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A Drug-Drug Interaction Study to Examine the Impact of Itraconazole and Cyclosporine on PF-07081532 Pharmacokinetics in Overweight or Obese Adults

Primary Purpose

Healthy

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
PF-07081532
Cyclosporine
Itraconazole
Sponsored by
Pfizer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Healthy

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: Otherwise healthy female and male participants must be at least 18 years of age at the time of signing the ICD (healthy is defined as no clinically relevant abnormalities identified by a detailed medical history, physical examination, including blood pressure and pulse rate measurement, standard 12-lead ECG and clinical laboratory tests). BMI: ≥25.0 kg/m2 at Screening. Stable body weight, defined as <5 kg change (per participant report) for 90 days before Screening. Exclusion Criteria: Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurological, or allergic disease (including drug allergies, but excluding untreated, asymptomatic, seasonal allergies at the time of dosing). Diagnosis of type 1 or type 2 diabetes mellitus or secondary forms of diabetes at Screening. Any malignancy not considered cured (except basal cell carcinoma and squamous cell carcinoma of the skin) Personal or family history of MTC or MEN2, or study participants with suspected MTC per the investigator's judgment. Acute pancreatitis, a history of repeated episodes of acute pancreatitis, or history of chronic pancreatitis. Symptomatic gallbladder disease. Medical history or characteristics suggestive of genetic or syndromic obesity or obesity induced by other endocrinological disorders (eg, Cushing Syndrome). History of depressive disorder or history of other severe psychiatric disorders (eg, schizophrenia or bipolar disorder) within the last 2 years from screening. Known medical history of active liver disease, including chronic hepatitis B or C, primary biliary cirrhosis, alcoholic liver disease, primary sclerosing cholangitis, autoimmune hepatitis, overlap syndrome, or prior known drug-induced liver injury. History of HIV infection. Any lifetime history of a suicide attempt. Use of prohibited medications Screening supine BP ≥140 mm Hg (systolic) or ≥90 mm Hg (diastolic), following at least 5 minutes of supine rest. Standard 12-lead ECG that demonstrates clinically relevant abnormalities that mayaffect participant safety or interpretation of study result. Participants with clinical laboratory test abnormalities at Screening. -

Sites / Locations

  • New Haven Clinical Research Unit

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Experimental

Experimental

Arm Label

Period 1: PF-07081532

Period 2: Cyclosporine + PF-07081532

Period 3: Itraconazole + PF-07081532

Arm Description

Participants will receive PF-07081532 as a single dose on Day 1.

Participants will receive a single dose of PF-07081532 and a single dose of cyclosporine on Day 1.

Participants will receive itraconazole daily for 9 days plus a single dose of PF-07081532 on Day 4.

Outcomes

Primary Outcome Measures

AUCinf (if data permits otherwise AUClast): To estimate the effect of muliple dose itraconazole on thes single dose of PF-07081532 in otherwise healthy, overweight or obese participants.
Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUCinf) Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast)
AUCinf (if data permita otherwise AUClast): To estimate the effect of single dose of cyclosporine on the single dose of PF-07081532 in otherwise healthy, overweight or obese participants.
Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUCinf) Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast)

Secondary Outcome Measures

Percentage of participants reporting Treatment Emergent Adverse Events (TEAE)
Percentage of participants reporting clinical laboraroy abnormalities
including vital signs, body weight, and ECG parameters.
Number of Participants responding yes to any suicidal behavior question according to Columbia-Suicide Severity Rating Scale (C-SSRS)
The C-SSRS is an interview-based rating scale to systematically assess suicidal ideation and suicidal behavior. Participants who respond "yes" to any suicidal behavioral question on the C-SSRS will not be permitted in the study
Number of participants with a score of ≥15 on Patient Health Questionnaire-9 (PHQ-9)
PHQ9-9 is a 9 item self-report scale for the assessment of depressive symptoms. A PHQ-9 score of ≥15 indicates clinically significant depression and serves as an exclusion criterion for this study
Maximum Observed Plasma Concentration (Cmax) of PF-07081532
Time to Reach Maximum Observed Plasma Concentration (Tmax) of PF-07081532
Apparent Oral Clearance (CL/F) of PF-07081532
Apparent Volume of Distribution (Vz/F) of PF-07081532
Plasma Decay Half-Life (t1/2 of PF-07081532

