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NCT00422461

A Dose Finding Study Of PF-00489791 In Patients With Mild To Moderate High Blood Pressure

Completed Phase 2 Results posted Last updated 11 October 2021
What this trial tests

Phase 2 trial testing placebo in Hypertension in 135 participants. Completed in 28 January 2008.

Timeline
27 February 2007
Primary endpoint
28 January 2008
28 January 2008

Quick facts

Lead sponsorPfizer
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposetreatment
Enrollment135
Start date27 February 2007
Primary completion28 January 2008
Estimated completion28 January 2008
Sites20 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

Adults 18 to 70, any sex, with Hypertension. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change From Baseline in Mean Daytime Systolic Blood Pressure (SBP) as Measured by Ambulatory Blood Pressure Monitoring (ABPM) at Day 28 Primary · From 08:00 to 16:00 hours on Baseline (Day 0, 1 day prior to first double-blind dose of study drug) and Day 28

The ABPM device was automatically programmed to inflate at every 20 minutes from 05:00 until 21:59 hours and from 22:00 to 04:59 hours the device inflated every 60 minutes. 24-hour clock time was used. ABPM was performed in this study on Baseline, Day 1, 14 and 28. Mean daytime SBP was an average of SBP measurements taken between 08:00 and 16:00 hours by ABPM device on the specified time points. In this outcome measure change from baseline in mean daytime SBP at Day 28 is reported.

GroupValue95% CI
Placebo1.38± 1.55
PF-00489791 4 mg-1.42± 1.12
PF-00489791 10 mg-3.28± 1.08
PF-00489791 20/40 mg-5.59± 1.54
Change From Baseline in Mean Daytime Diastolic Blood Pressure (DBP) as Measured by ABPM at Day 28 Secondary · From 08:00 to 16:00 hours on Baseline (Day 0, 1 day prior to first double-blind dose of study drug) and Day 28

The ABPM device was automatically programmed to inflate at every 20 minutes from 05:00 until 21:59 hours and from 22:00 to 04:59 hours the device inflated every 60 minutes. 24-hour clock time was used. ABPM was performed in this study on Baseline, Day 1, 14 and 28. Mean daytime DBP was an average of DBP measurements taken between 08:00 and 16:00 hours by ABPM device on the specified time points. In this outcome measure change from baseline in mean daytime DBP at Day 28 is reported.

GroupValue95% CI
Placebo0.73± 1.09
PF-00489791 4 mg-1.97± 0.81
PF-00489791 10 mg-3.83± 0.78
PF-00489791 20/40 mg-6.23± 1.09
Change From Baseline in Mean 24-Hour SBP and DBP as Measured by ABPM at Day 28 Secondary · Over 24 hours on Baseline (Day 0, 1 day prior to first double-blind dose of study drug) and Day 28

The ABPM device was automatically programmed to inflate at every 20 minutes from 05:00 until 21:59 hours and from 22:00 to 04:59 hours the device inflated every 60 minutes. 24-hour clock time was used. ABPM was performed in this study on Baseline, Day 1, 14 and 28. Mean 24-hour SBP and DBP was an average of SBP and DBP measurements, respectively, taken for 24 hours by ABPM device respectively. In this outcome measure change from baseline in mean 24-hour SBP and DBP at Day 28 is reported.

SBP
GroupValue95% CI
Placebo-0.53± 1.53
PF-00489791 4 mg-0.40± 1.47
PF-00489791 10 mg-5.28± 1.55
PF-00489791 20/40 mg-3.96± 1.57
DBP
GroupValue95% CI
Placebo-0.13± 1.07
PF-00489791 4 mg-1.58± 1.07
PF-00489791 10 mg-3.94± 1.09
PF-00489791 20/40 mg-4.09± 1.09
Minimum and Maximum SBP and DBP as Measured by ABPM Over 24 Hours on Baseline, Day 1, 14 and 28 Secondary · Over 24 hours on Baseline (Day 0, 1 day prior to first double-blind dose of study drug), Day 1, 14 and 28

The ABPM device was automatically programmed to inflate at every 20 minutes from 05:00 until 21:59 hours and from 22:00 to 04:59 hours the device inflated every 60 minutes. 24-hour clock time was used. ABPM was performed on Baseline, Day 1, 14 and 28. In this outcome measure maximum and minimum SBP and DBP values recorded by ABPM device over 24 hours on Baseline, Day 1, 14 and 28 are reported.

