Trial Outcomes & Findings for A Study of Avacopan in Participants With Normal Renal Function and Participants With End-Stage Renal Disease (ESRD) (NCT NCT06468826)

NCT ID: NCT06468826

Last Updated: 2026-03-25

Results Overview

Cmax was obtained using noncompartmental analysis.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

13 participants

Primary outcome timeframe

Group 1, Period 1: predose, 0.25,0.5,1,2,3,4,6,9,12,16,24,36 hours, Days 3,4,5,6,7,8,12,15, and 18 postdose; Group 2, Periods 1 and 2: predose, 0.25,0.5,1,2,3,4,6,9,12,16,24,36 hours, Days 3,4,5,6,7,8,12,15, and 18 postdose

Results posted on

2026-03-25

Participant Flow

This study was conducted as a multicenter study in the United States between 18 June 2024 and 05 October 2024.

Participants were assigned to one of two groups: participants with normal renal function (Group 1) and participants with ESRD requiring hemodialysis (HD) (Group 2). Group 1 received a single dose of avacopan on Day 1. In Group 2, avacopan was given on Day 1 of Period 1 and Day 1 of Period 2. Each period lasted 18 days.

Participant milestones

Participant milestones
Measure
Group 2: ESRD Requiring HD
Participants in Group 2 received a single dose of avacopan in each of the two treatment periods: Before HD on Day 1 of Period 1 and after HD on Day 1 of Period 2. Each period lasted 18 days.
Group 1: Normal Renal Function
Participants in Group 1 received a single dose of avacopan on Day 1.
Overall Study
STARTED
7
6
Overall Study
Entered Period 2
7
0
Overall Study
COMPLETED
7
6
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study of Avacopan in Participants With Normal Renal Function and Participants With End-Stage Renal Disease (ESRD)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group 1: Normal Renal Function
n=6 Participants
Participants in Group 1 received a single dose of avacopan on Day 1.
Group 2: ESRD Requiring HD
n=7 Participants
Participants in Group 2 received a single dose of avacopan in each of the two treatment periods: Before HD on Day 1 of Period 1 and after HD on Day 1 of Period 2. Each period lasted 18 days.
Total
n=13 Participants
Total of all reporting groups
Age, Continuous
55.5 years
STANDARD_DEVIATION 6.06 • n=138 Participants
51.6 years
STANDARD_DEVIATION 8.08 • n=62 Participants
53.4 years
STANDARD_DEVIATION 7.22 • n=123 Participants
Sex: Female, Male
Female
1 Participants
n=138 Participants
1 Participants
n=62 Participants
2 Participants
n=123 Participants
Sex: Female, Male
Male
5 Participants
n=138 Participants
6 Participants
n=62 Participants
11 Participants
n=123 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=138 Participants
1 Participants
n=62 Participants
1 Participants
n=123 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants
n=138 Participants
6 Participants
n=62 Participants
12 Participants
n=123 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=138 Participants
0 Participants
n=62 Participants
0 Participants
n=123 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=138 Participants
0 Participants
n=62 Participants
0 Participants
n=123 Participants
Race (NIH/OMB)
Asian
0 Participants
n=138 Participants
0 Participants
n=62 Participants
0 Participants
n=123 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=138 Participants
0 Participants
n=62 Participants
0 Participants
n=123 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=138 Participants
5 Participants
n=62 Participants
8 Participants
n=123 Participants
Race (NIH/OMB)
White
3 Participants
n=138 Participants
2 Participants
n=62 Participants
5 Participants
n=123 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=138 Participants
0 Participants
n=62 Participants
0 Participants
n=123 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=138 Participants
0 Participants
n=62 Participants
0 Participants
n=123 Participants

PRIMARY outcome

Timeframe: Group 1, Period 1: predose, 0.25,0.5,1,2,3,4,6,9,12,16,24,36 hours, Days 3,4,5,6,7,8,12,15, and 18 postdose; Group 2, Periods 1 and 2: predose, 0.25,0.5,1,2,3,4,6,9,12,16,24,36 hours, Days 3,4,5,6,7,8,12,15, and 18 postdose

Population: The pharmacokinetic (PK) population included all participants who received at least 1 dose of avacopan and had evaluable PK data.

