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Clinical Trials/NCT04916795
NCT04916795
Completed
Phase 1

A PHASE 1, RANDOMIZED, OPEN-LABEL, SINGLE DOSE STUDY TO INVESTIGATE THE PHARMACOKINETICS, PHARMACODYNAMICS, SAFETY AND TOLERABILITY OF VUPANORSEN ADMINISTERED SUBCUTANEOUSLY TO HEALTHY CHINESE ADULTS

Pfizer1 site in 1 country18 target enrollmentJune 17, 2021
ConditionsHealthy
InterventionsVupanorsen

Overview

Phase
Phase 1
Intervention
Vupanorsen
Conditions
Healthy
Sponsor
Pfizer
Enrollment
18
Locations
1
Primary Endpoint
Maximum Observed Concentration (Cmax)
Status
Completed
Last Updated
2 years ago

Overview

Brief Summary

This is a Phase 1, randomized, parallel-cohort, open-label study to characterize the pharmacokinetics, pharmacodynamics, safety and tolerability of vupanorsen following 80 mg and 160 mg single subcutaneous dose in healthy Chinese adults with elevated fasting triglyceride.

Registry
clinicaltrials.gov
Start Date
June 17, 2021
End Date
October 19, 2021
Last Updated
2 years ago
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Sponsor
Pfizer
Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Male and female Chinese participants must be 18 to 65 years of age, inclusive, at the time of signing the ICD.
  • Refer to Appendix 4 for reproductive criteria for male (Section 10.4.1) and female (Section 10.4.2) participants.
  • Chinese participant is defined as individuals currently residing in mainland China who were born in China and have both parents of Chinese descent.
  • Male and female Chinese participants who are overtly healthy as determined by medical evaluation including medical history, physical examination, laboratory tests (except for TG levels), and 12-lead ECG monitoring.
  • Fasting TG ≥ 90 mg/dL at Screening (up to 1 repeat allowed for TG and the second TG value will be used for the eligibility).
  • Participants who are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures.
  • BMI of 17.5 to 35.0 kg/m2; and a total body weight \>50 kg (110 lb).
  • Capable of giving signed informed consent as described in Appendix 1, which includes compliance with the requirements and restrictions listed in the ICD and in this protocol.

Exclusion Criteria

  • 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).
  • History of human immunodeficiency virus (HIV) infection, syphilis, hepatitis B, or hepatitis C; positive testing for HIV, syphilis, HBsAg, or HCVAb. Prior Hepatitis B vaccination is allowed.
  • Other medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study.
  • Use of prescription or nonprescription drugs and dietary and herbal supplements within 7 days or 5 half-lives (whichever is longer) prior to the first dose of study intervention.
  • Previous administration with an investigational drug within 4 months or 5 half-lives preceding the first dose of study intervention used in this study (whichever is longer).
  • A positive urine drug test.
  • 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.
  • Baseline 12-lead ECG that demonstrates clinically relevant abnormalities that may affect participant safety or interpretation of study results (eg, baseline QTc interval \>450 msec, complete LBBB, signs of an acute or indeterminate-age myocardial infarction, ST-T interval changes suggestive of myocardial ischemia, second- or third-degree AV block, or serious bradyarrhythmias or tachyarrhythmias). If the baseline uncorrected QT interval is \>450 msec, this interval should be rate-corrected using the Fridericia method and the resulting QTcF should be used for decision making and reporting. If QTc exceeds 450 msec, or QRS exceeds 120 msec, the ECG should be repeated 2 more times and the average of the 3 QTc or QRS values should be used to determine the participant's eligibility. Computer-interpreted ECGs should be overread by a physician experienced in reading ECGs before excluding participants.
  • Participants with ANY of the following abnormalities in clinical laboratory tests at screening, as assessed by the study-specific laboratory and confirmed by a single repeat test, if deemed necessary:
  • AST or ALT level ≥1.25 × ULN;

Arms & Interventions

Vupanorsen 80 milligram (mg)

Participants will receive one, 0.8 milliliter (mL) subcutaneous injection with vupanorsen 100 mg/mL solution

Intervention: Vupanorsen

Vupanorsen 160 milligram (mg)

