A Study To Evaluate The Effect Of Itraconazole On Pharmacokinetics Of PF-06463922 In Healthy Volunteers

Sponsor
Pfizer (Industry)
Overall Status
Completed
CT.gov ID
NCT02838264
Collaborator
(none)
16
1
4
8.5
1.9

Study Details

Study Description

Brief Summary

The purpose of this study is to estimate the effect of itraconazole on the single dose pharmacokinetics of PF-06463922 in healthy volunteers in the fasted state.

Condition or Disease Intervention/Treatment Phase
Phase 1

Detailed Description

This will be a Phase 1, open-label, 2-period, fixed-sequence, crossover study to investigate the effect of the strong CYP3A inhibitor itraconazole on PF-06463922 PK in approximately 16 healthy volunteers. The study will consist of potentially up to 6 treatments: single dose of PF-06463922 50, 75 or 100 mg and PF-06463922 50, 75 or 100 mg in combination with multiple dose itraconazole.

Study Design

Study Type:
Interventional
Actual Enrollment :
16 participants
Masking:
None (Open Label)
Primary Purpose:
Basic Science
Official Title:
Phase 1, Open-label, Fixed Sequence, 2-period Study To Investigate The Effect Of Multiple Doses Of Itraconazole On The Pharmacokinetics Of Single Dose Pf-06463922 In Healthy Volunteers In The Fasted Condition
Actual Study Start Date :
Aug 16, 2016
Actual Primary Completion Date :
Mar 31, 2017
Actual Study Completion Date :
May 3, 2017

Arms and Interventions

Arm Intervention/Treatment
Experimental: Cohort 1

All subjects in this cohort will receive the same dose of PF-06463922 in both periods. Subjects will receive PF-06463922 Alone in Period 1 followed by PF-06463922 with Itraconazole in Period 2.

Drug: PF-06463922
Single oral dose of PF-06463922 50 mg on Day 1 of Period 1 and Day 5 of Period 2
Other Names:
  • Lorlatinib
  • Drug: Itraconazole
    200 mg oral dose of itraconazole on Days 1 to 11 during Period 2
    Other Names:
  • Sporanox
  • Experimental: Cohort 2

    All subjects in this cohort will receive the same dose of PF-06463922 in both periods. Subjects will receive PF-06463922 Alone in Period 1 followed by PF-06463922 with Itraconazole in Period 2.

    Drug: PF-06463922
    Single oral dose of PF-06463922 75 mg on Day 1 of Period 1 and Day 5 of Period 2
    Other Names:
  • Lorlatinib
  • Drug: Itraconazole
    200 mg oral dose of itraconazole on Days 1 to 11 during Period 2
    Other Names:
  • Sporanox
  • Experimental: Cohort 3

    All subjects in this cohort will receive the same dose of PF-06463922 in both periods. Subjects will receive PF-06463922 Alone in Period 1 followed by PF-06463922 with Itraconazole in Period 2.

    Drug: PF-06463922
    Single oral dose of PF-06463922 100 mg on Day 1 of Period 1 and Day 5 of Period 2
    Other Names:
  • Lorlatinib
  • Drug: Itraconazole
    200 mg oral dose of itraconazole on Days 1 to 11 during Period 2
    Other Names:
  • Sporanox
  • Experimental: Cohort 4

    All subjects in this cohort will receive the same dose of PF-06463922 in both periods. Subjects will receive the highest safe dose (mg) of PF-06463922 as a single-dose Alone in Period 1 followed by PF-06463922 with Itraconazole in Period 2.

    Drug: PF-06463922
    Highest safe single oral dose (mg) of PF-06463922 identified in the previous cohorts will be administered on Day 1 of Period 1 and Day 5 of Period 2
    Other Names:
  • Lorlatinib
  • Drug: Itraconazole
    200 mg oral dose of itraconazole on Days 1 to 11 during Period 2
    Other Names:
  • Sporanox
  • Outcome Measures

    Primary Outcome Measures

    1. AUCinf for PF-06463922 [PF-06463922 pre-dose, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and up to 168 hours post-dose.]

      Area under the plasma concentration-time profile from time zero extrapolated to infinite time

    2. Cmax for PF-06463922 [PF-06463922 pre-dose, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and up to 168 hours post-dose.]

      Maximum plasma concentration

    Secondary Outcome Measures

    1. AUClast for PF-06463922 [PF-06463922 pre-dose, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and up to 168 hours post-dose.]

