AzTrials
AzTrials

Hepatic ImpairmentPhase 1NCT04469920

Hepatic Impairment, Cholestatic Liver Disease, & NASH with Advanced Fibrosis & Normal Hepatic Function

A Phase 1 study testing Saroglitazar Magnesium 2 mg and Saroglitazar Magnesium 4 mg in people with Hepatic Impairment, run by Zydus Therapeutics Inc. at 2 sites in United States.

Completed

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

Official record
Search all trials

Trial summary

This will be a Phase 1, Open-label Study of Participants with Hepatic Impairment, Cholestatic Liver Disease, and NASH with Advanced Fibrosis and Normal Hepatic Function Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Hepatic Impairment
What is being tested?
Saroglitazar Magnesium 2 mg and Saroglitazar Magnesium 4 mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
98 participants
Where
2 sitesUnited States
Study dates
16 Jul 2020to 21 Mar 2022
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 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Ability to comprehend and willingness to sign a written informed consent for the study.
  • Male or female aged 18 to 80 years (inclusive) at the time of signing the ICF.
  • Body mass index within the range 18.0 to 48.0 kg/m2 (inclusive) at screening.
  • Females must be non-pregnant, non-lactating and of non-childbearing potential or using highly efficient contraception for the full duration of the study.
  • Females of child-bearing potential and Males must agree to use contraception for the full duration of the study.
  • Ability to swallow and retain oral medication.
Show all 31Show fewer
  • Groups 1 through 6 subjects may have medical findings consistent with their degree of hepatic dysfunction, as determined by medical history, physical examination, vital signs, ECGs, and clinical laboratory examinations at screening and check-in. Participants with abnormal findings considered not clinically significant by the Investigator are eligible.
  • Participants with hepatic impairment in Groups 1-4 will be classified at screening based on CPT score. If the hepatic impairment classification for the subject is not the same at screening and day -1, enrolment of the subject into a hepatic category group will be at the discretion of the hepatology Investigator.
  • Laboratory test values for Groups 1-4 hepatic impairment subjects must be clinically acceptable to the Investigator and meet all of the following parameters at Screening:
  • ALT/AST value ≤ 10 × upper limit of normal (ULN)
  • Absolute neutrophil count (ANC) ≥ 750/mm3
  • Platelets ≥ 25,000/mm3
  • Hemoglobin ≥ 8 g/dL
  • α-fetoprotein < 50 ng/mL or 50-80 ng/mL with concurrent negative imaging study (US, CT, MRI)
  • Group 2 must have evidence of PHT as manifested by one of the following:
  • presence of hepatic encephalopathy or ascites (on exam or imaging or medication to control these symptoms),
  • historical or current presence of varices by imaging or endoscopy,
  • historical or current presence of splenomegaly by imaging or physical exam,
  • previous Hepatic Venous Pressure Gradient Measurement (HVPG) >10 mmHg,
  • platelet count <150,000/mm3 (or /uL), or
  • Fibroscan® at screening >20 kPa.
  • Documented history of cholestatic liver disease (i.e. primary biliary cholangitis, primary sclerosing cholangitis) OR alkaline phosphatase at screening of >1.25 x ULN with AST/ALT <1.2 x ULN OR Historical presence of AMA (anti-mitochondrial antibody) >1:40 and elevated alkaline phosphatase > ULN at screening
  • Clinical diagnosis of NASH and the following criteria:
  • Screening Fibroscan® with liver stiffness > 8.5 kPa AND CAP >280 dB AND At least two criteria for metabolic syndrome modified from the NCEP
  • ATP III Guidelines, at screening:
  • Fasting glucose >100 mg/dL or receiving drug treatment for elevated glucose, ii. Fasting HDL cholesterol <40 mg/dL in men and <50 mg/dL in women or receiving drug treatment for low HDL cholesterol, iii. Fasting triglycerides > 150 mg/dL or receiving drug treatment for hypertriglyceridemia, iv. Waist circumference >102 cm for men or >88 cm for women or BMI >30 kg/m2, v. Systolic blood pressure >130 mmHg or diastolic blood pressure >85 mmHg or receiving drug treatment for hypertension
  • OR:
  • A historical liver biopsy within 6 months of screening consistent with NASH with stage 3 fibrosis and no documented weight loss >10% since date of liver biopsy
  • Subjects with normal hepatic function must match in age (± 10 years), gender, and weight (± 10 kg) with hepatic disease participants in the Groups 1-6.
  • Subjects should be in good health as determined by no clinically significant findings in the medical history, physical examination, vital signs, 12-lead electrocardiograms (ECGs), or laboratory examinations at Screening or Check-in.
  • Laboratory test values within normal limits or considered not clinically significant by the Investigator for subjects with normal hepatic function including ALT/AST < 1.2 × ULN at screening.

