The primary objectives of this study are: 1. To obtain information on the pharmacokinetics of cytisinicline following a single oral dose in subjects with varying degrees of renal impairment relative to matched controls with normal renal function. 2. To investigate the extent of cytisinicline removal by hemodialysis.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
44
film-coated oral tablets containing 3 mg cytisinicline
Hospital de Braga, Centro Clínico Académico Braga, Associação
Braga, Braga District, Portugal
BlueClinical Phase I
Porto, Porto District, Portugal
Early Phase Clinical Trials Unit | CHVNG/E + BlueClinical
Vila Nova de Gaia, Porto District, Portugal
Hospital Universitario de La Princessa
Madrid, Madrid, Spain
Plasma Pharmacokinetic (PK) Parameter: Maximum Observed Plasma Concentration (Cmax)
Time frame: pre-dose; 00:20, 00:40, 01:00, 01:20, 01:40, 02:00, 02:30, 03:00, 04:30, 06:00, 08:00, 12:00; 24:00, 36:00 and 48:00 hours:minutes post-dose
Plasma PK Parameter: Time of Occurrence of Cmax (Tmax)
Time frame: pre-dose; 00:20, 00:40, 01:00, 01:20, 01:40, 02:00, 02:30, 03:00, 04:30, 06:00, 08:00, 12:00; 24:00, 36:00 and 48:00 hours:minutes post-dose
Plasma PK Parameter: Area Under the Plasma Concentration Versus Time Curve (AUC) From Time of Dosing (t=0h) to the Time of the Last Measurable Concentration (AUC0-t)
Time frame: pre-dose; 00:20, 00:40, 01:00, 01:20, 01:40, 02:00, 02:30, 03:00, 04:30, 06:00, 08:00, 12:00; 24:00, 36:00 and 48:00 hours:minutes post-dose
Plasma PK Parameter: Total AUC Extrapolated to Infinity (AUC0-∞)
Time frame: pre-dose; 00:20, 00:40, 01:00, 01:20, 01:40, 02:00, 02:30, 03:00, 04:30, 06:00, 08:00, 12:00; 24:00, 36:00 and 48:00 hours:minutes post-dose
Plasma PK Parameter: Apparent Terminal Elimination Rate Constant (λz)
Time frame: pre-dose; 00:20, 00:40, 01:00, 01:20, 01:40, 02:00, 02:30, 03:00, 04:30, 06:00, 08:00, 12:00; 24:00, 36:00 and 48:00 hours:minutes post-dose
Plasma PK Parameter: Apparent Terminal Elimination Half-Life (t1/2)
Time frame: pre-dose; 00:20, 00:40, 01:00, 01:20, 01:40, 02:00, 02:30, 03:00, 04:30, 06:00, 08:00, 12:00; 24:00, 36:00 and 48:00 hours:minutes post-dose
Plasma PK Parameter: Fraction Unbound (fu)
Time frame: pre-dose; 00:20, 00:40, 01:00, 01:20, 01:40, 02:00, 02:30, 03:00, 04:30, 06:00, 08:00, 12:00; 24:00, 36:00 and 48:00 hours:minutes post-dose
Plasma PK Parameter: Apparent Clearance (CL/F)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Hospital Clínico San Carlos
Madrid, Madrid, Spain
Hospital Universitario La Paz
Madrid, Madrid, Spain
Time frame: pre-dose; 00:20, 00:40, 01:00, 01:20, 01:40, 02:00, 02:30, 03:00, 04:30, 06:00, 08:00, 12:00; 24:00, 36:00 and 48:00 hours:minutes post-dose
Plasma PK Parameter: Apparent Volume of Distribution (V/F)
Time frame: pre-dose; 00:20, 00:40, 01:00, 01:20, 01:40, 02:00, 02:30, 03:00, 04:30, 06:00, 08:00, 12:00; 24:00, 36:00 and 48:00 hours:minutes post-dose
Urine PK Parameter: Amount of Drug Excreted in Urine (Ae)
Time frame: pre-dose, 00:00-04:00 (groups 1-4), 00:00-06:00 (group 5), 04:00-08:00 (groups 1-4), 06:00-08:00 (group 5), 08:00-12:00, 12:00-24:00, 24:00-36:00 and 36:00-48:00 hours:minutes post-dose
Urine PK Parameter: Fraction of Unchanged Drug Excreted in Urine (fe)
Time frame: pre-dose, 00:00-04:00 (groups 1-4), 00:00-06:00 (group 5), 04:00-08:00 (groups 1-4), 06:00-08:00 (group 5), 08:00-12:00, 12:00-24:00, 24:00-36:00 and 36:00-48:00 hours:minutes post-dose
Urine PK Parameter: Area Under the Urine Excretion Rate Curve From Time Zero to Last Measurable Observed Excretion Rate (AURC)
Time frame: pre-dose, 00:00-04:00 (groups 1-4), 00:00-06:00 (group 5), 04:00-08:00 (groups 1-4), 06:00-08:00 (group 5), 08:00-12:00, 12:00-24:00, 24:00-36:00 and 36:00-48:00 hours:minutes post-dose
Urine PK Parameter: Renal Clearance (CLR)
Time frame: pre-dose, 00:00-04:00 (groups 1-4), 00:00-06:00 (group 5), 04:00-08:00 (groups 1-4), 06:00-08:00 (group 5), 08:00-12:00, 12:00-24:00, 24:00-36:00 and 36:00-48:00 hours:minutes post-dose
