Diabetic NephropathiesPhase 2NCT01200394
A Phase 2, Placebo-Controlled Study To Evaluate The Efficacy And Safety Of PF-00489791 In Patients With Type 2 Diabetes And Overt Nephropathy
A Phase 2 study testing PF-00489791 in people with Diabetic Nephropathies, run by Pfizer at 160 sites in 15 countries.
Trial summary
PF-00489791 is an inhibitor of phosphodiesterase type 5. Our hypothesis is that PF-00489791 will enhance the relaxation of blood vessels within the kidney and so reduce blood pressure, improving renal function. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Diabetic Nephropathies
- What is being tested?
- PF-00489791
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 256 participants
- Where
- 160 sitesin 15 countries
- Study dates
- Dec 2010to Aug 2013
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female subjects greater than or equal to 18 years. Female subjects must be of non-child bearing potential.
- Clinical diagnosis of type 2 diabetes together with stages 3a, 3b or 4 CKD, based on an eGFR of 25-59 mL/min/1.73m2.
- Evidence of persistent, overt albuminuria; defined as a UACR greater than or equal to 300 mg/g (greater than or equal to 33.9 mg/mmol) for greater than 3 months.
Who cannot join
- Subjects with CKD resulting from type 1 diabetes or non-diabetic CKD.
- Subjects with poorly controlled diabetes mellitus, defined as HbA1C >9%.
- Subjects on combination ACE inhibitor/ARB therapy.
Trial locations and contacts
160 sites in 15 countries.
160 sites in 15 countries
United States63 sites
Mountain Kidney and Hypertension Associates, PA
Asheville, North Carolina, 28801
Central Texas Kidney Associates
Austin, Texas, 78751
Research Management, Inc.
Austin, Texas, 78751
North America Research Institute
Azusa, California, 91702
North American Research Institute / California Kidney Specialist
Azusa, California, 91702
Northeast Clinical Research Center, LLC
Bethlehem, Pennsylvania, 18017
Renal Remission & Hypertension Consultants, PLLC
Bremerton, Washington, 98310
Chicago Clinical Research Institute, Inc.
Chicago, Illinois, 60616
Columbia Nephrology Associates, PA
Columbia, South Carolina, 29203
Rockdale Medical Research Associates
Conyers, Georgia, 30094
Citrus Dialysis Center
Covina, California, 91723
Alzohaili Medical Consultants
Dearborn, Michigan, 48124
Riverside Clinical Research
Edgewater, Florida, 32132
Investigative Clinical Research of Indiana, LLC
Elwood, Indiana, 46036
Associates in Nephrology, SC
Evergreen Park, Illinois, 60805
Research by Design, LLC
Evergreen Park, Illinois, 60805
Nephrology Associates of Northern Virginia, Inc.
Fairfax, Virginia, 22033
Apex Medical Research, AMR, Inc.
Flint, Michigan, 48504
Apex Medical Research, MI, Inc.
Flint, Michigan, 48504
AKDHC Medical Research Services, LLC*
Glendale, Arizona, 85306
Carolina Nephrology, PA
Greenville, South Carolina, 29605
Palm Springs Research Institute
Hialeah, Florida, 33012
Diagnostic Clinic of Houston, PA
Houston, Texas, 77004
Houston Nephrology Research
Houston, Texas, 77024
Research Across America
Houston, Texas, 77054
Saadat Ansari Internal Medicine
Huntsville, Alabama, 35801
The Office of Iqbal Saeed MD, LLC
Huntsville, Alabama, 35805
ASA Clinical Research, LLC
Jupiter, Florida, 33458
Clinical Research Consultants, LLC
Kansas City, Missouri, 64111
California Institute of Renal Research
La Mesa, California, 91942
Alliance Against Diabetes
Las Vegas, Nevada, 89101
Clinical Research Consortium
Las Vegas, Nevada, 89119
Lincoln Nephrology and Hypertension
Lincoln, Nebraska, 68510
Nebraska Nephrology Research Institute, LLC - Research Management, Inc.
