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Renal ImpairmentPhase 1NCT03596567

Glasdegib Renal Impairment Study

A Phase 1 study testing Glasdegib single 100 mg dose in normal healthy subjects, Glasdegib single 100 mg dose in moderate renal impairment subjects and Glasdegib single 100 mg dose in severe renal impairment subjects in people with Renal Impairment, run by Pfizer at 3 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The goal of this study is to administer single dose (100 mg) glasdegib tablet to subjects with normal, moderate and severe renal impairment and estimate the effect, if any, of this renal impairment on glasdegib pharmacokinetics. Read more about this study

Who is it for?
Ages 18 to 75 yearsHealthy volunteers can take part
Conditions the study is for
Renal Impairment
What is being tested?
Glasdegib single 100 mg dose in normal healthy subjects, Glasdegib single 100 mg dose in moderate renal impairment subjects and Glasdegib single 100 mg dose in severe renal impairment subjects
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
18 participants
Where
3 sitesUnited States
Study dates
17 May 2018to 19 Sep 2018
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Healthy female subjects of non child bearing potential and/or male subjects who, at the time of screening, are between the ages of 18 and 75 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.
  • Female subjects of nonchildbearing potential must meet at least 1 of the following criteria:
  • Achieved postmenopausal status, defined as follows: cessation of regular menses for at least 12 consecutive months with no alternative pathological or physiological cause; with a serum follicle stimulating hormone (FSH) level confirming the postmenopausal state;
  • Have undergone a documented hysterectomy and/or bilateral oophorectomy;
  • Have medically confirmed ovarian failure. All other female subjects (including females with tubal ligations) are considered to be of childbearing potential.
  • Body mass index (BMI) of 17.5 to 40 kg/m2; and a total body weight >50 kg (110 lb).
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  • Evidence of a personally signed and dated informed consent document indicating that the subject (or a legal representative) has been informed of all pertinent aspects of the study.
  • Subjects who are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, and other study procedures.
  • Subjects with Normal Renal Function will Need to Meet the Following Criteria in addition -
  • Normal renal function, eGFR=>90 mL/min, based on the MDRD equation.
  • Matched for age (+/-10years) weight +/-15kg, and gender to subjects in the impaired renal function groups
  • Subjects with Impaired Renal Function will Need to Meet the Following Criteria in Addition to Those Above
  • Good general health commensurate with the population with chronic kidney disease (renal impairment). 'Health' is defined as no clinically relevant abnormalities (with the exception of hypertension, diabetes mellitus, hyperparathyroidism, ischemic heart disease, etc. as long as, in the opinion of the investigator, the subject is medically stable, is on a stable drug regimen and can abide by the meals and dietary restrictions outlined in protocol identified by a detailed medical history, full physical examination, measurement of pulse rate and 12 lead ECG as well as clinical laboratory tests (except serum creatinine and eGFR).
  • Stable drug regimen defined as not starting a new drug or changing dosage within seven days or five half lives (whichever is longer) before dosing the study drug.
  • Any form of renal impairment except acute nephritic syndrome (subjects with history of previous nephritic syndrome but in remission can be included).
  • Meet one of the following eGFR criteria during the screening period based on the MDRD equation:
  • Moderate renal impairment: eGFR 30 mL/min and <60 mL/min, or
  • Severe renal impairment: eGFR <30 mL/min, but not requiring hemodialysis. For subjects in all groups, the values of serum creatinine obtained at the two screening visits should not be more than 20% different.

Who cannot join

  • -Any condition possibly affecting drug absorption (eg, gastrectomy, achlorhydria).
  • Renal allograft recipients
  • Urinary incontinence without catheterization.
  • Concurrent use of any of the following food or drugs known to inhibit CYP3A4 (consult the Sponsor if in doubt whether a food or a drug falls into any of the above categories) within 7 days or 5 half lives (whichever is longer) prior to the dose of glasdegib, until the completion of the last PK sample collection.
  • Concurrent use of any of the following food or drugs known to induce CYP3A4 (consult the Sponsor if in doubt whether a food or a drug falls into any of the above categories) within 12 days or 5 half lives (whichever is longer) prior to the first dose of trial medication until the completion of the last PK sample collection.
  • Pregnant female subjects; breastfeeding female subjects; fertile male subjects who are unwilling or unable to use two highly effective methods of contraception as outlined in this protocol for the duration of the study and for at least 90 days after the last dose of investigational product and, refrain from sperm donation for the duration of the Study and for at least 90 days after the last dose of investigational product.
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  • Subjects with ANY of the following abnormalities in clinical laboratory tests at Screening, as assessed by the study specific laboratory and confirmed by a single repeat test, if deemed necessary:
  • Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) level > upper limit of normal (ULN);
  • Total bilirubin level 1.5 × ULN; subjects with a history of Gilbert's syndrome may have direct bilirubin measured and would be eligible for this study provided the direct bilirubin level is not greater than 0.5 mg/dL.
  • For subjects with renal impairment, the following important additional criteria are:
  • Subjects with other clinically significant disease that may affect the safety of the subject or that may affect the pharmacokinetics of glasdegib (including drug allergies, but excluding untreated, asymptomatic, seasonal allergies at time of dosing). Subjects with any significant hepatic, cardiac, or pulmonary disease or subjects who are clinically nephrotic. Hypertension, diabetes mellitus, hyperparathyroidism, ischemic heart disease, etc is not cause for exclusion as long as the subject is medically stable and any drugs that are administered for these conditions are not expected to interfere with the pharmacokinetics of glasdegib.
  • Screening blood pressure =>180mm Hg (systolic) or>=110 mm Hg (diastolic), following at least 5 minutes of supine rest. If initial blood pressure (BP) is 180 mm Hg (systolic) or 110 mm Hg (diastolic), the BP should be repeated two more times and the average of the three BP values should be used to determine the subject's eligibility.
  • Screening supine 12 lead ECG demonstrating QTcF >470 msec or a QRS interval >120 msec. If initial QTcF exceeds 470 msec, or QRS exceeds 120 msec, the ECG should be repeated two more times and the average of the three QTcF or QRS values should be used to determine the subject's eligibility.

