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Hepatic ImpairmentPhase 1NCT03309202

Study of PF-05221304 in Subjects With Varying Degrees of Hepatic Impairment

A Phase 1 study testing PF-05221304 in people with Hepatic Impairment, run by Pfizer at 6 sites in 4 countries.

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

Hepatic impairment PK study Read more about this study

Who is it for?
Ages 18 to 70 yearsHealthy volunteers can take part
Conditions the study is for
Hepatic Impairment
What is being tested?
PF-05221304
Could I receive a placebo?
No, everyone receives an active treatment
How many people
24 participants
Where
6 sitesin 4 countries
Study dates
19 Dec 2017to 18 Jul 2018
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 70 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

None listed.

Who cannot join

  • All subjects -
  • Adults <18 years of age and >70 years of age
  • BMI < 17.5 and > 35.4 kg/m2
  • HIV positive
  • Conditions that affect drug absorption
  • Positive breath alcohol test
Show all 16Show fewer
  • Healthy/ those without hepatic impairment -
  • Known or suspected hepatic impairment
  • Evidence of Hepatitis B or C
  • On any chronic medications
  • Those with varying degrees of hepatic impairment -
  • Not meeting Classification A, B, or C of hepatic impairment based on Child-Pugh Classification
  • Evidence of Hepatic carcinoma or hepatorenal syndrome or limited predicted life expectancy
  • Recent GI bleed
  • Moderate or severe renal impairment
  • Hepatic encephalopathy Grade 3 or higher

Trial locations and contacts

6 sites in 4 countries.

6 sites in 4 countries

Czechia2 sites
  • Pharmaceutical Research Associates CZ, s.r.o.

    Prague, 170 00

  • Nemocnice Na Bulovce

    Prague, 180 81

Other trials in Czechia

Slovakia2 sites
  • Summit Clinical Research s.r.o.

    Bratislava, 83101

  • Univerzitná Nemocnica Bratislava

    Bratislava, 83305

Other trials in Slovakia

United States1 site
  • Orlando Clinical Research Center

    Orlando, Florida, 32809

Other trials in United States

Belgium1 site
  • Pfizer Clinical Research Unit

    Brussels, B-1070

Other trials in Belgium

About this study

Official title: A PHASE 1, NON-RANDOMIZED, OPEN-LABEL, SINGLE-DOSE, PARALLEL COHORT STUDY TO COMPARE THE PHARMACOKINETICS OF PF-05221304 IN ADULT SUBJECTS WITH VARYING DEGREES OF HEPATIC IMPAIRMENT RELATIVE TO SUBJECTS WITHOUT HEPATIC IMPAIRMENT

Hepatic impairment PK study

Read the detailed description

This is a non randomized, open label, single dose, parallel cohort, multisite study to investigate the effect of varying degrees of hepatic impairment on the plasma pharmacokinetics (total and unbound) of PF-05221304 after a single oral dose administered in the fed state.

Being tested
PF-05221304

What participants receive

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

  • PF-05221304Drug

    Also called experimental drug

    25 mg dose

Study groups in NCT03309202
Study groupRoleWhat they receive
Cohort 1_Without impairmentExperimentalSingle, 25 mg dose of PF-05221304
Receives: Drug: PF-05221304
Cohort 2_Mild impairmentExperimentalSingle, 25 mg dose of PF-05221304
Receives: Drug: PF-05221304
Cohort 3_Moderate impairmentExperimentalSingle, 25 mg dose of PF-05221304
Receives: Drug: PF-05221304
Cohort 4_Severe impairmentExperimentalSingle, 25 mg dose of PF-05221304
Receives: Drug: PF-05221304

What is being measured

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

  1. Maximum Plasma Concentration (Cmax) of PF-05221304

    Cmax was observed directly from data.

    Measured: 0, 1, 2, 3, 4, 5, 8, 10, 16, 24, 36, 48, 72, 96, 120, 144 hours postdose

  2. Area Under the Plasma Concentration-Time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) of PF-05221304

    AUCinf was calculated by AUClast + (Clast*/kel), where AUClast was the area under the plasma concentration-time profile from time 0 to the time of the last quantifiable concentration, Clast* was the predicted plasma concentration at the last quantifiable time point estimated from the log-linear regression analysis, and kel was the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve.

    Measured: 0, 1, 2, 3, 4, 5, 8, 10, 16, 24, 36, 48, 72, 96, 120, 144 hours postdose

  3. Fraction Unbound (fu) of PF-05221304

    fu was the fraction of PF-05221304 unbound in plasma. fu was calculated based on the post-dialysis plasma concentrations, post-dialysis buffer concentrations, collected post-dialysis plasma and post-dialysis buffer sample volume (assuming no volume shift prior to and after dialysis), and the total plasma concentrations.

    Measured: 4 hours postdose

  4. Unbound Cmax (Cmax,u) of PF-05221304

    Cmax,u was calculated by fu*Cmax.

    Measured: 4 hours postdose

  5. Unbound AUCinf (AUCinf,u) of PF-05221304

    AUCinf,u was calculated by fu*AUCinf.

    Measured: 4 hours postdose

Secondary outcomes (14)
  1. Time to Reach Maximum Plasma Concentration (Tmax) of PF-05221304

    Tmax was observed directly from data as time of first occurrence.

