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Investigation Of Safety, Tolerability, Pharmacokinetics And Pharmacodynamics Of Single Doses Of Vupanorsen In Japanese Healthy Adult Participants With Elevated Triglycerides

Primary Purpose

Healthy

Status
Completed
Phase
Phase 1
Locations
Japan
Study Type
Interventional
Intervention
Vupanorsen
Placebo
Sponsored by
Pfizer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Healthy focused on measuring Triglycerides

Eligibility Criteria

20 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Male and female participants must be 20 to 65 years of age, inclusive, at the time of signing the ICD.
  2. Participants must have four Japanese grandparents born in Japan.
  3. Male and female participants who are overtly healthy as determined by medical evaluation including medical history, physical examination, laboratory tests (except for TG levels), and 12 lead ECG monitoring.
  4. Fasting TG >= 90 mg/dL at Screening
  5. Participants who are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures.
  6. BMI of 17.5 to 35.0 kg/m2; and a total body weight >50 kg (110 lb)
  7. Capable of giving signed informed consent as described in Appendix 1, which includes compliance with the requirements and restrictions listed in the ICD and in this protocol.

Exclusion Criteria:

  1. Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurological, or allergic disease.
  2. History of HIV infection, hepatitis B, or hepatitis C; positive testing for HIV, HBsAg, or HCVAb.
  3. Other medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study.
  4. History of allergic or anaphylactic reaction.
  5. Use of prescription or nonprescription drugs and dietary and herbal supplements within 7 days or 5 half lives (whichever is longer) prior to the first dose of study intervention.
  6. Previous administration with an investigational drug within 4 months or 5 half lives preceding the first dose of study intervention used in this study (whichever is longer).
  7. A positive urine drug test.
  8. Screening supine BP >=140 mm Hg (systolic) or >=90 mm Hg (diastolic), following at least 5 minutes of supine rest. If BP is >=140 mm Hg (systolic) or >=90 mm Hg (diastolic), the BP should be repeated 2 more times and the average of the 3 BP values should be used to determine the participant's eligibility.
  9. Baseline 12 lead ECG that demonstrates clinically relevant abnormalities that may affect participant safety or interpretation of study results.
  10. Participants with ANY of the following abnormalities in clinical laboratory tests at screening, as assessed by the study specific laboratory and confirmed by a single repeat test, if deemed necessary:

    • AST or ALT level >=1.25 × ULN;
    • Total bilirubin level >=1.5 × ULN; participants with a history of Gilbert's syndrome may have direct bilirubin measured and would be eligible for this study provided the direct bilirubin level is=<ULN.
  11. History of alcohol abuse or binge drinking and/or any other illicit drug use or dependence within 6 months of Screening.
  12. Blood donation (excluding plasma donations and platelet donations) of approximately 400 mL within 3 months or >=200 mL within a month prior to dosing. Additionally, approximately >=400 mL within 4 months for female participants.
  13. History of sensitivity to heparin or heparin induced thrombocytopenia.
  14. History of substance abuse within 12 months of the screening visit.
  15. Pregnant females; breastfeeding females.
  16. Unwilling or unable to comply with the criteria in the Lifestyle Considerations section of this protocol.
  17. Investigator site staff or Pfizer employees directly involved in the conduct of the study, site staff otherwise supervised by the investigator, and their respective family members.

Sites / Locations

  • P-one Clinic

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

Vupanorsen 80 milligram (mg)

Vupanorsen 160 mg

Placebo

Arm Description

Participants will receive one, 0.8 milliliter (mL) subcutaneous injection with vupanorsen 100 mg/mL solution

Participants will receive two, 0.8 mL subcutaneous injections with vupanorsen 100 mg/mL solution

Participants in Cohort 1 (vupanorsen 80 mg) will receive one 0.8 mL subcutaneous injection with 0.9% sodium chloride in water. Participants in Cohort 2 (vupanorsen 160 mg) will receive two 0.8 mL subcutaneous injections with 0.9% sodium chloride in water.

Outcomes

Primary Outcome Measures

Incidence of treatment related adverse events
Incidence of abnormal and clinically relevant changes in electrocardiogram
Incidence and magnitude of abnormal laboratory findings
Incidence of abnormal and clinically relevant changes in pulse rate
Incidence of abnormal and clinically relevant changes in supine blood pressure

Secondary Outcome Measures

Maximum observed plasma concentration (Cmax)
Time to reach maximum observed plasma concentration (Tmax)
Area under the plasma concentration-time profile from time zero to 24 hours post-dose (AUC24h)
Area under the plasma concentration-time profile from time zero to 48 hours post-dose (AUC48h)
Area under the plasma concentration-time profile from time zero to the last measurable concentration (AUClast)
Area under the plasma concentration-time profile from time zero to infinity (AUCinf)
Terminal elimination half life (t1/2)
Apparent volume of distribution (Vz/F)
Apparent clearance (CL/F)
Percentage changes from baseline in serum angiopoietin-like protein 3
Percentage changes from baseline in total cholesterol
Percentage changes from baseline in low density lipoprotein cholesterol
Percentage changes from baseline in non-high-density lipoprotein cholesterol
Percentage changes from baseline in very low density lipoprotein cholesterol
Percentage changes from baseline in triglyceride
Percentage changes from baseline in apolipoprotein A-1
Percentage changes from baseline in apolipoprotein B total
Percentage changes from baseline in apolipoprotein C-III

Full Information

First Posted
July 1, 2020
Last Updated
December 18, 2020
Sponsor
Pfizer
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1. Study Identification

Unique Protocol Identification Number
NCT04459767
Brief Title
Investigation Of Safety, Tolerability, Pharmacokinetics And Pharmacodynamics Of Single Doses Of Vupanorsen In Japanese Healthy Adult Participants With Elevated Triglycerides
Official Title
A PHASE 1, RANDOMIZED, DOUBLE-BLIND, THIRD-PARTY OPEN, PLACEBO-CONTROLLED, SINGLE ASCENDING DOSE STUDY TO INVESTIGATE THE SAFETY, TOLERABILITY, PHARMACOKINETICS AND PHARMACODYNAMICS OF PF-07285557 (VUPANORSEN) ADMINISTERED SUBCUTANEOUSLY IN JAPANESE HEALTHY ADULTS WITH ELEVATED TRIGLYCERIDES
Study Type
Interventional

2. Study Status

Record Verification Date
December 2020
Overall Recruitment Status
Completed
Study Start Date
August 6, 2020 (Actual)
Primary Completion Date
December 15, 2020 (Actual)
Study Completion Date
December 15, 2020 (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
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a Phase 1, randomized, double blind, third party open (i.e., participant blind, investigator blind and sponsor open), placebo controlled, single ascending dose study to investigate the safety, tolerability, pharmacokinetic and pharmacodynamics of vupanorsen in Japanese healthy adult participants with elevated triglycerides.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Healthy
Keywords
Triglycerides

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
12 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Vupanorsen 80 milligram (mg)
Arm Type
Experimental
Arm Description
Participants will receive one, 0.8 milliliter (mL) subcutaneous injection with vupanorsen 100 mg/mL solution
Arm Title
Vupanorsen 160 mg
Arm Type
Experimental
Arm Description
Participants will receive two, 0.8 mL subcutaneous injections with vupanorsen 100 mg/mL solution
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Participants in Cohort 1 (vupanorsen 80 mg) will receive one 0.8 mL subcutaneous injection with 0.9% sodium chloride in water. Participants in Cohort 2 (vupanorsen 160 mg) will receive two 0.8 mL subcutaneous injections with 0.9% sodium chloride in water.
Intervention Type
Drug
Intervention Name(s)
Vupanorsen
Intervention Description
80 mg subcutaneous injection
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Subcutaneous injection
Primary Outcome Measure Information:
Title
Incidence of treatment related adverse events
Time Frame
Day 0-90
Title
Incidence of abnormal and clinically relevant changes in electrocardiogram
Time Frame
Day 0-90
Title
Incidence and magnitude of abnormal laboratory findings
Time Frame
Day 0-90
Title
Incidence of abnormal and clinically relevant changes in pulse rate
Time Frame
Day 0-90
Title
Incidence of abnormal and clinically relevant changes in supine blood pressure
Time Frame
Day 0-90
Secondary Outcome Measure Information:
Title
Maximum observed plasma concentration (Cmax)
Time Frame
Day 0-90
Title
Time to reach maximum observed plasma concentration (Tmax)
Time Frame
Day 0-90
Title
Area under the plasma concentration-time profile from time zero to 24 hours post-dose (AUC24h)
Time Frame
Day 0-90
Title
Area under the plasma concentration-time profile from time zero to 48 hours post-dose (AUC48h)
Time Frame
Day 0-90
Title
Area under the plasma concentration-time profile from time zero to the last measurable concentration (AUClast)
Time Frame
Day 0-90
Title
Area under the plasma concentration-time profile from time zero to infinity (AUCinf)
Time Frame
Day 0-90
Title
Terminal elimination half life (t1/2)
Time Frame
Day 0-90
Title
Apparent volume of distribution (Vz/F)
Time Frame
Day 0-90
Title
Apparent clearance (CL/F)
Time Frame
Day 0-90
Title
Percentage changes from baseline in serum angiopoietin-like protein 3
Time Frame
Day 0-90
Title
Percentage changes from baseline in total cholesterol
Time Frame
Day 0-90
Title
Percentage changes from baseline in low density lipoprotein cholesterol
Time Frame
Day 0-90
Title
Percentage changes from baseline in non-high-density lipoprotein cholesterol
Time Frame
Day 0-90
Title
Percentage changes from baseline in very low density lipoprotein cholesterol
Time Frame
Day 0-90
Title
Percentage changes from baseline in triglyceride
Time Frame
Day 0-90
Title
Percentage changes from baseline in apolipoprotein A-1
Time Frame
Day 0-90
Title
Percentage changes from baseline in apolipoprotein B total
Time Frame
Day 0-90
Title
Percentage changes from baseline in apolipoprotein C-III
Time Frame
Day 0-90