Trial locations and contacts

3 sites in 1 country.

United States3 sites
  • University of Miami Division of Clinical Pharmacology

    Miami, Florida, 33136

  • University of Miami, Sylvester Comprehensive Cancer Center

    Miami, Florida, 33136

  • Prism Clinical Research LLC

    Saint Paul, Minnesota, 55114

Other trials in United States

About this study

Official title: A PHASE 1, OPEN-LABEL, SINGLE DOSE, PARALLEL GROUP STUDY TO EVALUATE THE PHARMACOKINETICS OF GLASDEGIB (PF-04449913) IN SUBJECTS WITH IMPAIRED RENAL FUNCTION

The goal of this study is to administer single dose (100 mg) glasdegib tablet to subjects with normal, moderate and severe renal impairment and estimate the effect, if any, of this renal impairment on glasdegib pharmacokinetics.

Being tested
Glasdegib single 100 mg dose in normal healthy subjects, Glasdegib single 100 mg dose in moderate renal impairment subjects, Glasdegib single 100 mg dose in severe renal impairment subjects
Keywords
Glasdegib, PF-04449913, Pharmacokinetics, Renal Impairment
Medical subject headings
Renal Insufficiency

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Glasdegib single 100 mg dose in normal healthy subjectsDrug

    A single dose of 100 mg glasdegib tablet will be administered after an overnight fast, followed by serial PK collection, discharge and follow -up.

  • Glasdegib single 100 mg dose in moderate renal impairment subjectsDrug

    A single dose of 100 mg glasdegib tablet will be administered to subjects with moderate renal impairment, after an overnight fast, followed by serial PK collection, discharge and follow -up.

  • Glasdegib single 100 mg dose in severe renal impairment subjectsDrug

    A single dose of 100 mg glasdegib tablet will be administered to subjects with severe renal impairment, after an overnight fast, followed by serial PK collection, discharge and follow -up.

Study groups in NCT03596567
Study groupRoleWhat they receive
Normal Renal Function GroupExperimentalSubjects with estimated glomerular filtration rate (eGFR) of => 90 ml/min
Receives: Drug: Glasdegib single 100 mg dose in normal healthy subjects
Moderate Renal Impairment GroupExperimentalSubjects with estimated glomerular filtration rate (eGFR) of => 30ml/min and < 60 ml/min
Receives: Drug: Glasdegib single 100 mg dose in moderate renal impairment subjects
Severe Renal Impairment GroupExperimentalSubjects with estimated glomerular filtration rate (eGFR) of < 30 ml/min and not requiring dialysis
Receives: Drug: Glasdegib single 100 mg dose in severe renal impairment subjects

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Maximum Observed Plasma Concentration (Cmax)

    Measured: 6 days

  2. Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - 8)]

    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 - ∞).

    Measured: 6 days

Secondary outcomes (44)
  1. Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]).

    concomitant medication and adverse event monitoring.

    Measured: 34 days

  2. PR/ECGs

    PR interval (msec),

    Measured: 34 days

  3. Hematology Lab Panel

    Platelet count (10^3/mm^3)

    Measured: 34 days

  4. BUN /Chemistry Lab Panel

    BUN (mg/dL)

    Measured: 34 days

  5. pH/Urinalysis Lab Panel

    pH (no unit)

    Measured: 34 days

  6. Blood Pressure

    Supine Systolic and Diastolic blood pressure (mm of Hg). Reported as Systolic/Diastolic

    Measured: 34 days

  7. Pulse Rate

    Pulse Rate will be reported in beats per minute.

