4-Week, Multiple-dose, Dose-escalating Study In Patients With Type 2 Diabetes
Primary Purpose
Type 2 Diabetes Mellitus
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Placebo
PF-06882961
PF-06882961
PF-06882961
PF-06882961
PF-06882961
PF-06882961
PF-06882961
PF-06882961
Sponsored by

About this trial
This is an interventional basic science trial for Type 2 Diabetes Mellitus focused on measuring Type 2 diabetes mellitus
Eligibility Criteria
Inclusion Criteria:
- Type 2 diabetes treated with a stable dose of metformin at least 500 mg
- HbA1c value between 7.0 and 10.5%
Exclusion Criteria:
- Type 1 diabetes or secondary forms of diabetes
Sites / Locations
- Anaheim Clinical Trials, LLC
- Qps-Mra, Llc
- Qps-Mra,Llc
- Altasciences Clinical Kansas, Inc.
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Arm 9
Arm Type
Placebo Comparator
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Arm Label
Placebo
PF-06882961 30 mg
PF-06882961 100 mg
PF-06882961 300 mg
PF-06882961 600 mg
PF-06882961 dose TBD Cohort 5
PF-06882961 dose TBD Cohort 6
PF-06882961 dose TBD Cohort 7
PF-06882961 dose TBD Cohort 8
Arm Description
Outcomes
Primary Outcome Measures
Number of Participants With All-causality and Treatment-related Treatment-emergent Adverse Events (TEAEs)
Treatment-related adverse event (AE) was any untoward medical occurrence attributed to study treatment in a participant who received study treatment. A serious AE (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; life-threatening; initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect. Any such events with initial onset or increasing in severity after the first dose of study treatment were counted as treatment-emergent.
Number of Participants With Laboratory Abnormalities Without Regard to Baseline Abnormality
Following laboratory parameters were assessed against pre-defined abnormality criteria: hematology (hemoglobin, hematocrit, erythrocytes, reticulocytes, platelets, leukocytes, lymphocytes, neutrophils, basophils, eosinophils, monocytes, activated partial thromboplastin time, prothrombin time [PT], PT/international normalized ratio, reticulocytes); chemistry (indirect bilirubin, direct bilirubin, protein, albumin, blood urea nitrogen, creatinine, creatine kinase, urate, calcium, sodium, potassium, chloride, bicarbonate, urine urobilinogen); urinalysis (pH, urine glucose, urine ketones, urine protein, urine hemoglobin, nitrites, leukocyte esterase, urine erythrocytes, urine leukocytes, urine hyaline casts, urine bilirubin).
Number of Participants With Abnormal Vital Signs
Vital signs categorical summarization criteria: 1) supine systolic blood pressure (SBP) <90 millimeters of mercury (mmHg); 2) supine diastolic blood pressure (DBP) <50 mmHg; 3) supine pulse rate <40 or >120 beats per minute (bpm); 4) change from baseline (increase or decrease) in supine SBP greater than or equal to (>=) 30 mmHg; 5) change from baseline (increase or decrease) in supine DBP >= 20 mmHg.
Number of Participants With Abnormal Electrocardiogram (ECG) Interval
ECG categorical summarization criteria: 1. PR interval (the interval between the start of the P wave and the start of the QRS complex, corresponding to the time between the onset of the atrial depolarization and onset of ventricular depolarization): a) greater than or equal to (>=) 300 millisecond (msec), b) >=25% increase when baseline is > 200 msec or >=50% increase when baseline is less than or equal to (<=) 200 msec.
2. QRS duration (time from ECG Q wave to the end of the S wave corresponding to ventricle depolarization): a) >=140 msec, b) >=50% increase from baseline.
3. QTcF interval (QT corrected using the Fridericia formula): a) >450 msec and <=480 msec, b) >480 msec and <=500 msec, c) >500 msec, d) >30 msec and <=60 msec increase from baseline, e) >60 msec increase from baseline
Secondary Outcome Measures
AUC24 and AUCtau of PF-06882961 on Day 1, Day 14 or 21 and Day 28
Area under the concentration-time profile from time zero to time 24 hours (AUC24) was calculated as AUCtau1 +AUCtau2, where AUCtau was area under the plasma concentration-time profile from time zero to time tau (tau1 = 0 to 10 hours and tau2=10 to 24 hours). AUCtau was determined using linear/log trapezoidal method.
