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HealthyPhase 1NCT05788328

A Drug-Drug Interaction Study to Estimate the Effect of PF-07081532 on the Pharmacokinetics of Dabigatran and Rosuvastatin in Overweight or Obese Adult Participants

A Phase 1 study testing Dabigatran etexilate (DE), Rosuvastatin and PF-07081532 in people with Healthy, run by Pfizer at 1 site in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of the study was to understand the effect of PF-07081532 on the movement of Dabigatran and Rosuvastatin into, though, and out of the body in healthy overweight or obese adult participants. This study also aims to collect data on safety and how tolerable the study medicine is. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Healthy
What is being tested?
Dabigatran etexilate (DE), Rosuvastatin and PF-07081532
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
16 participants
Where
1 siteUnited States
Study dates
27 Mar 2023to 11 Sep 2023
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Otherwise healthy female and male participants must be at least 18 years of age at the time of signing the ICD (healthy is defined as no clinically relevant abnormalities identified by a detailed medical history, physical examination, including blood pressure and pulse rate measurement, standard 12-lead ECG and clinical laboratory tests)
  • BMI: ≥25.0 kg/m2 at Screening
  • Stable body weight, defined as <5 kg change (per participant report) for 90 days before Screening

Who cannot join

  • Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurological, or allergic disease
  • Diagnosis of type 1 or type 2 diabetes mellitus or secondary forms of diabetes at Screening
  • History of myocardial infarction, unstable angina, arterial revascularization, mechanical prosthetic heart valve, stroke, New York Association Functional Class II-IV heart failure, or transient ischemic attack within 6 months of Screening
  • Any malignancy not considered cured (except basal cell carcinoma and squamous cell carcinoma of the skin)
  • Personal or family history of MTC or MEN2, or study participants with suspected MTC per the investigator's judgment
  • Acute pancreatitis, a history of repeated episodes of acute pancreatitis, or history of chronic pancreatitis
Show all 17Show fewer
  • Symptomatic gallbladder disease
  • Medical history or characteristics suggestive of genetic or syndromic obesity or obesity induced by other endocrinological disorders
  • History of depressive disorder or history of other severe psychiatric disorders within the last 2 years from Screening
  • Any lifetime history of a suicide attempt
  • Known medical history of active liver disease, or prior known drug-induced liver injury
  • History of HIV infection
  • Recent history of bleeding, or risks of bleeding, or abnormal coagulation test (INR >1.3) result at Screening
  • Use of prohibited medications
  • Screening supine BP ≥140 mm Hg (systolic) or ≥90 mm Hg (diastolic), following at least 5 minutes of supine rest
  • Standard 12-lead ECG that demonstrates clinically relevant abnormalities that may affect participant safety or interpretation of study result
  • Participants with clinical laboratory test abnormalities at Screening

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Qps-Mra, Llc

    South Miami, Florida, 33143

Other trials in United States

About this study

Official title: A PHASE 1, OPEN-LABEL, FIXED-SEQUENCE STUDY TO ESTIMATE THE EFFECT OF PF-07081532 ADMINISTRATION ON THE SINGLE-DOSE PHARMACOKINETICS OF DABIGATRAN AND ROSUVASTATIN IN OVERWEIGHT OR OBESE ADULT PARTICIPANTS

The purpose of the study was to understand the effect of PF-07081532 on the movement of Dabigatran and Rosuvastatin into, though, and out of the body in healthy overweight or obese adult participants. This study also aims to collect data on safety and how tolerable the study medicine is.

The study is seeking for participants who are:

Read more
  • Male or female who are 18 years of age or older.
  • Healthy but are overweight or obese. Participants will receive dabigatran and rosuvastatin as single doses by mouth 3 times during the study. The amount of the study medicine PF-07081532 will be adjusted over time until any interactions are seen.

PF-07081532 is taken daily by mouth in 8 Study Periods while admitted into the study clinic over 53 days. Once discharged from the study clinic, participants will have a follow-up visit 7 to 10 days post last dose of study medicine. Then another follow-up via telephone contact, 28 to 35 days post last dose of study medicine.

