Study of PF-05221304 in Subjects With Varying Degrees of Hepatic Impairment
Primary Purpose
Hepatic Impairment
Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
PF-05221304
Sponsored by

About this trial
This is an interventional basic science trial for Hepatic Impairment
Eligibility Criteria
Key Exclusion Criteria:
All subjects -
- Adults <18 years of age and >70 years of age
- BMI < 17.5 and > 35.4 kg/m2
- HIV positive
- Conditions that affect drug absorption
- Positive breath alcohol test
Healthy/ those without hepatic impairment -
- Known or suspected hepatic impairment
- Evidence of Hepatitis B or C
- On any chronic medications
Those with varying degrees of hepatic impairment -
- Not meeting Classification A, B, or C of hepatic impairment based on Child-Pugh Classification
- Evidence of Hepatic carcinoma or hepatorenal syndrome or limited predicted life expectancy
- Recent GI bleed
- Moderate or severe renal impairment
- Hepatic encephalopathy Grade 3 or higher
Sites / Locations
- Orlando Clinical Research Center
- Pfizer Clinical Research Unit
- Pharmaceutical Research Associates CZ, s.r.o.
- Nemocnice Na Bulovce
- Summit Clinical Research s.r.o.
- Univerzitná Nemocnica Bratislava
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Experimental
Experimental
Experimental
Experimental
Arm Label
Cohort 1_Without impairment
Cohort 2_Mild impairment
Cohort 3_Moderate impairment
Cohort 4_Severe impairment
Arm Description
Single, 25 mg dose of PF-05221304
Single, 25 mg dose of PF-05221304
Single, 25 mg dose of PF-05221304
Single, 25 mg dose of PF-05221304
Outcomes
Primary Outcome Measures
Maximum Plasma Concentration (Cmax) of PF-05221304
Cmax was observed directly from data.
Area Under the Plasma Concentration-Time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) of PF-05221304
AUCinf was calculated by AUClast + (Clast*/kel), where AUClast was the area under the plasma concentration-time profile from time 0 to the time of the last quantifiable concentration, Clast* was the predicted plasma concentration at the last quantifiable time point estimated from the log-linear regression analysis, and kel was the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve.
Fraction Unbound (fu) of PF-05221304
fu was the fraction of PF-05221304 unbound in plasma. fu was calculated based on the post-dialysis plasma concentrations, post-dialysis buffer concentrations, collected post-dialysis plasma and post-dialysis buffer sample volume (assuming no volume shift prior to and after dialysis), and the total plasma concentrations.
Unbound Cmax (Cmax,u) of PF-05221304
Cmax,u was calculated by fu*Cmax.
Unbound AUCinf (AUCinf,u) of PF-05221304
AUCinf,u was calculated by fu*AUCinf.
Secondary Outcome Measures
Time to Reach Maximum Plasma Concentration (Tmax) of PF-05221304
Tmax was observed directly from data as time of first occurrence.
Area Under Concentration Time Curve From Time 0 to Time of Last Quantifiable Concentration (AUClast) of PF-05221304
AUClast was calculated by linear/Log trapezoidal method.
Unbound AUClast ( AUClast,u) of PF-05221304
AUClast,u was calculated by fu*AUClast.
Apparent Clearance After Oral Dose (CL/F) of PF-05221304
CL/F was calculated by Dose/AUCinf.
Unbound CL/F (CLu/F) of PF-05221304
CLu/F was calculated by fu*CL/F.
Apparent Volume of Distribution After Oral Dose (Vz/F) of PF-05221304
Vz/F was calculated by Dose/(AUCinf*kel). kel was the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve.
Unbound Vz/F (Vz,u/F) of PF-05221304
Vz,u/F was calculated by fu*Vz/F.
Terminal Half-Life ( t½) of PF-05221304
t1/2 was calculated by loge(2)/kel.
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
An adverse event (AE) was any untoward medical occurrence in a study participant administered a product or medical device; the event did not need to have a causal relationship with the treatment or usage. A serious adverse event (SAE) was any untoward medical occurrence at any dose that resulted in death; was life threatening; required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity; resulted in congenital anomaly/birth defect. AEs included both SAEs and AEs. TEAEs were AEs occurred following the start of treatment or AEs increasing in severity during treatment. Number of participants with both all-causality and treatment-related TEAEs are presented below.
