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| ID | Type | Description | Link |
|---|---|---|---|
| 2014-005266-30 | EudraCT Number |
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The primary objective of this study is to evaluate the pharmacokinetic (PK) profile of oral eleclazine and its metabolite, GS-623134, in participants with normal and impaired hepatic function. Participants in the healthy control group will be matched to participants with impaired hepatic function by age (± 5 years), gender, and body mass index (± 10%).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Moderate Hepatic Impairment (Cohort 1) | Experimental | Participants with moderate hepatic impairment and matched healthy controls will receive a single dose of eleclazine 30 mg (5 x 6 mg tablets). |
|
| Severe Hepatic Impairment (Cohort 2) | Experimental | Participants with severe hepatic impairment and matched healthy controls will receive a single dose of eleclazine 30 mg (5 x 6 mg tablets). |
|
| Mild Hepatic Impairment (Cohort 3) | Experimental | Participants with mild hepatic impairment and matched healthy controls will receive a single dose of eleclazine 30 mg (5 x 6 mg tablets). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Eleclazine | Drug | Eleclazine tablets administered orally |
|
| Measure | Description | Time Frame |
|---|---|---|
| PK (Pharmacokinetic) Parameter: AUCinf of Eleclazine | AUCinf was defined as the concentration of drug extrapolated to infinite time (area under the plasma concentration versus time curve extrapolated to infinite time). | Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, 14, 24, 36, 48, 72, 96, 120 hours on Day 1 and approximately the same time in the morning as predose of Day 1 on Days 15, 29, 43, and 57 |
| PK Parameter: AUCinf of GS-623134 (Metabolite of Eleclazine) | AUCinf was defined as the concentration of drug extrapolated to infinite time (area under the plasma concentration versus time curve extrapolated to infinite time). | Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, 14, 24, 36, 48, 72, 96, 120 hours on Day 1 and approximately the same time in the morning as predose of Day 1 on Days 15, 29, 43, and 57 |
| PK Parameter: Cmax of Eleclazine | Cmax was defined as the maximum observed concentration of drug in plasma. | Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, 14, 24, 36, 48, 72, 96, 120 hours on Day 1 and approximately the same time in the morning as predose of Day 1 on Days 15, 29, 43, and 57 |
| PK Parameter: Cmax of GS-623134 (Metabolite of Eleclazine) | Cmax was defined as the maximum observed concentration of drug in plasma. | Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, 14, 24, 36, 48, 72, 96, 120 hours on Day 1 and approximately the same time in the morning as predose of Day 1 on Days 15, 29, 43, and 57 |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Experiencing Treatment-Emergent Adverse Events | Treatment-emergent adverse events (AEs) are defined as one or both of the following:
| First dose date up to 31 days |
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Inclusion Criteria:
All participants:
Participants with mild, moderate, or severe hepatic impairment must also meet the following additional inclusion criteria:
Exclusion Criteria:
Participants with mild, moderate, or severe hepatic impairment must also meet the following additional exclusion criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gilead Study Director | Gilead Sciences | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Miami | Florida | United States | ||||
91 participants were screened. No participants were enrolled in the severe hepatic impairment (cohort 2) arm.
Participants were enrolled at study sites in United States, Romania, Germany, and New Zealand. The first participant was screened on 19 March 2015. The last study visit occurred on 22 April 2016.
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| ID | Title | Description |
|---|---|---|
| FG000 | Moderate Hepatic Impairment (Cohort 1) | Participants with moderate hepatic impairment received a single dose of eleclazine 30 mg (5 x 6 mg tablets) on Day 1. |
| FG001 | Mild Hepatic Impairment (Cohort 3) | Participants with mild hepatic impairment received a single dose of eleclazine 30 mg (5 x 6 mg tablets) on Day 1. |
| FG002 | Normal Hepatic Function | Participants with normal hepatic function received a single dose of eleclazine 30 mg (5 x 6 mg tablets) on Day 1. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
Safety Analysis Set included all enrolled participants who received at least one dose of study drug.
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| ID | Title | Description |
|---|---|---|
| BG000 | Moderate Hepatic Impairment (Cohort 1) | Participants with moderate hepatic impairment received a single dose of eleclazine 30 mg (5 x 6 mg tablets) on Day 1. |
| BG001 | Mild Hepatic Impairment (Cohort 3) |
| 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 | PK (Pharmacokinetic) Parameter: AUCinf of Eleclazine | AUCinf was defined as the concentration of drug extrapolated to infinite time (area under the plasma concentration versus time curve extrapolated to infinite time). | PK Analysis Set included all enrolled participants who received at least one dose of eleclazine and had at least one evaluable PK concentration value reported by the PK laboratory for the corresponding analyte. Healthy control participants may participate in more than one cohorts. | Posted | Geometric Mean | 95% Confidence Interval | h*ng/mL | Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, 14, 24, 36, 48, 72, 96, 120 hours on Day 1 and approximately the same time in the morning as predose of Day 1 on Days 15, 29, 43, and 57 |
|
First dose date up to 31 days
Safety Analysis Set included all enrolled participants who received at least one dose of study drug.
