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Liver DysfunctionPhase 1NCT02604498

Pharmacokinetics Study of Nemonoxacin Malate Capsules in Subjects With Moderate Impaired Hepatic Function

A Phase 1 study testing Nemonoxacin in people with Liver Dysfunction, run by Zhejiang Medicine Co., Ltd. at 1 site in China.

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

This is a single center, open-label, non-randomized, 1:1 parallel control and single dose administration study design. Healthy subjects will be matched to moderate hepatic function impaired (Child-Pugh B,7-9) subjects in age, gender and weight as parallel control, which matches healthy with normal hepatic function… Read more about this study

Who is it for?
Ages 18 to 70 yearsHealthy volunteers can take part
Conditions the study is for
Liver Dysfunction
What is being tested?
Nemonoxacin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
1 siteChina
Study dates
14 Apr 2016to 15 Jan 2018
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 70 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Subjects with hepatic impairment
  • male or female aged 18 to 70 years;
  • has a body mass index of 17 to 30 kg/m2;
  • eGRF>50ml/min/1.73m2;
  • Patients in stable condition with moderate impaired hepatic function, due to viral hepatitis, alcoholic liver disease, autoimmune hepatitis, primary biliary cirrhosis or other causes, and determined to be level B according to Child-Pugh classification;
  • B-ultrasonography, CT or MRI shows or biopsy confirm that have a positive diagnosis of cirrhosis ;
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  • Has stable regimen of treatment of hepatic function impaired for 3 months prior to enrollment;
  • Female volunteers must meet:
  • Has sterilization operation, or who are postmenopausal must have been postmenopausal for >1 year, or
  • Has childbearing potential, but meet the requirement as following:
  • Negative pregnancy test prior to enrollment, and Agree with use 1 medical accepted methods of birth control (eg. Hormonal contraceptive, barrier contraceptive with additional spermicide, or an intrauterine device) during the whole study and continuing until 1 month after the end of the study, and Non-breastfeeding;
  • Male volunteers must agree to use medical accepted method of birth control (e.g. barrier contraceptive or sexual partner use the method as (7) above) during the study and through 1month after the end of study;
  • Agree stay in ward prior to dosing within 48h, and agree not to take coffee, tea, chocolate, alcohol, grapefruit juice, orange juice and other food and drink which contain caffeine and xanthine;
  • Can sign informed consent form on his own accord;
  • Can comply with study procedures
  • Healthy subjects without hepatic impairment
  • Male or female volunteers (matched to a subject with hepatic impairment in gender);
  • Aged 18 to 70 years (matched to a subject with hepatic impairment±5 years, matched range cannot exceed±5 years);
  • Has a body mass index of 17 to 30 kg/m2(matched to a subject with hepatic impairment±15%,matched range cannot exceed±15%);
  • Must be in good health as determined by screening medical history, physical examination, vital signs, laboratory test, B ultrasonography and chest X ray;
  • Female volunteers must meet:
  • Has sterilization operation, or who are postmenopausal must have been postmenopausal for >1 year, or
  • Has childbearing potential, but meet the requirement as following:
  • Negative pregnancy test prior to enrollment, and Agree with use 1 medical accepted methods of birth control (eg. Hormonal contraceptive, barrier contraceptive with additional spermicide, or an intrauterine device) during the whole study and continuing until 1month after the end of the study, and Non-breastfeeding;
  • Male volunteers must agree to use medical accepted method of birth control (e.g. barrier contraceptive or sexual partner use the method as (7) above) during the study and through 1month after the end of study;
  • Agree stay in ward prior to dosing within 48h, and agree not to take coffee, tea, chocolate, alcohol, grapefruit juice, orange juice and other food and drink which contain caffeine and xanthine;
  • Can sign informed consent form on his own accord;
  • Can comply with study procedures