Conditions
Healthy
Being tested
Dabigatran etexilate (DE), Rosuvastatin, PF-07081532
Keywords
Dabigatran etexitlate, Rosuvastatin, Molecular Mechanisms of Pharmacological Action, Physiological Effects of Drugs, BCRP substrate, P-gp substrate, Anticoagulant, Antihyperlipidemic

What participants receive

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

  • Dabigatran etexilate (DE)Drug

    Also called Pradaxa

    Dabigatran etexilate (DE) as oral capsule

  • RosuvastatinDrug

    Also called Crestor

    Rosuvastatin as oral tablet

  • PF-07081532Drug

    Also called Lotiglipron

    PF-07081532 as oral tablets

Study groups in NCT05788328
Study groupRoleWhat they receive
Period 1Active comparatorParticipants will receive dabagatrin etexilate (DE) as a single dose
Receives: Drug: Dabigatran etexilate (DE)
Period 2Active comparatorParticipants will receive rosuvastatin as a single dose
Receives: Drug: Rosuvastatin
Period 3Active comparatorParticipants will receive PF-07081532 daily titrated
Receives: Drug: PF-07081532
Period 4ExperimentalParticipants will receive PF-07081532 daily and DE as a single dose
Receives: Drug: Dabigatran etexilate (DE); Drug: PF-07081532
Period 5ExperimentalParticipants will receive PF-07081532 daily and rosuvastatin as a single dose
Receives: Drug: Rosuvastatin; Drug: PF-07081532
Period 6Active comparatorParticipants will receive PF-07081532 daily titrated
Receives: Drug: PF-07081532
Period 7ExperimentalParticipants will receive PF-07081532 daily and DE as a single dose
Receives: Drug: Dabigatran etexilate (DE); Drug: PF-07081532
Period 8ExperimentalParticipants will receive PF-07081532 daily and rosuvastatin as a single dose
Receives: Drug: Rosuvastatin; Drug: PF-07081532

What is being measured

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

  1. Area Under the Concentration-Time Curve From Time Zero (0) Extrapolated to Infinity (AUCinf) of Total Dabigatran in Period 1, 4 and 7

    AUCinf was calculated as AUClast + (Clast/kel), where AUClast is area under the plasma concentration-time profile from time zero to the time of the last quantifiable concentration (Clast), Clast is the predicted plasma concentration at the last quantifiable time point from the log-linear regression analysis and kel is first-order elimination rate constant.

    Measured: Pre-dose (0 hour), 0.5, 1, 2, 3, 4, 6, 8, 12, 24 and 48 hours post dose of DE on Day 1 of Period 1, 4 and 7

  2. Area Under the Concentration-Time Curve From Time 0 to the Last Measurable Concentration (AUClast) of Total Dabigatran in Period 1, 4 and 7

    AUClast was determined using the linear/log trapezoidal method.

    Measured: Pre-dose (0 hour), 0.5, 1, 2, 3, 4, 6, 8, 12, 24 and 48 hours post dose of DE on Day 1 of Period 1, 4 and 7

  3. AUCinf of Rosuvastatin in Period 2, 5 and 8

    AUCinf was calculated as AUClast + (Clast/kel), where AUClast is area under the plasma concentration-time profile from time zero to the time of the last quantifiable concentration (Clast), Clast is the predicted plasma concentration at the last quantifiable time point from the log-linear regression analysis and kel is first-order elimination rate constant.

    Measured: Pre-dose (0 hour), 1, 2, 3, 4, 5, 6, 8, 10, 14, 24, 48, 72 and 96 hours post dose of ROSU on Day 1 of Period 2, 5 and 8

  4. AUClast of Rosuvastatin in Period 2, 5 and 8

    AUClast was determined using the linear/log trapezoidal method.

