A Study To Assess The Effect Of Linezolid On QTc Interval

This study has been completed.
Sponsor:
Information provided by:
Pfizer
ClinicalTrials.gov Identifier:
NCT00795145
First received: November 20, 2008
Last updated: May 17, 2010
Last verified: May 2010
  Purpose

The FDA has asked Pfizer to assess the risk of linezolid on QT interval (obtained from ECG readings) which could predispose patients to ventricular arrhythmias. This study is conducted to satisfy this requirement.


Condition Intervention Phase
Bacterial Infections
Drug: Placebo
Drug: Linezolid 900 mg
Drug: Linezolid 1200 mg
Drug: Linezolid 600 mg
Drug: Moxifloxacin 400 mg
Phase 1

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Pharmacokinetics/Dynamics Study
Intervention Model: Crossover Assignment
Masking: Double Blind (Subject, Investigator, Outcomes Assessor)
Primary Purpose: Basic Science
Official Title: Single Dose Safety, Tolerability And Pharmacokinetics Of Escalating Intravenous Doses Of Linezolid Followed By Evaluation Of The Effect Of Single Intravenous Doses Of Linezolid On QTc Interval In Healthy Subjects

Resource links provided by NLM:


Further study details as provided by Pfizer:

Primary Outcome Measures:
  • Cohort 1: Number of Subjects With Adverse Events (AEs) and Serious Adverse Events (SAEs) [ Time Frame: From the time the subject had taken at least one dose of study treatment up to 5 weeks ] [ Designated as safety issue: Yes ]
    All observed or volunteered AEs and SAEs regardless of treatment group or suspected causal relationship to the investigational product(s) were reported.

  • Cohort 2: Mean Time-Matched Difference in Time Corresponding to Beginning of Depolarization to Repolarization of the Ventricles, Corrected for Heart Rate Using Fridericia's Formula (QTcF Interval) Between Linezolid 600 mg and 1200 mg Compared to Placebo [ Time Frame: 0.5, 1, 2, 4, 8, 12, 24 hours post-dose ] [ Designated as safety issue: No ]
    The time corresponding to the beginning of depolarization to repolarization of the ventricles (QT interval) was adjusted for ventricular rate (VR) using the QT and VR from each electrocardiogram by Fridericia's formula (QTcF = QT divided by cube root of VR in seconds). A measure of dispersion is not available.


Secondary Outcome Measures:
  • Cohort 1: Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUC Inf) and Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUC Last) [ Time Frame: predose, 30 minutes, and at 1 (end of infusion), 1.5, 2, 3, 4, 6, 8, 12, 24, and 46 hours after start of infusion ] [ Designated as safety issue: No ]

    AUC inf = Area under the plasma concentration versus time curve from time zero (pre-dose) to extrapolated infinite time.

    AUC last = Area under the plasma concentration versus time curve from time zero (pre-dose) to time of last quantifiable concentration (0-t).


  • Cohort 1: Maximum Observed Plasma Concentration (Cmax) [ Time Frame: predose, 30 minutes, and at 1 (end of infusion), 1.5, 2, 3, 4, 6, 8, 12, 24, and 46 hours after start of infusion ] [ Designated as safety issue: No ]
  • Cohort 1: Time to Reach Maximum Observed Plasma Concentration (Tmax) and Plasma Decay Half-Life (t1/2) [ Time Frame: predose, 30 minutes, and at 1 (end of infusion), 1.5, 2, 3, 4, 6, 8, 12, 24, and 46 hours after start of infusion ] [ Designated as safety issue: No ]
    Plasma decay half-life is the time measured for the plasma concentration to decrease by one half.

  • Cohort 1: Clearance of Linezolid (CL) [ Time Frame: predose, 30 minutes, and at 1 (end of infusion), 1.5, 2, 3, 4, 6, 8, 12, 24, and 46 hours after start of infusion ] [ Designated as safety issue: No ]
    Drug clearance = Dose / AUC inf

  • Cohort 1: Steady-State Volume of Distribution (Vss) [ Time Frame: predose, 30 minutes, and at 1 (end of infusion), 1.5, 2, 3, 4, 6, 8, 12, 24, and 46 hours after start of infusion ] [ Designated as safety issue: No ]
    Vss = (mean residence time [The average total time molecules of a given dose spend in the body] extrapolated to infinity) multiplied by CL

  • Cohort 2: Mean Time-Matched Difference in QTcF Intervals Between Moxifloxacin and Placebo [ Time Frame: 0.5, 1, 2, 4, 8, 12, 24 hours post-dose ] [ Designated as safety issue: No ]
    A measure of dispersion is not available.

  • Cohort 2: Mean Time-Matched Difference in Uncorrected QT Intervals Between Linezolid 600 mg and 1200 mg Compared to Placebo [ Time Frame: 0.5, 1, 2, 4, 8, 12, 24 hours post-dose ] [ Designated as safety issue: No ]
    A measure of dispersion is not available.

