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Study to Evaluate Safety and Tolerability of PF-07242813 in Healthy Participants and Participants With Atopic Dermatitis

Primary Purpose

Atopic Dermatitis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
PF-07242813
Placebo
Sponsored by
Pfizer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Atopic Dermatitis focused on measuring Atopic Dermatitis, inflammatory skin disease

Eligibility Criteria

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

Inclusion Criteria Part 1 (Healthy Volunteer Cohorts):

  • BMI of 17.5 to 30.5 kg/m2; and BW>50 kg (110 lbs)
  • Overtly healthy as determined by medical evaluation including medical history, physical examination, vital sign assessments, temperature, 12-lead ECGs, laboratory tests
  • Japanese cohort: healthy adults of Japanese descent, where parents and grandparents are Japanese
  • Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the ICD and in this protocol

Inclusion Criteria Part 2 (Atopic Dermatitis Cohort):

  • Have a clinical diagnosis of chronic atopic dermatitis (also known as atopic eczema) for approximately 1 year prior to Day 1 and have the diagnosis of AD confirmed (Hanifin and Rajka criteria of AD).
  • Either have had an inadequate response to treatment with topical medications (for at least 4 consecutive weeks within 1 year of the first dose of the study drug) OR Have a documented reason why topical treatments are considered medically inappropriate (eg, because of important side effects or safety risks) within the last year.
  • Have moderate to severe AD (defined as having an affected BSA (captured as part of EASI) ≥10%, IGA ≥3, and EASI ≥12 at both the screening and baseline visits).
  • Generally healthy adult, with no significant comorbidities.
  • Mild or moderate asthma that is well-controlled (not requiring high dose inhaled corticosteroids, systemic [oral or parenteral] corticosteroids, or biologic asthma treatments).
  • BMI of 17.5 to 40 kg/m2; and a total body weight >50 kg (110 lbs).

Exclusion Criteria Part 1 (Healthy Volunteer Cohorts):

  • Evidence of active, latent, or inadequately treated infection with TB; History of HIV, hepatitis B or C infection; positive testing for HIV, HepB, HepC except HepB vaccination
  • Medical or psychiatric condition that may increase the risk of study participation, or inappropriate for the study in investigator's judgement
  • History of any lymphoproliferative disorder, evidence or history of clinically significant diseases
  • History of systemic infection requiring hospitalization, parenteral antimicrobial therapy, or judged clinically significant by the investigator within 6 months
  • Known history of or evidence of current endocrine disease
  • Exposure to live or attenuated vaccines within 28 days of screening.
  • Have any malignancies or a history of malignancies except adequately treated or excised non-metastatic basal cell or squamous cell cancer of the skin, or cervical carcinoma in situ.
  • Allergic disease (including drug allergies, but excluding untreated, asymptomatic, seasonal allergies at the time of dosing).
  • Have undergone significant trauma or major surgery within 1 month of 1st dose of study drug.
  • Use of prescription or nonprescription drugs, dietary or herbal supplements within 7 days or 5 half-lives (whichever is longer) prior to 1st dose of study drug.
  • Females taking hormone replacement therapy may be eligible to participate in this study if they are willing to discontinue therapy at least 28 days prior to the first dose of study treatment and remain off hormonal therapy for the duration of the study.
  • Positive urine drug test, alcohol intake more than 14 units per week or use of tobacco/nicotine containing products more than 5 cigarettes per day.
  • Treatment with an investigational drug within 28 days or 5 half-lives preceding the first dose of study treatment (whichever is longer).
  • Abnormal BP, ECG and lab tests including AST/ALT, total bilirubin and anterior pituitary hormones, at screenings and/or baseline, based on pre-specified criteria per protocol.
  • Unwilling or unable to comply with the Lifestyle guidance specified in this protocol (Lifestyle Considerations section).

