The drug that is under investigation during this study is BAY85-3934 which is intended to be used as a treatment for patients suffering from renal anemia due to chronic kidney disease (stage 3 and 4). The purpose of this study is to provide safety and tolerability information on the drug. Other objectives of the study are to investigate the effect of the drug on the body (pharmacodynamics) as well as the absorption, breakdown, metabolism, distribution and excretion (pharmacokinetics) by measuring the concentration in blood and urine. The study will be conducted in one study center in the United Kingdom and several centers in Germany. 84 (of which 36 are optional) patients who meet the inclusion criteria will participate in the study. BAY 85-3934 will be given following a combined single / multiple dose escalation design in seven (of which three are optional) dose steps.
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Number of Subjects with Treatment-Emergent Adverse Events (TEAE)
Timeframe: From start of study drug administration until last follow-up visit (14 days after the last study drug administration)
Mean Change in Heart Rate Within 4 hours Post-dose
Timeframe: Within 4 hours from after administration of study drug on Day 1 and Day 14
Mean Change in Heart Rate Over 1 Minute for Doses 25, 50, 75 Milligrams
Timeframe: From start of study drug administration until 12 hours after the last study drug administration
Mean Change in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) Within 4 hours Post-dose
Timeframe: Within 4 hours post-dose at Day 1 and Day 14
Number of Subjects with Clinically Relevant Abnormal Findings in the Electrocardiogram (ECG)
Timeframe: Day 1 and Day 14
Number of Subjects with Clinically Relevant Laboratory Values
Timeframe: Day 1 and Day 14
Maximum Observed Drug Concentration (Cmax) in Plasma of Molidustat and its Metabolite After Single Dose of Molidustat
Timeframe: Single dose: 0-48 hours post-dose
Maximum Observed Drug Concentration Divided by Dose (Cmax/D) in Plasma of Molidustat and its Metabolite After Single Dose of Molidustat
Timeframe: Single dose: 0-48 hours post-dose
Area Under the Concentration Versus Time Curve From Zero to Infinity (AUC) in Plasma of Molidustat and its Metabolite After Single Dose of Molidustat
Timeframe: Single dose: 0-48 hours post-dose
Area Under the Concentration Versus Time Curve From Zero to Infinity Divided by Dose (AUC/D) in Plasma of Molidustat and its Metabolite After Single Dose of Molidustat
Timeframe: Single dose: 0-48 hours post-dose
Maximum Observed Drug Concentration (Cmax,md) in Plasma of Molidustat and its Metabolite After Multiple Dose Administration of Molidustat
Timeframe: Multiple dose: 0-24 hours post dose on Day 14 (13d)
Maximum Observed Drug Concentration in Plasma Divided by Dose (Cmax,md/D) of Molidustat and its Metabolite After Multiple Dose Administration of Molidustat
Timeframe: Multiple dose: 0-24 hours post dose on Day 14 (13d)
Area Under the Concentration Versus Time Curve From 0 to 24 hour (AUC[0-24]md) in Plasma During any Dose Interval of Molidustat and its Metabolite After Multiple Dose of Molidustat
Timeframe: Multiple dose: 0-24 hours post dose on Day 14 (13d)
Area Under the Concentration Versus Time Curve From 0 to 24 hour Divided by Dose (AUC[0-24] md/D) in Plasma During any Dose Interval of Molidustat and its Metabolite After Multiple Dose of Molidustat
Timeframe: Multiple dose: 0-24 hours post dose on Day 14 (13d)