    Measured: Pre-dose (0 hour), 1, 2, 3, 4, 5, 6, 8, 10, 14, 24, 48, 72 and 96 hours post dose of ROSU on Day 1 of Period 2, 5 and 8

Secondary outcomes (20)
  1. Number of Participants With Treatment Emergent Adverse Events (TEAEs)- All Causalities

    An adverse event (AE) was any untoward medical occurrence in a participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. TEAEs were any untoward medical incidence in a participant during administered study intervention, whether or not these events are related to study intervention. AEs included both serious adverse events (SAEs) and all non-SAEs. An SAE was any untoward medical occurrence at any dose that: results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity and lastly causes a congenital anomaly/birth defect.

    Measured: From first dose of study drug up to 28-35 days post last dose of study intervention (maximum up to 76-83 days)

  2. Number of Participants With Laboratory Test Abnormalities (Without Regard to Baseline Abnormality)

    The following laboratory parameters were assessed according to pre-specified criteria for abnormalities: a) hematology; erythrocytes mean corpuscular hemoglobin (picograms per cells ([pg/cells]) (less than[<]0.9*lower limit of normal [LLN]), eosinophils (10^9/Liter [L]), (more than[>]1.2*upper limit of normal [ULN]), prothrombin time (seconds)(>1.1*ULN), prothrombin international normalized ratio(>1.1*ULN); b) clinical chemistry; direct bilirubin(milligram per deciliter [mg/dL])(>1.5*ULN), aspartate aminotransferase(units per litre [U/L]) (>3.0*ULN), alanine aminotransferase(U/L)(> 3.0*ULN), gamma glutamyl transferase(U/L)(> 3.0*ULN), urate (mg/dL)(> 1.2*ULN), high density lipoprotein(HDL) cholesterol (mg/dl)(<0.8*LLN) and lipase(U/L)(> 1.5*ULN). Number of participants with any laboratory abnormalities (without regard to baseline abnormality) meeting pre-specified criteria are reported in this outcome measure.

    Measured: During treatment of the study (maximum up to 48 days)

  3. Number of Participants With Clinically Significant Vital Signs

    Vital signs measurement included blood pressure (systolic blood pressure [SBP], diastolic blood pressure [DBP] and pulse rate (PR) and were measured in a supine position after approximately 5 minutes of rest for the participant. Clinical significance in vital signs was judged by investigator.

    Measured: From first dose of study drug up to 28-35 days post last dose of study intervention (maximum up to 76-83 days)

  4. Percent Change From Baseline in Body Weight

    Measured: Baseline, Day 1 and 8 of Period 3, Day 1 of Period 5, Day 5 and 12 of Period 6, Day 1 and 5 of Period 8 and follow-up (28-35 days post last dose; up to 76 to 83 days)

  5. Number of Participants With Pre-defined Criteria of Electrocardiogram (ECG) Parameters

    Pre-defined criteria for ECG abnormalities included: PR interval aggregate (millisecond [msec], max. >=300; baseline > 200 and max. increase >= 25 percent (%); baseline > 200 and max. increase >= 25%), QRS interval (msec, max >=140; max. increase >= 50%), QT interval correct by Frederica formula (QTCF) interval aggregate (msec, 450 < max <= 480; 480 < max. <= 500; max. > 500; 30 < max. increase <= 60; max. increase > 60). Number of participants with at least 1 ECG abnormality are reported in this outcome measure.

    Measured: From first dose of study drug up to 28-35 days post last dose of study intervention (maximum up to 76-83 days)

  6. Number of Participants According to Columbia-Suicide Severity Rating Scale (C-SSRS)

    The C-SSRS is an interview-based rating scale to systematically assess suicidal ideation and suicidal behavior. Yes/No responses are mapped to Columbia classification algorithm of suicide assessment (C-CASA) categories: completed suicide, suicide attempt, preparatory acts toward imminent suicidal behavior, suicidal ideation, and self-injurious behavior, or no suicidal intent. n this outcome measure, number of participants with positive response (response of "yes") for each of the five categories are reported.

