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Diabetes Mellitus, Type IIPhase 2NCT02175121

Safety, Tolerability, Pharmacokinetics And Pharmacodynamics Study Of PF-06291874 As Oral Monotherapy To Treat Adults With Type 2 Diabetes Mellitus

A Phase 2 study testing PF-06291874 in people with Diabetes Mellitus, Type II, run by Pfizer at 19 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study is going to assess the safety and tolerability of PF-06291874 in adults with Type 2 Diabetes Mellitus as monotherapy, to evaluate the significance of overall glycemic control in these subjects. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Diabetes Mellitus, Type II
What is being tested?
PF-06291874
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
172 participants
Where
19 sitesUnited States
Study dates
Aug 2014to Mar 2015
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 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male subjects and non-childbearing potential female subjects between the ages of 18 and 70 years old.
  • Body Mass Index of 18.0 to 45.4 kg/m2; and a total body weight of >50 kg
  • HbA1c value at the screening visit meeting once of the following criteria:
  • Currently taking acceptable oral antiglycemic drug therapy within 6.5 to 9.5%
  • Not currently taking any oral antiglycemic drug therapy within 7 to 10.5%
  • Fasting plasma glucose concentrations<270mg/dL at the screening and run-in visit, confirmed by a single repeat, if deemed necessary.
  • Subjects must be willing and able to perform self-tests of blood glucose at least 4 times per day, and maintain a diary for the duration of participation in the study; and therefore, subjects must be literate.

Who cannot join

  • History of Type 1 diabetes mellitus or secondary forms of diabetes
  • One or more self-reported hypoglycemic episodes of sever intensity within 3 months of screening; or 2 or more self-reported hypoglycemic episodes of severe intensity within the previous 6 months.
  • History of myocardial infarction, unstable angina, arterial revascularization, stroke, New York Heart Association Functional Class II-IV heart failure, or transient ischemic attach within 6 months of screening.
  • History or evidence of diabetic complications with significant end organ damage, such as
  • Proliferative retinopathy and/or macular edema;
  • Diabetic neuropathy complicated by neuropathic ulcers;
  • Screening seated systolic blood pressure >160 mm Hg and/or diastolic blood pressure >100 mm Hg after at least a 5 minute seated rest. If the blood pressure exceeds this limit, the blood pressure may be repeated 2 more times following approximately 2 minutes of rest between measurements and the median of the 3 values should be used to determine subject eligibility;
  • Male subjects with partners currently pregnant; or male subjects capable of conceiving children who are unwilling or unable to use a highly effective method of contraception as outlined in this protocol for the duration of the study and for at least 28 days after the last dose of investigational product.

Trial locations and contacts

19 sites in 1 country.

19 sites in 1 country

United States19 sites
  • Anaheim Clinical Trials, LLC

    Anaheim, California, 92801

  • Buffalo Clinical Research Center, LLC

    Buffalo, New York, 14202

  • Profil Institute for Clinical Research, Inc.

    Chula Vista, California, 91911

  • Community Research

    Cincinnati, Ohio, 45255

  • Avail Clinical Research, LLC

    DeLand, Florida, 32720

  • Clinilabs, Inc.

    Eatontown, New Jersey, 07724

  • High Point Clinical Trials Center, LLC

    High Point, North Carolina, 27265

  • Louisville Metabolic and Atherosclerosis Research Center

    Louisville, Kentucky, 40213

  • PRA International

    Marlton, New Jersey, 08053

  • SeaView Research, Inc.

    Miami, Florida, 33125

  • SeaView Research, Inc.

    Miami, Florida, 33126

  • DaVita Clinical Research

    Minneapolis, Minnesota, 55404

  • Compass Research, LLC

    Orlando, Florida, 32806

  • Rainier Clinical Research Center, Inc.

    Renton, Washington, 98057

  • Clinical Trials of Texas, Inc.

    San Antonio, Texas, 78229

  • Miami Research Associates, Inc.

    South Miami, Florida, 33143

  • MRA Clinical Research, LLC

    South Miami, Florida, 33143

  • MRA Clinical Research

    South Miami, Florida, 33143

  • Diablo Clinical Research, Inc.

    Walnut Creek, California, 94598

Other trials in United States

About this study

Official title: A Phase 2, Randomized, Double-blind, Placebo-controlled, Parallel Group Trial To Assess The Safety, Tolerability, Pharmacokinetics And Pharmacodynamics Of Multiple Oral Doses Of Pf-06291874 Given As Monotherapy To Adults With Type 2 Diabetes Mellitus

This study is going to assess the safety and tolerability of PF-06291874 in adults with Type 2 Diabetes Mellitus as monotherapy, to evaluate the significance of overall glycemic control in these subjects.