  • Cohort 2: AUC Inf and AUC Last [ Time Frame: Predose, 30 minutes, 1, 2, 4, 8, 12 hours post-dose ] [ Designated as safety issue: No ]

    AUC inf = Area under the plasma concentration versus time curve from time zero (pre-dose) to extrapolated infinite time.

    AUC last = Area under the plasma concentration versus time curve from time zero (pre-dose) to time of last quantifiable concentration (0-t).


  • Cohort 2: Cmax [ Time Frame: Predose, 30 minutes, 1, 2, 4, 8, 12 hours post-dose ] [ Designated as safety issue: No ]
  • Cohort 2: Tmax and t1/2 [ Time Frame: Predose, 30 minutes, 1, 2, 4, 8, 12 hours post-dose ] [ Designated as safety issue: No ]
    Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. Tmax is the time to reach Cmax.

  • Cohort 2: CL [ Time Frame: Predose, 30 minutes, 1, 2, 4, 8, 12 hours post-dose ] [ Designated as safety issue: No ]
    Drug clearance = Dose / AUC inf

  • Cohort 2: Vss [ Time Frame: Predose, 30 minutes, 1, 2, 4, 8, 12 hours post-dose ] [ Designated as safety issue: No ]
    Vss = (mean residence time [The average total time molecules of a given dose spend in the body] extrapolated to infinity) multiplied by CL

  • Cohort 2: Number of Subjects With AEs and SAEs [ Time Frame: From the time the subject had taken at least one dose of study treatment up to 5 weeks ] [ Designated as safety issue: Yes ]
    All observed or volunteered AEs and SAEs regardless of treatment group or suspected causal relationship to the investigational product(s) were reported.


Enrollment: 49
Study Start Date: December 2008
Study Completion Date: March 2009
Primary Completion Date: March 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Placebo Comparator: Cohort 1: Placebo Drug: Placebo
Intravenous, Placebo control for blinding, Normal Saline, Single dose
Experimental: Cohort 1: 900 mg linezolid Drug: Linezolid 900 mg
Intravenous, 900 mg linezolid, single dose
Other Name: Zyvox
Experimental: Cohort 1: 1200 mg linezolid Drug: Linezolid 1200 mg
Intravenous, 1200 mg linezolid, single dose
Other Name: Zyvox
Placebo Comparator: Cohort 2: Placebo Drug: Placebo
Intravenous, Placebo control for blinding, Normal Saline, Single dose
Experimental: Cohort 2: 600 mg linezolid Drug: Linezolid 600 mg
Intravenous, 600 mg linezolid, single dose
Other Name: Zyvox
Experimental: Cohort 2: 1200 mg linezolid Drug: Linezolid 1200 mg
Intravenous, 1200 mg linezolid, single dose
Other Name: Zyvox
Active Comparator: Cohort 2: 400 mg Moxifloxacin Drug: Moxifloxacin 400 mg
Oral, 400 mg moxifloxacin, single dose
Other Name: Avelox

  Eligibility

Ages Eligible for Study:   21 Years to 55 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Healthy male and female subjects between the ages of 21 and 55 years.
  • Body mass Index (BMI) of 18 to 30 kg/m2; and a total body weight > 45 kg (99 lbs).
  • An informed consent document signed and dated.

Exclusion Criteria:

  • Evidence or history of clinically significant abnormality.
  • 12-lead ECG demonstrating QTc >450 msec at Screening.
  • Receiving selective serotonin reuptake inhibitors (SSRIs) and/or sympathomimetic agents.
  • Abnormal liver function tests.
  • A positive urine drug screen, history of excessive alcohol and tobacco use.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00795145

Locations
Singapore
Pfizer Investigational Site
Singapore, Singapore, 188770
Sponsors and Collaborators
Pfizer
Investigators
Study Director: Pfizer CT.gov Call Center Pfizer
  More Information

Additional Information:
No publications provided

Responsible Party: Director, Clinical Trial Disclosure Group, Pfizer, Inc.
ClinicalTrials.gov Identifier: NCT00795145     History of Changes
Other Study ID Numbers: A5951151
Study First Received: November 20, 2008
Results First Received: March 2, 2010
Last Updated: May 17, 2010
Health Authority: United States: Food and Drug Administration

Keywords provided by Pfizer:
Linezolid, QTc interval, pharmacokinetics, therapeutic dose, supra-therapeutic dose

Additional relevant MeSH terms:
Bacterial Infections
Linezolid
Moxifloxacin
Oxazolidinones
Norgestimate, ethinyl estradiol drug combination
Anti-Infective Agents
Therapeutic Uses
Pharmacologic Actions
Protein Synthesis Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Contraceptives, Oral, Combined
Contraceptives, Oral
Contraceptive Agents, Female
Contraceptive Agents
Reproductive Control Agents
Physiological Effects of Drugs

ClinicalTrials.gov processed this record on July 28, 2014