This is a 2 part study designed to provide an initial assessment on the safety, tolerability, and PK of rivipansel, following single ascending (Part 1) and multiple ascending dosing (Part 2) given subcutaneously with rHuPH20, in healthy subjects. Part 1 of the study will be conducted using a cross-over design while Part 2 of the study will be conducted using a parallel design.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
DOUBLE
Enrollment
27
Rivipansel administered as a single dose subcutaneously with rHuPH20 in cross-over fashion. Each subject may receive up to 4 study treatments (placebo and up to 3 doses of rivipansel). The planned dose levels are 350 mg, 1210 mg, and 4200 mg (these are subject to change based on emerging data).
Matched Placebo administered as single dose subcutaneously with rHuPH20.
Rivipansel administered q12h for 7 days (a total of 13 doses) subcutaneously with rHuPH20. Planned doses are 1400 mg loading and 700 mg maintenance for 12 doses (these are subject to change based on emerging data).
Pfizer Clinical Research Unit
Brussels, Belgium
Assessment of adverse events (AEs)
Time frame: Baseline up to 7 days of dosing
Assessment of cardiac conduction intervals as assessed via 12-lead electrocardiogram (ECG)
Time frame: Baseline up to 7 days of dosing
Assessment of vital signs (including blood pressure and pulse rate)
Time frame: Baseline up to 7 days of dosing
Assessment of clinical laboratory tests
Time frame: Baseline up to 7 days of dosing
Maximum Observed Plasma Concentration (Cmax) for rivipansel following single dose
Time frame: Samples are collected pre-dose and at 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72 H following single dose administration
Time to Reach Maximum Observed Plasma Concentration (Tmax) for rivipansel following single dose
Time frame: Samples are collected pre-dose and at 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72 H following single dose administration
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for rivipansel following single dose
Time frame: Samples are collected pre-dose and at 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72 H following single dose administration
Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUCinf) for rivipansel following single dose
Time frame: Samples are collected pre-dose and at 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72 H following single dose administration
Dose-Normalized Cmax for rivipansel following single dose
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Rivipansel administered q12h for 7 days (a total of 13 doses) subcutaneously with rHuPH20. Planned doses are 2800 mg loading and 1400 mg maintenance for 12 doses (these are subject to change based on emerging data).
Matched Placebo administered q12h for 7 days (a total of 13 doses) subcutaneously with rHuPH20.
Time frame: Samples are collected pre-dose and at 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72 H following single dose administration
Dose-Normalized AUClast for rivipansel
Time frame: Samples are collected pre-dose and at 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72 H following single dose administration
Dose-Normalized AUCinf for rivipansel
Time frame: Samples are collected pre-dose and at 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72 H following single dose administration
Plasma Decay Half-Life (t1/2) for rivipansel following single dose
Time frame: Samples are collected pre-dose and at 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72 H following single dose administration
Apparent Clearance (CL/F) for rivipansel following single dose
Time frame: Samples are collected pre-dose and at 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72 H following single dose administration
Apparent Volume of Distribution (Vz/F) for rivipansel following single dose
Time frame: Samples are collected pre-dose and at 0.25, 0.5, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72 H following single dose administration
Maximum Observed Plasma Concentration (Cmax) for rivipansel following multiple dose
Time frame: Days 1, 7
Time to Reach Maximum Observed Plasma Concentration (Tmax) for rivipansel following multiple dose
Time frame: Days 1, 7
Area Under the Curve from Time Zero to end of dosing interval (AUCtau) for rivipansel following multiple dose administration, where tau is 12 hours
Time frame: Days 1, 7
Dose-Normalized Cmax for rivipansel following multiple dose administration
Time frame: Days 1, 7
Dose-Normalized AUCtau for rivipansel following multiple dose administration
Time frame: Days 1, 7
Plasma Decay Half-Life (t1/2) for rivipansel following multiple dose
Time frame: Day 7
Minimum Observed Plasma Concentration (Cmin) for rivipansel following multiple dose
Time frame: Day 7
Apparent Clearance (CL/F) for rivipansel following multiple dose
Time frame: Day 7
Peak to Trough Ratio (PTR) of plasma concentration for rivipanselmultiple dose administration
Time frame: Day 7
Accumulation ratio for Area Under the Curve during the dosing interval (Rac) for rivipansel
Time frame: Day 7