Open-Label, Single-Dose Study to Evaluate the Safety and PK of DIC075V in Subjects With Renal Insufficiency and Hepatic Impairment Compared to Healthy Subjects and Evaluate the Safety and Pharmacokinetics of HPβCD When Administered in DIC075V Compared to Sporanox® in Healthy Subjects
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Purpose
An open-label, single-dose study to evaluate the safety and pharmacokinetics of DIC075V in subjects with mild or moderate chronic renal insufficiency and in patients with mild chronic hepatic impairment compared. Additionally, the healthy adult volunteers will participate in a randomized, open-label, crossover study in which they will receive Sporanox® to compare the safety and pharmacokinetics of HPβCD when administered in DIC075V compared to Sporanox®.
| Condition | Intervention | Phase |
|---|---|---|
|
Renal Insufficiency, Chronic Hepatic Insufficiency Healthy |
Drug: Sporanox Drug: Diclofenac Sodium |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety Study Intervention Model: Crossover Assignment Masking: Open Label |
| Official Title: | An Open-Label, Single-Dose Study to Evaluate the Safety and Pharmacokinetics of DIC075V in Subjects With Mild or Moderate Chronic Renal Insufficiency and in Subjects With Mild Chronic Hepatic Impairment Compared to Healthy Adult Volunteers and a Randomized, Open-Label, Single-Dose, Two-Way, Crossover Study to Evaluate the Safety and Pharmacokinetics of HPβCD When Administered in DIC075V Compared to Sporanox® in Healthy Adult Volunteers. |
- To evaluate the safety and pharmacokinetics of diclofenac and HPβCD following a single-dose of DIC075V in subjects with mild or moderate chronic renal insufficiency and in subjects with mild hepatic impairment compared to healthy adult volunteers. [ Time Frame: Screening - Follow-up ] [ Designated as safety issue: No ]
- To evaluate the safety and pharmacokinetics of HPβCD following a single-dose of DIC075V and Sporanox in healthy adult volunteers. [ Time Frame: Screening - Follow-up ] [ Designated as safety issue: No ]
| Enrollment: | 37 |
| Study Start Date: | December 2008 |
| Study Completion Date: | April 2009 |
| Primary Completion Date: | March 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Sporanox
Active arm approved as an anti-fungal being used to compare HPβCD when administered in DIC075V compared to Sporanox.
|
Drug: Sporanox
200 mg
|
|
Experimental: Dyloject
Diclofenac Sodium
|
Drug: Diclofenac Sodium
37.5 mg
|
Detailed Description:
For the renal and hepatic subjects, following the screening visit, eligible subjects will return to the study site on Study Day 0 and remain at the site for 2 nights and 2 days. Study drug administration will occur on Study Day 1. Subjects will be discharged on Study Day 2 after the last blood sample has been collected. Subjects will return 7 ± 3 days after dosing with study drug to have final safety assessments performed. For the healthy subjects, following the screening visit, eligible subjects will return to the study site on Study Day 0 and remain at the site for 3 nights and 3 days. Study drug administration will occur on Study Day 1 and Study Day 2. Subjects will be discharged on Study Day 3 after the last blood sample has been collected. Subjects will return 7 ± 3 days after receiving the last dose of study drug to have final safety assessments performed.
Eligibility| Ages Eligible for Study: | 18 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria (General):
- The subjects must be males or females and ≥ 18 years of age and ≤ 65 years.
- The subject must be willing and able to provide signed informed consent.
- The subject must be willing and able to stay at the clinical site for the required number of days and nights and return to the clinic in 7 ± 3 days after dosing with study drug.
Inclusion Criteria (subjects with mild or moderate chronic renal insufficiency):
- The subject must have mild or moderate chronic renal insufficiency and documented history of stable renal disease for 1 month prior to screening and clinical laboratory test results consistent with the underlying disease for renal impairment.
Inclusion Criteria (subjects with mild chronic hepatic impairment):
- The subject must have mild chronic hepatic impairment, as defined by Child-Pugh Classification A, Score of 5-6 and a bilirubin of ≤ 2.5 mg/dl.
Inclusion Criteria (for healthy subjects):
- Healthy subjects will be matched to renally impaired subjects in this study by age (+ 10 years), gender, and body weight (± 10 kg).
Exclusion Criteria:
- The subject has a known allergy or hypersensitivity to diclofenac, other NSAIDs, any of the excipients of the study preparation (hydroxypropyl-ß-cyclodextrin (HPßCD), monothioglycerol, sodium hydroxide, hydrochloric acid, and water for injection), itraconzaole or other "azole" drugs, or to any of the excipients in Sporanox (HPßCD, propylene glycol, sodium hydroxide, hydrochloric acid, or water for injection).
Contacts and Locations| United States, Florida | |
| Orlando Clinical Research Center | |
| Orlando, Florida, United States, 32809 | |
| United States, Minnesota | |
| Davita Clinical Research | |
| Minneapolis, Minnesota, United States, 55404 | |
| United States, Tennessee | |
| New Orleans Clinical Center for Research | |
| Knoxville, Tennessee, United States, 37920 | |
| United Kingdom | |
| Simbec Research, Ltd. | |
| Merthyr Tydfil, United Kingdom, CF48 4DR | |
| Principal Investigator: | William Smith, MD | New Orleans Clinical Center for Research |
| Principal Investigator: | Suzanne Swann, MD | Davita Clinical Research |
| Principal Investigator: | Thomas Marbury, MD | Orlando Clinical Research Center |
| Principal Investigator: | Salvatore Febbraro, MD | Simbec Research |
More Information
No publications provided
| Responsible Party: | Cynthia Ernst, Javelin Pharmaceuticals |
| ClinicalTrials.gov Identifier: | NCT00805090 History of Changes |
| Other Study ID Numbers: | DFC-PK-009 |
| Study First Received: | December 8, 2008 |
| Last Updated: | April 29, 2009 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Javelin Pharmaceuticals:
|
Renal Hepatic Healthy |
Additional relevant MeSH terms:
|
Kidney Failure, Chronic Renal Insufficiency, Chronic Renal Insufficiency Hepatic Insufficiency Kidney Diseases Urologic Diseases Liver Diseases Digestive System Diseases Diclofenac Itraconazole Hydroxyitraconazole Anti-Inflammatory Agents, Non-Steroidal Analgesics, Non-Narcotic Analgesics |
Sensory System Agents Peripheral Nervous System Agents Physiological Effects of Drugs Pharmacologic Actions Anti-Inflammatory Agents Therapeutic Uses Antirheumatic Agents Cyclooxygenase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Central Nervous System Agents 14-alpha Demethylase Inhibitors Antifungal Agents Anti-Infective Agents |
ClinicalTrials.gov processed this record on May 16, 2013