Recruiting
Phase 1

PKN605

Sponsor:

Novartis Pharmaceuticals

Code:

NCT07797322

Conditions

Participants With Moderate and Severe Renal Impairment and Healthy Participants

Eligibility Criteria

Sex: All

Age: 18 - 70+

Healthy Volunteers: Accepted

Interventions

PKN605

Study Details

Brief summary:

The purpose of this trial is to assess any potential exposure increases of PKN605 in participants with reduced renal function to support decisions on participant eligibility and dosing in subsequent clinical trials of PKN605.

Conditions

Participants With Moderate and Severe Renal Impairment and Healthy Participants

Study ID

NCT07797322

Start date

Oct 1, 2026

Status verified date

Nov, 2026

Completion date

Mar 2, 2027

Anticipated

Primary completion date

Mar 1, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18 - 70+

Healthy Volunteers: Accepted

Inclusion Criteria:

All participants (Group 1, 2 \& 3)

  • Male and female participants 18 to 80 years of age (inclusive).
  • Weigh at least 50 kg with a body mass index (BMI) within the range of 18 to 42.0 kg/m2, inclusive, at Screening.

Participants with moderate and severe RI (Group 1 \& 2)

  • Have impaired renal function as determined by the mean eGFR calculated using the CKD EPI Creatinine - Cystatin C equation (2021) (refer to Section 8.5.1 for equation), and fall into one of the following groups:
  • Group 1: moderate RI; eGFR 30 to 60 mL/min, inclusive.
  • Group 2: severe RI; eGFR <30 mL/min, not requiring dialysis.
  • \*The mean eGFR will be calculated from 2 values: one obtained at Screening and a second obtained at least 72 hours later, either at Screening or at the Baseline visit. The mean of these 2 values will be used to assign the renal impairment group.
  • Have stable renal function with no clinically significant change (no change ≥25% from Screening 1 to Screening 2 or Baseline value) in renal status prior to first dosing of study treatment as determined by the Investigator and is not currently or has not been previously on hemodialysis for at least 1 year.

Healthy control participants (Group 3)

  • Each healthy participant must match the age (±10 years), body weight (±15%), and sex of an individual participant in Group 1 and/or Group 2.
  • Has normal renal function with eGFR ≥90 mL/min, determined using the CKD-EPI Creatinine - Cystatin C equation (2021) at Screening.

Exclusion Criteria:

All participants (Group 1, 2 \& 3)

  • Women of childbearing potential (as defined in the protocol) need to use an effective contraception method during the course of this trial.
  • History or current diagnosis of ECG or cardiac abnormalities indicating significant risk of safety for participants such as:
  • Clinically significant ECG abnormalities that, in the opinion of the Investigator, would place the participant at increased risk.
  • Concomitant clinically significant cardiac arrhythmias, e.g., sustained ventricular tachycardia, and clinically significant second or third degree atrioventricular block without a pacemaker.
  • History of long QT syndrome or known family history of ventricular arrhythmia or sudden cardiac death.
  • QT interval corrected by Fridericia's formula (QTcF) >450 milliseconds (ms) for males and >460 ms for females, unless considered not clinically significant and not associated with increased arrhythmic risk by the Investigator, with appropriate safety oversight; QTcF must not exceed 470 ms in males and 480 ms in females.
  • Use of agents known to prolong the QT interval unless they can be discontinued for the duration of study.
  • Initiation or dose adjustment within <4 weeks of screening of medications known to cause acute changes in eGFR (e.g., angiotensin-converting-enzyme \[ACE\] inhibitors, angiotensin II receptor blockers \[ARBs\], sodium/glucose cotransporter 2 \[SGLT2\] inhibitors, diuretics, nonsteroidal anti-inflammatory drugs \[NSAIDs\]). Note: NSAIDs are excluded for use in participants with moderate and severe renal impairment (refer to Exclusion criterion 23).
  • Renal transplant recipients or has had a nephrectomy. Participants with moderate and severe RI (Group 1 \& 2)
  • Participants requiring dialysis.
  • Participants taking erythropoiesis-stimulating agents (ESAs) within the last 6 months of Screening and until end of study (EoS) visit.

Healthy control participants (Group 3)

• History or presence of impaired renal function as indicated by clinically significantly abnormal creatinine or blood urea nitrogen and/or urea values, or abnormal urinary constituents or eGFR <90 mL/min in medical history or at Screening.

Other protocol-defined inclusion/exclusion criteria may apply

Study Design

Enrollment

40 participants

Anticipated

Allocation

Non randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Group 1

PKN605 in participants with moderate renal impairment

experimental: Group 2

PKN605 in participants with severe renal impairment

experimental: Group 3

PKN605 in healthy participants with normal renal function

Interventions

PKN605

PKN605 orally as a tablet under fasted conditions

Primary outcome measure

  • Primary plasma PK parameters: Cmax [ Time Frame: Up to 5 days ]
  • Primary plasma PK parameters: AUClast [ Time Frame: Up to 5 days ]
  • Primary plasma PK parameters: AUCinf [ Time Frame: Up to 5 days ]
  • Secondary plasma PK parameters: Tmax [ Time Frame: Up to 5 days ]
  • Secondary plasma PK parameters: AUC0-t [ Time Frame: Up to 5 days ]
  • Secondary plasma PK parameters: T1/2 [ Time Frame: Up to 5 days ]
  • Secondary plasma PK parameters: Tlast [ Time Frame: Up to 5 days ]
  • Secondary plasma PK parameters: CL/F [ Time Frame: Up to 5 days ]
  • Secondary plasma PK parameters: Vz/F [ Time Frame: Up to 5 days ]

Central Contacts and Locations

Central contacts

Locations

University of Miami

Recruiting

Miami, Florida, United States, 33136

Contacts

Principal Investigator:

Richard A Preston

Orlando Clinical Research Center Inc

Recruiting

Orlando, Florida, United States, 32809

Contacts

Cindy Brown

cbrown@ocrc.net

Principal Investigator:

Thomas C Marbury

Genesis Clinical Research

Recruiting

Tampa, Florida, United States, 33614

Contacts

Principal Investigator:

Jesus Navarro

More Information

Sponsor

Novartis Pharmaceuticals

Last update posted

Nov 6, 2026

Last verified

Nov, 2026

Keywords

  • PKN605
  • renal impairment
  • PK
  • safety
  • tolerability

Trial information was received from ClinicalTrials.gov and was last updated on 2026-11-07. This information was provided to ClinicalTrials.gov by Novartis Pharmaceuticals on 2026-11-06. Recruitment status is synced daily from ClinicalTrials.gov and may not reflect the sponsor's current status. Confirm during your call.