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A study to assess the pharmacokinetics, safety and tolerability of Selumetinib (AZD6244, ARRY-142886) in patients with hepatic impairment and healthy subjects.
An open label study to assess the pharmcokinetics, safety and tolerability of a single dose of Selumetinib (AZD6244, ARRY-142886) in patients with hepatic impairment and healthy subjects.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Selumetinib HV | Experimental | Healthy volunteers (HV) |
|
| Selumetinib mild impairment | Experimental | Mild (Child Pugh A) hepatic impaired patients |
|
| Selumetinib moderate impairment | Experimental | Moderate (Child Pugh B) hepatic impaired patients |
|
| Selumetinib severe impairment | Experimental | Severe (Child Pugh C) hepatic impairment patients |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Selumetinib 50mg | Drug | HV and hepatic impaired patients with mild and moderat severity will recived selumetinib 50mg orally on day 1 |
|
| Measure | Description | Time Frame |
|---|---|---|
| AUC (0 to Infinity) of Total Selumetinib | 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, 72, 96 and 120 hours post dose | |
| Cmax of Total Selumetinib | 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, 72, 96 and 120 hours post dose | |
| Dose Normalized AUC, Total Selumetinib | 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, 72, 96 and 120 hours post dose | |
| Dose Normalized Cmax, Total Selumetinib | 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, 72, 96 and 120 hours post dose | |
| Dose Normalized AUC, Unbound Selumetinib | 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, 72, 96 and 120 hours post dose | |
| Dose Normalized Cmax, Unbound Selumetinib | 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, 72, 96 and 120 hours post dose |
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Inclusion Criteria for all participants:
Subjects will be males or females (non-childbearing potential) aged 18 years or more and with a weight of at least 45 kg and a BMI between 18 and 40 kg/m2 inclusive.
Inclusion Critera only for hepatic impaired patients:
Subjects with stable liver cirrhosis and hepatic impairment for at least 3 months prior to the start of the study.
Inclusion Criteria only for healthy volunteers:
Subjects must be in good health, as determined by a medical history, physical examination, 12-lead ECG, clinical laboratory evaluations, and an ophthalmic examination performed before the administration of the investigational product.
Exclusion Criteria for all participants:
Subjects of Japanese or non-Japanese Asian ethnicity
Any one parent or grandparent (maternal or paternal) is Japanese or non-Japanese Asian (eg, China, Taiwan, Korea, Philippines, Thailand, Vietnam, and Malaysia). Asian Indians are acceptable.
Any clinically important illness, medical/surgical procedure, or trauma within 4 weeks of the first administration of the investigational product
Subjects who smoke more than 10 cigarettes or the equivalent in tobacco per day.
Exclusion criteria for hepatic impaired patients only
Undergone liver transplantation. -
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| Name | Affiliation | Role |
|---|---|---|
| Thomas C Marbury, MD | Orlando Clinical Research Center, 5055 S Orange Avenue, Orlando, Florida, United States. | Principal Investigator |
| Ian Smith, MD | Astrazeneca, UK | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Orlando | Florida | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | Mild | Mild (Child Pugh A) hepatic impaired subjects (all subjects received Selumetinib 50 mg) |
| FG001 | Moderate | Moderate (Child Pugh B) hepatic impaired subjects). 6 subjects received Selumetinib 50 mg, 2 received Selumetinib 25mg |
| FG002 | Severe | Severe (Child Pugh C) hepatic impaired subjects. All subjects received Selumetinib 20mg. |
| FG003 | Normal | Healthy volunteers. All volunteers received Selumetinib 50mg. |
| Title | Milestones | Reasons Not Completed | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Mild | Mild (Child Pugh A) hepatic impaired subjects (all subjects received Selumetinib 50 mg) |
| BG001 | Moderate | Moderate (Child Pugh B) hepatic impaired subjects). 6 subjects received Selumetinib 50 mg, 2 received Selumetinib 25mg |
| Units | Counts |
|---|---|
| Participants |
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| 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 | AUC (0 to Infinity) of Total Selumetinib | In the moderate group, 2 patients received Selumetinib 25mg and are not included here but are included in the Dose Normalised AUC outcome measure | Posted | Geometric Mean | Geometric Coefficient of Variation | ng*h/mL | 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, 72, 96 and 120 hours post dose |
|
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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 | Mild | Mild (Child Pugh A) hepatic impaired subjects (all subjects received Selumetinib 50 mg) |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Diarrhoea | Gastrointestinal disorders | Non-systematic Assessment |
In the moderate group, 2 patients received Selumetinib 25mg and are not included in sumaries for AUC and Cmax. Dose normalized parameters are more appropriate for comparisons between groups and are included for all subjects.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Gabriella Mariani | AstraZeneca | +44 7818 523 899 | ClinicalTrialTransparency@astrazeneca.com |
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| ID | Term |
|---|---|
| C517975 | AZD 6244 |
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| Selumetinib 25mg | Drug | Severe (Child Pugh C) hepatic impaired patients will receive selumetinib 25mg orally on Day 1 |
|
| BG002 | Severe | Severe (Child Pugh C) hepatic impaired subjects. All subjects received Selumetinib 20mg. |
| BG003 | Normal | Healthy volunteers. All volunteers received Selumetinib 50mg. |
| BG004 | Total | Total of all reporting groups |
| Years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| OG002 |
| Severe |
Severe (Child Pugh C) hepatic impaired subjects. All subjects received Selumetinib 20mg. |
| OG003 | Normal | Healthy volunteers. All volunteers received Selumetinib 50mg. |
|
|
| Primary | Cmax of Total Selumetinib | In the moderate group, 2 patients received Selumetinib 25mg and are not included here but are included in the Dose Normalised Cmax outcome measure | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL | 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, 72, 96 and 120 hours post dose |
|
|
|
| Primary | Dose Normalized AUC, Total Selumetinib | Posted | Geometric Mean | Geometric Coefficient of Variation | ng*h/mL/mg | 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, 72, 96 and 120 hours post dose |
|
|
|
| Primary | Dose Normalized Cmax, Total Selumetinib | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL/mg | 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, 72, 96 and 120 hours post dose |
|
|
|
| Primary | Dose Normalized AUC, Unbound Selumetinib | Posted | Geometric Mean | Geometric Coefficient of Variation | ng*h/mL/mg | 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, 72, 96 and 120 hours post dose |
|
|
|
| Primary | Dose Normalized Cmax, Unbound Selumetinib | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL/mg | 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, 72, 96 and 120 hours post dose |
|
|
|
| 0 |
| 8 |
| 2 |
| 8 |
| EG001 | Moderate | Moderate (Child Pugh B) hepatic impaired subjects). 6 subjects received Selumetinib 50 mg, 2 received Selumetinib 25mg | 0 | 8 | 2 | 8 |
| EG002 | Severe | Severe (Child Pugh C) hepatic impaired subjects. All subjects received Selumetinib 20mg. | 0 | 8 | 0 | 8 |
| EG003 | Normal | Healthy volunteers. All volunteers received Selumetinib 50mg. | 0 | 8 | 1 | 8 |
| Vomiting | Gastrointestinal disorders | Non-systematic Assessment |
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| Nausea | Gastrointestinal disorders | Non-systematic Assessment |
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| Pyrexia | General disorders | Non-systematic Assessment |
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| Contusion | Injury, poisoning and procedural complications | Non-systematic Assessment |
|
| Head Ache | Nervous system disorders | Non-systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
|
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