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male and female participants must be 20 to 65 years of age, inclusive, at the time of signing the ICD. Participants must have four Japanese grandparents born in Japan. Male and female participants who are overtly healthy as determined by medical evaluation including medical history, physical examination, laboratory tests (except for TG levels), and 12 lead ECG monitoring. Fasting TG >= 90 mg/dL at Screening Participants who are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures. BMI of 17.5 to 35.0 kg/m2; and a total body weight >50 kg (110 lb) Capable of giving signed informed consent as described in Appendix 1, which includes compliance with the requirements and restrictions listed in the ICD and in this protocol. Exclusion Criteria: Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurological, or allergic disease. History of HIV infection, hepatitis B, or hepatitis C; positive testing for HIV, HBsAg, or HCVAb. Other medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study. History of allergic or anaphylactic reaction. Use of prescription or nonprescription drugs and dietary and herbal supplements within 7 days or 5 half lives (whichever is longer) prior to the first dose of study intervention. Previous administration with an investigational drug within 4 months or 5 half lives preceding the first dose of study intervention used in this study (whichever is longer). A positive urine drug test. Screening supine BP >=140 mm Hg (systolic) or >=90 mm Hg (diastolic), following at least 5 minutes of supine rest. If BP is >=140 mm Hg (systolic) or >=90 mm Hg (diastolic), the BP should be repeated 2 more times and the average of the 3 BP values should be used to determine the participant's eligibility. Baseline 12 lead ECG that demonstrates clinically relevant abnormalities that may affect participant safety or interpretation of study results. Participants with ANY of the following abnormalities in clinical laboratory tests at screening, as assessed by the study specific laboratory and confirmed by a single repeat test, if deemed necessary: AST or ALT level >=1.25 × ULN; Total bilirubin level >=1.5 × ULN; participants with a history of Gilbert's syndrome may have direct bilirubin measured and would be eligible for this study provided the direct bilirubin level is=<ULN. History of alcohol abuse or binge drinking and/or any other illicit drug use or dependence within 6 months of Screening. Blood donation (excluding plasma donations and platelet donations) of approximately 400 mL within 3 months or >=200 mL within a month prior to dosing. Additionally, approximately >=400 mL within 4 months for female participants. History of sensitivity to heparin or heparin induced thrombocytopenia. History of substance abuse within 12 months of the screening visit. Pregnant females; breastfeeding females. Unwilling or unable to comply with the criteria in the Lifestyle Considerations section of this protocol. Investigator site staff or Pfizer employees directly involved in the conduct of the study, site staff otherwise supervised by the investigator, and their respective family members.
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
P-one Clinic
City
Hachioji-shi
State/Province
Tokyo
ZIP/Postal Code
192-0071
Country
Japan

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://pmiform.com/clinical-trial-info-request?StudyID=C4491006
Description
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Investigation Of Safety, Tolerability, Pharmacokinetics And Pharmacodynamics Of Single Doses Of Vupanorsen In Japanese Healthy Adult Participants With Elevated Triglycerides

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