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NCT02564029

PF-06372865 in Subjects With Photosensitive Epilepsy

Completed Phase 2 Results posted Last updated 14 March 2018
What this trial tests

Phase 2 trial testing PF-06372865 in Reflex Epilepsy, Photosensitive in 7 participants. Completed in 7 February 2017.

Timeline
16 December 2015
Primary endpoint
10 January 2017
7 February 2017

Quick facts

Lead sponsorPfizer
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingdouble
Primary purposebasic science
Enrollment7
Start date16 December 2015
Primary completion10 January 2017
Estimated completion7 February 2017
Sites16 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

Adults 18 to 60, any sex, with Reflex Epilepsy, Photosensitive. 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.

The Standardized Photosensitivity Range (SPR) in the Subject's Most Sensitive Eye Condition Primary · Pre-dose, 1, 2, 4 and 6 hours post-dose

The SPR was defined as the number of frequency steps between and including the lower and upper bound at which a generalized electroencephalogram (EEG) epileptiform activity had occurred, whereby subjects were exposed to 14 different frequencies ranging from 2 to 60 flashes per second. The SPR is then an integer score that ranges from 0 to 14 with lower scores representing better outcomes. The primary outcome measure was based on the average Least Squares Mean (LSmean) effect over the first 6 hours postdose.

GroupValue95% CI
PF-06372865 17.5 mg0.57± 0.98
PF-06372865 52.5 mg1.38± 0.96
Lorazepam 2 mg1.58± 0.97
Placebo6.80± 0.96
The SPR in the Eye Closure, Eyes Closed, and Eyes Open Condition Secondary · Pre-dose, 1, 2, 4 and 6 hours post-dose

The SPR was defined as the number of frequency steps between and including the lower and upper bound at which a generalized electroencephalogram (EEG) epileptiform activity had occurred, whereby subjects were exposed to 14 different frequencies ranging from 2 to 60 flashes per second. The SPR is then an integer score that ranges from 0 to 14 with lower scores representing better outcomes. The outcome measure was based on the average Least Squares Mean (LSmean) effect over the first 6 hours postdose.

Eye Closure
GroupValue95% CI
PF-06372865 17.5 mg0.57± 0.98
PF-06372865 52.5 mg1.38± 0.96
Lorazepam 2 mg1.58± 0.97
Placebo6.80± 0.96
Eyes Closed
GroupValue95% CI
PF-06372865 17.5 mg0.33± 0.57
PF-06372865 52.5 mg0.40± 0.57
Lorazepam 2 mg1.09± 0.57
Placebo6.84± 0.64
Eyes Open
GroupValue95% CI
PF-06372865 17.5 mg0.04± 0.46
PF-06372865 52.5 mg0.09± 0.46
Lorazepam 2 mg0.08± 0.46
Placebo4.46± 0.51
The Percentage of Participants With Complete Suppression, Partial Response, and no Response to Intermittent Photic Stimulation (IPS) Secondary · Pre-dose, 1, 2, 4 and 6 hours post-dose

Complete suppression: SPR = 0 in all three eye conditions at the same time point. Partial response: A reduction in SPR of at least 3 units from baseline for at least 3 time points, and no time points with at least 3 units of increase, in the most sensitive eye condition; without meeting the complete suppression definition. No response: Did not meet complete suppression or partial response definitions.

Complete suppression
GroupValue95% CI
PF-06372865 17.5 mg85.7
PF-06372865 52.5 mg85.7
Lorazepam 2 mg85.7
Placebo28.6
Partial response
GroupValue95% CI
PF-06372865 17.5 mg0
PF-06372865 52.5 mg0
Lorazepam 2 mg0
Placebo0
No response
GroupValue95% CI
PF-06372865 17.5 mg14.3
PF-06372865 52.5 mg14.3
Lorazepam 2 mg14.3
Placebo71.4
Maximum Plasma Concentration (Cmax) of PF-06372865 Secondary · 1, 2, 4 and 6 hours post-dose
GroupValue95% CI
PF-06372865 17.5 mg81.30± 23
PF-06372865 52.5 mg200.6± 45
Area Under the Plasma Concentration-time Profile From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of PF-06372865 Secondary · Pre-dose, 1, 2, 3, 4 and 6 hours post-dose
GroupValue95% CI
PF-06372865 17.5 mg331.3± 22
PF-06372865 52.5 mg771.4± 56
Time for Cmax (Tmax) of PF-06372865 Secondary · 1, 2, 4 and 6 hours post-dose
GroupValue95% CI
PF-06372865 17.5 mg2.121.02 – 3.03
PF-06372865 52.5 mg3.021.98 – 5.95
Plasma Concentration of Lorazepam Secondary · 1, 2, 3, 4 and 6 hours post-dose
1 hours post dose
GroupValue95% CI
Lorazepam 2 mg7.38± 5.92
2 hours post dose
GroupValue95% CI
Lorazepam 2 mg13.32± 6.67
3 hours post dose
GroupValue95% CI
Lorazepam 2 mg17.10± 4.32
4 hours post dose
GroupValue95% CI
Lorazepam 2 mg17.87± 2.97
6 hours post dose
GroupValue95% CI
Lorazepam 2 mg15.93± 1.92
Number of Participants With Clinically Significant Laboratory Test Abnormalities Secondary · 17 weeks

Safety laboratory tests included hematological, clinical chemistry (serum) and urinalysis safety tests.