Who cannot join

  • Subjects with hepatic impairment
  • Has known or suspected allergies to quinolones, fluoroquinolones, Nemonoxacin or excipients or allergic constitution;
  • Has acute disease or chronic disease which may affect PK profile of drug in vivo except the disease caused hepatic function impaired;
  • Has abnormal result of laboratory tests with clinical significance except which caused by the disease of hepatic function impaired;
  • Has history of clinically significant cardiovascular, neurological or psychiatric, gastrointestinal, pulmonary, renal, endocrine disease prior to study within 1 year;
  • Has disease seriously affect the immune system such as hematological disease, malignant tumor, or taking immunosuppressant;
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  • Has acute or sub-acute hepatic function failure;
  • Has experienced esophageal variceal bleeding within the past 6 months;
  • Has advanced ascites or spontaneous bacterial peritonitis;
  • Has a history of Gilbert's disease;
  • Has resistance or liver function abnormal after orally taking nucleoside analogue, an antiviral drug;
  • Stop taking nucleoside analogue, an antiviral drug within 1 year;
  • Has total bilirubin>3×upper limit of normal (ULN) and without cholestasis; alkaline phosphatase (ALP)>2×ULN;
  • Alanine Aminotransferase (ALT)or Aspartate Aminotransferase(AST)>5×ULN;
  • ALT or AST>3×ULN with total bilirubin>2×ULN;
  • international senstibity index,INR≥1.5 or prothrombin time activity≤40%;
  • Child-Pugh assessed as C level;
  • Has a history of alcoholism within 2 years prior to dosing; drink≥12 times within 3 months prior dosing; alcohol test positive as screening;
  • Has history of drug misuse within 2 years prior to dosing; urine drug screen positive;
  • Has history of taking products of tobacco or nicotine more than 5 cigarettes/day within 1 month prior to dosing, or cannot stop smoking during the study;
  • Use of another investigational drug or drug which can damage hepatic function within 3 months prior to dosing;
  • Use of drugs affect function of liver metabolism enzyme (e.g. benzene, isopropyl amine, the barbiturates benzodiazepines, marijuana, cocaine, opiates and phencyclidine) within 30 days prior to dosing ;
  • Has to take the drug which may affect the PK profile of investigate drug (e.g. antacids, sucralfate, metal cation, calcium supplements, warfarin, non-steroidal anti-inflammatory drugs, theophylline, cyclosporine, probenecid and cimetidine) ;
  • Has gastrointestinal disease or malabsorption syndrome affecting drug Absorb;
  • Has history of seizures or central nervous system disease which the investigator considers to interfere with compliancy of protocol; or has risk of suicide;
  • Clinical significant abnormal 12-lead electrocardiograms (ECGs) at screening (eg. atrioventricular block, torsades de pointes ventricular tachycardia (TdT), and other types of ventricular tachycardia, ventricular fibrillation, ventricular flutter, T wave change with clinical significance or any abnormal results of 12-lead ECG which affect QTc interphase) ;
  • HIV or syphilis RPR test positive;
  • Conditions investigator consider not suitable to be enrolled in the study. Healthy subjects without hepatic impairment
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  • Has known or suspected allergies to quinolones, fluoroquinolones, nemonoxacin or excipients or allergic constitution;
  • Has a history of alcoholism within 2 years prior to dosing; drink≥12 times within 3 months prior dosing; alcohol test positive as screening;
  • Has history of drug misuse within 2 years prior to dosing; urine drug screen positive;
  • Has history of taking products of tobacco or nicotine more than 5 cigarettes/day within 1 month prior to dosing, or cannot stop smoking during the study;
  • Donated blood or use of another investigational drug within 3 months prior to dosing;
  • Has history of chronic liver, renal, cardiovascular, neurological or psychiatric, gastrointestinal, pulmonary, urinary, endocrine disease cannot controlled by drugs;
  • Use of drugs affect function of liver metabolism enzyme within 30 days prior to dosing; or need to take medications which may affect the PK profile of investigational drug (including: products containing Calcium, aluminum, magnesium, iron and zinc, sucralfate, antacid, nutrition supplements, Vitamins and metal supplements) during the study;
  • Is taking any antibacterial agents or prophylaxis or treatment drugs;
  • HIV-Ab, HBsAg ,HCV-Ab or syphilis RPR positive;
  • Clinical significant abnormal 12-lead electrocardiograms (ECGs) at screening (eg. atrioventricular block, torsades de pointes ventricular tachycardia (TdT), and other types of ventricular tachycardia, ventricular fibrillation, ventricular flutter, T wave change with clinical significance or QTc>450ms) ;
  • Has abnormal result of laboratory test with clinical significance assessed by investigator at screening;
  • Has gastrointestinal disease or malabsorption syndrome affecting drug Absorb;
  • Has history of seizures or central nervous system disease which the investigator considers to interfere with compliancy of protocol; or has risk of suicide;
  • Has any antibacterials, glucocorticoids, immunosuppressive agents or drug may damage organs within 14 days prior to dosing;
  • Cannot orally take drug;
  • Has history of or currently has disease and condition may affect the safety and efficancy assessment of investigational drug judged by investigator;
  • Is a member of the clinical site personnel directly affiliated with this study;
  • Conditions investigator consider not suitable to be enrolled in the study.

Trial locations and contacts

1 site in 1 country.

China1 site
  • Huashan Hospital, Fudan University

    Shanghai, Shanghai Municipality, 20040

Other trials in China

About this study

This is a single center, open-label, non-randomized, 1:1 parallel control and single dose administration study design. Healthy subjects will be matched to moderate hepatic function impaired (Child-Pugh B,7-9) subjects in age, gender and weight as parallel control, which matches healthy with normal hepatic function according to the of subjects with impaired hepatic function as, after enrollment of subjects with moderate impaired hepatic function (Child-Pugh B,7-9). Hepatic function impaired group and control group both receive orally single-dose of nemonoxacin malate capsule (0.5g). Collect the blood and urine samples before and after the administration to perform pharmacokinetic analysis and safety observation.

Read the detailed description

Single dose study: evaluate safety and tolerability of oral nemonoxacin capsule 500mg.

