check_circleStudy Completed
Anemia
Bayer Identifier:
14627
ClinicalTrials.gov Identifier:
EudraCT Number:
EU CT Number:
Not Available
Combined single / multiple dose escalation study in patients with renal anemia due to CKD (chronic kidney disease)
Trial purpose
The drug that is under investigation during this study is BAY85-3934 which is intended to be used as a treatment for patients suffering from renal anemia due to chronic kidney disease (stage 3 and 4).
The purpose of this study is to provide safety and tolerability information on the drug. Other objectives of the study are to investigate the effect of the drug on the body (pharmacodynamics) as well as the absorption, breakdown, metabolism, distribution and excretion (pharmacokinetics) by measuring the concentration in blood and urine.
The study will be conducted in one study center in the United Kingdom and several centers in Germany. 84 (of which 36 are optional) patients who meet the inclusion criteria will participate in the study. BAY 85-3934 will be given following a combined single / multiple dose escalation design in seven (of which three are optional) dose steps.
The purpose of this study is to provide safety and tolerability information on the drug. Other objectives of the study are to investigate the effect of the drug on the body (pharmacodynamics) as well as the absorption, breakdown, metabolism, distribution and excretion (pharmacokinetics) by measuring the concentration in blood and urine.
The study will be conducted in one study center in the United Kingdom and several centers in Germany. 84 (of which 36 are optional) patients who meet the inclusion criteria will participate in the study. BAY 85-3934 will be given following a combined single / multiple dose escalation design in seven (of which three are optional) dose steps.
Key Participants Requirements
Sex
BothAge
18 - 85 YearsTrial summary
Enrollment Goal
44Trial Dates
April 2011 - December 2013Phase
Phase 1Could I Receive a placebo
NoProducts
Molidustat (BAY85-3934)Accepts Healthy Volunteer
NoWhere to participate
Status | Institution | Location |
---|---|---|
Completed | London, SE5 9RS, United Kingdom | |
Completed | Kiel, 24105, Germany | |
Completed | Köln, 50931, Germany | |
Completed | Wuppertal, 42283, Germany | |
Completed | München, 81241, Germany | |
Completed | Berlin, 13125, Germany | |
Completed | Hamburg, 20253, Germany | |
Completed | Hannover, 30159, Germany | |
Withdrawn | Hannover, 30625, Germany | |
Withdrawn | Berlin, 10117, Germany |
Primary Outcome
- Number of Subjects with Treatment-Emergent Adverse Events (TEAE)An adverse event (AE) was any untoward medical occurrence in a subject who received study drug without regard to possibility of causal relationship. An serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; medically important serious event. TEAEs were defined as AEs/SAEs that started or worsened after the study drug treatment.date_rangeTime Frame:From start of study drug administration until last follow-up visit (14 days after the last study drug administration)enhanced_encryptionYesSafety Issue:
- Mean Change in Heart Rate Within 4 hours Post-doseHeart rate was observed in all treatment groups in supine position.date_rangeTime Frame:Within 4 hours from after administration of study drug on Day 1 and Day 14enhanced_encryptionNoSafety Issue:
- Mean Change in Heart Rate Over 1 Minute for Doses 25, 50, 75 MilligramsHeart rate was assessed over 1 minute from the Electrocardiogram (ECG) recording.date_rangeTime Frame:From start of study drug administration until 12 hours after the last study drug administrationenhanced_encryptionNoSafety Issue:
- Mean Change in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) Within 4 hours Post-doseSBP, DBP was observed in all treatment groups in supine phase.date_rangeTime Frame:Within 4 hours post-dose at Day 1 and Day 14enhanced_encryptionNoSafety Issue:
- Number of Subjects with Clinically Relevant Abnormal Findings in the Electrocardiogram (ECG)Electrocardiograms were recorded and analyzed by an electronic ECG reading system.date_rangeTime Frame:Day 1 and Day 14enhanced_encryptionYesSafety Issue:
- Number of Subjects with Clinically Relevant Laboratory ValuesLaboratory parameters include hematology, coagulation, serum chemistry, urinalysis.date_rangeTime Frame:Day 1 and Day 14enhanced_encryptionYesSafety Issue:
- Maximum Observed Drug Concentration (Cmax) in Plasma of Molidustat and its Metabolite After Single Dose of MolidustatCmax refers to the highest measured drug concentration after a single dose which is obtained by collecting a series of blood samples and measuring the concentrations of drug in each sample. Geometric mean and percentage geometric coefficient of variation (%CV) were reported.date_rangeTime Frame:Single dose: 0-48 hours post-doseenhanced_encryptionNoSafety Issue:
- Maximum Observed Drug Concentration Divided by Dose (Cmax/D) in Plasma of Molidustat and its Metabolite After Single Dose of MolidustatCmax/D is defined as maximum observed drug concentration divided by dose. Cmax refers to the highest measured drug concentration after single dose which is obtained by collecting a series of blood samples and measuring the concentrations of drug in each sample. Geometric mean and percentage geometric coefficient of variation (%CV) were reported.date_rangeTime Frame:Single dose: 0-48 hours post-doseenhanced_encryptionNoSafety Issue:
- Area Under the Concentration Versus Time Curve From Zero to Infinity (AUC) in Plasma of Molidustat and its Metabolite After Single Dose of MolidustatAUC is a measure of systemic drug exposure after single dose, which is obtained by collecting a series of blood samples and measuring the concentrations of drug in each sample. AUC is defined as area under concentration versus time curve from time 0 (pre-dose) to extrapolated infinite time. Geometric mean and percentage geometric coefficient of variation (%CV) were reported.date_rangeTime Frame:Single dose: 0-48 hours post-doseenhanced_encryptionNoSafety Issue:
- Area Under the Concentration Versus Time Curve From Zero to Infinity Divided by Dose (AUC/D) in Plasma of Molidustat and its Metabolite After Single Dose of MolidustatAUC is a measure of systemic drug exposure after single dose, which is obtained by collecting a series of blood samples and measuring the concentrations of drug in each sample. AUC is defined as area under concentration versus time curve from time 0 (pre-dose) to extrapolated infinite time. AUC/D is defined as area under the concentration versus time curve from zero to infinity divided by dose. Geometric mean and percentage geometric coefficient of variation (%CV) were reported.date_rangeTime Frame:Single dose: 0-48 hours post-doseenhanced_encryptionNoSafety Issue:
- Maximum Observed Drug Concentration (Cmax,md) in Plasma of Molidustat and its Metabolite After Multiple Dose Administration of MolidustatCmax,md defined as maximum observed drug concentration after multiple dose. Cmax,md refers to the highest measured drug concentration in the dosing interval which is obtained by collecting a series of blood samples and measuring the concentrations of drug in each sample. Geometric mean and percentage geometric coefficient of variation (%CV) were reported.date_rangeTime Frame:Multiple dose: 0-24 hours post dose on Day 14 (13d)enhanced_encryptionNoSafety Issue:
- Maximum Observed Drug Concentration in Plasma Divided by Dose (Cmax,md/D) of Molidustat and its Metabolite After Multiple Dose Administration of MolidustatCmax,md/D is defined as maximum observed drug concentration divided by dose after multiple dose administration. Cmax,md refers to the highest measured drug concentration within the dosing interval which is obtained by collecting a series of blood samples and measuring the concentrations of drug in each sample. Geometric mean and percentage geometric coefficient of variation (%CV) were reported.date_rangeTime Frame:Multiple dose: 0-24 hours post dose on Day 14 (13d)enhanced_encryptionNoSafety Issue:
- Area Under the Concentration Versus Time Curve From 0 to 24 hour (AUC[0-24]md) in Plasma During any Dose Interval of Molidustat and its Metabolite After Multiple Dose of MolidustatAUC(0-24)md is defined as area under the concentration versus time curve from 0 to 24 hour after multiple dose. Geometric mean and percentage geometric coefficient of variation (%CV) were reported.date_rangeTime Frame:Multiple dose: 0-24 hours post dose on Day 14 (13d)enhanced_encryptionNoSafety Issue:
