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Huntington's DiseasePhase 2NCT02342548

Open Label Extension Study To Investigate Long Term Safety, Tolerability And Efficacy Of Pf-02545920 In Subjects With Huntington's Disease Who Completed Study A8241021

A Phase 2 study testing 20 mg BID of PF-02545920 in people with Huntington's Disease, run by Pfizer at 50 sites in 5 countries.

Terminated

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

Official record
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Trial summary

This study is a 12 month open label extension study of PF-02545920 20 mg dosed BID following study A8241021 in subjects with HD. Primary endpoints will be to assess long-term safety and tolerability of 20 mg BID of PF-02545920. Read more about this study

Who is it for?
Ages 30 to 66 years
Conditions the study is for
Huntington's Disease
What is being tested?
20 mg BID of PF-02545920
Could I receive a placebo?
No, everyone receives an active treatment
How many people
188 participants
Where
50 sitesin 5 countries
Study dates
25 Feb 2015to 6 Feb 2017
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 30 to 66 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects must have completed study A8241021
  • Diagnosis of HD, including ≥36 CAG repeats.

Who cannot join

  • Significant neurological disorder other than Huntington's disease.
  • WBC ≤ 3500/mm3 AND/OR ANC ≤ 2000/mm3 and history of neutropenia or myeolo-proliferative disorders.
  • Any drug related SAE experienced during study A8241021 which were not approved as acceptable for enrollment in A8241022.

Trial locations and contacts

50 sites in 5 countries.

50 sites in 5 countries

United States17 sites
  • Albany Medical College

    Albany, New York, 12208

  • The Kirkland Clinic of UAB Hospital

    Birmingham, Alabama, 35233

  • University of Alabama at Birmingham

    Birmingham, Alabama, 35233

  • The Ohio State University

    Columbus, Ohio, 43221

  • The Wexner Medical Center at the Ohio State University

    Columbus, Ohio, 43221

  • The Wright Center of Innovation- The Ohio State University

    Columbus, Ohio, 43221

  • Rocky Mountain Movement Disorders Center

    Englewood, Colorado, 80113

  • University of Florida Center for Movement Disorders & Neurorestoration

    Gainesville, Florida, 32607

  • Baylor College of Medicine

    Houston, Texas, 77030

  • Indiana University Health Neuroscience Center

    Indianapolis, Indiana, 46202

  • University of California, Irvine

    Irvine, California, 92697

  • Ronald Reagan UCLA Medical Center Drug Information Center

    Los Angeles, California, 90095

  • UCLA Neurology Clinic

    Los Angeles, California, 90095

  • UCLA Radiology

    Los Angeles, California, 90095

  • Mayo Clinic Arizona

    Scottsdale, Arizona, 85259

  • Washington University School of Medicine

    St Louis, Missouri, 63110

  • Wake Forest Baptist Medical Center

    Winston-Salem, North Carolina, 27157

Other trials in United States

United Kingdom14 sites
  • NHS Grampian, Aberdeen Royal Infirmary, Clinical Genetics Centre

    Aberdeen, AB25 2ZA

  • Bimingham & Solihull Mental Health NHS Foundation Trust Department of Neuropsychiatry

    Birmingham, WEST Midlands, B15 2FG

  • Institute of Psychological Medicine and Clinical Neurosciences

    Cardiff, CF14 4XW

  • NHS Greater Glasgow and Clyde

    Glasgow, G51 4TF

  • St Nicholas Hospital

    Gosforth, Newcastle UPON TYNE, NE3 3XT

  • Guy's and St. Thomas' NHS Foundation Trust

    London, SE19RT

  • University College London Hospitals Huntington's Diesease

    London, wc1b 5eh

  • University College London Hospitals NHS Foundation Trust

    London, WC1N 3BG

  • The National Institute for Health Research / Wellcome Trust Clinical Research Facility

    Manchester, M13 9WL

  • Newcastle Magnetic Resonance Centre

    Newcastle upon Tyne, NE4 5PL

  • Oxford University Hospitals NHS Trust

    Oxford, OX3 9DU

  • Central Manchester University Hospitals NHS Foundation Trust

    Oxford Road, Manchester, M13 9WL

  • Sheffield Teaching Hospital NHS Foundation Trust

    Sheffield, S10 2JF

  • University Hospital Southampton NHS Foundation Trust, Wessex Neurological Centre