Cmax was obtained using noncompartmental analysis.

Outcome measures

Outcome measures
Measure
Group 1: Normal Renal Function
n=6 Participants
Participants in Group 1 received a single dose of avacopan on Day 1.
Group 2; Period 1: ESRD Requiring HD (On-HD)
n=7 Participants
Participants in Group 2 received a single dose of avacopan on Day 1 in treatment Period 1 while participants were on HD.
Group 2; Period 2: ESRD Requiring HD (Off-HD)
n=7 Participants
Participants in Group 2 received a single dose of avacopan on Day 1 during treatment Period 2, when they were off HD.
Maximum Observed Plasma Concentration (Cmax) of Avacopan
105 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 22.8
86.7 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 51.0
108 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 34.8

PRIMARY outcome

Timeframe: Group 1, Period 1: predose, 0.25,0.5,1,2,3,4,6,9,12,16,24,36 hours, Days 3,4,5,6,7,8,12,15, and 18 postdose; Group 2, Periods 1 and 2: predose, 0.25,0.5,1,2,3,4,6,9,12,16,24,36 hours, Days 3,4,5,6,7,8,12,15, and 18 postdose

Population: The PK population included all participants who received at least 1 dose of avacopan and had evaluable PK data.

Cmax was obtained using noncompartmental analysis.

Outcome measures

Outcome measures
Measure
Group 1: Normal Renal Function
n=6 Participants
Participants in Group 1 received a single dose of avacopan on Day 1.
Group 2; Period 1: ESRD Requiring HD (On-HD)
n=7 Participants
Participants in Group 2 received a single dose of avacopan on Day 1 in treatment Period 1 while participants were on HD.
Group 2; Period 2: ESRD Requiring HD (Off-HD)
n=7 Participants
Participants in Group 2 received a single dose of avacopan on Day 1 during treatment Period 2, when they were off HD.
Cmax of Metabolite M1
25.6 ng/mL
Geometric Coefficient of Variation 12.6
17.2 ng/mL
Geometric Coefficient of Variation 25.3
16.8 ng/mL
Geometric Coefficient of Variation 24.6

PRIMARY outcome

Timeframe: Group 1, Period 1: predose, 0.25,0.5,1,2,3,4,6,9,12,16,24,36 hours, Days 3,4,5,6,7,8,12,15, and 18 postdose; Group 2, Periods 1 and 2: predose, 0.25,0.5,1,2,3,4,6,9,12,16,24,36 hours, Days 3,4,5,6,7,8,12,15, and 18 postdose

Population: The PK population included all participants who received at least 1 dose of avacopan and had evaluable PK data.

AUClast was obtained using noncompartmental analysis.

Outcome measures

Outcome measures
Measure
Group 1: Normal Renal Function
n=6 Participants
Participants in Group 1 received a single dose of avacopan on Day 1.
Group 2; Period 1: ESRD Requiring HD (On-HD)
n=7 Participants
Participants in Group 2 received a single dose of avacopan on Day 1 in treatment Period 1 while participants were on HD.
Group 2; Period 2: ESRD Requiring HD (Off-HD)
n=7 Participants
Participants in Group 2 received a single dose of avacopan on Day 1 during treatment Period 2, when they were off HD.
Area Under the Plasma Concentration-time Curve (AUC) From Time Zero to Time of Last Quantifiable Concentration (AUClast) of Avacopan
838 hours*nanograms per milliliter (h*ng/mL)
Geometric Coefficient of Variation 44.5
661 hours*nanograms per milliliter (h*ng/mL)
Geometric Coefficient of Variation 53.9
945 hours*nanograms per milliliter (h*ng/mL)
Geometric Coefficient of Variation 49.0

