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PF06649751, Itraconazole

Phase 1

Healthy | Small molecule | Other |Pfizer, Inc.|Last Updated: Nov 6, 2017

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDBiomarker
Total Trials4
Total Enrollment115
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03121664A Study To Estimate The Effects Of Itraconazole On Pharmacokinetics Of Pf-06649751 In Healthy Adult SubjectsPHASE1 COMPLETED 11Apr 7, 2017Sep 14, 2017Nov 6, 20171 Belgium
NCT02262767A Study to Investigate the Safety, Tolerability, and Pharmacokinetics of PF-06649751 Co-administered With Trimethobenzamide Hydrochloride in Healthy SubjectsPHASE1 COMPLETED 9Nov 1, 2014Dec 1, 2014Jan 14, 20152 Belgium
NCT02066909A Study To Observe Safety And Blood Concentrations Of PF-06649751 During And Following The Oral Administration Of Multiple Doses Of PF-06649751 In Healthy Adult Western and Japanese VolunteersPHASE1 COMPLETED 77Feb 1, 2014Apr 1, 2015Jun 24, 20151 United States
NCT01981694A Phase I Trial to Investigate the Safety and Tolerability of PF-06649751PHASE1 COMPLETED 18Nov 1, 2013Feb 1, 2014Mar 26, 20141 United States
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Study Endpoints
Primary Endpoints
PF-06649751 and PF-06752844 steady state Cmax
Day 11 and Day 25

Maximum Observed Plasma Concentration

PF-06649751 and PF-06752844 steady state AUC24
Days 11 and Day 25

Area Under the Curve From Time Zero to the end of the dosing period

Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
0 - 4 weeks

Counts of participants who have treatment-emergent adverse events (TEAEs), defined as newly occurring or worsening after first dose. Relatedness to PF-06649751 will be assessed by the investigator (Yes/No). Participants with multiple occurrences of an AE within a category will be counted once within the category.

Supine and standing vital sign measurements
0 - 4 weeks

Measurement of blood pressure and pulse rate.

Electrocardiogram (ECG)
0 - 4 weeks

Measurement of standard 12-lead ECG, single or triplicate

Number of Participants With Laboratory Test Values of Potential Clinical Importance
0 - 4 weeks

Pre-defined criteria were established for each laboratory test to define the values that would be identified as of potential clinical importance.

Amount of unchanged drug excreted in urine relative to dose (Ae%)
Day 14 (Cohorts 1 - 4, 9), Day 21 (Cohort 5), Day 28 (Cohorts 6 - 8)
Renal Clearance (CLR)
Day 14 (Cohort 1 - 4, 9), Day 21 (Cohort 5) and Day 28 (Cohorts 6 - 8)
Area Under the Curve from Time Zero to end of dosing interval (AUCtau)
Day 1, Day 14 (Cohorts 1 - 4, 9), Day 1 and Day 21 (Cohort 5), Day 1 and Day 28 (Cohorts 6 - 8)
Maximum Observed Plasma Concentration (Cmax)
Day 1, Day 7, Day 14 (Cohorts 1 - 4, 9), Day 1 and 21 (Cohort 5), Day 1 and 28 (Cohorts 6 - 8)

Maximum plasma concentration

Time to Reach Maximum Observed Plasma Concentration (Tmax)
Day 1, Day 7, Day 14 (Cohorts 1 - 4, 9), Day 1 and 21 (Cohort 5), Day 1 and 28 (Cohorts 6 - 8)

Time for Cmax

Plasma Decay Half-Life (t1/2)
Days 14 - 18 (Cohorts 1 - 4, 9), Days 21 - 25 (Cohort 5), Days 28 - 32 (Cohorts 6 - 8)

Plasma decay half-life is the time measured for the plasma concentration to decrease by one half.

Apparent Oral Clearance (CL/F)
Days 14 - 18 (Cohorts 1 - 4, 9), Days 21 - 25 (Cohort 5), Days 28 - 32 (Cohorts 6 - 8)

Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood.

