Trial Outcomes & Findings for A Study to Understand the Effect of a Study Medicine Called ARV-471 on Dabigatran Etexilate in Healthy Adults (NCT NCT05673889)

NCT ID: NCT05673889

Last Updated: 2024-08-16

Results Overview

Cmax was defined as maximum observed plasma concentration. Cmax for total dabigatran was observed directly from data.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

24 participants

Primary outcome timeframe

Period 1 and 2: Pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post-dose on Day 1

Results posted on

2024-08-16

Participant Flow

The study consisted of 2 Periods in a single fixed sequence. Twenty-four participants were screened and passed. All 24 participants were assigned to the study treatment and all completed the study.

Participant milestones

Participant milestones
Measure
All Participants
Participants received a single oral dose of dabigatran etexilate (as mesylate) 75 milligram (mg) on Period 1 Day 1. A minimum washout period of 4 days was required after dabigatran etexilate (as mesylate) administration in Period 1. After completion of Period 1, participants received a single oral dose of ARV-471 (PF-07850327) 200 mg followed by a single oral dose of dabigatran etexilate (as mesylate) 75 mg on Period 2 Day 1.
Period 1 (4 Days)
STARTED
24
Period 1 (4 Days)
COMPLETED
24
Period 1 (4 Days)
NOT COMPLETED
0
Period 2 (3 Days)
STARTED
24
Period 2 (3 Days)
COMPLETED
24
Period 2 (3 Days)
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study to Understand the Effect of a Study Medicine Called ARV-471 on Dabigatran Etexilate in Healthy Adults

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Participants
n=24 Participants
Participants received a single oral dose of dabigatran etexilate (as mesylate) 75 milligram (mg) on Period 1 Day 1. A minimum washout period of 4 days was required after dabigatran etexilate (as mesylate) administration in Period 1. After completion of Period 1, participants received a single oral dose of ARV-471 (PF-07850327) 200 mg followed by a single oral dose of dabigatran etexilate (as mesylate) 75 mg on Period 2 Day 1.
Age, Continuous
44.7 Years
STANDARD_DEVIATION 15.92 • n=99 Participants
Sex: Female, Male
Female
4 Participants
n=99 Participants
Sex: Female, Male
Male
20 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
22 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Race/Ethnicity, Customized
White
19 Participants
n=99 Participants
Race/Ethnicity, Customized
Black or African American
4 Participants
n=99 Participants
Race/Ethnicity, Customized
Asian
1 Participants
n=99 Participants

PRIMARY outcome

Timeframe: Period 1 and 2: Pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post-dose on Day 1

Population: Analysis population included all participants who took at least 1 dose of study intervention and in whom at least 1 of the PK parameters of primary interest were reported.

Cmax was defined as maximum observed plasma concentration. Cmax for total dabigatran was observed directly from data.

Outcome measures

Outcome measures
Measure
Period 1: Dabigatran 75 mg
n=24 Participants
Participants received dabigatran etexilate (as mesylate) (as 1 capsule of 75 mg) on Period 1 Day 1.
Period 2: Dabigatran 75 mg + ARV-471 200 mg
n=24 Participants
Participants received ARV-471 (as 2 tablets of 100 mg) and dabigatran etexilate (as mesylate) (as 1 capsule of 75 mg) on Period 2 Day 1.
Maximum Observed Plasma Concentration (Cmax) of Total Dabigatran When Dabigatran Etexilate is Administered Alone Versus When Dabigatran Etexilate is Administered With ARV-471
49.80 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 94
95.72 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 66

PRIMARY outcome

Timeframe: Period 1 and 2: Pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post-dose on Day 1

Population: Analysis population included all participants who took at least 1 dose of study intervention and in whom at least 1 of the PK parameters of primary interest were reported.

