search
Back to results

A Drug-Drug Interaction Study to Estimate the Effect of PF-07081532 on the Pharmacokinetics of Dabigatran and Rosuvastatin in Overweight or Obese Adult Participants

Primary Purpose

Healthy

Status
Terminated
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Dabigatran etexilate (DE)
Rosuvastatin
PF-07081532
Sponsored by
Pfizer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Healthy focused on measuring Dabigatran etexitlate, Rosuvastatin, Molecular Mechanisms of Pharmacological Action, Physiological Effects of Drugs, BCRP substrate, P-gp substrate, Anticoagulant, Antihyperlipidemic

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 Diagnosis of type 1 or type 2 diabetes mellitus or secondary forms of diabetes at Screening History of myocardial infarction, unstable angina, arterial revascularization, mechanical prosthetic heart valve, stroke, New York Association Functional Class II-IV heart failure, or transient ischemic attack within 6 months of 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 History of depressive disorder or history of other severe psychiatric disorders within the last 2 years from Screening Any lifetime history of a suicide attempt Known medical history of active liver disease, or prior known drug-induced liver injury History of HIV infection Recent history of bleeding, or risks of bleeding, or abnormal coagulation test (INR >1.3) result at Screening 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 may affect participant safety or interpretation of study result Participants with clinical laboratory test abnormalities at Screening

Sites / Locations

  • Qps-Mra, Llc

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Active Comparator

Active Comparator

Active Comparator

Experimental

Experimental

Active Comparator

Experimental

Experimental

Arm Label

Period 1

Period 2

Period 3

Period 4

Period 5

Period 6

Period 7

Period 8

Arm Description

Participants will receive dabagatrin etexilate (DE) as a single dose

Participants will receive rosuvastatin as a single dose

Participants will receive PF-07081532 daily titrated

Participants will receive PF-07081532 daily and DE as a single dose

Participants will receive PF-07081532 daily and rosuvastatin as a single dose

Participants will receive PF-07081532 daily titrated

Participants will receive PF-07081532 daily and DE as a single dose

Participants will receive PF-07081532 daily and rosuvastatin as a single dose

Outcomes

Primary Outcome Measures

Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUCinf) of total dabigatran [if data permits otherwise Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast)]
To estimate the effect of multiple dose PF-07081532 on the single-dose of dabigatran etexilate (DE) in otherwise healthy overweight or obese participants.
Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUCinf) of rosuvastatin [if data permits otherwise Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast)]
To estimate the effect of multiple dose PF-07081532 on the single-dose of rosuvastatin in otherwise healthy overweight or obese participants.

Secondary Outcome Measures

Percentage of participants reporting Treatment Emergent Adverse Events (TEAE)
Percentage of participants reporting clinical laboratory 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 total dabigatran
Time to Reach Maximum Observed Plasma Concentration (Tmax) of total dabigatran
Apparent Oral Clearance (CL/F) of total dabigatran
As data permits
Apparent Volume of Distribution (Vz/F) of total dabigatran
As data permits
Plasma Decay Half-Life (t1/2) of total dabigatran
As data permits
Maximum Observed Plasma Concentration (Cmax) of rosuvastatin
Time to Reach Maximum Observed Plasma Concentration (Tmax) of rosuvastatin
Apparent Oral Clearance (CL/F) of rosuvastatin
As data permits
Apparent Volume of Distribution (Vz/F) of rosuvastatin
As data permits
Plasma Decay Half-Life (t1/2) of rosuvastatin
As data permits
Area under the plasma concentration time-curve from zero to time 24 hours (AUC24) of PF-07081532
Maximum Observed Plasma Concentration (Cmax) of PF-07081532
Time to Reach Maximum Observed Plasma Concentration (Tmax) of PF-07081532