Maximum Plasma Concentration (Cmax) of PF-06882961 on Day 1, Day 14 or 21 and Day 28
For BID dosing, parameters were calculated for both dosing intervals (0-10 hr = interval 1 and 10-24 hr = interval 2) and were displayed as Cmax1, Cmax2.
Cmax1: maximum plasma concentration during the dosing interval τ1 =0 to 10 hours.
Cmax2: maximum plasma concentration during the dosing interval τ2=10 to 24 hours.
Time for Cmax (Tmax) of PF-06882961 on Day 1, Day 14 or 21 and Day 28
Time for Cmax, Cmax1 and Cmax2 (Tmax, Tmax1 and Tmax2) of PF-06293620 was observed directly from data as time of first occurrence.
Terminal Half-life (t½) of PF-06882961 on Day 28
Plasma decay half-life is the time measured for the plasma concentration to decrease by one half.
Amount of Unchanged Drug Recovered in Urine Over 24 Hours (Ae24) of PF-06882961 on Day 28
Ae was the cumulative amount of drug recovered unchanged in urine during the dosing interval, where the dosing interval was 24 hours. Cumulative amount was calculated as sum of urine drug concentration in sample volume for each collection interval. Sample volume = (urine weight in gram [g]/1.020), where 1.020 g/mL was the approximate specific gravity of urine.
Ae24 (%) of PF-06882961 on Day 28
Percent of dose recovered in urine as unchanged drug. Ae24% = 100* Ae24/Dose
Renal Clearance (CLr) of PF-06882961 on Day 28
CLr was calculated as Ae divided by AUCtau, where dosing interval is 24 hours.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03538743
Brief Title
4-Week, Multiple-dose, Dose-escalating Study In Patients With Type 2 Diabetes
Official Title
A PHASE 1, RANDOMIZED, DOUBLE-BLIND, SPONSOR-OPEN, PLACEBO-CONTROLLED STUDY TO ASSESS THE SAFETY, TOLERABILITY, PHARMACOKINETICS, AND PHARMACODYNAMICS OF MULTIPLE ESCALATING ORAL DOSES OF PF-06882961 IN ADULT SUBJECTS WITH TYPE 2 DIABETES MELLITUS
Study Type
Interventional
2. Study Status
Record Verification Date
June 2020
Overall Recruitment Status
Completed
Study Start Date
June 25, 2018 (Actual)
Primary Completion Date
May 23, 2019 (Actual)
Study Completion Date
June 10, 2019 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pfizer
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a dose-escalating study in patients with Type 2 diabetes on metformin. Participants will receive an investigational product or placebo for 28 days.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 2 Diabetes Mellitus
Keywords
Type 2 diabetes mellitus
7. Study Design
Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
98 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Title
PF-06882961 30 mg
Arm Type
Experimental
Arm Title
PF-06882961 100 mg
Arm Type
Experimental
Arm Title
PF-06882961 300 mg
Arm Type
Experimental
Arm Title
PF-06882961 600 mg
Arm Type
Experimental
Arm Title
PF-06882961 dose TBD Cohort 5
Arm Type
Experimental
Arm Title
PF-06882961 dose TBD Cohort 6
Arm Type
Experimental
Arm Title
PF-06882961 dose TBD Cohort 7
Arm Type
Experimental
Arm Title
PF-06882961 dose TBD Cohort 8
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Tablet, 0 mg, twice daily, 28 days
Intervention Type
Drug
Intervention Name(s)
PF-06882961
Intervention Description
Tablet, 15 mg twice daily, 28 days
Intervention Type
Drug
Intervention Name(s)
PF-06882961
Intervention Description
Tablet, 50 mg twice daily, 28 days
Intervention Type
Drug
Intervention Name(s)
PF-06882961
Intervention Description
Tablet, 150 mg twice daily, 28 days
Intervention Type
Drug
Intervention Name(s)
PF-06882961
Intervention Description
Tablet, 300 mg twice daily, 28 days
Intervention Type
Drug
Intervention Name(s)
PF-06882961
Intervention Description
Tablet, dose TBD, twice daily, Cohort 5, 28 days
Intervention Type
Drug
Intervention Name(s)
PF-06882961
Intervention Description
Tablet, dose TBD, twice daily, Cohort 6, 28 days
Intervention Type
Drug
Intervention Name(s)
PF-06882961
Intervention Description
Tablet, dose TBD, twice daily, Cohort 7, 28 days
Intervention Type
Drug
Intervention Name(s)
PF-06882961
Intervention Description
Tablet, dose TBD, twice daily, Cohort 8, 28 days
Primary Outcome Measure Information:
Title
Number of Participants With All-causality and Treatment-related Treatment-emergent Adverse Events (TEAEs)
Description
Treatment-related adverse event (AE) was any untoward medical occurrence attributed to study treatment in a participant who received study treatment. A serious AE (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; life-threatening; initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect. Any such events with initial onset or increasing in severity after the first dose of study treatment were counted as treatment-emergent.
