Pharmacokinetic (PK) Study in Japanese Non-epileptic Renal Impaired Patients
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ClinicalTrials.gov Identifier: NCT01491113 |
Recruitment Status :
Completed
First Posted : December 13, 2011
Results First Posted : January 10, 2014
Last Update Posted : February 10, 2014
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Study Type | Interventional |
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Study Design | Allocation: Non-Randomized; Intervention Model: Parallel Assignment; Masking: None (Open Label); Primary Purpose: Basic Science |
Conditions |
Healthy Subjects Renal Impairments |
Interventions |
Drug: Levetiracetam 250 mg Drug: Levetiracetam 500 mg |
Enrollment | 30 |
Recruitment Details | The Participant Flow refers to the Safety Set population which includes all patients that received at least one dose of study medication. |
Pre-assignment Details | About 30 (28 to 30) subjects were planned to be enrolled for 5 groups (A to E) according to their renal function based on the value of creatinine clearance (CLCr). |
Arm/Group Title | Group A: Normal Renal Function | Group B: Mild Renal Impairment | Group C: Moderate Renal Impairment | Group D: Severe Renal Impairment | Group E: End-stage Renal Disease |
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Subjects with normal renal function (CLcr >80 mL/min/1.73 m^2). Subjects were orally administered Levetiracetam (LEV) 500 mg once. After LEV administration, safety assessments and blood and urine samplings were taken through to Day 4 during the Treatment Period, and safety follow-up assessments were performed on Day 8 according to the schedule of study assessments.
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Patients with mild renal impairment (50<CLcr <80 mL/min/1.73 m^2). Subjects were orally administered (Levetiracetam) LEV 500 mg once. After LEV administration, safety assessments and blood and urine samplings were conducted through Day 5 during the Treatment Period, and safety follow-up assessments were performed on Day 8 according to the schedule of study assessments.
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Patients with moderate renal impairment (30<CLcr < 50 mL/min/1.73 m^2). Subjects were orally administered Levetiracetam (LEV) 250 mg once. After LEV administration, safety assessments and blood and urine samplings were conducted through Day 6 during the Treatment Period, and safety follow-up assessments were performed on Day 8 according to the schedule of study assessments.
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Patients with severe renal impairment (CLcr <30 mL/min/1.73 m^2). Subjects were orally administered Levetiracetam (LEV) 250 mg once. After LEV administration, safety assessments and blood and urine samplings were conducted through Day 7 during the Treatment Period, and safety follow-up assessments were performed on Day 8 according to the schedule of study assessments.
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Group E received Levetiracetam (LEV) 500 mg orally on Day 1, 44 hours (h) before the first hemodialysis. As a supplementary dose LEV 250 mg was administered 1 h after the end of the first hemodialysis on Day 3. The 4-h Hemodialysis was scheduled as follows:
Safety assessments and blood samplings were conducted until Day 7. Safety follow-up assessments were performed on Day 10. Blood samples for Pharmacokinetics (PK): Predose (Baseline), and 0.5, 1, 2, 4, 6, 8, 12, 24, 30, 44*, 44.25*, 44.5*, 45*, 46*, 47*, 48*, 49, 49.5, 50, 51, 53, 55, 57, 61, 73, 92, 96, 120, 140 hours post first dosing. 49 h-sample was taken before the additional dose. The 44 h, 92 h, and 140 h samples were taken before the start of the hemodialysis. *Inflow blood, outflow blood, and dialysate fluid were collected. |
Period Title: Overall Study | |||||
Started | 6 | 6 | 6 | 6 | 6 |
Completed | 6 | 6 | 6 | 6 | 6 |
Not Completed | 0 | 0 | 0 | 0 | 0 |
Arm/Group Title | Group A: Normal Renal Function | Group B: Mild Renal Impairment | Group C: Moderate Renal Impairment | Group D: Severe Renal Impairment | Group E: End-stage Renal Disease | Total | |
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Subjects with normal renal function (CLcr >80 mL/min/1.73 m^2). Subjects were orally administered Levetiracetam (LEV) 500 mg once. After LEV administration, safety assessments and blood and urine samplings were taken through to Day 4 during the Treatment Period, and safety follow-up assessments were performed on Day 8 according to the schedule of study assessments.
|
Patients with mild renal impairment (50<CLcr <80 mL/min/1.73 m^2). Subjects were orally administered (Levetiracetam) LEV 500 mg once. After LEV administration, safety assessments and blood and urine samplings were conducted through Day 5 during the Treatment Period, and safety follow-up assessments were performed on Day 8 according to the schedule of study assessments.