Lincoln, Nebraska, 68510
Renal Physicians of Georgia
Macon, Georgia, 31217
Nephrology Specialists, P.C.
Mechanicsville, Virginia, 23116
Boise Kidney and Hypertension Institute
Meridian, Idaho, 83642
Crescent City Clinical Research Center
Metairie, Louisiana, 70006
Clinical Research Associates of Tidewater
Norfolk, Virginia, 23507
Palmetto Nephrology, PA
Orangeburg, South Carolina, 29118
South Carolina Nephrology & Hypertension Ctr, Inc
Orangeburg, South Carolina, 29118
South Carolina Nephrology and Hypertension Center
Orangeburg, South Carolina, 29118
Four Rivers Clinical Research, Inc.
Paducah, Kentucky, 42003
RenalCare Associates
Peoria, Illinois, 61603
Sound Medical Research
Port Orchard, Washington, 98366
Biolab Research, LLC
Rockville, Maryland, 20852
Capital Nephrology Clinical Research
Sacramento, California, 95825
Renal Associates, PA
San Antonio, Texas, 78215
San Antonio Kidney Disease Center Physicians Group, P.L.L.C.
San Antonio, Texas, 78229
California Kidney Specialists
San Dimas, California, 91773
Northwest Louisiana Nephrology
Shreveport, Louisiana, 71101
Renal Remission and Hypertension Clinic
Silverdale, Washington, 98383
Lakeview Medical Research
Summerfield, Florida, 34491
Southwest Clinical Research Institute, LLC
Tempe, Arizona, 85281
Southwest Clinical Research Institute, LLC
Tempe, Arizona, 85284
Jacobi Medical Center - Department of Medicine - Nephrology
The Bronx, New York, 10461
Preferred Primary Care Physicians, Inc.
Uniontown, Pennsylvania, 15401
American Institute of Research
Whittier, California, 90602
Whittier Internal Medicine Nephrology Medical Group
Whittier, California, 90602
Kansas Nephrology Research Institute, LLC
Wichita, Kansas, 67214
Lake Medical Research
Willoughby Hills, Ohio, 44094
Trial Management Associates
Wilmington, North Carolina, 28401
North Valley Nephrology
Yuba City, California, 95991
Canada14 sites
Entralogix Clincal Research Inc.
Brampton, Ontario, L6Z 4N5
Entralogix Clinical Research Inc.
Brampton, Ontario, L6Z 4N5
Sheldon M Chumir Health Centre
Calgary, Alberta, T2N 0X7
University of Alberta Hospital
Edmonton, Alberta, T6G 2B7
Centre de sante et de services sociaux champlain-Charles-Le Moyne
Greenfield Park, Quebec, J4V 2H1
London Health Sciences Centre
London, Ontario, N6A 5A5
Centre de Dialyse de Bois de Boulogne
Montreal, Quebec, H3M 3E3
Hopital de Sacre Coeur de Montreal
Montreal, Quebec, H4J 1C5
Entralogix Clinical Research Inc.
