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Trial · NCT02319148

A Study to Estimate the Effect of CYP3A4 Inhibitors (Itraconazole, Diltiazem or Verapamil) on the Pharmacokinetics of Single Dose PF- 00489791 in Healthy Volunteers

NCT02319148, Phase 1, Completed, Pfizer; results first posted 2016-09-16

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study to Estimate the Effect of CYP3A4 Inhibitors (Itraconazole, Diltiazem or Verapamil) on the Pharmacokinetics of Single Dose PF- 00489791 in Healthy Volunteers. Trials, record NCT02319148. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02319148

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study to Estimate the Effect of CYP3A4 Inhibitors (Itraconazole, Diltiazem or Verapamil) on the Pharmacokinetics of Single Dose PF- 00489791 in Healthy Volunteers
NCT number
NCT02319148
Status
Completed
Phases
Phase 1
Enrollment
22 participants, actual
Lead sponsor
Pfizer
Conditions
Healthy Volunteers
Interventions
itraconazole, diltiazem, SR verapamil, PF-00489791
First posted
2014-12-18
Last updated
2016-09-16
Other registries' IDs
eudract:2014-001979-31
Results first posted
2016-09-16

Source ClinicalTrials.gov

Registered outcomes12

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryMaximum Observed Plasma Concentration (Cmax) of PF-00489791Pre-dose, 0.5, 1, 2, 3, 4, 6, 8 and 12 hours after PF-00489791 administration
PrimaryArea Under the Plasma Concentration-Time Profile From Time 0 Extrapolated to Infinite Time (AUCinf) of PF-00489791Pre-dose, 0.5, 1, 2, 3, 4, 6, 8 and 12 hours after PF-00489791 administrationAUC is a measure of the plasma concentration of the drug over time. It is used to characterize drug absorption.
SecondaryArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of PF-00489791Pre-dose, 0.5, 1, 2, 3, 4, 6, 8 and 12 hours after PF-00489791 administrationArea under the plasma concentration time-curve from zero to the last measured concentration (AUClast).
SecondaryTime to Reach Maximum Observed Plasma Concentration (Tmax) of PF-00489791Pre-dose, 0.5, 1, 2, 3, 4, 6, 8 and 12 hours after PF-00489791 administration
SecondaryApparent Volume of Distribution (Vz/F) of PF-00489791Pre-dose, 0.5, 1, 2, 3, 4, 6, 8 and 12 hours after PF-00489791 administration
Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. Apparent volume of distribution after oral dose (Vz/F) is influenced by the fraction absorbed.
SecondaryApparent Oral Clearance (CL/F) of PF-00489791Pre-dose, 0.5, 1, 2, 3, 4, 6, 8 and 12 hours after PF-00489791 administration
Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood.
SecondaryTerminal Elimination Half-Life (t1/2) of PF-00489791Pre-dose, 0.5, 1, 2, 3, 4, 6, 8 and 12 hours after PF-00489791 administrationt1/2 is the time measured for the plasma concentration to decrease by one half.
SecondaryNumber of Participants With Laboratory Abnormalities Meeting the Criteria for Potential Clinical ConcernBaseline up to 28 days after last study drug administration
The following laboratory parameters were analyzed: hematology (hemoglobin, hematocrit, red blood cell \[RBC\] count, RBC morphology, platelet count, white blood cell \[WBC\] count, total neutrophils, eosinophils, monocytes, basophils, lymphocytes); blood chemistry (blood urea nitrogen \[BUN\], creatinine, glucose, calcium, sodium, potassium, chloride, total bicarbonate, aspartate aminotransferase \[AST\], alanine aminotransferase \[ALT\], total bilirubin, alkaline phosphatase, uric acid, albumin, and total protein; urinalysis (pH, glucose, protein, blood, ketones, nitrites, leukocyte esterase, microscopy \[if urine dipstick was positive for blood, protein, nitrites or leukocyte esterase\]); others (coagulation panel, circulating immune complex, and complement activation).
SecondaryNumber of Participants With Potentially Clinically Significant Vital Signs FindingsBaseline up to Day 9
Vital signs assessment included pulse rate and blood pressure. Criteria for vital sign values meeting potential clinical concern included: supine/sitting pulse rate \<40 or \>120 beats per minute (bpm), standing pulse rate \<40 or \>140 bpm; systolic blood pressure (SBP) of \>=30 millimeters of mercury (mm Hg) change from baseline in same posture or SBP \<90 mm Hg, diastolic blood pressure (DBP) \>=20 mmHg change from baseline in same posture or DBP \<50 mm Hg.
SecondaryNumber of Participants With Potentially Clinically Significant Electrocardiogram (ECG) FindingsPre-dose (Periods 1 and 2), 4, 72 and 96 hours post-dose in Period 2
ECG parameters included PR interval, QRS interval, and corrected QT interval using Fridericia's formula (QTcF). Criteria for ECG changes meeting potential clinical concern included: PR interval greater than or equal to (\>=)300 milliseconds (msec) or \>=25% increase when baseline is greater than (\>)200 msec and \>=50% increase when baseline is less than or equal to (≤)200 msec; QRS interval \>=140 msec or \>=50% increase from baseline (IFB); and QTcF \>=450 msec or \>=30 msec increase. The number of participants with potentially clinically significant ECG findings at any visit were reported.