PRIMARY outcome

Timeframe: Group 1, Period 1: predose, 0.25,0.5,1,2,3,4,6,9,12,16,24,36 hours, Days 3,4,5,6,7,8,12,15, and 18 postdose; Group 2, Periods 1 and 2: predose, 0.25,0.5,1,2,3,4,6,9,12,16,24,36 hours, Days 3,4,5,6,7,8,12,15, and 18 postdose

Population: The PK population included all participants who received at least 1 dose of avacopan and had evaluable PK data.

AUClast was obtained using noncompartmental analysis.

Outcome measures

Outcome measures
Measure
Group 1: Normal Renal Function
n=6 Participants
Participants in Group 1 received a single dose of avacopan on Day 1.
Group 2; Period 1: ESRD Requiring HD (On-HD)
n=7 Participants
Participants in Group 2 received a single dose of avacopan on Day 1 in treatment Period 1 while participants were on HD.
Group 2; Period 2: ESRD Requiring HD (Off-HD)
n=7 Participants
Participants in Group 2 received a single dose of avacopan on Day 1 during treatment Period 2, when they were off HD.
AUClast of Metabolite M1
456 h*ng/mL
Geometric Coefficient of Variation 29.2
277 h*ng/mL
Geometric Coefficient of Variation 21.3
292 h*ng/mL
Geometric Coefficient of Variation 28.4

PRIMARY outcome

Timeframe: Group 1, Period 1: predose, 0.25,0.5,1,2,3,4,6,9,12,16,24,36 hours, Days 3,4,5,6,7,8,12,15, and 18 postdose; Group 2, Periods 1 and 2: predose, 0.25,0.5,1,2,3,4,6,9,12,16,24,36 hours, Days 3,4,5,6,7,8,12,15, and 18 postdose

Population: The PK population included all participants who received at least 1 dose of avacopan and had evaluable PK data. Only participants with available data were included in this outcome measure.

AUCinf was obtained using noncompartmental analysis.

Outcome measures

Outcome measures
Measure
Group 1: Normal Renal Function
n=6 Participants
Participants in Group 1 received a single dose of avacopan on Day 1.
Group 2; Period 1: ESRD Requiring HD (On-HD)
n=6 Participants
Participants in Group 2 received a single dose of avacopan on Day 1 in treatment Period 1 while participants were on HD.
Group 2; Period 2: ESRD Requiring HD (Off-HD)
n=1 Participants
Participants in Group 2 received a single dose of avacopan on Day 1 during treatment Period 2, when they were off HD.
AUC From Time Zero to Infinity (AUCinf) of Avacopan
922 h*ng/mL
Geometric Coefficient of Variation 44.9
666 h*ng/mL
Geometric Coefficient of Variation 53.3
NA h*ng/mL
Geometric Coefficient of Variation NA
Geometric mean and geometric coefficient of variation cannot be calculated for a single participant.

PRIMARY outcome

Timeframe: Group 1, Period 1: predose, 0.25,0.5,1,2,3,4,6,9,12,16,24,36 hours, Days 3,4,5,6,7,8,12,15, and 18 postdose; Group 2, Periods 1 and 2: predose, 0.25,0.5,1,2,3,4,6,9,12,16,24,36 hours, Days 3,4,5,6,7,8,12,15, and 18 postdose

Population: The PK population included all participants who received at least 1 dose of avacopan and had evaluable PK data. Only participants with available data were included in this outcome measure.

AUCinf was obtained using noncompartmental analysis.

