Bioequivalence And Food Effect Study Comparing The Commercial Formulation Of Crizotinib To Its Clinical Study Formulations And Commercial Formulation With Or Without Food In Healthy Volunteers

Sponsor
Pfizer (Industry)
Overall Status
Completed
CT.gov ID
NCT01154218
Collaborator
(none)
36
1
1
3
11.9

Study Details

Study Description

Brief Summary

The purpose of this study is to demonstrate bioequivalence of the Commercial Image Capsule (CIC) relative to the Immediate Release Tablet (IRT) of crizotinib, bioequivalence of CIC relative to Powder in Capsule (PIC) of crizotinib, and lack of an effect of high fat meal on the pharmacokinetics (PK) of crizotinib when administered as CIC Formulation in healthy volunteers.

Condition or Disease Intervention/Treatment Phase
Phase 1

Detailed Description

The purpose of this study is to demonstrate bioequivalence of the CIC relative to IRT and CIC relative to PIC, and lack of an effect of food on the PK of crizotinib in healthy volunteers.

Study Design

Study Type:
Interventional
Actual Enrollment :
36 participants
Allocation:
Randomized
Intervention Model:
Crossover Assignment
Masking:
None (Open Label)
Official Title:
A Phase 1, Single Dose Bioequivalence And Food Effect Study In Healthy Volunteers Comparing The Commercial Image Capsules To The Immediate Release Tablets And Powder In Capsule Formulations Of Crizotinib (PF-02341066), And The Commercial Image Capsule In The Fasted To Fed State
Study Start Date :
Aug 1, 2010
Actual Primary Completion Date :
Nov 1, 2010
Actual Study Completion Date :
Nov 1, 2010

Arms and Interventions

Arm Intervention/Treatment
Experimental: 1

All subjects will receive four treatments in one of the indicated orders: A-B-C-D, B-D-A-C, C-A-D-B, D-C-B-A

Drug: crizotinib
Treatment A (Reference 1): a 250 mg single dose of crizotinib administered in a fasted state as 1 × 50-mg IRT and 2 × 100-mg IRTs. Treatment B (Reference 2): a 250 mg single dose of crizotinib administered in a fasted state as 1 × 50-mg PIC and 2 × 100 mg PICs. Treatment C (Test for BE, Reference for Food Effect): a 250 mg single dose of crizotinib administered in a fasted state as 1 × 250-mg CIC. Treatment D (Test High Fat): a 250 mg single dose of crizotinib administered with a high-fat meal as 1 × 250-mg CIC

Outcome Measures

Primary Outcome Measures

  1. Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUC [0 - ∞]) [0 (pre-dose), 1, 2, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96 and 144 hours (hrs) post crizotinib dose]

    AUC (0-∞) = Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-∞). It is obtained from AUC (0-t) plus AUC (t-∞).

  2. Maximum Observed Plasma Concentration (Cmax) [0 (pre-dose), 1, 2, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96 and 144 hrs post crizotinib dose]

Secondary Outcome Measures

  1. Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) [0 (pre-dose), 1, 2, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96 and 144 hrs post crizotinib dose]

    Area under the plasma concentration time-curve from zero (pre-dose) to the last measured concentration (AUClast).

  2. Time to Reach Maximum Observed Plasma Concentration (Tmax) [0 (pre-dose), 1, 2, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96 and 144 hrs post crizotinib dose]

  3. Plasma Decay Half Life (t1/2) [0 (pre-dose), 1, 2, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96 and 144 hrs post crizotinib dose]

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

  4. Apparent Oral Clearance (CL/F) [0 (pre-dose), 1, 2, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96 and 144 hrs post crizotinib dose]

    Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the body. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed.

  5. Apparent Volume of Distribution (Vz/F) [0 (pre-dose), 1, 2, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96 and 144 hrs post crizotinib dose]

    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. Apparent volume of distribution after oral dose (Vz/F) is influenced by the fraction absorbed.

  6. Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Crizotinib Metabolite (PF-06260182) [0 (pre-dose), 1, 2, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96 and 144 hrs post crizotinib dose]

    Area under the plasma concentration time-curve from zero (pre-dose) to the last measured concentration (AUClast) of Crizotinib metabolite (PF-06260182).

