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NCT02332798: MAD

Multiple Ascending Doses of PF-04958242 in Subjects With Stable Schizophrenia

Completed Phase 1 Results posted Last updated 25 October 2021
What this trial tests

Phase 1 trial testing PF-04958242 in Schizophrenia in 39 participants. Completed in 15 April 2015.

Timeline
6 January 2015
Primary endpoint
15 April 2015
15 April 2015

Quick facts

Lead sponsorBiogen
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment39
Start date6 January 2015
Primary completion15 April 2015
Estimated completion15 April 2015
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Biogen — full company profile →

Who can join

Adults 18 to 55, any sex, with Schizophrenia. 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.

Maximum Observed Plasma Concentration (Cmax) (Single Dose) Primary · Day 1 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 8, and 12 hours post-dose)
GroupValue95% CI
PF-04958242 0.25 mg1.920± 23
PF-04958242 0.475 mg3.830± 21
Cmax (Steady State) Primary · Day 1 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 8, 12 hours post-dose), Day 2, Day 7 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 8, 12 hours post-dose), Day 8, Day 10, Day 14 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 8, 12 hours post-dose), Day 15, Day 17, Day 21

Cmax steady state for PF-04958242 0.25 mg group and PF-04958242 0.475 mg group at Day 14 were presented.

GroupValue95% CI
PF-04958242 0.25 mg3.174± 18
PF-04958242 0.475 mg7.139± 37
Time for Cmax (Tmax) (Single Dose) Primary · Day 1 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 8, and 12 hours post-dose)
GroupValue95% CI
PF-04958242 0.25 mg1.651.00 – 2.00
PF-04958242 0.475 mg1.330.167 – 3.00
Tmax (Steady State) Primary · Day 1 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 8, 12 hours post-dose), Day 2, Day 7 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 8, 12 hours post-dose), Day 8, Day 10, Day 14 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 8, 12 hours post-dose), Day 15, Day 17, Day 21

Tmax steady state for PF-04958242 0.25 mg group and PF-04958242 0.475 mg group at Day 14 were presented.

GroupValue95% CI
PF-04958242 0.25 mg1.651.00 – 2.00
PF-04958242 0.475 mg1.330.50 – 4.00
Area Under the Concentration-Time Profile From Time 0 to Time Tau (τ), the Dosing Interval, Where τ = 12 Hours (AUCτ) (Single Dose) Primary · Day 1 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 8, and 12 hours post-dose)
GroupValue95% CI
PF-04958242 0.25 mg9.570± 19
PF-04958242 0.475 mg17.72± 18
AUCτ (Steady State) Primary · Day 1 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 8, 12 hours post-dose), Day 2, Day 7 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 8, 12 hours post-dose), Day 8, Day 10, Day 14 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 8, 12 hours post-dose), Day 15, Day 17, Day 21

AUCτ steady state for PF-04958242 0.25 mg group and PF-04958242 0.475 mg group at Day 14 were presented.

GroupValue95% CI
PF-04958242 0.25 mg24.57± 19
PF-04958242 0.475 mg50.09± 34
Apparent Oral Clearance (CL/F) (Steady State) Primary · Day 1 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 8, 12 hours post-dose), Day 2, Day 7 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 8, 12 hours post-dose), Day 8, Day 10, Day 14 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 8, 12 hours post-dose), Day 15, Day 17, Day 21

Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed. Clearance was estimated from population pharmacokinetic modeling. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood. CL/F steady state for PF-04958242 0.25 mg group and PF-04958242 0.475 mg group at Day 14 were presented.

GroupValue95% CI
PF-04958242 0.25 mg169.5± 18
PF-04958242 0.475 mg157.9± 34
Apparent Volume of Distribution (Vz/F) (Steady State) Primary · Day 1 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 8, 12 hours post-dose), Day 2, Day 7 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 8, 12 hours post-dose), Day 8, Day 10, Day 14 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 8, 12 hours post-dose), Day 15, Day 17, Day 21

Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. Apparent volume of distribution after oral dose (Vz/F) is influenced by the fraction absorbed. Vz/F steady state for PF-04958242 0.25 mg group and PF-04958242 0.475 mg group at Day 14 were presented.

GroupValue95% CI
PF-04958242 0.25 mg545.7± 31
PF-04958242 0.475 mg530.2± 26
Terminal Half-Life (t1/2) (Steady State) Primary · Day 1 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 8, 12 hours post-dose), Day 2, Day 7 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 8, 12 hours post-dose), Day 8, Day 10, Day 14 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 8, 12 hours post-dose), Day 15, Day 17, Day 21

Terminal half-life is the time measured for the plasma concentration to decrease by one half. t1/2 steady state for PF-04958242 0.25 mg group and PF-04958242 0.475 mg group at Day 14 were presented.