Maximum SBP: Baseline
GroupValue95% CI
Placebo176.65± 12.38
PF-00489791 4 mg179.68± 12.40
PF-00489791 10 mg184.58± 15.30
PF-00489791 20/40 mg177.45± 15.42
Maximum SBP: Day 1
GroupValue95% CI
Placebo173.13± 12.21
PF-00489791 4 mg176.67± 19.60
PF-00489791 10 mg175.62± 12.29
PF-00489791 20/40 mg168.00± 12.17
Maximum SBP: Day 14
GroupValue95% CI
Placebo177.58± 14.53
PF-00489791 4 mg177.90± 21.59
PF-00489791 10 mg179.60± 11.75
PF-00489791 20/40 mg176.52± 16.68
Maximum SBP: Day 28
GroupValue95% CI
Placebo177.33± 14.54
PF-00489791 4 mg180.40± 19.40
PF-00489791 10 mg177.04± 14.29
PF-00489791 20/40 mg174.69± 12.14
Minimum SBP: Baseline
GroupValue95% CI
Placebo117.88± 11.79
PF-00489791 4 mg114.38± 12.65
PF-00489791 10 mg122.52± 11.66
PF-00489791 20/40 mg115.30± 13.60
Minimum SBP: Day 1
GroupValue95% CI
Placebo119.06± 12.32
PF-00489791 4 mg110.27± 14.38
PF-00489791 10 mg110.21± 13.46
PF-00489791 20/40 mg109.38± 13.30
Minimum SBP: Day 14
GroupValue95% CI
Placebo113.82± 12.76
PF-00489791 4 mg114.31± 13.59
PF-00489791 10 mg114.07± 11.99
PF-00489791 20/40 mg111.94± 10.52
Minimum SBP: Day 28
GroupValue95% CI
Placebo117.57± 15.54
PF-00489791 4 mg114.27± 13.66
PF-00489791 10 mg116.64± 10.28
PF-00489791 20/40 mg110.34± 8.32
Change From Baseline in Cuff SBP and DBP at Day 28 Secondary · Baseline (pre dose value on Day 1 of treatment), Day 28

At Baseline and Day 28 visit, sitting cuff SBP and DBP was measured with the participant's arm supported at the level of the heart. The participant sat with feet flat on the floor for 5 minutes before the first BP was obtained. The BP measurement was done in duplicate approximately 5 minutes apart. The mean of duplicate measurements was recorded.

Cuff SBP
GroupValue95% CI
Placebo-4.60± 1.88
PF-00489791 4 mg-5.20± 1.82
PF-00489791 10 mg-4.97± 1.89
PF-00489791 20/40 mg-9.76± 1.95
Cuff DBP
GroupValue95% CI
Placebo-1.33± 1.27
PF-00489791 4 mg-4.37± 1.22
PF-00489791 10 mg-5.82± 1.27
PF-00489791 20/40 mg-5.63± 1.30
Change From Baseline in Cuff SBP and DBP at Day 31 Secondary · Baseline (pre dose value on Day 1 of treatment), Day 31

At Baseline and Day 31 visit, sitting cuff SBP and DBP was measured with the participant's arm supported at the level of the heart. The participant sat with feet flat on the floor for 5 minutes before the first BP was obtained. The BP measurement was done in duplicate approximately 5 minutes apart. The mean of duplicate measurements was recorded.

