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This study will evaluate the safety and pharmacokinetics of two doses of orally administered Proellex® in female patients with impaired hepatic function and healthy volunteers with normal hepatic function.
16 subjects will be allocated to 2 groups. The test group will consist of 8 female patients with moderately impaired hepatic function meeting the Child-Pugh Class B severity criteria, while the control group will consist of 8 healthy female adult volunteers. During Stage I, all subjects will receive a single oral dose of 25mg of Proellex® (fasting state) and be followed in a Clinical Research Unit (CRU) for about three days. Only subjects who do not experience serious adverse events (SAEs) or adverse events (AEs) that are determined by Investigator to be possibly, probably or definitely related to the treatment will participate in Stage II. The dose will be increased to a single dose of 50mg of Proellex® (fasting state) and subjects will be followed in a Clinical Research Unit (CRU) for about three days. Subjects will undergo blood draws at several time points.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Proellex 25 mg healthy | Experimental | Proellex 25 mg in healthy females |
|
| Proellex 25 mg Impaired | Experimental | Proellex 50 mg in hepatically impaired females |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Proellex | Drug | Proellex 25 mg capsule, single dose |
|
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Blood Concentration (Cmax) | Cmax of a single dose of 25mg and 50mg of Proellex® in female patients with impaired hepatic function and in volunteers with normal hepatic function, assessed from samples collected at: 0, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 5, 7, 9, 12, 16, 20, 24, 32, 36, 40 and 48 hours post dose.. | 48 hours |
| Proellex Half-life (T1/2) | Time for Proellex concentration to decrease by half (T1/2) of a single dose of 25mg and 50mg of Proellex® in female patients with impaired hepatic function and in volunteers with normal hepatic function,measured from samples collected at: 0, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 5, 7, 9, 12, 16, 20, 24, 32, 36, 40 and 48 hours post dose.. | 48 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Area Under the Curve (AUC0-t) for Proellex | AUC0-t of a single dose of 25mg and 50mg of Proellex® in female patients with impaired hepatic function and in volunteers with normal hepatic function, measured from samples collected at: 0, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 5, 7, 9, 12, 16, 20, 24, 32, 36, 40 and 48 hours post dose. | 48 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Andre van As, MD, PhD | Repros Therapeutics Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinical Pharmacology of Miami, Inc. | Miami | Florida | 33014-3616 | United States | ||
| Orlando Clinical Research Center |
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| ID | Title | Description |
|---|---|---|
| FG000 | Healthy | Proellex single dose each of 25 mg and 50 mg in healthy females |
| FG001 | Impaired | Proellex single dose each of 25 mg and 50 mg in hepatically impaired females |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
ITT and Safety populations were the same
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| ID | Title | Description |
|---|---|---|
| BG000 | Healthy | Healthy females |
| BG001 | Mpaired | Hepatically impaired females |
| BG002 |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Maximum Blood Concentration (Cmax) | Cmax of a single dose of 25mg and 50mg of Proellex® in female patients with impaired hepatic function and in volunteers with normal hepatic function, assessed from samples collected at: 0, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 5, 7, 9, 12, 16, 20, 24, 32, 36, 40 and 48 hours post dose.. | Posted | Mean | Standard Deviation | ng/L | 48 hours |
|
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Adverse events are reported together in each group for exposure to both 25mg Proellex and 50 mg Proellex
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Proellex Healthy | Proellex 25 mg and 50 mg in healthy females Proellex: Proellex 25 mg and 50 mg capsule, single dose each |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Eye pruritis | Eye disorders | CTCAE (3.0) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Jennifer Wike | Repros Therapeutics | 2817193402 | jwike@reprosrx.com |
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| ID | Term |
|---|---|
| D008107 | Liver Diseases |
| ID | Term |
|---|---|
| D004066 | Digestive System Diseases |
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| ID | Term |
|---|---|
| C461063 | telapristone acetate |
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| Orlando |
| Florida |
| 32809 |
| United States |
| Total |
Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| OG002 |
| Proellex 50 mg Healthy |
Proellex 50 mg in healthy females Proellex: Proellex 50 mg capsule, single dose |
| OG003 | Proellex 50 mg Impaired | Proellex 50 mg in impaired females Proellex: Proellex 50 mg capsule, single dose |
|
|
| Secondary | Area Under the Curve (AUC0-t) for Proellex | AUC0-t of a single dose of 25mg and 50mg of Proellex® in female patients with impaired hepatic function and in volunteers with normal hepatic function, measured from samples collected at: 0, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 5, 7, 9, 12, 16, 20, 24, 32, 36, 40 and 48 hours post dose. | Posted | Mean | Standard Deviation | ng x min/L | 48 hours |
|
|
|
| Primary | Proellex Half-life (T1/2) | Time for Proellex concentration to decrease by half (T1/2) of a single dose of 25mg and 50mg of Proellex® in female patients with impaired hepatic function and in volunteers with normal hepatic function,measured from samples collected at: 0, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 5, 7, 9, 12, 16, 20, 24, 32, 36, 40 and 48 hours post dose.. | Posted | Mean | Standard Deviation | Hours | 48 hours |
|
|
|
| 0 |
| 8 |
| 4 |
| 8 |
| EG001 | Proellex Impaired | Proellex 25 mg and 50 mg in hepatically impaired females Proellex: Proellex 25 mg and 50 mg capsule, single dose each | 0 | 8 | 3 | 8 |
| Eye swelling | Eye disorders | CTCAE (3.0) | Systematic Assessment |
|
| Vision blurred | Eye disorders | CTCAE (3.0) | Systematic Assessment |
|
| Abdominal distension | Gastrointestinal disorders | CTCAE (3.0) | Systematic Assessment |
|
| Abdominal pain lower | Gastrointestinal disorders | CTCAE (3.0) | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | CTCAE (3.0) | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | CTCAE (3.0) | Systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | CTCAE (3.0) | Systematic Assessment |
|
| Dizziness | Nervous system disorders | CTCAE (3.0) | Systematic Assessment |
|
| Headache | Nervous system disorders | CTCAE (3.0) | Systematic Assessment |
|
| Anxiety | Psychiatric disorders | CTCAE (3.0) | Systematic Assessment |
|
| Breast tenderness | Reproductive system and breast disorders | CTCAE (3.0) | Systematic Assessment |
|
| Metrorrhagia | Reproductive system and breast disorders | CTCAE (3.0) | Systematic Assessment |
|
| Acne | Skin and subcutaneous tissue disorders | CTCAE (3.0) | Systematic Assessment |
|
Prior to publication, Investigator shall submit to the Sponsor a copy of any proposed publication. Sponsor shall have sixty (60) days to review the proposed publication for possible disclosure of Sponsor's Confidential Information and, upon request of Sponsor, Investigator shall delete any of Sponsor's Confidential Information or withhold submission of such publication to allow Sponsor to protect its intellectual property rights