Exclusion Criteria Part 2 (Atopic Dermatitis Cohort):

  • Evidence of active, latent, or inadequately treated TB.
  • History of or positive result for HIV or hepatitis infection. Positive Covid-19 test (if collected).
  • Significant medical or psychiatric condition, including suicidal ideation (C-SSRS screening assessment noting suicidal ideation in prior 6 months is not eligible).
  • H/o or current endocrine disease.
  • History of systemic infection requiring hospitalization, parenteral antimicrobial treatment or considered significant by Investigator.
  • History of or current malignancy, with the exception of non-metastatic BCC, squamous cell skin or cervical in situ.
  • Currently have active forms of other inflammatory skin diseases.
  • Have history of or current evidence of skin disease at the time of Day 1 that would interfere with evaluation of atopic dermatitis or response to treatment.
  • Have active chronic or acute skin infection requiring treatment with systemic antibiotics, antivirals, antiparasitics, antiprotozoals, or antifungals within 2 weeks prior to Day 1, or superficial skin infections within 1 week prior to Day 1.
  • Score of >5 on the Fitzpatrick Skin Type Assessment.
  • History of anaphylaxis with the exception of participants with sensitivity and/or anaphylaxis only to a single, avoidable allergen.

Sites / Locations

  • Anaheim Clinical Trials, LLC
  • First OC Dermatology
  • Keck School of Medicine of USC
  • USC/Norris Comprehensive Cancer Center
  • Orange County Research Center
  • Vital Prospects Clinical Research Institute, PC
  • Aspen Clinical Research

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Single ascending doses of PF-07242813 or placebo in healthy participants

Multiple ascending doses of PF-07242813 or placebo in healthy participants

Single dose of PF-07242813 or placebo in participants with moderate to severe atopic dermatitis

Arm Description

Participants will receive a single intravenous dose of either PF-07242813 or placebo

Participants will receive multiple subcutaneous doses PF-07242813 or placebo

Participants will receive a single intravenous dose of either PF-07242813 or placebo

Outcomes

Primary Outcome Measures

Incidence of treatment-emergent adverse events (AEs and SAEs).
Number of Participants With Clinically Significant Change From Baseline in Safety Laboratory Tests
Number of Participants With Clinically Significant Change From Baseline in ECG
Number of Participants With Clinically Significant Change From Baseline in Vital Signs
Number of Participants With Clinically Significant Change From Baseline in Cardiac telemetry (SAD only)

Secondary Outcome Measures

Single Dose: AUC from time zero to time of last measurable concentration (AUClast) in the Dose Escalation and Dose Finding Arms
Pharmacokinetic (PK) assessments for PF-07242813
Single Dose: AUC from time zero to time to infinity (AUCinf) in the Dose Escalation and Dose Finding Arms
PK assessments for PF-07242813
Single Dose: Maximum Observed Concentration (Cmax) in the Dose Escalation and Dose Finding Arms
PK assessments for PF-07242813
Single Dose: Tmax time to reach maximum concentration (Tmax) in the Dose Escalation and Dose Finding Arms
PK assessments for PF-07242813
Single Dose: Terminal Elimination half-life (t1/2) in the Dose Escalation and Dose Finding Arms
PK assessments for PF-07242813
Repeat Dose: AUC from time zero to time curve within dosing interval (AUCtau) in the Dose Escalation and Dose Finding Arms
PK assessments for PF-07242813
Repeat Dose: Cmax in the Dose Escalation and Dose Finding Arms
PK assessments for PF-07242813
Repeat Dose: Tmax in the Dose Escalation and Dose Finding Arms
PK assessments for PF-07248144
Repeat dose: t1/2 in the Dose Escalation and Dose Finding Arms
PK assessments for PF-07242813
Percent change from baseline in Eczema Area and Severity Index (EASI) total score at Week 6
Efficacy evaluation for atopic dermatitis cohort.

