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Pharmacokinetics And Relative Bioavailability Of Bococizumab (PF-04950615; RN316) When Administered To The Abdomen, Thigh Or Upper Arm

Primary Purpose

Hypercholesterolemia

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Bococizumab (PF-04950615; RN316)
Bococizumab (PF-04950615; RN316)
Bococizumab (PF-04950615; RN316)
Sponsored by
Pfizer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Hypercholesterolemia focused on measuring pharmacokinetics, bioavailability, PF-04950615

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male and female subjects 18 to 65 years of age.
  • Body Mass Index (BMI) ≤ 33 kg/m2, and total body weight of 60 kg to 90 kg (132 lbs to 198 lbs).
  • Fasting LDL-C must be > 130 mg/dL (borderline high per NCEP ATP III criteria) at two qualifying visits: initial screening (Days -28 to -14) and Day -7.

Exclusion Criteria:

  • Poorly controlled type 1 or type 2 diabetes mellitus (HbA1c > 9.0%).
  • History of a cardiovascular or cerebrovascular event (eg, MI, stroke, TIA) or related procedure (eg, angioplasty) during the past year.
  • Subjects who meet the New York Heart Association (NYHA) criteria for congestive heart failure (CHF) classes III or IV.

Sites / Locations

  • Anaheim Clinical Trials, LLC
  • Miami Research Associates
  • MRA Clinical Research, LLC
  • Vince & Associates Clinical Research, Inc.
  • Vince & Associates Clinical Research, Inc.
  • Clinical Trials of Texas, Inc.

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Experimental

Experimental

Arm Label

Single 150 mg PF-04950615 dose administered to the abdomen

Single 150 mg PF-04950615 dose administered to the upper arm

Single 150 mg PF-04950615 dose administered to the thigh

Arm Description

Outcomes

Primary Outcome Measures

Area Under the Plasma Concentration-Time Curve From Time 0 Extrapolated to Infinite Time (AUCinf)
AUCinf is the area under the plasma concentration-time curve (AUC) from time zero (pre-dose) extrapolated to infinite time.
Maximum Observed Plasma Concentration (Cmax)
Maximum observed concentration.

Secondary Outcome Measures

Area Under the Curve From Time Zero to the Time of Last Quantifiable Concentration (AUClast)
AUClast is area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration.
Time to Reach Maximum Observed Plasma Concentration (Tmax)
Time for maximum observed concentration.
Apparent Clearance (CL/F)
Apparent clearance following subcutaneous administration.
Apparent Volume of Distribution (Vz/F)
Apparent volume of distribution following subcutaneous administration.
Terminal Elimination Half-Life (t1/2)
Terminal elimination half-life following subcutaneous administration.
Maximum Low-density Lipoprotein Cholesterol LDL-C Lowering Effect (Emax): Absolute Value
Maximum LDL-C response using absolute on trial LDL-C data
Emax: Change From Baseline
LDL-C Emax expressed as change from baseline.
Emax: Percent Change From Baseline
LDL-C Emax expressed as percent change from baseline.
Time to Reach Maximum LDL-C Lowering (Tmax, LDL-C)
Time to LDL-C Emax
Area Under the LDL-C Effect Curve (AUEC): Absolute Value
AUEC is the area under the LDL-C concentration-time curve from baseline to Day 85 exprssed using absolute on trial value
AUEC: Change From Baseline
AUEC is the area under the LDL-C concentration-time curve from baseline to Day 85 exprssed as change from baseline
AUEC: Percent Change From Baseline
AUEC is the area under the LDL-C concentration-time curve from baseline to Day 85 expressed as percent change from baseline.
Number of Participants With Injection Site Reactions (ISRs) by Severity
Acute injection site reactions (e.g, pain, pruritus, induration) were captured as adverse events (AEs). Intensity of the AE was described as mild (does not interfere with usual function), moderate (interferes to some extent with usual function), or severe (interferes significantly with participant's usual function).
Number of Participants With Positive Anti-Drug Antibodies (ADA) and Neutralizing Antibodies (nAb)
A participant is ADA positive if ADA titer (log2) >=6.23. A participant is nAb positive if nAb titer (log2) >=4.32.
Anti-Drug Antibody (ADA) Titer
ADA titer: titers were presented as log2 reciprocal dilution at assay cutpoint.
Neutralizing Antibody (nAb) Titer
nAb titer: titers were presented as log2 reciprocal dilution at assay cutpoint.