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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 | Moderate Hepatic Impairment | Participants with moderate hepatic impairment received a single dose of eleclazine 30 mg (5 x 6 mg tablets) on Day 1. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Atrial flutter | Cardiac disorders | MedDRA 19.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Gilead Clinical Study Information Center | Gilead Sciences | 1-833-445-3230 (GILEAD-0) | GileadClinicalTrials@gilead.com |
| ID | Term |
|---|---|
| D008133 | Long QT Syndrome |
| ID | Term |
|---|---|
| D001145 | Arrhythmias, Cardiac |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D000075224 | Cardiac Conduction System Disease |
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| ID | Term |
|---|---|
| C000624281 | eleclazine |
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|
| Number of Participants Experiencing Clinical Laboratory Abnormalities | Treatment-emergent laboratory abnormalities reported as an adverse event (AE) or serious adverse event (SAE) are presented. Laboratory abnormalities that required medical or surgical intervention or led to study drug interruption, modification, or discontinuation were recorded as an AE or SAE, as applicable, and are reported here. Laboratory abnormalities without clinical significance were not recorded as AEs or SAEs and therefore, are not being reported. | First dose date up to 31 days |
| Orlando |
| Florida |
| United States |
| Minneapolis | Minnesota | United States |
| Kansas City | Missouri | United States |
| München | Germany |
| Auckland | New Zealand |
| Bucharest | Romania |
Participants with mild hepatic impairment received a single dose of eleclazine 30 mg (5 x 6 mg tablets) on Day 1.
| BG002 | Normal Hepatic Function | Participants with normal hepatic function received a single dose of eleclazine 30 mg (5 x 6 mg tablets) on Day 1. |
| BG003 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Count of Participants | Participants |
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| OG001 | Mild Hepatic Impairment (Cohort 3) | Participants with mild hepatic impairment received a single dose of eleclazine 30 mg (5 x 6 mg tablets) on Day 1. |
| OG002 | Normal Hepatic Function (Matched Control for Cohort 1) | Normal hepatic function (matched control for Cohort 1) included participants that served as controls for participants with moderate hepatic impairment. |
| OG003 | Normal Hepatic Function (Matched Control for Cohort 3) | Normal hepatic function (matched control for Cohort 3) included participants that served as controls for participants with mild hepatic impairment. |
|
|
|
| Primary | PK Parameter: AUCinf of GS-623134 (Metabolite of Eleclazine) | AUCinf was defined as the concentration of drug extrapolated to infinite time (area under the plasma concentration versus time curve extrapolated to infinite time). | Participants in the PK Analysis Set with available data were analyzed. Healthy control participants may participate in more than one cohorts. | Posted | Geometric Mean | 95% Confidence Interval | h*ng/mL | Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, 14, 24, 36, 48, 72, 96, 120 hours on Day 1 and approximately the same time in the morning as predose of Day 1 on Days 15, 29, 43, and 57 |
|
|
|
|
| Primary | PK Parameter: Cmax of Eleclazine | Cmax was defined as the maximum observed concentration of drug in plasma. | Participants in the PK Analysis Set were analyzed. Healthy control participants may participate in more than one cohorts. | Posted | Geometric Mean | 95% Confidence Interval | ng/mL | Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, 14, 24, 36, 48, 72, 96, 120 hours on Day 1 and approximately the same time in the morning as predose of Day 1 on Days 15, 29, 43, and 57 |
|
|
|
|
| Primary | PK Parameter: Cmax of GS-623134 (Metabolite of Eleclazine) | Cmax was defined as the maximum observed concentration of drug in plasma. | Participants in the PK Analysis Set with available data were analyzed. Healthy control participants may participate in more than one cohorts. | Posted | Geometric Mean | 95% Confidence Interval | ng/mL | Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, 14, 24, 36, 48, 72, 96, 120 hours on Day 1 and approximately the same time in the morning as predose of Day 1 on Days 15, 29, 43, and 57 |
|
|
|
|
| Secondary | Number of Participants Experiencing Treatment-Emergent Adverse Events | Treatment-emergent adverse events (AEs) are defined as one or both of the following:
| Safety Analysis Set included all enrolled participants who received at least one dose of study drug. | Posted | Count of Participants | Participants | First dose date up to 31 days |
|
|
|
