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Relative Bioavailability Of A Crizotinib Oral Liquid Formulation To Crizotinib Formulated Capsule

A Phase 1, Open-Label, Single Dose, Randomized, Cross-Over Relative Bioavailability Study Comparing An Oral Liquid Formulation To A Formulated Capsule Of Crizotinib (PF 02341066) In Healthy Volunteers

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01297595
Enrollment
22
Registered
2011-02-17
Start date
2011-03-31
Completion date
2011-04-30
Last updated
2012-02-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy

Keywords

relative bioavailability, pharmacokinetics, crizotinib, oral liquid formulation, formulated capsule

Brief summary

This study will be an open-label, randomized, 2-period, 2-treatment, 2-sequence, cross-over single-dose study employing administration of two oral formulations of crizotinib (OLF and FC) in the fasted state to healthy adult subjects. Twenty-two (22) subjects will be enrolled to obtain at least 20 evaluable subjects who complete the study. Each subject will receive two treatments (A and B) with a washout period of at least 14 days between each treatment.

Interventions

DRUGcrizotinib

Each subject will receive 250 mg single oral doses of oral liquid formulation and formulated capsule of crizotinib separated by at least 14 days.

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes

Inclusion criteria

* Healthy male and/or female subjects between the ages of 18 and 55 years, inclusive. 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 or clinical laboratory tests. * Body Mass Index (BMI) of 17.5 to 30.5 kg/m\^2; and a total body weight \>50 kg (110 lbs).

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). * Any condition possibly affecting drug absorption (eg, gastrectomy). * A positive urine drug screen. * History of regular alcohol consumption exceeding 14 drinks/week for females or 21 drinks/week for males (1 drink = 5 ounces (150 mL) of wine or 12 ounces (360 mL) of beer or 1.5 ounces (45 mL) of hard liquor) within 6 months of screening. * Treatment with an investigational drug within 30 days (or as determined by the local requirement, whichever is longer) or 5 half-lives preceding the first dose of study medication. * 12-lead ECG demonstrating QTc \>450 msec or a QRS interval \>120 msec at screening. If QTc exceeds 450 msec, or QRS exceeds 120 msec, the ECG should be repeated two more times and the average of the three QTc or QRS values should be used to determine the subject's eligibility. * Pregnant or nursing females; females of childbearing potential, including those with tubal ligation. * Use of prescription or nonprescription drugs and dietary supplements within 7 days or 5 half-lives (whichever is longer) prior to the first dose of study medication. Herbal supplements and hormonal replacement therapy must be discontinued 28 days prior to the first dose of study medication. As an exception, acetaminophen/paracetamol may be used at doses of ≤1 g/day. Limited use of non-prescription medications that are not believed to affect subject safety or the overall results of the study may be permitted on a case-by-case basis following approval by the sponsor. * Blood donation (excluding plasma donations) of approximately 1 pint (500 mL) or more within 56 days prior to dosing. * History of sensitivity to heparin or heparin-induced thrombocytopenia. * Unwilling or unable to comply with the Lifestyle Guidelines described in this protocol. * Subjects who are investigational site staff members or subjects who are Pfizer employees directly involved in the conduct of the trial. * Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the subject inappropriate for entry into this study. * A positive serology for Hepatitis B or Hepatitis C. * Subjects who currently smoke.

Design outcomes

Primary

MeasureTime frameDescription
Area Under the Curve From Time Zero to Infinite Time [AUC (0 - ∞)]0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, 72, 96 and 144 hours (hrs) post crizotinib doseAUC (0 - ∞) = Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞).

