An open-label study to characterize the effects of mild, moderate, and severe Hepatic Impairment (HI) on the pharmacokinetics (PK) of ampreloxetine following a single oral dose in comparison with healthy volunteers with normal hepatic function.
This is a multicenter, non-randomized, open label, parallel group, single dose, 2-part study being conducted in adult subjects with mild, moderate, or severe HI (Child-Pugh Class A, B, and C), and in matching healthy subjects. The healthy matching group will be comparable to the corresponding hepatic impairment groups by matching subjects by weight (±20% of group mean), age (±10 years of group mean), and sex (equal ratios across groups). The study will be conducted in two sequential parts: In Part A, following a 28-day screening period, 6 subjects each with mild or moderate HI and 6 matching healthy subjects who meet eligibility criteria will be enrolled and administered a single Dose A (Day 1). In Part B, following a 28-day screening period, 6 subjects with severe hepatic impairment will receive a single Dose A (Day 1). Furthermore, the Sponsor may choose to enroll up to 6 additional healthy subjects in Part B to ensure matching of subjects across all groups for weight, age, and sex is maintained.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
31
The study drug will be administered orally as a single Dose A tablet
Theravance Biopharma Investigational Site
Miami, Florida, United States
Theravance Biopharma Investigational Site
Orlando, Florida, United States
Plasma AUC0-t
Estimation of Area under the concentration-time curve, from time zero to the last measured time point
Time frame: Plasma AUC0-t will be measured Day 1 to Day 15
Plasma AUC0-inf
Estimation of AUC from time zero extrapolated to infinity
Time frame: Plasma AUC0-inf will be measured from Day 1 to Day 15
Plasma Cmax
Estimation of maximum observed plasma concentration
Time frame: up to Day 21
Number of subjects with clinically significant vital sign abnormalities
Clinically significant abnormalities in vital signs will be listed and described
Time frame: up to Day 21
Number of subjects with change in C-SSRS scores
Changes in Columbia suicide severity rating scale (C-SSRS) scores will be listed and described
Time frame: up to Day 21
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