Apparent Volume of Distribution (Vz/F)
Days 14 - 18 (Cohorts 1 - 4, 9), Days 21 - 25 (Cohort 5), Days 28 - 32 (Cohorts 6 - 8)

Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. Apparent volume of distribution after oral dose (Vz/F) is influenced by the fraction absorbed.

Trough Concentration (Ctrough)
Day 1 to 14 (Cohorts 1 - 4, 9), Day 1 to 21 (Cohort 5), Day 1 to 28 (Cohorts 6 - 8)

Minimum concentration pre-dose

Ratio of accumulation for AUCtau (Rac AUCtau)
Day 1 and 14 (Cohorts 1 - 4, 9), Day 1 and 21 (Cohort 5), Day 1 and 28 (Cohorts 6 - 8)

Ratio of accumulation for AUCtau. Corrected for titrated doses.

Ratio of accumulation for Cmax (Rac Cmax)
Day 1, Day 7 and Day 14 (Cohorts 1 - 4, 9), Day 1 and 21 (Cohort 5), Day 1 and 28 (Cohorts 6 - 8)

Ratio of accumulation for Cmax. Corrected for titrated doses.

Peak-to-trough ratio (PTR)
Day 7 and Day 14 (Cohorts 1 - 4, 9), Day 21 (Cohort 5), Day 28 (Cohorts 6 - 8)

Peak-to-trough ratio at steady state

Number of Participants with categorical scores on the Columbia Suicide Severity Rating Scale (C-SSRS)
Day 0 and 14 (Cohorts 1 - 4, 9), Day 0 and 21 (Cohort 5), Day 0 and 28 (Cohort 6 - 8) and follow-up

C-SSRS assessed whether participant experienced following: completed suicide (1), suicide attempt (2) (response of "Yes" on "actual attempt"), preparatory acts toward imminent suicidal behavior (3)("Yes" on "preparatory acts or behavior"), suicidal ideation (4) ("Yes" on "wish to be dead", "non-specific active suicidal thoughts", "active suicidal ideation with methods without intent to act or some intent to act, without specific plan or with specific plan and intent), any suicidal behavior or ideation, self-injurious behavior (7)("Yes" on "Has subject engaged in non-suicidal self-injurious behavior").

Changes from baseline in total cholesterol, High Density Lipoprotein (HDL) cholesterol, Low Density Lipoprotein (LDL) cholesterol, triglycerides
Day 1 and Day 14 (Cohorts 1 - 4, 9), Day 1 and 21 (Cohort 5), Day 1 and 28 (Cohorts 6 - 8)
Amount of unchanged drug excreted in urine relative to dose (Ae)
Day 14 (Cohorts 1 - 4, 9), Day 21 (Cohort 5), Day 28 (Cohorts 6 - 8)

Calculated from urinary volumes and concentration

Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast)
0, 0.5, 1, 1.5, 2, 4, 6, 8, 10, 12, 16, 24, 32, 48, 72 hours post-dose

Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast)

Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - 8)]
0, 0.5, 1, 1.5, 2, 4, 6, 8, 10, 12, 16, 24, 32, 48, 72 hours post-dose

AUC (0 - 8)= Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - 8). It is obtained from AUC (0 - t) plus AUC (t - 8).

Eye Blink Rate
0, 0.5, 1, 1.5, 2, 4, 6, 8, 10, 12, 16, 24 hours post-dose

Measurement of eye blink rate for a given dose at time of predicted maximum blood concentration of the compound

