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PF-04958242

Phase 2

Hearing Loss, Sensorineural | Small molecule | Ophthalmology |Biogen Inc.|Trials Updated: Apr 18, 2023

PF-04958242 development status

Highest phase Phase 2 (NCT02855411)
Phase scored for BIIBPhase 1
Registered trials 15 across 1 sponsor since Jul 2010

PF-04958242 target and mechanism

ModalitySmall molecule

Also known as PF-04958242 capsule, BIIB104

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials6
Total Enrollment376

FDA Designations

No designations recorded

PF-04958242 clinical trials

PF-04958242 · 6 trials · 3 indications

Phase 2 1Phase 1 5
NCT03745820A Study to Evaluate the Safety and Efficacy of BIIB104 in Participants With Cognitive Impairment Associated With Schizophrenia (CIAS)Cognitive Impairment Associated With Schizophrenia
COMPLETED195 Analytics
PHASE2COMPLETED
A Study to Evaluate the Safety and Efficacy of BIIB104 in Participants With Cognitive Impairment Associated With Schizophrenia (CIAS)
Cognitive Impairment Associated With SchizophreniaUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in Change From Baseline in Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) Consensus Cognitive Battery (MCCB) Working Memory Domain Score at Week 12
Baseline and Week 12

The MCCB is a cognitive battery that assesses 7 domains recommended by the MATRICS initiative (i.e., Working Memory, Verbal Learning, Speed of Processing, Attention/Vigilance, Visual Learning, Social Cognition, and Reasoning and Problem Solving). MCCB was administered via laptop computer and paper-and-pencil assessments. T-scores for the individual tests were calculated according to the developer's recommended scoring algorithms. MCCB composite T scores are between 40 and 60 (normal range). Higher scores indicate better cognitive functioning. The working memory domain score of the MCCB is reported in this outcome measure.

Maximum Observed Plasma Concentration (Cmax) (Single Dose)
Day 1 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 8, and 12 hours post-dose)
Cmax (Steady State)
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.

Time for Cmax (Tmax) (Single Dose)
Day 1 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 8, and 12 hours post-dose)
Tmax (Steady State)
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.

Area Under the Concentration-Time Profile From Time 0 to Time Tau (τ), the Dosing Interval, Where τ = 12 Hours (AUCτ) (Single Dose)
Day 1 (0, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 8, and 12 hours post-dose)
AUCτ (Steady State)
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.

Apparent Oral Clearance (CL/F) (Steady State)
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.

Apparent Volume of Distribution (Vz/F) (Steady State)
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.

Terminal Half-Life (t1/2) (Steady State)
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.

Observed Accumulation Ratio (Rac) (Steady State)
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.

Observed Accumulation Ratio for Cmax (Rac, Cmax) (Steady State)
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.

Peak-to-Trough Ratio at Steady State (PTR)
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.

Number of Participants With Abnormal Clinical Laboratory Measurements
Baseline up to Day 21

The following laboratory parameters were reported: hematology (hemoglobin, hematocrit, red blood cell \[RBC\] count, mean corpuscular volume \[MCV\], mean corpuscular hemoglobin \[MCH\], mean corpuscular hemoglobin concentration \[MCHC\], platelet count, white blood cell \[WBC\] count, total neutrophils, eosinophils, monocytes, basophils, lymphocytes); blood chemistry (blood urea nitrogen \[BUN\], creatinine, glucose, calcium, sodium, potassium, chloride, total bicarbonate, aspartate aminotransferase \[AST\], alanine aminotransferase \[ALT\], total bilirubin, alkaline phosphatase, phosphorus, cholesterol, high density lipoprotein (HDL), low density lipoprotein (LDL), bicarbonate, uric acid, albumin, and total protein); urinalysis (color, appearance, specific gravity, pH, glucose, protein, blood, ketones, nitrites, leukocyte esterase, and microscopy); others (follicle stimulating hormone \[FSH\], and urine drug screening).

