Trial Outcomes & Findings for Single-Dose Pharmacokinetics of BMS-790052 in Participants With Hepatic Impairment (NCT NCT00859053)

NCT ID: NCT00859053

Last Updated: 2015-10-08

Results Overview

Maximum observed plasma concentration following drug administration from the raw plasma concentration-time data. The plasma samples were analysed for BMS-790052 by using a validated liquid chromatography tandem mass spectrometric (LC-MS/MS) assay.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

46 participants

Primary outcome timeframe

Pre-dose (0), 0.5,1, 1.5, 2, 4, 8, 12, 24, 48, 72 hours post-dose (both healthy and hepatically impaired participants) and 96 hours post-dose (only for hepatically impaired participants)

Results posted on

2015-10-08

Participant Flow

A total of 46 participants were enrolled in the study, of which 30 participants were treated with study drug and 16 participants were not treated with study drug as they no longer met study criteria.

Participant milestones

Participant milestones
Measure
Child Pugh Class-A
Participants with mild liver damage were administered with single oral dose of 30 milligrams (mg) (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Child Pugh Class-B
Participants with moderate liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Child Pugh Class-C
Participants with severe liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Healthy Participants
Healthy participants were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Overall Study
STARTED
6
6
6
12
Overall Study
COMPLETED
6
6
6
12
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Single-Dose Pharmacokinetics of BMS-790052 in Participants With Hepatic Impairment

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Child Pugh Class-A
n=6 Participants
Participants with mild liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Child Pugh Class-B
n=6 Participants
Participants with moderate liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Child Pugh Class-C
n=6 Participants
Participants with severe liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Healthy Participants
n=12 Participants
Healthy participants were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Total
n=30 Participants
Total of all reporting groups
Age, Customized
< 65 years
6 participants
n=99 Participants
5 participants
n=107 Participants
5 participants
n=206 Participants
12 participants
n=7 Participants
28 participants
n=31 Participants
Age, Customized
>= 65 years
0 participants
n=99 Participants
1 participants
n=107 Participants
1 participants
n=206 Participants
0 participants
n=7 Participants
2 participants
n=31 Participants
Sex: Female, Male
Female
2 Participants
n=99 Participants
3 Participants
n=107 Participants
2 Participants
n=206 Participants
5 Participants
n=7 Participants
12 Participants
n=31 Participants
Sex: Female, Male
Male
4 Participants
n=99 Participants
3 Participants
n=107 Participants
4 Participants
n=206 Participants
7 Participants
n=7 Participants
18 Participants
n=31 Participants

PRIMARY outcome

Timeframe: Pre-dose (0), 0.5,1, 1.5, 2, 4, 8, 12, 24, 48, 72 hours post-dose (both healthy and hepatically impaired participants) and 96 hours post-dose (only for hepatically impaired participants)

Population: Analysis was performed in the Pharmacokinetic population (all participants who received study drug and had adequate PK profiles).

Maximum observed plasma concentration following drug administration from the raw plasma concentration-time data. The plasma samples were analysed for BMS-790052 by using a validated liquid chromatography tandem mass spectrometric (LC-MS/MS) assay.

Outcome measures

Outcome measures
Measure
Child Pugh Class-A
n=6 Participants
Participants with mild liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Child Pugh Class-B
n=6 Participants
Participants with moderate liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Child Pugh Class-C
n=6 Participants
Participants with severe liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Healthy Participants
n=12 Participants
Healthy participants were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Maximum Observed Plasma Concentration (Cmax) of BMS-790052
380 nanograms/milliliter (ng/mL)
Geometric Coefficient of Variation 44
382 nanograms/milliliter (ng/mL)
Geometric Coefficient of Variation 23
317 nanograms/milliliter (ng/mL)
Geometric Coefficient of Variation 65
698 nanograms/milliliter (ng/mL)
Geometric Coefficient of Variation 30

PRIMARY outcome

Timeframe: Pre-dose (0), 0.5, 1, 1.5, 2, 4, 8, 12, 24, 48, 72 hours post-dose (both healthy and hepatically impaired participants) and 96 hours post-dose (only for hepatically impaired participants)

Population: Analysis was performed in the Pharmacokinetic population (all participants who received study drug and had adequate PK profiles).

