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DIC075V

Phase 3

Pain, Postoperative | Small molecule | Pain |Pfizer, Inc.|Last Updated: Oct 13, 2021

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials1
Total Enrollment1,050

FDA Designations

No designations recorded

Clinical trial landscape

DIC075V · 2 trials · 2 indications

Phase 3 1Phase 1 1
NCT00726388An Open-Label Safety Study Of DIC075V (Intravenous Diclofenac Sodium) In Patients With Acute Post-Operative PainPain, Postoperative
COMPLETED1,050 Analytics
PHASE3COMPLETED
An Open-Label Safety Study Of DIC075V (Intravenous Diclofenac Sodium) In Patients With Acute Post-Operative Pain
Pain, PostoperativeUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Day 1 of dosing up to maximum of 37 days after last dose (maximum up to 42 days)

An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. TEAEs were events between first dose of study drug and up to 37 days after last dose that were absent before treatment or that worsened relative to pretreatment state. An 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. TEAEs included SAEs and all non-SAEs that occurred during the study.

Number of Participants Who Took at Least 1 Concomitant Medication
Day 1 of dosing up to maximum of 37 days after last dose (maximum up to 42 days)

Concomitant medications were medications that were taken concurrently on or after first dose of study drug.

Number of Participants With Abnormal Urinalysis Findings
Baseline (Day 1, immediately before dosing) up to study discharge/early termination (maximum up to Day 5)

Urine parameters included gravity, glucose, protein, and bilirubin. Abnormalities were judged by the investigator.

Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities at Baseline
Baseline (Day 1, immediately before dosing)

12-lead ECG parameters were evaluated. Clinically significant abnormal ECG findings were based on investigator's discretion.

Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities at Study Discharge/Early Termination
Study discharge/early termination (maximum up to Day 5)

12-lead ECG parameters were evaluated. Clinically significant abnormal ECG findings were based on investigator's discretion.

Change From Baseline in Blood Pressure at Study Discharge/Early Termination
Baseline (Day 1, immediately before dosing), Study discharge/early termination (maximum up to 5 days)

Change from baseline in systolic blood pressure (SBP) and diastolic blood pressure (DBP) in millimeter of mercury (mmHg) was reported. The blood pressure was assessed after the participant had taken rest for 5 minutes.

Change From Baseline in Blood Pressure at Clinic Follow-up Visit
Baseline (Day 1, immediately before dosing), Clinic follow-up visit (4-10 days after last dose, maximum up to 15 days)

Change from baseline in SBP and DBP in mmHg was reported. The blood pressure was assessed after the participant had taken rest for 5 minutes.

Change From Baseline in Respiratory Rate at Study Discharge/Early Termination
Baseline (Day 1, immediately before dosing), Study discharge/early termination (maximum up to 5 days)

Respiratory rate was measured after the participant had taken rest for 5 minutes.

Change From Baseline in Respiratory Rate at Clinic Follow-up Visit
Baseline (Day 1, immediately before dosing), Clinic follow-up visit (4-10 days after last dose, maximum up to 15 days)

Respiratory rate was measured after the participant had taken rest for 5 minutes.

Change From Baseline in Heart Rate at Study Discharge/Early Termination
Baseline (Day 1, immediately before dosing), Study discharge/early termination (maximum up to 5 days)

Change from baseline in heart rate in beats per minute was reported. The heart rate was assessed after the participant had taken rest for 5 minutes.

Change From Baseline in Heart Rate at Clinic Follow-up Visit
Baseline (Day 1, immediately before dosing), Clinic follow-up visit (4-10 days after last dose, maximum up to 15 days)

Change from baseline in heart rate in beats per minute was reported. The heart rate was assessed after the participant had taken rest for 5 minutes.

Number of Participants With Wound Assessment at Study Discharge/Early Termination
Study discharge/early termination (maximum up to Day 5)

Wound assessment had 6 questions, completed by investigator/sub-investigator. Question related to extent of healing; extent and degree of inflammation and extent of drainage had options: much better than expected, better than expected, normal, slower than expected, and much slower than expected. Question related to separation of surgical incision had options: no separation, barely detectible separation, localized separation, mostly separated, and complete separation (dehiscence). Question related to infection at surgical site had options: definitely, no infection, possibly infected, probably infected, certainly infected, and abscess/gross cellulitis. Question related to prescription of postoperative systemic antibiotics had options: no, yes for prophylaxis, and yes for infection. Every question there was category "Not Done" for participants with no wound assessment other than the reason 'missing' and category "Missing", where participants were missing for wound assessment.

Number of Participants With Thrombophlebitis Assessment Evaluation at Baseline
Baseline (Day 1, immediately before dosing)

Thrombophlebitis assessment evaluation was done using following grades: 0 equals to (=) no reaction, 1= tenderness along the vein, 2= continuous tenderness of pain with redness, 3= palpable swelling or thrombosis within length of cannula, 4= palpable swelling or thrombosis beyond the length of the cannula and 5= palpable swelling or thrombosis beyond the length of the cannula with overt infection.

Number of Participants With Thrombophlebitis Assessment Evaluation at Study Discharge/Early Termination
Study discharge/early termination (maximum up to Day 5)

Thrombophlebitis assessment evaluation was done using following grades: 0= no reaction, 1= tenderness along the vein, 2= continuous tenderness of pain with redness, 3= palpable swelling or thrombosis within length of cannula, 4= palpable swelling or thrombosis beyond the length of the cannula and 5= palpable swelling or thrombosis beyond the length of the cannula with overt infection.

