Trial Outcomes & Findings for A Study to Evaluate the Effects of Renal Impairment on the Pharmacokinetics of ELX-02 (NCT NCT03776539)

NCT ID: NCT03776539

Last Updated: 2021-04-13

Results Overview

Area under the curve (AUC0-24) of ELX-02 plasma concentration following a single subcutaneous (SC) dose

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

24 participants

Primary outcome timeframe

0.25, 0.5, 0.75, 1, 2, 4, 6, 12, and 24 hours after dosing

Results posted on

2021-04-13

Participant Flow

All subjects were treated at medical clinics. Groups 1-2 Screening start: January 4, 2019 Screening end: 8 April 2019 Group 3 Screening start: 9 May 2019 Screening end: 17 June 2019 Group 4 Screening start: 26 June 2019 Screening end: 30 June 2019

Participant milestones

Participant milestones
Measure
Mild Renal Impairment
eGFR 60 to 89 mL/min/1.73 m\^2
Moderate Renal Impairment
eGFR 30 to 59 mL/min/1.73 m\^2
Severe Renal Impairment
eGFR \<30 mL/min/1.73 m\^2, Not Requiring Dialysis
Healthy Volunteers
eGFR \>=90 mL/min/1.73 m\^2
Overall Study
STARTED
6
6
6
6
Overall Study
COMPLETED
6
6
6
6
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study to Evaluate the Effects of Renal Impairment on the Pharmacokinetics of ELX-02

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group 1
n=6 Participants
Mild Renal Impairment eGFR 60 to 89 mL/min/1.73 m\^2
Group 2
n=6 Participants
Moderate Renal Impairment eGFR 30 to 59 mL/min/1.73 m\^2
Group 3
n=6 Participants
Severe Renal Impairment eGFR \<30 mL/min/1.73 m\^2, Not Requiring Dialysis
Group 4
n=6 Participants
Healthy Volunteers eGFR \>=90 mL/min/1.73 m\^2
Total
n=24 Participants
Total of all reporting groups
Age, Continuous
66.8 years
STANDARD_DEVIATION 5.9 • n=5 Participants
65.0 years
STANDARD_DEVIATION 10.4 • n=7 Participants
61.8 years
STANDARD_DEVIATION 8.2 • n=5 Participants
57.7 years
STANDARD_DEVIATION 2.1 • n=4 Participants
62.8 years
STANDARD_DEVIATION 7.7 • n=21 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
3 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
8 Participants
n=21 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
4 Participants
n=4 Participants
16 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=5 Participants
6 Participants
n=7 Participants
6 Participants
n=5 Participants
5 Participants
n=4 Participants
22 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
2 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
Region of Enrollment
United States
6 participants
n=5 Participants
6 participants
n=7 Participants
6 participants
n=5 Participants
6 participants
n=4 Participants
24 participants
n=21 Participants
eGFR
74.72 mL/min/1.73 m2
STANDARD_DEVIATION 9.25 • n=5 Participants
40.07 mL/min/1.73 m2
STANDARD_DEVIATION 4.54 • n=7 Participants
16.92 mL/min/1.73 m2
STANDARD_DEVIATION 9.77 • n=5 Participants
100.25 mL/min/1.73 m2
STANDARD_DEVIATION 15.65 • n=4 Participants
57.99 mL/min/1.73 m2
STANDARD_DEVIATION 34.06 • n=21 Participants

PRIMARY outcome

Timeframe: 0.25, 0.5, 0.75, 1, 2, 4, 6, 12, and 24 hours after dosing

Area under the curve (AUC0-24) of ELX-02 plasma concentration following a single subcutaneous (SC) dose

Outcome measures

Outcome measures
Measure
Mild Renal Impairment
n=6 Participants
eGFR 60 to 89 mL/min/1.73 m\^2
Moderate Renal Impairment
n=6 Participants
eGFR 30 to 59 mL/min/1.73 m\^2
Severe Renal Impairment
n=6 Participants
eGFR \<30 mL/min/1.73 m\^2, Not Requiring Dialysis
Healthy Volunteers
n=6 Participants
eGFR \>=90 mL/min/1.73 m\^2
Pharmacokinetic Parameters- Plasma AUC0-24
16877.94 ng*h/mL
Standard Deviation 1714.57
32787.41 ng*h/mL
Standard Deviation 7410.46
64895.29 ng*h/mL
Standard Deviation 16967.68
15506.68 ng*h/mL
Standard Deviation 3444.66

PRIMARY outcome

Timeframe: 0.25, 0.5, 0.75, 1, 2, 4, 6, 12, 24, 36, 48, 72, and 168 (Day 8) hours after dosing