Secondary

MeasureTime frameDescription
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast)0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, 72, 96 and 144 hrs post crizotinib doseArea under the plasma concentration time-curve from zero (pre-dose) to the last measured concentration (AUClast).
Maximum Observed Plasma Concentration (Cmax)0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, 72, 96 and 144 hrs post crizotinib dose
Plasma Terminal Half-Life (t1/2)0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, 72, 96 and 144 hrs post crizotinib dosePlasma terminal half-life is the time measured for the plasma concentration to decrease by one half.
Apparent Oral Clearance (CL/F)0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, 72, 96 and 144 hrs post crizotinib doseDrug clearance (CL) is a quantitative measure of the rate at which a drug substance is removed from the plasma. Clearance obtained after oral dose (apparent oral clearance \[CL/F\]) is influenced by the fraction of the dose absorbed (F).
Apparent Volume of Distribution (Vz/F)0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, 72, 96 and 144 hrs post crizotinib doseVolume 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.
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Crizotinib Metabolite (PF-06260182)0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, 72, 96 and 144 hrs post crizotinib doseArea under the plasma concentration time-curve from zero (pre-dose) to the last measured concentration (AUClast) of Crizotinib metabolite (PF-06260182).
Time to Reach Maximum Observed Plasma Concentration (Tmax)0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, 72, 96 and 144 hrs post crizotinib dose
Maximum Observed Plasma Concentration (Cmax) for Crizotinib Metabolite (PF-06260182)0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, 72, 96 and 144 hrs post crizotinib dose
Time to Reach Maximum Observed Plasma Concentration (Tmax) for Crizotinib Metabolite (PF-06260182)0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, 72, 96 and 144 hrs post crizotinib dose
Metabolite to Parent Ratio of Maximum Observed Plasma Concentration (MRCmax)0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, 72, 96 and 144 hrs post crizotinib doseMetabolite (PF-06260182) to parent (crizotinib) molar ratio of maximum observed plasma concentration (MRCmax).
Metabolite to Parent Ratio of Area Under the Curve From Time Zero to Last Quantifiable Concentration (MRAUClast)0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, 72, 96 and 144 hrs post crizotinib doseMolar ratio of metabolite to parent area under the plasma concentration time-curve from time zero (pre-dose) to the last measured concentration (MRAUClast).
Metabolite to Parent Ratio of Area Under the Curve From Time Zero to Infinite Time [MRAUC (0- ∞)]0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, 72, 96 and 144 hrs post crizotinib doseMolar ratio of metabolite to parent area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0- ∞) \[MRAUC (0- ∞)\].
Area Under the Curve From Time Zero to Infinite Time [AUC (0 - ∞)] for Crizotinib Metabolite (PF-06260182)0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, 72, 96 and 144 hrs post crizotinib doseAUC (0 - ∞)= Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞) of crizotinib metabolite (PF-06260182).

Countries

Belgium

Participant flow

Participants by arm

ArmCount
Entire Study Population
Includes participants randomized to receive crizotinib 250 mg FC first and crizotinib 250 mg OLF first.
22
Total22

Baseline characteristics

CharacteristicEntire Study Population
Age Continuous38.0 years
STANDARD_DEVIATION 11.9
Sex: Female, Male
Female
0 Participants
Sex: Female, Male
Male
22 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
17 / 2217 / 22
serious
Total, serious adverse events
0 / 220 / 22

Outcome results

Primary

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

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

Time frame: 0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, 72, 96 and 144 hours (hrs) post crizotinib dose

Population: Pharmacokinetic (PK) parameter analysis population included all participants randomized and treated who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Crizotinib 250 mg FCArea Under the Curve From Time Zero to Infinite Time [AUC (0 - ∞)]2833 ng*hr/mLStandard Deviation 1099
Crizotinib 250 mg OLFArea Under the Curve From Time Zero to Infinite Time [AUC (0 - ∞)]2821 ng*hr/mLStandard Deviation 1086
Comparison: Natural log transformed AUC (0 - ∞) of crizotinib was analyzed using a mixed effect model with sequence, period and treatment as a fixed effects and participant within sequence as a random effect. The adjusted mean differences and 90% confidence intervals (CIs) for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios. This was an estimation study and there was no formal statistical hypothesis.90% CI: [91.08, 108.87]
Secondary

Apparent Oral Clearance (CL/F)

Drug clearance (CL) is a quantitative measure of the rate at which a drug substance is removed from the plasma. Clearance obtained after oral dose (apparent oral clearance \[CL/F\]) is influenced by the fraction of the dose absorbed (F).

Time frame: 0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, 72, 96 and 144 hrs post crizotinib dose

Population: PK parameter analysis population included all participants randomized and treated who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Crizotinib 250 mg FCApparent Oral Clearance (CL/F)88.21 Liter/hour (L/hr)Standard Deviation 30.17
Crizotinib 250 mg OLFApparent Oral Clearance (CL/F)88.61 Liter/hour (L/hr)Standard Deviation 28.96
Secondary

Apparent Volume of Distribution (Vz/F)

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.

