Evidence map›Paper›PMID 39134325›Full record

Trial reportBritish journal of clinical pharmacology2024

The effect of severe renal impairment on the pharmacokinetics, safety and tolerability of mitiperstat.

Chandrali S Bhattacharya, Patricia Ely Pizzato, Maria Heijer, Mikael Sunnåker, Julie Holden, Monika Trebski, Karin Nelander, Hodan Ali, Diyan K Genov, Malin Aurell and 2 more

Abstract readClinical Trial
In one paragraph

Trial report in British journal of clinical pharmacology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Chandrali S BhattacharyaClinical Pharmacology and Quantitative Pharmacology, Clinical Pharmacology and Safety Sciences, BioPharmaceuticals R&D, AstraZeneca, Gaithersburg, MD, USA.
Patricia Ely PizzatoEarly Clinical Development, Research and Early Clinical Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Gaithersburg, MD, USA.
Maria HeijerIntegrated Bioanalysis, Clinical Pharmacology and Safety Sciences, R&D, AstraZeneca, Gothenburg, Sweden.
Mikael SunnåkerClinical Pharmacology and Quantitative Pharmacology, Clinical Pharmacology and Safety Sciences, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.ORCID https://orcid.org/0009-0003-5881-4998
Julie HoldenPatient Safety, BioPharmaceuticals R&D, AstraZeneca, Gaithersburg, MD, USA.
Monika TrebskiPatient Safety, BioPharmaceuticals R&D, AstraZeneca, Gaithersburg, MD, USA.
Karin NelanderBiometrics, Late Cardiovascular Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
Hodan AliLate-Stage Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Gaithersburg, MD, USA.
Diyan K GenovComac Medical, Sofia, Bulgaria.
Malin AurellEarly Clinical Development, Research and Early Clinical Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Gaithersburg, MD, USA.
Anna CollénProjects, Research and Early Development, Cardiovascular, Renal and Metabolism, Biopharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
Hans EricssonClinical Pharmacology and Quantitative Pharmacology, Clinical Pharmacology and Safety Sciences, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.ORCID https://orcid.org/0000-0001-6038-4331

Funding

AstraZeneca
6 · The paper itself

Abstract

aimsMitiperstat is a novel, highly potent myeloperoxidase inhibitor being evaluated in patients with cardio-metabolic disease (phase 2). These patients often have impaired renal function, which may affect mitiperstat pharmacokinetics. This study assessed mitiperstat pharmacokinetics, safety and tolerability in participants with severe renal impairment and normal renal function, to inform inclusion of participants with estimated glomerular filtration rate (eGFR) < 30 mL/min/1.73 m

methodsParticipants with severe renal impairment (eGFR ≥15 and <30 mL/min/1.73 m

resultsTotal apparent mitiperstat clearance was 10.83 L/h in the severe renal impairment cohort and 25.62 L/h in the control cohort. The area under the plasma concentration-time curve was 2.37-fold higher (90% confidence interval [CI]: 1.79, 3.12) in the severe renal impairment cohort than in the control cohort, with longer elimination half-life and similar maximum concentration. Non-renal clearance was similar between the cohorts.

conclusionsMitiperstat apparent clearance was approximately twofold lower in individuals with severe renal impairment than in those with normal renal function. Lower clearance was driven by reduced renal clearance; non-renal clearance was similar. Mitiperstat was generally well tolerated by participants with severe renal impairment and normal renal function. These findings, together with efficacy and safety/tolerability data from phase 2b, will guide the dosing regimen for phase 3.

Indexed as

Enzyme InhibitorsPeroxidaseRenal InsufficiencyAdministration, OralAdultAgedBiomarkers, PharmacologicalCardiovascular DiseasesDrug ToleranceFemaleHumansKidneyMaleMiddle AgedPharmacokineticsPyrimidinesAZD4831Biomarkers, PharmacologicalEnzyme InhibitorsPeroxidasePyrimidinesPyrrolesAZD4831heart failurekidney diseasemitiperstatpharmacokineticsrenal impairment

Identifiers

PMID39134325
PMCPMC11602950

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.