Hepatic impairment significantly alters drug metabolism and safety. Both EMA and FDA require hepatic impairment studies before registration, as these data directly inform dose adjustment and labeling.
At Astrum, we conduct hepatic impairment trials from our 60-bed hospital-based Phase I unit in Porto, supported by an 11-hospital clinical research network. This combination ensures fast access to patients across the Child–Pugh spectrum, with rigorous safety oversight and global regulatory credibility.
Cohorts across mild (A), moderate (B), and severe (C) liver dysfunction.
Integrated PK/PD and biomarker assessments to track hepatic impact on metabolism.
Dose-ranging, titration, and crossover protocols adapted to study objectives.
Access to hepatologists within our Porto unit and hospital partners to safeguard participants.
Studies designed to meet EMA, FDA, and ANVISA guidance, ensuring data acceptance worldwide.
Essential for drug registration and label approval.
Determines safe dosing strategies for patients with liver dysfunction.
Identifies metabolism-related safety concerns early.
Strengthens the data package for both regulators and investors.