Time Frame
From baseline to up to 35 days after last dose for a total of approximately 63 days
Title
Number of Participants With Laboratory Abnormalities Without Regard to Baseline Abnormality
Description
Following laboratory parameters were assessed against pre-defined abnormality criteria: hematology (hemoglobin, hematocrit, erythrocytes, reticulocytes, platelets, leukocytes, lymphocytes, neutrophils, basophils, eosinophils, monocytes, activated partial thromboplastin time, prothrombin time [PT], PT/international normalized ratio, reticulocytes); chemistry (indirect bilirubin, direct bilirubin, protein, albumin, blood urea nitrogen, creatinine, creatine kinase, urate, calcium, sodium, potassium, chloride, bicarbonate, urine urobilinogen); urinalysis (pH, urine glucose, urine ketones, urine protein, urine hemoglobin, nitrites, leukocyte esterase, urine erythrocytes, urine leukocytes, urine hyaline casts, urine bilirubin).
Time Frame
From baseline to up to 14 days after last dose for a total of approximately 42 days
Title
Number of Participants With Abnormal Vital Signs
Description
Vital signs categorical summarization criteria: 1) supine systolic blood pressure (SBP) <90 millimeters of mercury (mmHg); 2) supine diastolic blood pressure (DBP) <50 mmHg; 3) supine pulse rate <40 or >120 beats per minute (bpm); 4) change from baseline (increase or decrease) in supine SBP greater than or equal to (>=) 30 mmHg; 5) change from baseline (increase or decrease) in supine DBP >= 20 mmHg.
Time Frame
From baseline to up to 14 days after last dose for a total of approximately 42 days
Title
Number of Participants With Abnormal Electrocardiogram (ECG) Interval
Description
ECG categorical summarization criteria: 1. PR interval (the interval between the start of the P wave and the start of the QRS complex, corresponding to the time between the onset of the atrial depolarization and onset of ventricular depolarization): a) greater than or equal to (>=) 300 millisecond (msec), b) >=25% increase when baseline is > 200 msec or >=50% increase when baseline is less than or equal to (<=) 200 msec.
2. QRS duration (time from ECG Q wave to the end of the S wave corresponding to ventricle depolarization): a) >=140 msec, b) >=50% increase from baseline.
3. QTcF interval (QT corrected using the Fridericia formula): a) >450 msec and <=480 msec, b) >480 msec and <=500 msec, c) >500 msec, d) >30 msec and <=60 msec increase from baseline, e) >60 msec increase from baseline
Time Frame
From baseline to up to 14 days after last dose for a total of approximately 42 days
Secondary Outcome Measure Information:
Title
AUC24 and AUCtau of PF-06882961 on Day 1, Day 14 or 21 and Day 28
Description
Area under the concentration-time profile from time zero to time 24 hours (AUC24) was calculated as AUCtau1 +AUCtau2, where AUCtau was area under the plasma concentration-time profile from time zero to time tau (tau1 = 0 to 10 hours and tau2=10 to 24 hours). AUCtau was determined using linear/log trapezoidal method.