Who cannot join

  • Any significant, unstable medical condition or other instability that would prevent the subject from participating in the study as determined by the Investigator or designee.
  • History of malignancy of any type in the last 3 years of screening, with the exception of the following: in situ cervical or breast cancer or surgically excised non-melanoma skin cancers (i.e. basal cell or squamous cell carcinoma).
  • History of stomach or intestinal surgery or resection within the six months prior to screening that would potentially alter absorption and/or excretion of orally administered drugs (uncomplicated appendectomy, cholecystectomy, and hernia repair will be allowed).
  • History of any significant drug allergy (such as anaphylaxis) deemed clinically relevant by the Investigator.
  • Any major surgery within 3 months of screening.
  • Donation of blood or blood products within 3 months prior to screening.
Show all 30Show fewer
  • Current active infectious disease requiring systemic antibiotic, antifungal, or antiviral treatment or symptoms of active infectious disease within the two weeks prior to screening.
  • Use or intend to use any medications/products known to alter drug absorption, metabolism, or elimination processes, including St. John's Wort, within 21 days prior to screening, unless deemed acceptable by the Investigator.
  • Receiving or has received any investigational drug within the 30 days or 5 halflives (whichever is longer), before receiving Saroglitazar Magnesium.
  • Estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73m2 by modification of diet in renal disease (MDRD) formula at screening.
  • Positive alcohol breath test at the time of check-in or those subjects who have current alcohol or substance abuse judged by the Investigator to potentially interfere with subject compliance or subject safety.
  • Positive test for drugs of abuse at screening or admission.
  • Any subject with poor peripheral venous access
  • Receipt of blood products within 1 month prior to check in.
  • Human immunodeficiency virus (HIV) type 1 antibody positive at screening for all groups.
  • Subjects who have had a change in hepatic disease status within 30 days of screening, as documented by the participant's medical history and deemed clinically significant by the Investigator.
  • Electrocardiogram QTcF > 500 msec, confirmed by repeat measurement OR presence of second- or third-degree atrioventricular (AV) block.
  • Subjects having -
  • History of gastrointestinal bleeding within 1 month prior to screening.
  • Current functioning organ transplant.
  • Evidence of severe ascites requiring frequent paracentesis in the opinion of investigator.
  • Subjects having a history of any of the following: hepatic encephalopathy, ascites, history or current presence of varices by imaging or endoscopy, history or current presence of splenomegaly by imaging or physical exam, previous HVPG >10, platelet count <150,000 (or /uL) at screening, or Fibroscan® at screening >20 kPa.
  • QT interval corrected for heart rate using Fridericia's method (QTcF) > 450 msec, confirmed by repeat measurement OR presence of second- or third-degree AV block.
  • Hepatitis B virus surface antigen (HBsAg) positive, Hepatitis C virus antibody (HCV-Ab) positive.
  • Subjects who use or intend to use any over the counter (vitamins, minerals, and phytotherapeutic/herbal/plant-derived preparations) or prescription medications within 30 days or 5 half-lives (whichever is longer) prior to enrolment, with the exception of hormone replacement therapy and therapies for hepatic disease and treatments of associated disorders that have been stable for at least 30 days prior to screening and until Day 1, unless deemed acceptable by the Investigator (or designee).
  • Other known cause of liver disease such as NASH, Alcoholic Steatohepatitis (ASH), autoimmune hepatitis, or acute or chronic viral hepatitis as determined by the Investigator and subject's medical records
  • Evidence of liver decompensation such as ascites, hepatic encephalopathy or prior history of variceal bleed.
  • No other known cause of liver disease such as Primary Biliary Cholangitis (PBC), Primary Sclerosing Cholangitis (PSC), Alcoholic Steatohepatitis (ASH), autoimmune hepatitis, or acute or chronic viral hepatitis as determined by the Investigator and subject's medical records
  • Platelet count <150,000 (or /uL)
  • Subjects who have taken any prescription medications or over-the-counter medications, including herbal products, within 14 days prior to start of study drug dosing, with the exception of vitamins, acetaminophen, hormonal contraceptive medications and/or any other over-the-counter product approved by the Investigator.

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Indiana University School of Medicine

    Indianapolis, Indiana, 46202

  • American Research Corporation at Texas Liver Institute

    San Antonio, Texas, 78215

Other trials in United States

About this study

Official title: Evaluation of Pharmacokinetics and Safety of Saroglitazar Magnesium in Participants with Normal Hepatic Function and with Hepatic Impairment, Cholestatic Liver Disease, NASH with Advanced Fibrosis

This will be a Phase 1, Open-label Study of Participants with Hepatic Impairment, Cholestatic Liver Disease, and NASH with Advanced Fibrosis and Normal Hepatic Function

Read the detailed description

Male and female participants 18-80 years of age (inclusive) with normal hepatic function or hepatic impairment/disease who meet all of the inclusion and none of the exclusion criteria. Subjects with hepatic impairment will be enrolled based upon the Child-Pugh-Turcotte (CPT) classification system for mild hepatic impairment (Group 1 CPT Class A without PHT; Group 2 CPT Class A with PHT), moderate hepatic impairment (Group 3 Decompensated CPT Class B), or severe hepatic impairment (Group 4 Decompensated CPT Class C). Group 5 will include subjects with cholestatic liver disease and Group 6 will include subjects with non-cirrhotic advanced fibrosis secondary to NASH (non-alcoholic steatohepatitis). The control group (Group 7) will consist of demographic matched subjects with normal hepatic function.