Peak Plasma Concentration (Cmax) of ELX-02 following a single subcutaneous (SC) dose in subjects with normal renal function, mild, moderate, or severe renal impairment

Outcome measures

Outcome measures
Measure
Mild Renal Impairment
n=6 Participants
eGFR 60 to 89 mL/min/1.73 m\^2
Moderate Renal Impairment
n=6 Participants
eGFR 30 to 59 mL/min/1.73 m\^2
Severe Renal Impairment
n=6 Participants
eGFR \<30 mL/min/1.73 m\^2, Not Requiring Dialysis
Healthy Volunteers
n=6 Participants
eGFR \>=90 mL/min/1.73 m\^2
Pharmacokinetic Parameters- Plasma Cmax
2993.33 ng/mL
Standard Deviation 280.33
3688.33 ng/mL
Standard Deviation 525.56
4273.33 ng/mL
Standard Deviation 947.49
2995.00 ng/mL
Standard Deviation 568.99

PRIMARY outcome

Timeframe: 0.25, 0.5, 0.75, 1, 2, 4, 6, 12, 24, 36, 48, 72, and 168 (Day 8) hours after dosing

Area under the curve (AUC0-inf) of ELX-02 plasma concentration following a single subcutaneous (SC) dose

Outcome measures

Outcome measures
Measure
Mild Renal Impairment
n=6 Participants
eGFR 60 to 89 mL/min/1.73 m\^2
Moderate Renal Impairment
n=6 Participants
eGFR 30 to 59 mL/min/1.73 m\^2
Severe Renal Impairment
n=6 Participants
eGFR \<30 mL/min/1.73 m\^2, Not Requiring Dialysis
Healthy Volunteers
n=6 Participants
eGFR \>=90 mL/min/1.73 m\^2
AUC0-inf
16997.41 h*ng/mL
Standard Deviation 1776.84
35179.57 h*ng/mL
Standard Deviation 9198.37
110925.53 h*ng/mL
Standard Deviation 49098.37
15214.30 h*ng/mL
Standard Deviation 2913.01

PRIMARY outcome

Timeframe: 0.25, 0.5, 0.75, 1, 2, 4, 6, 12, and 24 hours after dosing.

Time to maximum concentration (Tmax) of ELX-02 plasma concentration following a single subcutaneous (SC) dose

Outcome measures

Outcome measures
Measure
Mild Renal Impairment
n=6 Participants
eGFR 60 to 89 mL/min/1.73 m\^2
Moderate Renal Impairment
n=6 Participants
eGFR 30 to 59 mL/min/1.73 m\^2
Severe Renal Impairment
n=6 Participants
eGFR \<30 mL/min/1.73 m\^2, Not Requiring Dialysis
Healthy Volunteers
n=6 Participants
eGFR \>=90 mL/min/1.73 m\^2
Pharmacokinetic Parameters - Plasma Tmax
1.00 hour
Interval 0.75 to 2.0
1.00 hour
Interval 0.75 to 2.0
2.00 hour
Interval 1.0 to 6.0
1.50 hour
Interval 0.73 to 2.0

PRIMARY outcome

Timeframe: Pre-dose (first void in the morning of Day 1), 0-3, 3-6, 6-9, 9-12, 12-18, 18-24, 24-36, 36-48, and 48-72 hours post-dose

Cumulative amount of unchanged drug excreted into urine (Ae0-t) of ELX-02 following a single subcutaneous (SC) dose

Outcome measures

Outcome measures
Measure
Mild Renal Impairment
n=6 Participants
eGFR 60 to 89 mL/min/1.73 m\^2
Moderate Renal Impairment
n=6 Participants
eGFR 30 to 59 mL/min/1.73 m\^2
Severe Renal Impairment
n=6 Participants
eGFR \<30 mL/min/1.73 m\^2, Not Requiring Dialysis
Healthy Volunteers
n=6 Participants
eGFR \>=90 mL/min/1.73 m\^2
Urine Pharmacokinetics Parameter - Ae0-t
61.50 mg
Standard Deviation 19.37
72.10 mg
Standard Deviation 26.45
54.86 mg
Standard Deviation 8.74
69.22 mg
Standard Deviation 17.70

PRIMARY outcome

Timeframe: Pre-dose (first void in the morning of Day 1), 0-3, 3-6, 6-9, 9-12, 12-18, 18-24, 24-36, 36-48, and 48-72 hours post-dose

Maximum rate of urinary extraction (Rmax) of ELX-02 following a single subcutaneous (SC) dose