Time Frame
0, 1, 2, 4, 6, 8, 10, 12, 14 and 24 hrs post dose on Day 1, 14 or 21, and 28
Title
Maximum Plasma Concentration (Cmax) of PF-06882961 on Day 1, Day 14 or 21 and Day 28
Description
For BID dosing, parameters were calculated for both dosing intervals (0-10 hr = interval 1 and 10-24 hr = interval 2) and were displayed as Cmax1, Cmax2.
Cmax1: maximum plasma concentration during the dosing interval τ1 =0 to 10 hours.
Cmax2: maximum plasma concentration during the dosing interval τ2=10 to 24 hours.
Time Frame
0, 1, 2, 4, 6, 8, 10, 12, 14 and 24 hours post dose on Day 1, 14 or 21, and 28
Title
Time for Cmax (Tmax) of PF-06882961 on Day 1, Day 14 or 21 and Day 28
Description
Time for Cmax, Cmax1 and Cmax2 (Tmax, Tmax1 and Tmax2) of PF-06293620 was observed directly from data as time of first occurrence.
Time Frame
0, 1, 2, 4, 6, 8, 10, 12, 14 and 24 hrs post dose on Day 1, 14 or 21, and 28
Title
Terminal Half-life (t½) of PF-06882961 on Day 28
Description
Plasma decay half-life is the time measured for the plasma concentration to decrease by one half.
Time Frame
0, 1, 2, 4, 6, 8, 10, 12, 14 and 24 hrs post dose on Day 28
Title
Amount of Unchanged Drug Recovered in Urine Over 24 Hours (Ae24) of PF-06882961 on Day 28
Description
Ae was the cumulative amount of drug recovered unchanged in urine during the dosing interval, where the dosing interval was 24 hours. Cumulative amount was calculated as sum of urine drug concentration in sample volume for each collection interval. Sample volume = (urine weight in gram [g]/1.020), where 1.020 g/mL was the approximate specific gravity of urine.
Time Frame
0 to 24 hours post-dose on Day 28
Title
Ae24 (%) of PF-06882961 on Day 28
Description
Percent of dose recovered in urine as unchanged drug. Ae24% = 100* Ae24/Dose
Time Frame
0 to 24 hours post-dose on Day 28
Title
Renal Clearance (CLr) of PF-06882961 on Day 28
Description
CLr was calculated as Ae divided by AUCtau, where dosing interval is 24 hours.
Time Frame
0 to 24 hours post-dose on Day 28
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Type 2 diabetes treated with a stable dose of metformin at least 500 mg
HbA1c value between 7.0 and 10.5%
Exclusion Criteria:
- Type 1 diabetes or secondary forms of diabetes
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pfizer CT.gov Call Center
Organizational Affiliation
Pfizer
Official's Role
Study Director
Facility Information:
Facility Name
Anaheim Clinical Trials, LLC
City
Anaheim
State/Province
California
ZIP/Postal Code
92801
Country
United States
Facility Name
Qps-Mra, Llc
City
South Miami
State/Province
Florida
ZIP/Postal Code
33143
Country
United States
Facility Name
Qps-Mra,Llc
City
South Miami
State/Province
Florida
ZIP/Postal Code
33143
Country
United States
Facility Name
Altasciences Clinical Kansas, Inc.
City
Overland Park
State/Province
Kansas
ZIP/Postal Code
66212
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
IPD Sharing Plan Description
Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
Citations:
PubMed Identifier
34127852
Citation
Saxena AR, Gorman DN, Esquejo RM, Bergman A, Chidsey K, Buckeridge C, Griffith DA, Kim AM. Danuglipron (PF-06882961) in type 2 diabetes: a randomized, placebo-controlled, multiple ascending-dose phase 1 trial. Nat Med. 2021 Jun;27(6):1079-1087. doi: 10.1038/s41591-021-01391-w. Epub 2021 Jun 14.
Results Reference
derived
Links:
URL
https://pmiform.com/clinical-trial-info-request?StudyID=C3421002
Description
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Learn more about this trial
4-Week, Multiple-dose, Dose-escalating Study In Patients With Type 2 Diabetes
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