Number of Participants With Laboratory Test Abnormalities (Without Regard to Baseline Abnormality)-Hematology
Hematology evaluation included: hemoglobin, hematocrit, erythrocytes, reticulocytes, erythrocyte mean corpuscular volume, erythrocyte mean corpuscular hemoglobin concentration (MCHC), erythrocyte mean corpuscular hemoglobin, platelets, leukocytes, lymphocytes, neutrophils, basophils, eosinophils, monocytes, activated partial thromboplastin time and prothrombin time.
Number of Participants With Laboratory Test Abnormalities (Without Regard to Baseline Abnormality)-Clinical Chemistry
Clinical chemistry evaluation included: bilirubin, direct/indirect bilirubin, aspartate aminotransferase, alanine aminotransferase, gamma glutamyl transferase , alkaline phosphatase, protein, albumin, blood urea nitrogen, creatinine, urate, sodium, potassium, chloride, calcium, phosphate, bicarbonate, creatine kinase, and fasting glucose.
Number of Paticipants With Laboratory Test Abnormalities (Without Regard to Baseline Abnormality)-Urinalysis
Urinalysis evaluation included: scalar urine glucose, scalar ketones, scalar urine protein, scalar urine hemoglobin, scalar urobilinogen, scalar urine bilirubin, scalar nitrite, scalar leukocyte esterase, urine erythrocytes, urine leukocytes, hyaline casts, and scalar bacteria.
Number of Participants With Clinical Significant Findings in Vital Signs
Vital signs evaluation included: sitting systolic and diastolic blood pressure (BP), and sitting pulse rate. Clinically significant findings in vital signs were determined by the investigator.
Number of Participants With Clinically Significant Findings in Electrocardiogram (ECG) Data
ECG evaluation included: PR interval, time from ECG Q wave to the end of the S wave corresponding to ventricle depolarization (QRS interval), time between the start of the Q wave and the end of the T wave in the heart's electrical cycle (QT interval), QT interval corrected for heart rate using Fridericia's formula (QTcF interval), and heart rate. Clinically significant findings in ECG data were determined by the investigator.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03309202
Brief Title
Study of PF-05221304 in Subjects With Varying Degrees of Hepatic Impairment
Official Title
A PHASE 1, NON-RANDOMIZED, OPEN-LABEL, SINGLE-DOSE, PARALLEL COHORT STUDY TO COMPARE THE PHARMACOKINETICS OF PF-05221304 IN ADULT SUBJECTS WITH VARYING DEGREES OF HEPATIC IMPAIRMENT RELATIVE TO SUBJECTS WITHOUT HEPATIC IMPAIRMENT
Study Type
Interventional
2. Study Status
Record Verification Date
June 2019
Overall Recruitment Status
Completed
Study Start Date
December 19, 2017 (Actual)
Primary Completion Date
June 26, 2018 (Actual)
Study Completion Date
July 18, 2018 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pfizer
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
Hepatic impairment PK study
Detailed Description
This is a non randomized, open label, single dose, parallel cohort, multisite study to investigate the effect of varying degrees of hepatic impairment on the plasma pharmacokinetics (total and unbound) of PF-05221304 after a single oral dose administered in the fed state.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatic Impairment
7. Study Design
Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
24 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Cohort 1_Without impairment
Arm Type
Experimental
Arm Description
Single, 25 mg dose of PF-05221304
Arm Title
Cohort 2_Mild impairment
Arm Type
Experimental
Arm Description
Single, 25 mg dose of PF-05221304
Arm Title
Cohort 3_Moderate impairment
Arm Type
Experimental
Arm Description
Single, 25 mg dose of PF-05221304
Arm Title
Cohort 4_Severe impairment
Arm Type
Experimental
Arm Description
Single, 25 mg dose of PF-05221304
Intervention Type
Drug
Intervention Name(s)
PF-05221304
Other Intervention Name(s)
experimental drug
Intervention Description
25 mg dose
Primary Outcome Measure Information:
Title
Maximum Plasma Concentration (Cmax) of PF-05221304
Description
Cmax was observed directly from data.
Time Frame
0, 1, 2, 3, 4, 5, 8, 10, 16, 24, 36, 48, 72, 96, 120, 144 hours postdose
Title
Area Under the Plasma Concentration-Time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) of PF-05221304
Description
AUCinf was calculated by AUClast + (Clast*/kel), where AUClast was the area under the plasma concentration-time profile from time 0 to the time of the last quantifiable concentration, Clast* was the predicted plasma concentration at the last quantifiable time point estimated from the log-linear regression analysis, and kel was the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve.
Time Frame
0, 1, 2, 3, 4, 5, 8, 10, 16, 24, 36, 48, 72, 96, 120, 144 hours postdose
Title
Fraction Unbound (fu) of PF-05221304
Description
fu was the fraction of PF-05221304 unbound in plasma. fu was calculated based on the post-dialysis plasma concentrations, post-dialysis buffer concentrations, collected post-dialysis plasma and post-dialysis buffer sample volume (assuming no volume shift prior to and after dialysis), and the total plasma concentrations.
Time Frame
4 hours postdose
Title
Unbound Cmax (Cmax,u) of PF-05221304
Description
Cmax,u was calculated by fu*Cmax.
Time Frame
4 hours postdose
Title
Unbound AUCinf (AUCinf,u) of PF-05221304
Description
AUCinf,u was calculated by fu*AUCinf.
Time Frame
4 hours postdose
Secondary Outcome Measure Information:
Title
Time to Reach Maximum Plasma Concentration (Tmax) of PF-05221304
Description
Tmax was observed directly from data as time of first occurrence.
Time Frame
0, 1, 2, 3, 4, 5, 8, 10, 16, 24, 36, 48, 72, 96, 120, 144 hours postdose
Title
Area Under Concentration Time Curve From Time 0 to Time of Last Quantifiable Concentration (AUClast) of PF-05221304
Description
AUClast was calculated by linear/Log trapezoidal method.
Time Frame
0, 1, 2, 3, 4, 5, 8, 10, 16, 24, 36, 48, 72, 96, 120, 144 hours postdose
Title
Unbound AUClast ( AUClast,u) of PF-05221304
Description
AUClast,u was calculated by fu*AUClast.
Time Frame
4 hours postdose
Title
Apparent Clearance After Oral Dose (CL/F) of PF-05221304
Description
CL/F was calculated by Dose/AUCinf.
Time Frame
0, 1, 2, 3, 4, 5, 8, 10, 16, 24, 36, 48, 72, 96, 120, 144 hours postdose
Title
Unbound CL/F (CLu/F) of PF-05221304
Description
CLu/F was calculated by fu*CL/F.
Time Frame
4 hours postdose
Title
Apparent Volume of Distribution After Oral Dose (Vz/F) of PF-05221304
Description
Vz/F was calculated by Dose/(AUCinf*kel). kel was the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve.
Time Frame
0, 1, 2, 3, 4, 5, 8, 10, 16, 24, 36, 48, 72, 96, 120, 144 hours postdose
Title
Unbound Vz/F (Vz,u/F) of PF-05221304
Description
Vz,u/F was calculated by fu*Vz/F.
Time Frame
4 hours postdose
Title
Terminal Half-Life ( t½) of PF-05221304
Description
t1/2 was calculated by loge(2)/kel.
Time Frame
0, 1, 2, 3, 4, 5, 8, 10, 16, 24, 36, 48, 72, 96, 120, 144 hours postdose
Title
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Description
An adverse event (AE) was any untoward medical occurrence in a study participant administered a product or medical device; the event did not need to have a causal relationship with the treatment or usage. A serious adverse event (SAE) was any untoward medical occurrence at any dose that resulted in death; was life threatening; required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity; resulted in congenital anomaly/birth defect. AEs included both SAEs and AEs. TEAEs were AEs occurred following the start of treatment or AEs increasing in severity during treatment. Number of participants with both all-causality and treatment-related TEAEs are presented below.
Time Frame
Approximately 30 days
Title
Number of Participants With Laboratory Test Abnormalities (Without Regard to Baseline Abnormality)-Hematology
Description
Hematology evaluation included: hemoglobin, hematocrit, erythrocytes, reticulocytes, erythrocyte mean corpuscular volume, erythrocyte mean corpuscular hemoglobin concentration (MCHC), erythrocyte mean corpuscular hemoglobin, platelets, leukocytes, lymphocytes, neutrophils, basophils, eosinophils, monocytes, activated partial thromboplastin time and prothrombin time.
