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Type 2 Diabetes MellitusPhase 1NCT03538743

4-Week, Multiple-dose, Dose-escalating Study In Patients With Type 2 Diabetes

A Phase 1 study testing PF-06882961 in people with Type 2 Diabetes Mellitus, run by Pfizer at 4 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 is a dose-escalating study in patients with Type 2 diabetes on metformin. Participants will receive an investigational product or placebo for 28 days. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Type 2 Diabetes Mellitus
What is being tested?
PF-06882961
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
98 participants
Where
4 sitesUnited States
Study dates
25 Jun 2018to 10 Jun 2019
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 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Type 2 diabetes treated with a stable dose of metformin at least 500 mg
  • HbA1c value between 7.0 and 10.5%

Who cannot join

  • Type 1 diabetes or secondary forms of diabetes

Trial locations and contacts

4 sites in 1 country.

United States4 sites
  • Anaheim Clinical Trials, LLC

    Anaheim, California, 92801

  • Altasciences Clinical Kansas, Inc.

    Overland Park, Kansas, 66212

  • Qps-Mra, Llc

    South Miami, Florida, 33143

  • Qps-Mra,Llc

    South Miami, Florida, 33143

Other trials in United States

About this study

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

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.

Being tested
Placebo, PF-06882961
Keywords
Type 2 diabetes mellitus
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, 0 mg, twice daily, 28 days

  • PF-06882961Drug

    Tablet, 15 mg twice daily, 28 days

  • PF-06882961Drug

    Tablet, 50 mg twice daily, 28 days

  • PF-06882961Drug

    Tablet, 150 mg twice daily, 28 days

  • PF-06882961Drug

    Tablet, 300 mg twice daily, 28 days

  • PF-06882961Drug

    Tablet, dose TBD, twice daily, Cohort 5, 28 days

  • PF-06882961Drug

    Tablet, dose TBD, twice daily, Cohort 6, 28 days

  • PF-06882961Drug

    Tablet, dose TBD, twice daily, Cohort 7, 28 days

  • PF-06882961Drug

    Tablet, dose TBD, twice daily, Cohort 8, 28 days

Study groups in NCT03538743
Study groupRoleWhat they receive
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo
PF-06882961 30 mgExperimentalNot described
Receives: Drug: PF-06882961
PF-06882961 100 mgExperimentalNot described
Receives: Drug: PF-06882961
PF-06882961 300 mgExperimentalNot described
Receives: Drug: PF-06882961
PF-06882961 600 mgExperimentalNot described
Receives: Drug: PF-06882961
PF-06882961 dose TBD Cohort 5ExperimentalNot described
Receives: Drug: PF-06882961
PF-06882961 dose TBD Cohort 6ExperimentalNot described
Receives: Drug: PF-06882961
PF-06882961 dose TBD Cohort 7ExperimentalNot described
Receives: Drug: PF-06882961
PF-06882961 dose TBD Cohort 8ExperimentalNot described
Receives: Drug: PF-06882961

What is being measured

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

  1. 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.

    Measured: From baseline to up to 35 days after last dose for a total of approximately 63 days

  2. 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).

    Measured: From baseline to up to 14 days after last dose for a total of approximately 42 days

  3. 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.

    Measured: From baseline to up to 14 days after last dose for a total of approximately 42 days

  4. 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.

    1. 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.
    2. 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

    Measured: From baseline to up to 14 days after last dose for a total of approximately 42 days

Secondary outcomes (7)
  1. 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.

    Measured: 0, 1, 2, 4, 6, 8, 10, 12, 14 and 24 hrs post dose on Day 1, 14 or 21, and 28

  2. 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.

    Measured: 0, 1, 2, 4, 6, 8, 10, 12, 14 and 24 hours post dose on Day 1, 14 or 21, and 28

  3. 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.

    Measured: 0, 1, 2, 4, 6, 8, 10, 12, 14 and 24 hrs post dose on Day 1, 14 or 21, and 28

  4. 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.

    Measured: 0, 1, 2, 4, 6, 8, 10, 12, 14 and 24 hrs post dose on Day 28

  5. 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.

    Measured: 0 to 24 hours post-dose on Day 28

  6. Ae24 (%) of PF-06882961 on Day 28

    Percent of dose recovered in urine as unchanged drug. Ae24% = 100* Ae24/Dose

    Measured: 0 to 24 hours post-dose on Day 28

  7. Renal Clearance (CLr) of PF-06882961 on Day 28

    CLr was calculated as Ae divided by AUCtau, where dosing interval is 24 hours.

    Measured: 0 to 24 hours post-dose on Day 28

Timeline

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

  1. First posted29 May 2018
  2. Study start25 Jun 2018
  3. Primary completion23 May 2019
  4. Study completion10 Jun 2019

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
Basic science
Allocation
Randomised
Intervention model
Sequential
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
98 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03538743
Sponsor's protocol ID
C3421002
Status last verified
Jun 2020
First submitted
7 May 2018
Last updated
1 Jul 2020
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: 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.

Publications

  • 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.

    PubMed 34127852

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing PF-06882961 in people with Type 2 Diabetes Mellitus, 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 2 inclusion and 1 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 1 Jul 2020. 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 1 Jul 2020). 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 All-causality and Treatment-related Treatment-emergent Adverse Events (TEAEs) (time frame: From baseline to up to 35 days after last dose for a total of approximately 63 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?

On the ClinicalTrials.gov record for NCT03538743, which also lists 1 linked publication.

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 1 Jul 2020.

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