Outcomes12

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYMaximum Observed Plasma Concentration (Cmax) of PF-00489791Pre-dose, 0.5, 1, 2, 3, 4, 6, 8 and 12 hours after PF-00489791 administrationThe pharmacokinetic (PK) analysis population included all participants randomized and treated who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.nanograms per milliliter (ng/mL)GEOMETRIC_MEAN
PRIMARYArea Under the Plasma Concentration-Time Profile From Time 0 Extrapolated to Infinite Time (AUCinf) of PF-00489791Pre-dose, 0.5, 1, 2, 3, 4, 6, 8 and 12 hours after PF-00489791 administrationThe PK analysis population included all participants randomized and treated who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.nanogram*hour per milliliter (ng*hr/mL)GEOMETRIC_MEAN
SECONDARYArea Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of PF-00489791Pre-dose, 0.5, 1, 2, 3, 4, 6, 8 and 12 hours after PF-00489791 administrationThe PK analysis population included all participants randomized and treated who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.ng.hr/mLGEOMETRIC_MEAN
SECONDARYTime to Reach Maximum Observed Plasma Concentration (Tmax) of PF-00489791Pre-dose, 0.5, 1, 2, 3, 4, 6, 8 and 12 hours after PF-00489791 administrationThe PK analysis population included all participants randomized and treated who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.hourMEDIAN
SECONDARYApparent Volume of Distribution (Vz/F) of PF-00489791Pre-dose, 0.5, 1, 2, 3, 4, 6, 8 and 12 hours after PF-00489791 administrationThe PK analysis population included all participants randomized and treated who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.literGEOMETRIC_MEAN
SECONDARYApparent Oral Clearance (CL/F) of PF-00489791Pre-dose, 0.5, 1, 2, 3, 4, 6, 8 and 12 hours after PF-00489791 administrationThe PK analysis population included all participants randomized and treated who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.milliliter per minute (mL/min)GEOMETRIC_MEAN
SECONDARYTerminal Elimination Half-Life (t1/2) of PF-00489791Pre-dose, 0.5, 1, 2, 3, 4, 6, 8 and 12 hours after PF-00489791 administrationThe PK analysis population included all participants randomized and treated who had at least 1 of the PK parameters of primary interest in at least 1 treatment period.hourMEAN
SECONDARYNumber of Participants With Laboratory Abnormalities Meeting the Criteria for Potential Clinical ConcernBaseline up to 28 days after last study drug administrationThe safety analysis population included all participants who received the study medication.participantsNUMBER
SECONDARYNumber of Participants With Potentially Clinically Significant Vital Signs FindingsBaseline up to Day 9The safety analysis population included all participants who received the study medication; n=number of participants evaluated against criteria.participantsNUMBER
SECONDARYNumber of Participants With Potentially Clinically Significant Electrocardiogram (ECG) FindingsPre-dose (Periods 1 and 2), 4, 72 and 96 hours post-dose in Period 2The safety analysis population included all participants who received the study medication; n=number of participants evaluated against criteria.participantsNUMBER

