Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Also known as PF-06649751
PF06649751, Itraconazole · 6 trials · 3 indications
Maximum Observed Plasma Concentration
Area Under the Curve From Time Zero to the end of the dosing period
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.
Measurement of blood pressure and pulse rate.
Measurement of standard 12-lead ECG, single or triplicate
Pre-defined criteria were established for each laboratory test to define the values that would be identified as of potential clinical importance.
An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; Initial or prolonged in-patient hospitalization; life threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events between first dose of study drug to the end of study (up to Day 30) that were absent before treatment or that worsened relative to pre-treatment state. AEs included both serious and non-serious adverse events.
Criteria for laboratory abnormalities: Hemoglobin (Hgb),hematocrit, red blood cell(RBC) count: less than(\<)0.8\*lower limit of normal(LLN),mean corpuscular Hgb, mean corpuscular volume, mean corpuscular Hgb concentration:\<0.9\*LLN, greater than (\>)1.1\*upper limit of normal(ULN),platelet:\<0.5\*LLN,\>1.75\*ULN,lymphocyte,neutrophil:\<0.8\*LLN, \>1.2\*ULN, basophil, eosinophil, monocyte:\>1.2\*ULN, WBC:\<0.6\*LLN, \>1.5\*ULN;total bilirubin\>1.5\*ULN, aspartate aminotransferase,alanine aminotransferase,alkaline phosphatase:\>3.0\*ULN,total protein,albumin:\<0.8\*LLN,\>1.2\*ULN;blood urea nitrogen,creatinine:\>1.3\*ULN, uric acid\>1.2\*ULN;sodium\<0.95\*LLN,\>1.05\*ULN,potassium,chloride,calcium,bicarbonate:\<0.9\*LLN,\>1.1\*ULN;glucose\<0.6\*LLN,\>1.5\*ULN,urine pH:\<4.5, \>8; urine: WBC, RBC greater than or equal to (\>=)20/high performance field, bacteria: \>20; urobilinogen, urine: glucose, ketone, protein, Hgb, nitrite, leukocyte esterase, bilirubin: \>=1.
Criteria for vital sign abnormality included supine pulse rate of \<40 beats per minute (bpm) or \>120 bpm, standing pulse rate of \<40 bpm or \>140 bpm, supine and standing systolic blood pressure (SBP) \<90 millimeter of mercury (mmHg), supine and standing diastolic blood pressure (DBP) \<50 mmHg, supine and standing SBP of \>=30 mmHg maximum (max.) increase from baseline (IFB) and and decrease from baseline (DFB) in same posture, supine and Standing DBP of \>=20 mmHg max. increase and decrease from baseline in same posture. Categories in which there was atleast 1 abnormality are reported in this outcome measure.
Criteria for ECG abnormalities: maximum PR interval \>=300 milliseconds (msec) and maximum increase PR interval increase from baseline (IFB): percent change (Pctchg) \>=25 percent (%) for baseline value of \>200 msec and Pctchg\>=50% for baseline value of \<=200 msec for PR interval, maximum QRS interval \>=140 msec and a maximum IFB: Pctchg\>=50%, maximum QTCF interval (Fridericia's Correction) of 450 msec to \<480 msec, 480 msec to \<500 msec or \>=500 msec and a maximum change of \<=30change\<60 or \>=60 msec from baseline.
Physical examination included examination of the head, ears, eyes, nose, mouth, skin, heart and lung examinations, lymph nodes, gastrointestinal, musculoskeletal, and neurological systems. The examination assessed the participants for any potential changes in general appearance, the respiratory and cardiovascular systems, as well as towards participant reported symptoms. Findings were considered to be clinically significant based on investigator's decision.
The complete or full neurological examination included assessment of the cranial nerves; muscle strength, tone, cortical drift, abnormal movements; deep tendon reflexes; sensory exam, coordination, gait and station. Higher cortical and motor function was considered part of the complete neurological exam. Findings were considered abnormal as confirmed by a certified neurologist.
The C-SSRS was an interview-based rating scale to systematically assess suicidal ideation and suicidal behavior. C-SSRS assessed whether participant experienced any of the following 1: completed suicide, 2: suicide attempt (response of "yes" on "actual attempt"), 3: preparatory acts toward imminent suicidal behavior ("yes" on "aborted attempt", "interrupted attempt", "preparatory acts or behavior"), 4: any suicidal behavior or ideation, suicidal ideation ("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"), 7: self-injurious behavior, no suicidal intent ("yes" on "has participant engaged in non-suicidal self-injurious behavior").
According to Parkinson's disease diaries of participants "OFF" time was a time period when the medication no longer providing benefit with regard to mobility, slowness, and stiffness and participants experienced relatively poor overall function with worsening of tremor, rigidity, balance, or bradykinesia. "ON" time was a time period when medication was providing benefit with regard to mobility, slowness, and stiffness. "ON" time was classified as associated with or without troublesome dyskinesia (TD) that interfere with activities of daily living and with or without dyskinesia. "OFF" time and "ON" time with TD were generally considered to be "bad time" with regard to motor function, whereas "ON" time without dyskinesia (WD) and with non- troublesome dyskinesia (NTD) were generally considered to be "good time".
According to Parkinson's disease diaries of participants "OFF" time was a time period when the medication no longer providing benefit with regard to mobility, slowness, and stiffness and participants experienced relatively poor overall function with worsening of tremor, rigidity, balance, or bradykinesia. "ON" time was a time period when medication was providing benefit with regard to mobility, slowness, and stiffness. "ON" time was classified as associated with or without troublesome dyskinesia (TD) that interfere with activities of daily living and with or without dyskinesia. "OFF" time and "ON" time with TD were generally considered to be "bad time" with regard to motor function, whereas "ON" time without dyskinesia (WD) and with non- troublesome dyskinesia (NTD) were generally considered to be "good time".
