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Renal InsufficiencyPhase 1NCT05283746

A Study of Epetraborole Tablets in Subjects With Degrees of Renal Function

A Phase 1 study testing Epetraborole in people with Renal Insufficiency, run by AN2 Therapeutics, Inc at 3 sites in United States.

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 Phase 1 study to evaluate the pharmacokinetics (PK), safety and tolerability of epetraborole tablets in adult subjects with normal renal function, subjects with various degrees of renal impairment, and subjects with end-stage renal disease (ESRD) receiving intermittent hemodialysis (IHD) therapy. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Renal Insufficiency
What is being tested?
Epetraborole
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
3 sitesUnited States
Study dates
21 Feb 2022to 27 Jun 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 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • All subjects:
  • Adult males or females of 18 years of age or older at the time of Screening
  • Willing and able to provide written informed consent
  • BMI between 18.0 and 40.0 kg/m2 (inclusive) and weight of at least 50.0 kg
  • Have suitable venous access for blood sampling
  • Light-, non- or ex-smoker (A light smoker is defined as someone using 10.0 nicotine units or less per day for at least 90 days prior to the first study drug administration. An ex smoker is defined as someone who completely stopped using nicotine products for at least 180 days prior to the first study drug administration)
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  • Ability and willingness to abstain from alcohol from 48 hours prior to the first study drug administration until discharge from the clinical unit
  • Be willing and able to comply with all study assessments and adhere to the protocol schedule, including the entire confinement period and the follow-up visit
  • If female of childbearing potential, must agree to and comply with using 1 barrier method (eg, female condom or male partner using a condom) with 1 other highly effective method of birth control (eg, oral contraceptive, implant, injectable, indwelling intrauterine device, vasectomized partner), or sexual abstinence, for the duration of the study (from signing of consent to the follow-up visit) and for 30 days after last study drug administration. Females of childbearing potential must also agree not to donate ova or oocytes (ie, human eggs) during the study, and for 1 menstrual cycle after completion of the study. To be considered of non-childbearing potential, a female must have had a tubal ligation, hysterectomy, bilateral salpingo oophrectomy, or be menopaused (last menstruation >12 months prior to the first study drug administration and follicle stimulating hormone in menopausal range). Provision of written documentation is not required for female sterilization and oral confirmation is adequate.
  • Male subjects, if sexually active with a female partner of childbearing potential, must agree to and comply with using 1 barrier method of birth control (eg, male condom) with 1 other highly effective method of birth control in their partner (eg, oral contraceptive; implant, injectable, indwelling intrauterine device), or sexual abstinence, and must not donate sperm, for the duration of the study (from signing of consent to the follow-up visit) and for 90 days after last study drug administration
  • Cohort 1:
  • Medically and hemodynamically stable without CS abnormalities at the screening visit or Day -1, based on physical examination, vital signs, 12-lead ECG, and laboratory results
  • Normal renal function with eGFR ≥ 90 mL/min/1.73m2, calculated using the CKD-EPI equation. A 24-hour urine collection for creatinine clearance test may be conducted prior to Day -1 to confirm the healthy renal function status if, as judged by an Investigator, the result of the eGFR calculated using the CKD-EPI equation at Screening does not reflect the subject's true renal function.
  • Cohorts 2 to 4:
  • Renal impairment with eGFR ≥ 60 and < 90 mL/min/1.73m2 (Cohort 2), ≥ 30 and < 60 mL/min/1.73m2 (Cohort 3), or < 30 mL/min/1.73m2 (Cohort 4), calculated using the CKD-EPI equation.
  • Cohort 5:
  • Subjects with ESRD (eGFR < 15 mL/min/1.73m2) receiving IHD at least 3 times per week for at least 3 months at Screening.
  • Cohorts 2 to 5:
  • Medically and hemodynamically stable without CS acute or chronic illness other than renal impairment that may impact the assessment of PK and safety as assessed by the Investigator, based on physical examination, vital signs, 12-lead ECG, and laboratory results