Being tested
Placebo, PF-06291874
Medical subject headings
Diabetes Mellitus, Type 2

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PlaceboDrug

    Tablet, once daily for 28 days

  • PF-06291874Drug

    Tablet, 15 mg, once daily for 28 days

  • PF-06291874Drug

    Tablet, 35 mg, once daily for 28 days

  • PF-06291874Drug

    Tablet, 75 mg, once daily for 28 days

  • PF-06291874Drug

    Tablet, 150 mg, once daily for 28 days

Study groups in NCT02175121
Study groupRoleWhat they receive
Treatment A- PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo
Treatment B- PF-06291874ExperimentalNot described
Receives: Drug: PF-06291874
Treatment C- PF-06291874ExperimentalNot described
Receives: Drug: PF-06291874
Treatment D- PF-06291874ExperimentalNot described
Receives: Drug: PF-06291874
Treatment E- PF-06291874ExperimentalNot described
Receives: Drug: PF-06291874

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Treatment-Emergent Adverse Events (TEAEs), or Serious Adverse Events (SAEs), or Hypoglycemic Adverse Events (HAE) or Withdrawals Due to Adverse Events (AEs)

    An AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; life threatening (immediate risk of death); initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect. An HAE was identified by characteristic symptoms or blood glucose levels. TEAEs are events between first dose of study drug and up to 10-14 days after last dose of study drug that were absent before treatment or that worsened relative to pre-treatment state.

    Measured: Baseline up to 10-14 days after last dose of study drug, up to 42 days

  2. Number of Participants With Laboratory Test Abnormalities

    The total number of participants with laboratory test abnormalities (without regard to baseline abnormality) was assessed. Clinical laboratory tests included hematology, chemistry, urinalysis, and some other tests.

    Measured: Baseline up to 10-14 days after last dose of study drug, up to 42 days

  3. Number of Participants With Change From Baseline and Absolute Values in Vital Signs Meeting Criteria of Potential Clinical Concern

    Vital Signs included seated supine systolic and diastolic blood pressure (BP) and pulse rate. Vital signs criteria of potential clinical concern were 1), BP: systolic (SBP) greater than or equal to (>=) 30 millimeters of mercury (mm Hg) change from baseline, systolic less than (<) 90 mm Hg; diastolic BP (DBP) >=20 mm Hg change from baseline, diastolic <50 mm Hg; 2), pulse rate <40 or greater than (>) 120 beats per minute (bpm).

    Measured: Baseline up to 10-14 days after last dose of study drug, up to 42 days

  4. Number of Participants With Electrocardiogram (ECG) Data Meeting Criteria of Potential Clinical Concern

    ECG criteria of potential clinical concern were 1), time from ECG Q wave to the end of the S wave corresponding to ventricle depolarization (QRS interval): >=140 msec; >=50% increase from baseline; 2), 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 (PR interval): >=300 milliseconds (msec); >=25 percent (%) increase when baseline >200 msec; or increase >=50% when baseline less than or equal to (<=)200 msec; 3), time from ECG Q wave to the end of the T wave corresponding to electrical systole corrected for heart rate using Fridericia's formula (QTcF interval): absolute value >=450 - <480 msec, >=480-<500 msec, >=500 msec; increase from baseline >=30 - <60, >=60 msec.

    Measured: Baseline up to 10-14 days after last dose of study drug, up to 42 days

Secondary outcomes (21)
  1. Change From Baseline in Mean Daily Glucose

    The mean daily glucose was determined from the area under the concentration (AUC) of the glucose concentrations measured at nominal times 0, 0.5, 1, 1.5, 2, 4, 6, 10, 12, 15 and 24 hours post dose. Mean daily glucose change from baseline (defined as Day 0) on Day 28.

    Measured: Baseline and Day 28

  2. Change From Baseline in Fasting Plasma Glucose

    Fasting plasma glucose response change from baseline (defined as the mean of Day 0 and Day 1 pre-dose) on Day 14, and the mean of Days 28 and 29.

    Measured: Baseline, Day 14 and the mean of Days 28 and 29

  3. Percent Change From Baseline in Triglycerides

    Triglycerides percent change from baseline (defined as the mean of Day 0 and Day 1 pre-dose) on Day 14, and the mean of Days 28 and 29.

    Measured: Baseline, Day 14 and the mean of Days 28 and 29

  4. Percent Change From Baseline in Total Cholesterol

    Total cholesterol percent change from baseline (defined as the mean of Day 0 and Day 1 pre-dose) on Day 14, and the mean of Days 28 and 29.

    Measured: Baseline, Day 14 and the mean of Days 28 and 29

  5. Percent Change From Baseline in Low Density Lipoprotein-Cholesterol (LDL-C)

    LDL-C percent change from baseline (defined as the mean of Day 0 and Day 1 pre-dose) on Day 14, and the mean of Days 28 and 29.

    Measured: Baseline, Day 14 and the mean of Days 28 and 29

  6. Percent Change From Baseline in High Density Lipoprotein-Cholesterol (HDL-C)

    HDL-C percent change from baseline (defined as the mean of Day 0 and Day 1 pre-dose) on Day 14, and the mean of Days 28 and 29.