Cuff SBP
GroupValue95% CI
Placebo0.4± 10.18
PF-00489791 4 mg-0.6± 11.39
PF-00489791 10 mg-0.3± 10.96
PF-00489791 20/40 mg0.4± 13.07
Cuff DBP
GroupValue95% CI
Placebo-0.7± 6.76
PF-00489791 4 mg-0.2± 7.47
PF-00489791 10 mg-0.8± 7.58
PF-00489791 20/40 mg0.3± 7.86
Change From Baseline in Cuff Mean Arterial Pressure (MAP) at Day 28 Secondary · Baseline (pre dose value on Day 1 of treatment), Day 28

At Baseline and Day 28, sitting cuff MAP was measured with the participant's arm supported at the level of the heart. The participant sat with feet flat on the floor for 5 minutes before the first MAP was obtained. The MAP measurement was done in duplicate approximately 5 minutes apart. The mean of duplicate measurements was recorded.

GroupValue95% CI
Placebo-2.59± 1.29
PF-00489791 4 mg-4.54± 1.26
PF-00489791 10 mg-5.53± 1.31
PF-00489791 20/40 mg-7.06± 1.34
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) Secondary · Day 1 up to 14 days after last dose of study drug (maximum up to 42 days)

An adverse event (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 AEs are events between first dose of study drug and up to 14 days after last dose that were absent before treatment or that worsened relative to

TEAEs
GroupValue95% CI
Placebo12
PF-00489791 4 mg11
PF-00489791 10 mg11
PF-00489791 20/40 mg13
SAEs
GroupValue95% CI
Placebo1
PF-00489791 4 mg1
PF-00489791 10 mg0
PF-00489791 20/40 mg0
Number of Participants With Clinically Significant Laboratory Abnormalities Secondary · Day 1 up to 14 days after last dose of study drug (maximum up to 42 days)

Criteria for laboratory abnormalities included: hemoglobin, hematocrit, red blood cell count, total neutrophils, total protein, albumin: \<0.8\* limit of normal (LLN). Platelets: less than (\<)0.5\* LLN, greater than (\>)1.75\* upper limit of normal (ULN); white blood cell, glucose: \<0.6\*LLN, \>1.5\*ULN, lymphocytes: \<0.8\*LLN; \>1.2\*ULN; basophils, monocytes, eosinophils, total protein, albumin, uric acid: \>1.2\*ULN; aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase: \>3.0\*ULN; blood urea nitrogen, creatinine: \>1.3\*ULN; sodium: \<0.95\*LLN, \>1.05\*ULN; potass

GroupValue95% CI
Placebo10
PF-00489791 4 mg9
PF-00489791 10 mg11
PF-00489791 20/40 mg10
Change From Baseline in Heart Rate at Baseline, Day 1, 7, 14, 21, 28 and 31 Secondary · Baseline (pre dose value on Day 1 of treatment), Day 1, 7, 14, 21, 28, 31

Sitting heart rate was measured with the participant's arm supported at the level of the heart. The participant sat with feet flat on the floor for 5 minutes before the heart rate was measured. The heart rate was measured for a minimum of 30 seconds, and the average of two measurements was recorded. Heart rate was measured in beats per minute.