  7. Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUC [0 - ∞]) for Crizotinib Metabolite (PF-06260182) [0 (pre-dose), 1, 2, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96 and 144 hrs post crizotinib dose]

    AUC (0-∞) = Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-∞). It is obtained from AUC (0-t) plus AUC (t-∞).

  8. Maximum Observed Plasma Concentration (Cmax) for Crizotinib Metabolite (PF-06260182) [0 (pre-dose), 1, 2, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96 and 144 hrs post crizotinib dose]

  9. Time to Reach Maximum Observed Plasma Concentration (Tmax) for Crizotinib Metabolite (PF-06260182) [0 (pre-dose), 1, 2, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96 and 144 hrs post crizotinib dose]

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 55 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  • Healthy male and/or female of non-childbearing potential subjects between the ages of 18 and 55 years, inclusive (Healthy is defined as no clinically relevant abnormalities identified by a detailed medical history, full physical examination, including blood pressure and pulse rate measurement, 12-lead ECG and clinical laboratory tests).

  • Body Mass Index (BMI) of 17.5 to 30.5 kg/m^2; and a total body weight >50 kg (110 lbs)

Exclusion Criteria:
  • Subjects who are smoking, or with evidence of disease, conditions affecting absorption, treatment with other investigational drug within 30 days, history of regular alcohol consumption, use of prescription, nonprescription drugs and dietary supplement within 7 days, or blood donation of 500 mL within 56 days.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Pfizer Investigational Site Bruxelles 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:
NCT01154218
Other Study ID Numbers:
  • A8081011
First Posted:
Jun 30, 2010
Last Update Posted:
Oct 24, 2011
Last Verified:
Oct 1, 2011
Keywords provided by Pfizer
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail
Arm/Group Title Crizotinib 250 mg IRT Fasted, PIC Fasted, CIC Fasted, CIC Fed Crizotinib 250 mg PIC Fasted, CIC Fed, IRT Fasted, CIC Fasted Crizotinib 250 mg CIC Fasted, IRT Fasted, CIC Fed, PIC Fasted Crizotinib 250 mg CIC Fed, CIC Fasted, PIC Fasted, IRT Fasted
Arm/Group Description Single oral dose of crizotinib 250 milligram (mg) immediate release tablet (IRT) in fasted state in first intervention period; followed by single oral dose of crizotinib 250 mg powder in capsule (PIC) in fasted state in second intervention period; followed by single oral dose of crizotinib 250 mg commercial image capsule (CIC) in fasted state in third intervention period; and single oral dose of crizotinib 250 mg CIC in fed state in fourth intervention period. A washout period of at least 14 days was maintained between each period. Single oral dose of crizotinib 250 mg PIC in fasted state in first intervention period; followed by single oral dose of crizotinib 250 mg CIC in fed state in second intervention period; followed by single oral dose of crizotinib 250 mg IRT in fasted state in third intervention period; and single oral dose of crizotinib 250 mg CIC in fasted state in fourth intervention period. A washout period of at least 14 days was maintained between each period. Single oral dose of crizotinib 250 mg CIC in fasted state in first intervention period; followed by single oral dose of crizotinib 250 mg IRT in fasted state in second intervention period; followed by single oral dose of crizotinib 250 mg CIC in fed state in third intervention period; and single oral dose of crizotinib 250 mg PIC in fasted state in fourth intervention period. A washout period of at least 14 days was maintained between each period. Single oral dose of crizotinib 250 mg CIC in fed state in first intervention period; followed by single oral dose of crizotinib 250 mg CIC in fasted state in second intervention period; followed by single oral dose of crizotinib 250 mg PIC in fasted state in third intervention period; and single oral dose of crizotinib 250 mg IRT in fasted state in fourth intervention period. A washout period of at least 14 days was maintained between each period.
Period Title: First Intervention Period
STARTED 9 9 9 9
COMPLETED 9 9 9 9
NOT COMPLETED 0 0 0 0
Period Title: First Intervention Period
STARTED 9 9 9 9
COMPLETED 9 9 9 9
NOT COMPLETED 0 0 0 0
Period Title: First Intervention Period
STARTED 9 9 9 9
COMPLETED 9 9 9 9
NOT COMPLETED 0 0 0 0
Period Title: First Intervention Period
STARTED 9 9 9 9
COMPLETED 9 9 9 9
NOT COMPLETED 0 0 0 0
Period Title: First Intervention Period
STARTED 9 9 9 9
COMPLETED 9 8 9 9
NOT COMPLETED 0 1 0 0
Period Title: First Intervention Period
STARTED 9 8 9 9
COMPLETED 9 8 9 8
NOT COMPLETED 0 0 0 1
Period Title: First Intervention Period
STARTED 9 8 9 8
COMPLETED 8 8 9 8
NOT COMPLETED 1 0 0 0