|
Patients with moderate renal impairment (30<CLcr < 50 mL/min/1.73 m^2). Subjects were orally administered Levetiracetam (LEV) 250 mg once. After LEV administration, safety assessments and blood and urine samplings were conducted through Day 6 during the Treatment Period, and safety follow-up assessments were performed on Day 8 according to the schedule of study assessments.
|
Patients with severe renal impairment (CLcr <30 mL/min/1.73 m^2). Subjects were orally administered Levetiracetam (LEV) 250 mg once. After LEV administration, safety assessments and blood and urine samplings were conducted through Day 7 during the Treatment Period, and safety follow-up assessments were performed on Day 8 according to the schedule of study assessments.
|
Group E received Levetiracetam (LEV) 500 mg orally on Day 1, 44 hours (h) before the first hemodialysis. As a supplementary dose LEV 250 mg was administered 1 h after the end of the first hemodialysis on Day 3. The 4-h Hemodialysis was scheduled as follows:
Safety assessments and blood samplings were conducted until Day 7. Safety follow-up assessments were performed on Day 10. Blood samples for Pharmacokinetic (PK) analyses: Predose (Baseline), and 0.5, 1, 2, 4, 6, 8, 12, 24, 30, 44*, 44.25*, 44.5*, 45*, 46*, 47*, 48*, 49, 49.5, 50, 51, 53, 55, 57, 61, 73, 92, 96, 120, 140 hours post first dosing. 49 h-sample was taken before the additional dose. The 44 h, 92 h, and 140 h samples were taken before the start of the hemodialysis. *Inflow blood, outflow blood, and dialysate fluid were collected. |
Total of all reporting groups | |
Overall Number of Baseline Participants | 6 | 6 | 6 | 6 | 6 | 30 | |
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The Baseline Analysis Population refers to the Pharmacokinetic Per Protocol Set (PK-PPS) which consists of all subjects included in the Safety Set (SS), who also had a sufficient number of bioanalytical assessments (plasma or urine) to calculate reliable estimates for the PK parameters.
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 6 participants | 6 participants | 6 participants | 6 participants | 6 participants | 30 participants | |
61.7 (2.6) | 67.5 (5.0) | 69.3 (6.1) | 55.8 (17.1) | 68.8 (7.9) | 64.6 (10.0) | ||
Age, Customized
Measure Type: Number Unit of measure: Participants |
Number Analyzed | 6 participants | 6 participants | 6 participants | 6 participants | 6 participants | 30 participants |
20 - <65 years | 5 | 3 | 1 | 4 | 2 | 15 | |
>=65 years | 1 | 3 | 5 | 2 | 4 | 15 | |
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 6 participants | 6 participants | 6 participants | 6 participants | 6 participants | 30 participants | |
Female |
1 16.7%
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0 0.0%
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0 0.0%
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0 0.0%
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0 0.0%
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1 3.3%
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Male |
5 83.3%
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6 100.0%
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6 100.0%
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6 100.0%
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6 100.0%
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29 96.7%
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Race/Ethnicity, Customized
Measure Type: Number Unit of measure: Participants |
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Asian | Number Analyzed | 6 participants | 6 participants | 6 participants | 6 participants | 6 participants | 30 participants |
6 | 6 | 6 | 6 | 6 | 30 | ||
Race/Ethnicity, Customized
Measure Type: Number Unit of measure: Participants |
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Japanese | Number Analyzed | 6 participants | 6 participants | 6 participants | 6 participants | 6 participants | 30 participants |
6 | 6 | 6 | 6 | 6 | 30 | ||
Weight
Mean (Standard Deviation) Unit of measure: Kilogram |
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Number Analyzed | 6 participants | 6 participants | 6 participants | 6 participants | 6 participants | 30 participants | |
60.95 (10.97) | 74.28 (4.14) | 63.07 (12.49) | 58.70 (6.10) | 62.20 (5.41) | 63.84 (9.62) | ||
Height
Mean (Standard Deviation) Unit of measure: Centimeters |
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Number Analyzed | 6 participants | 6 participants | 6 participants | 6 participants | 6 participants | 30 participants | |
161.73 (9.05) | 165.65 (3.11) | 163.72 (5.64) | 164.50 (6.34) | 162.38 (3.41) | 163.60 (5.68) |
Name/Title: | UCB Clinical Trials Call Center |
Organization: | UCB |
Phone: | +1 877 822 9493 |
Responsible Party: | UCB Pharma |
ClinicalTrials.gov Identifier: | NCT01491113 |
Other Study ID Numbers: |
N01373 |
First Submitted: | December 9, 2011 |
First Posted: | December 13, 2011 |
Results First Submitted: | November 21, 2013 |
Results First Posted: | January 10, 2014 |
Last Update Posted: | February 10, 2014 |