Number of Participants With Vital Signs Data Meeting Criteria of Potential Clinical Concern
Baseline up to Day 21

Vital signs assessment included pulse rate and blood pressure. Criteria for vital sign values meeting potential clinical concern included: supine/sitting pulse rate less than (\<) 40 or greater than (\>) 120 beats per minute (bpm), standing pulse rate \<40 or \>140 bpm; systolic blood pressure (SBP) greater than or equal to (\>=) 30 millimeters of mercury (mm Hg) change from baseline in same posture or SBP \<90 mm Hg, diastolic blood pressure (DBP) \>=20 mm Hg change from baseline in same posture or DBP \<50 mm Hg. IFB = increase from baseline; DFB = decrease from baseline.

Number of Participants With Electrocardiogram Data Meeting Criteria of Potential Clinical Concern
Baseline up to Day 21

Electrocardiogram (ECG) parameters included beginning of the P wave until the beginning of the QRS complex (PR) interval, time from ECG Q wave to the end of the S wave corresponding to ventricle depolarization (QRS) interval, and QTc using Fridericia's formula (QTcF). Criteria for ECG changes meeting potential clinical concern included: PR interval \>=300 milliseconds (msec) or \>=25% increase when baseline is \>200 msec and \>=50% increase when baseline is less than or equal to (=\<)200 msec; QRS interval \>=140 msec or \>=50% increase from baseline (IFB); and and QTcF \>=450 to \<480, 480 to \<500 and \>=500 msec. The number of participants with potentially clinically significant ECG findings at any visit were reported.

Number of Participants With Abnormalities in Neurological Examination
Baseline up to Day 21

The extended neurological examination, performed by a board certified neurologist, included observation for cerebellar (intention) tremor and for non-cerebellar tremors (eg, resting or positional), finger, nose, heel, shin, Romberg, tandem walking, positional and gaze evoked nystagmus, reflexes, muscle strength, cranial nerves, sensory function of upper and lower extremities. The brief neurological examination included an assessment of motor and sensory function, cranial nerves, reflexes, non-cerebellar tremor (eg, resting or positional) and cerebellar function. The assessment of cerebellar function were complemented by the Scale for Assessment and Rating of Ataxia (SARA).

Number of Participants With Abnormalities in Physical Examination
Baseline up to Day 21

A full physical examination included head, ears, eyes, nose, mouth, skin, heart and lung examinations, lymph nodes, gastrointestinal, musculoskeletal, and neurological systems. The brief physical examination focused on general appearance, the respiratory and cardiovascular systems, as well as towards participant reported symptoms.

Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Baseline up to 28 days after last study drug administration

An AE was any untoward medical occurrence in a participant who received study drug. Treatment-emergent are events between first dose of study drug and up to 28 days after last dose that were absent before treatment or that worsened relative to pre-treatment state. AEs included both SAEs and non-SAEs.

Number of Participants With Positive Response to Columbia-Suicide Severity Rating Scale (C-SSRS)
Baseline up to Day 21

The C-SSRS (mapped to Columbia Classification Algorithm of Suicide Assessment \[C-CASA\]) is an interview-based rating scale to systematically assess suicidal ideation and suicidal behavior. C-SSRS assessed whether participant experienced the following: completed suicide (1), suicide attempt (2) (response of "Yes" on "actual attempt"), preparatory acts toward imminent suicidal behavior (3)("Yes" on "preparatory acts or behavior"), suicidal ideation (4) ("Yes" on "wish to be dead", "non-specific active suicidal thoughts", "active suicidal ideation with methods without intent to act or some intent to act, without specific plan or with specific plan and intent), any suicidal behavior or ideation, self-injurious behavior (7)("Yes" on "Has participant engaged in non-suicidal self-injurious behavior").

Test score on the Hopkins Verbal Learning Test - Immediate Recall
Day 5
Change from baseline to 1 hour post-dose in pure tone audiometry averaged over 2 and 4 kHz
1 hour
Composite of Pharmacokinetics measured at 0.25, 0.5, 0.75, 1, 2, 3, 4, 8, 12, 24 hours after dosing on Day 1
Day 1 - Day 2
Composite of Pharmacokinetics measured pre-dose and 1 hour post-dose on Day 4
Day 4
Composite of Pharmacokinetics measured pre-dose and 1 hour post-dose on Day 7
Day 7
Composite of Pharmacokinetics measured at 0.25, 0.5, 0.75, 1, 2, 3, 4, 8, 12, 24, 48, 72, 120 hours after dosing on Day 14
Day 14 - Day 17
Composite of urine Pharmacokinetics measured for 24 hours post-dose on Day 14
Day 14 - Day 15