Oakville, Ontario, L6J 3M5
Saskatoon Nephrology Group, Nurses Redisence
Saskatoon, Saskatchewan, S7M 2Z1
Saskatoon Nephrology Group, Nurses Residence
Saskatoon, Saskatchewan, S7M 2Z1
Saskatoon Nephrology Group
Saskatoon, Saskatchewan, S7M 2Z1
N/A - formerly with Entralogix SMO
Toronto, Ontario, M4C 5T2
Sunnybrook Health Sciences Center
Toronto, Ontario, M4N 3M5
South Africa11 sites
Worthwhile Clinical Trials (WWCT), Lake View Hospital
Benoni, Gauteng, 1500
Latros International
Bloemfontein, 9301
Division of Nephrology and Hypertension, E13 Renal Unit
Cape Town, 7925
Centre for Diabetes and Endocrinology
Durban, KwaZulu-Natal, 4091
St Augustine's Hospital
Durban, 4001
Centre for Diabetes and Endocrinology
Durban, 4091
Centre for Diabetes and Endocrinology
Houghton, Johannesburg, 2198
Wits Clinical research
Johannesburg, Gauteng- South Africa, 2096
Intercare Parow Medical and Dental Centre
Parow, 7500
Dr. George Mukhari Hospital -University of Limpopo
Pretoria, Gauteng, 0204
Medi-Clinic Heart Hospital (Pretoria Heart Hospital)
Pretoria, 132
India10 sites
Gujarat Kidney Foundation
Ahmedabad, Gujarat, 380 007
Shrushrut Clinical Research Association
Ahmedabad, Gujarat, 380 013
Apollo Hospitals
Hyderabad, Andhra Pradesh, 500096
P. D. Hinduja National Hospital and Medical Research Centre
Mumbai, Maharashtra, 400016
Pfizer Centre
Mumbai, Maharashtra, 400102
Deenanath Mangeshkar Hospital & Research Centre
Pune, Maharashtra, 411 004
Diabetes Care and Research Centre
Pune, Maharashtra, 411 011
KE.M Hospital Research Centre
Pune, Maharashtra, 411 011
King Edward Memorial Hospital
Pune, Maharashtra, 411 011
Jehangir Clinical Development Centre Pvt. Ltd.
Pune, Maharashtra, 411001
Poland9 sites
NZOZ "DIAGNOMED" S.C., Poradnia Nefrologiczna
Bielsko-Biala, 43-300
Samodzielny Publiczny Szpital Kliniczny im Andrzeja Mieleckiego
Katowice, 40-027
NZOZ PS "Medica"
Lublin, 20-538
Centrum Medyczne "Osteomed" NZOZ, Lecznica Specjalistow
Warsaw, 02-256
Centrum Medyczne "OSTEOMED" NZOZ
Warsaw, 02-256
Centrum Medyczne "Osteomed"
Warsaw, 02-256
Centrum Medyczne OSTEOMED NZOZ; Lecznica Specjalistaw
Warsaw, 02-256
Miedzyleski Szpital Specjalistyczny w Warszawie
Warsaw, 4749
SPZOZ Akademicki Szpital Kliniczny im. J. Mikulicza - Radeckiego
Wroclaw, 50-556
South Korea9 sites
Pharmacy
Seongnam-si, Gyeonggi-do, 463-707
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 463-707
Clinical Trial Pharmacy
Seongnam-si, 463-707
Seoul National University Hospital
Seoul, 110-744
Samsung Medical Center, Department of Pharmacy
Seoul, 135-710
Samsung Medical Center,Sungkyunkwan Univ School of Medicine
Seoul, 135-710
Samsung Medical Center/Division of Nephrology
Seoul, 135-710
Boramae Medical Center/Division of Nephrology
Seoul, 156-707
SMG-SNU Boramae Medical Center
Seoul, 156-707
Malaysia7 sites
Clinical Research Centre, Hospital Pulau Pinang
George Town, Pulau Pinang, 10990
Hospital Pulau Pinang
George Town, Pulau Pinang, 10990
Unit Hemodialisis, Hospital Serdang
