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CP690, 550

Phase 3

Ulcerative Colitis | Small molecule | Gastrointestinal |Pfizer, Inc.|Last Updated: Sep 17, 2021

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment1,537

FDA Designations

No designations recorded

Clinical trial landscape

CP690, 550 · 2 trials · 1 indication

Phase 3 2
NCT01470612Long-Term Study Of CP-690,550 In Subjects With Ulcerative ColitisUlcerative Colitis
COMPLETED944 Analytics
NCT01458574A Study Of Oral CP-690,550 As A Maintenance Therapy For Ulcerative ColitisUlcerative Colitis
COMPLETED593 Analytics
PHASE3COMPLETED
Long-Term Study Of CP-690,550 In Subjects With Ulcerative Colitis
Ulcerative ColitisUnlock trial analytics
PHASE3COMPLETED
A Study Of Oral CP-690,550 As A Maintenance Therapy For Ulcerative Colitis
Ulcerative ColitisUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Baseline up to 28 days after last dose of study drug (up to 81 months for Tofacitinib 5 mg BID group and up to 85 months for Tofacitinib 10 mg BID group)

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events between first dose of study drug and up to 81 months for Tofacitinib 5 mg BID group and up to 85 months for Tofacitinib 10 mg BID group that were absent before treatment or that worsened relative to pretreatment state. AEs included both serious and all non-serious AEs.

Number of Participants With Serious Infections as Treatment Emergent Adverse Events (TEAEs)
Baseline up to 28 days after last dose of study drug (up to 81 months for Tofacitinib 5 mg BID group and up to 85 months for Tofacitinib 10 mg BID group)

Serious infections were treated infections that required parenteral antimicrobial therapy or hospitalization for treatment or; met other criteria that required the infection to be classified as a serious adverse event (SAE). SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent were events between first dose of study drug and up to 81 months for Tofacitinib 5 mg BID group and up to 85 months for Tofacitinib 10 mg BID group that were absent before treatment or that worsened relative to pretreatment state.

Number of Participants With Laboratory Test Abnormalities
Baseline up to 28 days after last dose of study drug (up to 81 months for Tofacitinib 5 mg BID group and up to 85 months for Tofacitinib 10 mg BID group)

Laboratory abnormalities: Hemoglobin, hematocrit, RBC: \<0.8\* LLN; reticulocytes (absolute \[Abs\], %): \<0.5\* LLN, \>1.5\* ULN; MCV, MCH: \<0.9\* LLN, \>1.1\* ULN; platelets:\<0.5\* LLN, \>1.75\* ULN; WBC:\<0.6\* LLN,\>1.5\* ULN; lymphocytes (Abs, %), total neutrophils (Abs,%):\<0.8\* LLN, \>1.2\* ULN; Basophils (Abs,%),eosinophils(Abs, %),monocytes(Abs, %):\>1.2\* ULN; total bilirubin,direct bilirubin,indirect bilirubin:\>1.5\* ULN; AST,ALT,gamma GT, LDH,ALP: \>3.0\* ULN; total protein,albumin: \<0.8\* LLN,\>1.2\* ULN: BUN,creatinine: \>1.3\* ULN;uric acid:\>1.2\* ULN; cholesterol,triglycerides: \>1.3\* ULN; cholesterol (HDL: \<0.8\* LLN; LDL: \>1.2\* ULN); sodium: \<0.95\* LLN, \>1.05\* ULN; potassium, chloride, calcium, bicarbonate: \<0.9\* LLN, \>1.1\* ULN; glucose: \<0.6\* LLN; creatine kinase \>2.0\* ULN; urine specific gravity: \<1.003; urine pH: \<4.5; urine (glucose,protein,blood,nitrite,leukocyte,esterase): \>=1; Urine (RBC,WBC): \>=20; urine epithelial cells:\>=6; urine (casts,granular casts,hyaline casts): \>1; urine bacteria:\>20.

Number of Participants With Vital Sign Abnormalities
Baseline up to 28 days after last dose of study drug (up to 81 months for Tofacitinib 5 mg BID group and up to 85 months for Tofacitinib 10 mg BID group)

Vital sign abnormalities included greater than or equal to (\>=) 30 millimeter of mercury \[mmHg\] increase in systolic blood pressure (BP), \>=30 mmHg decrease in systolic BP, Systolic BP (less than \[\<\] 90 mmHg), \>=20 mmHg increase in diastolic BP, \>=20 mmHg decrease in diastolic BP, diastolic BP (\<50 mmHg), pulse rate (\<40 beats per minute \[BPM\]), pulse rate (greater than \[\>\] 120 BPM).

Number of Participants With Clinically Significant Changes in Physical Examinations From Baseline
Baseline up to 28 days after last dose of study drug (up to 81 months for Tofacitinib 5 mg BID group and up to 85 months for Tofacitinib 10 mg BID group)

Physical examinations included weight, general appearance, head, ears, eyes, nose, mouth, throat, thyroid, skin (presence of rash), lungs (auscultation), heart (auscultation for presence of murmurs, gallops, rubs, peripheral edema), abdominal (palpation and auscultation), perianal, musculoskeletal, extremities, neurologic (mental status, gait, reflexes, motor and sensory function, coordination) and lymph nodes. Clinically significant changes were judged by the investigator.

