.

Population: Participants in the PK Analysis Set were analyzed. 3 participants served as matched control in both Cohort 1 and 2. 1 participant served as a matched control in both Cohort 1 and 3. 4 participants served as matched control in both Cohort 2 and 3.

Cmax is defined as the maximum concentration of drug.

Outcome measures

Outcome measures
Measure
Cohort 1: Moderate Hepatic Impairment
n=10 Participants
Participants with moderate hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Cohort 2: Severe Hepatic Impairment
n=10 Participants
Participants with severe hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Cohort 3: Mild Hepatic Impairment
n=10 Participants
Participants with mild hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Matched Healthy Control for Cohort 1
n=10 Participants
Matched normal hepatic function participants to moderate hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Matched Healthy Control for Cohort 2
n=10 Participants
Matched normal hepatic function participants to severe hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Matched Healthy Control for Cohort 3
n=10 Participants
Matched normal hepatic function participants to mild hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
PK Parameter: Cmax of Selonsertib and Its Metabolite GS-607509
Cmax of Selonsertib
93.7 ng/mL
Standard Deviation 20.66
82.4 ng/mL
Standard Deviation 10.63
110.6 ng/mL
Standard Deviation 24.77
105.4 ng/mL
Standard Deviation 22.13
91.9 ng/mL
Standard Deviation 22.01
110.3 ng/mL
Standard Deviation 23.40
PK Parameter: Cmax of Selonsertib and Its Metabolite GS-607509
Cmax of GS-607509
44.1 ng/mL
Standard Deviation 15.01
31.2 ng/mL
Standard Deviation 15.34
63.5 ng/mL
Standard Deviation 31.42
62.3 ng/mL
Standard Deviation 23.44
63.2 ng/mL
Standard Deviation 27.03
64.2 ng/mL
Standard Deviation 21.99

SECONDARY outcome

Timeframe: Day 1 plus 30 days

Population: The Safety Analysis Set included all enrolled participants who received at least 1 dose of study drug.

An AE was any untoward medical occurrence in a clinical study participant which did not necessarily have a causal relationship with the treatment. An AE can therefore be any unfavorable and/or unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Treatment-emergent AEs were defined as events that met one of the following criteria: 1) Any AEs with an onset date of on or after the study drug start date and no later than 30 days after permanent discontinuation of study drug; or 2) Any AEs leading to premature discontinuation of study drug.

Outcome measures

Outcome measures
Measure
Cohort 1: Moderate Hepatic Impairment
n=10 Participants
Participants with moderate hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Cohort 2: Severe Hepatic Impairment
n=10 Participants
Participants with severe hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Cohort 3: Mild Hepatic Impairment
n=10 Participants
Participants with mild hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Matched Healthy Control for Cohort 1
n=22 Participants
Matched normal hepatic function participants to moderate hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Matched Healthy Control for Cohort 2
Matched normal hepatic function participants to severe hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Matched Healthy Control for Cohort 3
Matched normal hepatic function participants to mild hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Percentage of Participants Experiencing Treatment-Emergent Study Drug-related Adverse Events (AEs)
20.0 percentage of participants
0 percentage of participants
10.0 percentage of participants
13.6 percentage of participants

SECONDARY outcome

Timeframe: Day 1 plus 30 days

Population: Participants in the Safety Analysis Set were analyzed.

Treatment-emergent laboratory abnormalities were defined as values that increased at least 1 toxicity grade from predose at any postdose visit, up to and including the date of last dose of study drug plus 30 days for participants who permanently discontinued study drug. If the relevant baseline laboratory value was missing, then any abnormality of at least Grade 1 observed within the time frame specified above was considered treatment-emergent. Severity grades were defined based on modified Common Terminology Criteria for Adverse Events (CTCAE) Laboratory Abnormality and Adverse Event Severity Grading, where 1=Mild, 2=Moderate, 3=Severe, 4=Potentially Life Threatening. The most severe graded abnormality from all tests was counted for each participant.