Outcome measures

Outcome measures
Measure
Group 1: Normal Renal Function
n=5 Participants
Participants in Group 1 received a single dose of avacopan on Day 1.
Group 2; Period 1: ESRD Requiring HD (On-HD)
n=6 Participants
Participants in Group 2 received a single dose of avacopan on Day 1 in treatment Period 1 while participants were on HD.
Group 2; Period 2: ESRD Requiring HD (Off-HD)
n=3 Participants
Participants in Group 2 received a single dose of avacopan on Day 1 during treatment Period 2, when they were off HD.
AUCinf of Metabolite M1
545 h*ng/mL
Geometric Coefficient of Variation 36.1
343 h*ng/mL
Geometric Coefficient of Variation 17.9
422 h*ng/mL
Geometric Coefficient of Variation 20.1

PRIMARY outcome

Timeframe: Group 1, Period 1: predose, 0.25,0.5,1,2,3,4,6,9,12,16,24,36, and 48 hours postdose; Group 2, Periods 1 and 2: predose, 0.25,0.5,1,2,3,4,6,9,12,16,24,36, and 48 hours postdose

Population: The PK population included all participants who received at least 1 dose of avacopan and had evaluable PK data.

AUC0-48 was obtained using noncompartmental analysis.

Outcome measures

Outcome measures
Measure
Group 1: Normal Renal Function
n=6 Participants
Participants in Group 1 received a single dose of avacopan on Day 1.
Group 2; Period 1: ESRD Requiring HD (On-HD)
n=7 Participants
Participants in Group 2 received a single dose of avacopan on Day 1 in treatment Period 1 while participants were on HD.
Group 2; Period 2: ESRD Requiring HD (Off-HD)
n=7 Participants
Participants in Group 2 received a single dose of avacopan on Day 1 during treatment Period 2, when they were off HD.
AUC From Time Zero to 48 Hours (AUC0-48) of Avacopan
760 h*ng/mL
Geometric Coefficient of Variation 38.3
599 h*ng/mL
Geometric Coefficient of Variation 41.7
656 h*ng/mL
Geometric Coefficient of Variation 34.8

PRIMARY outcome

Timeframe: Group 1, Period 1: predose, 0.25,0.5,1,2,3,4,6,9,12,16,24,36, and 48 hours postdose; Group 2, Periods 1 and 2: predose, 0.25,0.5,1,2,3,4,6,9,12,16,24,36, and 48 hours postdose

Population: The PK population included all participants who received at least 1 dose of avacopan and had evaluable PK data.

AUC0-48 was obtained using noncompartmental analysis.

Outcome measures

Outcome measures
Measure
Group 1: Normal Renal Function
n=6 Participants
Participants in Group 1 received a single dose of avacopan on Day 1.
Group 2; Period 1: ESRD Requiring HD (On-HD)
n=7 Participants
Participants in Group 2 received a single dose of avacopan on Day 1 in treatment Period 1 while participants were on HD.
Group 2; Period 2: ESRD Requiring HD (Off-HD)
n=7 Participants
Participants in Group 2 received a single dose of avacopan on Day 1 during treatment Period 2, when they were off HD.
AUC0-48 of Metabolite M1
349 h*ng/mL
Geometric Coefficient of Variation 17.6
236 h*ng/mL
Geometric Coefficient of Variation 19.1
230 h*ng/mL
Geometric Coefficient of Variation 23.9

PRIMARY outcome

Timeframe: Group 2, Period 1: 0.5, 1, 2 and 3 hours after start of HD and after end of HD at Day 1

Population: The PK population included all participants who received at least 1 dose of avacopan and had evaluable PK data. CLD of avacopan was planned to be evaluated for Group 2, Period 1 only.

CLD determines how much of the drug is removed by hemodialysis.

Outcome measures

Outcome measures
Measure
Group 1: Normal Renal Function
n=7 Participants
Participants in Group 1 received a single dose of avacopan on Day 1.
Group 2; Period 1: ESRD Requiring HD (On-HD)
Participants in Group 2 received a single dose of avacopan on Day 1 in treatment Period 1 while participants were on HD.
Group 2; Period 2: ESRD Requiring HD (Off-HD)
Participants in Group 2 received a single dose of avacopan on Day 1 during treatment Period 2, when they were off HD.
Dialysate Clearance (CLD) of Avacopan
NA liters per hour (L/h)
Geometric Coefficient of Variation NA
Geometric mean and geometric coefficient of variation were not calculable as no participants had quantifiable data for CLD of avacopan due to analytical limitations (below limit of quantification \[BLQ\]).

