Treatment of cancer in patients with hepatic and/or renal impairment

Inclusion Criteria

All subjects
- Male and female subjects between 18 and 80 years of age with a body mass index above 18.0 and below 34.0 kg / m² and a body weight of above or equal 50 kg.
Healthy subjects
- Healthy subjects as determined by absence of clinically significant deviation from normal in medical history, physical examination, vital signs, electrocardiograms, and clinical laboratory determinations. eGFR ≥ 90 mL/min/1.73 m² (according to Modification of Diet in Renal Disease [MDRD] formula).
Subjects with moderate or severe  hepatic impairment
- Subjects with confirmed liver cirrhosis by at least one of the following Criteria: histologically by prior liver biopsy showing cirrhosis, liver imaging (computer tomography, and/or ultrasound and/or magnetic resonance imaging
scans, and/or fibroscan), or laparoscopy.
- Child-Pugh Clinical Assessment Score 7 to 9 (moderate) or Score 10 to 15 (severe).
Subjects with severe renal impairment
- Subjects with severe renal impairment with an estimated glomerular filtration rate 15-29 mL/min/1.73 m² according to MDRD formula.
- Subjects with stable renal disease: no significant change in renal function as evidenced by serum creatinine value within ±25% from the last determination, obtained within at least 3 months before study entry and the absence of the need to start dialysis in the next 3 months.

Exclusion Criteria

All subjects
- Active coronary artery disease or myocardial infarction within 6 months of study entry. Immuno-compromised subjects including known history/seropositivity of human
immunodeficiency virus (HIV).
- Other concurrent severe and/or uncontrolled medical conditions (e.g. current diagnosis of type 1 or type 2 diabetes mellitus and with HbA1c >8.5%) that could cause unacceptable safety risks or compromise compliance with protocol.
- Previous or concurrent history of malignancies within 5 years prior to study treatment except for curatively treated cervical cancer in situ, non-melanoma skin cancer, superficial bladder cancer as well as localized prostate cancer.
- Uncontrolled hypertension despite optimal medical management (per investigator’s assessment).
- Administration of strong CYP3A4 inhibitors or inducers within 2 weeks prior to dosing and during study conduct. (A list of these medications can be found in Section 16.6 of the protocol. However, this list may not be comprehensive).
Subjects with moderate or severe  hepatic impairment
- Symptoms or history of encephalopathy (Grade III or worse)
- Failure of any other major organ other than the liver; severe infection, or any clinically significant illness within 4 weeks prior to study drug administration
- Renal failure with an eGFR <35 mL/min/1.73 m²
Subjects with severe renal impairment
- Acute renal failure at study entry
- Nephrotic syndrome
- Failure of any other major organ other than the kidney
- Acute hepatorenal syndrome