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NCT01856595

PF-06291874 Multiple Ascending Dose Study In Type 2 Diabetes Mellitus Patients

Completed Phase 1 Results posted Last updated 1 November 2018
What this trial tests

Phase 1 trial testing PF-06291874 in Diabetes Mellitus, Type 2 in 117 participants. Completed in 1 March 2014.

Timeline
13 May 2013
Primary endpoint
10 January 2014
1 March 2014

Quick facts

Lead sponsorPfizer
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposebasic science
Enrollment117
Start date13 May 2013
Primary completion10 January 2014
Estimated completion1 March 2014
Sites3 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

Adults 18 to 70, any sex, with Diabetes Mellitus, Type 2. 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.

Number of Participants Had Protocol-Defined Total Hypoglycemic Adverse Event (HAE) - Part A Primary · Day 1 up to 7-11 days after last dose of study drug

A hypoglycemic event (HAE) was identified by characteristic symptoms or blood glucose levels. Hypoglycaemia was assessed and reported in several categories: severe hypoglycaemia, documented symptomatic hypoglycaemia, asymptomatic hypoglycaemia, and probable hypoglycaemia.

GroupValue95% CI
Placebo2
PF-06291874 5 mg2
PF-06291874 15 mg1
PF-06291874 50 mg1
PF-06291874 100 mg1
PF-06291874 150 mg2
Number of Participants Had Protocol-Defined Total Hypoglycemic Adverse Event (HAE) - Part B Primary · Day 1 up to 7-11 days after last dose of study drug

A hypoglycemic event (HAE) was identified by characteristic symptoms or blood glucose levels. Hypoglycaemia was assessed and reported in several categories: severe hypoglycaemia, documented symptomatic hypoglycaemia, asymptomatic hypoglycaemia, and probable hypoglycaemia.

GroupValue95% CI
Placebo7
PF-06291874 15 mg4
PF-06291874 30 mg13
Number of Participants With Electrocardiograms (ECGs) Data Met Criteria of Potential Clinical Concern - Part A Primary · Predose (0),4,6,8,12,24 hours on Days 1 and 14; 8 hours post dose on Days 3,7,11 for all Cohorts ; predose on Day 17 for Cohorts 1- 4A and 1B; predose on Days 21 and 28 for Cohorts 5A and 2B.

ECG criteria of potential clinical concern were 1), PR interval: greater than or equal to (\>=)300 milliseconds (msec); \>=25 percent (%) increase when baselinegreater than (\>)200 msec; or increase \>=50% when baseline less than or equal to (\<=)200 msec; 2), QRS interval: \>=140 msec; \>=50% increase from baseline; 3), QT interval: \>=500 msec, QTc interval using cridericia's formula (QTcF interval): absolute value \>=450 - \<480 msec, \>=480-\<500 msec, \>500 msec; absolute change 30 - \<60, \>=60 msec.

PR interval >=300 msec
GroupValue95% CI
Placebo0
PF-06291874 5 mg0
PF-06291874 15 mg0
PF-06291874 50 mg0
PF-06291874 100 mg0
PF-06291874 150 mg0
QRS interval >=140 msec
GroupValue95% CI
Placebo0
PF-06291874 5 mg0
PF-06291874 15 mg0
PF-06291874 50 mg0
PF-06291874 100 mg0
PF-06291874 150 mg0
QT interval >=500 msec
GroupValue95% CI
Placebo0
PF-06291874 5 mg0
PF-06291874 15 mg0
PF-06291874 50 mg0
PF-06291874 100 mg0
PF-06291874 150 mg0
QTcF interval 450-480 msec
GroupValue95% CI
Placebo1
PF-06291874 5 mg0
PF-06291874 15 mg1
PF-06291874 50 mg0
PF-06291874 100 mg0
PF-06291874 150 mg1
QTcF interval 480-500 msec
GroupValue95% CI
Placebo0
PF-06291874 5 mg0
PF-06291874 15 mg0
PF-06291874 50 mg0
PF-06291874 100 mg0
PF-06291874 150 mg0
QTcF interval >=500 msec
GroupValue95% CI
Placebo0
PF-06291874 5 mg0
PF-06291874 15 mg0
PF-06291874 50 mg0
PF-06291874 100 mg0
PF-06291874 150 mg0
PR interval increase ≥25%/50%
GroupValue95% CI
Placebo0
PF-06291874 5 mg0
PF-06291874 15 mg0
PF-06291874 50 mg1
PF-06291874 100 mg0
PF-06291874 150 mg0
QRS interval increase >=50%
GroupValue95% CI
Placebo0
PF-06291874 5 mg0
PF-06291874 15 mg0
PF-06291874 50 mg0
PF-06291874 100 mg0
PF-06291874 150 mg0
Number of Participants With ECGs Data Met Criteria of Potential Clinical Concern - Part B Primary · Predose (0),4,6,8,12,24 hours on Days 1 and 14; 8 hours post dose on Days 3,7,11 for all Cohorts ; predose on Day 17 for Cohorts 1- 4A and 1B; predose on Days 21 and 28 for Cohorts 5A and 2B.