    Measured: Baseline, Day 14 and the mean of Days 28 and 29

  7. Percent Change From Baseline in Non-HDL-C

    Non-HDL-C percent change from baseline (defined as the mean of Day 0 and Day 1 pre-dose) on Day 14, and the mean of Days 28 and 29.

    Measured: Baseline, Day 14 and the mean of Days 28 and 29

  8. Percent Change From Baseline in Oxidized LDL

    Oxidized LDL percent change from baseline (defined as the mean of Day 0 and Day 1 pre-dose) on Day 28 (the mean of Days 28 and 29).

    Measured: Baseline and the mean of Days 28 and 29

  9. Percent Change From Baseline in Large LDL Particles

    Large LDL particles percent change from baseline (defined as the mean of Day 0 and Day 1 pre-dose) on Day 28 (the mean of Days 28 and 29).

    Measured: Baseline and the mean of Days 28 and 29

  10. Percent Change From Baseline in Medium Small LDL Particles

    Medium small LDL particles percent change from baseline (defined as the mean of Day 0 and Day 1 pre-dose) on Day 28 (the mean of Days 28 and 29).

    Measured: Baseline and the mean of Days 28 and 29

  11. Percent Change From Baseline in Small LDL Particles

    Small LDL particles percent change from baseline (defined as the mean of Day 0 and Day 1 pre-dose) on Day 28 (the mean of Days 28 and 29).

    Measured: Baseline and the mean of Days 28 and 29

  12. Percent Change From Baseline in Very Small LDL Particles

    Very small LDL particles percent change from baseline (defined as the mean of Day 0 and Day 1 pre-dose) on Day 28 (the mean of Days 28 and 29).

    Measured: Baseline and the mean of Days 28 and 29

  13. Percent Change From Baseline in Total LDL Particles

    Total LDL particles percent change from baseline (defined as the mean of Day 0 and Day 1 pre-dose) on Day 28 (the mean of Days 28 and 29).

    Measured: Baseline and the mean of Days 28 and 29

  14. Percent Change From Baseline in LDL Size

    The LDL size percent change from baseline (defined as the mean of Day 0 and Day 1 pre-dose) on Day 28 (the mean of Days 28 and 29).

    Measured: Baseline and the mean of Days 28 and 29

  15. Percent Change From Baseline in Apolipoprotein B100

    The Apolipoprotein B100 was calculated as the difference between total Apolipoprotein B and Apolipoprotein B48 and analyzed the percent change from baseline (defined as mean of Day 0 and Day 1) on Day 28 (mean of Days 28 and 29).

    Measured: Baseline and the mean of Days 28 and 29

  16. Percent Change From Baseline in Lipoprotein A

    The Lipoprotein A percent change from baseline (defined as the mean of Day 0 and Day 1 pre-dose) on Day 28 (mean of Days 28 and 29).

    Measured: Baseline and the mean of Days 28 and 29

  17. Maximum Plasma Concentration (Cmax)

    Maximum PF-06291874 plasma concentration.

    Measured: Day 28 (samples taken at 0, 2, 4, 8 and 24 hours after Day 28 dose)

  18. Time to Reach Cmax (Tmax)

    Time to maximum PF-06291874 plasma concentration.

    Measured: Day 28 (samples taken at 0, 2, 4, 8 and 24 hours after Day 28 dose)

  19. Area Under the Concentration-Time Profile From Zero to Time Tau (AUCtau) (Where Tau=24 Hours)

    Area under the PF-06291874 plasma concentration-time profile from time zero to time tau, the dosing interval, where tau=24 hours.

    Measured: Day 28 (samples taken at 0, 2, 4, 8 and 24 hours after Day 28 dose)

  20. Minimum Plasma Concentration (Cmin)

    Minimum PF-06291874 plasma concentration.

    Measured: Day 28 (samples taken at 0, 2, 4, 8 and 24 hours after Day 28 dose)

  21. Apparent Clearance (CL/F)

    Apparent oral clearance of PF-06291874.

    Measured: Day 28 (samples taken at 0, 2, 4, 8 and 24 hours after Day 28 dose)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Jun 2014 (estimated)
  2. Study startAug 2014
  3. Primary completionMar 2015
  4. Study completionMar 2015

Resources

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
172 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02175121
Sponsor's protocol ID
B4801011
Status last verified
May 2016
First submitted
24 Jun 2014
Last updated
15 Jun 2016
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing PF-06291874 in people with Diabetes Mellitus, Type II, run by Pfizer at 19 sites in United States.

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 7 inclusion and 8 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 15 Jun 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 19 sites in United States. 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 15 Jun 2016). 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?

Number of Participants With Treatment-Emergent Adverse Events (TEAEs), or Serious Adverse Events (SAEs), or Hypoglycemic Adverse Events (HAE) or Withdrawals Due to Adverse Events (AEs) (time frame: Baseline up to 10-14 days after last dose of study drug, up to 42 days). The study lists 4 primary outcomes in all. 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 15 Jun 2016.

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