Time frame: 0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, 72, 96 and 144 hrs post crizotinib dose

Population: PK parameter analysis population included all participants randomized and treated who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Crizotinib 250 mg FCApparent Volume of Distribution (Vz/F)4473 LiterStandard Deviation 2089
Crizotinib 250 mg OLFApparent Volume of Distribution (Vz/F)4593 LiterStandard Deviation 2108
Secondary

Area Under the Curve From Time Zero to Infinite Time [AUC (0 - ∞)] for Crizotinib Metabolite (PF-06260182)

AUC (0 - ∞)= Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - ∞). It is obtained from AUC (0 - t) plus AUC (t - ∞) of crizotinib metabolite (PF-06260182).

Time frame: 0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, 72, 96 and 144 hrs post crizotinib dose

Population: PK parameter analysis population included all participants randomized and treated who had at least 1 of the PK parameters of primary interest in at least 1 treatment period. 'N' = Number of participants contributing to the mean.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Crizotinib 250 mg FCArea Under the Curve From Time Zero to Infinite Time [AUC (0 - ∞)] for Crizotinib Metabolite (PF-06260182)454.4 ng*hr/mLStandard Deviation 242.1
Crizotinib 250 mg OLFArea Under the Curve From Time Zero to Infinite Time [AUC (0 - ∞)] for Crizotinib Metabolite (PF-06260182)446.7 ng*hr/mLStandard Deviation 273.1
Secondary

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

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

Time frame: 0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, 72, 96 and 144 hrs post crizotinib dose

Population: PK parameter analysis population included all participants randomized and treated who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Crizotinib 250 mg FCArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast)2696 ng*hr/mLStandard Deviation 1073
Crizotinib 250 mg OLFArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast)2679 ng*hr/mLStandard Deviation 1069
Comparison: Natural log transformed AUClast of crizotinib was analyzed using a mixed effect model with sequence, period and treatment as a fixed effects and participant within sequence as a random effect. The adjusted mean differences and 90% CIs for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios. This was an estimation study and there was no formal statistical hypothesis.90% CI: [90.51, 109.07]
Secondary

Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Crizotinib Metabolite (PF-06260182)

Area under the plasma concentration time-curve from zero (pre-dose) to the last measured concentration (AUClast) of Crizotinib metabolite (PF-06260182).

Time frame: 0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, 72, 96 and 144 hrs post crizotinib dose

Population: PK parameter analysis population included all participants randomized and treated who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Crizotinib 250 mg FCArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Crizotinib Metabolite (PF-06260182)429.5 ng*hr/mLStandard Deviation 242.3
Crizotinib 250 mg OLFArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for Crizotinib Metabolite (PF-06260182)439.1 ng*hr/mLStandard Deviation 271.5
Secondary

Maximum Observed Plasma Concentration (Cmax)

Time frame: 0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, 72, 96 and 144 hrs post crizotinib dose

Population: PK parameter analysis population included all participants randomized and treated who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Crizotinib 250 mg FCMaximum Observed Plasma Concentration (Cmax)121.0 ng/mLStandard Deviation 38.9
Crizotinib 250 mg OLFMaximum Observed Plasma Concentration (Cmax)117.2 ng/mLStandard Deviation 36.1
Comparison: Natural log transformed Cmax of crizotinib was analyzed using a mixed effect model with sequence, period and treatment as a fixed effects and participant within sequence as a random effect. The adjusted mean differences and 90% CIs for the differences were exponentiated to provide estimates of the ratio of adjusted geometric means (Test/Reference) and 90% CIs for the ratios. This was an estimation study and there was no formal statistical hypothesis.90% CI: [88.22, 106.32]
Secondary

Maximum Observed Plasma Concentration (Cmax) for Crizotinib Metabolite (PF-06260182)

Time frame: 0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, 72, 96 and 144 hrs post crizotinib dose

Population: PK parameter analysis population included all participants randomized and treated who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Crizotinib 250 mg FCMaximum Observed Plasma Concentration (Cmax) for Crizotinib Metabolite (PF-06260182)30.98 ng/mLStandard Deviation 10.39
Crizotinib 250 mg OLFMaximum Observed Plasma Concentration (Cmax) for Crizotinib Metabolite (PF-06260182)32.56 ng/mLStandard Deviation 10.75
Secondary

Metabolite to Parent Ratio of Area Under the Curve From Time Zero to Infinite Time [MRAUC (0- ∞)]

Molar ratio of metabolite to parent area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0- ∞) \[MRAUC (0- ∞)\].