PRIMARY outcome

Timeframe: Group 2, Period 1: 0.5, 1, 2 and 3 hours after start of HD and after end of HD at Day 1

Population: The PK population included all participants who received at least 1 dose of avacopan and had evaluable PK data. CLD of metabolite M1 was planned to be evaluated for Group 2, Period 1 only.

CLD determines how much of the drug is removed by hemodialysis.

Outcome measures

Outcome measures
Measure
Group 1: Normal Renal Function
n=7 Participants
Participants in Group 1 received a single dose of avacopan on Day 1.
Group 2; Period 1: ESRD Requiring HD (On-HD)
Participants in Group 2 received a single dose of avacopan on Day 1 in treatment Period 1 while participants were on HD.
Group 2; Period 2: ESRD Requiring HD (Off-HD)
Participants in Group 2 received a single dose of avacopan on Day 1 during treatment Period 2, when they were off HD.
CLD of Metabolite M1
NA L/h
Geometric Coefficient of Variation NA
Geometric mean and geometric coefficient of variation were not calculable as no participants had quantifiable data for CLD of Metabolite M1 due to analytical limitations (BLQ).

SECONDARY outcome

Timeframe: From first dose of study drug to end of study (EOS) (up to 36 days)

Population: The safety population included all participants who received at least 1 dose of avacopan and had at least 1 post-dose safety assessment.

An adverse event was any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) that was temporally associated with the use of a treatment, combination product, medical device, or procedure. A TEAEs was defined as an AE that started during or after first dose administration or started prior to first dose administration and increased in severity after dosing.

Outcome measures

Outcome measures
Measure
Group 1: Normal Renal Function
n=6 Participants
Participants in Group 1 received a single dose of avacopan on Day 1.
Group 2; Period 1: ESRD Requiring HD (On-HD)
n=7 Participants
Participants in Group 2 received a single dose of avacopan on Day 1 in treatment Period 1 while participants were on HD.
Group 2; Period 2: ESRD Requiring HD (Off-HD)
n=7 Participants
Participants in Group 2 received a single dose of avacopan on Day 1 during treatment Period 2, when they were off HD.
Number of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs)
2 Participants
2 Participants
0 Participants

SECONDARY outcome

Timeframe: From signing the informed consent form (ICF) to 30 days after EOS (up to 96 days)

Population: The safety population included all participants who received at least 1 dose of avacopan and had at least 1 post-dose safety assessment.

A SAE was defined as any untoward medical occurrence that met at least 1 of the following criteria: results in death, is immediately life-threatening, required inpatient hospitalization or prolonged existing hospitalization, persistent or significant incapacity/disability, a congenital abnormality/birth defect, or other medically important serious event.

Outcome measures

Outcome measures
Measure
Group 1: Normal Renal Function
n=6 Participants
Participants in Group 1 received a single dose of avacopan on Day 1.
Group 2; Period 1: ESRD Requiring HD (On-HD)
n=7 Participants
Participants in Group 2 received a single dose of avacopan on Day 1 in treatment Period 1 while participants were on HD.
Group 2; Period 2: ESRD Requiring HD (Off-HD)
n=7 Participants
Participants in Group 2 received a single dose of avacopan on Day 1 during treatment Period 2, when they were off HD.
Number of Participants Who Experienced Serious Adverse Events (SAEs)
0 Participants
0 Participants
0 Participants

Adverse Events

Group 1: Normal Renal Function

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

Group 2; Period 1: ESRD Requiring HD (On-HD)