Kajang, Selangor, 43000
Universiti Sains Malaysia
Kota Bharu, Kelantan, 16150
Nephrology Clinic, Queen Elizabeth Hospital
Kota Kinabalu, Sabah, 88586
Unit Kajian Klinikal, Hospital Universiti Sains Malaysia
Kubang Kerian, Kelantan, 16150,
Hospital Taiping
Taiping, Perak, 34000
Serbia6 sites
Clinical Center of Serbia Institute for Endocrinology, Diabetes and Metabolic Diseases
Belgrade, 11 000
Clinic for Nephrology, Military Medical Academy
Belgrade, 11000
Clinical Center of Serbia
Belgrade, 11000
Clinical Hospital Center "Zvezdara"
Belgrade, 11000
Clinical Hospital Center Zvezdara
Belgrade, 11000
Clinic for Endocrinology, Clinical Center Nis
Niš, 18000
United Kingdom6 sites
Research Offices (5th Floor)
Coventry, CV2 2DX
Doncaster Royal Infirmary
Doncaster, South Yorkshire, DN2 5LT
University of Edinburgh
Edinburgh, EH16 4TJ
The Royal London Hospital Whitechapel
London, E1 1BB
Guy's and St Thomas' Foundation Trust
London, SE1 9RT
Northern General Hospital Campus
Sheffield, S5 7AU
Australia5 sites
Renal Research Practice
Gosford, New South Wales, 2250
Department of Nephrology
New Lambton, Newcastle, 2305
Pharmacy Department
New Lambton, Newcastle, 2305
John Hunter Hospital
Newcastle, New South Wales, 2305
Melbourne Renal Research Group
Reservoir, Victoria, 3073
Hong Kong5 sites
Queen Mary Hospital
Hong Kong
Division of Nephrology, Dept. of Medicine
Pokfulam
Division of Nephrology
Pokfulam
ICON Clinical Research
Quarry Bay
Prince of Wales Hospital
Shatin, N.T. 0
Mexico5 sites
Hospital Angeles del Pedregal
Angeles Del Pedregal Cp., 10700
ICLE SC
Guadalajara, Jalisco, 44600
Comite Mexicano para la Prevencion de la Osteoporosis, A.C.
Mexico City, Mexico City, 06100
Hospital Central Dr Ignacio Morones Prieto Unidad Regional de Osteoporosis
San Luis Potosí City, San Luis Potosí, 78240
Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran (INCMNSZ)
Tlalpan, Mexico City, 14000
Slovakia4 sites
FNsP Bratislava, Nemocnica Stare Mesto
Bratislava, 813 69
Nemocnice s poliklinikami n.o.
Levice, 934 01
Fakultna nemocnica s poliklinikou J.A.Reimana Presov
Prešov, 081 81
Vseobecna nemocnica Rimavska Sobota
Rimavská Sobota, 979 12
Denmark3 sites
Aarhus Universitetshospital (Aarhus Sygehus)
Aarhus, 8000
Rigshospitalet
Copenhagen Oe, 2100
Steno Diabetes Center
Gentofte Municipality, 2820
Sweden3 sites
Sahlgrenska University Hospital Njurmottagningen
Gothenburg, 413 45
A+ Science City site
Stockholm, 111 57
Akademiska Sjukhuset
Uppsala, 751 85
About this study
Official title: A PHASE 2, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED, PARALLEL GROUP, MULTI-CENTER STUDY TO EVALUATE THE EFFICACY AND SAFETY OF ONCE-DAILY ADMINISTRATION OF A PHOSPHODIESTERASE 5 INHIBITOR (PF-00489791) IN ADULTS WITH TYPE 2 DIABETES AND OVERT NEPHROPATHY
PF-00489791 is an inhibitor of phosphodiesterase type 5. Our hypothesis is that PF-00489791 will enhance the relaxation of blood vessels within the kidney and so reduce blood pressure, improving renal function.