Time frame: 0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, 72, 96 and 144 hrs post crizotinib dose

Population: PK parameter analysis population included all participants randomized and treated who had at least 1 of the PK parameters of primary interest in at least 1 treatment period. 'N' = Number of participants contributing to the mean.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Crizotinib 250 mg FCMetabolite to Parent Ratio of Area Under the Curve From Time Zero to Infinite Time [MRAUC (0- ∞)]0.1514 RatioStandard Deviation 0.0254
Crizotinib 250 mg OLFMetabolite to Parent Ratio of Area Under the Curve From Time Zero to Infinite Time [MRAUC (0- ∞)]0.1535 RatioStandard Deviation 0.0259
Secondary

Metabolite to Parent Ratio of Area Under the Curve From Time Zero to Last Quantifiable Concentration (MRAUClast)

Molar ratio of metabolite to parent area under the plasma concentration time-curve from time zero (pre-dose) to the last measured concentration (MRAUClast).

Time frame: 0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, 72, 96 and 144 hrs post crizotinib dose

Population: PK parameter analysis population included all participants randomized and treated who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Crizotinib 250 mg FCMetabolite to Parent Ratio of Area Under the Curve From Time Zero to Last Quantifiable Concentration (MRAUClast)0.1546 RatioStandard Deviation 0.0275
Crizotinib 250 mg OLFMetabolite to Parent Ratio of Area Under the Curve From Time Zero to Last Quantifiable Concentration (MRAUClast)0.1589 RatioStandard Deviation 0.0274
Secondary

Metabolite to Parent Ratio of Maximum Observed Plasma Concentration (MRCmax)

Metabolite (PF-06260182) to parent (crizotinib) molar ratio of maximum observed plasma concentration (MRCmax).

Time frame: 0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, 72, 96 and 144 hrs post crizotinib dose

Population: PK parameter analysis population included all participants randomized and treated who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Crizotinib 250 mg FCMetabolite to Parent Ratio of Maximum Observed Plasma Concentration (MRCmax)0.2482 RatioStandard Deviation 0.0349
Crizotinib 250 mg OLFMetabolite to Parent Ratio of Maximum Observed Plasma Concentration (MRCmax)0.2694 RatioStandard Deviation 0.0532
Secondary

Plasma Terminal Half-Life (t1/2)

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

Time frame: 0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, 72, 96 and 144 hrs post crizotinib dose

Population: PK parameter analysis population included all participants randomized and treated who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.

ArmMeasureValue (MEAN)Dispersion
Crizotinib 250 mg FCPlasma Terminal Half-Life (t1/2)35.58 hrStandard Deviation 6.12
Crizotinib 250 mg OLFPlasma Terminal Half-Life (t1/2)36.35 hrStandard Deviation 5.64
Secondary

Time to Reach Maximum Observed Plasma Concentration (Tmax)

Time frame: 0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, 72, 96 and 144 hrs post crizotinib dose

Population: PK parameter analysis population included all participants randomized and treated who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.

ArmMeasureValue (MEDIAN)
Crizotinib 250 mg FCTime to Reach Maximum Observed Plasma Concentration (Tmax)5.00 hr
Crizotinib 250 mg OLFTime to Reach Maximum Observed Plasma Concentration (Tmax)5.00 hr
Secondary

Time to Reach Maximum Observed Plasma Concentration (Tmax) for Crizotinib Metabolite (PF-06260182)

Time frame: 0 (pre-dose), 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 48, 72, 96 and 144 hrs post crizotinib dose

Population: PK parameter analysis population included all participants randomized and treated who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.

ArmMeasureValue (MEDIAN)
Crizotinib 250 mg FCTime to Reach Maximum Observed Plasma Concentration (Tmax) for Crizotinib Metabolite (PF-06260182)5.00 hr
Crizotinib 250 mg OLFTime to Reach Maximum Observed Plasma Concentration (Tmax) for Crizotinib Metabolite (PF-06260182)5.00 hr

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026