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PDE9i

Phase 1

Undisclosed | Small molecule | Hematology |Pfizer, Inc.|Trials Updated: Dec 14, 2017

PDE9i development status

Highest phase Phase 1
Registered trials 1 across 1 sponsor since Apr 2014

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment30

FDA Designations

No designations recorded

PDE9i clinical trials

PDE9i · 1 trial · 1 indication

Phase 1 1
NCT02114203Safety, Tolerability, Pharmacokinetics, And Pharmacodynamics Study Of PF-04447943, Co-Administered With And Without Hydroxyurea, In Subjects With Stable Sickle Cell DiseasePhase 1 Sickle Cell
COMPLETED30 Analytics
PHASE1COMPLETED
Safety, Tolerability, Pharmacokinetics, And Pharmacodynamics Study Of PF-04447943, Co-Administered With And Without Hydroxyurea, In Subjects With Stable Sickle Cell Disease
Phase 1 Sickle CellUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Potentially Clinically Important (PCI) Change From Baseline in Vital Signs
Baseline up to 30 days post last dose on Day 29

Number of participants with changes from baseline in vital signs meeting the following criteria is presented: (1) maximum increase from baseline in supine systolic blood pressure (SBP) \>=30 millimeters of mercury (mmHg); (2) maximum increase from baseline in supine diastolic blood pressure (DBP) \>=20 mmHg; (3) maximum decrease from baseline in supine SBP \>=30 mmHg; and (4) maximum decrease from baseline in supine DBP \>=20 mmHg.

Number of Participants With Potentially Clinically Important (PCI) Change From Baseline in Neurologic Function
Baseline up to Day 29

Clinical assessment of neurologic functions included cranial nerve function, coordination, deep tendon reflexes, muscle strength, and reflexes (left and right ankles). Clinical importance of neurologic function changes was determined by the investigator.

Number of Participants With Potentially Clinically Important (PCI) Change in Physical Examination Findings
Baseline up to 30 days post last dose on Day 29

Physical examination included head, ears, eyes, nose, mouth, skin, heart and lung examinations, lymph nodes, gastrointestinal, musculoskeletal, and neurological systems. Clinical importance of physical examination changes was determined by the investigator.

Number of Participants With Clinically Significant Treatment-Emergent Electrocardiogram (ECG) Findings
Baseline up to 30 days post last dose on Day 29

Maximum absolute values and increases from baseline were summarized for PR interval (time from the beginning of P wave to the start of QRS complex, corresponding to the end of atrial depolarization and onset of ventricular depolarization), QRS complex (time from Q wave to the end of S wave, corresponding to ventricle depolarization), and QTcF interval (time from the beginning of Q wave to the end of T wave corresponding to electrical systole corrected for heart rate using Fridericia's formula). Number of participants with ECG findings meeting the following criteria is presented: (1) PR interval \>=300 msec; (2) QRS complex \>=200 msec; (3) QTcF interval: 450 to \<480 msec; (4) QTcF interval: 480 to \<500 msec; (5) QTcF interval \>=500 msec; (6) PR interval percent increase from baseline \>=25/50 percent; (7) QRS complex percent increase from baseline \>=25/50 percent; (8) QTcF interval increase from baseline: 30 to \<60 msec; (9) QTcF interval increase from baseline \>=60 msec.

Number of Participants With Potentially Clinically Important (PCI) Change From Baseline in Symptoms of Sickle Cell Disease
Baseline up to 30 days post last dose on Day 29

The following symptoms were assessed: anemia; fatigue; chronic pain; acute pain; infections; fever; swelling hands; swelling feet; abdominal swelling; pale skin; pale nail beds; yellow tint to skin; whites of eyes turned yellow; stroke. Number of participants with changes from baseline deemed potentially clinically important by the investigator is presented.

Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Day 1 to 30 days post last dose on Day 29

An adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a product or medical device, regardless of its causal relationship with study treatment. Serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; was life-threatening (immediate risk of death); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent AEs are events between first dose of study drug and up to follow-up visit (30 days post last dose on Day 29) that were absent before treatment or that worsened after treatment. AEs included both serious and non-serious AEs.