Baseline Characteristics

Arm/Group Title Entire Study Population
Arm/Group Description Includes participants randomized to receive any treatment (crizotinib 250 mg IRT fasted first, crizotinib 250 mg PIC fasted first, crizotinib 250 mg CIC fasted first and crizotinib 250 mg CIC fed).
Overall Participants 36
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
38.9
(8.1)
Sex: Female, Male (Count of Participants)
Female
0
0%
Male
36
100%

Outcome Measures

1. Primary Outcome
Title Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUC [0 - ∞])
Description AUC (0-∞) = Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-∞). It is obtained from AUC (0-t) plus AUC (t-∞).
Time Frame 0 (pre-dose), 1, 2, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96 and 144 hours (hrs) post crizotinib dose

Outcome Measure Data

Analysis Population Description
Pharmacokinetic (PK) parameter analysis population included all randomized and treated participants who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.
Arm/Group Title Crizotinib IRT Fasted Crizotinib PIC Fasted Crizotinib CIC Fasted Crizotinib CIC Fed
Arm/Group Description Single oral dose of crizotinib 250 mg IRT (Treatment A [Reference 1]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg PIC (Treatment B [Reference 2]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg CIC (Treatment C [Test for bioequivalence (BE), Reference for Food effect]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg CIC (Treatment D [Test High Fat]) in fed state in any intervention period.
Measure Participants 35 35 35 36
Geometric Mean (Standard Deviation) [ng*hr/mL]
2890.0
(1021.8)
2665.0
(1190.4)
2887.0
(1109.6)
2475.0
(1037.7)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Crizotinib IRT Fasted, Crizotinib CIC Fasted
Comments Natural log transformed AUC (0-∞) of crizotinib was analyzed using a mixed effect model with sequence, period and treatment as fixed effects and participant within sequence as a random effect. The adjusted mean differences and 90% confidence intervals (CIs) for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio of Adjusted Means
Estimated Value 99.56
Confidence Interval (2-Sided) 90%
91.49 to 108.33
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Crizotinib PIC Fasted, Crizotinib CIC Fasted
Comments Natural log transformed AUC (0-∞) of crizotinib was analyzed using a mixed effect model with sequence, period and treatment as fixed effects and participant within sequence as a random effect. The adjusted mean differences and 90% CIs for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio of Adjusted means
Estimated Value 106.93
Confidence Interval (2-Sided) 90%
98.26 to 116.35
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Crizotinib CIC Fasted, Crizotinib CIC Fed
Comments Natural log transformed AUC (0-∞) of crizotinib was analyzed using a mixed effect model with sequence, period and treatment as fixed effects and participant within sequence as a random effect. The adjusted mean differences and 90% CIs for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio of Adjusted Means
Estimated Value 85.76
Confidence Interval (2-Sided) 90%
78.88 to 93.25
Parameter Dispersion Type:
Value:
Estimation Comments
2. Secondary Outcome
Title Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast)
Description Area under the plasma concentration time-curve from zero (pre-dose) to the last measured concentration (AUClast).
Time Frame 0 (pre-dose), 1, 2, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96 and 144 hrs post crizotinib dose