    Measured: 34 days

  8. ECGs

    Heart Rate (beats per minute)

    Measured: 34 days

  9. Hemoglobin /Hematology Lab Panel

    Hemoglobin (g/dL)

    Measured: 34 days

  10. Hematology Lab Panel

    Hematocrit (%)

    Measured: 34 days

  11. Hematology Lab Panel

    RBC Count (10^6/mm^3)

    Measured: 34 days

  12. Hematology Lab Panel

    MCV (femto Liters)

    Measured: 34 days

  13. Hematology Lab Panel

    MCH (pictograms/cell)

    Measured: 34 days

  14. Potassium/Chemistry Lab Panel

    Potassium (Meq/L)

    Measured: 34 days

  15. AST/Chemistry Lab Panel

    AST (U/L)

    Measured: 34 days

  16. Albumin/Chemistry Lab Panel

    Albumin (g/dL)

    Measured: 34 days

  17. MCHC/Hematology Lab Panel

    MCHC (10^3/mm^3)

    Measured: 34 days

  18. WBC count/Hematology Lab Panel

    WBC count (10^3/mm^3),

    Measured: 34 days

  19. Total neutrophils/Hematology Lab Panel

    Total neutrophils (Abs)(10^3/mm^3),

    Measured: 34 days

  20. Eosinophils/Hematology Lab Panel

    Eosinophils (Abs)(10^3/mm^3

    Measured: 34 days

  21. Monocytes/Hematology Lab Panel

    Monocytes (Abs)(10^3/mm^3)

    Measured: 34 days

  22. Basophils/Hematology Lab Panel

    Basophils (Abs) (10^3/mm^3)

    Measured: 34 days

  23. Lymphocytes/Hematology Lab Panel

    Lymphocytes (Abs) (10^3/mm^3)

    Measured: 34 days

  24. Total Protein/Chemistry Lab Panel

    Total Protein (g/dL)

    Measured: 34 days

  25. ALT/Chemistry Lab Panel

    ALT (U/L)

    Measured: 34 days

  26. Alkaline Phosphate/Chemistry Lab Panel

    Alkaline Phosphate (U/L)

    Measured: 34 days

  27. Sodium/Chemistry Lab Panel

    Sodium (Meq/L)

    Measured: 34 days

  28. Chloride/Chemistry Lab Panel

    Chloride (Meq/L)

    Measured: 34 days

  29. Creatinine/Chemistry Lab Panel

    Creatinine (mg/dL),

    Measured: 34 days

  30. Glucose/Chemistry Lab Panel

    Glucose (mg/dL),

    Measured: 34 days

  31. Calcium/Chemistry Lab Panel

    Calcium (mg/dL),

    Measured: 34 days

  32. Total Bilirubin/Chemistry Lab Panel

    Total Bilirubin (mg/dL),

    Measured: 34 days

  33. Uric acid/Chemistry Lab Panel

    Uric acid (mg/dL)

    Measured: 34 days

  34. Magnesium/Chemistry Lab Panel

    Magnesium (mg/dL)

    Measured: 34 days

  35. QTc/ECGs

    QTc interval (msec)

    Measured: 34 days

  36. QRS/ECGs

    QRS interval (msec)

    Measured: 34 days

  37. Glucose/Urinalysis Lab Panel

    Glucose (qual) (no unit)

    Measured: 34 days

  38. Protein/Urinalysis Lab Panel

    Protein (qual) (no unit)

    Measured: 34 days

  39. Blood/Urinalysis Lab Panel

    Blood (qual) (no units)

    Measured: 34 days

  40. Ketones/Urinalysis Lab Panel

    Ketones (no units)

    Measured: 34 days

  41. Nitrites/Urinalysis Lab Panel

    Nitrites (no units)

    Measured: 34 days

  42. Leukocyte /Urinalysis Lab Panel

    Leukocyte esterase (no units)

    Measured: 34 days

  43. Urobilinogen/Urinalysis Lab Panel

    Urobilinogen (no unit)

    Measured: 34 days

  44. Urine bilirubin/Urinalysis Lab Panel

    Urine bilirubin (no unit)

    Measured: 34 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Jul 2018
  2. Study start17 May 2018
  3. Primary completion28 Aug 2018
  4. Study completion19 Sep 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
18 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03596567
Sponsor's protocol ID
B1371017
Status last verified
Aug 2019
First submitted
2 Apr 2018
Last updated
29 Aug 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: 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.

Publications

  • Shaik N, LaBadie RR, Hee B, Chan G. Evaluation of the impact of renal impairment on the pharmacokinetics of glasdegib in otherwise healthy volunteers. Cancer Chemother Pharmacol. 2021 Feb;87(2):241-250. doi: 10.1007/s00280-020-04207-9. Epub 2021 Jan 3.

    PubMed 33388951

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Glasdegib single 100 mg dose in normal healthy subjects, Glasdegib single 100 mg dose in moderate renal impairment subjects and Glasdegib single 100 mg dose in severe renal impairment subjects in people with Renal Impairment, run by Pfizer at 3 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 18 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 29 Aug 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Maximum Observed Plasma Concentration (Cmax) (time frame: 6 days). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03596567, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Aug 2019.

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