Trial Outcomes & Findings for A Hepatic Impairment Study for PF-04965842. (NCT NCT03626415)

NCT ID: NCT03626415

Last Updated: 2020-05-18

Results Overview

Cmax is maximum plasma concentration. It was observed directly from data.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

24 participants

Primary outcome timeframe

0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 10, 14, 24, 36, 48, 72 hours post-dose in each cohort

Results posted on

2020-05-18

Participant Flow

Participant milestones

Participant milestones
Measure
PF-04965842 (Normal Hepatic Function Cohort)
Participants with normal hepatic function were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
PF-04965842 (Mild Hepatic Impairment Cohort)
Participants with Child-Pugh scores of 5 to 6 points were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
PF-04965842 (Moderate Hepatic Impairment Cohort)
Participants with Child-Pugh scores of 7 to 9 points were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
Overall Study
STARTED
8
8
8
Overall Study
COMPLETED
8
8
8
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Hepatic Impairment Study for PF-04965842.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
PF-04965842 (Normal Hepatic Function Cohort)
n=8 Participants
Participants with normal hepatic function were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
PF-04965842 (Mild Hepatic Impairment Cohort)
n=8 Participants
Participants with Child-Pugh scores of 5 to 6 points were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
PF-04965842 (Moderate Hepatic Impairment Cohort)
n=8 Participants
Participants with Child-Pugh scores of 7 to 9 points were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
Total
n=24 Participants
Total of all reporting groups
Age, Continuous
58.5 Years
STANDARD_DEVIATION 5.86 • n=93 Participants
57.9 Years
STANDARD_DEVIATION 4.19 • n=4 Participants
58.6 Years
STANDARD_DEVIATION 8.21 • n=27 Participants
58.3 Years
STANDARD_DEVIATION 6.03 • n=483 Participants
Sex: Female, Male
Female
3 Participants
n=93 Participants
3 Participants
n=4 Participants
3 Participants
n=27 Participants
9 Participants
n=483 Participants
Sex: Female, Male
Male
5 Participants
n=93 Participants
5 Participants
n=4 Participants
5 Participants
n=27 Participants
15 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
1 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants
n=93 Participants
8 Participants
n=4 Participants
8 Participants
n=27 Participants
23 Participants
n=483 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
1 Participants
n=27 Participants
1 Participants
n=483 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=93 Participants
4 Participants
n=4 Participants
0 Participants
n=27 Participants
5 Participants
n=483 Participants
Race (NIH/OMB)
White
7 Participants
n=93 Participants
4 Participants
n=4 Participants
7 Participants
n=27 Participants
18 Participants
n=483 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants

PRIMARY outcome

Timeframe: 0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 10, 14, 24, 36, 48, 72 hours post-dose in each cohort

Population: The pharmacokinetic concentration population was defined as all participants who received 1 dose of PF-04965842 and in whom at least 1 plasma concentration value was reported.

Cmax is maximum plasma concentration. It was observed directly from data.

Outcome measures

Outcome measures
Measure
PF-04965842 (Normal Hepatic Function Cohort)
n=8 Participants
Participants with normal hepatic function were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
PF-04965842 (Mild Hepatic Impairment Cohort)
n=8 Participants
Participants with Child-Pugh scores of 5 to 6 points were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
PF-04965842 (Moderate Hepatic Impairment Cohort)
n=8 Participants
Participants with Child-Pugh scores of 7 to 9 points were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
Maximum Observed Plasma Concentration (Cmax) for PF-04965842
1352 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 44
1276 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 41
1426 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 63

PRIMARY outcome

Timeframe: 0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 10, 14, 24, 36, 48, 72 hours post-dose in each cohort

Population: The pharmacokinetic parameter analysis population was defined as all participants dosed who had at least 1 of the pharmocokinetics parameters of primary interest.

AUCinf is area under the concentration-time curve (AUC) from time 0 (pre-dose) extrapolated to infinite time.

Outcome measures

Outcome measures
Measure
PF-04965842 (Normal Hepatic Function Cohort)
n=8 Participants
Participants with normal hepatic function were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
PF-04965842 (Mild Hepatic Impairment Cohort)
n=8 Participants
Participants with Child-Pugh scores of 5 to 6 points were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
PF-04965842 (Moderate Hepatic Impairment Cohort)
n=8 Participants
Participants with Child-Pugh scores of 7 to 9 points were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
Area Under the Plasma Concentration-Time Curve From Time Zero Extrapolated to Infinite Time (AUCinf) for PF-04965842
5587 nanogram*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 74
7449 nanogram*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 29
8603 nanogram*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 55

SECONDARY outcome

Timeframe: From screening (within 28 days prior to Day 1) till up to 36 days post-dose, the total maximum duration was approximately 63 days for individual participants.