    Southampton, SO16 6YD

Other trials in United Kingdom

Germany11 sites
  • Uniklinik RWTH Aachen

    Aachen, 52074

  • Charité - Universitätsmedizin Berlin

    Berlin, 10117

  • St. Josef Hospital

    Bochum, 44791

  • Friedrich-Alexander-Universität

    Erlangen, 91054

  • Universität zu Lübeck

    Lübeck, 23562

  • Philipps Universitat Marburg

    Marburg, 35043

  • Technische Universität München

    München, 81675

  • George-Huntington-Institut

    Münster, 48149

  • Kbo-Isar-Amper-Klinikum gGmbH

    Taufkirchen, 84416

  • Universitätsklinikum Ulm

    Ulm, 89081

  • Universitaetsklinikum Wuerzburg

    Würzburg, 97080

Other trials in Germany

Canada4 sites
  • CHUM-Notre-Dame Hospital

    Montreal, Quebec, H2L 4M1

  • CHUM-Notre-Dame, Pharmacie

    Montreal, Quebec, H4L 4M1

  • Center For Movement Disorders

    Toronto, Ontario, M3B 2S7

  • The Centre For Huntington Disease, The University of British Columbia

    Vancouver, British Columbia, V6T 2B5

Other trials in Canada

Poland4 sites
  • Copernicus Podmiot Leczniczy sp.zo.o

    Gdansk, 80462

  • Krakowska Akademia Neurologii Sp. zo.o

    Krakow, 31505

  • Solumed Centrum Medyczne

    Poznan, 60-529

  • Instytut Psychiatrii i Neurologii, I Klinika Neurologiczna

    Warsaw, 02957

Other trials in Poland

About this study

Official title: An Open Label Extension Study To Investigate The Long Term Safety, Tolerability And Efficacy Of Pf-02545920 In Subjects With Huntington's Disease Who Previously Completed Study A8241021

This study is a 12 month open label extension study of PF-02545920 20 mg dosed BID following study A8241021 in subjects with HD. Primary endpoints will be to assess long-term safety and tolerability of 20 mg BID of PF-02545920. Secondary endpoints will be the change from baseline in the Total Motor Score (TMS)assessment, and/ior the Total maximum Chorea (TMC) assessment of the Unified Huntington Disease Rating Scale (UHDRS) after 6 and 12 months of treatment, and Clinical Global Impression-Improvement score after 6 and 12 months of treatment. Subjects, who were assigned to the 20 mg PF-02545920 dose group in the preceding A8241021 study, will receive 20 mg PF-02545920 without any titration. All other subjects will be titrated to the 20 mg BID dose as follows: 5 mg BID for 7 days, 10 mg BID for 7 days, 15 mg BID for 7 days, then 20 mg BID for the remainder of the treatment phase. Up to 260 subjects may take part in this open label extension

Being tested
20 mg BID of PF-02545920
Keywords
Huntington; chorea; total motor score; CAG repeat: total functional capacity; motor cognitive and behavioral symptoms
Medical subject headings
Huntington Disease, Chorea, Behavioral Symptoms

What participants receive

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

  • 20 mg BID of PF-02545920Drug

    All subject who completed A8241021 will receive 20 mg BID (with or without titration)

Study groups in NCT02342548
Study groupRoleWhat they receive
20 mg BID PF-02545920 non-titratedExperimentalSubjects who received 20 mg BID in completed study A8241021 will continue to receive 20 mg BID PF-02545920
Receives: Drug: 20 mg BID of PF-02545920
20mg BID PF-02545920 titratedExperimentalSubjects who received either Placebo or 5mg BID of PF-02545920 in completed study A8241021 will be titrated up to 20 mg with 5mg increment per week, over 4 weeks (5mg increment/wk)
Receives: Drug: 20 mg BID of PF-02545920

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 and Serious Adverse Events

    An adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a product or medical device, regardless of its causal relationship with study treatment. Serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; was life-threatening (immediate risk of death); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent AEs are events between first dose of study treatment and up to 28 calendar days after the last administration of study treatment that were absent before treatment or that worsened after treatment. AEs included both serious and non-serious AEs.

