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Fx-1006A

Phase 2

Cardiomyopathy | Small molecule | Cardiovascular |Pfizer, Inc.|Last Updated: Jan 18, 2013

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Trial Design

UNCONTROLLED
Total Trials1
Total Enrollment35

FDA Designations

No designations recorded

Clinical trial landscape

Fx-1006A · 5 trials · 6 indications

Phase 2 4Phase 1 1
NCT00694161The Effects Of Fx-1006A On Transthyretin Stabilization And Clinical Outcome Measures In Patients With V122I Or Wild-Type TTR Amyloid CardiomyopathyCardiomyopathy
COMPLETED35 Analytics
NCT00791492An Extension of Study Fx-005 Evaluating Long-Term Safety And Clinical Outcomes Of Fx-1006A In Patients With Transthyretin Amyloid PolyneuropathyFamilial Amyloid Polyneuropathy
COMPLETED86 Analytics
NCT00630864The Effects of Fx-1006A on Transthyretin Stabilization and Clinical Outcome Measures in Patients With Non-V30M Transthyretin AmyloidosisTransthyretin-associated Amyloidosis With Polyneuropathy
COMPLETED21 Analytics
NCT00409175Safety and Efficacy Study of Fx-1006A in Patients With Familial AmyloidosisFamilial Amyloid Polyneuropathy
COMPLETED128 Analytics
PHASE2COMPLETED
The Effects Of Fx-1006A On Transthyretin Stabilization And Clinical Outcome Measures In Patients With V122I Or Wild-Type TTR Amyloid Cardiomyopathy
CardiomyopathyUnlock trial analytics
PHASE2COMPLETED
An Extension of Study Fx-005 Evaluating Long-Term Safety And Clinical Outcomes Of Fx-1006A In Patients With Transthyretin Amyloid Polyneuropathy
Familial Amyloid PolyneuropathyUnlock trial analytics
PHASE2COMPLETED
The Effects of Fx-1006A on Transthyretin Stabilization and Clinical Outcome Measures in Patients With Non-V30M Transthyretin Amyloidosis
Transthyretin-associated Amyloidosis With PolyneuropathyUnlock trial analytics
PHASE2COMPLETED
Safety and Efficacy Study of Fx-1006A in Patients With Familial Amyloidosis
Familial Amyloid PolyneuropathyUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With Stabilized Transthyretin (TTR Tetramer) at Week 6
Week 6

TTR tetramer was assessed using a validated immunoturbidimetric assay. The Fraction of Initial (FOI) is the ratio of the measured TTR tetramer concentration after denaturation to the measured TTR tetramer concentration before denaturation. TTR tetramer stabilization is based on the difference between the on-treatment FOI and the baseline FOI expressed as a percentage of the baseline FOI.

Percentage of Participants With Response to Treatment as Measured by Neuropathy Impairment Score - Lower Limb (NIS-LL) at Month 6
Month 6

Response to treatment indicated by either improvement(decrease from baseline) or stabilization(change from baseline of 0 to less than\[\<\] 2) in NIS-LL score,based on mean of 2 scores in 1 week period.NIS-LL assessed muscle weakness,reflexes,sensation.Each item scored separately for left,right limbs.Components of muscle weakness:0(normal)-4(paralysis),higher score=more weakness;reflexes,sensation:0=normal,1=decreased,or 2=absent.Total NIS-LL score range 0-88,higher score=more impairment. For tafamidis-tafamidis group, NIS-LL baseline value of previous study FX-005(NCT00409175) used as reference.

Percentage of Participants With Response to Treatment as Measured by Neuropathy Impairment Score - Lower Limb (NIS-LL) at Month 12
Month 12

Response to treatment indicated by either improvement(decrease from baseline) or stabilization(change from baseline of 0 to less than\[\<\] 2) in NIS-LL score,based on mean of 2 scores in 1 week period.NIS-LL assessed muscle weakness,reflexes,sensation.Each item scored separately for left,right limbs.Components of muscle weakness:0(normal)-4(paralysis),higher score=more weakness;reflexes,sensation:0=normal,1=decreased,or 2=absent.Total NIS-LL score range 0-88,higher score=more impairment. For tafamidis-tafamidis group, NIS-LL baseline value of previous study FX-005(NCT00409175) used as reference.

Change From Baseline in Norfolk Quality of Life- Diabetic Neuropathy (QOL-DN) Total Quality of Life (TQOL) Score at Month 6
Baseline, Month 6

Norfolk QOL-DN: 35-item participant-rated questionnaire used to assess impact of diabetic neuropathy on the quality of life of participants with diabetic neuropathy; Item 1 to 7: related to symptoms and presence of symptoms was assessed as 1 and absence was assessed as 0. Item 8-35: related to activities of daily living and scored on a 5-point Likert scale, where 0= no problem and 4= severe problem (except item 32, where -2= much better, 0=about the same, 2=much worse). TQOL= sum of all the items, total possible score range= -2 to 138, where higher score=worse quality of life.

Change From Baseline in Norfolk Quality of Life- Diabetic Neuropathy (QOL-DN) Total Quality of Life (TQOL) Score at Month 12
Baseline, Month 12

Norfolk QOL-DN: 35-item participant-rated questionnaire used to assess impact of diabetic neuropathy on the quality of life of participants with diabetic neuropathy; Item 1 to 7: related to symptoms and presence of symptoms was assessed as 1 and absence was assessed as 0. Item 8-35: related to activities of daily living and scored on a 5-point Likert scale, where 0= no problem and 4= severe problem (except item 32, where -2= much better, 0=about the same, 2=much worse). TQOL= sum of all the items, total possible score range= -2 to 138, where higher score=worse quality of life.

Percentage of Participants With Stabilized Transthyretin (TTR) Tetramer at Week 6
Week 6

TTR tetramer was assessed using a validated immunoturbidimetric assay. The Fraction of Initial (FOI) is the ratio of the measured TTR tetramer concentration after denaturation to the measured TTR tetramer concentration before denaturation. TTR tetramer stabilization is based on the difference between the on-treatment FOI and the baseline FOI expressed as a percentage of the baseline FOI.

Percentage of Participants With Response to Treatment as Measured by Neuropathy Impairment Score - Lower Limb (NIS-LL) at Month 18
Month 18

Response to treatment was indicated by either improvement (decrease from baseline) or stabilization (change from baseline of 0 to less than\[\<\] 2) in NIS-LL score, based on mean of 2 scores in 1 week period. NIS-LL: assessed muscle weakness, reflexes, sensation. Each item scored separately for left, right limbs. Components of muscle weakness scored on 0(normal) to 4(paralysis) scale, higher score=greater weakness. Components of reflexes, sensation scored 0=normal, 1=decreased, or 2=absent. Total NIS-LL score range 0-88, higher score=greater impairment.

Change From Baseline in Norfolk Quality of Life- Diabetic Neuropathy (QOL-DN) Total Quality of Life (TQOL) Score at Month 18
Baseline, Month 18

Norfolk QOL-DN: 35-item participant-rated questionnaire used to assess impact of diabetic neuropathy on the quality of life of participants with diabetic neuropathy; Item 1 to 7: related to symptoms and presence of symptom was assessed as 1 and absence was assessed as 0. Item 8-35: related to activities of daily living and scored on a 5-point Likert scale, where 0= no problem and 4= severe problem (except item 32, where -2= much better, 0=about the same, 2=much worse). TQOL= sum of all the items, total possible score range= -2 to 138, where higher score=worse quality of life.

Pharmacokinetic parameters are AUC0-last and Cmax
Daily

Secondary Endpoints

Percentage of Participants With Stabilized Transthyretin (TTR Tetramer) at Month 6 and 12
Month 6, Month 12
Change From Baseline in Neuropathy Impairment Score - Lower Limb (NIS-LL) Score at Month 6 and 12
Baseline, Month 6, 12
Change From Baseline in Norfolk Quality of Life - Diabetic Neuropathy (QOL-DN) Domain Scores at Month 6 and 12
Baseline, Month 6, 12
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Fx-1006AEXPERIMENTAL -
1EXPERIMENTALFx-1006A 20mg soft gelatin capsules once daily for 12 months
1.EXPERIMENTALFx-1006A
2.PLACEBO_COMPARATORPlacebo
Mild and Moderate Hepatic DysfunctionACTIVE_COMPARATORPatients with mild and moderate hepatic dysfunction
Healthy VolunteersACTIVE_COMPARATORHealthy volunteers

Interventions

NameTypeDescription
Fx-1006ADRUGFx-1006A 20mg soft gelatin capsules once daily (at the same time each day) for 12 months
PlaceboDRUGFx-1006A 20mg or matched placebo once daily (at the same time each day) for a period of 18 Months
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Eligibility Criteria

Age Range40 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites6

Inclusion Criteria: 1. Patient is \> 40 years-old. 2. Patient participated in FoldRx Study Fx-001 (TRACS) OR Patient has documented TTR amyloid cardiomyopathy and NYHA Classification of I or II. TTR amyloid cardiomyopathy is defined as: 1. Variant TTR amyloid cardiomyopathy as defined as: V1...

Countries:United StatesArgentinaBrazilFranceGermanyPortugalSwedenItalySpainUnited KingdomSouth Africa
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Frequently asked questions about Fx-1006A

What is Fx-1006A used for?

Fx-1006A is an investigational small molecule being developed for transthyretin-associated amyloidosis with polyneuropathy, familial amyloid polyneuropathy, cardiomyopathy, and mild hepatic dysfunction. It has been studied in Phase 2 clinical trials for these conditions, though it remains investigational and is not approved.

What does Fx-1006A target?

Fx-1006A targets transthyretin, a protein involved in amyloidosis. It is designed to stabilize transthyretin, potentially preventing the formation of amyloid deposits that cause disease. This mechanism is being evaluated in patients with transthyretin amyloidosis affecting the nerves and heart.

Who makes Fx-1006A?

Fx-1006A is being developed by Pfizer, Inc., a biopharmaceutical company listed on the New York Stock Exchange under the ticker symbol PFE. Pfizer has sponsored clinical trials evaluating the drug's safety and efficacy in transthyretin amyloidosis.

What phase is Fx-1006A in?

Fx-1006A has completed Phase 2 clinical trials for transthyretin amyloidosis with polyneuropathy and cardiomyopathy. It has also completed a Phase 1 trial in hepatic dysfunction. The drug is investigational and has not received regulatory approval.

What clinical trials is Fx-1006A in?

Fx-1006A has been studied in completed trials including NCT00630864 for non-V30M transthyretin amyloidosis with polyneuropathy, NCT00694161 for V122I or wild-type TTR amyloid cardiomyopathy, NCT00791492 as an extension study in familial amyloid polyneuropathy, and NCT01358565 for hepatic dysfunction.

Is Fx-1006A the same as tafamidis?

Fx-1006A is also known as tafamidis, a transthyretin stabilizer developed by Pfizer. Clinical trials have evaluated it under the Fx-1006A name for amyloidosis, and it is the same compound marketed under the brand name Vyndaqel or Vyndamax.