This is a Phase 2b, prospective, open-label study designed to evaluate the safety, tolerability, PK, and PD of FAST PV and mGFR Technology in healthy subjects and patients with varying degrees of renal impairment.
For Cohorts 1 and 2, administration of the study drug will occur within 21 days of screening. Eligible subjects/patients will be admitted to the clinical research unit (CRU) on Day -1, at which time assessments will be performed, and results from both screening and Day -1 (inclusion/exclusion criteria, body weight, height \[screening only\], body mass index \[BMI\], medical and surgical history, physical examination, vital signs and pulse oximetry, 12 lead ECG, clinical laboratory tests, renal function assessment, follicle-stimulating hormone \[FSH; screening only\] and pregnancy test \[females only\], and urine drugs of abuse and alcohol screen) will be reviewed to confirm eligibility. For Cohorts 3 and 4, administration of the study drug will occur within 21 days of screening. Eligible subjects/patients will be admitted to the CRU on Day 1, at which time assessments will be performed and results from both screening and predose administration testing (inclusion/exclusion criteria, body weight, height \[screening only\], BMI, medical and surgical history, physical examination, vital signs and pulse oximetry, 12 lead ECG, clinical laboratory tests, renal function assessment, FSH and pregnancy test \[screening only\], and urine drugs of abuse and alcohol screen) will be reviewed to confirm eligibility. Cohort 1: Eligible subjects will receive a single dose of VFI followed 130 minutes later by a 350 mL infusion of 5% albumin up to maximum volume of 7 mL/kg over 30 minutes on Day 1. Subjects will remain resident in the CRU for at least 24 hours after VFI administration for safety, PK, and PD assessments. Subjects will return to the CRU for an end-of-study (EOS) visit on Day 21 (± 1 day). Cohort 2: Eligible subjects will receive a dose of VFI followed 160 minutes later by a single dose of Iohexol on Day 1 and a second dose of VFI 24 hours following the initial dose of VFI. Subjects will remain resident in the CRU for at least 24 hours after the second VFI administration for safety, PK, and PD assessments. Subjects will return to the CRU for follow-up visits on Days 5 (± 1 day), 9 (± 1 day), and 16 (± 1 day) and an EOS visit on Day 22 (± 1 day). Cohorts 3 and 4: Eligible patients will receive a single dose of VFI followed 160 minutes later by a single dose of Iohexol on Day 1. Patients will remain in the CRU through the 12-hour sample collection after VFI administration for safety, PK, and PD assessments. . Patients will stay at a local hotel near the CRU and will return to the CRU on Day 2 for the 24-hour sample collection. Patients will return to the CRU for follow-up visits on Days 4 (± 1 day), 8 (± 1 day), and 15 (± 1 day) and an EOS visit on Day 21 (± 1 day).
Study Type
OBSERVATIONAL
Enrollment
32
The IV administered visible fluorescent injectate (VFI)™ agent is comprised of a mixture of 2 different molecular weight carboxymethyl dextran molecules (5 kD and 150 kD) with different fluorescent dye molecules attached.
Iohexol is a contrast enhancement agent which, following intravascular injection, is distributed in the extracellular fluid compartment and is excreted unchanged by glomerular filtration.
University of Alabama Birmingham, Division of Nephrology
Birmingham, Alabama, United States
ICON Early Phase Services, LLC
San Antonio, Texas, United States
Incidence of serious adverse events (SAEs) and treatment-emergent adverse events (TEAEs)
* Subjects will be monitored for AEs from administration of the first dose of study drug through the end of study visit * Abnormal clinical laboratory tests, physical examination findings, 12-lead electrocardiograms (ECGs), and vital signs including pulse oximetry that (1) are considered clinically significant initially and on confirmation, (2) require a subject to be discontinued from the study, (3) require a subject to receive treatment, or (4) require a change or discontinuation from the study drug (if applicable) will be recorded as AEs
Time frame: 21 ± 1 days
Maximum observed plasma concentration (Cmax)
Time frame: 21 ± 1 days
Time that Cmax was observed (tmax)
Time frame: 21 ± 1 days
Area under the plasma concentration-time curve (AUC) from time 0 to 12 hours (AUC0 12: FD001 only)
Time frame: 21 ± 1 days
AUC from time 0 to the time of the last quantifiable concentration (AUClast)
Time frame: 21 ± 1 days
AUC from time 0 extrapolated to infinity (AUCinf)
Time frame: 21 ± 1 days
Terminal elimination half-life (t½)
Time frame: 21 ± 1 days
Terminal elimination rate constant (λz)
Time frame: 21 ± 1 days
Total body clearance (CL)
Time frame: 21 ± 1 days
Renal clearance (CLr; FD001 only)
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Time frame: 21 ± 1 days
Volume of distribution during the terminal phase (Vz)
Time frame: 21 ± 1 days
Volume of distribution at steady state (Vss)
Time frame: 21 ± 1 days
Fraction of dose excreted unchanged in the urine (Ae0-12)
Time frame: 21 ± 1 days
PV as assessed by FAST PV and mGFR Technology
Time frame: 21 ± 1 days
PV as assessed by Nadler's formula
Time frame: 21 ± 1 days
Changes in PV after fluid challenge
Time frame: 21 ± 1 days
Repeatability of GFR measurements over 24 hours
Time frame: 21 ± 1 days
mGFR as assessed by FAST VFI and Iohexol clearance methods
Time frame: 21 ± 1 days
Estimated GFR (eGFR) (calculated by the Modification of Diet in Renal Disease [MDRD], Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI] Creatinine and Cockcroft-Gault equations)
Time frame: 21 ± 1 days