Outcome measures

Outcome measures
Measure
Mild Renal Impairment
n=6 Participants
eGFR 60 to 89 mL/min/1.73 m\^2
Moderate Renal Impairment
n=6 Participants
eGFR 30 to 59 mL/min/1.73 m\^2
Severe Renal Impairment
n=6 Participants
eGFR \<30 mL/min/1.73 m\^2, Not Requiring Dialysis
Healthy Volunteers
n=6 Participants
eGFR \>=90 mL/min/1.73 m\^2
Urine Pharmacokinetic Parameter - Rmax
9.18 mg/h
Standard Deviation 2.91
8.06 mg/h
Standard Deviation 5.91
3.11 mg/h
Standard Deviation 1.81
12.09 mg/h
Standard Deviation 2.82

PRIMARY outcome

Timeframe: 1-8 days

TEAEs are undesirable events not present prior to medical treatment, or an already present event that worsens either in intensity or frequency following the study treatment

Outcome measures

Outcome measures
Measure
Mild Renal Impairment
n=6 Participants
eGFR 60 to 89 mL/min/1.73 m\^2
Moderate Renal Impairment
n=6 Participants
eGFR 30 to 59 mL/min/1.73 m\^2
Severe Renal Impairment
n=6 Participants
eGFR \<30 mL/min/1.73 m\^2, Not Requiring Dialysis
Healthy Volunteers
n=6 Participants
eGFR \>=90 mL/min/1.73 m\^2
Number of Patients Reporting Treatment-Emergent Adverse Events (TEAEs) [Safety]
0 participants
0 participants
2 participants
9 participants

Adverse Events

Group 1

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

Group 2

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

Group 3

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

Group 4

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Group 1
n=6 participants at risk
Mild Renal Impairment eGFR 60 to 89 mL/min/1.73 m\^2
Group 2
n=6 participants at risk
Moderate Renal Impairment eGFR 30 to 59 mL/min/1.73 m\^2
Group 3
n=6 participants at risk
Severe Renal Impairment eGFR \<30 mL/min/1.73 m\^2, Not Requiring Dialysis
Group 4
n=6 participants at risk
Healthy Volunteers eGFR \>=90 mL/min/1.73 m\^2
General disorders
Injection site erythema
0.00%
0/6 • From the date of the signing of the consent form until follow-up visit on Day 8.
0.00%
0/6 • From the date of the signing of the consent form until follow-up visit on Day 8.
16.7%
1/6 • From the date of the signing of the consent form until follow-up visit on Day 8.
66.7%
4/6 • From the date of the signing of the consent form until follow-up visit on Day 8.
General disorders
Injection site pruritus
0.00%
0/6 • From the date of the signing of the consent form until follow-up visit on Day 8.
0.00%
0/6 • From the date of the signing of the consent form until follow-up visit on Day 8.
16.7%
1/6 • From the date of the signing of the consent form until follow-up visit on Day 8.
16.7%
1/6 • From the date of the signing of the consent form until follow-up visit on Day 8.
General disorders
Injection site induration
0.00%
0/6 • From the date of the signing of the consent form until follow-up visit on Day 8.
0.00%
0/6 • From the date of the signing of the consent form until follow-up visit on Day 8.
0.00%
0/6 • From the date of the signing of the consent form until follow-up visit on Day 8.
16.7%
1/6 • From the date of the signing of the consent form until follow-up visit on Day 8.
Investigations
Blood pressure decrease
0.00%
0/6 • From the date of the signing of the consent form until follow-up visit on Day 8.
0.00%
0/6 • From the date of the signing of the consent form until follow-up visit on Day 8.
0.00%
0/6 • From the date of the signing of the consent form until follow-up visit on Day 8.
16.7%
1/6 • From the date of the signing of the consent form until follow-up visit on Day 8.
Nervous system disorders
Dizziness
0.00%
0/6 • From the date of the signing of the consent form until follow-up visit on Day 8.
0.00%
0/6 • From the date of the signing of the consent form until follow-up visit on Day 8.
0.00%
0/6 • From the date of the signing of the consent form until follow-up visit on Day 8.
16.7%
1/6 • From the date of the signing of the consent form until follow-up visit on Day 8.
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/6 • From the date of the signing of the consent form until follow-up visit on Day 8.
0.00%
0/6 • From the date of the signing of the consent form until follow-up visit on Day 8.
0.00%
0/6 • From the date of the signing of the consent form until follow-up visit on Day 8.
16.7%
1/6 • From the date of the signing of the consent form until follow-up visit on Day 8.

Additional Information

Executive Director Clinical Trials

Eloxx Pharmaceuticals

Phone: 1-781-577-5300

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place