- Area Under the Concentration Versus Time Curve From 0 to 24 hour Divided by Dose (AUC[0-24] md/D) in Plasma During any Dose Interval of Molidustat and its Metabolite After Multiple Dose of MolidustatAUC(0-24)md/D is defined as area under the concentration versus time curve from 0 to 24 hour divided by dose after multiple dose. Geometric mean and percentage geometric coefficient of variation (%CV) were reported.date_rangeTime Frame:Multiple dose: 0-24 hours post dose on Day 14 (13d)enhanced_encryptionNoSafety Issue:
Secondary Outcome
- Maximum Observed Drug Concentration in Plasma Divided by Dose per Kilogram Body Weight (Cmax,norm) of Molidustat and its Metabolite After Single Dose of MolidustatCmax refers to the highest measured drug concentration which is obtained by collecting a series of blood samples and measuring the concentrations of drug in each sample. Cmax,norm is defined as maximum observed drug concentration divided by dose per kilogram body weight. Geometric mean and percentage geometric coefficient of variation (%CV) were reported.date_rangeTime Frame:Single dose: 0-48 hours post-doseenhanced_encryptionNoSafety Issue:
- Area Under the Concentration Versus Time Curve From Zero to Infinity in Plasma Divided by Dose per Kilogram Body Weight (AUCnorm) of Molidustat and its Metabolite After Single Dose of MolidustatAUC is a measure of systemic drug exposure after single dose, which is obtained by collecting a series of blood samples and measuring the concentrations of drug in each sample. AUCnorm is defined as area under the concentration versus time curve from zero to infinity divided by dose per kilogram body weight. Geometric mean and percentage geometric coefficient of variation (%CV) were reported.date_rangeTime Frame:Single dose: 0-48 hours post-doseenhanced_encryptionNoSafety Issue:
- Area Under the Concentration Versus Time Curve From Zero to 24 hour (AUC[0-24]) in Plasma of Molidustat and its Metabolite After Single Dose of MolidustatAUC(0-24) is defined as area under the concentration versus time curve from zero to 24 hours after a single dose. Geometric mean and percentage geometric coefficient of variation (%CV) were reported.date_rangeTime Frame:Single dose: 0-24 hours post-doseenhanced_encryptionNoSafety Issue:
- Area Under the Concentration Versus Time Curve From Zero to the Last Data Point Above the Lower Limit of Quantification (AUC[0-tlast]) in Plasma of Molidustat and its Metabolite After Single Dose of MolidustatAUC is a measure of systemic drug exposure after single dose, which is obtained by collecting a series of blood samples and measuring the concentrations of drug in each sample. AUC(0-tlast) is defined as AUC from time zero to the last data point above the lower limit of quantification. Geometric mean and percentage geometric coefficient of variation (%CV) were reported.date_rangeTime Frame:Single dose: 0-48 hours post-doseenhanced_encryptionNoSafety Issue:
- Half Life Associated With the Terminal Slope (t1/2) in Plasma of Molidustat and its Metabolite After Single Dose of MolidustatHalf life associated with terminal slope. It is the time taken for the blood plasma concentration to reach half the concentration in the terminal phase. It is expressed in hours and derived from the terminal slope of the concentration versus time curve. Geometric mean and percentage geometric coefficient of variation (%CV) were reported.date_rangeTime Frame:Single dose: 0-48 hours post-doseenhanced_encryptionNoSafety Issue:
- Time to Reach Maximum Drug Concentration (tmax) in Plasma of Molidustat and its Metabolite After Single Dose of Molidustattmax refers to the time after dosing when a drug attains its highest measurable concentration (Cmax). It is obtained by collecting a series of blood samples at various times after dosing, and measuring them for drug content. Median and range were reported.date_rangeTime Frame:Single dose: 0-48 hours post-doseenhanced_encryptionNoSafety Issue:
- Mean Residence Time (MRT) of Molidustat and its Metabolite After Single Dose of MolidustatMRT is an average duration of the drug in the body, and is expressed in hours. Geometric mean and percentage geometric coefficient of variation (%CV) were reported.date_rangeTime Frame:Single dose: 0-48 hours post-doseenhanced_encryptionNoSafety Issue:
- Apparent Oral Clearance (CL/F) of Molidustat and its Metabolite After Single Dose of MolidustatClearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood. Geometric mean and percentage geometric coefficient of variation (%CV) were reported.date_rangeTime Frame:Single dose: 0-48 hours post-doseenhanced_encryptionNoSafety Issue:
- Apparent Volume of Distribution During Terminal Phase (Vz/F) After Single Dose of MolidustatVolume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the observed plasma concentration of a drug. Apparent volume of distribution after oral dose (Vz/F) is influenced by the fraction absorbed. Geometric mean and percentage geometric coefficient of variation (%CV) were reported.date_rangeTime Frame:Single dose: 0-48 hours post-doseenhanced_encryptionNoSafety Issue:
- Amount Excreted into Urine (Aeur) of Molidustat and its Metabolite After Single Dose of MolidustatAeur refers to the amount of molidustat excreted in urine.date_rangeTime Frame:Urine collection intervals: 0d00 - 0d12h, 0d12h - 1d00enhanced_encryptionNoSafety Issue:
- Renal Body Clearance of Drug (CLR) of Molidustat and its Metabolite After Single Dose of MolidustatRenal clearance describes the removal of drug from a volume of plasma in a given unit of time by the kidneys. Geometric mean and percentage geometric coefficient of variation (%CV) were reported.date_rangeTime Frame:Urine collection interval: 0d00 - 1d00enhanced_encryptionNoSafety Issue:
- Maximum Observed Concentration Divided by Dose per Kilogram Body Weight (Cmax,md,norm) in Plasma After Multiple Dose Administration During a Dosage IntervalCmax refers to the highest measured drug concentration which is obtained by collecting a series of blood samples and measuring the concentrations of drug in each sample. Cmax,md,norm is defined as maximum observed concentration during a given dosing interval divided by dose per kilogram body weight in plasma after multiple dose administration. Geometric mean and percentage geometric coefficient of variation (%CV) were reported.date_rangeTime Frame:Multiple dose: 0-24 hours post dose on Day 14 (13d)enhanced_encryptionNoSafety Issue:
- Area Under the Concentration Versus Time Curve From 0 to 24 hour Divided by Dose per Kilogram Body Weight (AUC[0-24]md,norm) in Plasma After Multiple Dose Administration During a Dosage IntervalAUC is a measure of systemic drug exposure, which is obtained by collecting a series of blood samples and measuring the concentrations of drug in each sample. AUC(0-24) md,norm is defined as area under the concentration versus time curve from 0 to 24 hour divided by dose per kilogram body weight after multiple dose administration. Geometric mean and percentage geometric coefficient of variation (%CV) were reported.date_rangeTime Frame:Multiple dose: 0-24 hours post dose on Day 14 (13d)enhanced_encryptionNoSafety Issue:
- Half Life Associated With the Terminal Slope (t1/2,md) in Plasma of Molidustat and its Metabolite After Multiple Dose of MolidustatHalf life associated with terminal slope. It is the time taken for the blood plasma concentration to reach half the concentration in the terminal phase. It is expressed in hours and derived from the terminal slope of the concentration versus time curve. t1/2,md is defined as half life associated with the terminal slope after multiple dose. Geometric mean and percentage geometric coefficient of variation (%CV) were reported.date_rangeTime Frame:Multiple dose: 0-24 hours post dose on Day 14 (13d)enhanced_encryptionNoSafety Issue:
- Time to Reach Maximum Drug Concentration (tmax,md) in Plasma of Molidustat and its Metabolite After Multiple Dose of Molidustattmax refers to the time after dosing when a drug attains its highest measurable concentration (Cmax). It is obtained by collecting a series of blood samples at various times after dosing, and measuring them for drug content. tmax,md is defined as time to reach maximum drug concentration after multiple dose. Median and range were reported.date_rangeTime Frame:Multiple dose: 0-24 hours post dose on Day 14 (13d)enhanced_encryptionNoSafety Issue:
- Amount Excreted into Urine (Aeur,md)of Molidustat and its Metabolite After Multiple Dose of MolidustatGeometric mean and percentage geometric coefficient of variation (%CV) were reported.date_rangeTime Frame:Urine collection interval: 13d00 - 14d00enhanced_encryptionNoSafety Issue:
- Renal Body Clearance (CLR,md) of Molidustat and its Metabolite After Multiple Dose of MolidustatRenal clearance describes the removal of drug from a volume of plasma in a given unit of time by the kidneys. CLR,md is defined as renal body clearance of drug after multiple dose. Geometric mean and percentage geometric coefficient of variation (%CV) were reported.date_rangeTime Frame:Urine collection interval: 13d00 - 14d00enhanced_encryptionNoSafety Issue:
- Accumulation Ratio of AUC in the Dosing Interval (RAAUC) of MolidustatRAAUC was calculated by using formula AUC(0-24)[13day] / AUC(0-24)[0day].date_rangeTime Frame:All samples from 0-24h on 0d and from 0-24h on 13denhanced_encryptionNoSafety Issue:
- Accumulation Ratio of Cmax (RACmax) of MolidustatRACmax was calculated by using formula Cmax[13day] / Cmax[0day].date_rangeTime Frame:All samples from 0-24h on 0d and from 0-24h on 13denhanced_encryptionNoSafety Issue:
- Linearity Factor of Pharmacokinetics After Repeated Administration of Identical Doses (RLin) of MolidustatRLin was calculated by using formula AUC(0-24)[13day] / AUC[0day].date_rangeTime Frame:All samples from 0-24h on 0d and from 0-24h on 13denhanced_encryptionNoSafety Issue:
- Erythropoietin Concentration: Area Under the Concentration Versus Time Curve From 0 to 24 hour (AUC[0-24]) Post-dose on Day 1 (0d)AUC(0-24) is defined as area under the concentration versus time curve from zero to 24 hours after a single dose. Geometric mean and percentage geometric coefficient of variation (%CV) were reported.date_rangeTime Frame:Single dose: Pre-dose and 4, 8, 12 and 24 hours post-doseenhanced_encryptionNoSafety Issue:
- Erythropoietin Concentration: Area Under the Concentration Versus Time Curve From 0 to 24 hour (AUC[0-24]md) in Plasma After Multiple Dose on Day 14 (13d)Geometric mean and percentage geometric coefficient of variation (%CV) were reported.date_rangeTime Frame:Multiple dose: Pre-dose and 4, 8, 12 and 24 hours post-dose on 13dayenhanced_encryptionNoSafety Issue:
- Erythropoietin Concentration: Maximum Observed Drug Concentration in Plasma (Cmax[0-24]) After Single Dose of Molidustat on Day 1 (0d)Geometric mean and percentage geometric coefficient of variation (%CV) were reported.date_rangeTime Frame:Single dose: Pre-dose and 4, 8, 12, 24 hours post-doseenhanced_encryptionNoSafety Issue:
- Erythropoietin Concentration: Maximum Observed Drug Concentration in Plasma (Cmax [0-24]md) Within 0-24 hours Post Dose on Day 14 (13d)Geometric mean and percentage geometric coefficient of variation (%CV) were reported.date_rangeTime Frame:Multiple dose: Pre-dose and 4, 8, 12 and 24 hours post-dose on 13dayenhanced_encryptionNoSafety Issue:
- Pharmacodynamic Parameter: Maximum Observed Drug Concentration in Plasma (Cmax) of Reticulocytes (Absolute) Within Day 1 (0d) - Day 14 (13d)date_rangeTime Frame:Day 1 to Day 14enhanced_encryptionNoSafety Issue:
- Pharmacodynamic Parameter: Maximum Observed Drug Concentration in Plasma (Cmax) of Reticulocytes ( Ratio-to-Baseline-Adjusted) Within Day 1(0d) - Day 14 (13d)date_rangeTime Frame:Day 1 to Day 14enhanced_encryptionNoSafety Issue:
- Pharmacodynamic Parameter: Maximum Observed Drug Concentration in Plasma (Cmax) of Hemoglobin (Absolute) Within Day 1 (0d) - Day 14 (13d)date_rangeTime Frame:Day 1 to Day 14enhanced_encryptionNoSafety Issue:
- Pharmacodynamic Parameter: Maximum Observed Drug Concentration in Plasma (Cmax) of Hemoglobin ( Ratio-to-Baseline-Adjusted) Within Day 1 (0d) - Daydate_rangeTime Frame:Day 1 to Day 14enhanced_encryptionNoSafety Issue:
- Pharmacodynamic Parameter: Maximum Observed Drug Concentration in Plasma (Cmax) of Hematocrit (Absolute) Within Day 1 (0d) - Day 14(13d)date_rangeTime Frame:Day 1 to Day 14enhanced_encryptionNoSafety Issue:
- Pharmacodynamic Parameter: Maximum Observed Drug Concentration in Plasma (Cmax) of Hematocrit (Ratio-to-Baseline-Adjusted) Within Day 1( 0d) - Day 14 (13d)date_rangeTime Frame:Day 1 to Day 14enhanced_encryptionNoSafety Issue:
Trial design
Trial Type
InterventionalIntervention Type
DrugTrial Purpose
OtherAllocation
RandomizedBlinding
Single BlindAssignment
Parallel AssignmentTrial Arms
6