Full Information

First Posted
December 8, 2020
Last Updated
March 29, 2023
Sponsor
Pfizer
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1. Study Identification

Unique Protocol Identification Number
NCT04668066
Brief Title
Study to Evaluate Safety and Tolerability of PF-07242813 in Healthy Participants and Participants With Atopic Dermatitis
Official Title
A PHASE 1 FIRST IN HUMAN, RANDOMIZED, DOUBLE BLIND, SPONSOR OPEN, PLACEBO-CONTROLLED, SINGLE- AND MULTIPLE DOSE ESCALATION, PARALLEL GROUP STUDY TO EVALUATE THE SAFETY, TOLERABILITY, PHARMACOKINETICS AND PHARMACODYNAMICS OF PF 07242813 IN HEALTHY PARTICIPANTS AND PARTICIPANTS WITH ATOPIC DERMATITIS
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Completed
Study Start Date
December 10, 2020 (Actual)
Primary Completion Date
December 27, 2022 (Actual)
Study Completion Date
December 27, 2022 (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 the first time PF-07242813 will be given to humans. The purpose of the study is to evaluate the safety, tolerability, and pharmacokinetics of escalating single and repeat doses of PF-07242813 in healthy participants and in participants with moderate to severe atopic dermatitis. An additional goal is to assess the pharmacodynamics of PF-07242813 in participants with moderate to severe AD, including potential effects on clinical signs and symptoms.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atopic Dermatitis
Keywords
Atopic Dermatitis, inflammatory skin disease

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
122 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Single ascending doses of PF-07242813 or placebo in healthy participants
Arm Type
Experimental
Arm Description
Participants will receive a single intravenous dose of either PF-07242813 or placebo
Arm Title
Multiple ascending doses of PF-07242813 or placebo in healthy participants
Arm Type
Experimental
Arm Description
Participants will receive multiple subcutaneous doses PF-07242813 or placebo
Arm Title
Single dose of PF-07242813 or placebo in participants with moderate to severe atopic dermatitis
Arm Type
Experimental
Arm Description
Participants will receive a single intravenous dose of either PF-07242813 or placebo
Intervention Type
Drug
Intervention Name(s)
PF-07242813
Intervention Description
PF-07242813 given intravenously or subcutaneous
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo given intravenously or subcutaneous
Primary Outcome Measure Information:
Title
Incidence of treatment-emergent adverse events (AEs and SAEs).
Time Frame
Baseline up to Week 16
Title
Number of Participants With Clinically Significant Change From Baseline in Safety Laboratory Tests
Time Frame
Baseline up to Week 16
Title
Number of Participants With Clinically Significant Change From Baseline in ECG
Time Frame
Baseline up to Week 16
Title
