Trial Outcomes & Findings for Investigate the Influence of Severe Hepatic Impairment on the Pharmacokinetics of Acalabrutinib and Its Metabolite (NCT NCT03968848)

NCT ID: NCT03968848

Last Updated: 2021-09-10

Results Overview

Area Under the Concentration-Time Curve

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

16 participants

Primary outcome timeframe

Severe HI: pre-dose, and 0.167, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 14, 24, 36, 48, 60, 72 hrs post-dose. Normal HI: pre-dose, and 0.167, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 14, 24 hrs post-dose.

Results posted on

2021-09-10

Participant Flow

Participant milestones

Participant milestones
Measure
Severe Hepatic Impairment
Subjects with severe hepatic impairment receiving a single dose of 50 mg acalabrutinib (1 x 50 mg capsules)
Normal Hepatic Function
Subjects with normal hepatic function receiving a single dose of 50 mg acalabrutinib (1 x 50 mg capsules)
Overall Study
STARTED
8
8
Overall Study
COMPLETED
8
8
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Investigate the Influence of Severe Hepatic Impairment on the Pharmacokinetics of Acalabrutinib and Its Metabolite

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Severe Hepatic Impairment
n=8 Participants
Subjects with severe hepatic impairment receiving a single dose of 50 mg acalabrutinib (1 x 50 mg capsules)
Normal Hepatic Function
n=8 Participants
Subjects with normal hepatic function receiving a single dose of 50 mg acalabrutinib (1 x 50 mg capsules)
Total
n=16 Participants
Total of all reporting groups
Age, Continuous
57.6 Years
STANDARD_DEVIATION 7.96 • n=5 Participants
57.1 Years
STANDARD_DEVIATION 4.88 • n=7 Participants
57.4 Years
STANDARD_DEVIATION 6.39 • n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
7 Participants
n=7 Participants
14 Participants
n=5 Participants
Race/Ethnicity, Customized
Not Hispanic or Latino
4 Participants
n=5 Participants
5 Participants
n=7 Participants
9 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic or Latino
4 Participants
n=5 Participants
3 Participants
n=7 Participants
7 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
White
8 Participants
n=5 Participants
7 Participants
n=7 Participants
15 Participants
n=5 Participants
Region of Enrollment
USA
8 Participants
n=5 Participants
8 Participants
n=7 Participants
16 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Severe HI: pre-dose, and 0.167, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 14, 24, 36, 48, 60, 72 hrs post-dose. Normal HI: pre-dose, and 0.167, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 14, 24 hrs post-dose.

Area Under the Concentration-Time Curve

Outcome measures

Outcome measures
Measure
Severe Hepatic Impairment
n=8 Participants
Subjects with severe hepatic impairment receiving a single dose of 50 mg acalabrutinib (1 x 50 mg capsules)
Normal Hepatic Function
n=8 Participants
Subjects with normal hepatic function receiving a single dose of 50 mg acalabrutinib (1 x 50 mg capsules)
Plasma Acalabrutinib PK Parameters
AUC0-24
1167 ng*hr/mL
Geometric Coefficient of Variation 53.6
226.1 ng*hr/mL
Geometric Coefficient of Variation 55.3
Plasma Acalabrutinib PK Parameters
AUC0-last
1161 ng*hr/mL
Geometric Coefficient of Variation 53.9
220.0 ng*hr/mL
Geometric Coefficient of Variation 57.3
Plasma Acalabrutinib PK Parameters
AUC0-inf
1169 ng*hr/mL
Geometric Coefficient of Variation 53.8
226.5 ng*hr/mL
Geometric Coefficient of Variation 55.1

PRIMARY outcome

Timeframe: Severe HI: pre-dose, and 0.167, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 14, 24, 36, 48, 60, 72 hrs post-dose. Normal HI: pre-dose, and 0.167, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 14, 24 hrs post-dose.

Maximum Cmax

Outcome measures

Outcome measures
Measure
Severe Hepatic Impairment
n=8 Participants
Subjects with severe hepatic impairment receiving a single dose of 50 mg acalabrutinib (1 x 50 mg capsules)
Normal Hepatic Function
n=8 Participants
Subjects with normal hepatic function receiving a single dose of 50 mg acalabrutinib (1 x 50 mg capsules)
Maximum Plasma Acalabrutinib Concentration
726.0 ng/mL
Geometric Coefficient of Variation 56.2
147.7 ng/mL
Geometric Coefficient of Variation 116.8

Adverse Events

Severe Hepatic Impairment

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

Normal Hepatic 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
Severe Hepatic Impairment
n=8 participants at risk
Subjects with severe hepatic impairment receiving a single dose of 50 mg acalabrutinib (1 x 50 mg capsules)
Normal Hepatic Function
n=8 participants at risk
Subjects with normal hepatic function receiving a single dose of 50 mg acalabrutinib (1 x 50 mg capsules)
Metabolism and nutrition disorders
Hypokalaemia
12.5%
1/8 • Number of events 1 • From first dose of study drug until 30 days post last dose
0.00%
0/8 • From first dose of study drug until 30 days post last dose
Metabolism and nutrition disorders
Hypomagnesaemia
12.5%
1/8 • Number of events 1 • From first dose of study drug until 30 days post last dose
0.00%
0/8 • From first dose of study drug until 30 days post last dose

Additional Information

Global Clinical Lead

AstraZeneca Clinical Study Information Center

Phone: 1-877-240-9479

Results disclosure agreements

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