Number of Participants With Clinically Significant Physical Examination Abnormalities at Screening
Screening (0 to 21 days prior to surgery)

Physical examination included the assessment of general appearance, skin; head, ears, eyes, nose, and throat (HEENT); neck/thyroid; oral cavity; lymph nodes; cardiovascular; lungs; abdomen; genitourinary; neurologic and joints/extremities. Clinically significant physical examination findings were based on investigator's discretion.

Number of Participants With Clinically Significant Physical Examination Abnormalities at Clinic Follow-up Visit
Clinic follow-up visit (4-10 days after last dose, maximum up to 15 days)

Physical examination included the assessment of general appearance, skin; HEENT; neck/thyroid; oral cavity; lymph nodes; cardiovascular; lungs; abdomen; genitourinary; neurologic and joints/extremities. Clinically significant physical examination findings were based on investigator's discretion.

Time-matched active drug-placebo difference in baseline-adjusted QTc interval
At -1.5, -1.0, and -0.5 hours (pre-dose), and 5, 10, 15, and 30 minutes (2-min window) and 1, 2, 4, 6, 8, 12, and 23.5 hours (5-min window) on Study Days 1, 4, 7, and 10.

The primary ECG endpoint is the time-matched active drug-placebo difference in baseline-adjusted QTc interval using the Fridericia correction formula (QTcF). The QTcF is evaluated at the time point where the maximal baseline and placebo-adjusted value is observed. These measurements are consistent with ICH E14 guidance.

Secondary Endpoints

Time-matched active drug-placebo difference in baseline-adjusted QTc interval using the Bazett's correction formula (QTcB) evaluated at the timepoint where the maximum mean baseline- and placebo-adjusted QTcB is observed for each active treatment arm
At -1.5, -1.0, and -0.5 hours (pre-dose), and 5, 10, 15, and 30 minutes (2-min window) and 1, 2, 4, 6, 8, 12, and 23.5 hours (5-min window) on Study Days 1, 4, 7, and 10.
Time matched active drug-placebo difference in baseline adjusted QTcF at the subject-specific Tmax or the next available ECG timepoint
At -1.5, -1.0, and -0.5 hours (pre-dose), and 5, 10, 15, and 30 minutes (2-min window) and 1, 2, 4, 6, 8, 12, and 23.5 hours (5-min window) on Study Days 1, 4, 7, and 10.
Time-matched active drug-placebo difference in the maximum baseline-adjusted QTcF of each subject at each active treatment period.
At -1.5, -1.0, and -0.5 hours (pre-dose), and 5, 10, 15, and 30 minutes (2-min window) and 1, 2, 4, 6, 8, 12, and 23.5 hours (5-min window) on Study Days 1, 4, 7, and 10.
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AEXPERIMENTALIV administration of multiple doses of DIC075V (intravenous diclofenac sodium) over multiple days
PlaceboPLACEBO_COMPARATORPlacebo
Experimental 1EXPERIMENTALDIC075V 37.5 mg
Experimental 2EXPERIMENTALDIC075V 75 mg
Active controlACTIVE_COMPARATORMoxifloxacin hydrochloride 400 mg

Interventions

NameTypeDescription
DIC075V (intravenous diclofenac sodium)DRUGmultiple doses up to 5 days
DIC075VDRUGFour single dose treatments: * Placebo (normal saline) * Moxifloxacin (positive control) * DIC075V 37.5 mg * DIC075V 75 mg All subjects receive each of the 4 treatments.
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Eligibility Criteria

Age Range18 Years to 85 Years
SexALL
Healthy VolunteersNo
Study Sites46

Inclusion Criteria: * abdominal ( non-laparoscopic abdominal surgeries) or orthopedic ( hip or knee joint replacement) surgery or other surgeries requiring multiple doses of parenterally administered NSAIDs over multiple days * Expected stay \> 48 hrs Exclusion Criteria: * bilirubin \> 2.5 mg/dl ...

Countries:United States
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Frequently asked questions about DIC075V

What is DIC075V used for?

DIC075V is an investigational small molecule being developed by Pfizer for the treatment of acute postoperative pain. It is an intravenous formulation of diclofenac sodium intended to manage pain following surgery. The drug is currently in Phase 3 clinical development and has not been approved by the FDA.

What does DIC075V target?

DIC075V is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting cyclooxygenase enzymes, reducing prostaglandin synthesis to alleviate pain and inflammation. As a diclofenac sodium formulation, it targets COX-1 and COX-2 pathways to provide analgesic effects in postoperative settings.

Who makes DIC075V?

DIC075V is being developed by Pfizer, Inc., a multinational pharmaceutical company listed on the New York Stock Exchange under the ticker symbol PFE. Pfizer is conducting clinical trials to evaluate the safety and efficacy of this intravenous diclofenac sodium formulation for acute postoperative pain.

What phase is DIC075V in?

DIC075V is in Phase 3 clinical development for acute postoperative pain. A Phase 3 safety study has been completed, and the drug remains investigational. It is not yet FDA approved, and further clinical evaluation is required before regulatory submission.

What clinical trials is DIC075V in?

DIC075V has one completed Phase 3 trial, NCT00726388, an open-label safety study in 1050 patients with acute postoperative pain. A separate Phase 1 study, NCT01812538, evaluated its effect on QTc intervals in healthy subjects. Both trials were conducted in the United States.

Is DIC075V the same as diclofenac?

DIC075V is an intravenous formulation of diclofenac sodium, a well-known NSAID. While it shares the active ingredient with oral diclofenac products, DIC075V is a specific investigational formulation designed for intravenous administration in postoperative pain management. It is not yet commercially available.