Phase 1
N=52
A Study to Learn About the Study Medication, Zavegepant, in Healthy Volunteers
Biological Availability
Bottom Line
View on ClinicalTrials.gov: NCT06137703 ↗Enrolled (actual)
52
Serious AEs
0.5%
Results posted
Oct 2024
Primary outcome: Primary: Area Under the Concentration-Time Curve From Time 0 to Infinity (AUCinf) of Zavegepant — 83.65; 102.5; 184.4; 47.29 Hours*nanograms per milliliter (h*ng/mL)
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- Zavegepant 100mg non-enteric coated soft gel capsule (Drug); Zavegepant 100mg immediate release tablet (Drug); Zavegepant 2 x 100mg immediate release tablets (Drug); Zavegepant 4 x 25mg enteric coated soft gel capsule (Drug)
- Age
- Adult · 18+ yrs
- Sex
- All
- Sponsor
- Pfizer
- Primary completion
- Dec 2022
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Area Under the Concentration-Time Curve From Time 0 to Infinity (AUCinf) of Zavegepant |
83.65; 102.5; 184.4; 47.29 | — |
| PRIMARY Maximum Observed Concentration (Cmax) of Zavegepant |
36.28; 41.20; 76.93; 12.78 | — |
| PRIMARY AUClast of Zavegepant |
82.13; 96.25; 175.5; 42.25 | — |
| SECONDARY Time to Reach Cmax (Tmax) of Zavegepant |
0.9830; 0.5000; 0.5000; 2.000 | — |
| SECONDARY Terminal Phase Half-Life (t1/2) of Zavegepant |
8.346; 8.907; 8.243; 9.149 | — |
| SECONDARY Apparent Clearance (CL/F) of Zavegepant From Plasma |
1195; 975.5; 1085; 2115 | — |
| SECONDARY Apparent Volume of Distribution (Vz/F) of Zavegepant |
14230; 12250; 12740; 27530 | — |
| SECONDARY Number of Participants With Treatment-Emergent Adverse Events (TEAEs) |
3; 2; 4; 3; 1; 0 | — |
| SECONDARY Number of Participants With Clinically Significant Laboratory Abnormalities |
1; 0; 1; 0; 0; 0 | — |
| SECONDARY Blood Pressure on Day -1 and Day 1 of Each Period |
115.0; 115.0; 116.5; 116.5; 113.0; 113.0 | — |
| SECONDARY Blood Pressure at Screening and Study Exit |
121.5; 114.0; 82.0; 76.0 | — |
| SECONDARY Heart Rate (HR) on Day -1 and Day 1 of Each Period |
71.0; 72.0; 73.0; 73.0; 73.0; 74.0 | — |
| SECONDARY HR at Screening and Study Exit |
65.0; 74.0 | — |
| SECONDARY Respiratory Rate (RR) on Day -1 of Each Period |
14.0; 14.0; 14.0; 14.0 | — |
| SECONDARY RR at Screening and Study Exit |
14.0; 14.0 | — |
| SECONDARY Temperature on Day -1 of Each Period |
36.60; 36.40; 36.50; 36.50 | — |
| SECONDARY Temperature at Screening and Study Exit |
36.40; 36.60 | — |
| SECONDARY Number of Participants With Clinically Significant Abnormal Electrocardiogram (ECG) |
0; 0; 0; 0; 0; 0 | — |
Summary
This trial is designed to compare the rate and extent of absorption of four different formulations of zavegepant. 52 healthy male and female volunteers will receive a single dose of each formulation at least 7 days apart over a period of about 7 weeks and the amount of drug in their blood will be assessed over the 24 hour period after each dose.
Eligibility Criteria
Inclusion Criteria
- Participants must provide Informed Consent Form (ICF) obtained prior to the conduct of any study activities.
- Healthy Male or female participants at least 18 and less than 56 years of age,
- Participants must be Non-smokers and not have used any nicotine-containing products for 3 months prior to screening.
- Body Mass Index (BMI) >18.5 and <30.0kg/m2 and body weight ≥ 50.0kg for males and ≥ 45.0kg for females.
- All females participants must not be breastfeeding and have a negative urine pregnancy test at Screening.
- Females of childbearing potential must be willing to use acceptable contraceptive methods throughout the study and for 30 days after the last study drug administration.
- Male participants with a female partner of childbearing potential must be willing to use acceptable contraceptive methods from the first study drug administration until at least 90 days after the last study drug administration.
Exclusion Criteria
- Current diagnosis of viral hepatitis or a history of liver disease.
- Any history of seizure disorder (e.g., epilepsy) other than a single childhood febrile seizure.
- Current or recent (within 3 months of the first study drug administration) gastrointestinal disease that may interfere with drug absorption.
- Prior gastrointestinal surgery that interferes with absorption and motility (e.g., gastric bypass, duodenectomy or gastric banding).
- History of drug or alcohol abuse.
- History of anaphylaxis, a documented hypersensitivity reaction, or a clinically significant reaction to any drug or to any of the excipient supporting the zavegepant formulations.
- Donation of plasma within 7 days prior to dosing, or donation or loss of blood (excluding volume drawn at Screening) of 50 mL to 499 mL of blood within 30 days, or more than 499 mL within 56 days prior to dosing.
- Participation in a clinical research study involving the administration of an investigational or marketed drug or device within 30 days prior to the dosing, extended to 90 days for biological products.
- Inability or difficulty to swallow tablets or capsules.
- Subjects with any clinically significant abnormality or significant abnormal laboratory test results found during medical screening or Day-1. Positive test for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C virus (HCV) antibody during screening.
- Inadequate renal function - estimated glomerular filtration rate (eGFR) according to the Modification of Diet in Renal Disease (MDRD) study equation ≤ 60 mL/min/1.73 m2 at Screening.
- Any of the following laboratory parameters greater than the upper limit of normal (ULN) values at Screening or Baseline (Day -1): alkaline phosphatase (ALP) aspartate aminotransferase (AST), alanine aminotransferase (ALT), total bilirubin, direct bilirubin, and indirect bilirubin, and alkaline phosphatase.
- Any clinically significant abnormalities on 12-lead ECG or blood pressure (BP) at Screening or Baseline (Day -1) visits.
- Any clinically significant abnormal haematological laboratory test values at Screening or Baseline (Day -1) visits.
- Positive test for COVID-19 performed on Day -1 of each period.
Data sourced from ClinicalTrials.gov (NCT06137703). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.