This is an open-label, single-dose study to evaluate the pharmacokinetics, pharmacodynamics and safety of HSK7653 in subjects with mild, moderate, severe renal impairment and subjects with kidney failure compared to the matched control subjects with normal renal function.
This is an open-label, single-dose Phase I study that evaluate the pharmacokinetics, pharmacodynamics and safety of a single dose of HSK7653 10 mg in subjects with mild, moderate, and severe renal impairment , subjects with kidney failure and the control subjects with normal renal function. This study consists of a screening period (Day -14 to Day -1), a baseline period (Day -1), a treatment period (Day 1 to Day 29), and a follow-up call on Day 32. Subjects will be enrolled in the following groups: Glomerular filtration rate (GFR, unit mL/min/1.73m\^2) will be calculated based on Modification of Diet in Renal Disease (MDRD) equation at screening, Multiply it by BSA, then divide by 1.73 to convert to absolute GFR (unit, mL/min) (group A1) mild renal impairment (60 ≤ GFR\< 90 mL/min); (group B1) moderate renal impairment (30 ≤ GFR\<60 mL/min); (group C1) severe renal impairment (15 ≤ GFR\< 30 mL/min); (group D1) kidney failure (\<15 mL/min, not on hemodialysis); (group A2,B2,C2,D2) control subjects with normal renal function will be matched with subjects with renal impairment by weight, age, and sex (GFR≥90 mL/min).If subjects in group A2 can be matched with the subjects in groups A1 and B1 at the same time, the subjects in group B2 will not be enrolled, and so on. Approximately 64 subjects will be enrolled in total.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
42
HSK7653, tablet, oral
Beijing Jishuitan Hospital
Beijing, China
Cmax
The pharmacokinetic parameters of HSK7653 in plasma
Time frame: Predose and 0.25, 0.5, 1, 2, 4, 8 , 12, 24, 72, 168, 336, 504, 672 hours after dosing
AUC0-t
The pharmacokinetic parameters of HSK7653 in plasma
Time frame: Predose and 0.25, 0.5, 1, 2, 4, 8 , 12, 24, 72, 168, 336, 504, 672 hours after dosing
AUC0-inf
The pharmacokinetic parameters of HSK7653 in plasma
Time frame: Predose and 0.25, 0.5, 1, 2, 4, 8 , 12, 24, 72, 168, 336, 504, 672 hours after dosing
Tmax
The pharmacokinetic parameters of HSK7653 in plasma
Time frame: Predose and 0.25, 0.5, 1, 2, 4, 8 , 12, 24, 72, 168, 336, 504, 672 hours after dosing
t1/2
The pharmacokinetic parameters of HSK7653 in plasma
Time frame: Predose and 0.25, 0.5, 1, 2, 4, 8 , 12, 24, 72, 168, 336, 504, 672 hours after dosing
Vz/F
The pharmacokinetic parameters of HSK7653 in plasma
Time frame: Predose and 0.25, 0.5, 1, 2, 4, 8 , 12, 24, 72, 168, 336, 504, 672 hours after dosing
CL/F
The pharmacokinetic parameters of HSK7653 in plasma
Time frame: Predose and 0.25, 0.5, 1, 2, 4, 8 , 12, 24, 72, 168, 336, 504, 672 hours after dosing
Ae
The pharmacokinetic parameters of HSK7653 in urine
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Time frame: Predose and 168 hours after dosing
Fe
The pharmacokinetic parameters of HSK7653 in urine
Time frame: Predose and 168 hours after dosing
CLr
The pharmacokinetic parameters of HSK7653 in urine
Time frame: Predose and 168 hours after dosing
DPP4 inhibition AUEC
The pharmacodynamic parameters of HSK7653 in plasma
Time frame: Predose and 1, 24, 72, 168, 336 hours after dosing
DPP4 inhibition Emax
The pharmacodynamic parameters of HSK7653 in plasma
Time frame: Predose and 1, 24, 72, 168, 336 hours after dosing
DPP4 inhibition E336h
The pharmacodynamic parameters of HSK7653 in plasma
Time frame: Predose and 1, 24, 72, 168, 336 hours after dosing
The number of volunteers with adverse events as a measure of safety
The number of volunteers with adverse events as a measure of safety
Time frame: Day 1 to Day 32