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NCT05128058

A Target Occupancy Study With Ritlecitinib.

Completed Phase 1 Results posted Last updated 13 November 2023
What this trial tests

Phase 1 trial testing Ritlecitinib 50 mg in Healthy in 16 participants. Completed in 14 January 2022.

Timeline
22 October 2021
Primary endpoint
14 January 2022
14 January 2022

Quick facts

Lead sponsorPfizer
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposebasic science
Enrollment16
Start date22 October 2021
Primary completion14 January 2022
Estimated completion14 January 2022
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

Adults 18 to 60, any sex, with Healthy. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percent Target Occupancy for JAK3 Primary · -1 (pre-dose), 0 (pre-dose), 1, 2, 4, 8, 24, 48 hours post-dose

Target occupancy for janus kinase 3 (JAK3) in peripheral blood mononuclear cells (PBMCs) by ritlecitinib was investigated in human blood by chemical probe-based enrichment and liquid chromatography coupled with tandem mass spectrometry (LC-MS/MS) analysis. % TO is calculated as \[(baseline value - value at specified time point)\*100/baseline value\], where baseline value in this formula is defined as the mean of the two pre-dose measurements at Hour -1 and Hour 0 on Day 1. Since (baseline value - value at specified time point)=0 at baseline, % TO at baseline is 0.

Baseline
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE0.000.0 – 0.0
RITLECITINIB 200 MG CAPSULE0.000.0 – 0.0
1H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE72.4149.2 – 98.0
RITLECITINIB 200 MG CAPSULE28.74-5.8 – 51.1
2H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE12.28-30.1 – 39.5
RITLECITINIB 200 MG CAPSULE64.1454.1 – 75.0
4H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE-1.39-19.6 – 5.2
RITLECITINIB 200 MG CAPSULE62.0645.3 – 73.9
8H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE-23.34-49.1 – 17.7
RITLECITINIB 200 MG CAPSULE58.7638.9 – 65.2
24H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE-24.72-58.2 – -10.2
RITLECITINIB 200 MG CAPSULE37.0830.2 – 53.1
48H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE-25.34-51.8 – 3.7
RITLECITINIB 200 MG CAPSULE33.449.4 – 52.9
Percent Target Occupancy for BTK Primary · -1 (pre-dose), 0 (pre-dose), 1, 2, 4, 8, 24, 48 hours post-dose

Target occupancy for Bruton's tyrosine kinase (BTK) in PBMCs by ritlecitinib was investigated in human blood by chemical probe-based enrichment and LC-MS/MS analysis. % TO is calculated as \[(baseline value - value at specified time point)\*100/baseline value\], where baseline value in this formula is defined as the mean of the two pre-dose measurements at Hour -1 and Hour 0 on Day 1. Since (baseline value - value at specified time point)=0 at baseline, % TO at baseline is 0.

Baseline
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE0.000.0 – 0.0
RITLECITINIB 200 MG CAPSULE0.000.0 – 0.0
1H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE98.4595.4 – 99.8
RITLECITINIB 200 MG CAPSULE99.5798.2 – 99.8
2H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE96.8392.1 – 99.2
RITLECITINIB 200 MG CAPSULE99.3798.6 – 99.8
4H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE96.4390.4 – 99.1
RITLECITINIB 200 MG CAPSULE99.3599.2 – 99.8
8H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE93.5285.3 – 97.8
RITLECITINIB 200 MG CAPSULE99.2197.1 – 99.5
24H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE83.2176.5 – 86.3
RITLECITINIB 200 MG CAPSULE92.1387.0 – 95.5
48H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE69.8663.3 – 76.4
RITLECITINIB 200 MG CAPSULE82.6675.8 – 88.1
Percent Target Occupancy for ITK Primary · -1 (pre-dose), 0 (pre-dose), 1, 2, 4, 8, 24, 48 hours post-dose

Target occupancy forIL 2 inducible T-cell kinase (ITK) in PBMCs by ritlecitinib was investigated in human blood by chemical probe-based enrichment and LC-MS/MS analysis. % TO is calculated as \[(baseline value - value at specified time point)\*100/baseline value\], where baseline value in this formula is defined as the mean of the two pre-dose measurements at Hour -1 and Hour 0 on Day 1. Since (baseline value - value at specified time point)=0 at baseline, % TO at baseline is 0.