Outcome Measure Data

Analysis Population Description
PK parameter analysis population included all randomized and treated participants who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.
Arm/Group Title Crizotinib IRT Fasted Crizotinib PIC Fasted Crizotinib CIC Fasted Crizotinib CIC Fed
Arm/Group Description Single oral dose of crizotinib 250 mg IRT (Treatment A [Reference 1]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg PIC (Treatment B [Reference 2]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg CIC (Treatment C [Test for bioequivalence (BE), Reference for Food effect]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg CIC (Treatment D [Test High Fat]) in fed state in any intervention period.
Measure Participants 35 35 35 36
Geometric Mean (Standard Deviation) [ng*hr/mL]
2763.0
(989.0)
2531.0
(1158.0)
2761.0
(1078.4)
2359.0
(1013.0)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Crizotinib IRT Fasted, Crizotinib CIC Fasted
Comments Natural log transformed AUClast of crizotinib was analyzed using a mixed effect model with sequence, period and treatment as fixed effects and participant within sequence as a random effect. The adjusted mean differences and 90% CIs for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio of Adjusted means
Estimated Value 99.60
Confidence Interval (2-Sided) 90%
91.30 to 108.66
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Crizotinib PIC Fasted, Crizotinib CIC Fasted
Comments Natural log transformed AUClast of crizotinib was analyzed using a mixed effect model with sequence, period and treatment as fixed effects and participant within sequence as a random effect. The adjusted mean differences and 90% CIs for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio of Adjusted means
Estimated Value 107.56
Confidence Interval (2-Sided) 90%
98.58 to 117.35
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Crizotinib CIC Fasted, Crizotinib CIC Fed
Comments Natural log transformed AUClast of crizotinib was analyzed using a mixed effect model with sequence, period and treatment as fixed effects and participant within sequence as a random effect. The adjusted mean differences and 90% CIs for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio of Adjusted means
Estimated Value 85.52
Confidence Interval (2-Sided) 90%
78.45 to 93.22
Parameter Dispersion Type:
Value:
Estimation Comments
3. Secondary Outcome
Title Time to Reach Maximum Observed Plasma Concentration (Tmax)
Description
Time Frame 0 (pre-dose), 1, 2, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96 and 144 hrs post crizotinib dose

Outcome Measure Data

Analysis Population Description
PK parameter analysis population included all randomized and treated participants who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.
Arm/Group Title Crizotinib IRT Fasted Crizotinib PIC Fasted Crizotinib CIC Fasted Crizotinib CIC Fed
Arm/Group Description Single oral dose of crizotinib 250 mg IRT (Treatment A [Reference 1]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg PIC (Treatment B [Reference 2]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg CIC (Treatment C [Test for bioequivalence (BE), Reference for Food effect]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg CIC (Treatment D [Test High Fat]) in fed state in any intervention period.
Measure Participants 35 35 35 36
Median (Full Range) [hr]
5.00
5.00
5.00
5.00
4. Secondary Outcome
Title Plasma Decay Half Life (t1/2)
Description Plasma decay half-life is the time measured for the plasma concentration to decrease by one half.
Time Frame 0 (pre-dose), 1, 2, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96 and 144 hrs post crizotinib dose

Outcome Measure Data

Analysis Population Description
PK parameter analysis population included all randomized and treated participants who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.
Arm/Group Title Crizotinib IRT Fasted Crizotinib PIC Fasted Crizotinib CIC Fasted Crizotinib CIC Fed
Arm/Group Description Single oral dose of crizotinib 250 mg IRT (Treatment A [Reference 1]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg PIC (Treatment B [Reference 2]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg CIC (Treatment C [Test for bioequivalence (BE), Reference for Food effect]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg CIC (Treatment D [Test High Fat]) in fed state in any intervention period.
Measure Participants 35 35 35 36
Mean (Standard Deviation) [hr]
34.62
(4.13)
35.28
(6.39)
34.85
(4.94)
35.41
(5.49)
5. Primary Outcome
Title Maximum Observed Plasma Concentration (Cmax)
Description
Time Frame 0 (pre-dose), 1, 2, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96 and 144 hrs post crizotinib dose

