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
TerminatedPhase 2Results postedLast updated 23 April 2018
What this trial tests
Phase 2 trial testing 20 mg BID of PF-02545920 in Huntington's Disease in 188 participants. Terminated before completion.
Adults 30 to 66, any sex, with Huntington's Disease. 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 With Treatment-Emergent Adverse Events and Serious Adverse EventsPrimary· 1 year
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 afte
AEs
Group
Value
95% CI
20 mg PF-02545920
39
5 mg PF-02545920 Titration up to 20 mg
63
Placebo and Titration up to 20 mg PF-02545920
62
SAEs
Group
Value
95% CI
20 mg PF-02545920
7
5 mg PF-02545920 Titration up to 20 mg
9
Placebo and Titration up to 20 mg PF-02545920
5
Number of Participants With Laboratory Test Abnormalities (Without Regard to Baseline Abnormality)Primary· 1 year
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, specif
Group
Value
95% CI
20 mg PF-02545920
19
5 mg PF-02545920 Titration up to 20 mg
27
Placebo and Titration up to 20 mg PF-02545920
28
Number of Participants With Vital Signs Data Meeting Categorical Summarization CriteriaPrimary· 1 year
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 supin
Supine SBP <90 mmHg
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
0
Placebo and Titration up to 20 mg PF-02545920
0
Standing SBP <90 mmHg
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
1
Placebo and Titration up to 20 mg PF-02545920
0
Supine DBP <50 mmHg
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
1
Placebo and Titration up to 20 mg PF-02545920
0
Standing DBP <50 mmHg
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
1
Placebo and Titration up to 20 mg PF-02545920
0
Supine pulse rate <40 bpm
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
0
Placebo and Titration up to 20 mg PF-02545920
0
Supine pulse rate >120 bpm
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
0
Placebo and Titration up to 20 mg PF-02545920
0
Standing pulse rate <40 bpm
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
0
Placebo and Titration up to 20 mg PF-02545920
0
Standing pulse rate >140 bpm
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
0
Placebo and Titration up to 20 mg PF-02545920
0
Number of Participants With Electrocardiogram (ECG) Data Meeting Categorical Summarization CriteriaPrimary· 1 year
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 i
PR interval >=300 msec
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
0
Placebo and Titration up to 20 mg PF-02545920
0
QRS complex >=140 msec
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
0
Placebo and Titration up to 20 mg PF-02545920
0
QTcF interval: 450 to <480 msec
Group
Value
95% CI
20 mg PF-02545920
2
5 mg PF-02545920 Titration up to 20 mg
2
Placebo and Titration up to 20 mg PF-02545920
2
QTcF interval: 480 to <500 msec
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
0
Placebo and Titration up to 20 mg PF-02545920
1
QTcF interval >=500 msec
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
0
Placebo and Titration up to 20 mg PF-02545920
0
PR interval increase from baseline >=25/50 percent
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
0
Placebo and Titration up to 20 mg PF-02545920
0
QRS complex increase from baseline >=50 percent
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
0
Placebo and Titration up to 20 mg PF-02545920
0
QTcF increase from baseline: 30 to <60 msec
Group
Value
95% CI
20 mg PF-02545920
3
5 mg PF-02545920 Titration up to 20 mg
5
Placebo and Titration up to 20 mg PF-02545920
4
Number of Participants With Abnormal White Blood Cell Count and Absolute Neutrophil Count (Without Regard to Baseline Abnormality)Primary· 1 year
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.
WBC < 0.6*LLN
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
0
Placebo and Titration up to 20 mg PF-02545920
0
WBC > 1.5*ULN
Group
Value
95% CI
20 mg PF-02545920
1
5 mg PF-02545920 Titration up to 20 mg
0
Placebo and Titration up to 20 mg PF-02545920
1
ANC < 0.8*LLN
Group
Value
95% CI
20 mg PF-02545920
1
5 mg PF-02545920 Titration up to 20 mg
0
Placebo and Titration up to 20 mg PF-02545920
0
ANC > 1.2*ULN
Group
Value
95% CI
20 mg PF-02545920
3
5 mg PF-02545920 Titration up to 20 mg
4
Placebo and Titration up to 20 mg PF-02545920
7
Number of Participants With Laboratory Test Abnormalities (Normal Baseline)Primary· 1 year
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, specif
Group
Value
95% CI
20 mg PF-02545920
13
5 mg PF-02545920 Titration up to 20 mg
22
Placebo and Titration up to 20 mg PF-02545920
23
Number of Participants With Adverse Events Related to Extrapyramidal Symptoms by SeverityPrimary· 1 year
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.
