Evidence map›Paper›PMID 35195881›Full record

ArticleClinical drug investigation2022

The Effect of Hepatic Impairment on the Pharmacokinetics of Dacomitinib.

Joseph Piscitelli, Joseph Chen, Robert R LaBadie, Joanne Salageanu, Chin-Hee Chung, Weiwei Tan

2 registry-linked trialsOpen access · hybridAbstract readClinical Trial, Phase I
In one paragraph

Article in Clinical drug investigation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 26% of its field
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.

NCT01571388 phase1completednot on this map

A Phase 1 Study To Evaluate The Single Dose Pharmacokinetics Of Dacomitinib (PF-00299804) In Subjects With Impaired Hepatic Function

TypeinterventionalSponsorPfizerRan2012 to 2012Enrolled25ConditionsHealthy, Otherwise Healthy Volunteers With Mild or Moderate Hepatic DysfunctionArmsdacomitinib
NCT03865446 phase1completednot on this map

A phase 1, open-label, single-dose, parallel-group study to evaluate the plasma pharmacokinetics and safety of dacomitinib in participants with severely impaired hepatic function relative to participants with normal hepatic function

TypeinterventionalSponsorPfizerRan2019 to 2019Enrolled16ConditionsSevere Hepatic ImpairmentArmsDacomitinib
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

6 authors at 1 institution in 1 country.

Joseph PiscitelliGlobal Product Development, Clinical Pharmacology, Pfizer Inc., 10555 Science Center Drive, La Jolla, CA, 92121, USA. Joseph.Piscitelli@pfizer.com.
Joseph ChenGlobal Product Development, Clinical Pharmacology, Pfizer Inc., San Francisco, CA, USA.
Robert R LaBadieGlobal Product Development, Biostatistics, Pfizer Inc., Groton, CT, USA.
Joanne SalageanuGlobal Product Development, Pharmacometrics, Pfizer Inc., Groton, CT, USA.
Chin-Hee ChungGlobal Product Development, Oncology Clinical, Pfizer Inc., New York, NY, USA.
Weiwei TanGlobal Product Development, Clinical Pharmacology, Pfizer Inc., 10555 Science Center Drive, La Jolla, CA, 92121, USA.
Pfizer (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveDacomitinib is a kinase inhibitor indicated for the first-line treatment of patients with metastatic non-small cell lung cancer (NSCLC) with epidermal growth factor receptor (EGFR)-activating mutations. To evaluate the effect of hepatic impairment on the pharmacokinetics of dacomitinib, two dedicated studies were conducted to inform optimal dosing.

methodsStudy 1 (NCT01571388) evaluated the effect of mild and moderate hepatic impairment on the plasma pharmacokinetics, safety, and tolerability after a single oral dose of dacomitinib 30 mg, and Study 2 (NCT03865446) evaluated the same endpoints in a severe hepatic impairment population. Both studies were phase I, open-label, parallel-group studies. A one-way analysis of variance (ANOVA) with unequal variance assumption and hepatic impairment group as a fixed effect was used to compare the natural log of area under the plasma concentration-time curve extrapolated to infinite time (AUC

resultsThe AUC

conclusionBased on these pharmacokinetic results, dacomitinib pharmacokinetics of participants with mild, moderate, or severe hepatic impairment were not statistically different relative to participants with normal hepatic function based on the ANOVA analysis. No dacomitinib dose adjustments for patients with hepatic impairment are recommended. CLINICAL

trial registrationClinicalTrials.gov NCT01571388, registered 5 April 2012; ClinicalTrials.gov NCT03865446, registered 6 March 2019.

Indexed as

Carcinoma, Non-Small-Cell LungLiver DiseasesLung NeoplasmsArea Under CurveHumansQuinazolinonesdacomitinibQuinazolinones

Identifiers

PMID35195881
PMCPMC8930943
OpenAlexW4213258431

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.