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PF-04236921

Phase 2

Crohn's Disease | Monoclonal antibody | Gastrointestinal |Pfizer, Inc.|Last Updated: Jan 12, 2024

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment441

FDA Designations

No designations recorded

Clinical trial landscape

PF-04236921 · 4 trials · 3 indications

Phase 2 3Phase 1 1
NCT01405196Subcutaneous Treatment In Randomized Subjects To Evaluate Safety And Efficacy In Generalized Lupus ErythematosusLupus Erythematosus, Systemic
COMPLETED183 Analytics
NCT01345318B0151005 Open-Label Extension StudyCrohn's Disease
COMPLETED191 Analytics
NCT01287897A Study To Assess The Efficacy And Safety Of PF-04236921 In Subjects With Crohn's Disease Who Failed Anti-TNF TherapyCrohn's Disease
COMPLETED250 Analytics
PHASE2COMPLETED
Subcutaneous Treatment In Randomized Subjects To Evaluate Safety And Efficacy In Generalized Lupus Erythematosus
Lupus Erythematosus, SystemicUnlock trial analytics
PHASE2COMPLETED
B0151005 Open-Label Extension Study
Crohn's DiseaseUnlock trial analytics
PHASE2COMPLETED
A Study To Assess The Efficacy And Safety Of PF-04236921 In Subjects With Crohn's Disease Who Failed Anti-TNF Therapy
Crohn's DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants Achieving Systemic Lupus Erythematosus (SLE) Responder Index (SRI) at Week 24
Week 24

SRI components include:Systemic Lupus Erythematosus Disease Activity Index 2000(SLEDAI-2K),British Isles Lupus Assessment Group(BILAG) 2004,Physician's Global Assessment(PhGA).Participants classified as responder if they did not meet definition of treatment failure and met all the following criteria: greater than or equal to(\>=) 4 point reduction in SLEDAI-2K score; no new BILAG A organ domain score or 2 new BILAG B organ domain scores; no worsening (less than \[\<\] 0.3 point increase) in PhGA score. Treatment failure: any new/increased use of corticosteroids,immunosuppressants/antimalarial drug, any death, hospitalization/treatment discontinuation due to SLE, any flare of lupus interfering with participation in study. SLEDAI-2K:assesses improvement in disease activity (range: 0 to 105; higher score = higher severity). BILAG:assesses disease extent, severity (range: A\[severe\] to E\[no disease\]). PhGA: assesses worsening in participant's general health status(range: 0\[none\] to 3\[severe\]).

Number of Participants With On-Treatment Treatment-Emergent Adverse Events (AEs), Serious Adverse Events (SAEs), and Discontinuations Due to AEs
Baseline up to Week 48

An AE was any untoward medical occurrence without regard to causality in a participant who received study drug. 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 death); persistent or significant disability/incapacity; congenital anomaly. Lack of efficacy was reported as an AE when it was associated with a SAE. An AE was considered treatment emergent if it started for the first time in a participant on or after the first day of active treatment, or the event started before the first day of active treatment but increased in severity during active treatment. AEs included both SAEs and non-serious AEs.

Percentage of Participants Developing Anti-Drug Antibodies (ADAs) and Neutralizing Antibodies (NAbs)
At Baseline and Weeks 8, 16, 24, 32, 40, 48, 56, 64, 72 and 76.

Samples were analyzed using the semi-quantitative electrochemiluminescent (ECL) immunoassay method, a validated analytical method in compliance with sponsor's standard operating procedures. ADA positive is defined as ADA titer greater than or equal to (\>=) 4.32. Any positive ADA sample was further tested for NAbs.

The Crohn's Disease Activity Index (CDAI)-70 Response Rate at Week 8 in Participants Who Received Placebo, PF-04236921 10 mg and PF-04236921 50 mg
Baseline and Week 8

CDAI-70 response was defined as a decrease in CDAI score of 70 or greater from baseline. The proportions of participants with CDAI-70 response at Week 8 were compared between placebo and PF-04236921 10 mg/50 mg. CDAI is used to quantify the symptoms of patients with Crohn's Disease. CDAI evaluates 8 Crohn's disease-related variables during a 1-week assessment period, yielding a composite score greater than or equal to (\>=) 0 and without an upper limit. Many clinical trials use the endpoint for response as a 70 or greater point decrease in CDAI and clinical remission is often defined as a CDAI score below 150. The Outcome included a Generalized linear mixed model analyses which incorporated longitudinal data for each subject, and the same model is used for estimate (least squares mean) and statistical analysis (mean difference).

The CDAI-70 Response Rate at Week 8 in Participants Who Received Placebo and PF-04236921 200 mg
Baseline and Week 8

CDAI-70 response was defined as a decrease in CDAI score of 70 or greater from baseline. The proportions of participants with CDAI-70 response at Week 8 were compared between placebo and PF-04236921 200 mg. CDAI is used to quantify the symptoms of patients with Crohn's Disease. CDAI evaluates 8 Crohn's disease-related variables during a 1-week assessment period, yielding a composite score \>=0 and without an upper limit. Many clinical trials use the endpoint for response as a 70 or greater point decrease in CDAI and clinical remission is often defined as a CDAI score below 150. The Outcome included a Generalized linear mixed model analyses which incorporated longitudinal data for each subject, and the same model is used for estimate (least squares mean) and statistical analysis (mean difference). Since the inputs in the model included different Analysis Population than in Outcome Measure 1, that will yield different estimates for placebo for the two different models.