Full Information

First Posted
January 21, 2014
Last Updated
February 14, 2019
Sponsor
Pfizer
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1. Study Identification

Unique Protocol Identification Number
NCT02043301
Brief Title
Pharmacokinetics And Relative Bioavailability Of Bococizumab (PF-04950615; RN316) When Administered To The Abdomen, Thigh Or Upper Arm
Official Title
A PHASE 1, OPEN-LABEL, RANDOMIZED, SINGLE DOSE, PARALLEL GROUP STUDY TO ASSESS INJECTION SITE RELATIVE BIOAVAILABILITY OF PF-04950615 FOLLOWING SUBCUTANEOUS ADMINISTRATION IN ADULT SUBJECTS WITH HYPERCHOLESTEROLEMIA
Study Type
Interventional

2. Study Status

Record Verification Date
February 2019
Overall Recruitment Status
Completed
Study Start Date
April 2014 (Actual)
Primary Completion Date
November 2014 (Actual)
Study Completion Date
November 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pfizer

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study aims to characterize the single dose pharmacokinetics of PF-04950616 following subcutaneous injection to the abdomen, upper arm or the thigh.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypercholesterolemia
Keywords
pharmacokinetics, bioavailability, PF-04950615

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
75 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Single 150 mg PF-04950615 dose administered to the abdomen
Arm Type
Active Comparator
Arm Title
Single 150 mg PF-04950615 dose administered to the upper arm
Arm Type
Experimental
Arm Title
Single 150 mg PF-04950615 dose administered to the thigh
Arm Type
Experimental
Intervention Type
Biological
Intervention Name(s)
Bococizumab (PF-04950615; RN316)
Intervention Description
Single 150 mg PF-04950615 dose administered SC to the abdomen
Intervention Type
Biological
Intervention Name(s)
Bococizumab (PF-04950615; RN316)
Intervention Description
Single 150 mg PF-04950615 dose administered SC to the upper arm
Intervention Type
Biological
Intervention Name(s)
Bococizumab (PF-04950615; RN316)
Intervention Description
Single 150 mg PF-04950615 dose administered SC to the thigh
Primary Outcome Measure Information:
Title
Area Under the Plasma Concentration-Time Curve From Time 0 Extrapolated to Infinite Time (AUCinf)
Description
AUCinf is the area under the plasma concentration-time curve (AUC) from time zero (pre-dose) extrapolated to infinite time.
Time Frame
Day 1 (Hour 0 pre-dose, Hours 1 and 8 post-dose), Day 2, Day 3, Day 4, Day 5, Day 6, Day 8, Day 15, Day 22, Day 29, Day 36, Day 43, Day 50, Day 57, Day 64, Day 71 and Day 85/Early Termination.
Title
Maximum Observed Plasma Concentration (Cmax)
Description
Maximum observed concentration.
Time Frame
Day 1 (Hour 0 pre-dose, Hours 1 and 8 post-dose), Day 2, Day 3, Day 4, Day 5, Day 6, Day 8, Day 15, Day 22, Day 29, Day 36, Day 43, Day 50, Day 57, Day 64, Day 71 and Day 85/Early Termination.
Secondary Outcome Measure Information:
Title
Area Under the Curve From Time Zero to the Time of Last Quantifiable Concentration (AUClast)
Description
AUClast is area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration.
Time Frame
Day 1 (Hour 0 pre-dose, Hours 1 and 8 post-dose), Day 2, Day 3, Day 4, Day 5, Day 6, Day 8, Day 15, Day 22, Day 29, Day 36, Day 43, Day 50, Day 57, Day 64, Day 71 and Day 85/Early Termination.
Title
Time to Reach Maximum Observed Plasma Concentration (Tmax)
Description
Time for maximum observed concentration.
Time Frame
Day 1 (Hour 0 pre-dose, Hours 1 and 8 post-dose), Day 2, Day 3, Day 4, Day 5, Day 6, Day 8, Day 15, Day 22, Day 29, Day 36, Day 43, Day 50, Day 57, Day 64, Day 71 and Day 85/Early Termination.
Title
Apparent Clearance (CL/F)
Description
Apparent clearance following subcutaneous administration.
Time Frame
Day 1 (Hour 0 pre-dose, Hours 1 and 8 post-dose), Day 2, Day 3, Day 4, Day 5, Day 6, Day 8, Day 15, Day 22, Day 29, Day 36, Day 43, Day 50, Day 57, Day 64, Day 71 and Day 85/Early Termination.
Title
Apparent Volume of Distribution (Vz/F)
Description
