Effect of ONC201 on participants with renal impairment
A Phase 1 study to evaluate the effect of renal impairment on the pharmacokinetics of ONC201
Chimerix, Inc.
16 participants
May 23, 2022
Interventional
Conditions
Summary
ONC201 is an investigational drug being developed to treat high grade glioma (a type of brain cancer). “Investigational” means that the FDA (the U.S. Food and Drug Administration) has not approved ONC201 as a treatment for this condition. ONC201 is a newly discovered compound that may stop cancer cells from growing. This drug has been shown in laboratory experiments to use a new way to kill brain tumor cells but not normal cells. The study is designed to investigate the pharmacokinetics (PK), safety, and tolerability of a single dose of ONC201 in subjects with severe renal impairment compared with matched control subjects with normal renal function. The study will fully characterize the PK of ONC201 and its metabolite ONC207 in plasma and urine. This is an open-label, single-period, single-dose study conducted with approximately 8 participants (Cohort 1) with severe renal impairment and 8 healthy matched participants (Cohort 2) with normal renal function. Cohort 2 participants will be matched with Cohort 1 participants based on age (± 10 years), body mass index (BMI) (± 20%), and sex (match). All participants will receive a single dose of 375 mg ONC201 (3 x 125 mg capsules) with 240 mL of room temperature water following a 10-hour fast. Screening evaluations will be performed no more than 28 days prior to the dosing (Day 1) to identify participants eligible to participate in the study. Eligible participants will be admitted to the clinic facility on Day -1, the day prior to dosing, Participants will remain in the clinic until discharge on the morning of Day 3 following completion of all scheduled study procedures and assessments. Participants will return for outpatient visits on Days 4 and 8.
Eligibility
Inclusion Criteria23
- Healthy Volunteers:
- Male or female between 18 to 75 years of age.
- Females: non-childbearing potential
- Males: surgically sterilized OR agree to use an acceptable method(s) of contraception
- during heterosexual intercourse.
- Males to refrain from sperm donation during the study and for at least 90 days
- after study drug administration.
- Weight at least 50 kg and a body mass index from 18 to 40 kg/m2.
- Normal renal function as defined by eGFR greater than or equal to 90 mL/min
- Similar demography to a subject enrolled with severe renal impairment for sex, age
- (± 10 years), and BMI (± 20%).
- Blood pressure between 70 and 150 mmHg systolic (inclusive) and not higher than
- mmHg diastolic.
- Renal Impairment:
- eGFR less than 30 mL/min
- No clinically significant change in disease status within the last 30 days before screening,
- Conditions consistent with renal impairment and associated symptoms a
- If diabetic, disease must be under control
- Blood pressure between 70 and 160 mmHg systolic (inclusive) and not higher than
- mmHg diastolic.
- Concomitant medications to treat underlying disease states or medical conditions
- associated with renal impairment are allowed. Stable doses of medications for at least
- weeks prior to dosing and throughout the study are required
Exclusion Criteria52
- Healthy volunteers:
- If male, have a female partner who is pregnant or planning to become pregnant during the study or within 90 days after study drug administration.
- If female, is lactating.
- Have a positive pregnancy test at screening or Day -1.
- Have received any investigational drug, agent, or device within 30 days prior to Day 1, or
- current participation in another investigational study.
- Have a positive serological test result at the screening evaluation consistent with possible infection with HBV, HCV, or HIV.
- Have a positive test for drugs of abuse and/or alcohol at either the screening or Day -1.
- Current history of heavy tobacco/nicotine use.
- Have any serious or active medical or psychiatric illness,
- Have a history of a gastrointestinal condition or disorder that could interfere with the
- absorption of the study drug
- Have a history of hematological disorders, including disorders such as a bleeding
- disorder or a risk of gastrointestinal bleeding.
- Have a history of chronic liver disease or hepatic impairment,
- Total bilirubin greater than the upper limit of the normal reference range at screening or
- on Day -1.
- Have symptoms of acute infection within 2 weeks prior to Day 1.
- Have a clinically significant history of difficulty with blood donation
- Have donated a unit of blood or had clinically significant blood loss within 30 days prior
- to Day 1 or donated plasma within 7 days prior to Day 1.
- Have a history of clinically relevant drug or alcohol abuse or dependence
- Have consumed grapefruit, pomegranate, or fruit juice within 3 days prior to Day 1,
- History of clinically significant renal illness or abnormalities.
- Have received any medication or herbal product known to induce or inhibit hepatic metabolizing enzymes within 30 days or 5 half-lives of the compound
- Have received any prescription medication, vaccines (including COVID vaccination), or
- any nonprescription medication (including vitamins and herbal products) within 14 days
- prior to Day 1,
- Have a history or symptoms of cardiovascular disease,
- Subjects with Renal Impairment
- History of renal transplant
- Acute or exacerbating renal disease OR fluctuating or deteriorating renal function as
- indicated by widely varying or worsening signs of renal impairment within 4 weeks of
- screening.
- Significant bleeding disorders that could preclude multiple venipuncture procedures
- Paracetamol > 1 g/day within 2 weeks of dosing.
- Clinically significant vital sign abnormalities at screening or Day -1.
- Clinically significant physical, laboratory, or ECG findings apart from those related to impaired renal function or underlying disease .
- Subjects with Normal Renal Function
- History of clinically significant renal illness or abnormalities.
- Have received any medication or herbal product (e.g., St. John’s wort) known to induce
- or inhibit hepatic metabolizing enzymes and/or transporters within 30 days or 5 half-lives
- of the compound, whichever is longer, prior to Day 1.
- Have received any prescription medication, vaccines (including COVID vaccination), or
- any nonprescription medication (including vitamins and herbal products) within 14 days
- or 5 half-lives of the compound, whichever is longer, prior to Day 1, unless approval is
- granted by both the investigator and the sponsor.
- Have a history or symptoms of cardiovascular disease, including but not limited to
- coronary artery disease, hypertension, congestive heart disease, and clinically significant
- cardiac arrhythmia or conduction disorder, or an abnormal ECG thought to be potentially
- clinically significant per the investigator at screening or Day -1, or QTcF > 450 ms for
- males and > 470 ms for females.
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Interventions
ONC201 (investigational drug) will be dosed, as a single dose, 375 mg capsule orally, at one time only to the following groups: Arm 1 - 8 x Participants with severe renal impairment Adherence to intervention will be via mouth check of swallowed capsule.
Locations(1)
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ACTRN12622000405718