A Research Study Looking Into Blood and Urine Levels of the Medicine NNC0194-0499 in the Body and How Well it is Tolerated in Participants With Reduced Kidney Function and Normal Kidney Function

Study Overview
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Brief Summary
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Novo Nordisk is developing the study medicine NNC0194-0499 for the treatment of non-alcoholic steatohepatitis (NASH). NASH is a serious disease where fat, inflammation and scar tissue builds up in the liver. In this study the blood and urine levels of NNC0194-0499 will be compared in people with various degrees of reduced kidney function to the blood and urine levels in people with normal kidney function, after administration of one dose of 30 milligrams (mg) NNC0194-0499. Participant will only get the study medicine in one injection into a skinfold in the thigh (subcutaneous). The study will last for about 66 days including a screening phase of up to 28 days prior to dosing.

Official Title
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Investigation of Pharmacokinetics, Safety and Tolerability of a Single Subcutaneous Dose of NNC0194-0499 in Participants With Various Degrees of Renal Impairment and Normal Renal Function

Conditions
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Non-alcoholic Steatohepatitis (NASH)

Intervention / Treatment
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* Drug: NNC0194-0499


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male or female, aged 18-80 years (both inclusive) at the time of signing informed consent. Body mass index (BMI) between 18.5-39.9 kilogram per meter square (kg/m2) (both inclusive). Meeting the pre-defined estimated glomerular filtration rate (eGFR) values based on the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation according to Kidney Disease: Improving Global Outcomes (KDIGO) 20121, 2 standardized to the individual body surface area (BSA). Group description eGFR (mL/min) Normal renal function greater than or equal to 90 Mild renal impairment 60 - 89 Moderate renal impairment 30 - 59 Severe renal impairment 15 - 29 not requiring dialysis End-Stage Renal Disease (ESRD) less than 15 or requiring dialysis treatment Renal group 5 (ESRD). Participants requiring dialysis treatment should be on treatment with haemodialysis. Exclusion Criteria: Any disorder, except for conditions associated with renal impairment, which in the investigator's opinion might jeopardise participant's safety or compliance with the protocol. Use of prescription medicinal products or non-prescription drugs, or non-routine vitamins, which at the investigators judgement may affect participant safety or the results of the study within 14 days before screening. Use of the following are allowed: Routine vitamins, occasional use of paracetamol, ibuprofen and topical medication not reaching systemic circulation. Use of drugs known to affect creatinine clearance including cephalosporin and aminoglycoside antibiotics, flucytosine, cisplatin, cimetidine, trimethoprim, cibenzoline and nitrofurantoin within 14 days or 5 half-lives, whichever is greater, before planned dosing of the investigational medicinal product (IMP). Presence or history of any clinically relevant respiratory, metabolic, renal, hepatic, gastrointestinal, or endocrinological conditions (except conditions associated with renal impairment or ESRD).

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Participants with normal renal function<br>Participants will receive a single subcutaneous injection of 30 mg NNC0194-0499. | Drug: NNC0194-0499<br>* Participants will receive a single subcutaneous injection of 30 mg NNC0194-0499.<br>|
| Experimental: Participants with impaired renal function<br>Participants will receive a single subcutaneous injection of 30 mg NNC0194-0499. | Drug: NNC0194-0499<br>* Participants will receive a single subcutaneous injection of 30 mg NNC0194-0499.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| AUC0499,0-∞,SD: Area under the NNC0194-0499 serum concentration-time curve after a single dose | Measured as hours*nanomoles per litre (h*nmol/L) | From baseline (Visit 2, Day 1, pre-dose) until completion of the end of study visit (Visit 9, Day 36) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cmax,0499,SD: Maximum observed serum NNC0194-0499 concentration after a single dose | Measured as nanomoles per litre (nmol/L) | From baseline (Visit 2, Day 1, pre-dose) until completion of the end of study visit (Visit 9, Day 36) | 
| tmax,0499,SD: Time to maximum observed serum NNC0194-0499 concentration after a single dose | Measured in hours (h) | From baseline (Visit 2, Day 1, pre-dose) until completion of the end of study visit (Visit 9, Day 36) | 
| t½,0499,SD: Terminal half-life of NNC0194-0499 after a single dose | Measured in hours (h) | From baseline (Visit 2, Day 1, pre-dose) until completion of the end of study visit (Visit 9, Day 36) | 
| Vz/F0499,SD: Apparent volume of distribution of NNC0194-0499 after a single dose | Measured as Litre (L) | From baseline (Visit 2, Day 1, pre-dose) until completion of the end of study visit (Visit 9, Day 36) | 
| CL/F0499,SD: Apparent clearance of NNC0194-0499 after a single dose | Measured as Litre per hour (L/h) | From baseline (Visit 2, Day 1, pre-dose) until completion of the end of study visit (Visit 9, Day 36) | 
| CLR,0499,SD: Renal clearance of NNC0194-0499 after a single dose | Measured as Litre per hour (L/h) | From baseline (Visit 2, Day 1, predose) until completion of the urine collection period 96 hours after dosing (Visit 2, Day 5) |