Apparent volume of distribution following subcutaneous administration.
Time Frame
Day 1 (Hour 0 pre-dose, Hours 1 and 8 post-dose), Day 2, Day 3, Day 4, Day 5, Day 6, Day 8, Day 15, Day 22, Day 29, Day 36, Day 43, Day 50, Day 57, Day 64, Day 71 and Day 85/Early Termination.
Title
Terminal Elimination Half-Life (t1/2)
Description
Terminal elimination half-life following subcutaneous administration.
Time Frame
Day 1 (Hour 0 pre-dose, Hours 1 and 8 post-dose), Day 2, Day 3, Day 4, Day 5, Day 6, Day 8, Day 15, Day 22, Day 29, Day 36, Day 43, Day 50, Day 57, Day 64, Day 71 and Day 85/Early Termination.
Title
Maximum Low-density Lipoprotein Cholesterol LDL-C Lowering Effect (Emax): Absolute Value
Description
Maximum LDL-C response using absolute on trial LDL-C data
Time Frame
Baseline (average of Day -7 and Day 1), Day 2, Day 3, Day 4, Day 5, Day 6, Day 8, Day 15, Day 22, Day 29, Day 36, Day 43, Day 50, Day 57, Day 64, Day 71 and Day 85/Early Termination
Title
Emax: Change From Baseline
Description
LDL-C Emax expressed as change from baseline.
Time Frame
Baseline (average of Day -7 and Day 1), Day 2, Day 3, Day 4, Day 5, Day 6, Day 8, Day 15, Day 22, Day 29, Day 36, Day 43, Day 50, Day 57, Day 64, Day 71 and Day 85/Early Termination
Title
Emax: Percent Change From Baseline
Description
LDL-C Emax expressed as percent change from baseline.
Time Frame
Baseline (average of Day -7 and Day 1), Day 2, Day 3, Day 4, Day 5, Day 6, Day 8, Day 15, Day 22, Day 29, Day 36, Day 43, Day 50, Day 57, Day 64, Day 71 and Day 85/Early Termination
Title
Time to Reach Maximum LDL-C Lowering (Tmax, LDL-C)
Description
Time to LDL-C Emax
Time Frame
Baseline (average of Day -7 and Day 1), Day 2, Day 3, Day 4, Day 5, Day 6, Day 8, Day 15, Day 22, Day 29, Day 36, Day 43, Day 50, Day 57, Day 64, Day 71 and Day 85/Early Termination
Title
Area Under the LDL-C Effect Curve (AUEC): Absolute Value
Description
AUEC is the area under the LDL-C concentration-time curve from baseline to Day 85 exprssed using absolute on trial value
Time Frame
Baseline (average of Day -7 and Day 1), Day 2, Day 3, Day 4, Day 5, Day 6, Day 8, Day 15, Day 22, Day 29, Day 36, Day 43, Day 50, Day 57, Day 64, Day 71 and Day 85/Early Termination
Title
AUEC: Change From Baseline
Description
AUEC is the area under the LDL-C concentration-time curve from baseline to Day 85 exprssed as change from baseline
Time Frame
Baseline (average of Day -7 and Day 1), Day 2, Day 3, Day 4, Day 5, Day 6, Day 8, Day 15, Day 22, Day 29, Day 36, Day 43, Day 50, Day 57, Day 64, Day 71 and Day 85/Early Termination
Title
AUEC: Percent Change From Baseline
Description
AUEC is the area under the LDL-C concentration-time curve from baseline to Day 85 expressed as percent change from baseline.
Time Frame
Baseline (average of Day -7 and Day 1), Day 2, Day 3, Day 4, Day 5, Day 6, Day 8, Day 15, Day 22, Day 29, Day 36, Day 43, Day 50, Day 57, Day 64, Day 71 and Day 85/Early Termination
Title
Number of Participants With Injection Site Reactions (ISRs) by Severity
Description
Acute injection site reactions (e.g, pain, pruritus, induration) were captured as adverse events (AEs). Intensity of the AE was described as mild (does not interfere with usual function), moderate (interferes to some extent with usual function), or severe (interferes significantly with participant's usual function).
Time Frame
Day 1 to Day 85
Title
Number of Participants With Positive Anti-Drug Antibodies (ADA) and Neutralizing Antibodies (nAb)
Description
A participant is ADA positive if ADA titer (log2) >=6.23. A participant is nAb positive if nAb titer (log2) >=4.32.
Time Frame
Day 1, Day 15, Day 29, Day 57 and Day 85/Early Termination
Title
Anti-Drug Antibody (ADA) Titer
Description
ADA titer: titers were presented as log2 reciprocal dilution at assay cutpoint.
Time Frame
Day 1, Day 15, Day 29, Day 57 and Day 85/Early Termination
Title
Neutralizing Antibody (nAb) Titer
Description
nAb titer: titers were presented as log2 reciprocal dilution at assay cutpoint.
Time Frame
Day 1, Day 15, Day 29, Day 57 and Day 85/Early Termination