AUC(0-T) was calculated by the sum of linear trapezoids using non-compartmental analysis.

Outcome measures

Outcome measures
Measure
Child Pugh Class-A
n=6 Participants
Participants with mild liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Child Pugh Class-B
n=6 Participants
Participants with moderate liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Child Pugh Class-C
n=6 Participants
Participants with severe liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Healthy Participants
n=12 Participants
Healthy participants were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Area Under the Plasma Concentration-time Curve (AUC) From Time Zero to Last Measurable Concentration [AUC(0-T)] of BMS-790052
4151 ng*hour (h)/mL
Geometric Coefficient of Variation 43
4490 ng*hour (h)/mL
Geometric Coefficient of Variation 38
4534 ng*hour (h)/mL
Geometric Coefficient of Variation 74
7165 ng*hour (h)/mL
Geometric Coefficient of Variation 24

PRIMARY outcome

Timeframe: Pre-dose (0), 0.5, 1, 1.5, 2, 4, 8, 12, 24, 48, 72 hours post-dose (both healthy and hepatically impaired participants) and 96 hours post-dose (only for hepatically impaired participants)

Population: Analysis was performed in the Pharmacokinetic population (all participants who received study drug and had adequate PK profiles).

AUC(INF) was estimated as AUC(0-T) + Ct/λ z, where λ z was the terminal elimination rate constant and Ct was the last observable concentration.

Outcome measures

Outcome measures
Measure
Child Pugh Class-A
n=6 Participants
Participants with mild liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Child Pugh Class-B
n=6 Participants
Participants with moderate liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Child Pugh Class-C
n=6 Participants
Participants with severe liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Healthy Participants
n=12 Participants
Healthy participants were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Area Under the Plasma Concentration-time Curve From Time Zero Extrapolated to Infinite Time [AUC(INF)] of BMS-790052
4174 ng* h/mL
Geometric Coefficient of Variation 43
4550 ng* h/mL
Geometric Coefficient of Variation 39
4649 ng* h/mL
Geometric Coefficient of Variation 78
7286 ng* h/mL
Geometric Coefficient of Variation 25

PRIMARY outcome

Timeframe: Pre-dose (0), 0.5, 1, 1.5, 2, 4, 8, 12, 24, 48, 72 hours post-dose (both healthy and hepatically impaired participants) and 96 hours post-dose (only for hepatically impaired participants)

Population: Analysis was performed in the Pharmacokinetic population (all participants who received study drug and had adequate PK profiles).

Tmax was defined as the time required to reach maximum observed plasma concentration. Tmax was directly determined from the raw plasma concentration-time data.

Outcome measures

Outcome measures
Measure
Child Pugh Class-A
n=6 Participants
Participants with mild liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Child Pugh Class-B
n=6 Participants
Participants with moderate liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Child Pugh Class-C
n=6 Participants
Participants with severe liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Healthy Participants
n=12 Participants
Healthy participants were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Time to Reach Maximum Observed Plasma Concentration (Tmax) of BMS-790052
1.5 hours
Interval 1.0 to 2.0
1.0 hours
Interval 1.0 to 4.0
1.5 hours
Interval 1.0 to 4.0
1.3 hours
Interval 1.0 to 2.0

PRIMARY outcome

Timeframe: Pre-dose (0), 0.5, 1, 1.5, 2, 4, 8, 12, 24, 48, 72 hours post-dose (both healthy and hepatically impaired participants) and 96 hours post-dose (only for hepatically impaired participants)

Population: Analysis was performed in the Pharmacokinetic population (all participants who received study drug and had adequate PK profiles).

Terminal half-life was the time required for one half of the total amount of administered drug eliminated from the body.