Who cannot join

  • All subjects:
  • Female who is lactating or is pregnant according to the pregnancy test at Screening or prior to the first study drug administration
  • Any CS medical history or abnormal findings upon physical examination, or clinical laboratory tests, not specifically excluded in other criteria below that, in the opinion of the Investigator, might confound the results of the study or pose an additional risk in administering study drug to the subject
  • QTcF interval duration > 500 msec obtained as an average from the triplicate ECGs taken at least 1 minute apart after at least 5 minutes in a semi-supine, quiet rest position at Screening or prior to the first study drug administration
  • Results of biochemistry tests for alanine aminotransferase (ALT), aspartate aminotransferase (AST), and bilirubin greater than 1.5 × the upper limit of normal (ULN) for the reference laboratory, or history of chronic liver disease, cirrhosis, or biliary disease. For subjects with Gilbert's Syndrome, the subject may be included in the study at the discretion of the Investigator if the bilirubin levels are within the range for this condition.
  • Recent history (within 6 months) of known or suspected Clostridioides difficile infection
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  • History of seizure disorder except childhood history of febrile seizures
  • Positive drug/alcohol testing at Screening or prior to the first study drug administration unless the positive drug screen is due to prescription drug use that is approved by the Investigator and the Sponsor's Medical Monitor
  • Positive testing for HIV, hepatitis B surface antigen, or hepatitis C virus antibody at Screening
  • History of regular alcohol consumption exceeding 7 drinks/week for females or 14 drinks/week for males (1 drink = 5 ounces [150 mL] of wine or 12 ounces [360 mL] of beer or 1.5 ounces [45 mL] of hard liquor) within 6 months prior to Screening
  • History of hypersensitivity reaction or anaphylaxis to any medication, unless deemed not CS by an Investigator
  • Donation of blood or plasma within 30 days prior to the first study drug administration, or loss of whole blood of more than 500 mL within 30 days prior to the first study drug administration
  • Receipt of an investigational drug within 30 days or 5 half-lives prior to the first administration of study drug, whichever is longer
  • Any other condition or prior therapy, which, in the opinion of an Investigator, would make the volunteer unsuitable for this study, including unable to cooperate fully with the requirements of the study protocol or likely to be non-compliant with any study requirements
  • Cohort 1:
  • Hemoglobin, hematocrit, white blood cell count, or platelet count less than the lower limit of normal range of the reference laboratory, unless deemed not CS by an Investigator
  • Current or anticipated concomitant medications, defined as the use of any over the counter (OTC) medications within 7 days prior to study drug administration or use of prescription medications, health supplements, and herbal remedies taken within 14 days prior to study drug administration Exceptions: Hormonal contraceptives and intermittent, as-needed acetaminophen or non-steroidal anti-inflammatory drugs (NSAIDs) for the treatment of transient headache or other minor ache/pain. Discussion between the Principal Investigator and the Sponsor's Medical Monitor is encouraged regarding the acceptability of any medications prior to study drug administration.
  • Cohorts 2 to 5:
  • Hemoglobin < 10.0 g/dL, white blood cell < 3,000 cells/L, or platelet count < 100,000 cells/L
  • Current or anticipated concomitant medications with the exception of hormonal contraceptives, as-needed acetaminophen or NSAIDs for the treatment of transient, minor aches/pain, or any medication deemed essential for the management of renal impairment and the treatment of concomitant stable medical conditions as per the discretion of the Investigator.

Trial locations and contacts

3 sites in 1 country.

United States3 sites
  • Advanced Pharma CR

    Miami, Florida, 33147

  • Orlando Clinical Research Center

    Orlando, Florida, 32809

  • Nucleus Network

    Saint Paul, Minnesota, 55114

Other trials in United States

About this study

Official title: A Phase 1, Multicenter, Open-Label, Parallel-Group Study to Assess the Safety and Pharmacokinetics of Oral Epetraborole Tablets in Adult Subjects With Varying Degrees of Renal Function

This is a Phase 1 study to evaluate the pharmacokinetics (PK), safety and tolerability of epetraborole tablets in adult subjects with normal renal function, subjects with various degrees of renal impairment, and subjects with end-stage renal disease (ESRD) receiving intermittent hemodialysis (IHD) therapy.

Read the detailed description

This is a multicenter, open-label, non-randomized, parallel group study in which a total of 40 subjects will be enrolled in one of 5 cohorts (8 subjects per cohort). Subjects will be enrolled based on their estimated glomerular filtration rate (eGFR) calculated using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation.

  • Cohort 1: Normal renal function (eGFR ≥ 90 mL/min/1.73 m2)
  • Cohort 2: Mild renal impairment (eGFR ≥ 60 and < 90 mL/min/1.73 m2)
  • Cohort 3: Moderate renal impairment (eGFR ≥ 30 and < 60 mL/min/1.73 m2)
  • Cohort 4: Severe renal impairment (eGFR < 30 mL/min/1.73 m2)
  • Cohort 5: ESRD (eGFR < 15 mL/min/1.73 m2) receiving IHD. Subjects must be stable and receiving IHD at least 3 times a week for at least 3 months prior to Screening.
Being tested
Epetraborole
Medical subject headings
Renal Insufficiency

What participants receive

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

  • EpetraboroleDrug

    Also called AN2-501971

    Epetraborole hydrochloride 250 mg tablets for oral administration

Study groups in NCT05283746
Study groupRoleWhat they receive
Open LabelExperimentalAll subjects in Cohorts 1-4 receive 500 mg epetraborole once; Subjects on Cohort 5 receive 500 mg epetraborole twice
Receives: Drug: Epetraborole

What is being measured

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

  1. Characterize the PK Profile of Epetraborole and M3: Maximum Plasma Concentration

    Determination of the maximum observed plasma concentration (Cmax)

    Measured: Cohorts 1-4: Day 1 to Day 4; Cohort 5: Day 1 - Day 8

  2. Characterize the PK Profile of Epetraborole and M3: Area Under the Plasma Concentration Versus Time Curve from Time 0 to the Last Time Point Evaluated

    Determine the area under the plasma concentration versus time curve from time 0 to the last time point evaluated (AUC0-t)