ECG criteria of potential clinical concern were 1), PR interval: \>=300 msec; \>=25% increase when baseline \>200 msec; or increase \>=50% when baseline \<=200 msec; 2), QRS interval: \>=140 msec; \>=50% increase from baseline; 3), QT interval: \>=500 msec, QTcF interval: absolute value \>=450 - \<480 msec, \>=480-\<500 msec, \>500 msec; absolute change 30 - \<60, \>=60 msec.

PR interval >=300 msec
GroupValue95% CI
Placebo0
PF-06291874 15 mg0
PF-06291874 30 mg0
QRS interval >=140 msec
GroupValue95% CI
Placebo0
PF-06291874 15 mg0
PF-06291874 30 mg0
QT interval >=500 msec
GroupValue95% CI
Placebo0
PF-06291874 15 mg0
PF-06291874 30 mg0
QTcF interval 450-480 msec
GroupValue95% CI
Placebo1
PF-06291874 15 mg1
PF-06291874 30 mg2
QTcF interval 480-500 msec
GroupValue95% CI
Placebo0
PF-06291874 15 mg0
PF-06291874 30 mg0
QTcF interval >=500 msec
GroupValue95% CI
Placebo0
PF-06291874 15 mg0
PF-06291874 30 mg0
PR interval increase ≥25%/50%
GroupValue95% CI
Placebo0
PF-06291874 15 mg0
PF-06291874 30 mg0
QRS interval increase >=50%
GroupValue95% CI
Placebo0
PF-06291874 15 mg0
PF-06291874 30 mg0
Number of Participants With Vital Signs Data Met Criteria of Potential Clinical Concern - Part A Primary · Predose (0),4,6,8,12,24 hours on Days 1 and 14; 8 hours post dose on Days 3,7,11 for all Cohorts ; predose on Day 17 for Cohorts 1- 4A and 1B; predose on Days 21 and 28 for Cohorts 5A and 2B.

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

Supine SBP <90 mm Hg
GroupValue95% CI
Placebo1
PF-06291874 5 mg0
PF-06291874 15 mg0
PF-06291874 50 mg0
PF-06291874 100 mg1
PF-06291874 150 mg0
Supine DBP <50 mm Hg
GroupValue95% CI
Placebo0
PF-06291874 5 mg0
PF-06291874 15 mg0
PF-06291874 50 mg0
PF-06291874 100 mg0
PF-06291874 150 mg0
Supine pulse rate <40 bpm
GroupValue95% CI
Placebo0
PF-06291874 5 mg0
PF-06291874 15 mg0
PF-06291874 50 mg0
PF-06291874 100 mg0
PF-06291874 150 mg0
Increase:supine SBP≥30 mm Hg
GroupValue95% CI
Placebo0
PF-06291874 5 mg0
PF-06291874 15 mg1
PF-06291874 50 mg0
PF-06291874 100 mg0
PF-06291874 150 mg0
Increase:supine DBP≥20 mm Hg
GroupValue95% CI
Placebo3
PF-06291874 5 mg0
PF-06291874 15 mg0
PF-06291874 50 mg0
PF-06291874 100 mg7
PF-06291874 150 mg2
Decrease:supine SBP≥30 mm Hg
GroupValue95% CI
Placebo2
PF-06291874 5 mg1
PF-06291874 15 mg0
PF-06291874 50 mg0
PF-06291874 100 mg0
PF-06291874 150 mg0
Decrease:supine DBP≥20 mm Hg
GroupValue95% CI
Placebo1
PF-06291874 5 mg3
PF-06291874 15 mg1
PF-06291874 50 mg2
PF-06291874 100 mg0
PF-06291874 150 mg0
Supine pulse rate >120 bpm
GroupValue95% CI
Placebo3
PF-06291874 5 mg2
PF-06291874 15 mg1
PF-06291874 50 mg3
PF-06291874 100 mg1
PF-06291874 150 mg0
Number of Participants With Vital Signs Data Met Criteria of Potential Clinical Concern - Part B Primary · Predose (0),4,6,8,12,24 hours on Days 1 and 14; 8 hours post dose on Days 3,7,11 for all Cohorts ; predose on Day 17 for Cohorts 1- 4A and 1B; predose on Days 21 and 28 for Cohorts 5A and 2B.

