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PF-04634817

Phase 2

Diabetic Nephropathy | Small molecule | Nephrology |Pfizer, Inc.|Last Updated: Mar 1, 2024

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment226

FDA Designations

No designations recorded

Clinical trial landscape

PF-04634817 · 5 trials · 3 indications

Phase 2 1Phase 1 4
NCT01712061A Phase 2 Multi-Center Study To Evaluate The Efficacy And Safety Of A Chemokine CCR2/5 Receptor Antagonist In Adults With Type 2 Diabetes And Overt NephropathyDiabetic Nephropathy
COMPLETED226 Analytics
PHASE2COMPLETED
A Phase 2 Multi-Center Study To Evaluate The Efficacy And Safety Of A Chemokine CCR2/5 Receptor Antagonist In Adults With Type 2 Diabetes And Overt Nephropathy
Diabetic NephropathyUnlock trial analytics

Study Endpoints

Primary Endpoints

Percent Reduction From Baseline in Urinary Albumin to Creatinine Ratio (UACR) at Week 12
Baseline and Week 12

The presence of albumin in the urine (macroalbuminuria) is a marker of kidney disease. Albumin and creatinine concentrations were obtained from spot urine samples.

Area Under the Curve From Time Zero to 48 Hours[AUC (0 - 48)]
Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 8, 12, 16, 24, 32, 40, 48, 56, 64, 72, 84, 96, 108, 120, 132, 144, 156, 216, 312 hours post dose

AUC (0 - 48)= Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to 48hours.

Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast)
Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 8, 12, 16, 24, 32, 40, 48, 56, 64, 72, 84, 96, 108, 120, 132, 144, 156, 216, 312 hours post dose

Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast).

Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - Inf)]
Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 8, 12, 16, 24, 32, 40, 48, 56, 64, 72, 84, 96, 108, 120, 132, 144, 156, 216, 312 hours post dose

AUC (0 - inf)= Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time.

Apparent Oral Clearance (CL/F)
Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 8, 12, 16, 24, 32, 40, 48, 56, 64, 72, 84, 96, 108, 120, 132, 144, 156, 216, 312 hours post dose

Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed. Clearance was estimated from population PK modeling. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood.

Maximum Observed Plasma Concentration (Cmax)
Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 8, 12, 16, 24, 32, 40, 48, 56, 64, 72, 84, 96, 108, 120, 132, 144, 156, 216, 312 hours post dose
Time to Reach Maximum Observed Plasma Concentration (Tmax)
Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 8, 12, 16, 24, 32, 40, 48, 56, 64, 72, 84, 96, 108, 120, 132, 144, 156, 216, 312 hours post dose
Apparent Volume of Distribution (Vz/F)
Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 8, 12, 16, 24, 32, 40, 48, 56, 64, 72, 84, 96, 108, 120, 132, 144, 156, 216, 312 hours post dose

Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug. Apparent volume of distribution after oral dose (Vz/F) is influenced by the fraction absorbed.

Plasma Decay Half-Life (t1/2)
Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 8, 12, 16, 24, 32, 40, 48, 56, 64, 72, 84, 96, 108, 120, 132, 144, 156, 216, 312 hours post dose

Plasma decay half-life is the time measured for the plasma concentration to decrease by one half.

adverse events
4 days
Plasma Pharmacokinetics for both tablet and solution dosage forms.
4 days
The relative bioavailability (Frel) of PF-04634817 when administered as a tablet compared with a solution.
4 days
lab measurements
4 days
vitals/ECG parameters
4 days
Adverse events, supine and standing vital sign measurements, 12-lead ECGs, blood and urine safety tests.
14 days
Plasma PK Day 1: Cmax, Tmax, AUClast, AUCtau at all dose levels. Plasma PK Day 14: Cmax, Tmax, AUClast, AUCtau, AUCinf, t½, CL/F and Vss/F at all dose levels.
14 days
AUCtau (Day 14) vs. AUCtau (Day 1) - estimate of accumulation ratio; Cmax (Day 14) vs. Cmax (Day 1); Tmax (Day 14) vs. Tmax (Day 1).
14 days
Urinary PK: Aet (amount excreted in urine); Aet% at all doses of PF-04634817 where t = 24 hours on Day 1 and 14; CLr at all doses on Day 14.
14 days
Pharmacodynamic: MCP-1 change from baseline.
14 days
Safety and toleration: adverse events, supine and standing vital sign measurements, telemetry, 12-lead ECGs, blood and urine tests
0-3 days
Plasma pharmacokinetics: Cmax, Tmax, AUClast, AUCinf, AUC0-24, CL/F, Vz/F and T1/2
0-4 days
Urinary pharmacokinetics: Aet (mount excreted in urine), Aet% and CLr
0-2 days
p-ERK inhibition in human monocytes
0-3 days
Change in circulating monocytes
0-3 days

