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JNJ-64041575

Phase 2

Renal Insufficiency | Small molecule | Nephrology |Johnson & Johnson|Trials Updated: Feb 3, 2025

JNJ-64041575 development status

Highest phase Phase 2 (NCT02935673)
Phase scored for JNJPhase 1
Registered trials 14 across 4 sponsors since Jul 2016

JNJ-64041575 target and mechanism

ModalitySmall molecule

Also known as JNJ-64041575 (oral suspension formulation), Lumicitabine, ALS-008176

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials3
Total Enrollment69

FDA Designations

No designations recorded

JNJ-64041575 clinical trials

JNJ-64041575 · 3 trials · 2 indications

Phase 2 1Phase 1 2
NCT03332459A Long-term Follow-up Study to Evaluate the Impact of Lumicitabine on the Incidence of Asthma and/or Wheezing in Infants and Children With a History of Respiratory Syncytial Virus InfectionRespiratory Syncytial Virus Infections
COMPLETED7 Analytics
PHASE2COMPLETED
A Long-term Follow-up Study to Evaluate the Impact of Lumicitabine on the Incidence of Asthma and/or Wheezing in Infants and Children With a History of Respiratory Syncytial Virus Infection
Respiratory Syncytial Virus InfectionsUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With Asthma After Respiratory Syncytial Virus (RSV) Infection
Up to 2 years

Percentage of participants with asthma diagnosed by physician were reported.

Percentage of Wheezing Days in Participants Within the First 2 Years After RSV Infection
Up to 2 years

Percentage of wheezing days in participants within the first 2 Years after RSV infection based on information reported by the parent/caregiver were reported. Percentage of wheezing days was calculated by (number of wheezing days/days of study completion - day of informed consent + 1)\*100.

Maximum Observed Plasma Concentration (Cmax)
Predose, Day 1: 0.25, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, and 336 (Day 15) hours postdose

The Cmax is the maximum observed plasma concentration.

Area Under the Plasma Concentration-time Curve From Time Zero to Last Measurable Concentration (AUC [0-last])
Predose, Day 1: 0.25, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, and 336 (Day 15) hours postdose

The AUC (0-last) is the area under the plasma concentration-time curve from time zero to the time of the last measurable concentration.

Area Under the Plasma Concentration-time Curve From Time Zero to Infinite Time (AUC [0-infinity])
Predose, Day 1: 0.25, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, 168, and 336 (Day 15) hours postdose

The AUC (0-infinity) is the area under the plasma concentration-time curve from time zero to infinite time, calculated as the sum of AUC(last) and C(last)/lambda(z); wherein AUC(last) is area under the plasma concentration-time curve from time zero to last quantifiable time, C(last) is the last observed quantifiable concentration, and lambda(z) is elimination rate constant.

Maximum Plasma Concentration (Cmax) of ALS 008176, ALS-008206, ALS-008112, and ALS-008144
Pre-dose; 0.25, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose

The Cmax is the maximum observed plasma concentration of ALS 008176, ALS-008206, ALS-008112, and ALS-008144.

Time to Reach the Maximum Plasma Concentration (Tmax) of ALS 008176, ALS-008206, ALS-008112, and ALS-008144
Pre-dose; 0.25, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose

The Tmax is the time to reach the maximum observed plasma concentration of ALS 008176, ALS-008206, ALS-008112, and ALS-008144.

Time of Last Measurable Plasma Concentration (Tlast) of ALS 008176, ALS-008206, ALS-008112, and ALS-008144
Pre-dose; 0.25, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose

Time of last measurable (non-below quantification limit \[non-BQL\]) plasma concentration.

Area Under the Plasma Concentration-Time Curve From Time 0 to Time of the Last Observed Quantifiable Concentration (AUC [0-last]) of ALS 008176, ALS-008206, ALS-008112, and ALS-008144
Pre-dose; 0.25, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose

The AUC (0-last) is the area under the plasma ALS 008176, ALS-008206, ALS-008112, and ALS-008144 concentration-time curve from time 0 to time of the last observed (non-BQL) quantifiable concentration, calculated by linear-linear trapezoidal summation.