Number of Participants With Electrocardiogram (ECG) Abnormalities
Baseline up to 28 days after last dose of study drug (up to 81 months for Tofacitinib 5 mg BID group and up to 85 months for Tofacitinib 10 mg BID group)

ECG abnormalities criteria: maximum PR interval (\>=300 millisecond); maximum QRS complex (\>=200 millisecond); and maximum QT interval (\>=500 millisecond).

Incidence Rates for Adjudicated Cardiovascular, Malignancy, Opportunistic Infections and Thromboembolic Safety Events
Baseline up to 28 days after last dose of study drug (up to 81 months for Tofacitinib 5 mg BID group and up to 85 months for Tofacitinib 10 mg BID group)

Incidence rates for adjudicated cardiovascular (major adverse cardiovascular event \[MACE\]), malignancy (non-melanoma skin cancer \[NMSC\], malignancies excluding NMSC, opportunistic infections (OIs) (both herpes zoster and non herpes zoster OIs) and thromboembolic (venous thromboembolism) safety events were analyzed. This outcome measure was measured in participants with events per 100 participants-years (pt with events/100 pts-yrs).

Percentage of Participants In Remission at Week 52
Week 52

Remission in participants was defined by a total mayo score of 2 points or lower, with no individual subscore exceeding 1 point and a rectal bleeding subscore of 0. Mayo score was an instrument designed to measure disease activity of ulcerative colitis (UC). It consisted of 4 subscores: stool frequency, rectal bleeding, findings of centrally read flexible sigmoidoscopy and physician global assessment (PGA), each subscore graded from 0 to 3 with higher scores indicating higher disease severity. These subscores were summed up to give a total score range of 0 to 12 where higher score indicating higher disease severity.

Secondary Endpoints

Number of Participants in Remission at Months 2, 12, 24 and 36: Observed Cases
Months 2, 12, 24 and 36
Number of Participants in Remission at Months 2, 12, 24 and 36: Non-responder Imputation- Last Observation Carried Forward (NRI-LOCF)
Months 2, 12, 24 and 36
Number of Participants in Clinical Remission at Months 2, 12, 24 and 36: Observed Cases
Months 2, 12, 24 and 36
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
CP-690,550 5 mg BIDEXPERIMENTAL5 mg BID
CP-690,550 10 mg BIDEXPERIMENTAL10 mg BID
Placebo ComparatorPLACEBO_COMPARATOR -
CP-690,550 5 mg ArmEXPERIMENTAL -
CP-690,550 10 mg ArmEXPERIMENTAL -

Interventions

NameTypeDescription
CP-690,550DRUG5 mg tablets, BID, for at least 12 months
PlaceboDRUGPlacebo 10 mg orally (PO) twice a day (BID)
CP690,550DRUGCP-690,550 5 mg orally (PO) twice a day (BID)
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites252

Inclusion Criteria: * Subjects who completed induction studies A3921094 or A3921095 and were classified as not meeting clinical response criteria; OR * Subjects who completed maintenance study A3921096 or who discontinued treatment early in Study A3921096 due to treatment failure. Exclusion Criter...

Countries:United StatesAustraliaAustriaBelgiumBrazilCanadaColombiaCroatiaCzechiaDenmarkEstoniaFranceGermanyHungaryIsraelItalyJapanLatviaNetherlandsNew ZealandPolandRomaniaRussiaSerbiaSlovakiaSouth AfricaSouth KoreaSpainTaiwanUkraineUnited Kingdom
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Frequently asked questions about CP690, 550

What is CP 690,550 used for?

CP 690,550 is an investigational small molecule being studied for multiple conditions, including renal impairment, Crohn's disease, hepatic insufficiency, dry eye syndromes, rheumatoid arthritis, and psoriasis. It is developed by Pfizer, Inc. (NYSE: PFE) and is currently in Phase 3 clinical development.

What does CP 690,550 target?

CP 690,550 is a small molecule immunology therapeutic. Its specific molecular target is not disclosed in the available information. It is being investigated for its potential role in treating autoimmune and inflammatory conditions such as rheumatoid arthritis, psoriasis, and Crohn's disease.

Who makes CP 690,550?

CP 690,550 is developed by Pfizer, Inc., a biopharmaceutical company listed on the New York Stock Exchange under the ticker symbol PFE. The drug is currently in Phase 3 clinical trials for various indications, including psoriasis and rheumatoid arthritis.

What phase is CP 690,550 in?

CP 690,550 is in Phase 3 clinical development. It is an investigational drug and has not been approved by regulatory authorities. Pfizer, Inc. is conducting clinical trials to evaluate its safety and efficacy for conditions such as psoriasis and other inflammatory diseases.

What clinical trials is CP 690,550 in?

CP 690,550 has been studied in several clinical trials, including NCT00678210, a Phase 2 study in moderate to severe chronic plaque psoriasis, and NCT01519089, a Phase 3 long-term study in patients with moderate to severe plaque psoriasis and/or psoriatic arthritis. All trials are completed.

Is CP 690,550 the same as tofacitinib?

CP 690,550 is an alternative name for tofacitinib, a small molecule developed by Pfizer, Inc. It is being studied for various indications, including rheumatoid arthritis, psoriasis, and Crohn's disease. The drug is currently in Phase 3 clinical development.