Being tested
Nemonoxacin
Medical subject headings
Liver Diseases

What participants receive

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

  • NemonoxacinDrug

    Also called Nemonoxacin Malate Capsules

    Single dose 500mg oral

Study groups in NCT02604498
Study groupRoleWhat they receive
Liver function impairedExperimentalSubject with Moderate Impaired Hepatic Function. Nemonoxacin Malate Capsules 500mg single dose oral.
Receives: Drug: Nemonoxacin
Healthy SubjectsExperimentalHealthy volunteers. Nemonoxacin Malate Capsules 500mg single dose oral.
Receives: Drug: Nemonoxacin

What is being measured

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

  1. Pharmacokinetics (PK) parameters of single oral dose of nemonoxacin in Moderate Impaired Hepatic Function: maximum plasma drug concentration ( Cmax)

    Measured: Pre-dose, 0.5h,1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h after dosing

  2. Pharmacokinetics (PK) parameters of single oral dose of nemonoxacin in Moderate Impaired Hepatic Function: time at which maximum plasma concentration is observed (Tmax)

    Measured: Pre-dose, 0.5h,1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h after dosing

  3. Pharmacokinetics (PK) parameters of single oral dose of nemonoxacin in Moderate Impaired Hepatic Function: area under the plasma concentration vs. time curve (AUC0-t and AUC0-∞)

    Measured: Pre-dose, 0.5h,1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h after dosing

  4. Pharmacokinetics (PK) parameters of single oral dose of nemonoxacin in Moderate Impaired Hepatic Function:elimination half-life (t1/2)

    Measured: Pre-dose, 0.5h,1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h after dosing

  5. Pharmacokinetics (PK) parameters of single oral dose of nemonoxacin in Moderate Impaired Hepatic Function:mean dissolution time (MRT)

    Measured: Pre-dose, 0.5h,1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h after dosing

  6. Pharmacokinetics (PK) parameters of single oral dose of nemonoxacin in Moderate Impaired Hepatic Function: total clearance of the drug from plasma (CLz/F)

    Measured: Pre-dose, 0.5h,1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h after dosing

  7. Pharmacokinetics (PK) parameters of single oral dose of nemonoxacin in Moderate Impaired Hepatic Function: Apparent Volume of Distribution (Vz/F)

    Measured: Pre-dose, 0.5h,1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h after dosing

  8. Pharmacokinetics (PK) parameters of single oral dose of nemonoxacin in Moderate Impaired Hepatic Function: cumulative amount of unchanged drug excreted into the urine (Ae Urine 0-24h,0-72h)

    Measured: Within 72h after dosing

  9. Pharmacokinetics (PK) parameters of single oral dose of nemonoxacin in Moderate Impaired Hepatic Function:renal clearance of the drug from plasma (CLr)

    Measured: Within 72h after dosing

  10. Pharmacokinetics (PK) parameters of single oral dose of nemonoxacin in Moderate Impaired Hepatic Function: minimum plasma drug concentration (Cmin)

    Measured: Pre-dose, 0.5h,1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h after dosing

Secondary outcomes (5)
  1. Safety assessed by AEs

    reported spontaneously or not by leading questions

    Measured: up to 72 hours after study drug dosing

  2. Safety assessed by vital signs

    blood pressure, pulse rate, respiratory rate and body temperature

    Measured: up to 72 hours after study drug dosing

  3. Safety assessed by laboratory tests

    Hematology, blood biochemistry,cogulation test and urinalysis

    Measured: up to 72 hours after study drug dosing

  4. Safety assessed by physical examination

    (1) general appearance (2) skin (3) head and neck (4)chest, including heart, pulmonary and breast (5) abdomen, including stomach and intestines, liver and gallbladder (6) back (7) Urinary tract (8) extremity (9) neurological or psychiatric system (10) lymph gland (11)others.

    Measured: up to 72 hours after study drug dosing

  5. Safety assessed by 12-lead ECGs

    Measured: up to 72 hours after study drug dosing

Timeline

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

  1. First posted13 Nov 2015 (estimated)
  2. Study start14 Apr 2016
  3. Primary completion15 Jan 2018
  4. Study completion15 Jan 2018

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
Other
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
20 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02604498
Sponsor's protocol ID
XCNN-150830-1
Status last verified
Mar 2018
First submitted
3 Nov 2015
Last updated
30 Mar 2018
Results posted
No
Data monitoring committee
No

Publications

  • Kang Y, Li Y, Xu F, Zhang J, Wang K, Chen Y, Wu J, Guo B, Yu J, Zhang Y. Population Pharmacokinetics Study of Nemonoxacin Among Chinese Patients With Moderate Hepatic Impairment. Clin Ther. 2019 Mar;41(3):505-517.e0. doi: 10.1016/j.clinthera.2019.01.015. Epub 2019 Feb 26.

    PubMed 30819510

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Nemonoxacin in people with Liver Dysfunction, run by Zhejiang Medicine Co., Ltd. at 1 site in China.

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 28 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 30 Mar 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

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?

Pharmacokinetics (PK) parameters of single oral dose of nemonoxacin in Moderate Impaired Hepatic Function: maximum plasma drug concentration ( Cmax) (time frame: Pre-dose, 0.5h,1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h after dosing). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02604498, which also lists 1 linked publication.

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 30 Mar 2018.

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