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HypercholesterolemiaPhase 1NCT01163851

Pharmacokinetic And Pharmacodynamic Study Of A Single-Dose Of PF-04950615 (RN316) In Combination With Atorvastatin

A Phase 1 study testing 4 mg/kg and 0.5 mg/kg in people with Hypercholesterolemia and Dyslipidemia, run by Pfizer at 5 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary objective of this study is to evaluate the pharmacokinetics and pharmacodynamics of a single dose of PF-04950615 (RN316) in volunteers on stable doses of atorvastatin. PF-04950615 (RN316) is an investigational drug that is currently being studies as a cholesterol lowering therapy. Read more about this study

Who is it for?
Ages 18 to 80 yearsHealthy volunteers can take part
Conditions the study is for
Hypercholesterolemia, Dyslipidemia
What is being tested?
4 mg/kg and 0.5 mg/kg
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
25 participants
Where
5 sitesUnited States
Study dates
Jul 2010to Apr 2011
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • On stable doses of atorvastatin (40 mg daily) for 45 days prior to Day 1.
  • BMI 18.5 to 40 kg/m2 inclusive, and body weight equal or lower than 150 kg.

Who cannot join

  • History of a cardiovascular event (e.g., MI ) during the past year.
  • Poorly controlled Type 1 or Type 2 Diabetes mellitus (definition: uncontrolled diabetes is defined as HBIAc >9%).
  • Poorly controlled hypertension (uncontrolled hypertension is defined as a systolic blood pressure greater than 140 mm Hg or a diastolic blood pressure greater than 90 mm Hg, even with treatment). Subjects who have hypertension and are controlled on stable dosages of anti-hypertensive medications can be included.

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

United States5 sites
  • Vince and Associates Clinical Research

    Overland Park, Kansas, 66211

  • Vince and Associates Clinical Research

    Overland Park, Kansas, 66212

  • Premier Research Group, Limited

    Peoria, Arizona, 85381

  • Dedicated Phase 1, Inc.

    Phoenix, Arizona, 85013

  • Premier Research Group Limited

    Phoenix, Arizona, 85027

Other trials in United States

About this study

Official title: A Phase 1 Study Evaluating The Pharmacokinetics And Pharmacodynamics Of Rn316 In Combination With Atorvastatin In Hypercholesterolemic Subjects

The primary objective of this study is to evaluate the pharmacokinetics and pharmacodynamics of a single dose of PF-04950615 (RN316) in volunteers on stable doses of atorvastatin. PF-04950615 (RN316) is an investigational drug that is currently being studies as a cholesterol lowering therapy.

Being tested
4 mg/kg, 0.5 mg/kg
Keywords
Hypercholesterolemia, Dyslipidemia, LDL, Cholesterol, High Cholesterol, PF-04950615, RN316
Medical subject headings
Hypercholesterolemia, Dyslipidemias

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • 4 mg/kgBiological

    Also called PF-04950615 (RN316)

    RN316 10 mg/ml vial sd. Infusion based on weight Infusion duration = 60 minutes.

  • 0.5 mg/kgBiological

    Also called PF-04950615 (RN316)

    RN316 10 mg/ml vial sd. Infusion based on weight Infusion duration = 60 minutes.

Study groups in NCT01163851
Study groupRoleWhat they receive
PF-04950615 (RN316)ExperimentalNot described
Receives: Biological: 4 mg/kg; Biological: 0.5 mg/kg

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of PF-04950615

    Measured: 0 (pre-dose on Day 4), 1, 4, 8 and 12 hours (hrs) post intravenous PF-04950615 (RN316) dose, pre atorvastatin dose on Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57 and 64

  2. Time to Reach Maximum Observed Plasma Concentration (Tmax) of PF-04950615

    Measured: 0 (pre-dose on Day 4), 1, 4, 8 and 12 hours (hrs) post intravenous PF-04950615 (RN316) dose, pre atorvastatin dose on Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57 and 64

  3. Maximum Observed Plasma Concentration (Cmax) of PF-04950615

    Measured: 0 (pre-dose on Day 4), 1, 4, 8 and 12 hours (hrs) post intravenous PF-04950615 (RN316) dose, pre atorvastatin dose on Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57 and 64

  4. Plasma Decay Half-Life (t1/2) of PF-04950615

    Plasma decay half-life is the time measured for the plasma concentration of PF-04950615 to decrease by one half.

    Measured: 0 (pre-dose on Day 4), 1, 4, 8 and 12 hours (hrs) post intravenous PF-04950615 (RN316) dose, pre atorvastatin dose on Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57 and 64

  5. Systemic Clearance (CL) of PF-04950615

    CL is a quantitative measure of the rate at which a drug substance is removed from the body.