Vital signs included blood pressure (BP; supine, sitting and standing) and pulse rate. Vital signs criteria of potential clinical concern were 1), BP: SBP \>= 30 mm Hg change from grand baseline in same posture, SBP \< 90 mm Hg; DBP \>=20 mm Hg change from grand baseline in same posture, DBP\<50 mm Hg; 2), pulse rate (supine): \<40 or \> 120 bpm.

Supine SBP <90 mm Hg
GroupValue95% CI
Placebo1
PF-06291874 15 mg0
PF-06291874 30 mg0
Supine DBP <50 mm Hg
GroupValue95% CI
Placebo0
PF-06291874 15 mg0
PF-06291874 30 mg1
Supine pulse rate <40 bpm
GroupValue95% CI
Placebo0
PF-06291874 15 mg0
PF-06291874 30 mg0
Increase:supine SBP≥30 mm Hg
GroupValue95% CI
Placebo0
PF-06291874 15 mg0
PF-06291874 30 mg0
Decrease:supine SBP≥30 mm Hg
GroupValue95% CI
Placebo3
PF-06291874 15 mg0
PF-06291874 30 mg2
Decrease:supine DBP≥20 mm Hg
GroupValue95% CI
Placebo0
PF-06291874 15 mg1
PF-06291874 30 mg0
Supine pulse rate >120 bpm
GroupValue95% CI
Placebo0
PF-06291874 15 mg1
PF-06291874 30 mg0
Increase:supine DBP≥20 mm Hg
GroupValue95% CI
Placebo2
PF-06291874 15 mg0
PF-06291874 30 mg3
Number of Participants With Any Abnormal Laboratory Test Results - Part A Primary · Predose on Days 0,3,7,11 for all cohorts and 14 and 17 for Cohorts 1- 4A and 1B, and pre-dose on Days 21 and 28 for Cohorts 5A and 2B.

The laboratory test included: hematology (hemoglobin, hematocrit, red blood cell count, MCV, MCH, MCHC, platelets, white blood cell count, absolute lymphocytes, absolute total neutrophils, absolute basophils, absolute eosinophils and absolute monocytes), coagulation (PPT, prothrombin), liver function(total bilirubin, AST, ALT, alkaline phosphatase, total protein and albumin), renal function (blood urea nitrogen, creatinine, uric acid), Lipids (cholesterol, HDL cholesterol, LDL cholesterol, triglycerides), Electrolytes (sodium, potassium, chloride, calcium, venous bicarbonate), clinical chemist

GroupValue95% CI
Placebo17
PF-06291874 5 mg10
PF-06291874 15 mg11
PF-06291874 50 mg12
PF-06291874 100 mg13
PF-06291874 150 mg8
Number of Participants With Any Abnormal Laboratory Test Results - Part B Primary · Predose on Days 0,3,7,11 for all cohorts and 14 and 17 for Cohorts 1- 4A and 1B, and pre-dose on Days 21 and 28 for Cohorts 5A and 2B.

The laboratory test included: hematology (hemoglobin, hematocrit, red blood cell count, MCV, MCH, MCHC, platelets, white blood cell count, absolute lymphocytes, absolute total neutrophils, absolute basophils, absolute eosinophils and absolute monocytes), coagulation (PPT, prothrombin), liver function(total bilirubin, AST, ALT, alkaline phosphatase, total protein and albumin), renal function (blood urea nitrogen, creatinine, uric acid), Lipids (cholesterol, HDL cholesterol, LDL cholesterol, triglycerides), Electrolytes (sodium, potassium, chloride, calcium, venous bicarbonate), clinical chemist

GroupValue95% CI
PF-06291874 5 mg8
PF-06291874 30 mg12
Placebo11
Single Dose Maximum Plasma Concentration (Cmax) for PF-06291874 - Part A Primary · 0 hour (pre-dose), 2, 4, 6, 8, 12, 19, 24 hours post-dose on Day 1

Cmax was maximum plasma concentration. Blood samples (3 mL) to provide a minimum of approximately 1.2 mL plasma for pharmacokinetic (PK) analysis were collected at 0, 2, 4, 6, 8, 12, 19 and 24 hours post dose.

GroupValue95% CI
PF-06291874 5 mg137.0± 17
PF-06291874 15 mg427.1± 22
PF-06291874 50 mg1308± 26
PF-06291874 100 mg2582± 19
PF-06291874 150 mg3288± 32
Single Dose Normalized Cmax (Cmax[dn]) for PF-06291874 - Part A Primary · 0 hour (pre-dose), 2, 4, 6, 8, 12, 19, 24 hours post-dose on Day 1

Cmax (dn) was dose normalized maximum plasma concentration. Blood samples (3 mL) to provide a minimum of approximately 1.2 mL plasma for pharmacokinetic (PK) analysis were collected at 0, 2, 4, 6, 8, 12, 19 and 24 hours post dose.