Full Information

First Posted
February 16, 2023
Last Updated
June 26, 2023
Sponsor
Pfizer
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1. Study Identification

Unique Protocol Identification Number
NCT05745701
Brief Title
A Drug-Drug Interaction Study to Examine the Impact of Itraconazole and Cyclosporine on PF-07081532 Pharmacokinetics in Overweight or Obese Adults
Official Title
A PHASE 1, OPEN-LABEL, FIXED-SEQUENCE STUDY TO EVALUATE THE EFFECT OF ITRACONAZOLE AND CYCLOSPORINE ON THE SINGLE-DOSE PHARMACOKINETICS OF PF-07081532 IN OVERWEIGHT OR OBESE ADULT PARTICIPANTS
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Completed
Study Start Date
February 22, 2023 (Actual)
Primary Completion Date
May 29, 2023 (Actual)
Study Completion Date
May 29, 2023 (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

5. Study Description

Brief Summary
This is a Phase 1, open-label, fixed-sequence, 3-period study to evaluate the effect of multiple doses of itraconazole and a single dose of cyclosporine on the single-dose PK of PF-07081532 in otherwise healthy, overweight or obese, adult female and male participants. The 3 study periods will be conducted consecutively without a break.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
16 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Period 1: PF-07081532
Arm Type
Active Comparator
Arm Description
Participants will receive PF-07081532 as a single dose on Day 1.
Arm Title
Period 2: Cyclosporine + PF-07081532
Arm Type
Experimental
Arm Description
Participants will receive a single dose of PF-07081532 and a single dose of cyclosporine on Day 1.
Arm Title
Period 3: Itraconazole + PF-07081532
Arm Type
Experimental
Arm Description
Participants will receive itraconazole daily for 9 days plus a single dose of PF-07081532 on Day 4.
Intervention Type
Drug
Intervention Name(s)
PF-07081532
Intervention Description
Oral Tablet
Intervention Type
Device
Intervention Name(s)
Cyclosporine
Intervention Description
Oral Solution
Intervention Type
Drug
Intervention Name(s)
Itraconazole
Intervention Description
Oral Capsule
Primary Outcome Measure Information:
Title
AUCinf (if data permits otherwise AUClast): To estimate the effect of muliple dose itraconazole on thes single dose of PF-07081532 in otherwise healthy, overweight or obese participants.
Description
Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUCinf) Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast)
Time Frame
0 (pre-dose) 0.5 1 2 4 6 8 10 12 14 24 36 48 72 96 and 120 hours post dose
Title
AUCinf (if data permita otherwise AUClast): To estimate the effect of single dose of cyclosporine on the single dose of PF-07081532 in otherwise healthy, overweight or obese participants.
Description
Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUCinf) Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast)
Time Frame
0 (pre-dose) 0.5 1 2 4 6 8 10 12 14 24 36 48 72 96 and 120 hours post dose
Secondary Outcome Measure Information:
Title
Percentage of participants reporting Treatment Emergent Adverse Events (TEAE)
Time Frame
up to 28 days
Title
Percentage of participants reporting clinical laboraroy abnormalities
Description
including vital signs, body weight, and ECG parameters.
Time Frame
up to 28 days
Title
Number of Participants responding yes to any suicidal behavior question according to Columbia-Suicide Severity Rating Scale (C-SSRS)
Description
The C-SSRS is an interview-based rating scale to systematically assess suicidal ideation and suicidal behavior. Participants who respond "yes" to any suicidal behavioral question on the C-SSRS will not be permitted in the study
Time Frame
Day 1, Day 10 or Early Termination visit
Title
Number of participants with a score of ≥15 on Patient Health Questionnaire-9 (PHQ-9)