Outcome measures

Outcome measures
Measure
Child Pugh Class-A
n=6 Participants
Participants with mild liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Child Pugh Class-B
n=6 Participants
Participants with moderate liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Child Pugh Class-C
n=6 Participants
Participants with severe liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Healthy Participants
n=12 Participants
Healthy participants were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Terminal Half-life (T-HALF) of BMS-790052
12.3 hours
Standard Deviation 2.49
15.0 hours
Standard Deviation 4.59
17.2 hours
Standard Deviation 10.55
12.4 hours
Standard Deviation 2.23

PRIMARY outcome

Timeframe: Pre-dose (0), 0.5,1, 1.5, 2, 4, 8, 12, 24, 48, 72 hours post-dose (both healthy and hepatically impaired participants) and 96 hours post-dose (only for hepatically impaired participants)

Population: Analysis was performed in PK set population.

Apparent total body clearance was calculated as dose/AUC(INF). AUC(INF) was estimated as AUC(0-T) + Ct/λ z, where λ z was the terminal elimination rate constant and Ct was the last observable concentration.

Outcome measures

Outcome measures
Measure
Child Pugh Class-A
n=6 Participants
Participants with mild liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Child Pugh Class-B
n=6 Participants
Participants with moderate liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Child Pugh Class-C
n=6 Participants
Participants with severe liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Healthy Participants
n=12 Participants
Healthy participants were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Apparent Total Body Clearance (CLT/F) of BMS-790052
120 milliliter/minute (mL/min)
Geometric Coefficient of Variation 85
110 milliliter/minute (mL/min)
Geometric Coefficient of Variation 47
108 milliliter/minute (mL/min)
Geometric Coefficient of Variation 78
69 milliliter/minute (mL/min)
Geometric Coefficient of Variation 29

PRIMARY outcome

Timeframe: Pre-dose (0), 0.5, 1, 1.5, 2, 4, 8, 12, 24, 48, 72 hours post-dose (both healthy and hepatically impaired participants) and 96 hours post-dose (only for hepatically impaired participants)

Population: Analysis was performed in PK population.

CLu/F was calculated by dividing the apparent total body clearance (CLT/F) by mean fraction of unbound drug (fu) for both (1 hour and 4 hour post dose) time points combined. Apparent total body clearance was calculated as dose/AUC(INF). AUC(INF) was estimated as AUC(0-T) + Ct/ λz, where λz was the terminal elimination rate constant and Ct was the last observable concentration.

Outcome measures

Outcome measures
Measure
Child Pugh Class-A
n=6 Participants
Participants with mild liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Child Pugh Class-B
n=6 Participants
Participants with moderate liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Child Pugh Class-C
n=6 Participants
Participants with severe liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Healthy Participants
n=12 Participants
Healthy participants were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Apparent Clearance of Free BMS-790052 (CLu/F)
19529 mL/min
Geometric Coefficient of Variation 66
12028 mL/min
Geometric Coefficient of Variation 52
12468 mL/min
Geometric Coefficient of Variation 61
11796 mL/min
Geometric Coefficient of Variation 33

PRIMARY outcome

Timeframe: Pre-dose (0), 0.5, 1, 1.5, 2, 4, 8, 12, 24, 48, 72 hours post-dose (both healthy and hepatically impaired participants) and 96 hours post-dose (only for hepatically impaired participants)

Population: Analysis was performed in PK population.

Apparent volume of distribution was calculated by dividing the product of the dose and mean residence time (MRT) by AUC(INF). AUC(INF) was estimated as AUC(0-T) + Ct/λ z, where λ z was the terminal elimination rate constant and Ct was the last observable concentration.

Outcome measures

Outcome measures
Measure
Child Pugh Class-A
n=6 Participants
Participants with mild liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Child Pugh Class-B
n=6 Participants
Participants with moderate liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Child Pugh Class-C
n=6 Participants
Participants with severe liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Healthy Participants
n=12 Participants
Healthy participants were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
The Apparent Volume of Distribution at Steady State (Vss/F)
98557 mL
Geometric Coefficient of Variation 67
111612 mL
Geometric Coefficient of Variation 24
123034 mL
Geometric Coefficient of Variation 56
61250 mL
Geometric Coefficient of Variation 19

SECONDARY outcome

Timeframe: Day 1 to end of study for AEs and, Day 1 to up to 30 days after last dose for SAE.

Population: Analysis was done in safety population, defined as all the participants who received study medication.