Number of Participants With Clinically Significant Change From Baseline in Vital Signs
Time Frame
Baseline up to Week 16
Title
Number of Participants With Clinically Significant Change From Baseline in Cardiac telemetry (SAD only)
Time Frame
Baseline up to Day 71
Secondary Outcome Measure Information:
Title
Single Dose: AUC from time zero to time of last measurable concentration (AUClast) in the Dose Escalation and Dose Finding Arms
Description
Pharmacokinetic (PK) assessments for PF-07242813
Time Frame
0, 2, 6, 12, 24, 48, 72, 96 hours post-dose and Days 15, 29, 43, 57, and 71
Title
Single Dose: AUC from time zero to time to infinity (AUCinf) in the Dose Escalation and Dose Finding Arms
Description
PK assessments for PF-07242813
Time Frame
0, 2, 6, 12, 24, 48, 72, 96 hours post-dose and Days 15, 29, 43, 57, and 71
Title
Single Dose: Maximum Observed Concentration (Cmax) in the Dose Escalation and Dose Finding Arms
Description
PK assessments for PF-07242813
Time Frame
0, 2, 6, 12, 24, 48, 72, 96, hours post-dose and Days 8, 15, 29, 43, 57, and 71
Title
Single Dose: Tmax time to reach maximum concentration (Tmax) in the Dose Escalation and Dose Finding Arms
Description
PK assessments for PF-07242813
Time Frame
0, 2, 6, 12, 24, 48, 72, 96 hours post-dose and Days 15, 29, 43, 57, and 71
Title
Single Dose: Terminal Elimination half-life (t1/2) in the Dose Escalation and Dose Finding Arms
Description
PK assessments for PF-07242813
Time Frame
0, 2, 6, 12, 24, 48, 72, 96 hours post-dose and Days 15, 29, 43, 57, and 71
Title
Repeat Dose: AUC from time zero to time curve within dosing interval (AUCtau) in the Dose Escalation and Dose Finding Arms
Description
PK assessments for PF-07242813
Time Frame
Day 1 - 0, 2, 6, 12, 24, 48, 72, 96 hours post-dose; Days 15 and 29 - 0, 2, 6, 8, 12, 24, 48 and 96 hours post-dose; and Days 43, 57, 71, 85 and 99
Title
Repeat Dose: Cmax in the Dose Escalation and Dose Finding Arms
Description
PK assessments for PF-07242813
Time Frame
Day 1 - 0, 2, 6, 12, 24, 48, 72, 96 hours post-dose; Days 15 and 29 - 0, 2, 6, 8, 12, 24, 48 and 96 hours post-dose; and Days 43, 57, 71, 85 and 99
Title
Repeat Dose: Tmax in the Dose Escalation and Dose Finding Arms
Description
PK assessments for PF-07248144
Time Frame
Day 1 - 0, 2, 6, 12, 24, 48, 72, 96 hours post-dose; Days 15 and 29 - 0, 2, 6, 8, 12, 24, 48 and 96 hours post-dose; and Days 43, 57, 71, 85 and 99
Title
Repeat dose: t1/2 in the Dose Escalation and Dose Finding Arms
Description
PK assessments for PF-07242813
Time Frame
Day 1 - 0, 2, 6, 12, 24, 48, 72, 96 hours post-dose; Days 15 and 29 - 0, 2, 6, 8, 12, 24, 48 and 96 hours post-dose; and Days 43, 57, 71, 85 and 99
Title
Percent change from baseline in Eczema Area and Severity Index (EASI) total score at Week 6
Description
Efficacy evaluation for atopic dermatitis cohort.
Time Frame
Baseline to Week 6