    Measured: 1 year

  2. Number of Participants With Laboratory Test Abnormalities (Without Regard to Baseline Abnormality)

    The laboratory test included: hematology (hemoglobin, hematocrit, red blood cell count, platelet count, white blood cell count, absolute total neutrophils, eosinophils, monocytes, basophils, and lymphocytes), chemistry (blood urea nitrogen/urea, creatinine, glucose, glycosylated hemoglobin [diabetics only], calcium, phosphorus, magnesium, creatine kinase, sodium, potassium, chloride, total carbon dioxide, aspartate aminotransferase, alanine aminotransferase, lactate dehydrogenase, total bilirubin, alkaline phosphatase, uric acid, albumin, total protein), urinalysis (color, appearance, specific gravity, pH, qualitative glucose, qualitative protein, qualitative blood, ketones, nitrites, leukocyte esterase, and microscopy), and other tests (follicle stimulating hormone, urine drug screen, urine pregnancy [human chorionic gonadotropin, hCG], serum beta hCG). Abnormality was determined by the investigator.

    Measured: 1 year

  3. Number of Participants With Vital Signs Data Meeting Categorical Summarization Criteria

    Number of participants with vital signs data meeting the following criteria is presented: (1) supine systolic blood pressure (SBP) <90 millimeters of mercury (mmHg); (2) standing SBP <90 mmHg; (3) supine diastolic blood pressure (DBP) <50 mmHg; (4) standing DBP <50 mmHg; (5) supine pulse rate <40 beats per minute (bpm); (6) supine pulse rate >120 bpm; (7) standing pulse rate <40 bpm; (8) standing pulse rate >140 bpm; (9) maximum increase from baseline in supine SBP >= 30 mmHg; (10) maximum increase from baseline in standing SBP >= 30 mmHg; (11) maximum increase from baseline in supine DBP >= 20 mmHg; (12) maximum increase from baseline in standing DBP >= 20 mmHg; (13) maximum decrease from baseline in supine SBP >=30 mmHg; (14) maximum decrease from baseline in standing SBP >=30 mmHg; (15) maximum decrease from baseline in supine DBP >=20 mmHg; (16) maximum decrease from baseline in standing DBP >=20 mmHg.

    Measured: 1 year

  4. Number of Participants With Electrocardiogram (ECG) Data Meeting Categorical Summarization Criteria

    Maximum absolute values and increases from baseline were summarized for PR interval (interval between the start of the ECG 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), QRS complex (time from Q wave to the end of the S wave corresponding to ventricular depolarization), and QTcF interval (time from ECG Q wave to the end of T wave corresponding to electrical systole, corrected for heart rate using Fridericia's formula). Number of participants with ECG data meeting the following criteria is presented: (1) PR interval >=300 msec; (2) QRS complex >=140 msec; (3) QTcF interval: 450 to <480 msec; (4) QTcF interval: 480 to <500 msec; (5) QTcF interval >=500 msec; (6) PR interval increase from baseline >=25/50 percent; (7) QRS complex increase from baseline >=50 percent; (8) QTcF interval increase from baseline: 30 to <60 msec; (9) QTcF interval increase from baseline >=60 msec.

    Measured: 1 year

  5. Number of Participants With Abnormal White Blood Cell Count and Absolute Neutrophil Count (Without Regard to Baseline Abnormality)

    Number of participants with white blood cell (WBC) count and absolute neutrophil count (ANC) meeting the following criteria is presented: (1) WBC count <0.6 *the lower limit of normal (LLN); (2) WBC count >1.5 times the upper limit of normal (ULN); (3) ANC <0.8*LLN; and (4) ANC >1.2*ULN.

    Measured: 1 year

  6. Number of Participants With Laboratory Test Abnormalities (Normal Baseline)

    The laboratory test included: hematology (hemoglobin, hematocrit, red blood cell count, platelet count, white blood cell count, absolute total neutrophils, eosinophils, monocytes, basophils, and lymphocytes), chemistry (blood urea nitrogen/urea, creatinine, glucose, glycosylated hemoglobin [diabetics only], calcium, phosphorus, magnesium, creatine kinase, sodium, potassium, chloride, total carbon dioxide, aspartate aminotransferase, alanine aminotransferase, lactate dehydrogenase, total bilirubin, alkaline phosphatase, uric acid, albumin, total protein), urinalysis (color, appearance, specific gravity, pH, qualitative glucose, qualitative protein, qualitative blood, ketones, nitrites, leukocyte esterase, and microscopy), and other tests (follicle stimulating hormone, urine drug screen, urine pregnancy [human chorionic gonadotropin, hCG], serum beta hCG). Abnormality was determined by the investigator.