Outcome Measure Data

Analysis Population Description
PK parameter analysis population included all randomized and treated participants who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.
Arm/Group Title Crizotinib IRT Fasted Crizotinib PIC Fasted Crizotinib CIC Fasted Crizotinib CIC Fed
Arm/Group Description Single oral dose of crizotinib 250 mg IRT (Treatment A [Reference 1]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg PIC (Treatment B [Reference 2]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg CIC (Treatment C [Test for bioequivalence (BE), Reference for Food effect]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg CIC (Treatment D [Test High Fat]) in fed state in any intervention period.
Measure Participants 35 35 35 36
Geometric Mean (Standard Deviation) [ng/mL]
126.00
(36.58)
119.30
(50.88)
135.00
(47.84)
116.10
(45.58)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Crizotinib IRT Fasted, Crizotinib CIC Fasted
Comments Natural log transformed Cmax of crizotinib was analyzed using a mixed effect model with sequence, period and treatment as fixed effects and participant within sequence as a random effect. The adjusted mean differences and 90% CIs for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio of Adjusted Means
Estimated Value 106.97
Confidence Interval (2-Sided) 90%
96.55 to 118.51
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Crizotinib PIC Fasted, Crizotinib CIC Fasted
Comments Natural log transformed Cmax of crizotinib was analyzed using a mixed effect model with sequence, period and treatment as fixed effects and participant within sequence as a random effect. The adjusted mean differences and 90% CIs for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio of Adjusted Means
Estimated Value 111.32
Confidence Interval (2-Sided) 90%
100.47 to 123.33
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Crizotinib CIC Fasted, Crizotinib CIC Fed
Comments Natural log transformed Cmax of crizotinib was analyzed using a mixed effect model with sequence, period and treatment as fixed effects and participant within sequence as a random effect. The adjusted mean differences and 90% CIs for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio of Adjusted Means
Estimated Value 86.22
Confidence Interval (2-Sided) 90%
77.89 to 95.43
Parameter Dispersion Type:
Value:
Estimation Comments
6. Secondary Outcome
Title Apparent Oral Clearance (CL/F)
Description Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the body. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed.
Time Frame 0 (pre-dose), 1, 2, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96 and 144 hrs post crizotinib dose

Outcome Measure Data

Analysis Population Description
PK parameter analysis population included all randomized and treated participants who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.
Arm/Group Title Crizotinib IRT Fasted Crizotinib PIC Fasted Crizotinib CIC Fasted Crizotinib CIC Fed
Arm/Group Description Single oral dose of crizotinib 250 mg IRT (Treatment A [Reference 1]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg PIC (Treatment B [Reference 2]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg CIC (Treatment C [Test for bioequivalence (BE), Reference for Food effect]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg CIC (Treatment D [Test High Fat]) in fed state in any intervention period.
Measure Participants 35 35 35 36
Geometric Mean (Standard Deviation) [L/hr]
86.49
(30.42)
93.78
(49.80)
86.57
(53.63)
101.00
(38.60)
7. Secondary Outcome
Title Apparent Volume of Distribution (Vz/F)
Description 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. Apparent volume of distribution after oral dose (Vz/F) is influenced by the fraction absorbed.
Time Frame 0 (pre-dose), 1, 2, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96 and 144 hrs post crizotinib dose

Outcome Measure Data

Analysis Population Description
PK parameter analysis population included all randomized and treated participants who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.
Arm/Group Title Crizotinib IRT Fasted Crizotinib PIC Fasted Crizotinib CIC Fasted Crizotinib CIC Fed
Arm/Group Description Single oral dose of crizotinib 250 mg IRT (Treatment A [Reference 1]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg PIC (Treatment B [Reference 2]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg CIC (Treatment C [Test for bioequivalence (BE), Reference for Food effect]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg CIC (Treatment D [Test High Fat]) in fed state in any intervention period.
Measure Participants 35 35 35 36
Geometric Mean (Standard Deviation) [L]
4290.0
(1672.4)
4703.0
(2874.7)
4313.0
(3880.9)
5096.0
(2302.0)
8. Secondary Outcome
Title Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Crizotinib Metabolite (PF-06260182)
Description Area under the plasma concentration time-curve from zero (pre-dose) to the last measured concentration (AUClast) of Crizotinib metabolite (PF-06260182).
Time Frame 0 (pre-dose), 1, 2, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96 and 144 hrs post crizotinib dose