    Measured: 0 (pre-dose on Day 4), 1, 4, 8 and 12 hours (hrs) post intravenous PF-04950615 (RN316) dose, pre atorvastatin dose on Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57 and 64

  6. Volume of Distribution at Steady State (Vss) of PF-04950615

    Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug.

    Measured: 0 (pre-dose on Day 4), 1, 4, 8 and 12 hours (hrs) post intravenous PF-04950615 (RN316) dose, pre atorvastatin dose on Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57 and 64

  7. Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUC0-inf) of PF-04950615

    Measured: 0 (pre-dose on Day 4), 1, 4, 8 and 12 hours (hrs) post intravenous PF-04950615 (RN316) dose, pre atorvastatin dose on Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57 and 64

  8. Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) of Atorvastatin

    AUCtau was the AUC from time 0 to the end of the dosing interval, where the dosing interval was 12 hours.

    Measured: 0 (pre-dose), 0.25, 0.5, 1, 2, 3, 4, 6, 8 and 12 hrs post-dose on Day 4

  9. Time to Reach Maximum Observed Plasma Concentration (Tmax) of Atorvastatin

    Measured: 0 (pre-dose), 0.25, 0.5, 1, 2, 3, 4, 6, 8 and 12 hrs post-dose on Day 4, pre atorvastatin dose on Day 5, 6 and 7

  10. Maximum Observed Plasma Concentration (Cmax) of Atorvastatin

    Measured: 0 (pre-dose), 0.25, 0.5, 1, 2, 3, 4, 6, 8 and 12 hrs post-dose on Day 4, pre atorvastatin dose on Day 5, 6 and 7

  11. Plasma Decay Half-Life (t1/2) of Atorvastatin

    Plasma decay half-life is the time measured for the plasma concentration of atorvastatin to decrease by one half.

    Measured: 0 (pre-dose), 0.25, 0.5, 1, 2, 3, 4, 6, 8 and 12 hrs post-dose on Day 4, pre atorvastatin dose on Day 5, 6 and 7

  12. Apparent Oral Clearance (CL/F) of Atorvastatin

    Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed.

    Measured: 0 (pre-dose), 0.25, 0.5, 1, 2, 3, 4, 6, 8 and 12 hrs post-dose on Day 4

  13. Apparent Volume of Distribution (Vz/F) of Atorvastatin

    Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. Apparent volume of distribution after oral dose (Vz/F) is influenced by the fraction absorbed.

    Measured: 0 (pre-dose), 0.25, 0.5, 1, 2, 3, 4, 6, 8 and 12 hrs post-dose on Day 4

Secondary outcomes (24)
  1. Change From Baseline in Fasting Low Density Lipoprotein-Cholesterol (LDL-C) at Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57 and 64

    Baseline value calculated as average of Day 2 and Day 4 measurements prior to PF-04950615 administration.

    Measured: Baseline, Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57, 64

  2. Change From Baseline in Fasting Total Cholesterol at Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57 and 64

    Baseline value calculated as average of Day 2 and Day 4 measurements prior to PF-04950615 administration.

    Measured: Baseline, Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57, 64

  3. Change From Baseline in Fasting Non High-density Lipoprotein-Cholesterol (Non-HDL-C) at Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57 and 64

    Baseline value calculated as average of Day 2 and Day 4 measurements prior to PF-04950615 administration.

    Measured: Baseline, Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57, 64

  4. Change From Baseline in Fasting Triglycerides at Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57 and 64

    Baseline value calculated as average of Day 2 and Day 4 measurements prior to PF-04950615 administration.

    Measured: Baseline, Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57, 64

  5. Change From Baseline in Fasting Apolipoprotein B (ApoB) at Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57 and 64

    Baseline value calculated as average of Day 2 and Day 4 measurements prior to PF-04950615 administration.

    Measured: Baseline, Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57, 64

  6. Change From Baseline in Fasting Apolipoprotein A1 (ApoA1) at Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57 and 64

    Baseline value calculated as average of Day 2 and Day 4 measurements prior to PF-04950615 (RN316) administration.

    Measured: Baseline, Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57, 64

  7. Change From Baseline in Fasting High-Density Lipoprotein (HDL) Cholesterol at Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57 and 64

    Baseline value calculated as average of Day 2 and Day 4 measurements prior to PF-04950615 administration.

    Measured: Baseline, Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57, 64

  8. Percent Change From Baseline in Fasting Low Density Lipoprotein-Cholesterol (LDL-C) at Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57 and 64

    Baseline value calculated as average of Day 2 and Day 4 measurements prior to PF-04950615 administration.