Population: All participants who received PF-04965842 were included in the safety analyses.

Treatment-related AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. Treatment-emergent adverse events (TEAEs) were those with initial onset or increasing in severity between the first dose of investigational product and up to 36 days post-dose.

Outcome measures

Outcome measures
Measure
PF-04965842 (Normal Hepatic Function Cohort)
n=8 Participants
Participants with normal hepatic function were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
PF-04965842 (Mild Hepatic Impairment Cohort)
n=8 Participants
Participants with Child-Pugh scores of 5 to 6 points were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
PF-04965842 (Moderate Hepatic Impairment Cohort)
n=8 Participants
Participants with Child-Pugh scores of 7 to 9 points were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
Number of Participants With Treatment-Emergent Adverse Events (AEs) for PF-04965842
AEs (all causalities)
2 Participants
3 Participants
0 Participants
Number of Participants With Treatment-Emergent Adverse Events (AEs) for PF-04965842
AEs (treatment related)
1 Participants
3 Participants
0 Participants

SECONDARY outcome

Timeframe: Screening (within 28 days prior to Day 1), Day -1, 2, 24, 72 hours post-dose.

Population: All participants who received PF-04965842 were included in the safety analyses.

Laboratory tests included tests that were performed under the categories of hematology, chemistry, urinalysis, other, and additional tests needed for Hy's law.

Outcome measures

Outcome measures
Measure
PF-04965842 (Normal Hepatic Function Cohort)
n=8 Participants
Participants with normal hepatic function were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
PF-04965842 (Mild Hepatic Impairment Cohort)
n=8 Participants
Participants with Child-Pugh scores of 5 to 6 points were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
PF-04965842 (Moderate Hepatic Impairment Cohort)
n=8 Participants
Participants with Child-Pugh scores of 7 to 9 points were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
Number of Participants With Laboratory Test Abnormalities (Without Regard to Baseline Abnormality)
4 Participants
7 Participants
8 Participants

SECONDARY outcome

Timeframe: Screening (within 28 days prior to Day 1), Day -1, 2, 72 hours post-dose.

Population: All participants who received PF-04965842 were included in the safety analyses.

12-Lead ECGs were collected after the participants rested quietly for at least 10 minutes in a supine position. Clinical significance of ECG recordings was determined at the investigator's discretion.

Outcome measures

Outcome measures
Measure
PF-04965842 (Normal Hepatic Function Cohort)
n=8 Participants
Participants with normal hepatic function were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
PF-04965842 (Mild Hepatic Impairment Cohort)
n=8 Participants
Participants with Child-Pugh scores of 5 to 6 points were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
PF-04965842 (Moderate Hepatic Impairment Cohort)
n=8 Participants
Participants with Child-Pugh scores of 7 to 9 points were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
Number of Participants With Electrocardiogram (ECG) Findings of Potential Clinical Importance for PF-04965842
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Screening (within 28 days prior to Day 1), 0 (pre-dose), and 72 hours post-dose.

Population: All participants who received PF-04965842 were included in the safety analyses.

Vital signs (pulse rate, systolic and diastolic blood pressure) were obtained with participant following at least 5 minutes of supine rest. Clinical significance of vital signs was determined at the investigator's discretion.

Outcome measures

Outcome measures
Measure
PF-04965842 (Normal Hepatic Function Cohort)
n=8 Participants
Participants with normal hepatic function were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
PF-04965842 (Mild Hepatic Impairment Cohort)
n=8 Participants
Participants with Child-Pugh scores of 5 to 6 points were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
PF-04965842 (Moderate Hepatic Impairment Cohort)
n=8 Participants
Participants with Child-Pugh scores of 7 to 9 points were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
Number of Participants With Vital Sign Findings of Potential Clinical Importance for PF-04965842
0 Participants
0 Participants
0 Participants

POST_HOC outcome

Timeframe: 0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 10, 14, 24, 36, 48, 72 hours post-dose in each cohort

Population: The pharmacokinetic parameter analysis population was defined as all participants dosed who had at least 1 of the pharmocokinetic parameters of primary interest.

Cmax,u is unbound Cmax. The active moiety is comprised of parent drug PF-04965842, active metabolites PF-06471658 and PF-07055087.

