Study to Evaluate the Effect of Renal Function on the Single-Dose Pharmacokinetics of BAY 43-9006

Study Overview
=================
Brief Summary
-----------------
This is a 400 mg (2 x 200 mg tablets) sorafenib single dose, open-label study being conducted to compare the pharmacokinetics of plasma and urine and safety of sorafenib in subjects with severe, moderate, and mild renal impairment with those exhibiting normal renal function.

Official Title
-----------------
A Study to Evaluate the Effect of Renal Function on the Single-Dose Pharmacokinetics of Sorafenib (BAY 43-9006, Nexavar).

Conditions
-----------------
Kidney Diseases

Intervention / Treatment
-----------------
* Drug: Sorafenib (BAY43-9006, Nexavar)


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Post menopausal females Surgically sterile females Body Mass Index between 18-37 Subjects with Clcr greater than 80 mL/min Subjects with Clcr 50 to 80 mL/min Subjects with Clcr 30 to 50 mL/min Clcr less than 30 mL/min but not on dialysis Subjects must test negative for HIV Subjects must test negative for drugs of abuse at screening Exclusion Criteria: All Subjects : Concomitant Medication: Treatment with CYP3A4 inducers, such as rifampin and St. John's Wort within 14 days of Day 1 until they leave the clinic on Day 7 Donation of blood within 30 days of Day 1 Recent participation in an investigational drug study during which active medication was given within 30 days of Day 1 History of gastrointestinal disorder that could result in incomplete absorption of study drug Malignancy Significant neurologic or psychiatric disorders History of drug or alcohol abuse in year prior to screening for this trial, or current intake or >14 standard alcoholic drinks per week Prior history of epilepsy or other seizure disorders Known hypersensitivity to inhibitors of raf kinase or VEGFR-2 Females of child-bearing potential Smoking > 10 cigarettes/day or equivalent Excessive consumption (more than five 8-oz. cups/day) of coffee or caffeine Healthy Volunteer: Existing failure of a major organ system, or a medical disorder that would impair the subject's ability to complete the study (in the opinion of the investigator or the sponsor), eg history of blood coagulation disorders Hematocrit value < 34% in the control group at screening Renal Impairment Groups: Existing failure of a major organ system or a medical disorder (other than the target disease) which would impair the subject's ability to complete the study (in the opinion of the investigator or the sponsor) Concomitant Medication: Renal impairment subjects taking phosphate binders, ion exchange resins and/or iron supplements may take them with their meals, but must withhold them on the morning of Day 1 (dosing day) until after their 4 hour post-dose tests and procedures are performed. Myocardial infarction, coronary artery bypass graft or percutaneous transluminal coronary angiography within 6 months of Day 1; unstable angina; uncontrolled significant hypertension within 3 months of Day 1; cerebral vascular accident or transient ischemic attack within 12 months of Day 1 Subjects with hypertension who have had a medication or dose change within one week of Day 1 Subjects requiring dialysis Subjects with kidney transplants Liver transaminase (AST, ALT) greater than 5 times the ULN at screening; any active liver disease or unexplained or persistent elevations in liver function tests Hematocrit value < 24% in the renal impaired groups

Ages Eligible for Study
-----------------
Minimum Age: 40 Years
Maximum Age: 75 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Basic Science
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Arm 1<br> | Drug: Sorafenib (BAY43-9006, Nexavar)<br>* All subjects were given a open-label, single dose of 400mg sorafenib<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pharmacokinetics of sorafenib in plasma and urine; single-dose safety of sorafenib in patients with renal impairment |  | 2 weeks |