Participants will receive two, 0.8 mL subcutaneous injections with vupanorsen 100 mg/mL solution

Intervention: Vupanorsen

Outcomes

Primary Outcomes

Maximum Observed Concentration (Cmax)

Time Frame: 0 hour (predose), and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours post dose, and on days 8, 15, 30, 60 and 90

Maximum plasma concentration observed from data

Area Under the Curve (AUC) From Time 0 to 24 Hours Post-dose (AUC24h) for Vupanorsen

Time Frame: 0 hour (predose) and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post dose on day 1

AUC24h is the area under the concentration-time profile from time 0 to 24 hour post-dose

AUC From Time 0 Extrapolated to Infinite Time (AUCinf) for Vupanorsen

Time Frame: 0 hour (predose), and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours post dose, and on days 8, 15, 30, 60 and 90

AUCinf is area under the plasma concentration-time profile from time zero extrapolated to infinite time

AUC From Time 0 to 48 Hours Post-dose (AUC48h) for Vupanorsen

Time Frame: 0 hour (predose) and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, and 48 hours post dose

AUC48h is the area under the plasma concentration-time profile from time zero to the quantifiable concentration 48 hours post-dose

AUC From Time Zero to the Time of the Last Quantifiable Concentration (AUClast) for Vupanorsen

Time Frame: 0 hour (predose), and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours post dose, and on days 8, 15, 30, 60 and 90

AUClast is the area under the plasma concentration-time profile from time zero to the time of the last quantifiable concentration (Clast)

Terminal Elimination Half Life (t½) for Vupanorsen

Time Frame: 0 hour (predose), and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours post dose, and on days 8, 15, 30, 60 and 90

terminal elimination half life (t½) for vupanorsen

Time for Cmax (Tmax) for Vupanorsen

Time Frame: 0 hour (predose), and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours post dose, and on days 8, 15, 30, 60 and 90

Time for Cmax (Tmax) for vupanorsen

Apparent Clearance (CL/F) for Vupanorsen

Time Frame: 0 hour (predose), and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours post dose, and on days 8, 15, 30, 60 and 90

Apparent clearance for vupanorsen

Apparent Volume of Distribution (Vz/F) for Vupanorsen

Time Frame: 0 hour (predose), and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours post dose, and on days 8, 15, 30, 60 and 90

Apparent volume of distribution for vupanorsen

Secondary Outcomes

  • Number of Participants With Clinically Significant Vital Sign Values(Baseline through day 90)
  • Percent Changes From Baseline in Angiopoietin-Like 3 (ANGPTL3)(Day 1, Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90)
  • Number of Participants With Treatment-emergent Adverse Events (TEAEs)(Baseline through day 90)
  • Number of Participants With Laboratory Abnormalities (Without Regard to Baseline Abnormality)(Baseline through day 90)
  • Number of Participants With Clinically Significant Abnormal Electrocardiogram (ECG) Values(Baseline through day 90)
  • Percent Change From Baseline in Triglyceride(Day 1, Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90)
  • Percent Change From Baseline in Apolipoprotein A-1 (ApoA-I)(Day 1, Day 15, Day 60, and Day 90)
  • Percent Change From Baseline in Apolipoprotein C-III (ApoC-III)(Day 1, Day 15, Day 60, and Day 90)
  • Percent Change From Baseline in Total Cholesterol(Day 1, Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90)
  • Percent Change From Baseline in Low-density Lipoprotein Cholesterol (LDL-C)(Day 1, Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90)
  • Percent Changs From Baseline in High-density Lipoprotein Cholesterol (HDL-C)(Day 1, Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90)
  • Percent Change From Baseline in Very Low-density Lipoprotein Cholesterol (VLDL-C)(Day 1, Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90)
  • Percent Change From Baseline in Non-high-density Lipoprotein Cholesterol (Non-HDL-C)(Day 1, Day 2, Day 3, Day 8, Day 15, Day 30, Day 60 and Day 90)
  • Percent Change From Baseline in Apolipoprotein B (ApoB) Total (Including ApoB-48, ApoB-100)(Day 1, Day 15, Day 60, and Day 90)

Study Sites (1)

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