Secondary Endpoints

Change From Baseline in UACR at Weeks 4, 8 and 16
Baseline, Weeks 4, 8 and 16
Change From Baseline in Urinary Protein to Creatinine Ratio (UPCR) at Weeks 4, 8, 12 and 16
Baseline, Weeks 4, 8, 12 and 16
Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) Using the Abbreviated Modified Diet in Renal Disease (MDRD) Formula at Weeks 1, 4, 8, 12 and 16
Baseline, Week 1, 4, 8, 12 and 16
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm 1 PF-04634817ACTIVE_COMPARATOR -
Arm 2 PlaceboPLACEBO_COMPARATOR -
Healthy VolunteersEXPERIMENTAL -
Mild Renal ImpairmentEXPERIMENTAL -
Moderate renal impairmentEXPERIMENTAL -
Severe renal impairmentEXPERIMENTAL -
single dose PF-04634817 tabletACTIVE_COMPARATORsubjects receive a single dose of PF-04634817 as a tablet
single dose PF-04634817 solutionACTIVE_COMPARATORsubjects receive a single dose of PF-04634817 as a solution
Cohort 1 (N=10)EXPERIMENTALPlacebo-controlled, multiple doses of PF-04634817 at 3 mg per day for 14 days. (2 placebo: 8 active)
Cohort 2 (N=10)EXPERIMENTALPlacebo-controlled, multiple doses of PF-04634817 at 3 mg per day for 14 days. (2 placebo: 8 active)
Cohort 3 (N=10)EXPERIMENTALPlacebo-controlled, multiple doses of PF-04634817 at 30 mg per day for 14 days. (2 placebo: 8 active)
Cohort 4 (N=10)EXPERIMENTALPlacebo-controlled, multiple doses of PF-04634817 at 100 mg per day for 14 days. (2 placebo: 8 active)
Cohort 5 (N=10)EXPERIMENTALPlacebo-controlled, multiple doses of PF-04634817 at 300 mg per day for 14 days. (2 placebo: 8 active)
Cohort 6 (N=10) Optional cohortEXPERIMENTALPlacebo-controlled, multiple doses of PF-04634817 up to 300 mg per day for 14 days. (2 placebo: 8 active)
PlaceboPLACEBO_COMPARATOR -
Cohort 1, 1mgEXPERIMENTAL -
Cohort 1, 3mgEXPERIMENTAL -
Cohort 1, 10mgEXPERIMENTAL -
Cohort 2, 30mgEXPERIMENTAL -
Cohort 2, 100mgEXPERIMENTAL -
Cohort 2, 300mgEXPERIMENTAL -
Cohort 3, 600mgEXPERIMENTAL -
Cohort 3, 900mgEXPERIMENTAL -
Cohort 3, up to 900mg (fed)EXPERIMENTAL -
Cohort 3, placebo (fed)PLACEBO_COMPARATOR -

Interventions

NameTypeDescription
PF-04634817DRUGThree or four tablets (50mg) daily for 12 weeks, depending on baseline renal function
PlaceboDRUGThree or four tablets (50mg) daily for 12 weeks, depending on baseline renal function
PF-04634817 PlaceboDRUGOral solution, placebo, single dose
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites142

Inclusion Criteria: * Clinical diagnosis of type 2 diabetes together with stages 2, 3a, 3b or 4 CKD, based on an eGFR of 20-75 mL/min/1.73m2. * Evidence of persistent, overt albuminuria; defined as a UACR \>=300 mg/g (\>=33.9 mg/mmol) or UPCR \>=390 mg/g (44.1 mg/mmol), or equivalent, for 3 months ...

Countries:United StatesArgentinaAustraliaCanadaGermanyHong KongItalyMalaysiaPeruPolandPuerto RicoRomaniaSouth KoreaSpain
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Competitive Landscape -Diabetic Nephropathy 8 trials

Frequently asked questions about PF-04634817

What is PF-04634817 used for?

PF-04634817 is an investigational small molecule being studied for diabetic nephropathy in adults with type 2 diabetes and overt nephropathy. It has also been evaluated in healthy volunteers and in people with renal insufficiency. It is not approved and remains in clinical development.

What does PF-04634817 target?

PF-04634817 is a chemokine CCR2/5 receptor antagonist, as described in its Phase 2 trial title. It targets the CCR2 and CCR5 receptors, which are involved in inflammatory processes relevant to diabetic nephropathy.

Who makes PF-04634817?

PF-04634817 is being developed by Pfizer, Inc., which trades on the New York Stock Exchange under the ticker PFE. The company sponsored the clinical trials for this investigational small molecule.

What phase is PF-04634817 in?

PF-04634817 is in Phase 2 clinical development. Its Phase 2 trial in diabetic nephropathy has been completed. The drug is investigational and has not been approved by regulatory authorities.

What clinical trials is PF-04634817 in?

PF-04634817 has completed three Phase 1 trials in healthy volunteers: NCT01098877, NCT01140672, and NCT01247883. It also completed a Phase 2 trial, NCT01712061, in adults with type 2 diabetes and overt nephropathy. All trials are completed.

Is PF-04634817 the same as another drug?

No alternative names for PF-04634817 have been disclosed. It is referred to solely by its compound identifier PF-04634817 in clinical trial records and by its developer, Pfizer.