Baseline
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE0.000.0 – 0.0
RITLECITINIB 200 MG CAPSULE0.000.0 – 0.0
1H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE94.4086.2 – 100.0
RITLECITINIB 200 MG CAPSULE97.0373.8 – 98.0
2H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE67.7742.2 – 88.4
RITLECITINIB 200 MG CAPSULE97.0694.5 – 98.1
4H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE57.5423.0 – 73.9
RITLECITINIB 200 MG CAPSULE92.2786.0 – 97.4
8H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE28.76-5.5 – 58.0
RITLECITINIB 200 MG CAPSULE76.5960.0 – 88.9
24H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE-16.77-42.1 – 30.5
RITLECITINIB 200 MG CAPSULE32.3312.4 – 43.8
48H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE-9.87-61.0 – 21.6
RITLECITINIB 200 MG CAPSULE20.62-16.0 – 44.7
Percent Target Occupancy for TXK Primary · -1 (pre-dose), 0 (pre-dose), 1, 2, 4, 8, 24, 48 hours post-dose

Target occupancy for tyrosine kinase expressed in T cells (TXK) in PBMCs by ritlecitinib was investigated in human blood by chemical probe-based enrichment and LC-MS/MS analysis. % TO is calculated as \[(baseline value - value at specified time point)\*100/baseline value\], where baseline value in this formula is defined as the mean of the two pre-dose measurements at Hour -1 and Hour 0 on Day 1. Since (baseline value - value at specified time point)=0 at baseline, % TO at baseline is 0.

Baseline
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE0.000.0 – 0.0
RITLECITINIB 200 MG CAPSULE0.000.0 – 0.0
1H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE100.0088.6 – 100.0
RITLECITINIB 200 MG CAPSULE100.0037.7 – 100.0
2H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE44.9727.1 – 66.7
RITLECITINIB 200 MG CAPSULE100.00100.0 – 100.0
4H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE34.01-15.8 – 52.1
RITLECITINIB 200 MG CAPSULE100.0087.9 – 100.0
8H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE23.17-41.0 – 60.7
RITLECITINIB 200 MG CAPSULE82.4663.1 – 100.0
24H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE-4.09-43.4 – 31.4
RITLECITINIB 200 MG CAPSULE49.7033.2 – 59.7
48H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE-38.98-83.7 – 17.7
RITLECITINIB 200 MG CAPSULE20.341.9 – 58.8
Percent Target Occupancy for TEC Primary · -1 (pre-dose), 0 (pre-dose), 1, 2, 4, 8, 24, 48 hours post-dose

Target occupancy for tyrosine kinase expressed carcinoma (TEC) in PBMCs by ritlecitinib was investigated in human blood by chemical probe-based enrichment and LC-MS/MS analysis. % TO is calculated as \[(baseline value - value at specified time point)\*100/baseline value\], where baseline value in this formula is defined as the mean of the two pre-dose measurements at Hour -1 and Hour 0 on Day 1. Since (baseline value - value at specified time point)=0 at baseline, % TO at baseline is 0.

Baseline
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE0.000.0 – 0.0
RITLECITINIB 200 MG CAPSULE0.000.0 – 0.0
1H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE96.5087.4 – 100.0
RITLECITINIB 200 MG CAPSULE100.096.0 – 100.0
2H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE94.6088.3 – 98.0
RITLECITINIB 200 MG CAPSULE99.4298.3 – 100.0
4H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE94.2390.9 – 98.3
RITLECITINIB 200 MG CAPSULE98.7898.1 – 100.0
8H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE93.1285.5 – 98.6
RITLECITINIB 200 MG CAPSULE99.5797.4 – 100.0
24H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE90.6483.7 – 95.8
RITLECITINIB 200 MG CAPSULE96.8594.1 – 97.8
48H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE82.4875.7 – 87.3
RITLECITINIB 200 MG CAPSULE92.3287.9 – 94.8
Percent Target Occupancy for BMX Primary · -1 (pre-dose), 0 (pre-dose), 1, 2, 4, 8, 24, 48 hours post-dose

Target occupancy for bone marrow tyrosine kinase gene in chromosome X (BMX) in PBMCs by ritlecitinib was investigated in human blood by chemical probe-based enrichment and LC-MS/MS analysis. % TO is calculated as \[(baseline value - value at specified time point) \*100/baseline value\], where baseline value in this formula is defined as the mean of the two pre-dose measurements at Hour -1 and Hour 0 on Day 1. Since (baseline value - value at specified time point)=0 at baseline, % TO at baseline is 0.

