Primary objective was to assess in subjects with CKD: Safety and tolerability of molidustat (BAY 85-3934), effects of molidustat on non-invasive hemodynamics Secondary objectives were to assess: Effects on pharmacodynamic parameters of erythropoiesis (erythropoietin, reticulocytes, erythrocytes, hemoglobin, hematocrit), pharmacokinetics of molidustat, exploratory biomarkers, ie, midregional pro-atrial natriuretic peptide, midregional pro-adrenomedullin, plasma renin activity, and optionally B-type natriuretic peptide, vascular endothelial growth factor, cyclic guanosine monophosphate, cyclic adenosine monophosphate, and noradrenaline
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Masking
SINGLE
Enrollment
49
20 mg molidustat as a single tablet
Single oral dose of matching placebo will be given in each treatment arm
Unnamed facility
München, Bavaria, Germany
Unnamed facility
Mönchengladbach, North Rhine-Westphalia, Germany
Unnamed facility
Kiel, Schleswig-Holstein, Germany
Number of participants with adverse events
Time frame: Approximately 9 weeks
Blood pressure
Systolic, diastolic, mean blood pressure
Time frame: Approximately 9 weeks
Heart rate
Time frame: Approximately 9 weeks
Cmax
Maximum observed drug concentration in measured matrix after single dose administration
Time frame: Pre-dose and up to 48 h post-dose
Cmax/D
Cmax divided by dose
Time frame: Pre-dose and up to 48 h post-dose
AUC
Area under the concentration vs time curve from zero to infinity after single dose
Time frame: Pre-dose and up to 48 h post-dose
AUC/D
AUC divided by dose
Time frame: Pre-dose and up to 48 h post-dose
Heart rate over 1 min
Time frame: Pre-dose and up to 24 h post-dose
Standing blood pressure procedure
Time frame: Starting from 2 h post-dose and up to 4 h post-dose
Impedance cardiography
Stroke volume, heart rate, cardiac index, cardiac output, and total peripheral resistance
Time frame: Pre-dose and up tp 8 h post-dose
Change of hematology profile
Hematology profile includes blood concentration of erythropoietin, reticulocytes, erythrocytes, hemoglobin, hematocrit, and exploratory biomarkers.
Time frame: From baseline to Day 1 after single dose
Cmax,norm
Cmax divided by dose per body weight
Time frame: Pre-dose and up to 48 h post-dose
AUCnorm
AUC divided by dose per body weight
Time frame: Pre-dose and up to 48 h post-dose
AUC(0-24)
AUC from 0 until 24 h after study drug administration
Time frame: Pre-dose and up to 24 h post-dose
AUC(0-tlast)
AUC from time 0 to the last data point \> lower limit of quantification
Time frame: Pre-dose and up to 48 h post-dose
t½
Half-life associated with the terminal slope
Time frame: Pre-dose and up to 48 h post-dose
tmax
Time to reach Cmax (in case of two identical Cmax values, the first tmax was used)
Time frame: Pre-dose and up to 48 h post-dose
MRT
Mean residence time
Time frame: Pre-dose and up to 48 h post-dose
CL/F
Total body clearance of drug calculated after extravascular administration (eg, apparent oral clearance)
Time frame: Pre-dose and up to 48 h post-dose
Vz/F
Apparent volume of distribution during terminal phase after extravascular administration
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Time frame: Pre-dose and up to 48 h post-dose
Geometric mean erythropoietin Cmax
Time frame: Pre-dose and up to 24 h post-dose
Geometric mean reticulocyte count
Time frame: Pre-dose and up to 24 h post-dose
Geometric mean erythrocyte count
Time frame: Pre-dose and up to 24 h post-dose
Geometric mean reticulocytes/erythrocytes values
Time frame: Pre-dose and up to 24 h post-dose
Geometric mean hemoglobin values
Time frame: Pre-dose and up to 24 h post-dose
Geometric mean hematocrit
Time frame: Pre-dose and up to 24 h post-dose
Geometric mean erythropoietin tmax
Time frame: Pre-dose and up to 24 h post-dose
Geometric mean erythropoietin AUC(0-24)
Time frame: Pre-dose and up to 24 h post-dose