Maximum plasma concentration
Time for Cmax
Plasma decay half-life is the time measured for the plasma concentration to decrease by one half.
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.
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.
Minimum concentration pre-dose
Ratio of accumulation for AUCtau. Corrected for titrated doses.
Ratio of accumulation for Cmax. Corrected for titrated doses.
Peak-to-trough ratio at steady state
Calculated from urinary volumes and concentration
Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast)
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).
Measurement of eye blink rate for a given dose at time of predicted maximum blood concentration of the compound
| Arm | Type | Description |
|---|---|---|
| Cohort 1 | EXPERIMENTAL | - |
| Cohort 2 | EXPERIMENTAL | Three single doses over three periods. For each of the three periods, subjects will be crossed-over from placebo or PF-06649751. Each PF-06649751 dose is separated by at least one week. |
| Single Ascending Doses Cohort 1 | EXPERIMENTAL | Single 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 2 | EXPERIMENTAL | Single 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 3 | EXPERIMENTAL | Titration of PF-06649751 up to 5 mg QD |
| Cohort 4 | EXPERIMENTAL | Titration of PF-06649751 up to 15 mg QD |
| Cohort 5 | EXPERIMENTAL | Titration of PF-06649751 up to 15 mg QDi n subjects with Levodopa-induced dyskinesias (LID) |
| Cohort 6 | EXPERIMENTAL | Titration of PF-0649751 up to 25 mg QD |
| Cohort 7 | EXPERIMENTAL | Dosing in healthy Western subjects. |
| Optional Cohort 8 | EXPERIMENTAL | Dosing in healthy Western subjects. Cohort may not be conducted. |
| Cohort 9 | EXPERIMENTAL | Dosing in healthy Japanese subjects. |
| Single ascending doses | EXPERIMENTAL | - |
| Measurement of eye blink rate | EXPERIMENTAL | - |
| Name | Type | Description |
|---|---|---|
| PF06649751, Itraconazole | DRUG | PF-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-06649751 | DRUG | Subjects completing all three treatment periods will be administered two doses. Doses: 0.75mg, 1.5mg, 3mg, 6mg, 9mg. Tablets in the form of 0.25mg or 1 mg. |
| Trimethobenzamide Hydrochloride | DRUG | 300mg TID, Capsules. Optional in both Cohorts. |
| Placebo | DRUG | Subjects completing all three treatment periods will be receiving placebo once. |
| 0.15 mg PF-06649751 | DRUG | Oral dosing of 0.15 mg PF-06649751 extemporaneously-prepared solution given once-daily for 14 days. |
| 0.5 mg PF-06649751 | DRUG | Oral dosing of 0.5 mg PF-06649751 extemporaneously-prepared solution given once-daily for 14 days. |
| 1.5 mg PF-06649751 | DRUG | Oral dosing of tablets up to 1.5 mg PF-06649751 given once-daily for 14 days. |
| 1.5 mg PF-06649751 21 Days | DRUG | Oral dosing of tablets up to 1.5 mg PF-06649751 given once-daily for 21 days. |
| 3.0 mg PF-06649751 | DRUG | Oral dosing of tablets up to 3.0 mg PF-06649751 given once-daily for 28 days. |
| 5.0 mg PF-06649751 | DRUG | Oral dosing of tablets up to 5.0 mg PF-06649751 given once-daily for 28 days. |
| 8.0 mg PF-06649751 | DRUG | Oral dosing of tablets up to 8.0 mg PF-06649751 given once-daily for 28 days. |
| 1.5 mg PF-06649751 in healthy Japanese subjects | DRUG | Oral dosing of tablets up to 1.5 mg PF-06649751 given once-daily for 14 days given in healthy Japanese subjects. |
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...
PF-06649751 is an investigational small molecule developed by Pfizer, Inc. (NYSE: PFE) for Parkinson's disease. It has been studied in Phase 1 clinical trials involving healthy volunteers and patients with idiopathic Parkinson's disease. The drug is not approved for any indication and remains in clinical development.
PF-06649751 is being developed for the treatment of Parkinson's disease, including idiopathic Parkinson's disease. It has been evaluated in Phase 1 trials in both healthy adult subjects and patients with Parkinson's disease. The drug is investigational and has not been approved for any use.
PF-06649751 is being developed by Pfizer, Inc., which trades on the New York Stock Exchange under the ticker PFE. Pfizer has sponsored all four Phase 1 clinical trials of the drug, which have been completed.
PF-06649751 is in Phase 1 clinical development. All four of its clinical trials are Phase 1 studies and have been completed. The drug is investigational and has not received FDA approval for any indication.
PF-06649751 has been studied in four completed Phase 1 trials: NCT03121664 in healthy adults, NCT02373072 in idiopathic Parkinson's disease, NCT02262767 in healthy subjects with trimethobenzamide, and NCT02224664 in Parkinson's disease. Total enrollment across these trials was 115 participants.
No, PF-06649751 and itraconazole are different compounds. PF-06649751 is an investigational small molecule developed by Pfizer for Parkinson's disease. Itraconazole is an antifungal drug used in a separate study to assess its effects on the pharmacokinetics of PF-06649751. PF-06649751 is also known as PF-06649751 and 0.15 mg PF-06649751.