Number of Participants With Laboratory Test Abnormalities
Baseline up to 30 days post last dose on Day 29

The laboratory test included: hematology (hemoglobin, hematocrit, red blood cell count, mean corpuscular volume, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration, platelet count, white blood cell count, absolute total neutrophils, eosinophils, monocytes, basophils, and lymphocytes), chemistry (blood urea nitrogen/urea, serum creatinine, fasting glucose, calcium, sodium, potassium, chloride, total carbon dioxide, aspartate aminotransferase, alanine aminotransferase, total bilirubin, alkaline phosphatase, uric acid, albumin, total protein, and high sensitivity C-reactive protein), urinalysis (pH, qualitative glucose, qualitative protein, qualitative blood, ketones, nitrites, leukocyte esterase, urobilinogen, urine bilirubin, and microscopy), and other tests (follicle stimulating hormone and serum human chorionic gonadotropin, urine drug screening). Abnormality was determined by the investigator.

Secondary Endpoints

Area Under the Curve From Time Zero to 12 Hours Post Dose (AUC(0-12h)) of PF-04447943
Prior to 0 hour, and 0.5, 1, 2, 4, 8, and 12 hours post dose on Day 1
Maximum Observed Plasma Concentration (Cmax) of PF-04447943
Prior to 0 hour, and 0.5, 1, 2, 4, 8, and 12 hours post dose on Day 1
Time for Maximum Observed Plasma Concentration (Tmax) of PF-04447943
Prior to 0 hour, and 0.5, 1, 2, 4, 8, and 12 hours post dose on Day 1
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
PurposeBASIC_SCIENCE

Treatment Arms

ArmTypeDescription
cohort 1 PF-04447943EXPERIMENTAL -
cohort 2 PF-04447943EXPERIMENTAL -
placebo comparatorPLACEBO_COMPARATOR -
optional cohort of PF-04447943EXPERIMENTAL -

Interventions

NameTypeDescription
PDE9iDRUGoral dose, every 12 hours for 28 days
placebo for PDE9iDRUGoral dose, every 12 hours for 28 days
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersNo
Study Sites23

Inclusion Criteria: * Male and female subjects with a confirmed diagnosis of sickle cell disease (HbSS or HBS-β0 thalassemia) between the ages of 18 and 65 years, inclusive * Subjects who are being treated with hydroxyurea must be on a stable dose for at least 8 weeks, with the intent of remaining ...

Countries:United StatesBelgiumItalyNetherlandsUnited Kingdom
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Frequently asked questions about PDE9i

What is PDE9i?

PDE9i is an investigational small molecule developed by Pfizer, Inc. (ticker PFE) for hematology. It has been studied in a Phase 1 clinical trial in sickle cell disease. It is not an approved therapy and remains in clinical development.

What is PDE9i used for?

PDE9i has been studied for sickle cell disease. The Phase 1 trial NCT02114203 evaluated it in subjects with stable sickle cell disease. No approved indication has been established, and the compound remains investigational.

Who makes PDE9i?

PDE9i is developed by Pfizer, Inc., which trades under the ticker PFE. Pfizer sponsored the Phase 1 study of the compound in sickle cell disease.

What phase is PDE9i in?

PDE9i is in Phase 1 development. One Phase 1 trial, NCT02114203, has been completed, and no active trials are ongoing. The drug is investigational and has not been approved by the FDA.

What clinical trials is PDE9i in?

PDE9i has been evaluated in one Phase 1 trial, NCT02114203, titled a safety, tolerability, pharmacokinetics, and pharmacodynamics study of PF-04447943 co-administered with and without hydroxyurea in subjects with stable sickle cell disease. The trial enrolled 30 participants across the United States, Belgium, Italy, the Netherlands, and the United Kingdom, and it is completed.

Is PDE9i the same as PF-04447943?

Yes, PF-04447943 is the compound identifier used for PDE9i in its clinical trial. The Phase 1 study NCT02114203 in stable sickle cell disease refers to the drug as PF-04447943, so the two names refer to the same investigational agent.