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male and female subjects 18 to 65 years of age. Body Mass Index (BMI) ≤ 33 kg/m2, and total body weight of 60 kg to 90 kg (132 lbs to 198 lbs). Fasting LDL-C must be > 130 mg/dL (borderline high per NCEP ATP III criteria) at two qualifying visits: initial screening (Days -28 to -14) and Day -7. Exclusion Criteria: Poorly controlled type 1 or type 2 diabetes mellitus (HbA1c > 9.0%). History of a cardiovascular or cerebrovascular event (eg, MI, stroke, TIA) or related procedure (eg, angioplasty) during the past year. Subjects who meet the New York Heart Association (NYHA) criteria for congestive heart failure (CHF) classes III or IV.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pfizer CT.gov Call Center
Organizational Affiliation
Pfizer
Official's Role
Study Director
Facility Information:
Facility Name
Anaheim Clinical Trials, LLC
City
Anaheim
State/Province
California
ZIP/Postal Code
92801
Country
United States
Facility Name
Miami Research Associates
City
South Miami
State/Province
Florida
ZIP/Postal Code
33143
Country
United States
Facility Name
MRA Clinical Research, LLC
City
South Miami
State/Province
Florida
ZIP/Postal Code
33143
Country
United States
Facility Name
Vince & Associates Clinical Research, Inc.
City
Overland Park
State/Province
Kansas
ZIP/Postal Code
66211
Country
United States
Facility Name
Vince & Associates Clinical Research, Inc.
City
Overland Park
State/Province
Kansas
ZIP/Postal Code
66212
Country
United States
Facility Name
Clinical Trials of Texas, Inc.
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
Citations:
PubMed Identifier
28636184
Citation
Wang EQ, Plotka A, Salageanu J, Sattler C, Yunis C. Pharmacokinetics and pharmacodynamics of bococizumab, a monoclonal antibody to PCSK9, after single subcutaneous injection at three sites [NCT 02043301]. Cardiovasc Ther. 2017 Oct;35(5). doi: 10.1111/1755-5922.12278.
Results Reference
derived
Links:
URL
https://trialinfoemail.pfizer.com/pages/landing.aspx?StudyID=B1481024&StudyName=Pharmacokinetics%20And%20Relative%20Bioavailability%20Of%20PF-04950615%20When%20Administered%20To%20The%20Abdomen%2C%20Thigh%20Or%20Upper%20Arm
Description
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Pharmacokinetics And Relative Bioavailability Of Bococizumab (PF-04950615; RN316) When Administered To The Abdomen, Thigh Or Upper Arm

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