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Clinical Trials/NCT03112148
NCT03112148
Completed
Phase 1

A Phase 1, Randomized, Open Label, Partial Crossover Study To Evaluate The Pharmacokinetics And Safety Of Three Age-appropriate Modified Release Formulations And The Immediate Release Solution Of Tofacitinib In Healthy Adult Volunteers

Pfizer1 site in 1 country24 target enrollmentSeptember 11, 2017

Overview

Phase
Phase 1
Intervention
10 mg dose MR formulations,10 mg dose of tofacitinib IR solution
Conditions
Healthy
Sponsor
Pfizer
Enrollment
24
Locations
1
Primary Endpoint
Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] (AUCinf )
Status
Completed
Last Updated
8 years ago

Overview

Brief Summary

This is a Phase 1, randomized, open label, 4-period, 6-sequence, partial cross-over, single-dose study to evaluate the PK of age-appropriate tofacitinib MR formulations (release rates: MR-Slow, MR-Moderate, and MR-Fast) compared to tofacitinib IR solution under fasting conditions. The effect of food on the PK of MR-Slow and MR-Fast will also be assessed.

Registry
clinicaltrials.gov
Start Date
September 11, 2017
End Date
November 15, 2017
Last Updated
8 years ago
Study Type
Interventional
Study Design
Crossover
Sex
All

Investigators

Sponsor
Pfizer
Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Healthy male and or female subjects of non-childbearing potential between the ages of 18 and 55 years, inclusive.
  • Female subjects of nonchildbearing potential must meet at least 1 of the following criteria:
  • Achieved postmenopausal status, defined as: cessation of regular menses for at least 12 consecutive months with no alternative pathological or physiological cause; and have a serum follicle stimulating hormone (FSH) level confirming the postmenopausal state;
  • Have undergone a documented hysterectomy and/or bilateral oophorectomy;
  • Have medically confirmed ovarian failure. All other female subjects (including female subjects with tubal ligations) are considered to be of childbearing potential.
  • Body Mass Index (BMI) of 17.5 to 30.5 kg per m2; and a total body weight above 50 kg (110 lbs) for males and above 45 kg (99 lbs) for females.
  • No evidence of active or latent or inadequately treated infection with Mycobacterium tuberculosis (TB)

Exclusion Criteria

  • Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurologic, or allergic disease (including drug allergies, but excluding untreated, asymptomatic, seasonal allergies at the time of dosing).
  • Clinically significant infections within the past 3 months, evidence of any infection within the past 7 days, history of disseminated herpes simplex infection or recurrent (\>1 episode) herpes zoster or disseminated herpes zoster.
  • Absolute lymphocyte count at Screening or Baseline less than the lower limit of the reference range for the local laboratory
  • Evidence or history of cyclic neutropenia.
  • Personal or family history of hereditary immunodeficiency
  • Vaccination with live or attenuated vaccines within the 6 weeks of dosing, or is to be vaccinated with these vaccines at any time during study treatment or within 6 weeks following discontinuation of dosing.
  • Any condition possibly affecting drug absorption (eg, gastrectomy, colon resection, etc.).
  • History of, or current positive results for any of the following serological tests: human immunodeficiency virus (HIV), hepatitis B, or hepatitis C;
  • Malignancy or a history of malignancy, with the exception of adequately treated or excised non-metastatic basal cell or squamous cell cancer of the skin or cervical carcinoma in situ.
  • Positive urine drug test.

Arms & Interventions

Treatment A

Single oral 10 mg dose of tofacitinib MR-FAST administered in the fed state.

Intervention: 10 mg dose MR formulations,10 mg dose of tofacitinib IR solution

Treatment B:

Single oral 10 mg dose of tofacitinib MR-SLOW administered in the fed state.

Intervention: 10 mg dose MR formulations,10 mg dose of tofacitinib IR solution

Treatment C

Single oral 10 mg dose of tofacitinib MR-FAST administered in the fasted state.

Intervention: 10 mg dose MR formulations,10 mg dose of tofacitinib IR solution

Treatment D

Single oral 10 mg dose of tofacitinib MR-SLOW administered in the fasted state.

Intervention: 10 mg dose MR formulations,10 mg dose of tofacitinib IR solution

Treatment E

Single oral 10 mg dose of tofacitinib MR-MODERATE administered in the fasted state

Intervention: 10 mg dose MR formulations,10 mg dose of tofacitinib IR solution

Treatment F

Single oral 10 mg dose of tofacitinib IR Solution (10 mL of the 1 mg/mL solution) administered in the fasted state

Intervention: 10 mg dose MR formulations,10 mg dose of tofacitinib IR solution

Outcomes

Primary Outcomes

Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] (AUCinf )

Time Frame: 0.5, 1, 2, 3, 4, 5, 6, 9, 21, 24, 36, and 48 hours post dose

Area Under the Curve From Time Zero to Extrapolated Infinite Time \[AUC (0 - ∞)\]

Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast)

Time Frame: 0.5, 1, 2, 3, 4, 5, 6, 9, 21, 24, 36, and 48 hours post dose

Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast) of Modified Release (MR) formulation compared to Immediate Release (IR) solution

Maximum Observed Plasma Concentration (Cmax)

Time Frame: predose, 0.5, 1, 2, 3, 4, 5, 6, 9, 21, 24, 36, and 48 hours post dose

Maximum (or peak) plasma concentration of MR formulation compared to IR solution

Time to Reach Maximum Observed Plasma Concentration (Tmax)

Time Frame: predose, 0.5, 1, 2, 3, 4, 5, 6, 9, 21, 24, 36, and 48 hours post dose

Maximum time to peak plasma concentration of MR formulation compared to IR solution

Study Sites (1)

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