Area Under the Plasma Concentration-Time Curve From 0 to Infinite Time (AUC[0-infinity]) Post Dose of ALS 008176, ALS-008206, ALS-008112, and ALS-008144
Pre-dose; 0.25, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose

The AUC (0-infinity) is the area under the plasma concentration-time curve from time 0 to infinite time, calculated as the sum of AUC (0-last) and C(last)/lambda(z), in which AUC(0-last) is area under the plasma ALS 008176, ALS-008206, ALS-008112, and ALS-008144 concentration-time curve from time zero to time of the last quantifiable concentration, C(last) is the last observed (non-BQL) quantifiable concentration and lambda(z) is elimination rate constant. Extrapolations of more than 20.00% of the total AUC are reported as approximations.

Percentage of Area Under the Plasma Concentration-Time Curve Obtained by Extrapolation (%AUC[infinity,ex])
Pre-dose; 0.25, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose

The %AUC\[infinity,ex\] is calculated by dividing the difference of AUC(0-infinity) and AUC(0-last) by AUC(0-infinity) and then multiplying by 100, (AUC\[0-infinity\] - AUC\[0-last\])\*100/AUC\[0-infinity\].

Apparent Initial Elimination Rate Constant (Lambda [alpha]) of ALS 008176, ALS-008206, ALS-008112, and ALS-008144
Pre-dose; 0.25, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose

The Lambda (alpha) determined by linear regression of the first elimination phase of the ln-linear plasma concentration-time curve.

Apparent Terminal Elimination Rate Constant (Lambda [z]) of ALS 008176, ALS-008206, ALS-008112, and ALS-008144
Pre-dose; 0.25, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose

The Lambda (z) determined by linear regression of the terminal points of the ln-linear plasma concentration-time curve.

Apparent Initial Half-life (t[1/2alpha]) of ALS 008176, ALS-008206, ALS-008112, and ALS-008144
Pre-dose; 0.25, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose

The t(1/2alpha) is defined as 0.693/Lambda (alpha).

Apparent Terminal Half-life (t[1/2term]) of ALS 008176, ALS-008206, ALS-008112, and ALS-008144
Pre-dose; 0.25, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose

The t(1/2term) is defined as 0.693/Lambda (z).

Amount of ALS 008176, ALS-008206, ALS-008112, and ALS-008144 excreted in Urine (Ae[x-y])
Up to 48 hours post-dose

Amount excreted into urine over a given time interval, calculated from the urinary drug concentration of the collection interval x to y hours post dosing multiplied with the associated urine volume of the interval.

Total Amount of ALS 008176, ALS-008206, ALS-008112, and ALS-008144 excreted in Urine (Ae[total])
Up to 48 hours post-dose

Total amount excreted into urine, calculated by adding the amounts of the individual intervals together {Ae\[0-48hours(h)\]}.

Total Percentage of ALS 008176, ALS-008206, ALS-008112, and ALS-008144 dose excreted into urine
Up to 48 hours post-dose

Total percentage of the dose excreted into urine, calculated as 100 \* (Ae\[total\]/Dose).

Renal clearance
Up to 48 hours post-dose

Renal clearance calculated as Ae (0-48h)/AUC (0-48h).

Secondary Endpoints

Percentage of Wheezing Days in Participants Per Month After RSV Infection
Month 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24
Number of Wheezing Episodes in Participants Per Month After the RSV Infection
Month 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24
Number of Participants With Reportable Adverse Events (AEs)
Up to 2 years
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeOTHER

Treatment Arms

ArmTypeDescription
LumicitabineEXPERIMENTALParticipants who completed the last planned study-related visit in a feeding Phase 2 study (64041575RSV2004), in which they received a regimen containing lumicitabine for the treatment of RSV infection, and who agree to participate in this follow-up study will be assessed for the incidence of the clinical diagnosis of asthma, frequency of wheezing, long-term safety of lumicitabine, frequency and type of respiratory infections and medical resource usage.
PlaceboPLACEBO_COMPARATORParticipants who completed the last planned study-related visit in a feeding Phase 2 study (64041575RSV2004), in which they received a regimen containing placebo for the treatment of RSV infection, and who agree to participate in this follow-up study will be assessed for the incidence of the clinical diagnosis of asthma, frequency of wheezing, long-term safety of placebo, frequency and type of respiratory infections and medical resource usage.
Group 1: Participants With Normal Renal FunctionEXPERIMENTALAdult participants with normal renal function (estimated glomerular filtration rate \[eGFR\] greater than or equal to \[\>=\] 90 milliliter per minute \[mL/min\]) will receive a single oral dose of 1,000 milligram (mg) JNJ-64041575 (4\*250-mg tablets) on Day 1 of treatment period.
Group 2: Participants With Mild Renal ImpairmentEXPERIMENTALAdult participants with mild impaired renal function (eGFR \>=60 to less than \[\<\] 90 mL/min) will receive a single oral dose of 1,000 mg JNJ-64041575 (4\*250-mg tablets) on Day 1 of treatment period.
Group 3: Participants With Moderate Renal ImpairmentEXPERIMENTALAdult participants with moderate impaired renal function (eGFR \>=30 to \<60 mL/min) will receive a single oral dose of 1,000 mg JNJ-64041575 (4\*250-mg tablets) on Day 1 of treatment period.
Group 4: Participants With Severe Renal ImpairmentEXPERIMENTALAdult participants with severe impaired renal function (eGFR \>= 15 to \<30 mL/min) will receive a single oral dose of 1,000 mg JNJ-64041575 (4\*250-mg tablets) on Day 1 of treatment period.
Group 5: Participants With ESRD With or Without HemodialysisEXPERIMENTALAdult participants with end-stage renal disease (ESRD) (eGFR \<15 mL/min if not on hemodialysis or requiring hemodialysis treatment for at least 3 months before screening if on hemodialysis) will receive a single oral dose of 1,000 mg JNJ-64041575 (4\*250-mg tablets) on Day 1 of treatment period. Participants with ESRD on hemodialysis will be dosed on an interdialysis day within 24 hours of their last hemodialysis treatment.
ALS-008176 (250 mg) or PlaceboEXPERIMENTALParticipants will receive ALS-008176, 250 milligram (mg) or placebo oral suspension once on Day 1 under fasted conditions.
ALS-008176 (500 mg) or PlaceboEXPERIMENTALParticipants will receive ALS-008176, 500 milligram (mg) or placebo oral suspension once on Day 1 under fasted conditions.
ALS-008176 (750 mg) or PlaceboEXPERIMENTALParticipants will receive ALS-008176, 750 milligram (mg) or placebo oral suspension once on Day 1 under fasted conditions.

Interventions

NameTypeDescription
LumicitabineDRUGParticipants who received lumicitabine in a feeding Phase 2 study (64041575RSV2004) will be observed in this study.
PlaceboDRUGParticipants who received placebo in a feeding Phase 2 study (64041575RSV2004) will be observed in this study.
JNJ-64041575DRUGAll participants will receive a single oral dose of 1,000 mg JNJ-64041575 (4\*250 mg tablets) on Day 1.
ALS-008176 (250 mg)DRUGParticipants will receive ALS-008176, 250 mg oral suspension once on Day 1 under fasted conditions.
ALS-008176 (500 mg)DRUGParticipants will receive ALS-008176, 500 mg oral suspension once on Day 1 under fasted conditions.
ALS-008176 (750 mg)DRUGParticipants will receive ALS-008176, 750 mg oral suspension once on Day 1 under fasted conditions.
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Eligibility Criteria

Age Range56 Days to 39 Months
SexALL
Healthy VolunteersNo
Study Sites4

Inclusion Criteria: * Male or female infants and children who were previously randomized in study 64041575RSV2004 for the treatment of respiratory syncytial virus (RSV) infection and who completed the planned course of the study drug and the last study-related visit of study 64041575RSV2004 * The p...

Countries:JapanGermany
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Frequently asked questions about JNJ-64041575

What is JNJ-64041575 used for?

JNJ-64041575 is an investigational small molecule developed by Johnson & Johnson for renal insufficiency. It has been studied in a Phase 1 pharmacokinetic trial in adults with various degrees of renal function. It is not an approved therapy; the program remains in clinical development.

Who makes JNJ-64041575?

JNJ-64041575 is developed by Johnson & Johnson, which trades on the New York Stock Exchange under the ticker JNJ. The company sponsored the Phase 1 renal impairment study of the compound.

What phase is JNJ-64041575 in?

JNJ-64041575 is in Phase 1 clinical development. One Phase 1 trial has been completed, and no active trials are ongoing. The compound is investigational and has not been approved for any indication.

What clinical trials is JNJ-64041575 in?

JNJ-64041575 has been evaluated in one completed Phase 1 trial, NCT03189498, titled a study to evaluate the effect of renal impairment on the pharmacokinetics of JNJ-64041575 in adult participants with various degrees of renal function. It enrolled 38 participants in Germany.

Is JNJ-64041575 the same as JNJ-64041575 oral suspension?

Yes. JNJ-64041575 is also referred to as JNJ-64041575 oral suspension formulation. Both names refer to the same investigational small molecule developed by Johnson & Johnson for renal insufficiency.