Outcome Measure Data

Analysis Population Description
PK parameter analysis population included all randomized and treated participants who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.
Arm/Group Title Crizotinib IRT Fasted Crizotinib PIC Fasted Crizotinib CIC Fasted Crizotinib CIC Fed
Arm/Group Description Single oral dose of crizotinib 250 mg IRT (Treatment A [Reference 1]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg PIC (Treatment B [Reference 2]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg CIC (Treatment C [Test for bioequivalence (BE), Reference for Food effect]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg CIC (Treatment D [Test High Fat]) in fed state in any intervention period.
Measure Participants 35 35 35 36
Geometric Mean (Standard Deviation) [ng*hr/mL]
432.20
(219.76)
391.20
(255.12)
436.90
(246.34)
325.00
(192.81)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Crizotinib IRT Fasted, Crizotinib CIC Fasted
Comments Natural log transformed AUClast of PF-06260182 was analyzed using a mixed effect model with sequence, period and treatment as fixed effects and participant within sequence as a random effect. The adjusted mean differences and 90% CIs for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio of Adjusted means
Estimated Value 100.03
Confidence Interval (2-Sided) 90%
90.16 to 110.97
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Crizotinib PIC Fasted, Crizotinib CIC Fasted
Comments Natural log transformed AUClast of PF-06260182 was analyzed using a mixed effect model with sequence, period and treatment as fixed effects and participant within sequence as a random effect. The adjusted mean differences and 90% CIs for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio of Adjusted means
Estimated Value 108.85
Confidence Interval (2-Sided) 90%
98.11 to 120.77
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Crizotinib CIC Fasted, Crizotinib CIC Fed
Comments Natural log transformed AUClast of PF-06260182 was analyzed using a mixed effect model with sequence, period and treatment as fixed effects and participant within sequence as a random effect. The adjusted mean differences and 90% CIs for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio of Adjusted means
Estimated Value 74.87
Confidence Interval (2-Sided) 90%
67.55 to 82.98
Parameter Dispersion Type:
Value:
Estimation Comments
9. Secondary Outcome
Title Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUC [0 - ∞]) for Crizotinib Metabolite (PF-06260182)
Description AUC (0-∞) = Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-∞). It is obtained from AUC (0-t) plus AUC (t-∞).
Time Frame 0 (pre-dose), 1, 2, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96 and 144 hrs post crizotinib dose

Outcome Measure Data

Analysis Population Description
PK parameter analysis population included all randomized and treated participants who had at least 1 of the PK parameters of primary interest in at least 1 treatment period. Here, the 'N = 35' is signifying those participants who were evaluable for this measure at the specified time point for crizotinib CIC fed arm group.
Arm/Group Title Crizotinib IRT Fasted Crizotinib PIC Fasted Crizotinib CIC Fasted Crizotinib CIC Fed
Arm/Group Description Single oral dose of crizotinib 250 mg IRT (Treatment A [Reference 1]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg PIC (Treatment B [Reference 2]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg CIC (Treatment C [Test for bioequivalence (BE), Reference for Food effect]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg CIC (Treatment D [Test High Fat]) in fed state in any intervention period.
Measure Participants 35 35 35 35
Geometric Mean (Standard Deviation) [ng*hr/mL]
442.00
(221.96)
402.10
(257.39)
447.10
(248.23)
341.80
(194.91)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Crizotinib IRT Fasted, Crizotinib CIC Fasted
Comments Natural log transformed AUC (0-∞) of PF-06260182 was analyzed using a mixed effect model with sequence, period and treatment as fixed effects and participant within sequence as a random effect. The adjusted mean differences and 90% CIs for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio of Adjusted means
Estimated Value 100.08
Confidence Interval (2-Sided) 90%
90.46 to 110.73
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Crizotinib PIC Fasted, Crizotinib CIC Fasted
Comments Natural log transformed AUC (0-∞) of PF-06260182 was analyzed using a mixed effect model with sequence, period and treatment as fixed effects and participant within sequence as a random effect. The adjusted mean differences and 90% CIs for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio of Adjusted means
Estimated Value 108.47
Confidence Interval (2-Sided) 90%
98.03 to 120.02
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Crizotinib CIC Fasted, Crizotinib CIC Fed
Comments Natural log transformed AUC (0-∞) of PF-06260182 was analyzed using a mixed effect model with sequence, period and treatment as fixed effects and participant within sequence as a random effect. The adjusted mean differences and 90% CIs for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio of Adjusted means
Estimated Value 76.59
Confidence Interval (2-Sided) 90%
69.23 to 84.74
Parameter Dispersion Type:
Value:
Estimation Comments
10. Secondary Outcome
Title Maximum Observed Plasma Concentration (Cmax) for Crizotinib Metabolite (PF-06260182)
Description
Time Frame 0 (pre-dose), 1, 2, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96 and 144 hrs post crizotinib dose

