Renal impairment profoundly affects the pharmacokinetics (PK) and pharmacodynamics (PD) of investigational drugs. Both EMA and FDA require renal impairment studies in the registrational pathway for most new drugs, to guide dose adjustment and inform the product label.
At Astrum, we specialize in conducting these complex studies with scientific rigor, patient safety, and regulatory credibility at the forefront. Our 60-bed hospital-based Phase I unit in Porto, supported by direct access to onsite dialysis unit and a 11-hospital clinical research network, provides seamless access to patients across the full spectrum of renal function. Our hospital network we have dedicated Dialysis units.
Mild, moderate, severe, and end-stage renal disease (ESRD) patients included.
Trials designed around dialysis schedules, including timing of dose, comparative cohorts, and drug clearance evaluation.
Dose titration, crossover protocols, multiple formulations, and blinded/unblinded designs tailored to Sponsor needs.
On-site specialists ensure both participant safety and data integrity.
We are experienced in the conduct of renal impairment trials with a proven track record of competitive recruitment and regulatory-ready timelines.
Establish safe and effective dosing regimens for impaired patients.
Generate the mandatory data required for regulatory labeling.
Identify potential safety issues before late-phase or market entry.
Meet EMA/FDA/ANVISA requirements for organ impairment studies.