Secondary Endpoints
Number of Participants with categorical scores on the Columbia Suicide Severity Rating Scale (C-SSRS)
Day 0
Number of Participants With Treatment Emergent Treatment-Related Adverse Events (AEs)
Day 1 to Day 26
Maximum Observed Plasma Concentration (Cmax)
Day 1
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Study Design & Arms
MaskingNONE
ModelCROSSOVER
PurposeBASIC_SCIENCE
Treatment Arms
ArmTypeDescription
Cohort 1EXPERIMENTAL -
Single Ascending Doses Cohort 1EXPERIMENTALSingle doses, given by oral solution, starting at 0.75 mg up to a possible maximum of 3.0 mg. The subject will have been fasted for 10 hours prior to the single dose. For each dosing period, 3 subjects will be given a placebo as a comparator while 6 are given active dose. The subjects will be given concomitant trimethobenzamide hydrochloride for the 3 weeks that the subject is in the CRU. For each of the three periods, subjects will be crossed-over from placebo or PF-06649751. Each PF-06649751 dose is separated by one week.
Single Ascending Doses Cohort 2EXPERIMENTALSingle doses, given by oral solution, starting at 4.5 mg up to a possible maximum of 9.0 mg. The subject will have been fasted for 10 hours prior to the single dose. For each dosing period, 3 subjects will be given a placebo as a comparator while 6 are given active dose. The subjects will be given concomitant trimethobenzamide hydrochloride for the 3 weeks that the subject is in the CRU. For each of the three periods, subjects will be crossed-over from placebo or PF-06649751. Each PF-06649751 dose is separated by one week.
Cohort 2EXPERIMENTALDosing in healthy Western subjects.
Cohort 3EXPERIMENTALDosing in healthy Western subjects.
Cohort 4EXPERIMENTALDosing in healthy Western subjects.
Cohort 5EXPERIMENTALDosing in healthy Western subjects.
Cohort 6EXPERIMENTALDosing in healthy Western subjects.
Cohort 7EXPERIMENTALDosing in healthy Western subjects.
Optional Cohort 8EXPERIMENTALDosing in healthy Western subjects. Cohort may not be conducted.
Cohort 9EXPERIMENTALDosing in healthy Japanese subjects.
Single ascending dosesEXPERIMENTAL -
Measurement of eye blink rateEXPERIMENTAL -
Interventions
NameTypeDescription
PF06649751, ItraconazoleDRUGPF-06649751 0.25 mg on Days 1,2,3 PF-06649751 0.5 mg on Days 4,5,6 PF-06649751 1 mg on Days 7 to Day 25 Itracoanzole 200 mg on Days 12 to Day 25
PF-06649751DRUGExperimental Pfizer compound.
Trimethobenzamide HydrochlorideDRUGTrimethobenzamide Hydrochloride is indicated for the treatment of postoperative nausea and vomiting and for nausea associated with gastroenteritis.
0.15 mg PF-06649751DRUGOral dosing of 0.15 mg PF-06649751 extemporaneously-prepared solution given once-daily for 14 days.
0.5 mg PF-06649751DRUGOral dosing of 0.5 mg PF-06649751 extemporaneously-prepared solution given once-daily for 14 days.
1.5 mg PF-06649751DRUGOral dosing of tablets up to 1.5 mg PF-06649751 given once-daily for 14 days.
1.5 mg PF-06649751 21 DaysDRUGOral dosing of tablets up to 1.5 mg PF-06649751 given once-daily for 21 days.
3.0 mg PF-06649751DRUGOral dosing of tablets up to 3.0 mg PF-06649751 given once-daily for 28 days.
5.0 mg PF-06649751DRUGOral dosing of tablets up to 5.0 mg PF-06649751 given once-daily for 28 days.
8.0 mg PF-06649751DRUGOral dosing of tablets up to 8.0 mg PF-06649751 given once-daily for 28 days.
1.5 mg PF-06649751 in healthy Japanese subjectsDRUGOral dosing of tablets up to 1.5 mg PF-06649751 given once-daily for 14 days given in healthy Japanese subjects.
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Eligibility Criteria
Age Range18 Years — 55 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: Subjects must meet all of the following inclusion criteria to be eligible for enrollment in the study: * Healthy female subjects of nonchildbearing potential and/or male subjects who, at the time of screening, are between the ages of 18 and 55 years, inclusive. * Female subject...

Countries:BelgiumUnited States
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