Pharmacokinetics of LCZ696 in Subjects With Mild and Moderate Renal Impairment Compared to Healthy Subjects With Normal Renal Function
An Open Label, Parallel-group Study to Determine Multiple Dose Pharmacokinetics of LCZ696 and Its Metabolites in Subjects With Mild and Moderate Renal Impairment Compared to Matched Healthy Subjects With Normal Renal Function
2 other identifiers
interventional
32
3 countries
3
Brief Summary
The purpose of this study is to determine the multiple dose pharmacokinetics of LCZ696 and its metabolites in subjects with mild to moderate renal impairment and to evaluate the safety of LCZ696 in this population.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_1
Started Feb 2009
Longer than P75 for phase_1
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2009
CompletedFirst Submitted
Initial submission to the registry
March 30, 2012
CompletedFirst Posted
Study publicly available on registry
April 3, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2014
CompletedResults Posted
Study results publicly available
August 27, 2015
CompletedOctober 19, 2015
September 1, 2015
5.5 years
March 30, 2012
July 30, 2015
September 25, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (8)
Time to Reach Maximum Peak Plasma Concentration (Tmax) After Single Dose (Day 1), and After Multiple Dose Administration (Day 5)
Blood samples will be collected for the determination of plasma concentrations of VAL489 (valsartan), AHU377( Sacubitril) and LBQ657 (a human metabolite of sacubitril)
Day 1 and day 5
Maximum Peak Plasma Concentration (Cmax) Observed After Single Dose (Day 1), and After Multiple Dose Administration (Day 5)
Blood samples will be collected for the determination of plasma concentrations of VAL489 (valsartan), AHU377( Sacubitril) and LBQ657 (a human metabolite of sacubitril)
Day 1, day 5
Area Under the Concentration-time Curve (AUC0-24) From Time Zero to 24- Hour Post-dose (Day 1), and After Multiple Dose Administration (Day 5)
Blood samples will be collected for the determination of plasma concentrations of VAL489 (valsartan), AHU377( Sacubitril) and LBQ657 (a human metabolite of sacubitril)
Day 1 and day 5
Elimination Half-life (t1/2) After Multiple Dose (Day 5) Administration
Blood samples will be collected for the determination of plasma concentrations of VAL489 (valsartan), AHU377( Sacubitril) and LBQ657 (a human metabolite of sacubitril)
Day 5
Systemic Clearance From Plasma Following Extravascular Administration (CL/F) After Multiple Dose Administration (Day 5)
Blood samples will be collected for the determination of plasma concentrations of VAL489 (valsartan), AHU377( Sacubitril) and LBQ657 (a human metabolite of sacubitril)
Day 5
Accumulation Ratio (Racc) After Multiple Dose Administration (Day 5)
Blood samples will be collected for the determination of plasma concentrations of VAL489 (valsartan), AHU377( Sacubitril) and LBQ657 (a human metabolite of sacubitril)
Day 5
Renal Clearance From Plasma (CLr) After Multiple Dose Administration (Day 5)
Blood samples will be collected for the determination of plasma concentrations of VAL489 (valsartan), AHU377( Sacubitril) and LBQ657 (a human metabolite of sacubitril)
Day 5
Amount of Drug Excreted Into the Urine From Time Zero to 24-hours Post-dose (Ae0-24) After Single Dose (Day 1), and After Multiple Dose Administration (Day 5)
Blood samples will be collected for the determination of plasma concentrations of VAL489 (valsartan), AHU377( Sacubitril) and LBQ657 (a human metabolite of sacubitril)
Day 1 and Day 5
Secondary Outcomes (1)
Change in Mean 24-hours Sodium Clearance From Baseline to Day 7
From baseline to Day 7
Study Arms (1)
LCZ696 400 mg
EXPERIMENTALLCZ696 400 mg once daily for 5 days
Interventions
Eligibility Criteria
You may qualify if:
- Male, and female subjects of non-child bearing potential,
- Subjects were to weigh at least 50 kg to participate in the study,
- and body mass index \< 40 kg/m2
- Subjects were able to communicate well with the investigator, to understand and comply with the requirements of the study;
- Subjects were able to understand and sign the written informed consent;
- For renal insufficient subjects:
- stable renal disease without evidence of renal progressive
- mild renal function: calculated CrCl of 50-≤80 mL/min
- moderate renal function: calculated CrCl of 30-\<50 mL/min
- Vital signs:
- oral body temperature between 35.0-37.8 °C
- systolic blood pressure, 95-180 mm Hg
- diastolic blood pressure, 60-110 mm Hg
- pulse rate, 54-95 bpm
- For healthy subjects only
- +6 more criteria
You may not qualify if:
- Current use of ACE inhibitors, valsartan, and drugs that were known as CYP2C9 substrates, potassium-sparing diuretics;
- Smokers;
- History of renal transplant at any time in the past and on immunosuppressant therapy;
- Dialysis patients;
- Medical history of clinically significant ECG abnormalities or a family history of a prolonged QT-interval syndrome;
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
Novartis Investigative Site
Neuss, 41460, Germany
Novartis Investigative Site
Moscow, 117292, Russia
Novartis Investigative Site
Belgrade, Serbia
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Study Director
- Organization
- Novartis Pharmaceuticals
Study Officials
- STUDY DIRECTOR
Novartis Pharmaceuticals
Novartis Pharmaceuticals
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- BASIC SCIENCE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 30, 2012
First Posted
April 3, 2012
Study Start
February 1, 2009
Primary Completion
August 1, 2014
Study Completion
August 1, 2014
Last Updated
October 19, 2015
Results First Posted
August 27, 2015
Record last verified: 2015-09