Being tested
Saroglitazar Magnesium 2 mg, Saroglitazar Magnesium 4 mg

What participants receive

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

  • Saroglitazar Magnesium 2 mgDrug

    Also called Not any

    1 tablet, single dose at Day 1

  • Saroglitazar Magnesium 4 mgDrug

    Also called Not any

    1 tablet, single dose at Day 1

Study groups in NCT04469920
Study groupRoleWhat they receive
Group 1- mild hepatic impairment without evidence of PHTExperimentalSubject with mild hepatic impairment without evidence of portal hypertension (PHT) based on Class A CPT score 5-6 points
Receives: Drug: Saroglitazar Magnesium 4 mg
Group 2- mild hepatic impairment with evidence of PHTExperimentalSubjects with mild hepatic impairment with evidence of portal hypertension based on Class A CPT score 5-6 points
Receives: Drug: Saroglitazar Magnesium 4 mg
Group 3-moderate hepatic impairmentExperimentalSubjects with moderate hepatic impairment based on Class B CPT score 7-9 points
Receives: Drug: Saroglitazar Magnesium 4 mg
Group 4- severe hepatic impairmentExperimentalSubjects with severe hepatic impairment based on Class C CPT score 10-14 points)
Receives: Drug: Saroglitazar Magnesium 4 mg
Group 5-cholestatic liver diseaseExperimentalSubjects with cholestatic liver disease
Receives: Drug: Saroglitazar Magnesium 2 mg; Drug: Saroglitazar Magnesium 4 mg
Group 6-Non-cirrhotic Advanced Fibrosis secondary to NASHExperimentalSubjects with Non-cirrhotic Advanced Fibrosis secondary to NASH
Receives: Drug: Saroglitazar Magnesium 2 mg; Drug: Saroglitazar Magnesium 4 mg
Group 7- normal hepatic functionExperimentalSubjects with normal hepatic function
Receives: Drug: Saroglitazar Magnesium 2 mg; Drug: Saroglitazar Magnesium 4 mg

What is being measured

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

  1. AUC from time zero to infinity (AUC0-∞)

    The area under the plasma concentration versus time curve from zero to infinity will be calculated by adding Ct/Kel to AUCt, where Ct is the last quantifiable concentration and Kel is the elimination rate constant.

    Measured: Before dosing on Day 1 through Day 7

  2. AUC from time zero to the last quantifiable concentration (AUC0-t)

    The area under the plasma concentration versus time curve will be calculated using the linear trapezoidal rule from the zero time point to the last quantifiable concentration.

    Measured: Before dosing on Day 1 through Day 7

  3. Cmax

    Maximum measured plasma concentration over the time span specified.

    Measured: Before dosing on Day 1 through Day 7

  4. Tmax

    Time of the maximum measured plasma concentration.

    Measured: Before dosing on Day 1 through Day 7

  5. t1/2

    The half-life will be calculated by the equation tHalf = 0.693/ Kel. Kel (The terminal elimination rate constant) will be obtained from the slope of the line, fitted by linear least squares regression, through the terminal points of the natural log of the concentration versus time plot for these points

    Measured: Before dosing on Day 1 through Day 7

  6. CL/F

    Clearance

    Measured: Before dosing on Day 1 through Day 7

  7. Vz/F

    Volume of distribution

    Measured: Before dosing on Day 1 through Day 7

Secondary outcomes (4)
  1. Urine Pharmacokinetic: Ae

    Amount of drug excreted during each collection interval

    Measured: Before dosing on Day 1 through Day 5

  2. Incidence of AEs

    Incidence and severity of AEs as a measure of safety and tolerability will be measured and reported.

    Measured: Before dosing on Day 1 through Day 12

  3. Unbound Fraction

    Unbound fraction in plasma of Saroglitazar

    Measured: Day 1

  4. Unbound concentration

    Unbound concentration in plasma of Saroglitazar

    Measured: Day 1

Timeline

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

  1. First posted14 Jul 2020
  2. Study start16 Jul 2020
  3. Primary completion21 Mar 2022
  4. Study completion21 Mar 2022

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
98 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04469920
Sponsor's protocol ID
SARO.19.003
Status last verified
Oct 2023
First submitted
9 Jul 2020
Last updated
20 Sep 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Saroglitazar Magnesium 2 mg and Saroglitazar Magnesium 4 mg in people with Hepatic Impairment, run by Zydus Therapeutics Inc. at 2 sites in United States.

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 31 inclusion and 30 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 20 Sep 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. 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?

AUC from time zero to infinity (AUC0-∞) (time frame: Before dosing on Day 1 through Day 7). 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 20 Sep 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in