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A phase I, single dose study to test two forms of pediatric ritlecitinib compared to adult ritlecitinib in healthy adults aged 18-55 years old. Approximately 12 adults will participate for approximately 2.5 months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment sequence 1 | Experimental | Treatment sequence 1 will receive a single 30 milligrams (mg) ritlecitinib intact adult capsule during the first period, three 10 mg ritlecitinib pediatric capsules during the second period and 30 mg ritlecitinib spray congealed beads in the third period. |
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| Treatment Sequence 2 | Experimental | Treatment sequence 2 will receive three 10 mg ritlecitinib pediatric capsules during the first period, a single 30 mg intact adult capsule during the second period and 30 mg ritlecitinib spray congealed beads in the third period. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ritlecitinib | Drug | 30 mg intact adult capsule |
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| Measure | Description | Time Frame |
|---|---|---|
| Area Under the Plasma Concentration-Time Profile From Time 0 Extrapolated to Infinite Time (AUCinf) for Ritlecitinib | Plasma AUCinf for ritlecitinib is reported. AUCinf was calculated as [AUClast+(Clast*/kel)], where AUClast is the area under the plasma concentration-time profile from time 0 to the time of the Clast, Clast is the last quantifiable concentration, Clast* is the predicted plasma concentration at the last quantifiable time point estimated from the log-linear regression analysis, and kel is the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve. | Pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 9, 12, 16, and 24 hours post dose on Day 1 in each period |
| Maximum Plasma Concentration (Cmax) for Ritlecitinib | Plasma Cmax for ritlecitinib is reported. | Pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 9, 12, 16, and 24 hours post dose on Day 1 in each period |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Treatment-Emergent Adverse Events (All Causalities and Treatment-Related) | An adverse event (AE) was any untoward medical occurrence attributed to study drug in a participant who received study drug. Treatment-related AE was any untoward medical occurrence attributed to study treatment in a participant who received study treatment. Treatment-emergent AEs (TEAEs) = between first dose of study treatment and up to 35 days after last dose that were absent before treatment or that worsened relative to pretreatment state. A serious AE (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-related AEs and SAEs were determined by the investigator. Severe=an event that prevents normal everyday activities. |
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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 |
|---|---|---|---|---|---|---|
| New Haven Clinical Research Unit | New Haven | Connecticut | 06511 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38267790 | Derived | Saadeddin A, Purohit V, Huh Y, Wong M, Maulny A, Dowty ME, Sagawa K. Virtual Bioequivalence Assessment of Ritlecitinib Capsules with Incorporation of Observed Clinical Variability Using a Physiologically Based Pharmacokinetic Model. AAPS J. 2024 Jan 24;26(1):17. doi: 10.1208/s12248-024-00888-9. |
| Label | URL |
|---|---|
| To obtain contact information for a study center near you, click here. | View source |
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Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.
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A total of 12 participants were assigned to study treatment and all the participants were treated in this study.
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| ID | Title | Description |
|---|---|---|
| FG000 | [Sequence 1] Ritlecitinib: Intact Adult Capsule=>Pediatric Capsules=>Spray Congealed Beads | Participants underwent 3 periods and received a single dose of study drug in each period. Participants received ritlecitinib 30 mg intact adult capsule single dose (SD) on Period 1 Day 1, followed by ritlecitinib 3*10 mg pediatric capsules SD on Period 2 Day 1, and ritlecitinib 30 mg spray congealed beads SD on Period 3 Day 1. There was a at least 2-day washout between dosing. |
| FG001 | [Sequence 2] Ritlecitinib: Pediatric Capsules=>Intact Adult Capsule=>Spray Congealed Beads | Participants underwent 3 periods and received a single dose of study drug in each period. Participants received ritlecitinib 3*10 mg pediatric capsules SD on Period 1 Day 1, followed by ritlecitinib 30 mg intact adult capsule SD on Period 2 Day 1, and ritlecitinib spray congealed beads 30 mg on Period 3 Day 1. There was a at least 2-day washout between dosing. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period 1 |
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| Period 2 |
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| Period 3 |
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Includes all participants assigned to study intervention and who took at least 1 dose of study intervention.