Outcome Measure Data

Analysis Population Description
PK parameter analysis population included all randomized and treated participants who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.
Arm/Group Title Crizotinib IRT Fasted Crizotinib PIC Fasted Crizotinib CIC Fasted Crizotinib CIC Fed
Arm/Group Description Single oral dose of crizotinib 250 mg IRT (Treatment A [Reference 1]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg PIC (Treatment B [Reference 2]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg CIC (Treatment C [Test for bioequivalence (BE), Reference for Food effect]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg CIC (Treatment D [Test High Fat]) in fed state in any intervention period.
Measure Participants 35 35 35 36
Geometric Mean (Standard Deviation) [ng/mL]
32.20
(12.48)
29.74
(15.19)
33.04
(12.12)
23.64
(10.85)
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Crizotinib IRT Fasted, Crizotinib CIC Fasted
Comments Natural log transformed Cmax of PF-06260182 was analyzed using a mixed effect model with sequence, period and treatment as fixed effects and participant within sequence as a random effect. The adjusted mean differences and 90% CIs for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio of Adjusted means
Estimated Value 102.11
Confidence Interval (2-Sided) 90%
92.84 to 112.31
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Crizotinib PIC Fasted, Crizotinib CIC Fasted
Comments Natural log transformed Cmax of PF-06260182 was analyzed using a mixed effect model with sequence, period and treatment as fixed effects and participant within sequence as a random effect. The adjusted mean differences and 90% CIs for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio of Adjusted means
Estimated Value 108.87
Confidence Interval (2-Sided) 90%
98.98 to 119.75
Parameter Dispersion Type:
Value:
Estimation Comments
Statistical Analysis 3
Statistical Analysis Overview Comparison Group Selection Crizotinib CIC Fasted, Crizotinib CIC Fed
Comments Natural log transformed Cmax of PF-06260182 was analyzed using a mixed effect model with sequence, period and treatment as fixed effects and participant within sequence as a random effect. The adjusted mean differences and 90% CIs for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios.
Type of Statistical Test Superiority or Other
Comments
Statistical Test of Hypothesis p-Value
Comments
Method
Comments
Method of Estimation Estimation Parameter Ratio of Adjusted means
Estimated Value 71.94
Confidence Interval (2-Sided) 90%
65.46 to 79.05
Parameter Dispersion Type:
Value:
Estimation Comments
11. Secondary Outcome
Title Time to Reach Maximum Observed Plasma Concentration (Tmax) for Crizotinib Metabolite (PF-06260182)
Description
Time Frame 0 (pre-dose), 1, 2, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96 and 144 hrs post crizotinib dose

Outcome Measure Data

Analysis Population Description
PK parameter analysis population included all randomized and treated participants who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.
Arm/Group Title Crizotinib IRT Fasted Crizotinib PIC Fasted Crizotinib CIC Fasted Crizotinib CIC Fed
Arm/Group Description Single oral dose of crizotinib 250 mg IRT (Treatment A [Reference 1]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg PIC (Treatment B [Reference 2]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg CIC (Treatment C [Test for bioequivalence (BE), Reference for Food effect]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg CIC (Treatment D [Test High Fat]) in fed state in any intervention period.
Measure Participants 35 35 35 36
Median (Full Range) [hr]
6.00
6.00
5.00
6.00