    Measured: From first dose of study drug up to 28-35 days post last dose of study intervention (maximum up to 76-83 days)

  7. Number of Participants According to Patient Health Questionnaire-9 (PHQ-9) Classification

    The PHQ-9 is a 9 item self-report scale for the assessment of depressive symptoms. The questions included "little interest/pleasure in things", "feeling down depressed or hopeless", "trouble falling or staying asleep", "feeling tired or little energy", "poor appetite or overeating", "feeling bad about yourself", "trouble concentrating on things", "moving slowly or fidgety/restless" and "thoughts you be better off dead". Each item was scored on scale of "not at all" (0), "several days" (1), "more than half the days" (2) to "nearly every day" (3). Total score was obtained by addition of scores for each item and resulted into overall possible score range of 0-27. Higher score = greater severity.

    Measured: Day 1 prior to treatment (Day -1) in Period 1; Day 8 of Period 3; Days 5 of Period 6; Day 1 and 5 of Period 8; Follow-up: up to 53 to 56 days post last dose of study intervention

  8. Maximum Observed Concentration (Cmax) of Total Dabigatran in Period 1, 4 and 7

    Measured: Pre-dose (0 hour), 0.5, 1, 2, 3, 4, 6, 8, 12, 24 and 48 hours post dose of DE on Day 1 of Period 1, 4 and 7

  9. Time for Cmax (Tmax) of Total Dabigatran in Period 1, 4 and 7

    Measured: Pre-dose (0 hour), 0.5, 1, 2, 3, 4, 6, 8, 12, 24 and 48 hours post dose of DE on Day 1 of Period 1, 4 and 7

  10. Terminal Half-Life (t1/2) of Total Dabigatran in Period 1, 4 and 7

    T1/2 was calculated as loge(2)/kel, where kel is the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve.

    Measured: Pre-dose (0 hour), 0.5, 1, 2, 3, 4, 6, 8, 12, 24 and 48 hours post dose of DE on Day 1 of Period 1, 4 and 7

  11. Apparent Volume of Distribution (Vz/F) of Total Dabigatran in Period 1, 4 and 7

    Vz/F was calculated as dose/(AUCinf*kel). AUCinf was calculated as AUClast + (Clast/kel), where AUClast is area under the plasma concentration-time profile from time zero to the time of the last quantifiable concentration (Clast), Clast is the predicted plasma concentration at the last quantifiable time point from the log-linear regression analysis and kel is first-order elimination rate constant.

    Measured: Pre-dose (0 hour), 0.5, 1, 2, 3, 4, 6, 8, 12, 24 and 48 hours post dose of DE on Day 1 of Period 1, 4 and 7

  12. Apparent Oral Clearance (CL/F) of Total Dabigatran in Period 1, 4 and 7

    CL/F was calculated as dose/AUCinf. AUCinf was calculated as AUClast + (Clast/kel), where AUClast is area under the plasma concentration-time profile from time zero to the time of the last quantifiable concentration (Clast), Clast is the predicted plasma concentration at the last quantifiable time point from the log-linear regression analysis and kel is first-order elimination rate constant.

    Measured: Pre-dose (0 hour), 0.5, 1, 2, 3, 4, 6, 8, 12, 24 and 48 hours post dose of DE on Day 1 of Period 1, 4 and 7

  13. Cmax of Rosuvastatin in Period 2, 5 and 8

    Measured: Pre-dose (0 hour), 1, 2, 3, 4, 5, 6, 8, 10, 14, 24, 48, 72 and 96 hours post dose of ROSU on Day 1 of Period 2, 5 and 8

  14. Tmax of Rosuvastatin in Period 2, 5 and 8

    Measured: Pre-dose (0 hour), 1, 2, 3, 4, 5, 6, 8, 10, 14, 24, 48, 72 and 96 hours post dose of ROSU on Day 1 of Period 2, 5 and 8

  15. t1/2 of Rosuvastatin in Period 2, 5 and 8

    T1/2 was calculated as loge(2)/kel, where kel is the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve.