- Conditions
- Diabetic Nephropathies
- Being tested
- PF-00489791, Placebo
- Keywords
- Diabetic nephropathy, chronic kidney disease, PF-00489791, phosphodiesterase, PDE5
- Medical subject headings
- Diabetic Nephropathies, Renal Insufficiency, Chronic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PF-00489791Drug
Tablet, 20 mg once daily for 12 weeks
PlaceboDrug
Tablet, placebo once daily for 12 weeks
| Study group | Role | What they receive |
|---|---|---|
| PF-00489791 | Experimental | Not described Receives: Drug: PF-00489791 |
| Placebo | Placebo comparator | Not described Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in Urinary Albumin Creatinine Ratio (UACR) at Week 12
UACR was ratio of albumin measured in urine (milligram) to creatinine measured in urine (millimole), reported in units milligram per millimole (mg/mmol). A decrease in UACR may be associated with improved renal and cardiovascular function. The mean values of the 3 consecutive first morning void urine samples (obtained 2 days prior to [Day 5, 6 of Week 12], and with last sample collected on the morning of scheduled clinic visit [Day 7 of Week 12]) were used to determine UACR at the scheduled clinic visit. The mean values of the 3 consecutive first morning void urine samples obtained at screening were used to determine baseline UACR.
Measured: Baseline, Week 12 (Day 5, 6, 7)
Secondary outcomes (9)
Change From Baseline in Urinary Albumin Creatinine Ratio (UACR) at Week 3, 6 and 16
UACR was ratio of albumin measured in urine (milligram) to creatinine measured in urine (millimole), reported in units mg/mmol. A decrease in UACR may be associated with improved renal and cardiovascular function. The mean values of the 3 consecutive first morning void urine samples (obtained 2 days prior to [Day 5, 6 of specified Week], and with last sample collected on the morning of scheduled clinic visit [Day 7 of specified Week]) were used to determine UACR at the scheduled clinic visit. The mean values of the 3 consecutive first morning void urine samples obtained at screening were used to determine baseline UACR.
Measured: Baseline, Week 3 (Day 5, 6, 7), Week 6 (Day 5, 6, 7), Week 16 (Day 5, 6, 7)
Change From Baseline in Urinary Protein Creatinine Ratio (UPCR) at Week 3, 6, 12, and 16
UPCR is a ratio between two measured substances in urine: milligram of protein per millimole (mmol) of creatinine, reported in units mg/mmol. A decrease in UPCR may be associated with improved renal and cardiovascular function. The mean values of the 3 consecutive first morning void urine samples (obtained 2 days prior to [Day 5, 6 of Week 3, 6, 12, 16], and with last sample collected on the morning of scheduled clinic visit [Day 7 of Week 3, 6, 12, 16]) were used to determine UPCR at the scheduled clinic visit. The mean values of the 3 consecutive first morning void urine samples obtained at screening were used to determine baseline UPCR.
Measured: Baseline, Week 3 (Day 5, 6, 7), Week 6 (Day 5, 6, 7), Week 12 (Day 5, 6, 7), Week 16 (Day 5, 6, 7)
Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) at Week 3, 6, 12, and 16
The eGFR was calculated using 4 variable formula developed by the modification of diet in renal disease (MDRD) study group. The 4 variables needed to estimate glomerular filtration rate (GFR) using this formula were serum creatinine concentration (sCr), age, sex (for females, eGFR was multiplied by 0.742) and ethnic origin (for African-Caribbean people only, eGFR was multiplied by 1.212). Thus eGFR in milliliter per minute per 1.73 square meter (mL/min/1.73 m^2) = 175*(sCr/88.4)^-1.154*(Age)^-0.203*(0.742 if female)*(1.212 if African-Caribbean). Baseline eGFR was determined predose at Week 0 (Day 1).
Measured: Baseline, Week 3, 6, 12, 16 (follow-up)
Systolic, Diastolic and Mean Blood Pressure at Week 0, 3, 6, 12, and 16
Systolic blood pressure (SBP) is the blood pressure (pressure exerted by circulating blood on the walls of blood vessels) when heart is contracting; it is the maximum arterial pressure during contraction of left ventricle of heart. diastolic blood pressure (DBP) is the blood pressure (pressure exerted by circulating blood on the walls of blood vessels) when heart is relaxing; it is the minimum arterial pressure during relaxation and dilation of ventricles of heart. Mean blood pressure (MBP) = diastolic blood pressure + ([systolic blood pressure - diastolic blood pressure]/3). After a minimum of 5 minutes of rest, supine BP was measured with the participant's arm supported at the level of the heart.
