A Trial to Learn How Safe Vericiguat (BAY1021189) is and the Way the Body Absorbs, Distributes and Gets Rid of Vericiguat in Participants With Liver Disease and in Age-, Weight- and Gender-matched Healthy Participants

Study Overview
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Brief Summary
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Vericiguat (BAY1021189) is under development to treat heart failure, a condition in in which the heart has trouble pumping blood through the body. Liver impairment which co-occurs in patients with heart failure is a common condition in which the liver is not removing the drugs from the blood as well as it should. The goal of the study was to learn more about the safety of vericiguat (BAY1021189), how it was tolerated and the way the body absorbed, distributed and excreted the study dug given as a single oral dose of 2.5 mg tablet in participants with liver impairment and healthy participants matched for age-, gender-, and weight. The participants stayed at the trial site for about 5 days. During this time, the doctors took blood and urine samples and checked the participants' health. About 7 after the participants took vericiguat (BAY1021189), the researchers checked the participants' health again and asked about any medical problems they had.

Official Title
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Investigation of the Pharmacokinetics, Safety, and Tolerability of Vericiguat (BAY1021189) in Subjects With Hepatic Impairment (Classified as Child Pugh A or B) and in Age-, Weight-, and Gender-matched Healthy Subjects Following a Single Oral Dose in a Single-center, Non-randomized, Non-controlled, Non-blinded, Observational Study With Group Stratification

Conditions
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Heart Failure

Intervention / Treatment
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* Drug: Vericiguat (BAY1021189)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: For all subjects: Aged between 18 and 79 years (inclusive) with body mass index 18 to 34 kg/m^2 (both inclusive) Women without childbearing potential; women of childbearing potential only if the pregnancy test was negative and a combination of condoms with a safe and highly effective For subjects with hepatic impairment: Subjects with documented liver cirrhosis confirmed by histopathology, e.g., previous liver biopsy, laparoscopy, ultrasound, or fibroscan Subjects with hepatic impairment (Child Pugh A or B) Subjects with stable liver disease in the last 2 months For healthy subjects: Mean age and body weight in the control group and in the two groups with hepatic impairment (Child Pugh A and B) should not vary by more than ± 10 years and ± 10 kg Gender matched Exclusion Criteria: For all subjects: Subjects with a medical disorder, condition, or history of such that would impair the subject's ability to participate or complete this study in the opinion of the investigator or the sponsor Medical history of Kock pouch (ileostomy after proctocolectomy) Incompletely cured pre-existing diseases for which it can be assumed that the absorption, distribution, metabolism, elimination and effects of the study drugs will not be normal Known gastrointestinal (GI) disorders (eg stomach ulcers, duodenal ulcers, GI bleeding) or inflammatory bowel disease (eg Crohn's disease, ulcerative colitis) Febrile illness within 1 week prior to admission to study center Relevant diseases within the last 4 weeks prior to admission to study center Known severe allergies, non-allergic drug reactions, or multiple drug allergies Known hypersensitivity to the study drugs (active substances or excipients of the preparations) Subjects with diagnosed malignancy within the past 5 years For subjects with hepatic impairment: Severe cerebrovascular or cardiac disorders, e.g., myocardial infarction less than 6 months prior to dosing, congestive heart failure of New York Heart Association grade III or IV, severe arrhythmia requiring anti-arrhythmic treatment Evidence of hepatic encephalopathy related to chronic liver disease > grade 2 (exclusion by Number Connection Test (NCT)) Subjects with percutaneous transluminal coronary angioplasty or coronary artery bypass graft less than 6 months prior to study drug administration History of bleeding within the past 3 months Thrombotic disorder Subjects with diabetes mellitus with a glycohemoglobin A1c (HbA1c) >10% Severe ascites of more than 6 L (estimated by ultrasound) Subjects with primary and secondary biliary cirrhosis Subjects with sclerosing cholangitis Failure of any other major organ system other than the liver Severe infection, malignancy, or psychosis, or any clinically significant illness within 4 weeks prior to study drug administration For healthy subjects: Incompletely cured pre-existing diseases for which it can be assumed that the absorption, distribution, metabolism, elimination, and effects of the study drugs will not be normal Subjects with conspicuous findings in medical history or pre-study examination A history of relevant diseases of vital organs, the central nervous system, or other organs

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 79 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Child Pugh A<br>Participants with mild hepatic impairment | Drug: Vericiguat (BAY1021189)<br>* Oral single dose of 2.5 mg (2 x 1.25 mg immediate release tablet)<br>|
| Experimental: Child Pugh B<br>Participants with moderate hepatic impairment | Drug: Vericiguat (BAY1021189)<br>* Oral single dose of 2.5 mg (2 x 1.25 mg immediate release tablet)<br>|
| Experimental: Healthy participants<br>Participants with normal hepatic function | Drug: Vericiguat (BAY1021189)<br>* Oral single dose of 2.5 mg (2 x 1.25 mg immediate release tablet)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| AUC of vericiguat | Area under the concentration vs. time curve from zero to infinity after single dose administration | Up to 96 hours | 
| AUCu of vericiguat | AUC unbound | Up to 96 hours | 
| Cmax of vericiguat | Maximum observed drug concentration in measured matrix after single dose administration | Up to 96 hours | 
| Cmax,u of vericiguat | Cmax unbound | Up to 96 hours |