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GoutPhase 1NCT02187029

Efficacy, Safety And Tolerability Of PF-06743649 In Gout Subjects.

A Phase 1 study testing PF-06743649 in people with Gout, run by Pfizer at 4 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of the study is to assess the effect of PF-06743649 in lowering serum uric acid in subjects suffering from gout following 14 days of dosing, as well as assessing safety and tolerability. Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
Gout
What is being tested?
PF-06743649
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
30 participants
Where
4 sitesUnited States
Study dates
Jul 2014to Dec 2014
Phase
Phase 1
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 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Subject meets the diagnosis of gout as per the American Rheumatism Association Criteria for the Classification of acute Arthritis of Primary Gout.
  • Subjects taking urate lowering therapy at the time of screening must be willing to discontinue their prior urate lowering therapy from the time of Screening Visit 1 until completion of the study period Day 16.
  • Subjects taking urate lowering therapy at the time of screening must have a serum urate level of >= 8.0 mg/dL at time of the second screening visit.
  • Subjects NOT taking urate lowering therapy at the time of screening must have a serum urate level of >= 8.0 mg/dL at both screening visits 1 and 2.

Who cannot join

  • Positive medical history or current evidence of medical or psychiatric condition/disease, or ECG or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the Investigator, would make the subject inappropriate for entry into this study.
  • Chronic kidney disease classified as moderate or severe (Clinical Practice Guideline, National Kidney Foundation)12; with GFR < 60 mL/min/1.73m2 calculated by the Cockcroft-Gault equation.
  • Subjects with current tophaceous gout.
  • Gout flare that has not resolved for at least 2 weeks prior to randomization.

Trial locations and contacts

4 sites in 1 country.

United States4 sites
  • MRA Clinical Research, LLC

    Miami, Florida, 33143

  • Vince and Associates Clinical Research Inc.

    Overland Park, Kansas, 66211

  • Vince and Associates Clinical Research, Inc.

    Overland Park, Kansas, 66212

  • Miami Research Associates, Inc.

    South Miami, Florida, 33143

Other trials in United States

About this study

Official title: A Randomized, Double Blind, Third Party Open, Placebo Controlled Multi-center Study Of Efficacy, Safety And Tolerability Of Pf-06743649 In Gout Subjects

The purpose of the study is to assess the effect of PF-06743649 in lowering serum uric acid in subjects suffering from gout following 14 days of dosing, as well as assessing safety and tolerability.

Conditions
Gout
Being tested
PF-06743649, Placebo
Keywords
Hyperuricemia, gout, serum uric acid
Medical subject headings
Gout, Hyperuricemia

What participants receive

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

  • PF-06743649Drug

    Daily dosing (dose level 1) tablet for 14 days

  • PlaceboOther

    Daily dosing (tablet) for 14 days

  • PF-06743649Drug

    Daily dosing (dose level 2) tablet(s) for 14 days

  • PlaceboOther

    Daily dosing (tablets) for 14 days

Study groups in NCT02187029
Study groupRoleWhat they receive
PF-06743649 dose level 1 (Cohort 1)ExperimentalNot described
Receives: Drug: PF-06743649
Placebo for PF-06743649 (Cohort 1)Placebo comparatorNot described
Receives: Other: Placebo
PF-06743649 dose level 2 (Cohort 2)ExperimentalNot described
Receives: Drug: PF-06743649
Placebo for PF-06743649 (Cohort 2)Placebo comparatorNot described
Receives: Other: Placebo

What is being measured

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

  1. Baseline of Serum Uric Acid

    An elevation in serum uric acid, hyperuricemia, is a prerequisite for the development of gout.

    Measured: Baseline (pre-dose Day 1)

  2. Percent Change From Baseline in Serum Uric Acid Level at 24 Hours Post Dose on Day 14

    Measured: Day 14 Hour 24

  3. Number of Participants With Treatment-emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 28 days after last dose that were absent before treatment or that worsened relative to pre-treatment state AEs included both serious and non-serious events.

    Measured: Baseline up to 28 days after last study drug administration (Day 42)

  4. Number of Participants With Laboratory Test Abnormalities

    Number of participants with laboratory test abnormalities without regard to baseline abnormality. Laboratory test parameters include hematology (Hemoglobin, Hematocrit, red blood cell [RBC] count, Platelet count, mean corpuscular volume [MCV], mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration [MCHC], white blood cell [WBC] count, Total neutrophils, Eosinophils, Monocytes, Basophils, Lymphocytes), hematocrit (blood urea nitrogen [BUN]/urea and Creatinine, Glucose , Calcium, Sodium, Potassium, Chloride, Total CO2 [Bicarbonate], aspartate transaminase [AST], alanine transaminase [ALT], Total Bilirubin, Alkaline phosphatase, Albumin, Total protein, Thyroid Stimulating Hormone [TSH], free T3 [FT3] and free T4 [FT4] ), urinalysis (pH, Glucose [qual], Protein, Blood, Ketones, Nitrites, Leukocyte esterase, Urobilinogen, Urine bilirubin, Microscopy [including crystals]) and other (follicle-stimulating hormone [FSH], Urine drug screen).