    Measured: 0, 1, 2, 3, 4, 5, 8, 10, 16, 24, 36, 48, 72, 96, 120, 144 hours postdose

  2. Area Under Concentration Time Curve From Time 0 to Time of Last Quantifiable Concentration (AUClast) of PF-05221304

    AUClast was calculated by linear/Log trapezoidal method.

    Measured: 0, 1, 2, 3, 4, 5, 8, 10, 16, 24, 36, 48, 72, 96, 120, 144 hours postdose

  3. Unbound AUClast ( AUClast,u) of PF-05221304

    AUClast,u was calculated by fu*AUClast.

    Measured: 4 hours postdose

  4. Apparent Clearance After Oral Dose (CL/F) of PF-05221304

    CL/F was calculated by Dose/AUCinf.

    Measured: 0, 1, 2, 3, 4, 5, 8, 10, 16, 24, 36, 48, 72, 96, 120, 144 hours postdose

  5. Unbound CL/F (CLu/F) of PF-05221304

    CLu/F was calculated by fu*CL/F.

    Measured: 4 hours postdose

  6. Apparent Volume of Distribution After Oral Dose (Vz/F) of PF-05221304

    Vz/F was calculated by Dose/(AUCinf*kel). kel was the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve.

    Measured: 0, 1, 2, 3, 4, 5, 8, 10, 16, 24, 36, 48, 72, 96, 120, 144 hours postdose

  7. Unbound Vz/F (Vz,u/F) of PF-05221304

    Vz,u/F was calculated by fu*Vz/F.

    Measured: 4 hours postdose

  8. Terminal Half-Life ( t½) of PF-05221304

    t1/2 was calculated by loge(2)/kel.

    Measured: 0, 1, 2, 3, 4, 5, 8, 10, 16, 24, 36, 48, 72, 96, 120, 144 hours postdose

  9. Number of Participants With Treatment-emergent Adverse Events (TEAEs)

    An adverse event (AE) was any untoward medical occurrence in a study participant administered a product or medical device; the event did not need to have a causal relationship with the treatment or usage. A serious adverse event (SAE) was any untoward medical occurrence at any dose that resulted in death; was life threatening; required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity; resulted in congenital anomaly/birth defect. AEs included both SAEs and AEs. TEAEs were AEs occurred following the start of treatment or AEs increasing in severity during treatment. Number of participants with both all-causality and treatment-related TEAEs are presented below.

    Measured: Approximately 30 days

  10. Number of Participants With Laboratory Test Abnormalities (Without Regard to Baseline Abnormality)-Hematology

    Hematology evaluation included: hemoglobin, hematocrit, erythrocytes, reticulocytes, erythrocyte mean corpuscular volume, erythrocyte mean corpuscular hemoglobin concentration (MCHC), erythrocyte mean corpuscular hemoglobin, platelets, leukocytes, lymphocytes, neutrophils, basophils, eosinophils, monocytes, activated partial thromboplastin time and prothrombin time.

    Measured: 7 days

  11. Number of Participants With Laboratory Test Abnormalities (Without Regard to Baseline Abnormality)-Clinical Chemistry

    Clinical chemistry evaluation included: bilirubin, direct/indirect bilirubin, aspartate aminotransferase, alanine aminotransferase, gamma glutamyl transferase , alkaline phosphatase, protein, albumin, blood urea nitrogen, creatinine, urate, sodium, potassium, chloride, calcium, phosphate, bicarbonate, creatine kinase, and fasting glucose.

    Measured: 7 days

  12. Number of Paticipants With Laboratory Test Abnormalities (Without Regard to Baseline Abnormality)-Urinalysis

    Urinalysis evaluation included: scalar urine glucose, scalar ketones, scalar urine protein, scalar urine hemoglobin, scalar urobilinogen, scalar urine bilirubin, scalar nitrite, scalar leukocyte esterase, urine erythrocytes, urine leukocytes, hyaline casts, and scalar bacteria.

    Measured: 7 days

  13. Number of Participants With Clinical Significant Findings in Vital Signs

    Vital signs evaluation included: sitting systolic and diastolic blood pressure (BP), and sitting pulse rate. Clinically significant findings in vital signs were determined by the investigator.

    Measured: 7 days

  14. Number of Participants With Clinically Significant Findings in Electrocardiogram (ECG) Data

    ECG evaluation included: PR interval, time from ECG Q wave to the end of the S wave corresponding to ventricle depolarization (QRS interval), time between the start of the Q wave and the end of the T wave in the heart's electrical cycle (QT interval), QT interval corrected for heart rate using Fridericia's formula (QTcF interval), and heart rate. Clinically significant findings in ECG data were determined by the investigator.

    Measured: 7 days

Timeline

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

  1. First posted13 Oct 2017
  2. Study start19 Dec 2017
  3. Primary completion26 Jun 2018
  4. Study completion18 Jul 2018

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
Basic science
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
24 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03309202
Sponsor's protocol ID
C1171006
Other IDs
2017-003034-86, 2017
Status last verified
Jun 2019
First submitted
10 Oct 2017
Last updated
8 Aug 2019
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: 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.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing PF-05221304 in people with Hepatic Impairment, run by Pfizer at 6 sites in 4 countries.

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 0 inclusion and 16 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 8 Aug 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in Czechia, Slovakia, United States, Belgium. 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 8 Aug 2019). 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?

Maximum Plasma Concentration (Cmax) of PF-05221304 (time frame: 0, 1, 2, 3, 4, 5, 8, 10, 16, 24, 36, 48, 72, 96, 120, 144 hours postdose). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 8 Aug 2019.

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