GroupValue95% CI
PF-04958242 0.25 mg39.64± 14.878
PF-04958242 0.475 mg42.18± 14.421
Observed Accumulation Ratio (Rac) (Steady State) Primary · Day 1 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 8, 12 hours post-dose), Day 2, Day 7 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 8, 12 hours post-dose), Day 8, Day 10, Day 14 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 8, 12 hours post-dose), Day 15, Day 17, Day 21

Accumulation ratio was calculated as, Rac obtained from Area Under the Concentration Time Curve (AUC) from time 0-t (Day X) divided by AUC from time 0-t (Day 1). Rac steady state for PF-04958242 0.25 mg group and PF-04958242 0.475 mg group at Day 14 (ie. X = 14) were presented.

GroupValue95% CI
PF-04958242 0.25 mg2.524± 20
PF-04958242 0.475 mg2.815± 31
Observed Accumulation Ratio for Cmax (Rac, Cmax) (Steady State) Primary · Day 1 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 8, 12 hours post-dose), Day 2, Day 7 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 8, 12 hours post-dose), Day 8, Day 10, Day 14 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 8, 12 hours post-dose), Day 15, Day 17, Day 21

Accumulation ratio based on Cmax was calculated as: Rac,Cmax = Cmax at steady state (ss) divided by Cmax at first dose. Rac, Cmax steady state for PF-04958242 0.25 mg group and PF-04958242 0.475 mg group at Day 14 were presented.

GroupValue95% CI
PF-04958242 0.25 mg1.645± 23
PF-04958242 0.475 mg1.797± 51
Peak-to-Trough Ratio at Steady State (PTR) Primary · Day 1 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 8, 12 hours post-dose), Day 2, Day 7 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 8, 12 hours post-dose), Day 8, Day 10, Day 14 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 4, 8, 12 hours post-dose), Day 15, Day 17, Day 21

PTR was calculated as Cmax divided by Cmin (that is defined as lowest concentration observed during the dosing interval). PTR steady state for PF-04958242 0.25 mg group and PF-04958242 0.475 mg group at Day 14 were presented.

GroupValue95% CI
PF-04958242 0.25 mg2.323± 19
PF-04958242 0.475 mg2.531± 28

Adverse events — posted to ClinicalTrials.gov

Time frame: Baseline up to 28 days after last study drug administration.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

PF-04958242 0.25 mg
Serious: 0/13 (0%)
Deaths:
PF-04958242 0.475 mg
Serious: 0/14 (0%)
Deaths:
Placebo
Serious: 0/12 (0%)
Deaths:
Other adverse events (33 terms — click to expand)

ReactionSystemPF-04958242 0.25 mgPF-04958242 0.475 mgPlacebo
NauseaGastrointestinal disorders
HeadacheNervous system disorders
VomitingGastrointestinal disorders
Upper respiratory tract infectionInfections and infestations
SomnolenceNervous system disorders
Abdominal painGastrointestinal disorders
ConstipationGastrointestinal disorders
DizzinessNervous system disorders
TinnitusEar and labyrinth disorders
Eye painEye disorders
DiarrhoeaGastrointestinal disorders
Dry mouthGastrointestinal disorders
DyspepsiaGastrointestinal disorders
FlatulenceGastrointestinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
NoduleGeneral disorders
Oedema peripheralGeneral disorders
PainGeneral disorders
FolliculitisInfections and infestations
FallInjury, poisoning and procedural complications
Muscle strainInjury, poisoning and procedural complications
Muscle spasmsMusculoskeletal and connective tissue disorders
Muscle tightnessMusculoskeletal and connective tissue disorders
Musculoskeletal chest painMusculoskeletal and connective tissue disorders
Musculoskeletal stiffnessMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
TremorNervous system disorders
Abnormal dreamsPsychiatric disorders
AnxietyPsychiatric disorders
InsomniaPsychiatric disorders
NightmarePsychiatric disorders
EczemaSkin and subcutaneous tissue disorders
Rash papularSkin and subcutaneous tissue disorders

Data from ClinicalTrials.gov NCT02332798 adverse events section.

Sponsor's own description

This study aims to assess the safety, tolerability and pharmacokinetics of PF-04958242 in multiple ascending doses in subjects with stable schizophrenia.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. SLC transporters as therapeutic targets: emerging opportunities.
    Lin L, Yee SW, Kim RB, Giacomini KM. · · 2015 · cited 653× · PMID 26111766 · DOI 10.1038/nrd4626
  2. Positive AMPA receptor modulation in the treatment of neuropsychiatric disorders: A long and winding road.
    Kadriu B, Musazzi L, Johnston JN, Kalynchuk LE, et al · · 2021 · cited 37× · PMID 34358693 · DOI 10.1016/j.drudis.2021.07.027

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