Urine PK Parameter: Apparent Nonrenal Clearance (CLNR/F)
Time frame: pre-dose, 00:00-04:00 (groups 1-4), 00:00-06:00 (group 5), 04:00-08:00 (groups 1-4), 06:00-08:00 (group 5), 08:00-12:00, 12:00-24:00, 24:00-36:00 and 36:00-48:00 hours:minutes post-dose
PK Parameter in Dialysate, Group 5 (ESRD on-dialysis): Amount of Drug Recovered From Each Dialysate Collection (AD)
Time frame: Day 1 pre-dialysis, post-dialysis (before the hemodialysis is stopped), and for 1 minute every hour during hemodialysis
PK Parameter in Dialysate, Group 5 (ESRD on-dialysis): Cumulative Amount of Drug Recovered From the Dialysate (AD, total)
Time frame: Day 1 pre-dialysis, post-dialysis (before the hemodialysis is stopped), and for 1 minute every hour during hemodialysis
PK Parameter in Dialysate, Group 5 (ESRD on-dialysis): Partial Area Under the Curve Estimated From Predialyzer Samples Collected From Start of Dialysis (t0) to End of Dialysis (t1) (AUCt0-t1)
Time frame: Day 1 pre-dialysis, post-dialysis (before the hemodialysis is stopped), and for 1 minute every hour during hemodialysis
PK Parameter in Dialysate, Group 5 (ESRD on-dialysis): Dialysis Clearance (CLD)
Time frame: Day 1 pre-dialysis, post-dialysis (before the hemodialysis is stopped), and for 1 minute every hour during hemodialysis
PK Parameter in Dialysate, Group 5 (ESRD on-dialysis): Fraction of the Administered Dose That is Recovered in the Dialysate (Frem)
Time frame: Day 1 pre-dialysis, post-dialysis (before the hemodialysis is stopped), and for 1 minute every hour during hemodialysis
Number of Participants With Clinically Significant Changes from Baseline in Body Weight
Time frame: Baseline (pre-dose), 48 hours post-dose
Number of Participants With Clinically Significant Changes from Baseline in Systolic and Diastolic Blood Pressure
Time frame: Baseline (pre-dose), 2, 6, 24, 36 and 48 hours post-dose
Number of Participants With Clinically Significant Changes from Baseline in Pulse Rate
Time frame: Baseline (pre-dose), 2, 6, 24, 36 and 48 hours post-dose
Number of Participants With Clinically Significant Changes from Baseline in Body Temperature
Time frame: Baseline (pre-dose), 2, 6, 24, 36 and 48 hours post-dose
Number of Participants With Clinically Significant Changes from Baseline in Hematology Values
Hematology assessments include hemoglobin, red blood cell (RBC) count, hematocrit, mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), red cell distribution width, white cell count with differential (neutrophil, eosinophil, basophil, lymphocyte and monocyte), platelet count and mean platelet volume.
Time frame: Baseline (pre-dose), 48 hours post-dose
Number of Participants With Clinically Significant Changes from Baseline in Biochemistry Values
Biochemistry values include sodium, potassium, glucose, creatinine, estimated creatinine clearance, total, direct and indirect bilirubin, alkaline phosphatase (ALP), lactate dehydrogenase (LDH), aspartate aminotransferase (AST), alanine aminotransferase (ALT), gamma-glutamyltransferase (GGT), creatine phosphokinase (CPK), total protein and albumin.
Time frame: Baseline (pre-dose), 48 hours post-dose
Number of Participants With Clinically Significant Changes from Baseline in Coagulation Values
Coagulation assessments include prothrombin rate, prothrombin time-international normalized ratio (INR) and activated partial thromboplastin time (aPTT).
Time frame: Baseline (pre-dose), 48 hours post-dose
Number of Participants With Clinically Significant Changes from Baseline in Urinalysis Values
Urinalysis assessments include pH, specific gravity, protein, hemoglobin, glucose, ketones, bilirubin, nitrites, urobilinogen, and microscopy (if urine is available).
Time frame: Baseline (pre-dose), 48 hours post-dose
Number of Participants With Adverse Events (AEs) and Serious AEs (SAEs)
Time frame: Groups 1 to 4: approximately 25 days; Group 5: approximately 31 days