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Icenticaftor

Phase 1

Hepatic Failure | Small molecule | Gastrointestinal |Novartis AG|Last Updated: Jun 20, 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 Enrollment40
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04587622Pharmacokinetic Study of Icenticaftor in Participants With Hepatic ImpairmentPHASE1 COMPLETED 40Oct 30, 2020Sep 15, 2022Jun 20, 20242 United States
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Study Endpoints
Primary Endpoints
Maximum observed icenticaftor plasma concentration (Cmax) after single oral dose
pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

Icenticaftor plasma concentrations will be determined by a validated liquid chromatography with tandem mass spectrometry (LC-MS/MS) method. Cmax of icenticaftor will be determined with Phoenix WinNonlin (Version 6.4 or higher).

Area under the plasma concentration-time curve from time zero to the last measurable concentration sampling time (AUClast) of icenticaftor after single oral dose
pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

AUClast of icenticaftor will be determined using non-compartment methods with Phoenix WinNonlin (Version 6.4 or higher). The linear trapezoidal rule will be used for AUClast calculation.

Area under the plasma concentration-time curve from time zero to infinity (AUCinf) of icenticaftor after single oral dose
pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

AUCinf of icenticaftor will be determined using non-compartment methods with Phoenix WinNonlin (Version 6.4 or higher). The linear trapezoidal rule will be used for AUCinf calculation.

Time to reach maximum icenticaftor plasma concentration (Tmax) after single oral dose
pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

Icenticaftor plasma concentrations will be determined by a validated liquid chromatography with tandem mass spectrometry (LC-MS/MS) method. Tmax of icenticaftor will be determined with Phoenix WinNonlin (Version 6.4 or higher).

Apparent plasma clearance (CL/F) of icenticaftor after single oral dose
pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

CL/F of icenticaftor will be determined using non-compartment methods with Phoenix WinNonlin (Version 6.4 or higher).

Apparent volume of distribution during terminal phase (Vz/F) of icenticaftor after single oral dose
pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

Vz/F of icenticaftor will be determined using non-compartment methods with Phoenix WinNonlin (Version 6.4 or higher).

Elimination half-life (T1/2) of icenticaftor after single oral dose
pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose

T1/2 of icenticaftor will be determined using non-compartment methods with Phoenix WinNonlin (Version 6.4 or higher). Regression analysis of the terminal plasma elimination phase will be used for T1/2 calculation.

Secondary Endpoints
Plasma protein binding free fraction (unbound fraction [fu]) of icenticaftor
3 hours post-dose
Cmax of unbound icenticaftor (Cmax,u)
pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose
AUClast of unbound icenticaftor (AUClast,u)
pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120, 144 and 168 hours post-dose
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Group 1 - Healthy subjects with normal hepatic functionEXPERIMENTALHealthy subjects with normal hepatic function - Control
Group 2 - Mild Hepatic ImpairmentEXPERIMENTALMild hepatic impairment: Child-Pugh A (Score 5-6)
Group 3 - Moderate Hepatic ImpairmentEXPERIMENTALModerate hepatic impairment: Child-Pugh B (Score 7-9)
Group 4 - Severe Hepatic ImpairmentEXPERIMENTALSevere hepatic impairment: Child-Pugh C (Score 10-15)
Interventions
NameTypeDescription
IcenticaftorDRUGSingle oral dose of 300 mg of icenticaftor (QBW251)
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Eligibility Criteria
Age Range18 Years — 75 Years
SexALL
Healthy VolunteersYes
Study Sites2

All Participants: Inclusion Criteria: * Male and non-child bearing potential female participants, 18 to 75 years of age (inclusive) at Screening. * Participants must weigh at least 50.0 kg and must have a body mass index (BMI) within the range of 18.0 to 38.0 kg/m2, inclusive, at Screening. * Must...

Countries:United States
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