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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View full resultsBasic Information
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COMPLETED
PHASE1
35 participants
INTERVENTIONAL
2021-06-15
2021-10-07
Brief Summary
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Detailed Description
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Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
BASIC_SCIENCE
NONE
Study Groups
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PF-07321332
PF 07321332/ritonavir
PF-07321332/ritonavir
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
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* 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
* 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.
18 Years
75 Years
ALL
Yes
Sponsors
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Pfizer
INDUSTRY
Responsible Party
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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
Investigational Drug Services (IDS) University of Miami Hospitals and Clinics
Miami, Florida, United States
University of Miami Division of Clinical Pharmacology
Miami, Florida, United States
Genesis Clinical Research, LLC
Tampa, Florida, United States
Prism Research LLC dba Nucleus Network
Saint Paul, Minnesota, United States
Countries
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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.
Provided Documents
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Document Type: Study Protocol
Document Type: Statistical Analysis Plan
Related Links
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To obtain contact information for a study center near you, click here.
Other Identifiers
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C4671011
Identifier Type: -
Identifier Source: org_study_id
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