Mild dystonia
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
1
Placebo and Titration up to 20 mg PF-02545920
0
Moderate dystonia
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
1
Placebo and Titration up to 20 mg PF-02545920
1
Severe dystonia
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
0
Placebo and Titration up to 20 mg PF-02545920
0
Mild akathisia
Group
Value
95% CI
20 mg PF-02545920
1
5 mg PF-02545920 Titration up to 20 mg
1
Placebo and Titration up to 20 mg PF-02545920
0
Moderate akathisia
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
1
Placebo and Titration up to 20 mg PF-02545920
3
Severe akathisia
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
0
Placebo and Titration up to 20 mg PF-02545920
1
Mild dyskinesia
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
2
Placebo and Titration up to 20 mg PF-02545920
4
Moderate dyskinesia
Group
Value
95% CI
20 mg PF-02545920
1
5 mg PF-02545920 Titration up to 20 mg
1
Placebo and Titration up to 20 mg PF-02545920
2
Number of Participants in Each Columbia Classification Algorithm of Suicide Assessment (C-CASA) CategoryPrimary· 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)
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).
Day 1: completed suicide
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
0
Placebo and Titration up to 20 mg PF-02545920
0
Day 1: suicide attempt
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
0
Placebo and Titration up to 20 mg PF-02545920
0
Day 1: preparatory acts towards suicide
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
0
Placebo and Titration up to 20 mg PF-02545920
0
Day 1: suicidal ideation
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
1
Placebo and Titration up to 20 mg PF-02545920
1
Day 1: self-injurious behavior
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
0
Placebo and Titration up to 20 mg PF-02545920
0
Week 2: completed suicide
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
0
Placebo and Titration up to 20 mg PF-02545920
0
Week 2: suicide attempt
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
0
Placebo and Titration up to 20 mg PF-02545920
0
Week 2: preparatory acts towards suicide
Group
Value
95% CI
20 mg PF-02545920
0
5 mg PF-02545920 Titration up to 20 mg
0
Placebo and Titration up to 20 mg PF-02545920
0
Change From Baseline in Unified Huntington's Disease Rating Scale (UHDRS) Total Motor ScoreSecondary· Baseline (Day 1), Month 6, and Month 12
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.
Month 6
Group
Value
95% CI
20 mg PF-02545920
2.4
± 7.21
5 mg PF-02545920 Titration up to 20 mg
3.5
± 7.61
Placebo and Titration up to 20 mg PF-02545920
0.7
± 7.43
Month 12
Group
Value
95% CI
20 mg PF-02545920
4.9
± 10.17
5 mg PF-02545920 Titration up to 20 mg
3.3
± 6.71
Placebo and Titration up to 20 mg PF-02545920
0.6
± 8.24
Change From Baseline in Unified Huntington's Disease Rating Scale (UHDRS) Total Maximum Chorea (TMC) ScoreSecondary· Baseline (Day 1), Month 6, and Month 12
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
Month 6
Group
Value
95% CI
20 mg PF-02545920
0.1
± 3.12
5 mg PF-02545920 Titration up to 20 mg
1.3
± 3.97
Placebo and Titration up to 20 mg PF-02545920
1.4
± 4.14
Month 12
Group
Value
95% CI
20 mg PF-02545920
0.1
± 4.92
5 mg PF-02545920 Titration up to 20 mg
0.8
± 1.64
Placebo and Titration up to 20 mg PF-02545920
0.7
± 3.51
Absolute Value in Clinical Global Impression of Improvement (CGI-I) ScoreSecondary· Month 6 and Month 12
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;
Month 6
Group
Value
95% CI
20 mg PF-02545920
3.9
± 1.04
5 mg PF-02545920 Titration up to 20 mg
4.2
± 1.03
Placebo and Titration up to 20 mg PF-02545920
3.7
± 1.19
Month 12
Group
Value
95% CI
20 mg PF-02545920
3.5
± 1.30
5 mg PF-02545920 Titration up to 20 mg
4.6
± 1.13
Placebo and Titration up to 20 mg PF-02545920
4.0
± 1.21
Adverse events — posted to ClinicalTrials.gov
Time frame: 1 year.
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
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
Publications & conference data
5 peer-reviewed publications reference this trial (live from Europe PMC):
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NCT02855476 — HDClarity: a Multi-site Cerebrospinal Fluid Collection Initiative to Facilitate Therapeutic Development for Huntington's
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Pfizer
Last refreshed: 23 April 2018
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/NCT02342548.