Full Information

First Posted
March 15, 2023
Last Updated
October 5, 2023
Sponsor
Pfizer
search

1. Study Identification

Unique Protocol Identification Number
NCT05788328
Brief Title
A Drug-Drug Interaction Study to Estimate the Effect of PF-07081532 on the Pharmacokinetics of Dabigatran and Rosuvastatin in Overweight or Obese Adult Participants
Official Title
A PHASE 1, OPEN-LABEL, FIXED-SEQUENCE STUDY TO ESTIMATE THE EFFECT OF PF-07081532 ADMINISTRATION ON THE SINGLE-DOSE PHARMACOKINETICS OF DABIGATRAN AND ROSUVASTATIN IN OVERWEIGHT OR OBESE ADULT PARTICIPANTS
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Terminated
Why Stopped
The decision to terminate clinical development of lotiglipron is based on pharmacokinetic data from Phase 1 drug-drug-interaction studies and laboratory measurements of elevated transaminases in these Phase 1 studies as well as a Phase 2 study.
Study Start Date
March 27, 2023 (Actual)
Primary Completion Date
September 11, 2023 (Actual)
Study Completion Date
September 11, 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
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of the study was to understand the effect of PF-07081532 on the movement of Dabigatran and Rosuvastatin into, though, and out of the body in healthy overweight or obese adult participants. This study also aims to collect data on safety and how tolerable the study medicine is. The study is seeking for participants who are: Male or female who are 18 years of age or older. Healthy but are overweight or obese. Participants will receive dabigatran and rosuvastatin as single doses by mouth 3 times during the study. The amount of the study medicine PF-07081532 will be adjusted over time until any interactions are seen. PF-07081532 is taken daily by mouth in 8 Study Periods while admitted into the study clinic over 53 days. Once discharged from the study clinic, participants will have a follow-up visit 7 to 10 days post last dose of study medicine. Then another follow-up via telephone contact, 28 to 35 days post last dose of study medicine.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Healthy
Keywords
Dabigatran etexitlate, Rosuvastatin, Molecular Mechanisms of Pharmacological Action, Physiological Effects of Drugs, BCRP substrate, P-gp substrate, Anticoagulant, Antihyperlipidemic

