Evidence map›Paper›PMID 26895021›Full record

Trial reportClinical pharmacokinetics2016

Clinical Micro-Dose Studies to Explore the Human Pharmacokinetics of Four Selective Inhibitors of Human Nav1.7 Voltage-Dependent Sodium Channels.

Hannah M Jones, Richard P Butt, Rob W Webster, Ian Gurrell, Pawel Dzygiel, Neil Flanagan, Daniela Fraier, Tanya Hay, Laura Else Iavarone, Jacquelynn Luckwell and 5 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical pharmacokinetics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. ACS medicinal chemistry letters · 2023
    Article
  3. Review
  4. Inhibition of NaRSC medicinal chemistry · 2022
    Review
  5. Review
  6. Article
  7. Discovery of Arylsulfonamide NaACS medicinal chemistry letters · 2021
    Article
  8. Article
  9. Review
  10. Predictive Value of Microdose Pharmacokinetics.Clinical pharmacokinetics · 2019
    Review
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Hannah M JonesDepartment of Pharmacokinetics, Dynamics and Metabolism, Pfizer Worldwide R&D, Sandwich, Kent, UK.
Richard P ButtNeuroscience and Pain Research Unit, Pfizer Worldwide R&D, Granta Park, Cambridge, CB21 6GS, UK. richard.butt@pfizer.com.
Rob W WebsterDepartment of Pharmacokinetics, Dynamics and Metabolism, Pfizer Worldwide R&D, Sandwich, Kent, UK.
Ian GurrellDepartment of Pharmacokinetics, Dynamics and Metabolism, Pfizer Worldwide R&D, Sandwich, Kent, UK.
Pawel DzygielDepartment of Pharmacokinetics, Dynamics and Metabolism, Pfizer Worldwide R&D, Sandwich, Kent, UK.
Neil FlanaganDepartment of Pharmaceutical Sciences, Pfizer Worldwide R&D, Sandwich, Kent, UK.
Daniela FraierDepartment of Pharmacokinetics, Dynamics and Metabolism, Pfizer Worldwide R&D, Sandwich, Kent, UK.
Tanya HayDepartment of Pharmacokinetics, Dynamics and Metabolism, Pfizer Worldwide R&D, Sandwich, Kent, UK.
Laura Else IavaroneClinical Pharmacology, Pfizer Worldwide R&D, Sandwich, Kent, UK.
Jacquelynn LuckwellDepartment of Pharmacokinetics, Dynamics and Metabolism, Pfizer Worldwide R&D, Sandwich, Kent, UK.
Hannah PearceDepartment of Pharmaceutical Sciences, Pfizer Worldwide R&D, Sandwich, Kent, UK.
Alex PhippsClinical Pharmacology, Pfizer Worldwide R&D, Sandwich, Kent, UK.
Jill SegelbacherDepartment of Pharmacokinetics, Dynamics and Metabolism, Pfizer Worldwide R&D, Sandwich, Kent, UK.
Bill SpeedDepartment of Pharmacokinetics, Dynamics and Metabolism, Pfizer Worldwide R&D, Sandwich, Kent, UK.
Kevin BeaumontDepartment of Pharmacokinetics, Dynamics and Metabolism, Pfizer Worldwide R&D, Sandwich, Kent, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe emergence of genetic data linking Nav1.7 sodium channel over- and under- expression to human pain signalling has led to an interest in the treatment of chronic pain through inhibition of Nav1.7 channels.

objectiveWe describe the pharmacokinetic (PK) results of a clinical microdose study performed with four potent and selective Nav1.7 inhibitors and the subsequent modelling resulting in the selection of a single compound to explore Nav1.7 pharmacology at higher doses.

methodsA clinical microdose study to investigate the intravenous and oral PK of four compounds (PF-05089771, PF-05150122, PF-05186462 and PF-05241328) was performed in healthy volunteers. PK parameters were derived via noncompartmental analysis. A physiologically-based PK (PBPK) model was used to predict exposure and multiples of Nav1.7 50 % inhibitory concentration (IC50) for each compound at higher doses.

resultsPlasma clearance, volume of distribution and bioavailability ranged from 45 to 392 mL/min/kg, 13 to 36 L/kg and 38 to 110 %, respectively. The PBPK model for PF-05089771 predicted a 1 g oral dose would be required to achieve exposures of approximately 12× Nav1.7 IC50 at maximum concentration (C max), and approximately 3× IC50 after 12 h (minimum concentration [C min] for a twice-daily regimen). Lower multiples of Nav1.7 IC50 were predicted with the same oral doses of PF-05150122, PF-05186462, and PF-05241328. In a subsequent single ascending oral dose clinical study, the predictions for PF-05089771 compared well with observed data.

conclusionBased on the human PK data obtained from the microdose study and subsequent modelling, PF-05089771 provided the best opportunity to explore Nav1.7 blockade for the treatment of acute or chronic pain conditions.

Indexed as

AdolescentAdultArea Under CurveBenzenesulfonamidesBiological AvailabilityDose-Response Relationship, DrugDouble-Blind MethodHumansHydrogen-Ion ConcentrationMaleMetabolic Clearance RateMiddle AgedModels, BiologicalPhenyl EthersSulfonamidesVoltage-Gated Sodium Channel BlockersBenzenesulfonamidesPF-05089771Phenyl EthersSulfonamidesVoltage-Gated Sodium Channel Blockers

Identifiers

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.