AUCinf was defined as area under the concentration-time curve from time 0 extrapolated to infinity. AUCinf was calculated by AUClast + (Clast/kel), where Clast was the predicted plasma concentration at the last quantifiable time point from the log-linear regression analysis and kel was the terminal phase rate constant calculated by a linear regression of the log-linear concentration time curve; AUClast was defined as area under the plasma concentration-time profile from time 0 to the time of the last quantifiable concentration.

Outcome measures

Outcome measures
Measure
Period 1: Dabigatran 75 mg
n=23 Participants
Participants received dabigatran etexilate (as mesylate) (as 1 capsule of 75 mg) on Period 1 Day 1.
Period 2: Dabigatran 75 mg + ARV-471 200 mg
n=24 Participants
Participants received ARV-471 (as 2 tablets of 100 mg) and dabigatran etexilate (as mesylate) (as 1 capsule of 75 mg) on Period 2 Day 1.
Area Under the Plasma Concentration-time Curve From Time Zero to Extrapolated Infinite Time (AUCinf) of Total Dabigatran When Dabigatran Etexilate is Administered Alone vs Dabigatran Etexilate is Administered With ARV-471
522.3 nanogram*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 42
949.6 nanogram*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 63

SECONDARY outcome

Timeframe: From the first dose (Day 1) up to 35 days after the last dose (Day 5) of study intervention (up to 40 days)

Population: The analysis population included all participants who took at least 1 dose of study intervention.

An AE is any untoward medical occurrence in a participant who received study intervention without regard to possibility of causal relationship with the study intervention. SAE is defined as one of the following: is fatal or life threatening; results in persistent or significant disability/incapacity; constitutes a congenital anomaly/birth defect; is medically significant; requires inpatient hospitalization or prolongation of existing hospitalization. Treatment-emergent AE is defined as an AE with onset date occurring during the on-treatment period. AEs include all SAEs and non-SAEs.

Outcome measures

Outcome measures
Measure
Period 1: Dabigatran 75 mg
n=24 Participants
Participants received dabigatran etexilate (as mesylate) (as 1 capsule of 75 mg) on Period 1 Day 1.
Period 2: Dabigatran 75 mg + ARV-471 200 mg
n=24 Participants
Participants received ARV-471 (as 2 tablets of 100 mg) and dabigatran etexilate (as mesylate) (as 1 capsule of 75 mg) on Period 2 Day 1.
Number of Participants With All-Causality and Treatment-Related Treatment-emergent Adverse Events (TEAEs)
Participants with all-causality TEAEs
6 Participants
6 Participants
Number of Participants With All-Causality and Treatment-Related Treatment-emergent Adverse Events (TEAEs)
Participants with all-causality SAEs
0 Participants
0 Participants
Number of Participants With All-Causality and Treatment-Related Treatment-emergent Adverse Events (TEAEs)
Participants with treatment related TEAEs
3 Participants
1 Participants
Number of Participants With All-Causality and Treatment-Related Treatment-emergent Adverse Events (TEAEs)
Participants with treatment related SAEs
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline (Period 1 Day -1) up to Period 2 Day 3 (8 days)

Population: The analysis population included all participants who took at least 1 dose of study intervention and with at least 1 observation of the given laboratory test while on study treatment or during lag time.

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); liver function (aspartate aminotransferase, alanine aminotransferase, total bilirubin, alkaline phosphatase, albumin, total protein); renal function (blood urea nitrogen, creatinine, uric acid, cystatinC); electrolytes (sodium, potassium, chloride, calcium, bicarbonate); clinical chemistry (glucose); urinalysis (dipstick \[decimal logarithm of reciprocal of hydrogen ion activity {pH} of urine, glucose, protein, blood, ketones, nitrites, leukocyte esterase, urobilinogen, bilirubin\], microscopy. Abnormality was determined at the investigator's discretion.