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| ID | Title | Description |
|---|---|---|
| BG000 | Entire Study Population | Includes all participants who were assigned to study treatment. Participants assigned to treatment sequence 1 received ritlecitinib 30 mg intact adult capsule SD on Period 1 Day 1, followed by ritlecitinib 3*10 mg pediatric capsules SD on Period 2 Day 1, and ritlecitinib 30 mg spray congealed beads SD on Period 3 Day 1. Participants assigned to treatment sequence 2 received ritlecitinib 3*10 mg pediatric capsules SD on Period 1 Day 1, followed by ritlecitinib 30 mg intact adult capsule SD on Period 2 Day 1, and ritlecitinib 30 mg spray congealed beads SD on Period 3 Day 1. There was a at least 2-day washout between dosing. |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Median |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Area Under the Plasma Concentration-Time Profile From Time 0 Extrapolated to Infinite Time (AUCinf) for Ritlecitinib | Plasma AUCinf for ritlecitinib is reported. AUCinf was calculated as [AUClast+(Clast*/kel)], where AUClast is the area under the plasma concentration-time profile from time 0 to the time of the Clast, Clast is the last quantifiable concentration, Clast* is the predicted plasma concentration at the last quantifiable time point estimated from the log-linear regression analysis, and kel is the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve. | Includes all participants randomized and treated who had at least 1 of the pharmacokinetic (PK) parameters of primary interest in at least 1 treatment period. | Posted | Geometric Mean | Geometric Coefficient of Variation | nanograms*hours/milliliter (ng*hr/mL) | Pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 9, 12, 16, and 24 hours post dose on Day 1 in each period |
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Baseline (ie, post the first dose of study intervention) up to 35 days post last dose of study intervention (maximum of 40 days)
The same event may appear as both an AE and an SAE. However, what is presented are distinct events. An event may be categorized as serious in 1 participant and as non-serious in another participant, or 1 participant may have experienced both a serious and non-serious event during the study. Total number at risk below refers to the number of participants evaluable for SAEs or AEs.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Treatment A: Ritlecitinib 30 mg Intact Adult Capsule | Participants who were assigned to Treatment sequence 1 received a single dose of ritlecitinib 30 mg intact adult capsule on Period 1 Day 1. Participants who were assigned to Treatment sequence 2 received a single dose of ritlecitinib 30 mg intact adult capsule on Period 2 Day 1. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Fatigue | General disorders | MedDRA v24.1 | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Pfizer ClinicalTrials.gov Call Center | Pfizer Inc. | 1-800-718-1021 | ClinicalTrials.gov_Inquiries@pfizer.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Aug 11, 2021 | Oct 18, 2022 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Aug 27, 2021 | Oct 18, 2022 | SAP_001.pdf |
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| ritlecitinib |
| Drug |
10 mg pediatric capsule |
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| ritlecitinib | Drug | 30 mg spray congealed beads |
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| Post first dose of study intervention on Period 1 Day 1 up to 35 days post last dose of study intervention on Period 3 Day 1 (maximum of 40 days) |
| Number of Participants With Laboratory Abnormalities Without Regard to Baseline Abnormality | Following parameters were analyzed for laboratory examination: hematology (hemoglobin, hematocrit, red blood cell count, platelet count, white blood cell count, total neutrophils, eosinophils, monocytes, basophils, lymphocytes, etc), chemistry (fasting glucose, calcium, sodium, potassium, chloride, total bilirubin, aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, uric acid, total protein, albumin, etc), and urinalysis (glucose, protein, blood, ketones, nitrites, leukocyte esterase, etc). Baseline = the last pre-dose measurement before Period 1 Day 1 (ie, first dose of study intervention). Laboratory abnormalities meeting pre-defined criteria are reported for this outcome measure. ULN=upper limit of normal. LLN=lower limit of normal. HPF=high-powered field. mEq=milliequivalent. L=liter. | Baseline up to Period 3 Day 2 (maximum of 7 days) |
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| Years |
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| Age, Customized | Count of Participants | Participants |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Count of Participants | Participants |
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Participants who were assigned to Treatment sequence 1 received a single dose of ritlecitinib 30 mg intact adult capsule on Period 1 Day 1. Participants who were assigned to Treatment sequence 2 received a single dose of ritlecitinib 30 mg intact adult capsule on Period 2 Day 1. |
| OG001 | Treatment B: Ritlecitinib 3*10 mg Pediatric Capsules | Participants who were assigned to Treatment sequence 1 received a single dose of ritlecitinib 3*10 mg pediatric capsules on Period 2 Day 1. Participants who were assigned to Treatment sequence 2 received a single dose of ritlecitinib 3*10 mg pediatric capsules on Period 1 Day 1. |