    Measured: Baseline, Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57, 64

  9. Percent Change From Baseline in Total Cholesterol at Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57 and 64

    Baseline value calculated as average of Day 2 and Day 4 measurements prior to PF-04950615 administration.

    Measured: Baseline, Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57, 64

  10. Percent Change From Baseline in Fasting Non-High-density Lipoprotein-cholesterol (Non-HDL-C) at Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57 and 64

    Baseline value calculated as average of Day 2 and Day 4 measurements prior to PF-04950615 administration.

    Measured: Baseline, Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57, 64

  11. Percent Change From Baseline in Fasting Triglycerides Values at Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57 and 64

    Baseline value calculated as average of Day 2 and Day 4 measurements prior to PF-04950615 (RN316) administration.

    Measured: Baseline, Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57, 64

  12. Percent Change From Baseline in Fasting Apolipoprotein B (ApoB) Values at Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57 and 64

    Baseline value calculated as average of Day 2 and Day 4 measurements prior to PF-04950615 (RN316) administration.

    Measured: Baseline, Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57, 64

  13. Percent Change From Baseline in Fasting High-Density Lipoprotein (HDL) Cholesterol Values at Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57 and 64

    Baseline value calculated as average of Day 2 and Day 4 measurements prior to PF-04950615 administration.

    Measured: Baseline, Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57, 64

  14. Percent Change From Baseline in Fasting Apolipoprotein A1 (ApoA1) Values at Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57 and 64

    Baseline value calculated as average of Day 2 and Day 4 measurements prior to PF-04950615 (RN316) administration.

    Measured: Baseline, Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57, 64

  15. Duration of Low Density Lipoprotein (LDL) Lowering Effects

    In this outcome measure duration of the lipid-lowering effects was reported. Lipid lowering was defined as decrease in LDL-C levels by greater than or equal to 15 percent.

    Measured: Day 4 to Day 64

  16. Number of Participants With Toxicity or Intolerable Dose Criteria

    Toxicity criteria included any of the following: serious adverse event; increased liver transaminases (alanine aminotransferase [ALT] or aspartate aminotransferase [AST]: increased to greater than [>] 5*upper limit of normal reference range [ULN]); increased bilirubin (in absence of ALT or AST elevations, common terminology criteria for adverse events [CTCAE] greater than or equal to [>=] Grade 2); pancreatitis, increased serum creatinine (CTCAE >= Grade 2); creatine kinase, hyperglycemia or hypoglycemia, diarrhea or enteritis or nausea (CTCAE >= Grade 3); decreased platelet count (less than [<] 100000 per microliter); prolongation of QT interval with Fridericia's Correction (QTcF) (QTcF >500 millisecond [msec] [CTCAE >= Grade 3] or increase from baseline of >=60 msec) and other considered appropriate by investigator. CTCAE Grade 4.0: Grade 1= mild; Grade 2= moderate, Grade 3= severe, Grade 4= life-threatening consequences and Grade 5= death related to adverse event.

    Measured: Day 1 up to Day 64

  17. Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 64 days that were absent before treatment or that worsened relative to pretreatment state. Adverse events included both serious and non-serious adverse events.

    Measured: Day 1 up to Day 64

  18. Number of Participants With Treatment-Emergent Adverse Events by Severity

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Treatment-emergent are events between first dose of study drug and up to 64 days that were absent before treatment or that worsened relative to pretreatment state. AEs were assessed for severity by CTCAE Grade 4.0: Grade 1= mild; Grade 2= moderate, Grade 3= severe, Grade 4= life-threatening consequences and Grade 5= death related to adverse event. Categories with at least 1 participant were reported

    Measured: Day 1 up to Day 64

  19. Number of Participants With Treatment-Related Adverse Events (AEs) and Serious Adverse Events (SAEs)

    An AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly.

    Measured: Day 1 up to Day 64

  20. Number of Participants With Systemic Treatment Emergent Adverse Events Identified by Physical Examination

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Treatment-emergent are events between first dose of study drug and up to 64 days that were absent before treatment or that worsened relative to pretreatment state. Complete physical examination was conducted to assess skin, ears, throat, cardiac, respiratory, gastrointestinal, and musculoskeletal systems for systemic AEs.

