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Mitiperstat

Phase 1

Hepatic Impairment | Small molecule | Gastrointestinal |AstraZeneca PLC|Last Updated: Dec 5, 2024

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
CONTROLLEDBiomarker
Total Trials1
Total Enrollment31
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05751759Pharmacokinetics of Mitiperstat in Participants With Hepatic ImpairmentPHASE1 COMPLETED 31Mar 20, 2023Nov 21, 2024Dec 5, 20245 United States
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Study Endpoints
Primary Endpoints
Maximum observed plasma concentration (Cmax)
Day 1 to Day 15

The Cmax of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated and compared.

Area under the concentration-time curve from time zero to infinity (AUCinf)
Day 1 to Day 15

The AUCinf of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated and compared.

Area under the concentration-time curve from time zero to last time of quantifiable concentration (AUClast)
Day 1 to Day 15

The AUClast of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated and compared.

Apparent terminal elimination half-life (t½λz)
Day 1 to Day 15

The t½λz of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated.

Time to Cmax (tmax)
Day 1 to Day 15

The tmax of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated.

Apparent Clearance (CL/F)
Day 1 to Day 15

The CL/F of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated.

Volume of distribution (apparent) following extravascular administration [based on terminal phase] (Vz/F)
Day 1 to Day 15

The Vz/F of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated.

Cumulative amount of unchanged drug excreted into urine (Ae[0-24])
Day 1 to Day 15

The Ae(0-24) of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated.

Renal clearance of drug from plasma (CLR)
Day 1 to Day 15

The CLR of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated.

Non-renal clearance of drug from plasma (CLNR)
Day 1 to Day 15

The CLNR of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated.

Percentage of dose excreted unchanged in urine from time 0 to time 24 (fe[0-24)
Day 1 to Day 15

The fe(0-24) of a single dose of mitiperstat in participants with impaired hepatic function and controls with normal hepatic function will be evaluated.

Secondary Endpoints
Adverse Events (AEs), and Serious Adverse Events (SAEs)
From time of dose to the final follow-up visit (Day 21 [± 4 days])
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Cohort 1EXPERIMENTAL8 participants with mild hepatic impairment (Child-Pugh A) will be given Dose A of mitiperstat.
Cohort 2EXPERIMENTAL8 participants with moderate hepatic impairment (Child-Pugh B) will be given Dose A of mitiperstat.
Cohort 3EXPERIMENTAL6-8 participants with severe hepatic impairment (Child-Pugh C) will be given Dose A of mitiperstat.
Cohort 4EXPERIMENTAL8-12 participants with normal hepatic function will be given Dose A of mitiperstat.
Interventions
NameTypeDescription
MitiperstatDRUGParticipants receive mitiperstat orally.
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Eligibility Criteria
Age Range18 Years — 85 Years
SexALL
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: * Participant must be ≥ 18 to ≤ 85 years (inclusive), at the time of signing the informed consent. * Weight ≥ 50kg and BMI ≥ 18 kg/m2 up to \< 42 kg/m2. * Male and/or females. * Contraceptive use by females should be consistent with local regulations regarding the methods of con...

Countries:United States
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