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The purpose of this study is to evaluate the tolerability, safety, pharmacokinetics and pharmacodynamics of recombinant human thrombopoietin in the patients with different degree of liver function impairment according Child- Pugh class.
This is a randomized, double-blind, placebo controlled, dose-escalation phase Ia study to evaluate the tolerability, safety, pharmacokinetics and pharmacodynamics of recombinant human thrombopoietin. According Child- Pugh class of liver function impairment and different dose of recombinant human thrombopoietin, nine arms be designed in this study. Each subject in Arm A will be only administered recombinant human thrombopoietin. Each subject in Arm B and C will be randomly assigned to accept either recombinant human thrombopoietin or placebo in 5:1 ratio.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A | Experimental |
| |
| B1 | Experimental |
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| B2 | Placebo Comparator |
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| C1-1 | Experimental |
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| C1-2 | Placebo Comparator |
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| C2-1 | Experimental |
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| C2-2 | Placebo Comparator |
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| C3-1 | Experimental |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Recombinant human thrombopoietin | Drug | Recombinant human thrombopoietin will be administered single dose 300 U/Kg subcutaneous injection in the patients with liver function impairment classified as Child-Pugh class A |
| Measure | Description | Time Frame |
|---|---|---|
| Safety and tolerability as assessed by the collection of adverse events | To evaluate the adverse events (incidence, severity, outcome, causality with the investigational drug, etc.). | Up to 29 days |
| AUC[0-24]of rhTPO | To assess plasma rhTPO Pharmacokinetic (PK) Parameter: Area under the concentration-time curve from time zero extrapolated to 24 hours(AUC [0-24]). | For 9 days |
| AUC [0-t] of rhTPO | To assess plasma rhTPO PK Parameter: Area under the concentration-time curve from time zero to last time of quantifiable concentration(AUC [0-t]). | For 9 days |
| AUC [0-∞]of rhTPO | To assess plasma rhTPO PK Parameter: area under the concentration-time curve from time zero extrapolated to infinity(AUC [0-∞]). | For 9 days |
| Cmax of rhTPO | To assess plasma rhTPO PK Parameter:Observed maximum plasma concentration(Cmax). | For 9 days |
| tmax of rhTPO | To assess plasma rhTPO PK Parameter:Time to Cmax (tmax). | For 9 days |
| t1/2 of rhTPO | To assess plasma rhTPO PK Parameter:Elimination half-life (t1/2). | For 9 days |
| MRT for rhTPO |
| Measure | Description | Time Frame |
|---|---|---|
| Immunogenicity of rhTPO | To evaluate the incidence of anti-rhTPO antibodies and neutralizing antibodies | Up to 12 months |
| Change of Platelet count (PLT) | To evaluate the changing curve of platelet count (PLT) in each arm of subjects |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Quanrui WU, Master | Contact | 86 10 84892211 | wuquanrui@3sbio.com | |
| Sunqiong Cao, MD | Contact | 86 10 84892211 | caosunqiong@3sbio.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| 302 Military Hospital of China | Recruiting | Beijing | Beijing Municipality | 100039 | China |
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| C3-2 | Placebo Comparator |
|
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| Recombinant human thrombopoietin | Drug | Recombinant human thrombopoietin will be administered single dose 300 U/Kg subcutaneous injection in the patients with liver function impairment classified as Child-Pugh class B. |
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| Placebo | Drug | Placebo will be administered single dose subcutaneous injection in the patients with liver function impairment classified as Child-Pugh class B. |
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| Recombinant human thrombopoietin | Drug | Recombinant human thrombopoietin will be administered single dose 150 U/Kg subcutaneous injection in the patients with liver function impairment classified as Child-Pugh class C. |
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| Placebo | Drug | Placebo will be administered single dose subcutaneous injection in the patients with liver function impairment classified as Child-Pugh class C |
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| recombinant human thrombopoietin | Drug | Recombinant human thrombopoietin will be administered single dose 300 U/Kg subcutaneous injection in the patients with liver function impairment classified as Child-Pugh class C. |
|
|
| placebo | Drug | Placebo will be administered single dose subcutaneous injection in the patients with liver function impairment classified as Child-Pugh class C |
|
| Recombinant human thrombopoietin | Drug | Recombinant human thrombopoietin will be administered single dose 450 U/Kg subcutaneous injection in the patients with liver function impairment classified as Child-Pugh class C. |
|
|
| placebo | Drug | Placebo will be administered single dose subcutaneous injection in the patients with liver function impairment classified as Child-Pugh class C |
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To assess plasma rhTPO PK Parameter:Mean residence time (MRT). |
| For 9 days |
| Kel of rhTPO | To assess plasma rhTPO PK Parameter:Elimination rate constant (Kel). | For 9 days |
| Vd of rhTPO | To assess plasma rhTPO PK Parameter:Apparent volume of distribution(Vd). | For 9 days |
| CL/F of rhTPO | To assess plasma rhTPO PK Parameter:apparent clearance (CL/F). | For 9 days |
| Up to 29 days |
| ID | Term |
|---|---|
| D008103 | Liver Cirrhosis |
| ID | Term |
|---|---|
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |
| D005355 | Fibrosis |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D013926 | Thrombopoietin |
| ID | Term |
|---|---|
| D003115 | Colony-Stimulating Factors |
| D006023 | Glycoproteins |
| D006001 | Glycoconjugates |
| D002241 | Carbohydrates |
| D016298 | Hematopoietic Cell Growth Factors |
| D016207 | Cytokines |
| D036341 | Intercellular Signaling Peptides and Proteins |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D011506 | Proteins |
| D001685 | Biological Factors |
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