Measured: Week 0, 3, 6, 12, 16 (follow-up)
Change From Baseline in Serum Creatinine Concentration at Week 3, 6, 12, and 16
Serum creatinine concentration was used as a marker of renal function. Baseline serum creatinine concentration was determined predose at Week 0 (Day 1).
Measured: Baseline, Week 3, 6, 12, 16 (follow-up)
Change From Baseline in Urine Transforming Growth Factor (TGF) Beta-1 Concentration at Week 3, 6, 12, and 16
TGF Beta-1 is a major fibrogenic growth factor implicated in the pathogenesis of renal scarring. It is overexpressed in the diabetic kidney where it may promote matrix accumulation. Baseline TGF Beta-1 concentration was determined predose at Week 0 (Day 1).
Measured: Baseline, Week 3, 6, 12, 16 (follow-up)
Change From Baseline in Serum High Sensitivity C-Reactive Protein (Hs-CRP) Concentration at Week 12 and 16
The CRP is an acute phase reactant which is virtually absent from the blood serum of healthy persons but rapidly appears in blood and body fluids in response to injurious stimuli. Baseline hs-CRP was determined predose at Week 0 (Day 1).
Measured: Baseline, Week 12, 16 (follow-up)
Change From Baseline in Serum Cystatin-C Concentration at Week 12 and 16
Cystatin C is produced by all nucleated cells at a constant rate and is freely filtered at the glomerulus. The blood concentration of cystatin C depends almost entirely on the GFR and is not substantially affected by diet, nutritional status or inflammatory disease. Serum cystatin C had been proposed as an endogenous marker of GFR in participant with chronic kidney disease (CKD) than sCr. Baseline serum cystatin C was determined predose at Week 0 (Day 1).
Measured: Baseline, Week 12, 16 (follow-up)
Plasma Concentration Versus Time Summary of PF-00489791
Measured: Pre-dose at Day 1 of Week 0, 3, 6 and 12; 4 hours post-dose on Day 1 of Week 0, 3 and 6
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Sep 2010 (estimated)
- Study startDec 2010
- Primary completionJul 2013
- Study completionAug 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Diabetic NephropathiesStudies of the same condition, open and under way.
- More trials run by PfizerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 256 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01200394
- Sponsor's protocol ID
- A7331011
- Other IDs
- 2010-021358-20
- Status last verified
- Feb 2019
- First submitted
- 10 Sep 2010
- Last updated
- 12 Mar 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- Individual data sharing
- Yes: 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.
Study at a glance
From the registry record, last updated by the sponsor on 12 Mar 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A PHASE 2, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED, PARALLEL GROUP, MULTI-CENTER STUDY TO EVALUATE THE EFFICACY AND SAFETY OF ONCE-DAILY ADMINISTRATION OF A PHOSPHODIESTERASE 5 INHIBITOR (PF-00489791) IN ADULTS WITH TYPE 2 DIABETES AND OVERT NEPHROPATHY
- ClinicalTrials.gov ID
- NCT01200394
- Acronym / sponsor ID
- A7331011
- Conditions
- Diabetic Nephropathies
- Keywords
- Diabetic nephropathy, chronic kidney disease, PF-00489791, phosphodiesterase, PDE5
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 256 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- Dec 2010 (actual)
- Primary completion
- Jul 2013 (actual)
- Study completion
- Aug 2013 (actual)
- First posted
- 13 Sep 2010 (estimated)
- Results
- Posted 12 Mar 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
PF-00489791 is an inhibitor of phosphodiesterase type 5. Our hypothesis is that PF-00489791 will enhance the relaxation of blood vessels within the kidney and so reduce blood pressure, improving renal function.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| PF-00489791 | Experimental | Drug: PF-00489791 |
| Placebo | Placebo comparator | Drug: Placebo |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Male or female subjects greater than or equal to 18 years. Female subjects must be of non-child bearing potential.
