This study will be conducted to assess the effect of severe renal impairment on the pharmacokinetics of lemborexant after a single-dose administration.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
16
oral tablet
Clinical Pharmacology of Miami, LLC
Miami, Florida, United States
Orlando Clinical Research Center
Orlando, Florida, United States
Maximum Observed Plasma Concentration (Cmax) of Lemborexant
Time frame: Day 1: predose, 0.5 up to 240 hours postdose
Area Under the Plasma Concentration-Time Curve From Time Zero to 72 Hours Post Dose (AUC[0-72h]) of Lemborexant
Time frame: Day 1: predose, 0.5 up to 72 hours postdose
Area Under the Plasma Concentration-Time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUC[0-t]) of Lemborexant
Time frame: Day 1: predose, 0.5 up to 240 hours postdose
Area Under the Plasma Concentration-Time Curve Extrapolated to Infinity (AUC[0-inf]) of Lemborexant
Time frame: Day 1: predose, 0.5 up to 240 hours postdose
Maximum Observed Plasma Concentration (Cmax) of Metabolites of Lemborexant (M4, M9, and M10)
Time frame: Day 1: predose, 0.5 up to 240 hours postdose
Time to Reach Maximum Plasma Concentration (Tmax) of Lemborexant and Its Metabolites (M4, M9, and M10)
Time frame: Day 1: predose, 0.5 up to 240 hours postdose
Area Under the Plasma Concentration-Time Curve From Time Zero to 8 Hours Post Dose (AUC[0-8h]) of Lemborexant and Its Metabolites (M4, M9, and M10)
Time frame: Day 1: predose, 0.5 up to 8 hours postdose
Area Under the Plasma Concentration-Time Curve From Time Zero to 72 Hours Post Dose (AUC[0-72h]) of Metabolites of Lemborexant (M4, M9, and M10)
Time frame: Day 1: predose, 0.5 up to 72 hours postdose
Area Under the Plasma Concentration-Time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUC[0-t]) of Metabolites of Lemborexant (M4, M9, and M10)
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Time frame: Day 1: predose, 0.5 up to 240 hours postdose
Area Under the Plasma Concentration-Time Curve Extrapolated to Infinity (AUC[0-inf]) of Metabolites of Lemborexant (M4, M9, and M10)
Time frame: Day 1: predose, 0.5 up to 240 hours postdose
Area Under the Plasma Concentration-Time Curve Adjusted by Unbound Fraction of Plasma (AUCu) of Lemborexant and Its Metabolites (M4, M9, and M10)
AUCu was defined as the AUC(0-inf) adjusted by unbound fraction in plasma, and calculated by multiplying the value of AUC(0-inf) with Plasma protein unbound fraction (fu).
Time frame: Day 1: predose, 0.5 up to 240 hours postdose
Percentage of AUC(0-inf) Based on Extrapolation (AUCex) of Lemborexant and Its Metabolites (M4, M9, and M10)
AUCex was calculated by dividing the difference of (AUC(0-inf) and AUC(0-t)) by value of AUC(0-inf) and then multiplying the value by 100.
Time frame: Day 1: predose, 0.5 up to 240 hours postdose
Observed Terminal Elimination Half-life (t1/2) of Lemborexant and Its Metabolites (M4, M9, and M10)
Terminal plasma half-life is the time required for plasma/blood concentration to decrease by 50%. This is not the time required to eliminate half the administered dose.
Time frame: Day 1: predose, 0.5 up to 240 hours postdose
Observed Elimination Rate Constant (LambdaZ) of Lemborexant and Its Metabolites (M4, M9, and M10)
Estimated by linear regression through at least three data points (not including tmax) in the terminal phase of the log concentration-time profile.
Time frame: Day 1: predose, 0.5 up to 240 hours postdose
Apparent Body Clearance (CL/F) of Lemborexant
CL/F is the clearance for parent Lemborexant only and was calculated as Dose/\[AUC0-inf\]. Blood samples were analyzed for the amount of Lemborexant in the plasma.
Time frame: Day 1: predose, 0.5 up to 240 hours postdose
Apparent Volume of Distribution (Vz/F) Based on the Terminal Phase of Lemborexant
The apparent volume of distribution gives information about the amount of Lemborexant distributed in body tissue rather than the blood/plasma. Vz/F for parent Lemborexant only was calculated as Dose /(\[ λz\]\*\[AUC0-inf\]).
Time frame: Day 1: predose, 0.5 up to 240 hours postdose
Metabolite-to-Parent Ratio of AUC(0-inf), Corrected for Molecular Weights (MPR AUC[0-inf]) of Metabolites of Lemborexant (M4, M9, and M10)
The AUC metabolite to parent ratio (MPR) is the ratio of AUC(0-inf) of the individual metabolite to AUC(0-inf) of lemborexant, corrected for molecular weights.
Time frame: Day 1: predose, 0.5 up to 240 hours postdose
Plasma Protein Unbound Fraction (Fu) of Lemborexant and Its Metabolites (M4, M9, and M10)
Unbound fraction of drug in plasma was calculated as 100% minus (-) mean percent of Lemborexant and Its Metabolites M4. M9. M10 bound to plasma protein for each participant.
Time frame: Day 1: predose, 0.5 up to 240 hours postdose
Apparent Clearance Relative to the Unbound Plasma Concentration (CLu/F) Based on AUCu of Lemborexant
Unbound fraction of drug in plasma was calculated as 100% - mean percent of Lemborexant bound to plasma protein for each participant.
Time frame: Day 1: predose, 0.5 up to 240 hours postdose
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Time frame: Up to Day 11
Number of Participants With Clinically Significant Laboratory Abnormalities
Time frame: Up to Day 11
Number of Participants With Clinically Significant Abnormal Vital Sign Values
Time frame: Up to Day 11
Number of Participants With Clinically Significant Abnormal Electrocardiogram (ECG) Parameter Values
Time frame: Up to Day 11