AE was defined as any new unfavorable symptom, sign, or disease or worsening of a pre-existing condition that does not necessarily have a causal relationship with treatment. SAE was defined as a medical event that at any dose resulted in death, persistent or significant disability/incapacity, or drug dependency/abuse; was life-threatening, an important medical event, or a congenital anomaly/birth defect; or required or prolonged hospitalization. Study Discharge (end of study) was Day 4 (healthy participants) or Day 5 (hepatically impaired participants).

Outcome measures

Outcome measures
Measure
Child Pugh Class-A
n=6 Participants
Participants with mild liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Child Pugh Class-B
n=6 Participants
Participants with moderate liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Child Pugh Class-C
n=6 Participants
Participants with severe liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Healthy Participants
n=12 Participants
Healthy participants were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Number of Participants With Serious Adverse Events (SAEs), Discontinuations Due to Adverse Events (AEs), and Who Died
Death
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Serious Adverse Events (SAEs), Discontinuations Due to Adverse Events (AEs), and Who Died
SAEs
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Serious Adverse Events (SAEs), Discontinuations Due to Adverse Events (AEs), and Who Died
Discontinuations due to AEs
0 Participants
0 Participants
0 Participants
0 Participants

Adverse Events

Child Pugh Class-A

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Child Pugh Class-B

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Child Pugh Class-C

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Healthy Participants

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Child Pugh Class-A
n=6 participants at risk
Participants with mild liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Child Pugh Class-B
n=6 participants at risk
Participants with moderate liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Child Pugh Class-C
n=6 participants at risk
Participants with severe liver damage were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Healthy Participants
n=12 participants at risk
Healthy participants were administered with single oral dose of 30 mg (3 x 10 mg capsules) of BMS-790052 after 10 hours overnight fasting.
Respiratory, thoracic and mediastinal disorders
Cough
16.7%
1/6
0.00%
0/6
0.00%
0/6
0.00%
0/12
General disorders
Malaise
16.7%
1/6
0.00%
0/6
0.00%
0/6
0.00%
0/12
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
16.7%
1/6
0.00%
0/6
0.00%
0/6
0.00%
0/12
Nervous system disorders
Dizziness
0.00%
0/6
16.7%
1/6
0.00%
0/6
8.3%
1/12
Renal and urinary disorders
Dysuria
0.00%
0/6
16.7%
1/6
0.00%
0/6
0.00%
0/12
Nervous system disorders
Headache
16.7%
1/6
0.00%
0/6
16.7%
1/6
0.00%
0/12
Skin and subcutaneous tissue disorders
Cold sweat
0.00%
0/6
16.7%
1/6
0.00%
0/6
0.00%
0/12
Gastrointestinal disorders
Nausea
0.00%
0/6
16.7%
1/6
0.00%
0/6
0.00%
0/12
Gastrointestinal disorders
Vomiting
0.00%
0/6
16.7%
1/6
0.00%
0/6
0.00%
0/12
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/6
0.00%
0/6
16.7%
1/6
0.00%
0/12
Gastrointestinal disorders
Diarrhoea
0.00%
0/6
0.00%
0/6
0.00%
0/6
8.3%
1/12
Musculoskeletal and connective tissue disorders
Limb discomfort
0.00%
0/6
0.00%
0/6
16.7%
1/6
0.00%
0/12
Infections and infestations
Urinary tract infection
0.00%
0/6
16.7%
1/6
0.00%
0/6
0.00%
0/12
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
16.7%
1/6
0.00%
0/6
0.00%
0/6
0.00%
0/12

Additional Information

Bristol-Myers Squibb Study Director

Bristol-Myers Squibb

Results disclosure agreements

  • Principal investigator is a sponsor employee Bristol-Myers Squibb Co. agreements with investigators vary; constant is our right to embargo communications regarding trial results prior to public release for a period ≤60 days from submittal for review. We will not prohibit investigators from publishing, but will prohibit the disclosure of previously undisclosed confidential information other than study results, and request postponement of single-center publications until after disclosure of the clinical trial's primary publication.
  • Publication restrictions are in place

Restriction type: OTHER