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Masking Description
Open label
Allocation
Non-Randomized
Enrollment
16 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Period 1
Arm Type
Active Comparator
Arm Description
Participants will receive dabagatrin etexilate (DE) as a single dose
Arm Title
Period 2
Arm Type
Active Comparator
Arm Description
Participants will receive rosuvastatin as a single dose
Arm Title
Period 3
Arm Type
Active Comparator
Arm Description
Participants will receive PF-07081532 daily titrated
Arm Title
Period 4
Arm Type
Experimental
Arm Description
Participants will receive PF-07081532 daily and DE as a single dose
Arm Title
Period 5
Arm Type
Experimental
Arm Description
Participants will receive PF-07081532 daily and rosuvastatin as a single dose
Arm Title
Period 6
Arm Type
Active Comparator
Arm Description
Participants will receive PF-07081532 daily titrated
Arm Title
Period 7
Arm Type
Experimental
Arm Description
Participants will receive PF-07081532 daily and DE as a single dose
Arm Title
Period 8
Arm Type
Experimental
Arm Description
Participants will receive PF-07081532 daily and rosuvastatin as a single dose
Intervention Type
Drug
Intervention Name(s)
Dabigatran etexilate (DE)
Other Intervention Name(s)
Pradaxa
Intervention Description
Dabigatran etexilate (DE) as oral capsule
Intervention Type
Drug
Intervention Name(s)
Rosuvastatin
Other Intervention Name(s)
Crestor
Intervention Description
Rosuvastatin as oral tablet
Intervention Type
Drug
Intervention Name(s)
PF-07081532
Other Intervention Name(s)
Lotiglipron
Intervention Description
PF-07081532 as oral tablets
Primary Outcome Measure Information:
Title
Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUCinf) of total dabigatran [if data permits otherwise Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast)]
Description
To estimate the effect of multiple dose PF-07081532 on the single-dose of dabigatran etexilate (DE) in otherwise healthy overweight or obese participants.
Time Frame
0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, and 48 hours post dose in Periods 1, 4, and 7
Title
Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUCinf) of rosuvastatin [if data permits otherwise Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast)]
Description
To estimate the effect of multiple dose PF-07081532 on the single-dose of rosuvastatin in otherwise healthy overweight or obese participants.
Time Frame
0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 14, 24, 48, 72, and 96 hours post dose in Periods 2, 5, and 8
Secondary Outcome Measure Information:
Title
Percentage of participants reporting Treatment Emergent Adverse Events (TEAE)
Time Frame
up to 28-35 days post dose
Title
Percentage of participants reporting clinical laboratory abnormalities
Description
including vital signs, body weight, and ECG parameters.
Time Frame
up to Day 53 (up to 7-10 days post last dose if available)
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 14, Day 28, Day 42, Day 53 (at follow up 7-10 days post last dose if available)
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 14, Day 28, Day 42, Day 53 (at follow up 7-10 days post last dose if available)
Title
Maximum Observed Plasma Concentration (Cmax) of total dabigatran
Time Frame
0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, and 48 hours post dose in Periods 1, 4, and 7
Title
Time to Reach Maximum Observed Plasma Concentration (Tmax) of total dabigatran
Time Frame
0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, and 48 hours post dose in Periods 1, 4, and 7
Title
Apparent Oral Clearance (CL/F) of total dabigatran
Description
As data permits
Time Frame
0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, and 48 hours post dose in Periods 1, 4, and 7
Title
Apparent Volume of Distribution (Vz/F) of total dabigatran
Description
As data permits
Time Frame
0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, and 48 hours post dose in Periods 1, 4, and 7
Title
Plasma Decay Half-Life (t1/2) of total dabigatran
Description
As data permits
Time Frame
0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, and 48 hours post dose in Periods 1, 4, and 7
Title
Maximum Observed Plasma Concentration (Cmax) of rosuvastatin
Time Frame
0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 14, 24, 48, 72, and 96 hours post dose in Periods 2, 5, and 8
Title
Time to Reach Maximum Observed Plasma Concentration (Tmax) of rosuvastatin
Time Frame
0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 14, 24, 48, 72, and 96 hours post dose in Periods 2, 5, and 8
Title
Apparent Oral Clearance (CL/F) of rosuvastatin
Description
As data permits
Time Frame
0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 14, 24, 48, 72, and 96 hours post dose in Periods 2, 5, and 8
Title
Apparent Volume of Distribution (Vz/F) of rosuvastatin
Description
As data permits
Time Frame
0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 14, 24, 48, 72, and 96 hours post dose in Periods 2, 5, and 8
Title
Plasma Decay Half-Life (t1/2) of rosuvastatin
Description
As data permits
Time Frame
0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 14, 24, 48, 72, and 96 hours post dose in Periods 2, 5, and 8
Title
Area under the plasma concentration time-curve from zero to time 24 hours (AUC24) of PF-07081532
Time Frame
0 (pre-dose), 0.5, 1, 2, 4, 6, 8, 10, 14, and 24 hours post dose in Periods 4 and 7
Title
Maximum Observed Plasma Concentration (Cmax) of PF-07081532
Time Frame
0 (pre-dose), 0.5, 1, 2, 4, 6, 8, 10, 14, and 24 hours post dose in Periods 4 and 7
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, 14, and 24 hours post dose in Periods 4 and 7

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 Diagnosis of type 1 or type 2 diabetes mellitus or secondary forms of diabetes at Screening History of myocardial infarction, unstable angina, arterial revascularization, mechanical prosthetic heart valve, stroke, New York Association Functional Class II-IV heart failure, or transient ischemic attack within 6 months of 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 History of depressive disorder or history of other severe psychiatric disorders within the last 2 years from Screening Any lifetime history of a suicide attempt Known medical history of active liver disease, or prior known drug-induced liver injury History of HIV infection Recent history of bleeding, or risks of bleeding, or abnormal coagulation test (INR >1.3) result at Screening 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 may affect 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
Qps-Mra, Llc
City
South Miami
State/Province
Florida
ZIP/Postal Code
33143
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=C3991047
Description
To obtain contact information for a study center near you, click here.

Learn more about this trial

A Drug-Drug Interaction Study to Estimate the Effect of PF-07081532 on the Pharmacokinetics of Dabigatran and Rosuvastatin in Overweight or Obese Adult Participants

We'll reach out to this number within 24 hrs