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Antiandrogen
Apalutamide for Liver Disease
Phase 1
Recruiting
Research Sponsored by Janssen Research & Development, LLC
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Participants with normal hepatic function must have serum creatinine within normal limits and Creatinine Clearance (CrCL) greater than (>) 60 milliliter per minute per 1.73 meter square (mL/min/1.73 m^2) as calculated per Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) Creatinine Equation
Participants with severe hepatic impairment must have a total Child-Pugh score of 10 to 15 inclusive, as determined by the investigator during screening and on Day -1 prior to study drug administration. Source documents to substantiate the clinical diagnosis (for example, ultrasonography, liver biopsy, liver/spleen scan, laboratory results or clinical findings), and medical history will be reviewed and signed by the investigator
Must not have
Participants with severe hepatic impairment previously diagnosed with hepatocellular carcinoma
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 78 days
Awards & highlights
No Placebo-Only Group
Summary
This trial is studying how a prostate cancer medication, apalutamide, is processed in the bodies of people with severe liver problems compared to those with normal liver function. The goal is to understand any differences in how the drug is absorbed, distributed, metabolized, and excreted between these two groups. Apalutamide is a next-generation androgen receptor inhibitor approved for treatment of subjects with high-risk, non-metastatic, castration-resistant prostate cancer (NM-CRPC).
Who is the study for?
This trial is for adults with severe liver disease (Child-Pugh score 10-15) and normal kidney function, as well as healthy individuals with normal liver and kidney function. Those with severe mental impairment, thyroid issues, sexual dysfunction affecting men's health or active hepatitis are excluded.
What is being tested?
The study tests how a single dose of Apalutamide is processed by the body in people with severe liver damage compared to those with healthy livers. It aims to understand differences in drug behavior due to liver health.
What are the potential side effects?
While specific side effects for this trial aren't listed, common ones from Apalutamide may include fatigue, high blood pressure, rash, diarrhea, weight loss and fractures.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
My kidney function is normal, with creatinine levels within the normal range.
Select...
I have severe liver problems with a specific score.
Select...
My kidney function is good, with a filtration rate of at least 45 mL/min.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have severe liver problems and was diagnosed with liver cancer.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ up to 78 days
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 78 days
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Area Under Concentration-time Curve from Time 0 to Infinite Time (AUC[0-infinity]) of Apalutamide
Area Under Concentration-time Curve from Time 0 to the Time of the Last Concentration (AUC[0-last]) of Apalutamide
Peak Plasma Concentration (Cmax) of Apalutamide
Secondary study objectives
Number of Participants with Adverse Event as a Measure of Safety and Tolerability
Side effects data
From 2021 Phase 2 trial • 86 Patients • NCT0327925074%
Hot flashes
71%
Fatigue
44%
Anemia
38%
Hyperglycemia
26%
AST increase
26%
Hypertension
26%
Lipase increase
24%
ALT increase
24%
Dry skin
21%
Rash
18%
ACTH increase
18%
Cholesterol high
15%
Dizziness
15%
Amylase increase
12%
Memory impairment
12%
White blood cell decrease
12%
Constipation
12%
Lymphocyte count decrease
9%
Myalgia
9%
Paresthesia
9%
Weight loss
9%
Arthralgia
9%
Hypothyrodism
9%
LDH increase
6%
Erectile dysfunction
6%
Headache
6%
Personality change
6%
Dysgeusia
6%
Dyspnea
6%
HbA1c increased
6%
Hypertriglyceridemia
6%
Insomnia
6%
Irritability
3%
Anorexia
3%
Atrial fibrillation
3%
Anxiety
3%
Bruising
3%
Hypercalcemia
3%
Dehydration
3%
TSH increased
100%
80%
60%
40%
20%
0%
Study treatment Arm
Arm B (LHRHa, Apalutamide, Abiraterone Acetate)
Arm A (LHRHa, Apalutamide)
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
2Treatment groups
Experimental Treatment
Group I: Group 2: Participants with Normal Hepatic FunctionExperimental Treatment1 Intervention
Participants with normal hepatic function will receive single oral dose of apalutamide on Day 1 under fasted condition.
Group II: Group 1: Participants with Severe Hepatic ImpairmentExperimental Treatment1 Intervention
Participants with severe hepatic impairment will receive single oral dose of apalutamide on Day 1 under fasted condition.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Apalutamide
2015
Completed Phase 2
~5660
Research Highlights
Information in this section is not a recommendation. We encourage patients to speak with their healthcare team when evaluating any treatment decision.Mechanism Of Action
Side Effect Profile
Prior Approvals
Other Research
Common treatments for liver disease include ursodeoxycholic acid (UDCA) and antiviral therapies. UDCA works by reducing the concentration of toxic bile acids, thereby protecting liver cells and slowing disease progression in conditions like primary biliary cirrhosis.
Antiviral therapies, such as entecavir and tenofovir, inhibit viral replication in hepatitis B, reducing liver inflammation and preventing disease progression. Understanding the pharmacokinetics of drugs like apalutamide in patients with hepatic impairment is crucial, as liver function significantly affects drug metabolism and efficacy.
This knowledge helps tailor treatments to ensure safety and effectiveness for liver disease patients.
Treatment of primary biliary cirrhosis with ursodeoxycholic acid combined with traditional Chinese medicine: A protocol for systematic review and meta analysis.Pharmacotherapies that specifically target ammonia for the prevention and treatment of hepatic encephalopathy in adults with cirrhosis.Influence of radioactive iodine therapy on liver function in patients with differentiated thyroid cancer.
Treatment of primary biliary cirrhosis with ursodeoxycholic acid combined with traditional Chinese medicine: A protocol for systematic review and meta analysis.Pharmacotherapies that specifically target ammonia for the prevention and treatment of hepatic encephalopathy in adults with cirrhosis.Influence of radioactive iodine therapy on liver function in patients with differentiated thyroid cancer.
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Logistics
Participation is compensated
You will be compensated for participating in this trial.
Who is running the clinical trial?
Janssen Research & Development, LLCLead Sponsor
1,003 Previous Clinical Trials
6,397,980 Total Patients Enrolled
Janssen Research & Development, LLC Clinical TrialStudy DirectorJanssen Research & Development, LLC
769 Previous Clinical Trials
3,973,720 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- My kidney function is normal, with creatinine levels within the normal range.I have normal liver function and may have been exposed to Hepatitis A, B, or C.I have normal liver function but experience sexual dysfunction.My liver functions normally and I am in good health.My liver is severely impaired and getting worse quickly.I have severe liver problems and was diagnosed with liver cancer.I have severe liver problems with a specific score.My kidney function is good, with a filtration rate of at least 45 mL/min.I do not have severe confusion due to liver problems.
Research Study Groups:
This trial has the following groups:- Group 1: Group 1: Participants with Severe Hepatic Impairment
- Group 2: Group 2: Participants with Normal Hepatic Function
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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