Adverse Events

Time Frame
Adverse Event Reporting Description The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
Arm/Group Title Crizotinib IRT Fasted Crizotinib PIC Fasted Crizotinib CIC Fasted Crizotinib CIC Fed
Arm/Group Description Single oral dose of crizotinib 250 mg IRT (Treatment A [Reference 1]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg PIC (Treatment B [Reference 2]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg CIC (Treatment C [Test for bioequivalence (BE), Reference for Food effect]) in fasted state in any intervention period. Single oral dose of crizotinib 250 mg CIC (Treatment D [Test High Fat]) in fed state in any intervention period.
All Cause Mortality
Crizotinib IRT Fasted Crizotinib PIC Fasted Crizotinib CIC Fasted Crizotinib CIC Fed
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
Crizotinib IRT Fasted Crizotinib PIC Fasted Crizotinib CIC Fasted Crizotinib CIC Fed
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 0/36 (0%) 0/36 (0%) 0/36 (0%) 0/36 (0%)
Other (Not Including Serious) Adverse Events
Crizotinib IRT Fasted Crizotinib PIC Fasted Crizotinib CIC Fasted Crizotinib CIC Fed
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 21/36 (58.3%) 24/36 (66.7%) 20/36 (55.6%) 21/36 (58.3%)
Gastrointestinal disorders
Abdominal discomfort 1/36 (2.8%) 1/36 (2.8%) 1/36 (2.8%) 0/36 (0%)
Abdominal distension 0/36 (0%) 1/36 (2.8%) 0/36 (0%) 0/36 (0%)
Abdominal pain 0/36 (0%) 1/36 (2.8%) 0/36 (0%) 2/36 (5.6%)
Abdominal pain upper 2/36 (5.6%) 1/36 (2.8%) 1/36 (2.8%) 1/36 (2.8%)
Constipation 0/36 (0%) 1/36 (2.8%) 0/36 (0%) 0/36 (0%)
Diarrhoea 9/36 (25%) 13/36 (36.1%) 13/36 (36.1%) 13/36 (36.1%)
Dyspepsia 0/36 (0%) 0/36 (0%) 0/36 (0%) 1/36 (2.8%)
Epigastric discomfort 2/36 (5.6%) 1/36 (2.8%) 2/36 (5.6%) 0/36 (0%)
Flatulence 0/36 (0%) 1/36 (2.8%) 0/36 (0%) 1/36 (2.8%)
Gastrointestinal sounds abnormal 1/36 (2.8%) 0/36 (0%) 1/36 (2.8%) 2/36 (5.6%)
Gingivitis 0/36 (0%) 0/36 (0%) 1/36 (2.8%) 0/36 (0%)
Nausea 5/36 (13.9%) 10/36 (27.8%) 2/36 (5.6%) 5/36 (13.9%)
Salivary hypersecretion 1/36 (2.8%) 1/36 (2.8%) 1/36 (2.8%) 0/36 (0%)
Vomiting 0/36 (0%) 2/36 (5.6%) 0/36 (0%) 0/36 (0%)
General disorders
Fatigue 3/36 (8.3%) 5/36 (13.9%) 2/36 (5.6%) 1/36 (2.8%)
Feeling cold 0/36 (0%) 1/36 (2.8%) 0/36 (0%) 0/36 (0%)
Infections and infestations
Nasopharyngitis 2/36 (5.6%) 3/36 (8.3%) 0/36 (0%) 1/36 (2.8%)
Tooth abscess 0/36 (0%) 0/36 (0%) 0/36 (0%) 1/36 (2.8%)
Urinary tract infection 0/36 (0%) 0/36 (0%) 0/36 (0%) 1/36 (2.8%)
Injury, poisoning and procedural complications
Joint sprain 1/36 (2.8%) 1/36 (2.8%) 0/36 (0%) 0/36 (0%)
Investigations
Hepatic enzyme increased 1/36 (2.8%) 0/36 (0%) 0/36 (0%) 0/36 (0%)
Musculoskeletal and connective tissue disorders
Neck pain 0/36 (0%) 1/36 (2.8%) 0/36 (0%) 0/36 (0%)
Nervous system disorders
Dizziness 0/36 (0%) 1/36 (2.8%) 0/36 (0%) 0/36 (0%)
Dizziness postural 0/36 (0%) 1/36 (2.8%) 0/36 (0%) 0/36 (0%)
Headache 4/36 (11.1%) 5/36 (13.9%) 4/36 (11.1%) 3/36 (8.3%)
Paraesthesia 1/36 (2.8%) 1/36 (2.8%) 1/36 (2.8%) 1/36 (2.8%)
Somnolence 1/36 (2.8%) 1/36 (2.8%) 1/36 (2.8%) 3/36 (8.3%)
Vascular disorders
Hot flush 0/36 (0%) 0/36 (0%) 0/36 (0%) 1/36 (2.8%)

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

All Principal Investigators ARE employed by the organization sponsoring the study.

There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

Results Point of Contact

Name/Title Pfizer ClinicalTrials.gov Call Center
Organization Pfizer, Inc.
Phone 1-800-718-1021
Email ClinicalTrials.gov_Inquiries@pfizer.com
Responsible Party:
Pfizer
ClinicalTrials.gov Identifier:
NCT01154218
Other Study ID Numbers:
  • A8081011
First Posted:
Jun 30, 2010
Last Update Posted:
Oct 24, 2011
Last Verified:
Oct 1, 2011