      Area under the plasma concentration-time profile from time zero to the time of the last quantifiable concentration (Clast)

    2. Tmax for PF-06463922 [PF-06463922 pre-dose, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and upto 168 hours post-dose.]

      Time to Cmax

    3. t1/2 for PF-06463922 [PF-06463922 pre-dose, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and up to 168 hours post-dose.]

      Terminal plasma elimination half-life

    4. CL/F for PF-06463922 [PF-06463922 pre-dose, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and up to 168 hours post-dose.]

      Apparent clearance

    5. Vz/F for PF-06463922 [PF-06463922 pre-dose, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and up to 168 hours post-dose.]

      Apparent volume of distribution

    6. AUCinf for any potential PF-06463922 metabolite if necessary [PF-06463922 pre-dose, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and up to 168 hours post-dose.]

      Area under the plasma concentration-time profile from time zero extrapolated to infinite time

    7. AUClast for any potential PF-06463922 metabolite if necessary [PF-06463922 pre-dose, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and up to 168 hours post-dose.]

      Area under the plasma concentration-time profile from time zero to the time of the last quantifiable concentration (Clast)

    8. Cmax for any potential PF-06463922 metabolite if appropriate [PF-06463922 pre-dose, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and up to 168 hours post-dose.]

      Maximum plasma concentration

    9. Tmax for any potential PF-06463922 metabolite if appropriate [PF-06463922 pre-dose, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and up to 168 hours post-dose.]

      Time to Cmax

    10. t1/2 for any potential metabolite of PF-06463922 if appropriate [PF-06463922 pre-dose, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and up to 168 hours post-dose.]

      Terminal plasma elimination half-life

    11. MRCmax for any potential PF-06463922 metabolite if appropriate [PF-06463922 pre-dose, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and up to 168 hours post-dose.]

      metabolite to parent ratio for Cmax

    12. MRAUClast for any potential PF-06463922 metabolite if appropriate [PF-06463922 pre-dose, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and up to 168 hours post-dose.]

      metabolite to parent ratio for AUClast

    13. MRAUCinf for any potential PF-06463922 metabolite if appropriate [PF-06463922 pre-dose, 0.5, 1, 1.5, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 144, and up to 168 hours post-dose.]

      metabolite to parent ratio for AUCinf

    14. PR interval after PF-06463922 alone and after increased exposure of PF 06463922 (due to concomitant itraconzole administration). [Within 24 hours after single dose administration of PF-06463922 alone and in combination with itraconazole.]

      Change in PR interval from baseline after administration of PF-06463922 single dose as assessed by ECG.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 55 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • Healthy female subjects of non childbearing potential and/or male subjects, who at the time of screening, are between the ages of 18 and 55 years, inclusive.

    • Body Mass Index (BMI) of 17.5 to 30.5 kg/m2; and a total body weight >50 kg (110 lbs).

    Exclusion Criteria:
    • Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurologic, or allergic disease (including drug allergies, but excluding untreated, asymptomatic, seasonal allergies at the time of dosing).

    • Any condition possibly affecting drug absorption.

    • A positive urine drug test.

    • History of HIV, Hep B or Hep C.

    • History of regular alcohol consumption.

    • Screening supine 12 lead ECG demonstrating PR interval >180 msec, QTc >450 msec or a QRS interval >120 msec.

    • Subjects with ANY of the following abnormalities in clinical laboratory tests at screening, as assessed by the study-specific laboratory and confirmed by a single repeat, if deemed necessary: Use this criterion to describe any laboratory parameters that are not acceptable for the study. Examples included below:

    • Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) level >1.0 × upper limit of normal (ULN);

    • Total bilirubin level >1.0 × ULN; subjects with a history of Gilbert's syndrome may have direct bilirubin measured and would be eligible for this study provided the direct bilirubin level is <= ULN.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Pfizer Clinical Research Unit Brussels Belgium B-1070

    Sponsors and Collaborators

    • Pfizer

    Investigators

    • Study Director: Pfizer CT.gov Call Center, Pfizer

    Study Documents (Full-Text)

    None provided.

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    Pfizer
    ClinicalTrials.gov Identifier:
    NCT02838264
    Other Study ID Numbers:
    • B7461012
    • 2016-002386-57
    • ITRACONAZOLE DDI STUDY
    First Posted:
    Jul 20, 2016
    Last Update Posted:
    May 15, 2017
    Last Verified:
    May 1, 2017
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of May 15, 2017