Baseline
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE0.000.0 – 0.0
RITLECITINIB 200 MG CAPSULE0.000.0 – 0.0
1H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE67.51-16.4 – 96.0
RITLECITINIB 200 MG CAPSULE99.1391.9 – 100.0
2H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE85.2668.5 – 100.0
RITLECITINIB 200 MG CAPSULE92.5388.7 – 100.0
4H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE84.9376.0 – 100.0
RITLECITINIB 200 MG CAPSULE92.2687.7 – 100.0
8H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE87.0869.9 – 95.3
RITLECITINIB 200 MG CAPSULE92.4885.0 – 98.7
24H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE68.1351.5 – 87.9
RITLECITINIB 200 MG CAPSULE91.3282.1 – 97.9
48H
GroupValue95% CI
RITLECITINIB 50 MG CAPSULE26.50-15.6 – 54.1
RITLECITINIB 200 MG CAPSULE62.3452.5 – 79.4
Maximum Observed Plasma Concentration (Cmax) of Ritlecitinib Secondary · 0 (pre-dose), 1, 2, 4, 8, 24, 48 hours post-dose

Cmax is maximum observed plasma concentration. Cmax for ritlecitinib was observed directly from data.

GroupValue95% CI
RITLECITINIB 50 MG CAPSULE297.1± 51
RITLECITINIB 200 MG CAPSULE1275± 20
Time to Reach Maximum Observed Plasma Concentration (Tmax) of Ritlecitinib Secondary · 0 (pre-dose), 1, 2, 4, 8, 24, 48 hours post-dose

Tmax is time for Cmax. Tmax for ritlecitinib was observed directly from data as time of first occurrence.

GroupValue95% CI
RITLECITINIB 50 MG CAPSULE1.001.00 – 2.00
RITLECITINIB 200 MG CAPSULE1.001.00 – 2.00
Last Quantifiable Plasma Concentration (Clast) of Ritlecitinib Secondary · 0 (pre-dose), 1, 2, 4, 8, 24, 48 hours post-dose

Clast is last quantifiable plasma concentration. Clast for ritlecitinib was observed directly from data.

GroupValue95% CI
RITLECITINIB 50 MG CAPSULE4.812± 87
RITLECITINIB 200 MG CAPSULE4.036± 666
Average Plasma Concentration From Time 0 to 24 Hours (Cav) of Ritlecitinib Secondary · 0 (pre-dose), 1, 2, 4, 8, 24 hours post-dose

Cav is average plasma concentration from time 0 to 24 hours over the 24 hours period. Cav for ritlecitinib was calculated as area under the plasma concentration-time curve from 0 to 24 hours (AUC24) divided by 24.

GroupValue95% CI
RITLECITINIB 50 MG CAPSULE28.42± 51
RITLECITINIB 200 MG CAPSULE144.9± 42
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Ritlecitinib Secondary · 0 (pre-dose), 1, 2, 4, 8, 24, 48 hours post-dose

AUClast is area under the plasma concentration-time profile from time 0 to the time of the Clast. AUClast for ritlecitinib was determined using linear/log trapezoidal method.

GroupValue95% CI
RITLECITINIB 50 MG CAPSULE651.4± 50
RITLECITINIB 200 MG CAPSULE3382± 43
Area Under the Curve From Time 0 to 24 Hours (AUC24) of Ritlecitinib Secondary · 0 (pre-dose), 1, 2, 4, 8, 24 hours post-dose

AUC24 is area under the plasma concentration-time curve from time 0 to 24 hours. AUC24 for ritlecitinib was determined using linear/log trapezoidal method.

GroupValue95% CI
RITLECITINIB 50 MG CAPSULE681.8± 51
RITLECITINIB 200 MG CAPSULE3475± 42

Adverse events — posted to ClinicalTrials.gov

Time frame: Baseline up to 35 days after the last dose of study treatment on Day 1 (up to 35 days). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

RITLECITINIB 50 MG CAPSULE
Serious: 0/8 (0%)
Deaths: 0/8
RITLECITINIB 200 MG CAPSULE
Serious: 0/8 (0%)
Deaths: 0/8
Other adverse events (6 terms — click to expand)

ReactionSystemRITLECITINIB 50 MG CAPSULERITLECITINIB 200 MG CAPSULE
Abdominal distensionGastrointestinal disorders
DyspepsiaGastrointestinal disorders
Escherichia urinary tract infectionInfections and infestations
Gastroenteritis viralInfections and infestations
Procedural dizzinessInjury, poisoning and procedural complications
Pain in extremityMusculoskeletal and connective tissue disorders

Data from ClinicalTrials.gov NCT05128058 adverse events section.

Sponsor's own description

This is a phase 1, open label, two-arm study to assess target occupancy and functional inhibition of JAK3 and TEC kinases by Ritlecitinib in healthy adult participants

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Virtual Bioequivalence Assessment of Ritlecitinib Capsules with Incorporation of Observed Clinical Variability Using a Physiologically Based Pharmacokinetic Model.
    Saadeddin A, Purohit V, Huh Y, Wong M, et al · · 2024 · cited 14× · PMID 38267790 · DOI 10.1208/s12248-024-00888-9

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