Evidence map›Paper›PMID 41903096›Full record

ArticleDrugs in R&D2026

The Influence of Renal or Hepatic Impairment on the Pharmacokinetics of Iclepertin (BI 425809): Results from Two Phase I Open-Label, Non-randomised, Single Dose, Parallel Design Studies.

HeeJae Choi, Shilpa Madari, Elmar Daalman, Brett A English, Atef Halabi, Kathrin Hohl, Yury Shatillo, Nathalie Weidinger, Michael Desch

2 registry-linked trialsAbstract readClinical Trial, Phase I
In one paragraph

Article in Drugs in R&D, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT05718843 phase1completednot on this map

Pharmacokinetics, Safety and Tolerability of BI 425809 (Iclepertin) Following Oral Administration in Male and Female Participants With Different Degrees of Renal Impairment (Severe, Moderate and Mild) Compared With Matched Male and Female Participants With Normal Renal Function (an Open-label, Non-randomised, Single-dose, Parallel, Individual-matched Design Trial)

TypeinterventionalSponsorBoehringer IngelheimRan2023 to 2023Enrolled36ConditionsRenal InsufficiencyArmsBI 425809
NCT05731895 phase1completednot on this map

Pharmacokinetics, Safety and Tolerability of BI 425809 (Iclepertin) Following Oral Administration in Male and Female Participants With Different Degrees of Hepatic Impairment (Child-Pugh Classification A and B) Compared With Matched Male and Female Participants With Normal Hepatic Function (an Open-label, Non-randomised, Single-dose, Parallel, Individualmatched Design Trial)

TypeinterventionalSponsorBoehringer IngelheimRan2023 to 2023Enrolled29ConditionsHepatic InsufficiencyArmsIclepertin
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

HeeJae ChoiBoehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, CT, USA.ORCID http://orcid.org/0000-0003-0319-910X
Shilpa MadariBoehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, CT, USA.ORCID http://orcid.org/0009-0003-2945-3695
Elmar DaalmanBoehringer Ingelheim Pharma GmbH & Co. KG, Birkendorfer Strasse 65, 88400, Biberach an der Riss, Germany.
Brett A EnglishBoehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, CT, USA.
Atef HalabiCRS Clinical Research Services Kiel GmbH, Kiel, Germany.
Kathrin HohlBoehringer Ingelheim Pharma GmbH & Co. KG, Birkendorfer Strasse 65, 88400, Biberach an der Riss, Germany.ORCID http://orcid.org/0009-0004-5842-9093
Yury ShatilloBoehringer Ingelheim Pharma GmbH & Co. KG, Birkendorfer Strasse 65, 88400, Biberach an der Riss, Germany.
Nathalie WeidingerBoehringer Ingelheim Pharma GmbH & Co. KG, Birkendorfer Strasse 65, 88400, Biberach an der Riss, Germany.
Michael DeschBoehringer Ingelheim Pharma GmbH & Co. KG, Birkendorfer Strasse 65, 88400, Biberach an der Riss, Germany. michael.desch@boehringer-ingelheim.com.ORCID http://orcid.org/0000-0003-0205-1592

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesIclepertin, a selective GlyT1 inhibitor undergoes metabolism mainly via hepatic CYP3A4, with only a small fraction undergoing urinary excretion. Patients with kidney or liver problems can have reduced CYP3A4 levels or activity, which may affect the levels of iclepertin in the blood and, in turn, its safety. Here, we present the results of two studies investigating the safety and pharmacokinetics of iclepertin in participants with various degrees of renal or hepatic impairment.

methodsIn these two phase I, open-label, non-randomised, parallel studies, a single oral dose of iclepertin 10 mg was administered to participants with mild, moderate or severe renal impairment or mild or moderate hepatic impairment, together with healthy matched participants (based on age, sex, weight and race [only for renal impairment]; n = 8 for each impairment group. Primary and secondary endpoints included maximum plasma concentration (C

resultsIn the renal impairment study (N = 36), exposure of iclepertin was minimally affected by renal impairment across trial groups except for the severe renal impairment group, which showed increased iclepertin exposure (AUC

conclusionsThese findings indicate that although some increased exposure to iclepertin is expected in patients with severe renal impairment or moderate hepatic impairment, iclepertin 10 mg demonstrated a favourable safety profile, was well-tolerated, and can be administered in patients with varying degrees of renal or hepatic impairment without dose modification. STUDY REGISTRATION: ClinicalTrials.gov (NCT05718843, NCT05731895).

Indexed as

Liver DiseasesRenal InsufficiencyAdministration, OralAdultAgedArea Under CurveFemaleHumansMaleMiddle AgedYoung Adult

Identifiers

PMID41903096
PMCPMC13076746

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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 Socratic graph.