    Measured: Cohorts 1-4: Day 1 to Day 4; Cohort 5: Day 1 - Day 8

  3. Characterize the PK Profile of Epetraborole and M3: Area Under the Plasma Concentration Versus Time Curve from Time 0 to 24 hours

    Determine the area under the plasma concentration versus time curve from time 0 to 24 hours (AUC0-24)

    Measured: Cohorts 1-4: Day 1 to Day 4; Cohort 5: Day 1 - Day 8

  4. Characterize the PK Profile of Epetraborole and M3: Area Under the Plasma Concentration Versus Time Curve from Time 0 to Infinity

    Determine area under the drug concentration versus time curve, from time zero to infinity (AUC0-∞)

    Measured: Cohorts 1-4: Day 1 to Day 4; Cohort 5: Day 1 - Day 8

  5. Characterize the PK Profile of Epetraborole and M3: Apparent total plasma clearance of drug

    Determine the apparent total plasma clearance of drug (CL/F)

    Measured: Cohorts 1-4: Day 1 to Day 4; Cohort 5: Day 1 - Day 8

  6. Characterize the PK Profile of Epetraborole and M3: Time to Maximum Plasma Concentration

    Determination the time to maximum plasma concentration (Tmax)

    Measured: Cohorts 1-4: Day 1 to Day 4; Cohort 5: Day 1 - Day 8

  7. Characterize the PK Profile of Epetraborole: Plasma from Hemodialysis Flow

    Determine the AUC from 0 to the last quantifiable concentration AUClast immediately after the end of dialysis period from inflow (arterial) line

    Measured: Cohort 5: Day 5

  8. Characterize the PK Profile of Epetraborole:Plasma from Hemodialysis Flow

    Determine the AUC from 0 to the last quantifiable concentration AUClast immediately after the end of dialysis period from inflow (venous) line

    Measured: Cohort 5: Day 5

  9. Characterize the PK Profile of Epetraborole and M3 in Urine: Cumulative drug excreted in urine over time

    Determine the cumulative amount excreted over all time intervals (0 to T), calculated as the sum of all amounts excreted from each interval (t1-t2)

    Measured: Cohorts 1-4: Day 1 to Day 4

  10. Characterize the PK Profile of Epetraborole and M3 in Urine: Unchanged drug excreted in urine during the time interval

    Determine the fraction of unchanged drug excreted in urine during the time interval (expressed in %, calculated) for parent drug only

    Measured: Cohorts 1-4: Day 1 to Day 4; Cohort 5: Day 1 - Day 8

  11. Characterize the PK Profile of Epetraborole and M3 in Urine: Renal Clearance

    Determine renal clearance (Ae(0-t)/ AUC0-T) for parent drug only

    Measured: Cohorts 1-4: Day 1 to Day 4; Cohort 5: Day 1 - Day 8

  12. Characterize the PK Profile of Epetraborole and M3 in Dialysate: Concentration in full dialysate

    Determine amount of drug measured in the whole dialysate volume during dialysis period

    Measured: Cohort 5: Day 5

  13. Characterize the PK Profile of Epetraborole and M3 in Urine: Dialysis clearance

    Determine the Dialysis clearance over the dialysis period

    Measured: Cohort 5: Day 5

  14. Evaluate the Incidence of Treatment Emergent Adverse Events at Baseline and Through Study Completion

    Incidence, relatedness, and severity of adverse events

    Measured: Cohorts 1-4: Day 1 to Day 4; Cohort 5: Day 1 - Day 8

  15. Evaluate Changes in Clinical Laboratory Tests from Baseline Through Study Completion

    Incidence of changes in clinical laboratory measurements from baseline

    Measured: Cohorts 1-4: Day 1 to Day 4; Cohort 5: Day 1 - Day 8

  16. Evaluate Change in Vital Signs from Baseline Through Study Completion

    Incidence of changes in blood pressure, pulse, respiratory rate, and temperature

    Measured: Cohorts 1-4: Day 1 to Day 4; Cohort 5: Day 1 - Day 8

  17. Evaluate Changes in 12-lead ECG Measurements from Baseline Through Study Completion

    Incidence of changes in 12-lead ECG parameters from baseline

    Measured: Cohorts 1-4: Day 1 to Day 4; Cohort 5: Day 1 - Day 8

  18. Evaluate Physical Examination Abnormalities from Baseline Through Study Completion

    Incidence of physical exam abnormalities

    Measured: Cohorts 1-4: Day 1 to Day 4; Cohort 5: Day 1 - Day 8

Timeline

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

  1. First posted17 Mar 2022
  2. Study start21 Feb 2022
  3. Primary completion10 Jun 2022
  4. Study completion27 Jun 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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05283746
Sponsor's protocol ID
EBO-102
Status last verified
Jul 2022
First submitted
17 Feb 2022
Last updated
15 Jul 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Epetraborole in people with Renal Insufficiency, run by AN2 Therapeutics, Inc at 3 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 19 inclusion and 20 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 15 Jul 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 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?

Characterize the PK Profile of Epetraborole and M3: Maximum Plasma Concentration (time frame: Cohorts 1-4: Day 1 to Day 4; Cohort 5: Day 1 - Day 8). The study lists 18 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 15 Jul 2022.

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