- Clinical diagnosis of type 2 diabetes together with stages 3a, 3b or 4 CKD, based on an eGFR of 25-59 mL/min/1.73m2.
- Evidence of persistent, overt albuminuria; defined as a UACR greater than or equal to 300 mg/g (greater than or equal to 33.9 mg/mmol) for greater than 3 months.
Key exclusion criteria (3 listed)
- Subjects with CKD resulting from type 1 diabetes or non-diabetic CKD.
- Subjects with poorly controlled diabetes mellitus, defined as HbA1C >9%.
- Subjects on combination ACE inhibitor/ARB therapy.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PF-00489791Tablet, 20 mg once daily for 12 weeks | Drug | PF-00489791 |
| PlaceboTablet, placebo once daily for 12 weeks | Drug | Placebo |
Primary outcome
Change From Baseline in Urinary Albumin Creatinine Ratio (UACR) at Week 12
Time frame: Baseline, Week 12 (Day 5, 6, 7)
UACR was ratio of albumin measured in urine (milligram) to creatinine measured in urine (millimole), reported in units milligram per millimole (mg/mmol). A decrease in UACR may be associated with improved renal and cardiovascular function. The mean values of the 3 consecutive first morning void urine samples (obtained 2 days prior to [Day 5, 6 of Week 12], and with last sample collected on the morning of scheduled clinic visit [Day 7 of Week 12]) were used to determine UACR at the scheduled clinic visit. The mean values of the 3 consecutive first morning void urine samples obtained at screening were used to determine baseline UACR.
9 secondary outcomes
Change From Baseline in Urinary Albumin Creatinine Ratio (UACR) at Week 3, 6 and 16
Time frame: Baseline, Week 3 (Day 5, 6, 7), Week 6 (Day 5, 6, 7), Week 16 (Day 5, 6, 7)
Change From Baseline in Urinary Protein Creatinine Ratio (UPCR) at Week 3, 6, 12, and 16
Time frame: Baseline, Week 3 (Day 5, 6, 7), Week 6 (Day 5, 6, 7), Week 12 (Day 5, 6, 7), Week 16 (Day 5, 6, 7)
Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) at Week 3, 6, 12, and 16
Time frame: Baseline, Week 3, 6, 12, 16 (follow-up)
Systolic, Diastolic and Mean Blood Pressure at Week 0, 3, 6, 12, and 16
Time frame: Week 0, 3, 6, 12, 16 (follow-up)
Change From Baseline in Serum Creatinine Concentration at Week 3, 6, 12, and 16
Time frame: Baseline, Week 3, 6, 12, 16 (follow-up)
Change From Baseline in Urine Transforming Growth Factor (TGF) Beta-1 Concentration at Week 3, 6, 12, and 16
Time frame: Baseline, Week 3, 6, 12, 16 (follow-up)
Change From Baseline in Serum High Sensitivity C-Reactive Protein (Hs-CRP) Concentration at Week 12 and 16
Time frame: Baseline, Week 12, 16 (follow-up)
Change From Baseline in Serum Cystatin-C Concentration at Week 12 and 16
Time frame: Baseline, Week 12, 16 (follow-up)
Plasma Concentration Versus Time Summary of PF-00489791
Time frame: Pre-dose at Day 1 of Week 0, 3, 6 and 12; 4 hours post-dose on Day 1 of Week 0, 3 and 6
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Mar 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. 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.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pfizer CT.gov Call Center study director
Pfizer
160 sites in 15 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing PF-00489791 in people with Diabetic Nephropathies, run by Pfizer at 160 sites in 15 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 12 Mar 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 160 sites in United States, Canada, South Africa, India, Poland and 10 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 12 Mar 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change From Baseline in Urinary Albumin Creatinine Ratio (UACR) at Week 12 (time frame: Baseline, Week 12 (Day 5, 6, 7)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Mar 2019.