    Measured: Day 1 up to Day 64

  21. Number of Participants With Systemic Treatment Emergent Adverse Events Identified by Vital Signs

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Treatment-emergent are events between first dose of study drug and up to 64 days that were absent before treatment or that worsened relative to pretreatment state. Vital sign parameters body temperature, blood pressure and heart rate were assessed to identify systemic adverse events. AEs (all causalities), treatment related AEs and CTCAE severity grades for AEs were reported. CTCAE Grade 4.0: Grade 1= mild; Grade 2= moderate, Grade 3= severe, Grade 4= life-threatening consequences and Grade 5= death related to adverse event. Categories with at least 1 participant were reported

    Measured: Day 1 up to Day 64

  22. Number of Participants With Systemic Treatment Emergent Adverse Events Identified by Electrocardiogram (ECG) Parameters

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Treatment-emergent are events between first dose of study drug and up to 64 days that were absent before treatment or that worsened relative to pretreatment state. ECG parameters RR interval, PR interval, QRS complex, QT interval, [Bazett's Correction], QTcF interval [Fridericia's Correction] were assessed to identify systemic AEs. AEs (all causalities), treatment related AEs and CTCAE severity grades for AEs were reported. CTCAE Grade 4.0: Grade 1= mild; Grade 2= moderate, Grade 3= severe, Grade 4= life-threatening consequences and Grade 5= death related to adverse event. Categories with at least 1 participant were reported.

    Measured: Day 1 up to Day 64

  23. Number of Participants With Systemic Treatment Emergent Adverse Events Identified by Laboratory Parameters

    Laboratory parameters alanine aminotransferase, alkaline phosphatase, aspartate aminotransferase, gamma glutamyl transferase, lactate dehydrogenase, albumin, hemoglobin, protein, amylase, creatine kinase, lipase, basophils, eosinophils, lymphocytes, monocytes, neutrophils, platelets, white blood cells, bicarbonate, chloride, potassium, sodium, bilirubin, blood urea nitrogen, c-reactive protein , calcium, creatinine, direct bilirubin, glucose, magnesium, phosphate, uric acid, hematocrit, partial thromboplastin time , prothrombin time, red blood cells , urine pH, urine specific gravity were assessed to identify systemic AEs. AEs (all causalities), treatment related AEs and CTCAE severity grades for AEs were reported. Same participant may be reported in more than 1 CTCAE severity grade. Categories with at least 1 participant were reported.

    Measured: Day 1 up to Day 64

  24. Number of Participants With Positive Anti-drug Antibodies (ADA)

    Human serum ADA samples of participants who received PF-04950615 (RN316) were analyzed for the presence of anti-PF-04950615 (RN316) antibodies. Results with titer value >=4.32 nanogram per milliliter of anti-PF-04950615 antibodies were counted as positive. Number of participants with presence of anti-PF-04950615 antibodies were reported in this outcome measure.

    Measured: Day 1 up to Day 64

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Jul 2010 (estimated)
  2. Study startJul 2010
  3. Primary completionFeb 2011
  4. Study completionApr 2011

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
25 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01163851
Sponsor's protocol ID
B1481003
Status last verified
Jan 2018
First submitted
14 Jul 2010
Last updated
1 Mar 2018
Data monitoring committee
No

Publications

  • Wang EQ, Kaila N, Plowchalk D, Gibiansky L, Yunis C, Sweeney K. Population PK/PD modeling of low-density lipoprotein cholesterol response in hypercholesterolemic participants following administration of bococizumab, a potent anti-PCSK9 monoclonal antibody. CPT Pharmacometrics Syst Pharmacol. 2023 Dec;12(12):2013-2026. doi: 10.1002/psp4.13050. Epub 2023 Nov 22.

    PubMed 37994400
  • Udata C, Garzone PD, Gumbiner B, Joh T, Liang H, Liao KH, Williams JH, Meng X. A Mechanism-Based Pharmacokinetic/Pharmacodynamic Model for Bococizumab, a Humanized Monoclonal Antibody Against Proprotein Convertase Subtilisin/Kexin Type 9, and Its Application in Early Clinical Development. J Clin Pharmacol. 2017 Jul;57(7):855-864. doi: 10.1002/jcph.867. Epub 2017 Feb 9.

    PubMed 28181260

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing 4 mg/kg and 0.5 mg/kg in people with Hypercholesterolemia and Dyslipidemia, run by Pfizer at 5 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 1 Mar 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 7 May 2015). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of PF-04950615 (time frame: 0 (pre-dose on Day 4), 1, 4, 8 and 12 hours (hrs) post intravenous PF-04950615 (RN316) dose, pre atorvastatin dose on Day 5, 6, 7, 15, 22, 29, 36, 43, 50, 57 and 64). The study lists 13 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01163851, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Mar 2018.

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