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This study will investigate whether concurrent administration of rabeprazole, an antacid known as a proton pump inhibitor, alters the absorption of the drug palbociclib when given as one of six experimental formulations.
This will be a 6 cohort study investigating one experimental formulation of palbociclib in each of the six cohorts of 10 healthy subjects. Each cohort will receive two treatments in a fixed-sequence. In Period 1, all subjects will receive a single 125mg dose of palbociclib alone and undergo serial pharmacokinetic blood sampling for up to 120 hours post-dose. In Period 2, all subjects will receive daily 40mg doses of Rabeprazole for 7 consecutive days, and approximately 4 hours after the Day 7 rabeprazole dose each subject will receive a single 125mg dose of palbociclib. Subjects will undergo serial pharmacokinetic blood sampling up to 120 hours post-dose.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1 | Experimental | Cohort 1 will receive a 125 mg round yellow palbociclib tablet containing succinic acid |
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| Cohort 2 | Experimental | Cohort 2 will receive a 125 mg oval yellow palbociclib spray-dried dispersion tablet containing HMPC E3 |
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| Cohort 3 | Experimental | Cohort 3 will receive a 125 mg oval yellow palbociclib spray-dried dispersion tablet with HMPC E3 and succinic acid. |
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| Cohort 4 | Experimental | Cohort 4 will receive a 125 mg oval white/yellow palbociclib bilayer tablet with tartaric and succinic acid. |
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| Cohort 5 | Experimental | Cohort 5 will receive a 125 mg oval yellow palbociclib fluid bed granulation tablet with succinic acid. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Palbociclib Alone | Drug | In Period 1 of each Cohort, a single 125 mg dose of palbociclib will be administered alone in a fasted state, and subjects will undergo serial pharmacokinetic blood sampling for up to 120 hours post-dose. |
| Measure | Description | Time Frame |
|---|---|---|
| AUCinf | Area under the concentration-time curve from time zero to infinity. | Pre-dose to 120 hours post-dose |
| Cmax | Maximum observed plasma concentration | Pre-dose to 120 hours post-dose |
| Measure | Description | Time Frame |
|---|---|---|
| AUClast | Area under the concentration-time curve from time zero to the time of the last quantifiable concentration. | Pre-dose to 120 hours post-dose |
| CL/F | Apparent oral clearance from plasma |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Pfizer CT.gov Call Center | Pfizer | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| MRA Clinical Research - Phase 1 | Miami | Florida | 33143 | United States | ||
| Miami Research Associates, LLC |
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| Cohort 6 | Experimental | Cohort 6 will receive a 125 mg palbociclib oral solution |
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| Palbociclib + Rabeprazole | Drug | In Period 2 of each Cohort, subjects will receive daily 40 mg oral doses of the proton pump inhibitor rabeprazole on 7 consecutive days. Approximately 4 hours after the last rabeprazole dose a single 125 mg dose of palbociclib will be administered alone in a fasted state, and subjects will undergo serial pharmacokinetic blood sampling for up to 120 hours post-dose. |
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| Pre-dose to 120 hours post-dose |
| Tmax | Time of the maximum observed concentration post-dose. | Pre-dose to 120 hours post-dose |
| Vz/F | Apparent volume of distribution | Pre-dose to 120 hours post-dose |
| t1/2 | Terminal phase half-life | Pre-dose to 120 hours post-dose |
| South Miami |
| Florida |
| 33143 |
| United States |
| MRA Clinical Research, LLC | South Miami | Florida | 33143 | United States |
| ID | Term |
|---|---|
| C500026 | palbociclib |
| D064750 | Rabeprazole |
| D054328 | Proton Pump Inhibitors |
| ID | Term |
|---|---|
| D053799 | 2-Pyridinylmethylsulfinylbenzimidazoles |
| D013454 | Sulfoxides |
| D013457 | Sulfur Compounds |
| D009930 | Organic Chemicals |
| D011725 | Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D001562 | Benzimidazoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D004791 | Enzyme Inhibitors |
| D045504 | Molecular Mechanisms of Pharmacological Action |
| D020228 | Pharmacologic Actions |
| D020164 | Chemical Actions and Uses |
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