Description
PHQ9-9 is a 9 item self-report scale for the assessment of depressive symptoms. A PHQ-9 score of ≥15 indicates clinically significant depression and serves as an exclusion criterion for this study
Time Frame
Day 1, Day 10 or Early Termination visit
Title
Maximum Observed Plasma Concentration (Cmax) of PF-07081532
Time Frame
0 (pre-dose) 0.5 1 2 4 6 8 10 12 14 24 36 48 72 96 and 120 hours post dose
Title
Time to Reach Maximum Observed Plasma Concentration (Tmax) of PF-07081532
Time Frame
0 (pre-dose) 0.5 1 2 4 6 8 10 12 14 24 36 48 72 96 and 120 hours post dose
Title
Apparent Oral Clearance (CL/F) of PF-07081532
Time Frame
0 (pre-dose) 0.5 1 2 4 6 8 10 12 14 24 36 48 72 96 and 120 hours post dose
Title
Apparent Volume of Distribution (Vz/F) of PF-07081532
Time Frame
0 (pre-dose) 0.5 1 2 4 6 8 10 12 14 24 36 48 72 96 and 120 hours post dose
Title
Plasma Decay Half-Life (t1/2 of PF-07081532
Time Frame
0 (pre-dose) 0.5 1 2 4 6 8 10 12 14 24 36 48 72 96 and 120 hours post dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Otherwise healthy female and male participants must be at least 18 years of age at the time of signing the ICD (healthy is defined as no clinically relevant abnormalities identified by a detailed medical history, physical examination, including blood pressure and pulse rate measurement, standard 12-lead ECG and clinical laboratory tests). BMI: ≥25.0 kg/m2 at Screening. Stable body weight, defined as <5 kg change (per participant report) for 90 days before Screening. Exclusion Criteria: Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurological, or allergic disease (including drug allergies, but excluding untreated, asymptomatic, seasonal allergies at the time of dosing). Diagnosis of type 1 or type 2 diabetes mellitus or secondary forms of diabetes at Screening. Any malignancy not considered cured (except basal cell carcinoma and squamous cell carcinoma of the skin) Personal or family history of MTC or MEN2, or study participants with suspected MTC per the investigator's judgment. Acute pancreatitis, a history of repeated episodes of acute pancreatitis, or history of chronic pancreatitis. Symptomatic gallbladder disease. Medical history or characteristics suggestive of genetic or syndromic obesity or obesity induced by other endocrinological disorders (eg, Cushing Syndrome). History of depressive disorder or history of other severe psychiatric disorders (eg, schizophrenia or bipolar disorder) within the last 2 years from screening. Known medical history of active liver disease, including chronic hepatitis B or C, primary biliary cirrhosis, alcoholic liver disease, primary sclerosing cholangitis, autoimmune hepatitis, overlap syndrome, or prior known drug-induced liver injury. History of HIV infection. Any lifetime history of a suicide attempt. Use of prohibited medications Screening supine BP ≥140 mm Hg (systolic) or ≥90 mm Hg (diastolic), following at least 5 minutes of supine rest. Standard 12-lead ECG that demonstrates clinically relevant abnormalities that mayaffect participant safety or interpretation of study result. Participants with clinical laboratory test abnormalities at Screening. -
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
New Haven Clinical Research Unit
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06511
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.
Links:
URL
https://pmiform.com/clinical-trial-info-request?StudyID=C3991041
Description
To obtain contact information for a study center near you, click here.

Learn more about this trial

A Drug-Drug Interaction Study to Examine the Impact of Itraconazole and Cyclosporine on PF-07081532 Pharmacokinetics in Overweight or Obese Adults

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