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Multiple Oral Dose Safety, Tolerability And Pharmacokinetic Study Of PF-04287881 In Healthy Adult Subjects

Phase 1
Completed
Conditions
Respiratory Tract Infections
Interventions
Drug: Placebo
Registration Number
NCT01026545
Lead Sponsor
Pfizer
Brief Summary

This study is a randomized, investigator blind, subject blind, sponsor-open, placebo controlled, multiple dose escalating, sequential, parallel cohort study of PF-04287881. Subjects will undergo screening procedures within 28 days prior to dosing. At least 1 day after the Screening visit, eligible subjects who meet the entry criteria will be admitted to the Clinical Research Unit (CRU) and confined in the unit until discharge on Day 15.

Approximately 60 healthy volunteers (20 volunteers of Japanese origin for Cohorts 5 and 6), 18 to 55 years of age, males and females (women of non childbearing potential only) will be enrolled and randomized in a 4:1 ratio to treatment with either PF-04287881 or placebo within each cohort. Each cohort will have a 10 day dosing period and each will consist of 10 subjects (8 active and 2 placebo). In each cohort, each subject will receive a single daily oral dose of either placebo or PF-04287881 under fasted state for 10 days.

Detailed Description

Following a Serious Adverse Event (potential Hy's Law case), a risk-benefit assessment review of all preliminary safety data, and a review by Pfizer's internal hepatic injury advisory panel, it was concluded that PF-04287881 had an unacceptable therapeutic window. The FDA was notified of our intention to discontinue development as of 09April2010.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
39
Inclusion Criteria
  • Volunteers willing and able to be confined to the Clinical Research Unit and comply with study schedule.
  • Women of non-childbearing potential only.
  • Japanese subjects must have 4 Japanese grandparents who were born in Japan.
Exclusion Criteria
  • Previous antibiotic use within 14 days prior to dosing.
  • Use of antibiotics during hospitalization within 90 days prior to dosing.
  • History of hypersensitivity to macrolides or ketolides.
  • Presence of clinically significant eye conditions (other than corrective lenses).

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Cohort 1PF-04287881-
Cohort 1Placebo-
Cohort 2PF-04287881-
Cohort 2Placebo-
Cohort 3PF-04287881-
Cohort 3Placebo-
Cohort 4 (optional)PF-04287881If intermediate or repeat dose level is needed; dose will not exceed 1100 mg.
Cohort 4 (optional)PlaceboIf intermediate or repeat dose level is needed; dose will not exceed 1100 mg.
Cohort 5 (Japanese)PF-04287881-
Cohort 5 (Japanese)Placebo-
Cohort 6 (Japanese)Placebo-
Cohort 6 (Japanese)PF-04287881-
Primary Outcome Measures
NameTimeMethod
Standard safety assessments including assessment of AEs, laboratory tests, ECGs, and vital signs.Screening, Dosing days 1-10, through follow-up
The primary pharmacokinetic endpoints to be evaluated for PF-04287881 include Cmax, Tmax, and AUC(0-24) on Day 1 and Day 10.Day 1 and 10
Secondary Outcome Measures
NameTimeMethod
Plasma samples from Cohort 2 will be used for exploratory investigation of circulating metabolites.Days 1 and 10
Secondary parameters include AUCinf and t1/2 as data permit, apparent oral clearance (CL/F), apparent volume of distribution (Vz/F) and accumulation ratio (Rac).Days 1, 5 and 10
Urine concentrations of PF 04287881 in Cohorts 2 and 5 will be used to determine total amount excreted (Ae), %Ae relative to dose given and renal clearance (CLR).Day 10
Concentrations of PF 04287881 will be measured in white blood cell (WBC) polymorphonuclear cells (PMNs) in Cohorts 2 and 5 to determine total exposure in WBC.Days 1 and 10

Trial Locations

Locations (1)

Pfizer Investigational Site

🇺🇸

New Haven, Connecticut, United States

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