| Secondary | Number of Participants Experiencing Clinical Laboratory Abnormalities | Treatment-emergent laboratory abnormalities reported as an adverse event (AE) or serious adverse event (SAE) are presented. Laboratory abnormalities that required medical or surgical intervention or led to study drug interruption, modification, or discontinuation were recorded as an AE or SAE, as applicable, and are reported here. Laboratory abnormalities without clinical significance were not recorded as AEs or SAEs and therefore, are not being reported. | Participants in the Safety Analysis Set were analyzed. | Posted | Count of Participants | Participants | First dose date up to 31 days |
|
|
|
| 0 |
| 14 |
| 0 |
| 14 |
| 6 |
| 14 |
| EG001 | Mild Hepatic Impairment | Participants with mild hepatic impairment received a single dose of eleclazine 30 mg (5 x 6 mg tablets) on Day 1. | 0 | 14 | 0 | 14 | 8 | 14 |
| EG002 | Normal Hepatic Function | Participants with normal hepatic function received a single dose of eleclazine 30 mg (5 x 6 mg tablets) on Day 1. | 0 | 21 | 0 | 21 | 3 | 21 |
| Atrioventricular block first degree | Cardiac disorders | MedDRA 19.0 | Systematic Assessment |
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| Abdominal pain | Gastrointestinal disorders | MedDRA 19.0 | Systematic Assessment |
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| Constipation | Gastrointestinal disorders | MedDRA 19.0 | Systematic Assessment |
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| Dry mouth | Gastrointestinal disorders | MedDRA 19.0 | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA 19.0 | Systematic Assessment |
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| Chest pain | General disorders | MedDRA 19.0 | Systematic Assessment |
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| Oedema peripheral | General disorders | MedDRA 19.0 | Systematic Assessment |
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| Humerus fracture | Injury, poisoning and procedural complications | MedDRA 19.0 | Systematic Assessment |
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| Blood creatinine increased | Investigations | MedDRA 19.0 | Systematic Assessment |
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| Electrocardiogram PR prolongation | Investigations | MedDRA 19.0 | Systematic Assessment |
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| Gamma-glutamyltransferase increased | Investigations | MedDRA 19.0 | Systematic Assessment |
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| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 19.0 | Systematic Assessment |
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| Tenosynovitis | Musculoskeletal and connective tissue disorders | MedDRA 19.0 | Systematic Assessment |
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| Dizziness | Nervous system disorders | MedDRA 19.0 | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA 19.0 | Systematic Assessment |
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| Somnolence | Nervous system disorders | MedDRA 19.0 | Systematic Assessment |
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| Pollakiuria | Renal and urinary disorders | MedDRA 19.0 | Systematic Assessment |
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| Rash pruritic | Skin and subcutaneous tissue disorders | MedDRA 19.0 | Systematic Assessment |
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| Skin exfoliation | Skin and subcutaneous tissue disorders | MedDRA 19.0 | Systematic Assessment |
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| Swelling face | Skin and subcutaneous tissue disorders | MedDRA 19.0 | Systematic Assessment |
|
After conclusion of the study and without prior written approval from Gilead, investigators in this study may communicate, orally present, or publish in scientific journals or other media only after the following conditions have been met:
| D006330 | Heart Defects, Congenital |
| D018376 | Cardiovascular Abnormalities |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
ANOVA appropriate for a parallel design was fit to the natural logarithmic transformation of GS-623134 AUCinf. |
| GLSM Ratio (%) |
| 73.52 |
| 2-Sided |
| 90 |
| 47.83 |
| 113.02 |
A 90% CI was constructed for the GLSM ratio of AUCinf in the hepatic impairment group versus matched control. |
| Other |
ANOVA appropriate for a parallel design was fit to the natural logarithmic transformation of eleclazine Cmax. |
| GLSM Ratio (%) |
| 102.06 |
| 2-Sided |
| 90 |
| 83.03 |
| 125.45 |
A 90% CI was constructed for the GLSM ratio of Cmax in the hepatic impairment group versus matched control. |
| Other |
ANOVA appropriate for a parallel design was fit to the natural logarithmic transformation of GS-623134 Cmax. |
| GLSM Ratio (%) |
| 71.06 |
| 2-Sided |
| 90 |
| 44.59 |
| 113.25 |
A 90% CI was constructed for the GLSM ratio of Cmax in the hepatic impairment group versus matched control. |
| Other |
|