Pharmacokinetics of Fevipiprant (QAW039) in Patients With Hepatic Impairment Compared to Matched Healthy Subjects

NCT ID: NCT03048448

Last Updated: 2020-12-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-05-31

Study Completion Date

2019-04-22

Brief Summary

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This study will characterize the pharmacokinetics (PK) of QAW039 after a single oral dose of QAW039 in patients with hepatic impairment compared to healthy matched control subjects.

Detailed Description

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The purpose of this study is to determine if the pharmacokinetic profile of Fevipiprant is different in patients with hepatic impairment compared to healthy matched volunteers to an extent that would require an adjustment of the dosage. Data from this study will be used to guide enrollment criteria in future clinical trials and to support regulatory submission and labeling information.

Conditions

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Hepatic Impairment

Keywords

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Hepatic impairment, Fevipiprant, adults, pharmacokinetics

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Fevipiprant 450mg

450mg Film Coated Tablet

Group Type EXPERIMENTAL

Fevipiprant

Intervention Type DRUG

Single 450mg dose

Interventions

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Fevipiprant

Single 450mg dose

Intervention Type DRUG

Other Intervention Names

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QAW039

Eligibility Criteria

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Inclusion Criteria

All subjects

\- Weight of at least 50 kg and no more than 120 kg and have a body mass index in the range 18.0-36.0 kg/m2

Patients with hepatic impairment

* Moderate hepatic impairment (Group 1): Child-Pugh Class B (7-9 points),
* Severe hepatic impairment (Group 2): Child-Pugh Class C (10-15 points
* Mild hepatic impairment (Group 4): Child-Pugh Class A (5-6 points)

Healthy subjects

* Match in age (±5 years), gender, smoking status, and weight (± 15%) to an individual patient.
* In good health as determined by past medical history, physical examination, electrocardiogram, laboratory tests and urinalysis at screening.

Exclusion Criteria

All subjects

* History of hypersensitivity and/or idiosyncracies to QAW039 or to drugs of similar classes (CRTh2 antagonists).
* Use of co-medications that may impact QAW039 exposure such as broad range UGT inhibitors or strong inhibitors of OAT3, OATP1B3, and P-gp, including but not limited to probenecid, ritonavir, valproic acid, and rifampin
* Surgical or medical condition which might significantly alter the absorption, distribution, metabolism, or excretion of drugs, or which may jeopardize the subject in case of participation in the study.
* History of malignancy of any organ system (other than localized basal cell carcinoma of the skin), treated or untreated, within the past 5 years, regardless of whether there is evidence of local recurrence or metastases.
* Pregnant or nursing (lactating) women.
* Women of child-bearing potential

Patients with hepatic impairment

* Hepatic impairment due to non-liver disease (e.g., right heart failure)
* Current symptoms or history of encephalopathy Grade III or IV within the past 6 months
* Primary biliary liver cirrhosis and biliary obstruction
* Emergency room visit or hospitalization due to liver disease within the preceding 3 months.
* Severe complications of liver disease within the preceding 3 months.

Healthy subjects

* Liver disease or liver injury as indicated by abnormal liver function tests.
* Any single parameter of ALT, AST, γ-GT, alkaline phosphatase or serum bilirubin must not exceed 1.5 x upper limit of normal (ULN)
* Any elevation above ULN of more than one parameter of ALT, AST, γ GT, alkaline phosphatase or serum bilirubin will exclude a subject from participation in the study
* A positive Hepatitis B surface antigen or Hepatitis C test result.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Novartis Pharmaceuticals

Role: STUDY_DIRECTOR

Novartis Pharmaceuticals

Locations

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Novartis Investigative Site

Anaheim, California, United States

Site Status

Novartis Investigative Site

Orlando, Florida, United States

Site Status

Countries

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Romania United States

Related Links

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https://www.novctrd.com/ctrdweb/trialresult/trialresults/pdf?trialResultId=17633

Results for CQAW039A2108 from the Novartis Clinical Trials Website

https://www.novctrd.com/ctrdweb/patientsummary/patientsummaries?patientSummaryId=516

A Plain Language Trial Summary is available on novartisclinicatrials.com

Other Identifiers

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CQAW039A2108

Identifier Type: -

Identifier Source: org_study_id