Renal Impairment Study of PF-07321332 Boosted With Ritonavir in Adult Participants With Renal Impairment and in Healthy Participants With Normal Renal Function.

NCT ID: NCT04909853

Last Updated: 2023-08-02

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

35 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-06-15

Study Completion Date

2021-10-07

Brief Summary

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This is a Phase 1, non-randomized, open-label, 2-part study to investigate the effect of renal impairment on the pharmacokinetics (PK), safety and tolerability of a single oral dose of PF-07321332 in combination with the PK boosting agent ritonavir. Participants will be selected and categorized into normal renal function or renal impairment groups based on their estimated glomerular filtration rate. Part 1: will be conducted in approximately 24 participants (approximately 8 per group) with stable mild or moderate renal impairment and a control group of participants with normal renal function. Part 2 will be conducted in approximately 8 participants with stable severe renal impairment.

Detailed Description

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Conditions

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Renal Impairment

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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PF-07321332

PF 07321332/ritonavir

Group Type EXPERIMENTAL

PF-07321332/ritonavir

Intervention Type DRUG

PF-07321332 in combination with the PK boosting agent, ritonavir, being developed for the treatment of COVID-19

Interventions

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PF-07321332/ritonavir

PF-07321332 in combination with the PK boosting agent, ritonavir, being developed for the treatment of COVID-19

Intervention Type DRUG

Other Intervention Names

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PF-07321332

Eligibility Criteria

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Inclusion Criteria

* Male or female, non-smoker and/or light smoker
* Have a diagnosis of stable renal impairment
* Meet the following estimated glomerular filtration rate (eGFR) criteria during the screening period (based on 2 Screening visits) based on the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation:

* Mild renal impairment: eGFR between 60 - 89 mL/min.
* Moderate renal impairment: eGFR ≥30 mL/min and \<60 mL/min.
* Severe renal impairment: eGFR \<30 mL/min, but not requiring hemodialysis.
* Normal renal function: eGFR ≥90 mL/min

Renal impairment participants:

* Any form of renal impairment except acute nephritic syndrome (participants with history of previous nephritic syndrome but in remission can be included).
* Good general health commensurate with the population with chronic kidney disease (renal impairment).
* Stable concomitant drug regimen for the management of individual participant's medical conditions, so long as they are considered necessary for the welfare of the study participants (eg, standard therapy for underlying diseases), and are not contraindicated with study drug, and are unlikely to interfere with the PK of study drug.

Healthy participants with normal renal function:

* No clinically relevant abnormalities identified by a detailed medical history, full physical examination, including temperature, blood pressure (BP) and pulse rate measurement, 12 lead ECG and clinical laboratory tests.
* Demographically comparable to the group of participants with impaired renal function.

* Each participant's body weight within ±15 kg of the mean body weight of renal impairment group.
* Each participant's age within ±10 years of the mean age of the renal impairment group.

Exclusion Criteria

* Positive test result for SARS-CoV-2 infection at the time of screening or Day -1.
* History of HIV infection, hepatitis B, or hepatitis C; positive testing at screening for HIV, HBsAg, HBcAb, or HCVAb. As an exception a positive HBsAb test due to Hepatitis B vaccination is allowed.
* Renal transplant recipients.
* Urinary incontinence without catheterization
* Any condition possibly affecting drug absorption (eg, prior bariatric surgery, gastrectomy, cholecystectomy, appendectomy).
* Participants who have been vaccinated with COVID-19 vaccines within the past 2 weeks of dosing, or are to be vaccinated with these vaccines at any time during the study.
* A positive urine drug test, for illicit drugs, at Screening
* aspartate aminotransferase (AST) or alanine aminotransferase (ALT) level \>2 × upper limit of normal (ULN)
* Total bilirubin level ≥1.5 × ULN; participants 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.
* History of sensitivity reactions to ritonavir or any of the formulation components of PF 07321332 or ritonavir.
* Female participants of childbearing potential who are unwilling or unable to use highly effective methods of contraception as outlined in Section 5.3.4 for the duration of the study and for at least 28 days after the administration of investigational product, pregnant female participants, female participants planning to become pregnant during the duration of the study until 28 days after the administration of investigational product, breastfeeding female participants.

Renal impairment participants:

* Participants requiring hemodialysis and/or peritoneal dialysis
* Participants with other clinically significant disease that may affect the safety of the participant or that may affect the PK of PF-07321332. Participants with any significant hepatic, cardiac, or pulmonary disease or participants who are clinically nephrotic.

Healthy participants with normal renal function:

* Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurological, or allergic disease (including drug allergies, but excluding untreated, asymptomatic, seasonal allergies at the time of dosing).
* Screening supine BP \>140 mm Hg (systolic) or \>90 mm Hg (diastolic), following at least 5 minutes of supine rest. If BP is \>140 mm Hg (systolic) or \>90 mm Hg (diastolic), the BP should be repeated 2 more times and the average of the 3 BP values should be used to determine the participant's eligibility.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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Orange County Research Center

Tustin, California, United States

Site Status

Investigational Drug Services (IDS) University of Miami Hospitals and Clinics

Miami, Florida, United States

Site Status

University of Miami Division of Clinical Pharmacology

Miami, Florida, United States

Site Status

Genesis Clinical Research, LLC

Tampa, Florida, United States

Site Status

Prism Research LLC dba Nucleus Network

Saint Paul, Minnesota, United States

Site Status

Countries

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United States

References

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Toussi SS, Neutel JM, Navarro J, Preston RA, Shi H, Kavetska O, LaBadie RR, Binks M, Chan PLS, Demers N, Corrigan B, Damle B. Pharmacokinetics of Oral Nirmatrelvir/Ritonavir, a Protease Inhibitor for Treatment of COVID-19, in Subjects With Renal Impairment. Clin Pharmacol Ther. 2022 Oct;112(4):892-900. doi: 10.1002/cpt.2688. Epub 2022 Jul 5.

Reference Type DERIVED
PMID: 35712797 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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https://pmiform.com/clinical-trial-info-request?StudyID=C4671011

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Other Identifiers

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C4671011

Identifier Type: -

Identifier Source: org_study_id

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