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Completed

NCT Number: NCT01571388

A Study To Compare Pharmacokinetics Of Dacomitinib (PF-00299804) Between Healthy Subjects And Subjects With Mild And Moderate Hepatic Impairment

The study will determine if there are differences in how dacomitinib is absorbed and eliminated between healthy subjects and subjects with mild and moderately impaired hepatic function.

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Key information

Age range

18 year–74 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Pfizer Investigational Site, Anaheim, California, United States

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Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Healthy male and/or female subjects of non-childbearing potential between the ages of 18 years of age to <75 years of age. Healthy is defined as no clinically relevant abnormalities identified by a detailed medical history, full physical examination, including blood pressure and pulse rate measurement, 12-lead ECG and clinical laboratory tests. Liver function tests, albumin and prothrombin time must be within normal range.
  • Body Mass Index (BMI) of 18 to 35 kg/m2;
  • An informed consent document signed and dated by the subject.
  • Subjects who are willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.
  • Subjects in the normal hepatic function group (Group 1): No known or suspected hepatic impairment.
  • For subjects in the hepatic impairment groups (Groups 2 and 3):
  • Should satisfy the criteria for Class A or B of the modified Child-Pugh classification
  • A diagnosis of hepatic dysfunction due to hepatocellular disease (and not secondary to any acute ongoing hepatocellular process) documented by medical history, physical examination, liver biopsy, hepatic ultrasound, CT scan, or MRI.
  • Stable hepatic impairment, defined as no clinically significant change in disease status within the last 30 days, as documented by the subject's recent medical history
  • Must be on a stable dose of medication and/or treatment regimen.

Exclusion criteria

  • Any condition possibly affecting drug absorption (eg, gastrectomy, chronic diarrhea, rapid transit).
  • A positive urine drug screen.
  • Females of childbearing potential, including those with tubal ligation. [To be considered for enrollment, women of at least 45 years of age who are postmenopausal (defined as being amenorrheic for at least 2 years) must have confirmatory FSH test results at screening].
  • In addition, subjects in the hepatic impairment groups (Groups 2 and 3) presenting with any of the following will not be included in the trial:
  • Hepatic carcinoma and hepatorenal syndrome or life expectancy <1 year.
  • Undergone porta-caval shunt surgery.
  • History of gastrointestinal hemorrhage due to esophageal varices or peptic ulcers less than one month prior to study entry.

Treatment and study plan

dacomitinib

Drug

Subjects to receive 30 mg tablets of dacomitinib on Day 1 of Period 1.

Primary outcomes

  1. Maximum Observed Plasma Concentration (Cmax)

    Time frame: 2 weeks

    Maximal plasma concentration (Cmax) for dacomitinib

  2. Plasma area under plasma concentration-time curve from time zero to time infinity post dose (AUCinf) for dacomitinib

    Time frame: 2 weeks

Secondary outcomes

  1. Area under the Concentration-Time Curve (AUC);Plasma area under plasma concentration-time curve from time zero to 24 hours post dose (AUC24) for dacomitinib

    Time frame: 2 weeks

    AUC is a measure of the serum concentration of the drug over time. It is used to characterize drug absorption.

  2. Plasma area under plasma concentration-time curve from time zero to 216 hours post dose (AUC216) for dacomitinib

    Time frame: 2 weeks

  3. Plasma area under plasma concentration-time curve from time zero to time of last quantifiable concentration post dose (AUClast) for dacomitinib

    Time frame: 2 weeks

  4. Time of first observed maximal plasma concentration (Tmax) for dacomitinib

    Time frame: 2 weeks

  5. Plasma elimination half life (t1/2) of dacomitinib

    Time frame: 2 weeks

  6. Apparent plasma clearance (CL/F) of dacomitinib

    Time frame: 2 weeks

  7. Apparent volume of distribution (Vz/F) of dacomitinib

    Time frame: 2 weeks

  8. Fraction of unbound dacomitinib in plasma (fu)

    Time frame: 2 weeks

  9. Unbound apparent plasma clearance (CL/F) of dacomitinib ,

    Time frame: 2 weeks

  10. Unbound apparent volume of distribution (Vz/F) of dacomitinib

    Time frame: 2 weeks

  11. Unbound Plasma area under plasma concentration-time curve from time zero to time infinity post dose (AUCinf) for dacomitinib

    Time frame: 2 weeks

  12. Unbound plasma area under plasma concentration-time curve from time zero to 24 hours post dose (AUC24) for dacomitinib

    Time frame: 2 weeks

  13. Unbound plasma area under plasma concentration-time curve from time zero to 216 hours post dose (AUC216) for dacomitinib

    Time frame: 2 weeks

  14. Unbound plasma area under plasma concentration-time curve from time zero to time of last quantifiable concentration post dose (AUClast) for dacomitinib

    Time frame: 2 weeks

  15. Maximal unbound plasma concentration (Cmax) for dacomitinib

    Time frame: 2 weeks

  16. Plasma area under plasma concentration-time curve from time zero to time infinity post dose (AUCinf) for PF-05199265

    Time frame: 2 weeks

  17. Plasma area under plasma concentration-time curve from time zero to 24 hours post dose (AUC24) for PF-05199265

    Time frame: 2 weeks

  18. Plasma area under plasma concentration-time curve from time zero to 216 hours post dose (AUC216) for PF-05199265

    Time frame: 2 weeks

  19. Plasma area under plasma concentration-time curve from time zero to time of last quantifiable concentration post dose (AUClast) for PF-05199265

    Time frame: 2 weeks

  20. Maximal plasma concentration (Cmax) for PF-05199265

    Time frame: 2 weeks

  21. Time of first observed maximal plasma concentration (Tmax) for PF-05199265

    Time frame: 2 weeks

  22. Metabolite ratio for plasma area under plasma concentration-time curve from time zero to time infinity post dose (MRAUCinf)

    Time frame: 2 weeks

  23. Metabolite ratio for plasma area under plasma concentration-time curve from time zero to time of last quantifiable concentration post dose (MRAUClast)

    Time frame: 2 weeks

  24. Metabolite ratio for maximal plasma concentration (MRCmax)

    Time frame: 2 weeks

  25. Fraction of unbound PF-05199265 in plasma (fu)

    Time frame: 2 weeks

  26. Unbound plasma area under plasma concentration-time curve from time zero to 24 hours post dose (AUC24) for PF-05199265

    Time frame: 2 weeks

  27. Unbound plasma area under plasma concentration-time curve from time zero to 216 hours post dose (AUC216) for PF-05199265

    Time frame: 2 weeks

  28. Unbound plasma area under plasma concentration-time curve from time zero to time of last quantifiable concentration post dose (AUClast) for PF-05199265

    Time frame: 2 weeks

  29. Unbound Plasma area under plasma concentration-time curve from time zero to time infinity post dose (AUCinf) for PF-05199265

    Time frame: 2 weeks

  30. Maximal unbound plasma concentration (Cmax) for PF-05199265

    Time frame: 2 weeks

  31. Overall safety profile as characterized by laboratory abnormalities, observed physical examination, vital signs, ECGs, and adverse event monitoring.

    Time frame: 6-8 weeks

Sponsors and collaborators

Lead sponsor

Pfizer

Industry

Registry information

Official study title

A Phase 1 Study To Evaluate The Single Dose Pharmacokinetics Of Dacomitinib (PF-00299804) In Subjects With Impaired Hepatic Function

Important dates

Study start
2012
Primary completion
2012
Study completion
2012
First posted
Apr 5, 2012
Registry last updated
Dec 18, 2013

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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