Outcome measures

Outcome measures
Measure
Period 1: Dabigatran 75 mg
n=24 Participants
Participants received dabigatran etexilate (as mesylate) (as 1 capsule of 75 mg) on Period 1 Day 1.
Period 2: Dabigatran 75 mg + ARV-471 200 mg
n=24 Participants
Participants received ARV-471 (as 2 tablets of 100 mg) and dabigatran etexilate (as mesylate) (as 1 capsule of 75 mg) on Period 2 Day 1.
Number of Participants With Laboratory Test Abnormalities (Without Regard to Baseline Abnormality)
Monocytes/Leukocytes (%) >1.2 × ULN
2 Participants
2 Participants
Number of Participants With Laboratory Test Abnormalities (Without Regard to Baseline Abnormality)
Leukocyte Esterase >=1
0 Participants
1 Participants

SECONDARY outcome

Timeframe: Baseline (Period 1 Day 1) up to Period 2 Day 3 (7 days)

Population: The analysis population included all participants who took at least 1 dose of study intervention.

Vital signs (blood pressure and pulse rate) were obtained with participant following at least a 5-minute rest in a supine position. Clinical significance of vital signs was determined at the investigator's discretion.

Outcome measures

Outcome measures
Measure
Period 1: Dabigatran 75 mg
n=24 Participants
Participants received dabigatran etexilate (as mesylate) (as 1 capsule of 75 mg) on Period 1 Day 1.
Period 2: Dabigatran 75 mg + ARV-471 200 mg
n=24 Participants
Participants received ARV-471 (as 2 tablets of 100 mg) and dabigatran etexilate (as mesylate) (as 1 capsule of 75 mg) on Period 2 Day 1.
Number of Participants With Clinically Significant Vital Signs
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Baseline (Period 1 Day 1) up to Period 2 Day 3 (7 days)

Population: The analysis population included all participants who took at least 1 dose of study intervention.

ECG abnormalities criteria include a) a postdose QTc corrected using Fridericia's formula (QTcF) increased by \>60 millisecond (ms) from the baseline and the absolute QTcF value \>450 ms; or b) an absolute QTcF value \>500 ms for any scheduled ECG.

Outcome measures

Outcome measures
Measure
Period 1: Dabigatran 75 mg
n=24 Participants
Participants received dabigatran etexilate (as mesylate) (as 1 capsule of 75 mg) on Period 1 Day 1.
Period 2: Dabigatran 75 mg + ARV-471 200 mg
n=24 Participants
Participants received ARV-471 (as 2 tablets of 100 mg) and dabigatran etexilate (as mesylate) (as 1 capsule of 75 mg) on Period 2 Day 1.
Number of Participants With Electrocardiogram (ECG) Abnormalities
1 Participants
2 Participants

Adverse Events

Period 1: Dabigatran 75 mg

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Period 2: Dabigatran 75 mg + ARV-471 200 mg

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Period 1: Dabigatran 75 mg
n=24 participants at risk
Participants received dabigatran etexilate (as mesylate) (as 1 capsule of 75 mg) on Period 1 Day 1.
Period 2: Dabigatran 75 mg + ARV-471 200 mg
n=24 participants at risk
Participants received ARV-471 (as 2 tablets of 100 mg) and dabigatran etexilate (as mesylate) (as 1 capsule of 75 mg) on Period 2 Day 1.
Injury, poisoning and procedural complications
Contusion
0.00%
0/24 • From the first dose (Day 1) up to 35 days after the last dose (Day 5) of study intervention (up to 40 days).
8.3%
2/24 • From the first dose (Day 1) up to 35 days after the last dose (Day 5) of study intervention (up to 40 days).
Vascular disorders
Haematoma
8.3%
2/24 • From the first dose (Day 1) up to 35 days after the last dose (Day 5) of study intervention (up to 40 days).
0.00%
0/24 • From the first dose (Day 1) up to 35 days after the last dose (Day 5) of study intervention (up to 40 days).

Additional Information

Pfizer ClinicalTrials.gov Call Center

Pfizer Inc.

Phone: 1-800-718-1021

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place