    Measured: Pre-dose (0 hour), 1, 2, 3, 4, 5, 6, 8, 10, 14, 24, 48, 72 and 96 hours post dose of ROSU on Day 1 of Period 2, 5 and 8

  16. Vz/F of Rosuvastatin in Period 2, 5 and 8

    Vz/F was calculated as dose/(AUCinf*kel). AUCinf was calculated as AUClast + (Clast/kel), where AUClast is area under the plasma concentration-time profile from time zero to the time of the last quantifiable concentration (Clast), Clast is the predicted plasma concentration at the last quantifiable time point from the log-linear regression analysis and kel is first-order elimination rate constant.

    Measured: Pre-dose (0 hour), 1, 2, 3, 4, 5, 6, 8, 10, 14, 24, 48, 72 and 96 hours post dose of ROSU on Day 1 of Period 2, 5 and 8

  17. CL/F of Rosuvastatin in Period 2, 5 and 8

    CL/F was calculated as dose/AUCinf. AUCinf was calculated as AUClast + (Clast/kel), where AUClast is area under the plasma concentration-time profile from time zero to the time of the last quantifiable concentration (Clast), Clast is the predicted plasma concentration at the last quantifiable time point from the log-linear regression analysis and kel is first-order elimination rate constant.

    Measured: Pre-dose (0 hour), 1, 2, 3, 4, 5, 6, 8, 10, 14, 24, 48, 72 and 96 hours post dose of ROSU on Day 1 of Period 2, 5 and 8

  18. Area Under the Concentration-Time Curve From Time 0 to Time 24 Hours (AUC24) of PF-07081532 When Co-administered With DE and ROSU in Period 4 and 8 Respectively

    Measured: Pre-dose (0 hour), 0.5, 1, 2, 4, 6, 8, 10, 14 and 24 hours post dose of PF-07081532 in Period 4 and 8

  19. Cmax of PF-07081532 When Co-administered With DE and ROSU in Period 4 and 8 Respectively

    Measured: Pre-dose (0 hour), 0.5, 1, 2, 4, 6, 8, 10, 14 and 24 hours post dose of PF-07081532 in Period 4 and 8

  20. Tmax of PF-07081532 When Co-administered With DE and ROSU in Period 4 and 8 Respectively

    Measured: Pre-dose (0 hour), 0.5, 1, 2, 4, 6, 8, 10, 14 and 24 hours post dose of PF-07081532 in Period 4 and 8

Timeline

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

  1. First posted28 Mar 2023
  2. Study start27 Mar 2023
  3. Primary completion11 Sep 2023
  4. Study completion11 Sep 2023

Why it stopped: The decision to terminate clinical development of lotiglipron is based on pharmacokinetic data from Phase 1 drug-drug-interaction studies and laboratory measurements of elevated transaminases in these Phase 1 studies as well as a Phase 2 study.

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
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
16 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05788328
Sponsor's protocol ID
C3991047
Status last verified
Sep 2024
First submitted
15 Mar 2023
Last updated
15 Nov 2024
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

  • Cronenberger C, Amin NB, Le VH, Carvajal-Gonzalez S, Ashworth AL, Yi EC, Schuster T, Zhang Y, Frederich RC, Friedman GS, Wang EQ, Tsamandouras N. Assessment of the Drug-Drug Interaction Potential of Lotiglipron (PF-07081532) with Midazolam, Omeprazole, Dabigatran, Rosuvastatin, and the Oral Contraceptives Levonorgestrel and Ethinyl Estradiol. J Clin Pharmacol. 2026 May;66(5):e70158. doi: 10.1002/jcph.70158.

    PubMed 42053447

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Dabigatran etexilate (DE), Rosuvastatin and PF-07081532 in people with Healthy, run by Pfizer at 1 site 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 3 inclusion and 17 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: stopped early, as of the sponsor's last update on 15 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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?

Yes. Results are posted in the registry (first posted 15 Nov 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Area Under the Concentration-Time Curve From Time Zero (0) Extrapolated to Infinity (AUCinf) of Total Dabigatran in Period 1, 4 and 7 (time frame: Pre-dose (0 hour), 0.5, 1, 2, 3, 4, 6, 8, 12, 24 and 48 hours post dose of DE on Day 1 of Period 1, 4 and 7). The study lists 4 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 NCT05788328, 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 15 Nov 2024.

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