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PF-04634817

Phase 2

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

PF-04634817 development status

Highest phase Phase 2
Registered trials 6 across 1 sponsor since Apr 2010

PF-04634817 target and mechanism

Molecular targetCCR2, CCR5
Target classAntagonist
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment258

FDA Designations

No designations recorded

PF-04634817 clinical trials

PF-04634817 · 2 trials · 2 indications

Phase 2 1Phase 1 1
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.

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 -

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
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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 12 trials

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Frequently asked questions about PF-04634817

What is PF-04634817 used for?

PF-04634817 was studied for diabetic nephropathy, a kidney complication of type 2 diabetes, and for renal insufficiency. It is an investigational small molecule developed by Pfizer that was evaluated in a Phase 2 trial in adults with type 2 diabetes and overt nephropathy, and in a Phase 1 study in people with renal impairment.

What does PF-04634817 target?

PF-04634817 targets CCR2 and CCR5, two chemokine receptors. It acts as an antagonist, meaning it blocks signaling through these receptors. This mechanism was being explored in the setting of kidney disease associated with type 2 diabetes.

Who makes PF-04634817?

PF-04634817 is developed by Pfizer, Inc., which trades on the New York Stock Exchange under the ticker PFE. Pfizer sponsored the clinical program evaluating the compound in diabetic nephropathy and renal insufficiency.

What phase is PF-04634817 in?

PF-04634817 is in Phase 2 development. It is an investigational agent and has not been approved by the FDA. The Phase 2 study in diabetic nephropathy has been completed, and no trials of the drug are currently active.

What clinical trials is PF-04634817 in?

PF-04634817 has been studied in two completed trials. NCT01712061 was a Phase 2, multi-center, randomized, double-blind, placebo-controlled study in 226 adults with type 2 diabetes and overt nephropathy. NCT01791855 was a Phase 1 renal impairment study in 32 participants in the United States.

How did the Phase 2 trial of PF-04634817 in diabetic nephropathy work?

NCT01712061 was a Phase 2, multi-center, randomized, double-blind, placebo-controlled study of PF-04634817 in adults with type 2 diabetes and overt nephropathy. It enrolled 226 participants across the United States, Argentina, Australia, Canada, Germany, Hong Kong, Italy, Malaysia, Peru, Poland, Puerto Rico, Romania, South Korea, and Spain. The trial has been completed.