GroupValue95% CI
PF-06372865 17.5 mg0
PF-06372865 52.5 mg0
Lorazepam 2 mg0
Placebo0
Number of Participants With Clinically Significant Change From Baseline in Blood Pressure and Pulse Rate Secondary · 17 weeks
GroupValue95% CI
PF-06372865 17.5 mg0
PF-06372865 52.5 mg0
Lorazepam 2 mg0
Placebo0
Number of Participants With Clinically Significant Change From Baseline in Electrocardiogram (ECG) Findings Secondary · 17 weeks
GroupValue95% CI
PF-06372865 17.5 mg0
PF-06372865 52.5 mg0
Lorazepam 2 mg0
Placebo0
Number of Participants With Treatment-emergent Adverse Events (AEs) Secondary · 19 weeks

The all causalities treatment-emergent AEs by System Organ Class and Preferred Term in \>5% of subjects. AEs included serious AEs and non-serious AEs.

Treatment-emergent non serious AEs
GroupValue95% CI
PF-06372865 17.5 mg4
PF-06372865 52.5 mg6
Lorazepam 2 mg6
Placebo5
Treatment-emergent serious AEs
GroupValue95% CI
PF-06372865 17.5 mg0
PF-06372865 52.5 mg0
Lorazepam 2 mg0
Placebo0

Adverse events — posted to ClinicalTrials.gov

Time frame: 19 weeks. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 0/7 (0%)
Deaths: 0/7
PF-06372865 17.5 mg
Serious: 0/7 (0%)
Deaths: 0/7
PF-06372865 52.5 mg
Serious: 0/7 (0%)
Deaths: 0/7
Lorazepam 2 mg
Serious: 0/7 (0%)
Deaths: 0/7
Other adverse events (23 terms — click to expand)

ReactionSystemPlaceboPF-06372865 17.5 mgPF-06372865 52.5 mgLorazepam 2 mg
SomnolenceNervous system disorders
DizzinessNervous system disorders
Vision blurredEye disorders
Abdominal pain upperGastrointestinal disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
FatigueGeneral disorders
Feeling hotGeneral disorders
PainGeneral disorders
PharyngitisInfections and infestations
Upper respiratory tract infectionInfections and infestations
Muscular weaknessMusculoskeletal and connective tissue disorders
Balance disorderNervous system disorders
Disturbance in attentionNervous system disorders
DysarthriaNervous system disorders
DysgeusiaNervous system disorders
HeadacheNervous system disorders
LethargyNervous system disorders
Euphoric moodPsychiatric disorders
IrritabilityPsychiatric disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
RhinorrhoeaRespiratory, thoracic and mediastinal disorders
Rash pruriticSkin and subcutaneous tissue disorders

Data from ClinicalTrials.gov NCT02564029 adverse events section.

Sponsor's own description

PF-06372865 in subjects with photosensitive epilepsy

Publications & conference data

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

  1. Photosensitive epilepsy: Robust clinical efficacy of a selective GABA potentiator.
    Gurrell R, Gorman D, Whitlock M, Ogden A, et al · · 2019 · cited 23× · PMID 30877186 · DOI 10.1212/wnl.0000000000007271
  2. Epilepsy Characteristics in Neurodevelopmental Disorders: Research from Patient Cohorts and Animal Models Focusing on Autism Spectrum Disorder.
    Chakraborty S, Parayil R, Mishra S, Nongthomba U, et al · · 2022 · cited 18× · PMID 36142719 · DOI 10.3390/ijms231810807
  3. Pathophysiology to Risk Factor and Therapeutics to Treatment Strategies on Epilepsy.
    Boleti APA, Cardoso PHO, Frihling BEF, de Moraes LFRN, et al · · 2024 · cited 14× · PMID 38248286 · DOI 10.3390/brainsci14010071

Verify or expand the search:

Other trials of PF-06372865

Trials testing the same drug.

Other recruiting trials for Reflex Epilepsy, Photosensitive

Currently open trials in the same condition.

Other Pfizer trials

Trials by the same sponsor.

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