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The primary purpose of the study is to determine the effect of mild, moderate, and severe hepatic impairment on the PK of total treprostinil palmitil (TP) and treprostinil (TRE) following a single dose of 80 micrograms (μg) TPIP, when compared to normal hepatic function.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1: Treprostinil Palmitil Inhalation Powder | Experimental | Healthy participants with normal hepatic function will receive a single dose of TPIP on Day 1. |
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| Group 2: Treprostinil Palmitil Inhalation Powder | Experimental | Participants with mild hepatic impairment (classified based on the numerical Child-Pugh total score of 5 to 6) will receive a single dose of TPIP on Day 1. |
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| Group 3: Treprostinil Palmitil Inhalation Powder | Experimental | Participants with moderate hepatic impairment (classified based on the numerical Child-Pugh total score of 7 to 9) will receive a single dose of TPIP on Day 1. |
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| Group 4: Treprostinil Palmitil Inhalation Powder | Experimental | Participants with severe hepatic impairment (classified based on the numerical Child-Pugh total score of 10 to 15) will receive a single dose of TPIP on Day 1. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Treprostinil Palmitil Inhalation Powder | Drug | Oral inhalation using a dry powder inhaler device. |
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| Measure | Description | Time Frame |
|---|---|---|
| Area Under the Concentration-Time Curve From Time Zero to Infinity (AUCinf) of Treprostinil Palmitil (TP) and Treprostinil (TRE) | Determination of the effect of mild, moderate, and severe hepatic impairment on the PK of TP and TRE following a single dose of TPIP, when compared to normal hepatic function. | Pre-dose and at multiple timepoints post-dose up to Day 3 |
| Area Under the Concentration-Time Curve From Time Zero to Last Quantifiable Concentration (AUClast) of TP and TRE | Determination of the effect of mild, moderate, and severe hepatic impairment on the PK of TP and TRE following a single dose of TPIP, when compared to normal hepatic function. | Pre-dose and at multiple timepoints post-dose up to Day 3 |
| Maximum Observed Plasma Concentration (Cmax) of TP and TRE | Determination of the effect of mild, moderate, and severe hepatic impairment on the PK of TP and TRE following a single dose of TPIP, when compared to normal hepatic function. | Pre-dose and at multiple timepoints post-dose up to Day 3 |
| Apparent Total Clearance (CL/F) of TP and TRE | Determination of the effect of mild, moderate, and severe hepatic impairment on the PK of TP and TRE following a single dose of TPIP, when compared to normal hepatic function. | Pre-dose and at multiple timepoints post-dose up to Day 3 |
| Apparent Terminal Elimination Half-Life (t1/2) of TP and TRE | Determination of the effect of mild, moderate, and severe hepatic impairment on the PK of TP and TRE following a single dose of TPIP, when compared to normal hepatic function. | Pre-dose and at multiple timepoints post-dose up to Day 3 |
| Measure | Description | Time Frame |
|---|---|---|
| Fraction Unbound (Fu) of TRE | Determination of the effect of mild, moderate, and severe hepatic impairment on the unbound PK of TRE following a single dose of TPIP, when compared to normal hepatic function. | Pre-dose and at multiple timepoints post-dose on Days 1 and 2 |
| Number of Participants Who Experienced At Least One Adverse Event (AE) |
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Inclusion Criteria:
Inclusion Criteria for Participants with Normal Hepatic Function
Inclusion Criteria for Participants With Hepatic Impairment:
Diagnosis of chronic (>6 months), stable hepatic impairment with no clinically significant changes within 30 days prior to dosing, as determined by medical history.
Participants with type 2 diabetes mellitus may be included, if they have:
Exclusion Criteria:
Exclusion Criteria for Participants with Normal Hepatic Function
Exclusion Criteria for Participants With Hepatic Impairment:
Note: Other protocol-defined inclusion/exclusion criteria may apply.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Insmed Medical Information | Contact | 18444467633 | medicalinformation@insmed.com |
| Name | Affiliation | Role |
|---|---|---|
| Study Director | Insmed Incorporated | Study Director |
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|
| Time to Maximum Observed Concentration (Tmax) of TP and TRE |
Determination of the effect of mild, moderate, and severe hepatic impairment on the PK of TP and TRE following a single dose of TPIP, when compared to normal hepatic function. |
| Pre-dose and at multiple timepoints post-dose up to Day 3 |
| Apparent Volume of Distribution (Vz/F) of TP and TRE | Determination of the effect of mild, moderate, and severe hepatic impairment on the PK of TP and TRE following a single dose of TPIP, when compared to normal hepatic function. | Pre-dose and at multiple timepoints post-dose up to Day 3 |
Evaluation of safety and tolerability of a single dose of TPIP in participants with mild, moderate, and severe hepatic impairment and normal hepatic function. |
| Up to Day 7 |