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria Part 1 (Healthy Volunteer Cohorts): BMI of 17.5 to 30.5 kg/m2; and BW>50 kg (110 lbs) Overtly healthy as determined by medical evaluation including medical history, physical examination, vital sign assessments, temperature, 12-lead ECGs, laboratory tests Japanese cohort: healthy adults of Japanese descent, where parents and grandparents are Japanese Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the ICD and in this protocol Inclusion Criteria Part 2 (Atopic Dermatitis Cohort): Have a clinical diagnosis of chronic atopic dermatitis (also known as atopic eczema) for approximately 1 year prior to Day 1 and have the diagnosis of AD confirmed (Hanifin and Rajka criteria of AD). Either have had an inadequate response to treatment with topical medications (for at least 4 consecutive weeks within 1 year of the first dose of the study drug) OR Have a documented reason why topical treatments are considered medically inappropriate (eg, because of important side effects or safety risks) within the last year. Have moderate to severe AD (defined as having an affected BSA (captured as part of EASI) ≥10%, IGA ≥3, and EASI ≥12 at both the screening and baseline visits). Generally healthy adult, with no significant comorbidities. Mild or moderate asthma that is well-controlled (not requiring high dose inhaled corticosteroids, systemic [oral or parenteral] corticosteroids, or biologic asthma treatments). BMI of 17.5 to 40 kg/m2; and a total body weight >50 kg (110 lbs). Exclusion Criteria Part 1 (Healthy Volunteer Cohorts): Evidence of active, latent, or inadequately treated infection with TB; History of HIV, hepatitis B or C infection; positive testing for HIV, HepB, HepC except HepB vaccination Medical or psychiatric condition that may increase the risk of study participation, or inappropriate for the study in investigator's judgement History of any lymphoproliferative disorder, evidence or history of clinically significant diseases History of systemic infection requiring hospitalization, parenteral antimicrobial therapy, or judged clinically significant by the investigator within 6 months Known history of or evidence of current endocrine disease Exposure to live or attenuated vaccines within 28 days of screening. Have any malignancies or a history of malignancies except adequately treated or excised non-metastatic basal cell or squamous cell cancer of the skin, or cervical carcinoma in situ. Allergic disease (including drug allergies, but excluding untreated, asymptomatic, seasonal allergies at the time of dosing). Have undergone significant trauma or major surgery within 1 month of 1st dose of study drug. Use of prescription or nonprescription drugs, dietary or herbal supplements within 7 days or 5 half-lives (whichever is longer) prior to 1st dose of study drug. Females taking hormone replacement therapy may be eligible to participate in this study if they are willing to discontinue therapy at least 28 days prior to the first dose of study treatment and remain off hormonal therapy for the duration of the study. Positive urine drug test, alcohol intake more than 14 units per week or use of tobacco/nicotine containing products more than 5 cigarettes per day. Treatment with an investigational drug within 28 days or 5 half-lives preceding the first dose of study treatment (whichever is longer). Abnormal BP, ECG and lab tests including AST/ALT, total bilirubin and anterior pituitary hormones, at screenings and/or baseline, based on pre-specified criteria per protocol. Unwilling or unable to comply with the Lifestyle guidance specified in this protocol (Lifestyle Considerations section). Exclusion Criteria Part 2 (Atopic Dermatitis Cohort): Evidence of active, latent, or inadequately treated TB. History of or positive result for HIV or hepatitis infection. Positive Covid-19 test (if collected). Significant medical or psychiatric condition, including suicidal ideation (C-SSRS screening assessment noting suicidal ideation in prior 6 months is not eligible). H/o or current endocrine disease. History of systemic infection requiring hospitalization, parenteral antimicrobial treatment or considered significant by Investigator. History of or current malignancy, with the exception of non-metastatic BCC, squamous cell skin or cervical in situ. Currently have active forms of other inflammatory skin diseases. Have history of or current evidence of skin disease at the time of Day 1 that would interfere with evaluation of atopic dermatitis or response to treatment. Have active chronic or acute skin infection requiring treatment with systemic antibiotics, antivirals, antiparasitics, antiprotozoals, or antifungals within 2 weeks prior to Day 1, or superficial skin infections within 1 week prior to Day 1. Score of >5 on the Fitzpatrick Skin Type Assessment. History of anaphylaxis with the exception of participants with sensitivity and/or anaphylaxis only to a single, avoidable allergen.
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
First OC Dermatology
City
Fountain Valley
State/Province
California
ZIP/Postal Code
92708
Country
United States
Facility Name
Keck School of Medicine of USC
City
Los Angeles
State/Province
California
ZIP/Postal Code
90033
Country
United States
Facility Name
USC/Norris Comprehensive Cancer Center
City
Los Angeles
State/Province
California
ZIP/Postal Code
90033
Country
United States
Facility Name
Orange County Research Center
City
Tustin
State/Province
California
ZIP/Postal Code
92780
Country
United States
Facility Name
Vital Prospects Clinical Research Institute, PC
City
Tulsa
State/Province
Oklahoma
ZIP/Postal Code
74136
Country
United States
Facility Name
Aspen Clinical Research
City
Orem
State/Province
Utah
ZIP/Postal Code
84058
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=C4461001
Description
To obtain contact information for a study center near you, click here.

Learn more about this trial

Study to Evaluate Safety and Tolerability of PF-07242813 in Healthy Participants and Participants With Atopic Dermatitis

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