Baseline
GroupValue95% CI
Placebo71.5± 8.76
PF-00489791 4 mg69.2± 8.43
PF-00489791 10 mg67.9± 8.63
PF-00489791 20/40 mg68.3± 7.90
Change at Day1
GroupValue95% CI
Placebo0.5± 6.04
PF-00489791 4 mg1.8± 6.64
PF-00489791 10 mg4.8± 7.42
PF-00489791 20/40 mg5.7± 8.14
Change at Day 7
GroupValue95% CI
Placebo-0.3± 5.92
PF-00489791 4 mg1.5± 7.44
PF-00489791 10 mg3.2± 9.60
PF-00489791 20/40 mg4.6± 8.47
Change at Day 14
GroupValue95% CI
Placebo-1.2± 5.35
PF-00489791 4 mg-0.1± 8.08
PF-00489791 10 mg1.6± 8.23
PF-00489791 20/40 mg4.0± 7.15
Change at Day 21
GroupValue95% CI
Placebo0.5± 7.27
PF-00489791 4 mg2.9± 9.18
PF-00489791 10 mg-0.3± 8.55
PF-00489791 20/40 mg4.9± 8.70
Change at Day 28
GroupValue95% CI
Placebo-0.0± 7.77
PF-00489791 4 mg0.5± 7.78
PF-00489791 10 mg0.8± 9.31
PF-00489791 20/40 mg3.4± 9.38
Change at Day 31
GroupValue95% CI
Placebo-1.4± 8.85
PF-00489791 4 mg-0.3± 8.17
PF-00489791 10 mg0.7± 8.76
PF-00489791 20/40 mg4.8± 8.26
Number of Participants With Clinically Significant Electrocardiogram (ECG) Findings Secondary · Day 1 up to 14 days after last dose of study drug (maximum up to 42 days)

Following ECG parameters were evaluated: QT interval, QTc interval, RR interval, PR interval, QRS complex and heart rate. Clinical significant ECG findings were determined by the investigator's discretion.

GroupValue95% CI
Placebo1
PF-00489791 4 mg0
PF-00489791 10 mg0
PF-00489791 20/40 mg0

Adverse events — posted to ClinicalTrials.gov

Time frame: Day 1 up to 14 days after last dose of study drug (maximum up to 42 days). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 1/34 (3%)
Deaths: 0/34
PF-00489791 4 mg
Serious: 1/34 (3%)
Deaths: 0/34
PF-00489791 10 mg
Serious: 0/32 (0%)
Deaths: 0/32
PF-00489791 20/40 mg
Serious: 0/33 (0%)
Deaths: 0/33

Serious adverse events (2 terms)

ReactionSystemPlaceboPF-00489791 4 mgPF-00489791 10 mgPF-00489791 20/40 mg
Post-traumatic stress disorderPsychiatric disorders
Stomach discomfortGastrointestinal disorders
Other adverse events (53 terms — click to expand)

ReactionSystemPlaceboPF-00489791 4 mgPF-00489791 10 mgPF-00489791 20/40 mg
HeadacheNervous system disorders
DyspepsiaGastrointestinal disorders
Back painMusculoskeletal and connective tissue disorders
Oedema peripheralGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders
DiarrhoeaGastrointestinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
Pain in extremityMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
HypoaesthesiaNervous system disorders
RashSkin and subcutaneous tissue disorders
Left ventricular hypertrophyCardiac disorders
Dry eyeEye disorders
Eyelid oedemaEye disorders
Ocular hyperaemiaEye disorders
Retinal haemorrhageEye disorders
ConstipationGastrointestinal disorders
DysphagiaGastrointestinal disorders
Mucous stoolsGastrointestinal disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
Chest painGeneral disorders
FatigueGeneral disorders
PyrexiaGeneral disorders
BronchitisInfections and infestations
Conjunctivitis infectiveInfections and infestations
Eye infectionInfections and infestations
GastroenteritisInfections and infestations
NasopharyngitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
Urinary tract infectionInfections and infestations
Viral labyrinthitisInfections and infestations
Blood pressure increasedInvestigations
White blood cells urine positiveInvestigations
Increased appetiteMetabolism and nutrition disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
Musculoskeletal painMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
Neck painMusculoskeletal and connective tissue disorders
Dizziness posturalNervous system disorders

Most-reported serious reactions: Post-traumatic stress disorder, Stomach discomfort.

Data from ClinicalTrials.gov NCT00422461 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate the safety and blood pressure lowering effect of different doses of PF-00489791 in patients with mild to moderate high blood pressure

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Established and emerging therapeutic uses of PDE type 5 inhibitors in cardiovascular disease.
    Tzoumas N, Farrah TE, Dhaun N, Webb DJ. · · 2020 · cited 71× · PMID 31721165 · DOI 10.1111/bph.14920

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00422461.

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