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| ID | Type | Description | Link |
|---|---|---|---|
| 212082PCR1004 | Other Identifier | Janssen Research & Development, LLC |
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The purpose of this study is to evaluate systemic exposure of abiraterone acetate in adult male patients with severe hepatic impairment and is being conducted to collect information that will support clinical dosing recommendations for this subpopulation.
This is a non-randomized (individuals will not be assigned by chance to study treatments), open-label (individuals will know the identity of study treatments), single dose, 2-cohort study of abiraterone acetate in approximately 16 adult men. Participants will either have severe hepatic impairment (Cohort 1) or qualify for the control group with normal hepatic function (Cohort 2). This study will consist of a screening period followed by a 4-day open-label treatment phase and subsequently a 28-day follow up after the study dose of abiraterone acetate suspension. Patients will be admitted to the study center on Day -1, a single dose of study drug will be administered on the morning of Day 1, and patients will remain at the study center until completion of the 72-hour pharmacokinetic (PK; study of what the body does to a drug) blood sample collection in the morning of Day 4. Enrollment will begin sequentially with patients in the severe hepatic impairment cohort. Enrollment for Cohort 1 will be staggered in order to evaluate safety and tolerability. The study will not proceed if >=Grade 3 toxicity or serious adverse events considered related to abiraterone acetate are observed. Additional patients may be enrolled if at least 8 patients in each cohort do not complete the required assessments, including the PK blood sample collections. The aim will be to treat the remaining patients in Cohort 1 at a suspension dose yielding an exposure equivalent to 1000 mg tablet in healthy individuals. If the dose is adjusted after Study Evaluation Team review, additional patients may be enrolled to ensure at least 8 patients complete the study at the final dose. Once enrollment of patients in the severe hepatic impairment cohort is completed, the matched-control cohort will be dosed. Serial PK samples will be collected during the open-label treatment phase as detailed in the protocol. Safety will be monitored throughout the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1 | Experimental | Patients with severe hepatic impairment. |
|
| Cohort 2 | Experimental | Healthy individuals with normal hepatic function. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cohort 1 | Drug | 125 mg to 2000 mg abiraterone acetate suspension on Day 1 |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Mean plasma concentrations of abiraterone | Up to Day 4 | |
| Mean plasma protein binding concentrations of abiraterone | Screening Day -2 | |
| Maximum plasma concentrations of abiraterone | Up to Day 4 | |
| Time to reach the maximum plasma concentration of abiraterone | Up to Day 4 | |
| Area under the plasma concentration-time curve from time 0 to 24 hours after dosing of abiraterone | Up to Day 4 | |
| Area under the plasma concentration-time curve from time 0 to time of the last quantifiable concentration of abiraterone | Up to Day 4 | |
| Area under the plasma concentration-time curve from time 0 to infinite time of abiraterone | Up to Day 4 | |
| Percentage of area under the plasma concentration-time curve from time 0 to infinite time obtained by extrapolation of abiraterone | Up to Day 4 | |
| Elimination half-life associated with the terminal slope of the semilogarithmic drug concentration-time curve of abiraterone | Up to Day 4 | |
| Time to last quantifiable plasma concentration of abiraterone |
| Measure | Description | Time Frame |
|---|---|---|
| The number of participants affected by an adverse event | Up to Day 29 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Janssen Research & Development, LLC Clinical Research | Janssen Research & Development, LLC | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Anaheim | California | United States | ||||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24374856 | Derived | Marbury T, Lawitz E, Stonerock R, Gonzalez M, Jiao J, Breeding J, Haqq C, Verboven P, Stieltjes H, Yu M, Molina A, Acharya M, Chien C, Tran N. Single-dose pharmacokinetic studies of abiraterone acetate in men with hepatic or renal impairment. J Clin Pharmacol. 2014 Jul;54(7):732-41. doi: 10.1002/jcph.253. Epub 2014 Jan 17. |
| Label | URL |
|---|---|
| An Open-Label Pharmacokinetic Study of Abiraterone Acetate Suspension in Subjects with Severe Hepatic Impairment Compared to Matched Control Subjects with Normal Hepatic Function | View source |
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| Cohort 2 |
| Drug |
2000 mg abiraterone acetate suspension on Day 1 |
|
| Up to Day 4 |
| Total apparent clearance of drug after extravascular administration uncorrected for absolute bioavailability of abiraterone | Up to Day 4 |
| Apparent volume of distribution after extravascular administration uncorrected for absolute bioavailability of abiraterone | Up to Day 4 |
| Orlando |
| Florida |
| United States |
| San Antonio | Texas | United States |
| ID | Term |
|---|---|
| C423142 | KPNA1 protein, human |
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