Evidence map›Paper›PMID 38267790›Full record

ArticleThe AAPS journal2024

Virtual Bioequivalence Assessment of Ritlecitinib Capsules with Incorporation of Observed Clinical Variability Using a Physiologically Based Pharmacokinetic Model.

Anas Saadeddin, Vivek Purohit, Yeamin Huh, Mei Wong, Aurelia Maulny, Martin E Dowty, Kazuko Sagawa

Erratum issued 6 registry-linked trialsOpen access · hybridAbstract read
PubMed Publisher
In one paragraph

Article in The AAPS journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 6 registered trials, which are not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
8.6field-weighted citation impact, top 2% 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.

NCT02309827 phase1completednot on this map

A Phase 1, Randomized, Double Blind, Third-party Open, Placebo-controlled, Single And Multiple Dose Escalation, Parallel Group Study To Evaluate The Safety, Tolerability, Pharmacokinetics, And Pharmacodynamics Of Pf-06651600 In Healthy Subjects

TypeinterventionalSponsorPfizerRan2014 to 2016Enrolled80ConditionsHealthyArmsPF-06651600 or Placebo
NCT02684760 phase1completednot on this map

A Phase 1, Open Label, Single-dose 3-way Crossover Study To Evaluate The Relative Bioavailability Of A Solid Dose Formulation Of Pf-06651600 Under Fasting Conditions And The Effect Of A High Fat Meal On The Bioavailability Of The Solid Dosage Formulation Of Pf-06651600 In Healthy Subjects

TypeinterventionalSponsorPfizerRan2016 to 2016Enrolled14ConditionsHealthyArmsPF-06651600
NCT04004663 phase1completednot on this map

A phase 1, randomized, open-label, cross-over, single dose study to estimate the relative bioavailability of candidate capsule formulations of pf-06651600 relative to tablets in healthy participants

TypeinterventionalSponsorPfizerRan2019 to 2019Enrolled12ConditionsHealthy VolunteersArmsPF-06651600
NCT04390776 phase1completednot on this map

A phase 1, randomized, open-label, cross-over, single-dose study to evaluate the bioequivalence of candidate capsule formulations of pf-06651600 to tablets and estimate the effect of high-fat meal on bioavailability in healthy participants

TypeinterventionalSponsorPfizerRan2020 to 2021Enrolled164ConditionsHealthy ParticipantsArmsPF-06651600
NCT05040295 phase1completednot on this map

A phase 1, randomized, open-label, cross-over, single dose study to estimate the relative bioavailability of pediatric ritlecitinib (pf-06651600) capsules and spray congealed beads relative to adult capsules in healthy adult participants

TypeinterventionalSponsorPfizerRan2021 to 2021Enrolled12ConditionsHealthy ParticipantsArmsritlecitinib
NCT05128058 phase1completednot on this map

An open label, phase 1, two-arm study to assess target occupancy and functional inhibition of jak3 and tec kinases by single doses of ritlecitinib in healthy adult participants

TypeinterventionalSponsorPfizerRan2021 to 2022Enrolled16ConditionsHealthyArmsRitlecitinib 50 mg, Ritlecitinib 200 mg
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
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  5. Review
  6. Article
  7. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 3 countries.

Anas SaadeddinPharmaceutical Science, Pfizer Worldwide Research and Development, Madrid, Spain.
Vivek PurohitTranslational Clinical Science, Pfizer Worldwide Research and Development, Groton, Connecticut, USA.
Yeamin HuhTranslational Clinical Science, Pfizer Worldwide Research and Development, Groton, Connecticut, USA.
Mei WongPharmaceutical Science, Pfizer Worldwide Research and Development, Sandwich, UK.
Aurelia MaulnyPharmaceutical Science, Pfizer Worldwide Research and Development, Sandwich, UK.
Martin E DowtyPharmacokinetics, Dynamics and Metabolism, Pfizer Worldwide Research and Development, Cambridge, Massachusetts, USA.
Kazuko SagawaPharmaceutical Science, Pfizer Worldwide Research and Development, 445 Eastern Point Road, Groton, CT, 06340, USA. kazuko.sagawa@pfizer.com.ORCID 0009-0006-1834-2537
Pfizer (United States) · USPfizer (United Kingdom) · GBPfizer (Spain) · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ritlecitinib, an orally available Janus kinase 3 and tyrosine kinase inhibitor being developed for the treatment of alopecia areata (AA), is highly soluble across the physiological pH range at the therapeutic dose. As such, it is expected to dissolve rapidly in any in vitro dissolution conditions. However, in vitro dissolution data showed slower dissolution for 100-mg capsules, used for the clinical bioequivalence (BE) study, compared with proposed commercial 50-mg capsules. Hence, a biowaiver for the lower 50-mg strength using comparable multimedia dissolution based on the f2 similarity factor was not possible. The in vivo relevance of this observed in vitro dissolution profile was evaluated with a physiologically based pharmacokinetic (PBPK) model. This report describes the development, verification, and application of the ritlecitinib PBPK model to translate observed in vitro dissolution data to an in vivo PK profile for ritlecitinib capsule formulations. Virtual BE (VBE) trials were conducted using the Simcyp VBE module, including the model-predicted within-subject variability or intra-subject coefficient of variation (ICV). The results showed the predicted ICV was predicted to be smaller than observed clinical ICV, resulting in a more optimistic BE risk assessment. Additional VBE assessment was conducted by incorporating clinically observed ICV. The VBE trial results including clinically observed ICV demonstrated that proposed commercial 50-mg capsules vs clinical 100-mg capsules were bioequivalent, with > 90% probability of success. This study demonstrates a PBPK model-based biowaiver for a clinical BE study while introducing a novel method to integrate clinically observed ICV into VBE trials with PBPK models. Trial registration: NCT02309827, NCT02684760, NCT04004663, NCT04390776, NCT05040295, NCT05128058.

Indexed as

Alopecia AreataHumansProbabilityProtein Kinase InhibitorsRisk AssessmentTherapeutic EquivalencyProtein Kinase Inhibitorsclinical variabilityintra-subject coefficient of variationphysiologically based pharmacokineticritlecitinibvirtual bioequivalence

Identifiers

PMID38267790
OpenAlexW4391164912

What OpenQuestion holds

Textmetadata
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.