Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
PDE9i · 1 trial · 1 indication
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.
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.
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.
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.
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.
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.
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.
| Arm | Type | Description |
|---|---|---|
| cohort 1 PF-04447943 | EXPERIMENTAL | - |
| cohort 2 PF-04447943 | EXPERIMENTAL | - |
| placebo comparator | PLACEBO_COMPARATOR | - |
| optional cohort of PF-04447943 | EXPERIMENTAL | - |
| Name | Type | Description |
|---|---|---|
| PDE9i | DRUG | oral dose, every 12 hours for 28 days |
| placebo for PDE9i | DRUG | oral dose, every 12 hours for 28 days |
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 ...
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.
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.
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.
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.
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.
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.