Outcome measures

Outcome measures
Measure
Cohort 1: Moderate Hepatic Impairment
n=10 Participants
Participants with moderate hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Cohort 2: Severe Hepatic Impairment
n=10 Participants
Participants with severe hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Cohort 3: Mild Hepatic Impairment
n=10 Participants
Participants with mild hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Matched Healthy Control for Cohort 1
n=22 Participants
Matched normal hepatic function participants to moderate hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Matched Healthy Control for Cohort 2
Matched normal hepatic function participants to severe hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Matched Healthy Control for Cohort 3
Matched normal hepatic function participants to mild hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Percentage of Participants Experiencing Any Treatment-Emergent and Grade ≥ 3 Laboratory Abnormalities
Grade ≥ 3 Laboratory Abnormalities
20.0 percentage of participants
40.0 percentage of participants
10.0 percentage of participants
4.5 percentage of participants
Percentage of Participants Experiencing Any Treatment-Emergent and Grade ≥ 3 Laboratory Abnormalities
Any Treatment-Emergent Laboratory Abnormalities
90.0 percentage of participants
90.0 percentage of participants
70.0 percentage of participants
59.1 percentage of participants

Adverse Events

Cohort 1: Moderate Hepatic Impairment

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Cohort 2: Severe Hepatic Impairment

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

Cohort 3: Mild Hepatic Impairment

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Healthy Control

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Cohort 1: Moderate Hepatic Impairment
n=10 participants at risk
Participants with moderate hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Cohort 2: Severe Hepatic Impairment
n=10 participants at risk
Participants with severe hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Cohort 3: Mild Hepatic Impairment
n=10 participants at risk
Participants with mild hepatic impairment received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Healthy Control
n=22 participants at risk
Matched normal hepatic function participants received a single oral dose of selonsertib 6 mg (1 × 6 mg tablet) in fed state on Day 1.
Blood and lymphatic system disorders
Anaemia
10.0%
1/10 • Day 1 plus 30 days
The Safety Analysis Set included all enrolled participants who received at least 1 dose of study drug.
0.00%
0/10 • Day 1 plus 30 days
The Safety Analysis Set included all enrolled participants who received at least 1 dose of study drug.
0.00%
0/10 • Day 1 plus 30 days
The Safety Analysis Set included all enrolled participants who received at least 1 dose of study drug.
0.00%
0/22 • Day 1 plus 30 days
The Safety Analysis Set included all enrolled participants who received at least 1 dose of study drug.
Gastrointestinal disorders
Dry mouth
10.0%
1/10 • Day 1 plus 30 days
The Safety Analysis Set included all enrolled participants who received at least 1 dose of study drug.
0.00%
0/10 • Day 1 plus 30 days
The Safety Analysis Set included all enrolled participants who received at least 1 dose of study drug.
0.00%
0/10 • Day 1 plus 30 days
The Safety Analysis Set included all enrolled participants who received at least 1 dose of study drug.
0.00%
0/22 • Day 1 plus 30 days
The Safety Analysis Set included all enrolled participants who received at least 1 dose of study drug.
Injury, poisoning and procedural complications
Arthropod bite
0.00%
0/10 • Day 1 plus 30 days
The Safety Analysis Set included all enrolled participants who received at least 1 dose of study drug.
0.00%
0/10 • Day 1 plus 30 days
The Safety Analysis Set included all enrolled participants who received at least 1 dose of study drug.
10.0%
1/10 • Day 1 plus 30 days
The Safety Analysis Set included all enrolled participants who received at least 1 dose of study drug.
0.00%
0/22 • Day 1 plus 30 days
The Safety Analysis Set included all enrolled participants who received at least 1 dose of study drug.
Nervous system disorders
Headache
10.0%
1/10 • Day 1 plus 30 days
The Safety Analysis Set included all enrolled participants who received at least 1 dose of study drug.
0.00%
0/10 • Day 1 plus 30 days
The Safety Analysis Set included all enrolled participants who received at least 1 dose of study drug.
10.0%
1/10 • Day 1 plus 30 days
The Safety Analysis Set included all enrolled participants who received at least 1 dose of study drug.
9.1%
2/22 • Day 1 plus 30 days
The Safety Analysis Set included all enrolled participants who received at least 1 dose of study drug.

Additional Information

Gilead Clinical Study Information Center

Gilead Sciences

Phone: 1-833-445-3230 (GILEAD-0)

Results disclosure agreements

  • Principal investigator is a sponsor employee After conclusion of the study and without prior written approval from Gilead, investigators in this study may communicate, orally present, or publish in scientific journals or other media only after the following conditions have been met: * The results of the study in their entirety have been publicly disclosed by or with the consent of Gilead in an abstract, manuscript, or presentation form; or * The study has been completed at all study sites for at least 2 years
  • Publication restrictions are in place

Restriction type: OTHER