Clinical trial Recruiting at 1 site Phase 1 Interventional Ages 18 to 84

Casdatifan pharmacokinetics in moderate hepatic impairment vs normal liver function

Official title: A Phase 1, Open-Label, Single-Dose, Parallel-Group Study to Evaluate the Pharmacokinetics of Casdatifan (AB521) in Participants With Moderate Hepatic Impairment Compared to Healthy Matched Participants

Run by Arcus Biosciences, Inc. · NCT07751250 · Data updated 2026-11-12

This study tests how a single dose of casdatifan behaves in people with moderate liver impairment compared to healthy individuals with normal liver function.

More Hepatic Impairment trials

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years to 84 Years
SexAll
Enrollment16 (estimated)
SponsorArcus Biosciences, Inc.
Industry-sponsored
Locations1 site (San Antonio, Texas)
StatusRecruiting
StartedAugust 14, 2026
Main results expectedMay 2027
Study endsMay 2027
Registry record updatedSeptember 4, 2026
Trial IDNCT07751250 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with moderate hepatic impairment (Child-Pugh B, score 7–9) and stable liver function, matched to healthy adults without liver disease.

Probably not a fit

Patients with severe liver disease, active hepatitis B or C infection, Gilbert's syndrome, or other conditions excluded by criteria may not receive benefit from this PK comparison.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This first‑in‑human pharmacokinetic study compares the single‑dose behavior of casdatifan between adults with moderate hepatic impairment and matched healthy controls. Participants receive a single dose of casdatifan and undergo PK sampling to characterize absorption, distribution, metabolism, and excretion. The study uses Child-Pugh class B criteria to define hepatic impairment and matches control participants on baseline characteristics. Safety, tolerability, and key laboratory and vital signs are monitored throughout the study. Location is a single research site in San Antonio, Texas, sponsored by Arcus Biosciences.

Why it matters

Potential benefit: If successful, the findings could inform dosing considerations for patients with moderate hepatic impairment.

How similar studies have gone: KR studies in similar PK comparisons for hepatically impaired vs healthy participants have provided actionable PK differences aiding dose recommendations; this study builds on that approach for casdatifan.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

All Participants:

* Male participants must be vasectomized
* BMI ≥ 18.0 and ≤ 42.0 kg/m2 and body weight ≥ 45 kg at screening.

Participants with Moderate HI (Group 1)

* Is classified as having moderate HI by the Child-Pugh classification system (Class B, score of 7 to 9, inclusive) at screening.
* Has a diagnosis of chronic (\> 6 months), stable (no acute episodes of illness within the previous 2 months due to deterioration in hepatic function) hepatic insufficiency at screening

Healthy Participants:

* Healthy with no clinically significant medical history, physical examination, clinical laboratory profiles, vital signs, and ECGs, as deemed by the PI or designee

Exclusion Criteria:

All Participants:

* Participants with Gilbert's syndrome.

Participants with Moderate HI (Group 1):

* Positive for HBsAg or HCV Ab, and detectable viral load at screening.
* Severe complications of liver disease within the preceding 3 months of screening.
* Fluctuating or rapidly deteriorating hepatic function from screening until prior to dosing, in the opinion of the PI or designee.

Healthy Control Participants:

* History or presence of clinically significant medical or psychiatric condition or disease, or presence of any illness that, in the opinion of the PI or designee, might confound the results of the study or poses an additional risk to the participant by their participation in the study

NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.

Where it's running

  • Research Site
    San Antonio, Texas, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.