Pharmacokinetics of Lanraplenib in Adults With Impaired Renal Function
Condition: Inflammatory Disease
MeSH terms: Renal Insufficiency
Intervention: Lanraplenib.
Intervention description: 20 mg (2 X 10 mg) tablets administered orally in a fasted state on Day 1
Phase: Phase 1
Study type: Interventional
Primary purpose: Treatment
Allocation: Non-Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Enrollment: 36.0
Sex: All
Minimum age: 18 Years
Maximum age: 75 Years
Healthy volunteers: Accepts Healthy Volunteers

Summary:

      The primary objective of this study is to evaluate the pharmacokinetics (PK) of lanraplenib
      in participants with impaired renal function relative to matched healthy controls.
      Participants in this study will be enrolled using an adaptive design that includes up to 3
      enrolled cohorts. Based on safety and/or PK data in Cohort 1, participants will be enrolled
      in adaptive Cohorts 2 and/or 3.
    

Eligibility criteria:

        Key Inclusion Criteria:

        All Individuals

          -  Have the ability to understand and sign a written informed consent form (ICF), which
             must be obtained prior to initiation of study procedures

          -  Have a calculated body mass index (BMI) of ≥ 18 kg/m^2 and ≤ 36 kg/m^2 at screening

          -  Females of childbearing potential must have a negative pregnancy test at screening and
             clinic admission (Day -1).

          -  Individuals have not donated blood within 56 days of study entry or plasma within 7
             days of study entry and must refrain from blood donation from clinic admission,
             throughout the study period, and continuing for at least 30 days following the last
             dose of study drug.

          -  Have either a normal 12-lead electrocardiogram (ECG) or one with abnormalities that
             are considered clinically insignificant by the investigator in consultation with the
             sponsor

          -  Must, in the opinion of the investigator, be in good health based upon medical history
             and physical examination, including vital signs

        For Individuals with Renal Impairment

          -  Must have diagnosis of chronic (> 6 months), stable renal impairment with no
             clinically significant change in renal function status within 90 days prior to study
             drug administration (Day 1).

          -  Have a creatinine clearance (CLcr) < 90 mL/min (using the Cockcroft-Gault method)
             based on serum creatinine and actual body weight as measured at screening.

        For Healthy Matched Controlled Individuals (Individuals with Normal Renal Function)

          -  Have a CLcr ≥ 90 mL/min (using the Cockcroft-Gault method) based on serum creatinine
             and actual body weight as measured at screening

          -  Match in age (± 10 years), gender, and body mass index (± 20%, 18 kg/m^2 ≤ BMI ≤ 36
             kg/m^2).

        Key Exclusion Criteria:

          -  Be a lactating female

          -  Have received any investigational compound within 30 days prior to study dosing

          -  Have current alcohol or substance abuse judged by the investigator to potentially
             interfere with individual's compliance or individual's safety as judged by the
             investigator

          -  Have a positive test result for human immunodeficiency virus type 1 (HIV-1) antibody,
             hepatitis B surface antigen (HBsAg), hepatitis B core antibody (HBcAb), or hepatitis C
             virus (HCV) antibody

          -  Have poor venous access that limits phlebotomy

        For Individuals with Renal Impairment

          -  Require or are anticipated to require dialysis within 90 days of study dosing

          -  Require during the study or have received moderate or strong inhibitors or inducers of
             cytochrome P450 (CYP) 3A within 2 weeks prior to study drug administration.

        For Healthy Matched Controlled Individuals (Individuals with Normal Renal Function)

          -  Have taken any prescription medications or over-the-counter medications, including
             herbal products and antacids, within 28 days prior to start of study drug dosing, with
             the exception of vitamins and/or acetaminophen and/or ibuprofen and/or hormonal
             contraceptive medications and/or stable hormone replacement therapy in peri-
             /post-menopausal female

        Note: Other protocol defined Inclusion/Exclusion criteria may apply.