The CDAI-70 Response Rate at Week 12 in Participants Who Received Placebo, PF-04236921 10 mg and PF-04236921 50 mg
Baseline and Week 12

CDAI-70 response was defined as a decrease in CDAI score of 70 or greater from baseline. The proportions of participants with CDAI-70 response at Week 12 were compared between placebo and and PF-04236921 10 mg/50 mg. CDAI is used to quantify the symptoms of patients with Crohn's Disease. CDAI evaluates 8 Crohn's disease-related variables during a 1-week assessment period, yielding a composite score \>=0 and without an upper limit. Many clinical trials use the endpoint for response as a 70 or greater point decrease in CDAI and clinical remission is often defined as a CDAI score below 150. The Outcome included a Generalized linear mixed model analyses which incorporated longitudinal data for each subject, and the same model is used for estimate (least squares mean) and statistical analysis (mean difference).

The CDAI-70 Response Rate at Week 12 in Participants Who Received Placebo and PF-04236921 200 mg
Baseline and Week 12

CDAI-70 response was defined as a decrease in CDAI score of 70 or greater from baseline. The proportions of participants with CDAI-70 response at Week 12 were compared between placebo and PF-04236921 200 mg. CDAI is used to quantify the symptoms of patients with Crohn's Disease. CDAI evaluates 8 Crohn's disease-related variables during a 1-week assessment period, yielding a composite score \>=0 and without an upper limit. Many clinical trials use the endpoint for response as a 70 or greater point decrease in CDAI and clinical remission is often defined as a CDAI score below 150. The Outcome included a Generalized linear mixed model analyses which incorporated longitudinal data for each subject, and the same model is used for estimate (least squares mean) and statistical analysis (mean difference). Since the inputs in the model included different Analysis Population than in Outcome Measure 3, that will yield different estimates for placebo for the two different models.

Incidence and severity of adverse events
5 months
Incidence and severity of clinical findings on physical examination
5 months
Mean change from baseline in vital signs (blood pressure, pulse rate, oral or tympanic temperature) measurements
5 months
Mean change from baseline in 12-lead electrocardiogram (ECG) parameters: PRI, RR, QRS, QT, QTcF (Freidericia's correction) and HR (heart rate)
5 months
Serum PF-04236921 concentrations will be determined by a validated assay and noncompartmental PK parameters
5 months

Secondary Endpoints

Percentage of Participants Achieving Systemic Lupus Erythematosus (SLE) Responder Index (SRI) at Week 4, 8, 12, 16, and 20
Week 4, 8, 12, 16, 20
Percentage of Participants Achieving Modified Systemic Lupus Erythematosus (SLE) Responder Index (SRI) at Week 4, 8, 12, 16, 20, and 24
Week 4, 8, 12, 16, 20, 24
Percentage of Participants Achieving British Isles Lupus Assessment Group-based Composite Lupus Assessment (BICLA) Response at Week 4, 8, 12, 16, 20, and 24
Week 4, 8, 12, 16, 20, 24
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
10 mg of PF-04236921OTHER -
50 mg of PF-04236921OTHER -
200 mg of PF-04236921OTHER -
PlaceboOTHER -
Open-label TreatmentEXPERIMENTAL -
Placebo- SC injectionPLACEBO_COMPARATOR -
Drug Dose level 1 - SC injectionEXPERIMENTAL -
Drug Dose level 2 - SC injectionEXPERIMENTAL -
1EXPERIMENTAL -

Interventions

NameTypeDescription
PF-04236921BIOLOGICALsubcutaneous injection; administered at day 1, weeks 8, 16.
PF-04236921 SC injectionDRUGPlacebo delivered SC, 2 doses separated by 4 weeks
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites113

Inclusion Criteria: * Male or female subjects between ages of 18 and 75 years old at time of signing consent. * Have a clinical diagnosis of SLE according to 1997 update on the revised 1982 American College of Rheumatology (ACR) criteria. * Have a unequivocally positive anti-nuclear antibody (ANA) ...

Countries:United StatesArgentinaChileColombiaGermanyHungaryMoldovaPeruPolandPuerto RicoRomaniaSouth KoreaTaiwanAustraliaBelgiumBrazilCanadaCzechiaDenmarkFranceIrelandIsraelItalyNew ZealandSwitzerlandUnited KingdomGreece
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Frequently asked questions about PF-04236921

What is PF-04236921 used for?

PF-04236921 is an investigational monoclonal antibody being studied for Crohn's Disease and Systemic Lupus Erythematosus. It has been evaluated in Phase 2 clinical trials for these conditions, as well as in a Phase 1 study in healthy volunteers. It is not approved by the FDA and remains in clinical development.

Who makes PF-04236921?

PF-04236921 is being developed by Pfizer, Inc., which is publicly traded under the ticker symbol PFE on the New York Stock Exchange. Pfizer has sponsored clinical trials of the drug in Crohn's Disease, Systemic Lupus Erythematosus, and healthy volunteers.

What phase is PF-04236921 in?

PF-04236921 has completed Phase 2 clinical trials for Crohn's Disease and Systemic Lupus Erythematosus, and a Phase 1 trial in healthy volunteers. All trials are completed, and the drug is investigational, meaning it has not received FDA approval and is not yet available commercially.

What clinical trials is PF-04236921 in?

PF-04236921 has been studied in several completed trials, including NCT01166555 (Phase 1, healthy volunteers), NCT01287897 (Phase 2, Crohn's Disease), NCT01345318 (Phase 2 open-label extension, Crohn's Disease), and NCT01405196 (Phase 2, Systemic Lupus Erythematosus). These trials were randomized, double-blind, and placebo-controlled.

Is PF-04236921 the same as other names?

PF-04236921 is the primary name used for this drug in clinical trials. No alternative names have been reported in the available data, so it is not known to be the same as any other drug under a different name.

What is the mechanism of PF-04236921?

PF-04236921 is a monoclonal antibody, but its specific molecular target has not been disclosed in the available information. Therefore, its mechanism of action is not described here.