    Measured: 1 year

  7. Number of Participants With Adverse Events Related to Extrapyramidal Symptoms by Severity

    Adverse events related to extrapyramidal symptoms included dystonia, akathisia, tardive dyskinesia). Severity was assessed by the investigator. Mild means the AE didn't interfere with the participant's usual function. Moderate means the AE interfered to some extent the participant's usual function. Severe means the AE interfered significantly with the participant's usual function.

    Measured: 1 year

  8. Number of Participants in Each Columbia Classification Algorithm of Suicide Assessment (C-CASA) Category

    Columbia Suicide Severity Rating Scale (C-SSRS) was an interview-based rating scale to systematically assess suicidal ideation and suicidal behavior, and was used in this study. C-SSRS responses were mapped onto the Columbia Classification Algorithm of Suicide Assessment (C-CASA). Number of participants with any of the following behaviors occurring since last visit was summarized: completed suicide; suicide attempt; preparatory acts towards suicide; suicidal ideation; self-injurious behavior (no suicidal intent).

    Measured: Baseline (Day 1), Weeks 2 and 4, Months 3, 6, 9 and 12, follow-up visit (7-14 days after the last dose of Month 12)

Secondary outcomes (3)
  1. Change From Baseline in Unified Huntington's Disease Rating Scale (UHDRS) Total Motor Score

    The UHDRS is a clinical rating scale developed to provide a uniform assessment of the clinical features and course of Huntington's disease (HD). The components of the full UHDRS assess motor function, cognition, behavior and functional abilities. Total Motor Score (TMS) assesses motor features of HD with standardized ratings of oculomotor function, dysarthria, chorea, dystonia, gait, and postural ability. The total motor impairment scores was the sum of all the individual 31 motor sub-items (each rated from 0 to 4), with higher scores indicating more severe motor impairment than lower scores. The range of TMS is 0-124.

    Measured: Baseline (Day 1), Month 6, and Month 12

  2. Change From Baseline in Unified Huntington's Disease Rating Scale (UHDRS) Total Maximum Chorea (TMC) Score

    The UHDRS is a clinical rating scale developed to provide a uniform assessment of the clinical features and course of Huntington's disease (HD). The components of the full UHDRS assess motor function, cognition, behavior and functional abilities. Total Maximum Chorea (TMC) is a subset of the TMS assessment, and composed of the scoring of 7 chorea assessments (face, orobuccolingual, trunk, right and left upper extremities, right and left lower extremities). Each assessment is rated from 0 to 4 (absent to prolonged). TMC is obtained by adding up each of the separate scores, leading to max score of 28. The minimum score is 0. The higher the score, the worse the symptoms.

    Measured: Baseline (Day 1), Month 6, and Month 12

  3. Absolute Value in Clinical Global Impression of Improvement (CGI-I) Score

    The Clinical Global Impression of Improvement (CGI-I) is a global measure of improvement or change based on the clinician's assessment of all available clinical data obtained from interviewing the participant. The CGI-I consists of a single 7-point rating of total improvement or change from baseline severity, regardless of whether or not the change is due entirely to drug treatment. Raters select 1 response based on the following question, "Compared to your participant's condition at the beginning of treatment, how much has he/she changed?" Scores are: 1: Very much improved; 2: Much improved; 3: Minimally improved; 4: No change; 5: Minimally worse; 6: Much worse; or 7: Very much worse.

    Measured: Month 6 and Month 12

Timeline

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

  1. First posted21 Jan 2015 (estimated)
  2. Study start25 Feb 2015
  3. Primary completion6 Feb 2017
  4. Study completion6 Feb 2017

Why it stopped: Study terminated on 15DEC2016 due to study A8241021 showing no significant difference on primary endpoint between PF-02545920 \& placebo. No safety concerns.

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
None (open label)
Enrolment
188 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02342548
Sponsor's protocol ID
A8241022
Other IDs
2014-004900-31, OPEN LABEL TO A8241021, 2014
Status last verified
Mar 2018
First submitted
15 Jan 2015
Last updated
23 Apr 2018
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing 20 mg BID of PF-02545920 in people with Huntington's Disease, run by Pfizer at 50 sites in 5 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 2 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: stopped early, as of the sponsor's last update on 23 Apr 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 50 sites in United States, United Kingdom, Germany, Canada, Poland. 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. 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 23 Apr 2018). 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 and Serious Adverse Events (time frame: 1 year). The study lists 8 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 23 Apr 2018.

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