Results by group146

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Maximum Observed Plasma Concentration (Cmax) of PF-00489791PF-00489791 20 mg1140Geometric Coefficient of Variation 34nanograms per milliliter (ng/mL)
Maximum Observed Plasma Concentration (Cmax) of PF-00489791PF-00489791 20 mg + Itraconazole 200 mg1238Geometric Coefficient of Variation 33nanograms per milliliter (ng/mL)
Maximum Observed Plasma Concentration (Cmax) of PF-00489791PF-00489791 20 mg + Diltiazem 240 mg1198Geometric Coefficient of Variation 33nanograms per milliliter (ng/mL)
Maximum Observed Plasma Concentration (Cmax) of PF-00489791PF-00489791 20 mg + Verapamil 240 mg1186Geometric Coefficient of Variation 21nanograms per milliliter (ng/mL)
Area Under the Plasma Concentration-Time Profile From Time 0 Extrapolated to Infinite Time (AUCinf) of PF-00489791PF-00489791 20 mg17880Geometric Coefficient of Variation 36nanogram*hour per milliliter (ng*hr/mL)
Area Under the Plasma Concentration-Time Profile From Time 0 Extrapolated to Infinite Time (AUCinf) of PF-00489791PF-00489791 20 mg + Itraconazole 200 mg18140Geometric Coefficient of Variation 24nanogram*hour per milliliter (ng*hr/mL)
Area Under the Plasma Concentration-Time Profile From Time 0 Extrapolated to Infinite Time (AUCinf) of PF-00489791PF-00489791 20 mg + Diltiazem 240 mg16840Geometric Coefficient of Variation 20nanogram*hour per milliliter (ng*hr/mL)
Area Under the Plasma Concentration-Time Profile From Time 0 Extrapolated to Infinite Time (AUCinf) of PF-00489791PF-00489791 20 mg + Verapamil 240 mg19560Geometric Coefficient of Variation 30nanogram*hour per milliliter (ng*hr/mL)
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of PF-00489791PF-00489791 20 mg17580Geometric Coefficient of Variation 36ng.hr/mL
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of PF-00489791PF-00489791 20 mg + Itraconazole 200 mg17980Geometric Coefficient of Variation 24ng.hr/mL

Participant flow36

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
First Intervention PeriodSTARTEDPF-00489791 20 mg22
First Intervention PeriodSTARTEDPF-00489791 20 mg + Itraconazole 200 mg0
First Intervention PeriodSTARTEDPF-00489791 20 mg + Diltiazem 240 mg0
First Intervention PeriodSTARTEDPF-00489791 20 mg + Verapamil 240 mg0
First Intervention PeriodCOMPLETEDPF-00489791 20 mg22
First Intervention PeriodCOMPLETEDPF-00489791 20 mg + Itraconazole 200 mg0
First Intervention PeriodCOMPLETEDPF-00489791 20 mg + Diltiazem 240 mg0
First Intervention PeriodCOMPLETEDPF-00489791 20 mg + Verapamil 240 mg0
First Intervention PeriodNOT COMPLETEDPF-00489791 20 mg0
First Intervention PeriodNOT COMPLETEDPF-00489791 20 mg + Itraconazole 200 mg0

Adverse events189

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherPalpitationsCardiac disordersPF-00489791 20 mg022
otherPalpitationsCardiac disordersItraconazole 200 mg07
otherPalpitationsCardiac disordersDiltiazem 240 mg17
otherPalpitationsCardiac disordersVerapamil 240 mg08
otherPalpitationsCardiac disordersPF-00489791 20 mg + Itraconazole 200 mg06
otherPalpitationsCardiac disordersPF-00489791 20 mg + Diltiazem 240 mg06
otherPalpitationsCardiac disordersPF-00489791 20 mg + Verapamil 240 mg06
otherAbdominal discomfortGastrointestinal disordersPF-00489791 20 mg022
otherAbdominal discomfortGastrointestinal disordersItraconazole 200 mg07
otherAbdominal discomfortGastrointestinal disordersDiltiazem 240 mg07

Adverse event totals21

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPF-00489791 20 mg
Total, all-cause mortalityItraconazole 200 mg
Total, all-cause mortalityDiltiazem 240 mg
Total, all-cause mortalityVerapamil 240 mg
Total, all-cause mortalityPF-00489791 20 mg + Itraconazole 200 mg
Total, all-cause mortalityPF-00489791 20 mg + Diltiazem 240 mg
Total, all-cause mortalityPF-00489791 20 mg + Verapamil 240 mg
Total, other adverse eventsPF-00489791 20 mg1822
Total, other adverse eventsItraconazole 200 mg67
Total, other adverse eventsDiltiazem 240 mg47

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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