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Renal InsufficiencyPhase 1NCT02184091

Study to Evaluate the Effects of Underlying Renal or Hepatic Dysfunction on the Pharmacokinetics of Nevirapine

A Phase 1 study testing Nevirapine in people with Renal Insufficiency and Hepatic Insufficiency, run by Boehringer Ingelheim.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Study to assess the effects of varying degrees of renal dysfunction and hepatic insufficiency on the single-dose pharmacokinetics of nevirapine and nevirapine metabolites in order to establish an appropriate dose and/or dosing frequency for renally- and hepatically-impaired patients Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Renal Insufficiency, Hepatic Insufficiency
What is being tested?
Nevirapine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
41 participants
Where
No sites listed yet
Study dates
Jan 1999to Jul 1999
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female patients of any race between the ages of 18 and 75 years with weight within 30% of normal for gender, height and frame as specified by the Metropolitan Life Insurance Table
  • For patients in the renal group: stable creatinine clearance based on two estimations taken at least 3 days apart, corresponding to one of four groups:
  • Group 1 (mild dysfunction) = 50 ml/min <= Creatinine Clearance (CLcr) < 80 ml/min
  • Group 2 (moderate dysfunction) = 30 ml/min <= CLcr < 50 ml/min
  • Group 3 (severe dysfunction) = CLcr < 30 ml/min and
  • Group 4 = end-stage renal disease (ESRD) requiring dialysis
Show all 15Show fewer
  • For patients in the hepatic group
  • Two baseline creatinine clearances (taken at least 3 days apart) > 80 ml/min
  • clinically diagnosed with hepatic insufficiency and Class A or B liver disease according to Child-Pugh's Classification; subjects must have a Child-Pugh score of 5-9 points
  • For patients in the normal group, i.e. normal with respect to hepatic and renal function
  • matched with hepatic group regarding gender, age (+- 10 years), weight (+- 30 pounds) and smoking history
  • Two baseline creatinine clearances (taken at least 3 days apart) > 80 ml/min
  • No abnormalities on clinical or laboratory evaluations
  • Female patients of childbearing potential must be willing to use a reliable form of contraception which must include a medically approved form of barrier contraception
  • Patients who are able to provide written consent and comply with study requirements

Who cannot join

  • Female patients who are pregnant or breast-feeding
  • Seated systolic blood pressure either < 100 mmHg or > 150 mmHg and/or heart rate either < 50 beats/min or > 90 beats/min
  • History of any illness or drug allergy that in the opinion of the investigator might confound the results of the study or pose additional risk in administering nevirapine to the subject
  • Patients who have had an acute illness or hospitalization other than for routine dialysis within 2 weeks prior to study initiation
  • Patients who are currently taking any over-the-counter drug within 3 days prior to study initiation, or who are currently taking any prescription drug that in the opinion of the investigator in consultation with Boehringer Ingelheim Pharmaceuticals Incorporated (BIPI) medical monitor and pharmacokineticist might interfere with the absorption, distribution or metabolism on the test drug
  • Significant electrocardiogram (ECG) abnormalities

About this study

Official title: An Open-Label, Single Dose Study to Evaluate the Effects of Underlying Renal or Hepatic Dysfunction on the Pharmacokinetics of Nevirapine (VIRAMUNE®)

Study to assess the effects of varying degrees of renal dysfunction and hepatic insufficiency on the single-dose pharmacokinetics of nevirapine and nevirapine metabolites in order to establish an appropriate dose and/or dosing frequency for renally- and hepatically-impaired patients

Being tested
Nevirapine
Medical subject headings
Renal Insufficiency, Hepatic Insufficiency

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • NevirapineDrug

Study groups in NCT02184091
Study groupRoleWhat they receive
NevirapineExperimentalSingle dose administration
Receives: Drug: Nevirapine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. AUC (Area under the plasma concentration time curve)

    Measured: up to 7 days

  2. Cmax (Maximum observed concentration of the analyte in plasma)

    Measured: up to 7 days

  3. Tmax (Time of maximum concentration of the analyte in plasma)

    Measured: up to 7 days

  4. T1/2 (Terminal half-life of the analyte in plasma)

    Measured: up to 7 days

  5. Vss/F (Volume of Distribution)

    Measured: up to 7 days

  6. MRT (Mean residence time of the analyte)

    Measured: up to 7 days

  7. CL/F (Apparent clearance of the analyte in plasma)

    Measured: up to 7 days

Secondary outcomes (2)
  1. Number of patients with adverse events

    Measured: up to 21 days

  2. Number of patients with abnormal changes in laboratory parameters

    Measured: Screening, Day 0, Day 7

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Jul 2014 (estimated)
  2. Study startJan 1999
  3. Primary completionJul 1999

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
41 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02184091
Sponsor's protocol ID
1100.1259
Status last verified
Jul 2014
First submitted
8 Jul 2014
Last updated
14 Jul 2014
Results posted
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Nevirapine in people with Renal Insufficiency and Hepatic Insufficiency, run by Boehringer Ingelheim.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 15 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 14 Jul 2014. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

AUC (Area under the plasma concentration time curve) (time frame: up to 7 days). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Jul 2014.

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