Secondary Endpoints

Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
From first dose of study drug through end of the study (up to Week 14)
Mean Total Score Assessed by Scale for the Assessment and Rating of Ataxia (SARA)
Baseline, Weeks 2, 6, 12 and safety follow-up (Week 14)
Number of Participants With at Least One Event of Suicidal Ideation and/or Suicidal Behavior as Assessed by Columbia-Suicide Severity Rating Scale (C-SSRS) Score
Up to Week 14
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
BIIB104 0.5 mgEXPERIMENTALParticipants will receive 0.5 mg of BIIB104 twice a day, orally, for 12 weeks.
BIIB104 0.15 mgEXPERIMENTALParticipants will receive 0.15 mg of BIIB104 twice a day, orally, for 12 weeks.
Matching PlaceboPLACEBO_COMPARATORParticipants will receive matching placebo twice a day, orally, for 12 weeks.
PF-04958242 0.25 mgEXPERIMENTALAll participants who received PF-04958242 0.25 milligram (mg) twice daily (BID) for 14 consecutive days with the last dose occurring in the morning on Day 14.
PF-04958242 0.475 mgEXPERIMENTALAll participants who received PF-04958242 0.475 mg BID for 14 consecutive days with the last dose occurring in the morning on Day 14.
PF-04958242EXPERIMENTALPF-04958242 and ketamine
PlaceboPLACEBO_COMPARATORPlacebo and ketamine

Interventions

NameTypeDescription
BIIB104DRUGAdministered as specified in the treatment arm
PlaceboOTHERAdministered as specified in the treatment arm
PF-04958242DRUGAdministered as specified in the treatment arm
KetamineDRUGAt 60 minutes after the 0.25 mg dose of PF-04958242 on Day 5, Ketamine (0.23 mg/kg over 1 minute, followed by a maintenance rate of 0.58 mg/kg/hr for 75 minutes) will be infused.
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Eligibility Criteria

Age Range18 Years to 55 Years
SexALL
Healthy VolunteersNo
Study Sites60

Key Inclusion Criteria: * Otherwise healthy participant with a Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), diagnosis of schizophrenia of at least 2 years' duration as confirmed by the mini-international neuropsychiatric interview (MINI) 7.0.2 for Psychotic Disorder...

Countries:United StatesGermanyJapanSpainUnited Kingdom
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Frequently asked questions about PF-04958242

What is PF-04958242?

PF-04958242 is an investigational small molecule developed by Biogen Inc. (BIIB). It has been studied in Phase 1 clinical trials for two indications: sensorineural hearing loss and schizophrenia. All four of its clinical trials are completed, and no trials are currently active.

What is PF-04958242 used for?

PF-04958242 has been studied in clinical trials for sensorineural hearing loss, including age-related hearing loss, and for schizophrenia. It is an investigational agent and has not been established as a treatment for either condition. Its trials enrolled adults, including psychiatrically stable subjects with schizophrenia and older adults with hearing loss.

Who makes PF-04958242?

PF-04958242 is developed by Biogen Inc., which trades under the ticker BIIB. Biogen sponsored the Phase 1 clinical program evaluating the compound in schizophrenia and sensorineural hearing loss.

What phase is PF-04958242 in?

PF-04958242 is in Phase 1 development. All four of its recorded clinical trials are Phase 1 studies, and all four are completed, with no active trials. It is an investigational drug and is not approved by the FDA for any indication.

What clinical trials is PF-04958242 in?

PF-04958242 has completed four Phase 1 trials: NCT02332798, a multiple ascending dose study in stable schizophrenia; NCT01749098, which examined effects on ketamine-induced cognitive impairment in healthy volunteers; NCT01518920, in age-related hearing loss; and NCT01518894, a safety, tolerability and pharmacokinetics study in psychiatrically stable schizophrenia.

Is PF-04958242 the same as PF-04958242 capsule?

Yes. PF-04958242 capsule is another name used for PF-04958242, the investigational small molecule developed by Biogen Inc. (BIIB). Both names refer to the same compound studied in Phase 1 trials for schizophrenia and sensorineural hearing loss.