Outcome measures

Outcome measures
Measure
PF-04965842 (Normal Hepatic Function Cohort)
n=8 Participants
Participants with normal hepatic function were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
PF-04965842 (Mild Hepatic Impairment Cohort)
n=8 Participants
Participants with Child-Pugh scores of 5 to 6 points were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
PF-04965842 (Moderate Hepatic Impairment Cohort)
n=8 Participants
Participants with Child-Pugh scores of 7 to 9 points were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
Unbound Cmax (Cmax,u) for Active Moiety
2390 nanomolar (nM)
Geometric Coefficient of Variation 20
1815 nanomolar (nM)
Geometric Coefficient of Variation 36
2011 nanomolar (nM)
Geometric Coefficient of Variation 41

POST_HOC outcome

Timeframe: 0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 10, 14, 24, 36, 48, 72 hours post-dose in each cohort

Population: The analysis population was defined as all participants contributing to the summary statistics for AUCinf,u.

AUCinf,u is unbound AUCinf. The active moiety is comprised of parent drug PF-04965842, active metabolites PF-06471658 and PF-07055087.

Outcome measures

Outcome measures
Measure
PF-04965842 (Normal Hepatic Function Cohort)
n=7 Participants
Participants with normal hepatic function were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
PF-04965842 (Mild Hepatic Impairment Cohort)
n=8 Participants
Participants with Child-Pugh scores of 5 to 6 points were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
PF-04965842 (Moderate Hepatic Impairment Cohort)
n=8 Participants
Participants with Child-Pugh scores of 7 to 9 points were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
Unbound AUCinf (AUCinf,u) for Active Moiety
12010 nanomolar*hour (nM*hr)
Geometric Coefficient of Variation 40
11500 nanomolar*hour (nM*hr)
Geometric Coefficient of Variation 24
13790 nanomolar*hour (nM*hr)
Geometric Coefficient of Variation 30

Adverse Events

PF-04965842 (Normal Hepatic Function Cohort)

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

PF-04965842 (Mild Hepatic Impairment Cohort)

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

PF-04965842 (Moderate Hepatic Impairment Cohort)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
PF-04965842 (Normal Hepatic Function Cohort)
n=8 participants at risk
Participants with normal hepatic function were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
PF-04965842 (Mild Hepatic Impairment Cohort)
n=8 participants at risk
Participants with Child-Pugh scores of 5 to 6 points were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
PF-04965842 (Moderate Hepatic Impairment Cohort)
n=8 participants at risk
Participants with Child-Pugh scores of 7 to 9 points were enrolled in this cohort. Participants received a single oral dose of PF-04965842 200 mg.
Gastrointestinal disorders
Diarrhoea
0.00%
0/8 • From screening (within 28 days prior to Day 1) till up to 36 days post-dose, the total maximum duration was approximately 63 days for individual participants.
25.0%
2/8 • From screening (within 28 days prior to Day 1) till up to 36 days post-dose, the total maximum duration was approximately 63 days for individual participants.
0.00%
0/8 • From screening (within 28 days prior to Day 1) till up to 36 days post-dose, the total maximum duration was approximately 63 days for individual participants.
Gastrointestinal disorders
Nausea
12.5%
1/8 • From screening (within 28 days prior to Day 1) till up to 36 days post-dose, the total maximum duration was approximately 63 days for individual participants.
0.00%
0/8 • From screening (within 28 days prior to Day 1) till up to 36 days post-dose, the total maximum duration was approximately 63 days for individual participants.
0.00%
0/8 • From screening (within 28 days prior to Day 1) till up to 36 days post-dose, the total maximum duration was approximately 63 days for individual participants.
Infections and infestations
Upper respiratory tract infection
12.5%
1/8 • From screening (within 28 days prior to Day 1) till up to 36 days post-dose, the total maximum duration was approximately 63 days for individual participants.
0.00%
0/8 • From screening (within 28 days prior to Day 1) till up to 36 days post-dose, the total maximum duration was approximately 63 days for individual participants.
0.00%
0/8 • From screening (within 28 days prior to Day 1) till up to 36 days post-dose, the total maximum duration was approximately 63 days for individual participants.
Nervous system disorders
Headache
0.00%
0/8 • From screening (within 28 days prior to Day 1) till up to 36 days post-dose, the total maximum duration was approximately 63 days for individual participants.
25.0%
2/8 • From screening (within 28 days prior to Day 1) till up to 36 days post-dose, the total maximum duration was approximately 63 days for individual participants.
0.00%
0/8 • From screening (within 28 days prior to Day 1) till up to 36 days post-dose, the total maximum duration was approximately 63 days for individual participants.

Additional Information

Pfizer ClinicalTrials.gov Call Center

Pfizer, Inc.

Phone: 1-800-718-1021

Results disclosure agreements

  • Principal investigator is a sponsor employee Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
  • Publication restrictions are in place

Restriction type: OTHER