GroupValue95% CI
PF-06291874 5 mg27.40± 17
PF-06291874 15 mg28.46± 22
PF-06291874 50 mg26.15± 26
PF-06291874 100 mg25.82± 19
PF-06291874 150 mg21.90± 32
Single Dose Cmax for PF-06291874 - Part B Primary · 0 hour (pre-dose), 2, 4, 6, 8, 12, 19, 24 hours post-dose on Day 1

Cmax was maximum plasma concentration. Blood samples (3 mL) to provide a minimum of approximately 1.2 mL plasma for PK analysis were collected at 0, 2, 4, 6, 8, 12, 19 and 24 hours post dose.

GroupValue95% CI
PF-06291874 15 mg373.6± 16
PF-06291874 30 mg687.6± 34
Single Dose Normalized Cmax (Cmax[dn]) for PF-06291874 - Part B Primary · 0 hour (pre-dose), 2, 4, 6, 8, 12, 19, 24 hours post-dose on Day 1

Cmax (dn) was dose normalized maximum plasma concentration. Blood samples (3 mL) to provide a minimum of approximately 1.2 mL plasma for PK analysis were collected at 0, 2, 4, 6, 8, 12, 19 and 24 hours post dose

GroupValue95% CI
PF-06291874 15 mg24.90± 16
PF-06291874 30 mg22.92± 34

Adverse events — posted to ClinicalTrials.gov

Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part A: Placebo
Serious: 0/18 (0%)
Deaths:
Part A: PF-06291874 5 mg
Serious: 0/12 (0%)
Deaths:
Part A: PF-06291874 15 mg
Serious: 0/12 (0%)
Deaths:
Part A: PF-06291874 50 mg
Serious: 0/12 (0%)
Deaths:
Part A: PF-06291874 100 mg
Serious: 0/14 (0%)
Deaths:
Part A: PF-06291874 150 mg
Serious: 0/12 (0%)
Deaths:
Part B: Placebo
Serious: 0/13 (0%)
Deaths:
Part B: PF-06291874 15 mg
Serious: 0/10 (0%)
Deaths:
Part B: PF-06291874 30 mg
Serious: 0/14 (0%)
Deaths:
Total
Serious: 0/117 (0%)
Deaths:
Other adverse events (49 terms — click to expand)

ReactionSystemPart A: PlaceboPart A: PF-06291874 5 mgPart A: PF-06291874 15 mgPart A: PF-06291874 50 mgPart A: PF-06291874 100 mgPart A: PF-06291874 150 mgPart B: PlaceboPart B: PF-06291874 15 mgPart B: PF-06291874 30 mgTotal
NauseaGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
HeadacheNervous system disorders
Upper respiratory tract infectionInfections and infestations
Pain in extremityMusculoskeletal and connective tissue disorders
Urinary tract infectionInfections and infestations
PruritusSkin and subcutaneous tissue disorders
ConstipationGastrointestinal disorders
Back painMusculoskeletal and connective tissue disorders
DermatitisSkin and subcutaneous tissue disorders
RashSkin and subcutaneous tissue disorders
Normochromic normocytic anaemiaBlood and lymphatic system disorders
Otitis externaInfections and infestations
ExcoriationInjury, poisoning and procedural complications
Neck painMusculoskeletal and connective tissue disorders
SyncopeNervous system disorders
Urinary hesitationRenal and urinary disorders
EcchymosisSkin and subcutaneous tissue disorders
ErythemaSkin and subcutaneous tissue disorders
AnaemiaBlood and lymphatic system disorders
Supraventricular extrasystolesCardiac disorders
ChromatopsiaEye disorders
Abdominal painGastrointestinal disorders
Dry mouthGastrointestinal disorders
DyspepsiaGastrointestinal disorders
FlatulenceGastrointestinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
ToothacheGastrointestinal disorders
VomitingGastrointestinal disorders
Application site bruiseGeneral disorders
AstheniaGeneral disorders
ChillsGeneral disorders
Vessel puncture site painGeneral disorders
ContusionInjury, poisoning and procedural complications
Muscle spasmsMusculoskeletal and connective tissue disorders
Musculoskeletal painMusculoskeletal and connective tissue disorders
Musculoskeletal stiffnessMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
DysgeusiaNervous system disorders
HypoaesthesiaNervous system disorders

Data from ClinicalTrials.gov NCT01856595 adverse events section.

Sponsor's own description

The purpose of this study is to assess the safety, tolerability, pharmacokinetics and pharmacodynamics of multiple ascending doses of PF-06291874 in Type 2 Diabetes patients.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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Data sources for this page

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing