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HealthyPhase 1NCT02254070

Influence of Different Degrees of Renal Impairment on the Safety, Tolerability, Pharmacodynamics and Pharmacokinetics of BIBT 986 BS in Subjects With Normal Renal Function and Patients With Different Degrees of Renal Impairment

A Phase 1 study testing BIBT 986 BS in people with Healthy, 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

To assess the influence of different degrees of renal impairment on safety, tolerability, pharmacodynamics and pharmacokinetics of 1.0 mg of BIBT 986 BS given as a single dose infusion over 30 minutes in comparison to a normal renal function Read more about this study

Who is it for?
Ages 18 to 75 yearsHealthy volunteers can take part
Conditions the study is for
Healthy
What is being tested?
BIBT 986 BS
Could I receive a placebo?
No, everyone receives an active treatment
How many people
23 participants
Where
No sites listed yet
Study dates
Jun 2003to Aug 2004
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
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Healthy male or female subjects determined by results of screening with a creatinine clearance >80 mL/min (Group 1)
  • Renally impaired male or female subjects determined by results of screening with the following creatinine clearance results:
  • creatinine clearance 51-80 mL/min (Group 2)
  • creatinine clearance 31-50 mL/min (Group 3)
  • creatinine clearance ≤ 30 mL/min (Group 4)
  • subjects requiring hemodialysis (Group 5)
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  • Signed written informed consent in accordance with Good Clinical Practice (GCP) and local legislation
  • Age >=18 and <=75 years
  • BMI >=18.5 and <=29.9 kg/m2 for Groups 1+2
  • BMI >=18.5 and <=32 kg/m2 for Groups 3, 4 and 5

Who cannot join

  • Any finding of the medical examination (including blood pressure, pulse rate, and electrocardiogram) deviating from normal and of clinical relevance
  • Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunologic or hormonal disorders
  • Surgery of gastrointestinal tract (except appendectomy)
  • Diseases of the central nervous system (such as epilepsy) or psychiatric disorders or neurological disorders
  • Relevant history of orthostatic hypotension, fainting spells or blackouts
  • Abnormal PT, TT, aPTT (must be within the normal range after no more than one repeated test), thrombocytes < 150000/μl (two repeats of the first test)
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  • Evidence of haematuria either macroscopically detectable or microscopic on urinalysis (normal microscopic results after no ore than one repeated test)
  • Evidence of blood dyscrasia, haemorrhagic diathesis, severe thrombocytopenia, cerebrovascular haemorrhage, bleeding tendencies associated with active ulceration or overt bleeding of gastrointestinal, respiratory or genitourinary tract or any disease or condition with haemorrhagic tendencies (e.g. cerebral aneurysm, dissecting aorta, CNS trauma, retinopathy, nephrolithiasis)
  • Recent or contemplated diagnostic or therapeutic procedures with potential for uncontrollable bleeding (e.g. spinal puncture, lumbar block anaesthesia, surgery of central nervous system (CNS) or eye or surgery resulting in large open surfaces) within 14 days before or after drug administration of this clinical trial
  • Occult blood in 1 of 3 subsequent faecal samples collected for the pre-study examination
  • Chronic or relevant acute infections
  • History of allergy/hypersensitivity (including drug allergy) which is deemed relevant to the trial as judged by the investigator
  • For women with childbearing potential: no reliable contraception (accepted methods are intra uterine device, hormonal contraceptives, bilateral tubal ligation, hysterectomy, condoms) or pregnancy (known or detected by a positive pregnancy test) or breast feeding period
  • Intake of drugs with a long half-life (> 24 hours) (< 1 month prior to administration or during the trial)
  • Use of any drugs, within 14 days prior to administration or during the trial
  • Participation in another trial with an investigational drug (< 2 months prior to administration or during trial)
  • Smoker (> 10 cigarettes or >3 cigars or >3 pipes/day)
  • Alcohol abuse (> 60 g/day)
  • Drug abuse
  • Blood donation or loss > 400 ml, < 1 month prior to administration or during the trial
  • Excessive physical activities < 5 days prior to administration of study drug or during trial
  • Clinically relevant laboratory abnormalities
  • Veins unsuited for i.v. puncture and administration of prolonged infusions on either arm (e.g. veins which are difficult to locate, access or puncture, veins with a tendency to rupture during or after puncture, etc.)
  • Renally impaired subjects (Group 2, 3, 4 and 5) who meet any of the following criteria will not be entered into this trial:
  • Moderate and severe concurrent liver function impairment (e.g., due to hepatorenal syndrome)
  • Gastrointestinal, respiratory, cardiovascular, metabolic, immunologic or hormonal disorders
  • Surgery of gastrointestinal tract (except appendectomy)
  • Diseases of the central nervous system (such as epilepsy) or psychiatric disorders or neurological disorders
  • Relevant history of orthostatic hypotension, fainting spells or blackouts
  • Abnormal values for PT, TT, aPTT and thrombocytes considered by the investigator or one of the co-investigators to be clinically relevant
  • Hemoglobin concentration <9 mg/dl
  • Evidence of blood dyscrasia, haemorrhagic diathesis, severe thrombocytopenia, cerebrovascular haemorrhage, bleeding tendencies associated with active ulceration or overt bleeding of gastrointestinal, respiratory or genitourinary tract or any disease or condition with haemorrhagic tendencies (e.g. cerebral aneurysm, dissecting aorta,CNS trauma, retinopathy, nephrolithiasis) considered by the investigator or one of the co-investigators to be clinically relevant
  • Recent or contemplated diagnostic or therapeutic procedures with potential for uncontrollable bleeding (e.g. spinal puncture, lumbar block anaesthesia, surgery of CNS or eye or surgery resulting in large open surfaces) within 14 days before or after drug administration of this clinical trial
  • Occult blood in 1 of 3 subsequent faecal samples collected for the pre-study examination
  • Chronic or relevant acute infections
  • History of allergy/hypersensitivity (including drug allergy) which is deemed relevant to the trial as judged by the investigator
  • For women with childbearing potential: no reliable contraception (accepted methods are intra uterine device, hormonal contraceptives, bilateral tubal ligation, hysterectomy, condoms) or pregnancy (known or detected by a positive pregnancy test) or breast feeding period
  • Faecal occult blood (FOB) in 1 of 3 subsequent samples collected for the pre-study examination
  • Use of any drugs which have an influence on the blood clotting within 14 days prior to administration or during the trial (except heparin for hemodialysis patients)
  • Participation in another trial with an investigational drug (< 2 months prior to administration or during trial)
  • Smoker (> 10 cigarettes or >3 cigars or >3 pipes/day)
  • Alcohol abuse (> 60 g/day)
  • Drug abuse
  • Blood donation or loss > 400 ml, < 1 month prior to administration or during the trial
  • Excessive physical activities < 5 days prior to administration of study drug or during trial
  • Clinically relevant laboratory abnormalities
  • Veins unsuited for i.v. puncture and administration of prolonged infusions on either arm (e.g. veins which are difficult to locate, access or puncture, veins with a tendency to rupture during or after puncture, etc.)