    Measured: Baseline up to follow up visit (Day 25-29)

  5. Number of Participants With Potentially Clinically Significant Vital Signs Findings

    Criteria for potential clinically important change in vital signs included: Systolic blood pressure (BP) less than (<) 90 millimeters of mercury (mmHg) or more than or equal to (>=)30 mmHg change from baseline, diastolic BP of <50 mmHg or >=20 mmHg change from baseline, Supine pulse rate of <40 or more than (>)120 beats per minute (bpm).

    Measured: Baseline up to follow up visit (Day 25-29)

  6. Number of Participants With Electrocardiogram (ECG) Values Meeting Categorical Summarization Criteria

    Criteria for potential clinically important changes in ECG (12-lead) were defined as: 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) or increase from baseline >=25% when baseline >200 msec or increase from baseline >=50% when baseline less than or equal to (<=) 200 msec; time from the beginning of the electrocardiogram Q wave to the end of the S wave corresponding to ventricular depolarization (QRS) interval >=140 msec or >=50% increase from baseline; the beginning of the Q wave to the end of the T wave corresponding to electrical systole (QT) interval corrected using the Fridericia formula (QTcF) of 450 to < 480 msec, 480 to <500 msec and >=500 msec, or an increase of 30 to <60 msec or >=60 msec from baseline.

    Measured: Baseline up to Day 16

Secondary outcomes (11)
  1. Change From Baseline in Serum Uric Acid Levels at Day 1, Day 3, Day 7, Day 11, Day 14 and Follow-up

    Measured: Day 1, Day 3, Day 7, Day 11, Day 14 and follow-up visit (Day 25-29)

  2. Number of Participants Reaching Serum Uric Acid Levels <6, <5 and <4 mg/dL at 24 Hours Post Dose on Day 7 and Day 14

    Number of participants reaching serum uric acid levels <6, <5 and <4 mg/dL at 7 and 14 days after initiation.

    Measured: 24 hours post dose on Day 7 and Day 14

  3. Incidence and Severity of Gout Flare Attacks

    Measured: Baseline up to Day 42

  4. Duration of Gout Flare Attacks

    Duration of gout flare attacks with participants who developed gout flare attacks.

    Measured: Baseline up to Day 42

  5. Plasma Levels of PF-06743649 After Initiation of Dosing at Day 1, Day 7, and Day 14

    Data has been calculated by setting concentration values below the lower limit of quantification to zero. The lower limit of quantification was 10.0 nanograms per milliliter (ng/mL).

    Measured: 0, 1, 2, 4, 8, 12 and 24 hours at Day 1, Day 7, and Day 14

  6. Plasma Levels of PF-06743648 After Initiation of Dosing at Day 1, Day 7, and Day 14

    PF-06743648 is an active metabolite of PF-06743649. Data has been calculated by setting concentration values below the lower limit of quantification to zero. The lower limit of quantification was 2.00 nanograms per milliliter (ng/mL).

    Measured: Day 1, Day 7, and Day 14

  7. Change From Baseline in Plasma Levels of Xanthine at Day 1, Day 7, Day 14, and at Follow-up

    Change in plasma levels of xanthine from baseline at time points 0 (prior to dosing except on Day 1), 1, 2, 4, 8, 12 and 24 hours following dosing with PF-06743649 or placebo on days 1, 7 and 14 as well prior to dosing on days 3 and 11 and at follow-up of treatment with PF-06743649 or placebo.

    Measured: Baseline, Day 1, Day 7, Day 14, and at follow-up visit (Day 25-29)

  8. Change From Baseline in Plasma Levels of Hypoxanthine at Day 1, Day 7, Day 14, and at Follow-up

    Measured: Day 1, Day 7, Day 14, and at follow-up visit (Day 25-29)

  9. Change From Baseline in Urinary Uric Acid Levels at Day 1, Day 7, and Day 14

    Change from baseline in urinary uric acid cumulative amounts.

    Measured: Baseline, Day 1, Day 7 and Day 14

  10. Change From Baseline in Urinary Xanthine Levels at Day 1, Day 7, and Day 14

    Change from baseline in urinary xanthine cumulative amounts.

    Measured: Baseline, Day 1, Day 7 and Day 14

  11. Change From Baseline in Urinary Hypoxanthine Levels at Day 1, Day 7, and Day 14

    Change from baseline in urinary hypoxanthine cumulative amounts at Day 1, Day 7 and Day 14

    Measured: Baseline, Day 1, Day 7 and Day 14

Timeline

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

  1. First posted10 Jul 2014 (estimated)
  2. Study startJul 2014
  3. Primary completionDec 2014
  4. Study completionDec 2014

Why it stopped: B7911002 was prematurely discontinued due to a safety concern that led to decision to terminate the study on 10 Nov 2014

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
30 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02187029
Sponsor's protocol ID
B7911002
Status last verified
Sep 2016
First submitted
8 Jul 2014
Last updated
11 Nov 2016
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing PF-06743649 in people with Gout, run by Pfizer at 4 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 4 inclusion and 4 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: stopped early, as of the sponsor's last update on 11 Nov 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 11 Nov 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?

Baseline of Serum Uric Acid (time frame: Baseline (pre-dose Day 1)). The study lists 6 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 11 Nov 2016.

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