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This is an open, open-label, parallel, single-dose, phase I clinical study designed to evaluate the pharmacokinetic (PK) profile of TQD3524 injection in patients with renal impairment after a single dose, and to evaluate the urinary excretion of the drug in these patients after a single dose, as well as to evaluate the safety of the drug in these patients after a single dose.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A: Mild Renal Impairment (GFR:60~89 mL/min) | Active Comparator | A: TQD3524 2.5 mg/kg administered as a 90 minute infusion via infusion pump, single dose |
|
| B: Moderate Renal Impairment (GFR:30~59 mL/min) | Active Comparator | B: TQD3524 2.5 mg/kg administered as a 90 minute infusion via infusion pump, single dose |
|
| C: Severe Renal Impairment (GFR:15~29 mL/min) | Active Comparator | C: TQD3524 1.25 mg/kg administered as a 90 minute infusion via infusion pump, single dose |
|
| D: End-stage renal disease (patients undialyzed ) (GFR<15 mL/min) | Active Comparator | D: TQD3524 1.25 mg/kg administered as a 90 minute infusion via infusion pump, single dose |
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| E: End-stage renal disease (patients dialyzed) (GFR<15 mL/min) | Active Comparator | E: TQD3524 1.25 mg/kg administered as a 90 minute infusion via infusion pump, single dose |
|
| F: Normal (GFR≥90mL/min) |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TQD3524 | Drug | Polymyxin antibiotics |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Peak concentration (Cmax) | Maximum plasma drug concentration | Before administration, 1.75 , 2 , 2 .5, 3.5, 5 , 7 , 9,12 , 16, 24 hours after administration |
| Area under the concentration-time curve (AUC) | Area under the plasma concentration-time curve | Before administration, 1.75 , 2 , 2 .5, 3.5, 5 , 7 , 9,12 , 16, 24 hours after administration |
| Time-to-maximum concentration (Tmax) | Time-to-maximum concentration | Before administration, 1.75 , 2 , 2 .5, 3.5, 5 , 7 , 9,12 , 16, 24 hours after administration |
| Plasma half life (t1/2) | The time it takes for the concentration or amount in the body of that drug to be reduced by exactly one-half | Before administration, 1.75 , 2 , 2 .5, 3.5, 5 , 7 , 9,12 , 16, 24 hours after administration |
| Total body clearance (CLt) | Total body clearance of TQD3524 | Before administration, 1.75 , 2 , 2 .5, 3.5, 5 , 7 , 9,12 , 16, 24 hours after administration |
| Renal clearance (CLr) | Renal clearance of TQD3524 | Before administration, 1.75 , 2 , 2 .5, 3.5, 5 , 7 , 9,12 , 16, 24 hours after administration |
| Apparent volume of distribution (Vd/F) | Volume of distribution based on the terminal phase | Before administration, 1.75 , 2 , 2 .5, 3.5, 5 , 7 , 9,12 , 16, 24 hours after administration |
| Measure | Description | Time Frame |
|---|---|---|
| Amount Excreted in Urine as Unchanged Drug or Metabolite (Ae0-24) | Ae0-24 of TQD3524 and the active ingredients in urine | Before administration, 1.75 , 2 , 2 .5, 3.5, 5 , 7 , 9,12 , 16, 24 hours after administration |
| Adverse event rate |
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Inclusion Criteria:
All subjects are required to meet all of the following criteria for inclusion in this study:
For renal impairment subjects, also required meet all of the following criteria for inclusion in this study:
For normal subjects, also required meet all of the following criteria for inclusion in this study:
Exclusion Criteria:
All subjects were not eligible for the study if they met any of the following criteria:
Renal impairment subjects were not eligible for the study if they met any of the following criteria:
Normal subjects were excluded from the study if they met any of the following criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated Hospital of Shandong First Medical University (Qianfoshan Hospital) | Jinan | Shandong | 250000 | China |
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| Active Comparator |
F: TQD3524 2.5 mg/kg administered as a 90 minute infusion via infusion pump, single dose |
|
| TQD3524 |
| Drug |
Polymyxin antibiotics |
|
| TQD3524 | Drug | Polymyxin antibiotics |
|
| TQD3524 | Drug | Polymyxin antibiotics |
|
| TQD3524 | Drug | Polymyxin antibiotics |
|
| TQD3524 | Drug | Polymyxin antibiotics |
|
| Terminal elimination rate (λz) | First-order rate constant associated with the terminal (log-linear) elimination phase | Before administration, 1.75 , 2 , 2 .5, 3.5, 5 , 7 , 9,12 , 16, 24 hours after administration |
| Mean residence time (MRT) | The average time that the drug stays in the body | Before administration, 1.75 , 2 , 2 .5, 3.5, 5 , 7 , 9,12 , 16, 24 hours after administration |
The occurrence of all adverse events (AEs), serious adverse events (SAEs) and treatment-related adverse events (TEAEs).
| Baseline up to 72 hours |