Time Frame
7 days
Title
Number of Participants With Laboratory Test Abnormalities (Without Regard to Baseline Abnormality)-Clinical Chemistry
Description
Clinical chemistry evaluation included: bilirubin, direct/indirect bilirubin, aspartate aminotransferase, alanine aminotransferase, gamma glutamyl transferase , alkaline phosphatase, protein, albumin, blood urea nitrogen, creatinine, urate, sodium, potassium, chloride, calcium, phosphate, bicarbonate, creatine kinase, and fasting glucose.
Time Frame
7 days
Title
Number of Paticipants With Laboratory Test Abnormalities (Without Regard to Baseline Abnormality)-Urinalysis
Description
Urinalysis evaluation included: scalar urine glucose, scalar ketones, scalar urine protein, scalar urine hemoglobin, scalar urobilinogen, scalar urine bilirubin, scalar nitrite, scalar leukocyte esterase, urine erythrocytes, urine leukocytes, hyaline casts, and scalar bacteria.
Time Frame
7 days
Title
Number of Participants With Clinical Significant Findings in Vital Signs
Description
Vital signs evaluation included: sitting systolic and diastolic blood pressure (BP), and sitting pulse rate. Clinically significant findings in vital signs were determined by the investigator.
Time Frame
7 days
Title
Number of Participants With Clinically Significant Findings in Electrocardiogram (ECG) Data
Description
ECG evaluation included: PR interval, time from ECG Q wave to the end of the S wave corresponding to ventricle depolarization (QRS interval), time between the start of the Q wave and the end of the T wave in the heart's electrical cycle (QT interval), QT interval corrected for heart rate using Fridericia's formula (QTcF interval), and heart rate. Clinically significant findings in ECG data were determined by the investigator.
Time Frame
7 days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Key Exclusion Criteria:
All subjects -
Adults <18 years of age and >70 years of age
BMI < 17.5 and > 35.4 kg/m2
HIV positive
Conditions that affect drug absorption
Positive breath alcohol test
Healthy/ those without hepatic impairment -
Known or suspected hepatic impairment
Evidence of Hepatitis B or C
On any chronic medications
Those with varying degrees of hepatic impairment -
Not meeting Classification A, B, or C of hepatic impairment based on Child-Pugh Classification
Evidence of Hepatic carcinoma or hepatorenal syndrome or limited predicted life expectancy
Recent GI bleed
Moderate or severe renal impairment
Hepatic encephalopathy Grade 3 or higher
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
Orlando Clinical Research Center
City
Orlando
State/Province
Florida
ZIP/Postal Code
32809
Country
United States
Facility Name
Pfizer Clinical Research Unit
City
Brussels
ZIP/Postal Code
B-1070
Country
Belgium
Facility Name
Pharmaceutical Research Associates CZ, s.r.o.
City
Praha 7
ZIP/Postal Code
170 00
Country
Czechia
Facility Name
Nemocnice Na Bulovce
City
Praha 8
ZIP/Postal Code
180 81
Country
Czechia
Facility Name
Summit Clinical Research s.r.o.
City
Bratislava
ZIP/Postal Code
83101
Country
Slovakia
Facility Name
Univerzitná Nemocnica Bratislava
City
Bratislava
ZIP/Postal Code
83305
Country
Slovakia
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.
Links:
URL
https://trialinfoemail.pfizer.com/pages/landing.aspx?StudyID=C1171006&StudyName=A+Phase+1%2C+Non-randomized%2C+Open-label%2C+Single-dose%2C+Parallel+Cohort+Study+To+Compare+The+Pharmacokinetics+Of+Pf-05221304+Between+Healthy+Adult+Subjects+And+Those+With+Varying+Degrees+Of+Hepatic+Impairment
Description
To obtain contact information for a study center near you, click here.
URL
https://trialinfoemail.pfizer.com/pages/landing.aspx?StudyID=C1171006&StudyName=A+Phase+1%2C+Non-randomized%2C+Open-label%2C+Single-dose%2C+Parallel+Cohort+Study+To+Compare+The+Pharmacokinetics+Of+Pf-05221304+In+Adult+Subjects+With+Varying+Degrees+Of+Hepatic+Impairment+Relative+To+Subjects+Without+Hepatic+Impairment
Description
To obtain contact information for a study center near you, click here.
Learn more about this trial
Study of PF-05221304 in Subjects With Varying Degrees of Hepatic Impairment
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