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

Group 2; Period 2: ESRD Requiring HD (Off-HD)

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Group 1: Normal Renal Function
n=6 participants at risk
Participants in Group 1 received a single dose of avacopan on Day 1.
Group 2; Period 1: ESRD Requiring HD (On-HD)
n=7 participants at risk
Participants in Group 2 received a single dose of avacopan on Day 1 in treatment Period 1 while participants were on HD.
Group 2; Period 2: ESRD Requiring HD (Off-HD)
n=7 participants at risk
Participants in Group 2 received a single dose of avacopan on Day 1 during treatment Period 2, when they were off HD.
Gastrointestinal disorders
Diarrhoea
16.7%
1/6 • For TEAEs: from the first dose date through to the EOS; up to 36 days. For SAEs and all-cause mortality: from signing of ICF to 30 days after EOS; up to 96 days.
The safety population included all participants who received at least 1 dose of avacopan and had at least 1 post-dose safety assessment.
28.6%
2/7 • For TEAEs: from the first dose date through to the EOS; up to 36 days. For SAEs and all-cause mortality: from signing of ICF to 30 days after EOS; up to 96 days.
The safety population included all participants who received at least 1 dose of avacopan and had at least 1 post-dose safety assessment.
0.00%
0/7 • For TEAEs: from the first dose date through to the EOS; up to 36 days. For SAEs and all-cause mortality: from signing of ICF to 30 days after EOS; up to 96 days.
The safety population included all participants who received at least 1 dose of avacopan and had at least 1 post-dose safety assessment.
Gastrointestinal disorders
Nausea
16.7%
1/6 • For TEAEs: from the first dose date through to the EOS; up to 36 days. For SAEs and all-cause mortality: from signing of ICF to 30 days after EOS; up to 96 days.
The safety population included all participants who received at least 1 dose of avacopan and had at least 1 post-dose safety assessment.
0.00%
0/7 • For TEAEs: from the first dose date through to the EOS; up to 36 days. For SAEs and all-cause mortality: from signing of ICF to 30 days after EOS; up to 96 days.
The safety population included all participants who received at least 1 dose of avacopan and had at least 1 post-dose safety assessment.
0.00%
0/7 • For TEAEs: from the first dose date through to the EOS; up to 36 days. For SAEs and all-cause mortality: from signing of ICF to 30 days after EOS; up to 96 days.
The safety population included all participants who received at least 1 dose of avacopan and had at least 1 post-dose safety assessment.
Infections and infestations
COVID-19
16.7%
1/6 • For TEAEs: from the first dose date through to the EOS; up to 36 days. For SAEs and all-cause mortality: from signing of ICF to 30 days after EOS; up to 96 days.
The safety population included all participants who received at least 1 dose of avacopan and had at least 1 post-dose safety assessment.
0.00%
0/7 • For TEAEs: from the first dose date through to the EOS; up to 36 days. For SAEs and all-cause mortality: from signing of ICF to 30 days after EOS; up to 96 days.
The safety population included all participants who received at least 1 dose of avacopan and had at least 1 post-dose safety assessment.
0.00%
0/7 • For TEAEs: from the first dose date through to the EOS; up to 36 days. For SAEs and all-cause mortality: from signing of ICF to 30 days after EOS; up to 96 days.
The safety population included all participants who received at least 1 dose of avacopan and had at least 1 post-dose safety assessment.

Additional Information

Study Director

Amgen Inc.

Phone: 866-572-6436

Results disclosure agreements

  • Principal investigator is a sponsor employee The Clinical Trial Agreement generally does not restrict an investigator's discussion of trial results after completion. The Agreement permits Amgen a limited period of time to review material discussing trial results (typically up to 45 days and possible extension). Amgen may remove confidential information, but authors have final control and approval of publication content. For multicenter studies, the investigator agrees not to publish any results before the first multi-center publication.
  • Publication restrictions are in place

Restriction type: OTHER