About this study

Official title: Influence of Different Degrees of Renal Impairment on the Safety, Tolerability, Pharmacodynamics and Pharmacokinetics of 1.0 mg of BIBT 986 BS Given as a Single Dose Infusion Over 30 Minutes in Subjects With Normal Renal Function and Patients With Different Degrees of Renal Impairment in an Open, Group Comparison Design

To assess the influence of different degrees of renal impairment on safety, tolerability, pharmacodynamics and pharmacokinetics of 1.0 mg of BIBT 986 BS given as a single dose infusion over 30 minutes in comparison to a normal renal function

Conditions
Healthy
Being tested
BIBT 986 BS

What participants receive

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

  • BIBT 986 BSDrug

Study groups in NCT02254070
Study groupRoleWhat they receive
BIBT 986 BSExperimentalNot described
Receives: Drug: BIBT 986 BS

What is being measured

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

  1. Maximum measured concentration of the analyte in plasma (Cmax)

    Measured: Up to 48 hours after drug administration

  2. Time to reach the maximum concentration of the analyte in plasma (tmax)

    Measured: Up to 48 hours after drug administration

  3. Total area under the plasma drug concentration-time curve from time zero to infinity (AUC0-∞)

    Measured: Up to 48 hours after drug administration

  4. Area under the concentration-time curve of the analyte in plasma from zero time to the time of the last quantifiable drug concentration (AUC0-tz)

    Measured: Up to 48 hours after drug administration

  5. Terminal rate constant of the analyte in plasma (λz)

    Measured: Up to 48 hours after drug administration

  6. Terminal half-life of the analyte in plasma (t1/2)

    Measured: Up to 48 hours after drug administration

  7. Mean residence time of the analyte in the body after intravenous infusion (MRTinf)

    Measured: Up to 48 hours after drug administration

  8. Total clearance of the analyte from plasma following intravascular administration (CL)

    Measured: Up to 48 hours after drug administration

  9. Apparent volume of distribution at steady state following an intravascular dose (Vss)

    Measured: Up to 48 hours after drug administration

  10. Apparent volume of distribution during the terminal phase λz following an intravascular dose (Vz)

    Measured: Up to 48 hours after drug administration

  11. Amount of drug excreted in the urine (Ae)

    Measured: Up to 48 hours after drug administration

  12. Change in activated partial thromboplastin time (aPTT)

    Measured: Up to 48 hours after drug administration

  13. Change in ecarin clotting time (ECT)

    Measured: Up to 48 hours after drug administration

  14. Change in International Normalized Ratio (INR)

    Measured: Up to 48 hours after drug administration

  15. Change in thrombin time (TT)

    Measured: Up to 48 hours after drug administration

  16. Plasma concentration of the analyte at the end of the intravenous infusion (CT)

    Measured: 29 minutes after drug administration

  17. Number of participants with clinically significant changes in vital signs

    Blood pressure and pulse rate

    Measured: Up to 3 days after drug administration

  18. Number of participants with clinically significant changes in ECG (electrocardiogram)

    Measured: Up to 3 days after drug administration

  19. Number of participants with abnormal changes in clinical laboratory parameters

    Measured: Up to 3 days after drug administration

  20. Number of participants with adverse events

    Measured: Up to 3 days after drug administration

  21. Change in prothrombin time (PT)

    Measured: Up to 48 hours after drug administration

  22. partial area under the concentration time curve (from time 0 to last sampling time preceding hemodialysis in any of the patients) (AUCt1-t2)

    Measured: Up to 48 hours after drug administration

  23. fraction of administered drug excreted unchanged in urine over the respective time interval (fe)

    Measured: Up to 48 hours after drug administration

  24. Renal clearance of the analyte from plasma following intravascular administration (CLR)

    Measured: Up to 48 hours after drug administration

Timeline

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

  1. First posted1 Oct 2014 (estimated)
  2. Study startJun 2003
  3. Primary completionAug 2004

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
23 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02254070
Sponsor's protocol ID
1192.12
Status last verified
Sep 2014
First submitted
30 Sep 2014
Last updated
1 Oct 2014
Results posted
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing BIBT 986 BS in people with Healthy, 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 10 inclusion and 47 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 1 Oct 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?

Maximum measured concentration of the analyte in plasma (Cmax) (time frame: Up to 48 hours after drug administration). The study lists 24 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 1 Oct 2014.

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