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OAP-189

Phase 1

Diabetes Mellitus | Small molecule | Metabolic |Pfizer, Inc.|Last Updated: Nov 2, 2020

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment92
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00970593Study Evaluating Safety, Tolerability, And Action Of OAP-189 In Subjects With Type 2 Diabetes On MetforminPHASE1 COMPLETED 92Sep 2, 2009Jul 25, 2011Nov 2, 20202 United States
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Study Endpoints
Primary Endpoints
Number of Participants With Clinically Significant Physical Examination Abnormalities
Baseline up to 17 days after last dose of study drug (Day 31)

Physical examination included examination of skin, head, eyes, ears, nose, throat (HEENT), heart, lungs, abdomen, extremities, neurological function, back and lymph nodes. Clinically significant physical examination abnormalities were considered as adverse events based on investigator's discretion.

Number of Participants With Clinically Significant Vital Signs Abnormalities
Baseline up to 17 days after last dose of study drug (Day 31)

Criteria for clinically significant vital sign abnormalities: sitting systolic blood pressure (SBP) of (greater than equal to) \>=160 millimeter of mercury (mmHg), (less than equal to) \<=90 mmHg, \>=20 mmHg increase and decrease from baseline; sitting diastolic blood pressure (DBP) of \>=100 mmHg, \<=50 mmHg, \>=15 mmHg increase and decrease from baseline; heart rate of \>=120 beats per minute (bpm), \<=45 bpm, (greater than) \>15 bpm increase and decrease from baseline, orthostatic SBP: decrease of \>=20 mm Hg from sitting value, orthostatic DBP: decrease of \>=20 mm Hg from sitting value, orthostatic heart rate: increase of \>=30 bpm from sitting value, oral temperature of (less than) \<35 or \>38.3 degree celsius, respiratory rate of \<10 or \>25 breaths per minute, weight: maximum increase or decrease of \>=7 percent (%) from baseline.

Number of Participants With Clinically Significant 12-Lead Electrocardiogram (ECG) Abnormalities
Baseline up to 17 days after last dose of study drug (Day 31)

Criteria for clinically significant ECG abnormalities: PR interval \>=220 millisecond (msec) or a change of \>=20 msec from baseline values, QRS interval \>=120 msec, QTc interval \>450 msec (in males) and \>470 msec (in females).

Number of Participants With Clinically Significant Laboratory Abnormalities
Baseline up to 17 days after last dose of study drug (Day 31)

Hematocrit, haemoglobin: decrease of \>=0.05 L/L and \>=20 g/L from baseline respectively, WBC count:\<3\*10\^9 /L, neutrophils: \<1.5\*10\^9 /L, platelet count: \<100\*10\^9 /L, eosinophil: \<0.5\*10\^9 /L; prothrombin time, partial thromboplastin time \>1.5\*upper limit of normal (ULN); sodium:\>5 mmol/L above ULN or below lower limit of normal(LLN), potassium \>0.5 mmol/L above ULN or below LLN, creatinine \>1.36\*ULN, blood urea nitrogen \>1.5\*ULN, glucose (fasting) \>0.83 mmol/L above ULN or below LLN, glucose (non-fasting) \>5 mmol/L above ULN or \>0.56 below LLN, calcium, magnesium: Change of \>=0.25 and \>=0.21 mmol/L from baseline respectively, phosphorus \>0.162 mmol/L above ULN or below LLN, total protein, albumin, uric acid: change of \>=20g/L, \>=10 g/L, \>0.119 mmol/L from baseline respectively, creatinine kinase \>3\*ULN, total cholesterol \>7.77 mmol/L, triglycerides \>3.39 mmol/L: AST, ALT, total bilirubin \>2\*ULN, alkaline phosphatase \>1.5\*ULN, alpha-glumatyl transferase, lactate dehydrogenase \>3\*ULN.

Number of Participants With Injection Site Reactions
Baseline up to 17 days after last dose of study drug (Day 31)

Injection site reactions included irritation, erythema, pain, hematoma, inflammation.

Number of Participants With Clinically Significant Fasting Glucose Level Abnormalities
Baseline up to 17 days after last dose of study drug (Day 31)

Criteria: Blood glucose levels \>15 milligram per deciliter (mg/dL) above ULN or \>15 mg/dL below LLN.

Number of Participants With Hypoglycaemia
Baseline up to 17 days after last dose of study drug (Day 31)

Hypoglycaemia is a condition characterized by abnormally low blood glucose (blood sugar) levels, usually \<=50 mg/dL.

Number of Participants With Drug-Induced Liver Injury
Baseline up to 17 days after last dose of study drug (Day 31)

Criteria for drug induced liver injury: Levels of aspartate transaminase (AST) or alanine transaminase (ALT) should be \>= 3 times ULN concurrent with a total bilirubin of \>=2 times ULN with no evidence of hemolysis and an alkaline phosphatase should be \<=2 times ULN.

Change From Baseline in Predose Fasting Glucose Levels at Day 8
Baseline, Day 8

Fasting glucose levels were determined before administration of OAP-189 using a glucometer.

Change From Baseline in Predose Fasting Glucose Levels at Day 15
Baseline, Day 15

Fasting glucose levels were determined before administration of OAP-189 using a glucometer.

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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
OAP-189PLACEBO_COMPARATOR -
2PLACEBO_COMPARATOR -
Interventions
NameTypeDescription
OAP-189DRUGGroup 1: OAP-189 BID (0.2 mg BID) x 7 days Group 2: OAP-189 (0.4 mg BID) x 7 days Group 3: OAP-189 QD (0.9 mg x 7 days followed by 1.2 mg x 7 days; MR formulation) Group 4: OAP-189 QD (1.2 mg x 7 days followed by 1.6 mg x 7 days; MR formulation) Group 5: OAP-189 QD (1.2 mg x 7 days followed by 1.6 mg x 7 days; different MR formulation) Group 6: OAP-189 QD (1.2 mg x 7 days followed by 1.6 mg x 7 days; different MR formulation)
placebo comparatorDRUGGroup 1 \& 2: PBO x 7 days BID Group 3: PBO QD x 14 days Group 4: PBO QD x 14 days Group 5: PBO QD x 14 days Group 6: PBO QD x 14 days
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Eligibility Criteria
Age Range18 Years — 65 Years
SexALL
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: * Subjects must have been diagnosed with type 2 diabetes, with HbA1c level \>=7.0% and \<=11.0% and a fasting glucose level \<=280 mg/dL. * Men or women of nonchildbearing potential (WONCBP), aged 18 to 65 years inclusive on study day 1. * Body mass index in the range of 27 to 4...

Countries:United States
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