| OG002 | Treatment C: Ritlecitinib 30 mg Spray Congealed Beads | Participants received a single dose of ritlecitinib 30 mg spray congealed beads on Period 3 Day 1. |
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| Primary | Maximum Plasma Concentration (Cmax) for Ritlecitinib | Plasma Cmax for ritlecitinib is reported. | Includes all participants randomized and treated who had at least 1 of the PK parameters of primary interest in at least 1 treatment period. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL | Pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 9, 12, 16, and 24 hours post dose on Day 1 in each period |
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| Secondary | Number of Participants With Treatment-Emergent Adverse Events (All Causalities and Treatment-Related) | An adverse event (AE) was any untoward medical occurrence attributed to study drug in a participant who received study drug. Treatment-related AE was any untoward medical occurrence attributed to study treatment in a participant who received study treatment. Treatment-emergent AEs (TEAEs) = between first dose of study treatment and up to 35 days after last dose that were absent before treatment or that worsened relative to pretreatment state. A serious AE (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-related AEs and SAEs were determined by the investigator. Severe=an event that prevents normal everyday activities. | Includes all participants assigned to study intervention and who took at least 1 dose of study intervention. | Posted | Count of Participants | Participants | Post first dose of study intervention on Period 1 Day 1 up to 35 days post last dose of study intervention on Period 3 Day 1 (maximum of 40 days) |
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| Secondary | Number of Participants With Laboratory Abnormalities Without Regard to Baseline Abnormality | Following parameters were analyzed for laboratory examination: hematology (hemoglobin, hematocrit, red blood cell count, platelet count, white blood cell count, total neutrophils, eosinophils, monocytes, basophils, lymphocytes, etc), chemistry (fasting glucose, calcium, sodium, potassium, chloride, total bilirubin, aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, uric acid, total protein, albumin, etc), and urinalysis (glucose, protein, blood, ketones, nitrites, leukocyte esterase, etc). Baseline = the last pre-dose measurement before Period 1 Day 1 (ie, first dose of study intervention). Laboratory abnormalities meeting pre-defined criteria are reported for this outcome measure. ULN=upper limit of normal. LLN=lower limit of normal. HPF=high-powered field. mEq=milliequivalent. L=liter. | Includes all participants assigned to study intervention and who took at least 1 dose of study intervention. | Posted | Count of Participants | Participants | Baseline up to Period 3 Day 2 (maximum of 7 days) |
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| 0 |
| 12 |
| 0 |
| 12 |
| 2 |
| 12 |
| EG001 | Treatment B: Ritlecitinib 3*10 mg Pediatric Capsules | Participants who were assigned to Treatment sequence 1 received a single dose of ritlecitinib 3*10 mg pediatric capsules on Period 2 Day 1. Participants who were assigned to Treatment sequence 2 received a single dose of ritlecitinib 3*10 mg pediatric capsules on Period 1 Day 1. | 0 | 12 | 0 | 12 | 1 | 12 |
| EG002 | Treatment C: Ritlecitinib 30 mg Spray Congealed Beads | Participants received a single dose of ritlecitinib 30 mg spray congealed beads on Period 3 Day 1. | 0 | 12 | 0 | 12 | 1 | 12 |
| Vessel puncture site pain | General disorders | MedDRA v24.1 | Non-systematic Assessment |
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| Headache | Nervous system disorders | MedDRA v24.1 | Non-systematic Assessment |
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| Somnolence | Nervous system disorders | MedDRA v24.1 | Non-systematic Assessment |
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| Cmax was analyzed using a mixed effects model with sequence and treatment as fixed effects and participant within sequence as a random effect. Estimates of the adjusted mean differences (Test-Reference) and corresponding 90% confidence intervals (CIs) were obtained from the model. | Ratio of adjust geometric means | 90.11 | 2-Sided | 90 | 78.49 | 103.44 | Reference = Treatment A Test = Treatment C Ratio=Test/Reference | Equivalence | 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. |
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| Participants with SAEs |
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| Participants with Severe AEs |
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| Title | Measurements |
|---|---|
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| Ketones (No Unit) >=1 |
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| URINE Hemoglobin (No Unit) >=1 |
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| Nitrite (No Unit) >=1 |
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| Leukocyte Esterase (No Unit) >=1 |
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| URINE Leukocytes (/HPF) >=20 |
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| Bacteria (/HPF) >20 |
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