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PF-04937319 high dose

Phase 2

Type 2 Diabetes Mellitus | Small molecule | Metabolic |Pfizer, Inc.|Trials Updated: Mar 10, 2017

PF-04937319 high dose development status

Highest phase Phase 2
Registered trials 1 across 1 sponsor since Nov 2014

PF-04937319 high dose target and mechanism

ModalitySmall molecule

Also known as PF-04937319

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials5
Total Enrollment772

FDA Designations

No designations recorded

PF-04937319 high dose clinical trials

PF-04937319 high dose · 5 trials · 3 indications

Phase 2 2Phase 1 3
NCT01517373Study To Understand Efficacy And Safety Of Investigational Agent (PF-04937319) Compared To Approved Agent (Glimepiride) In Patients With Diabetes On MetforminDiabetes Mellitus, Type 2
COMPLETED304 Analytics
NCT01475461Phase 2 Study To Evaluate Safety And Efficacy Of Investigational Drug - PF04937319 In Patients With Type 2 DiabetesType 2 Diabetes Mellitus
COMPLETED345 Analytics
PHASE2COMPLETED
Study To Understand Efficacy And Safety Of Investigational Agent (PF-04937319) Compared To Approved Agent (Glimepiride) In Patients With Diabetes On Metformin
Diabetes Mellitus, Type 2Unlock trial analytics
PHASE2COMPLETED
Phase 2 Study To Evaluate Safety And Efficacy Of Investigational Drug - PF04937319 In Patients With Type 2 Diabetes
Type 2 Diabetes MellitusUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in Glycosylated Hemoglobin (HbA1C) at Week 12
Baseline (Day 1), Week 12

HbA1c is a form of hemoglobin which is measured primarily to identify the average glycemic control over prolonged periods of time. The normal range for the HbA1c test, was identified as less than 6.5 percent by the study-specific central laboratory used. Change from baseline in percentage of HbA1C was reported.

Number of Participants With Treatment Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)
Baseline up to 14 days after the last dose of study drug (minimum 8 weeks to maximum of 17 weeks)

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. 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 dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 14 days after last dose that were absent before treatment or that worsened relative to pre-treatment state.

Number of Participants With Protocol Defined Hypoglycaemic Adverse Events (HAEs)
Baseline up to 14 days after the last dose of study drug (minimum 8 weeks to maximum of 17 weeks)

A hypoglycemic event (HAE) was identified by characteristic symptoms or blood glucose levels. HAE was defined as 1 of the given definitions: 1) Characteristic symptoms of HAE with no home glucose monitoring performed where clinical picture included prompt resolution with food intake, subcutaneous glucagon, or intravenous glucose; 2) Characteristic symptoms of HAE with home glucose monitoring measurement of less than or equal to (=\<) 70 milligram per deciliter (mg/dL) using sponsor-provided, plasma-referenced, home glucometers (or central laboratory); 3) any glucose value =\<49 mg/dL using sponsor-provided, plasma-referenced, home glucometers (or central laboratory) with or without accompanying symptoms.

Maximum Observed Plasma Concentration (Cmax) on Day 1 for PF-04937319
0 hour (pre-dose), 1.5, 3, 5, 6.5, 8, 11, 12.5, 14, 24 hours post morning dose on Day 1
Time to Reach Maximum Observed Plasma Concentration (Tmax) on Day 1 for PF-04937319
0 hour (pre-dose), 1.5, 3, 5, 6.5, 8, 11, 12.5, 14, 24 hours post morning dose on Day 1
Area Under the Concentration-Time Curve (AUC24) From Time Zero to 24 Hour on Day 1 for PF-04937319
0 hour (pre-dose), 1.5, 3, 5, 6.5, 8, 11, 12.5, 14, 24 hours post-dose on Day 1

AUC24 is the area under the plasma concentration versus time curve from time zero (pre-dose) to 24 hours post-dose (0 to 24).

Maximum Observed Plasma Concentration (Cmax) on Day 7 for PF-04937319
0 hour (pre-dose), 1.5, 3, 5, 6.5, 8, 11, 12.5, 14, 24, 36, 48 hours post morning dose on Day 7
Time to Reach Maximum Observed Plasma Concentration (Tmax) on Day 7 for PF-04937319
0 hour (pre-dose), 1.5, 3, 5, 6.5, 8, 11, 12.5, 14, 24, 36, 48 hours post morning dose on Day 7
Area Under the Concentration-Time Curve (AUC24) From Time Zero to 24 Hour on Day 7 for PF-04937319
0 hour (pre-dose), 1.5, 3, 5, 6.5, 8, 11, 12.5, 14, 24 hours post morning dose on Day 7

AUC24 is the area under the plasma concentration versus time curve from time zero (pre-dose) to 24 hours post-dose (0 to 24).

Pre-dose Plasma Concentration (Ctrough) on Day 7 for PF-04937319
0 hour (pre-dose) on Day 7

Ctrough is the concentration prior to study drug administration.

Average Plasma Concentration (Cav) on Day 7 for PF-04937319
0 hour (pre-dose), 1.5, 3, 5, 6.5, 8, 11, 12.5, 14, 24 hours post morning dose on Day 7

Cav is the average plasma concentration during the 0 to 24 hour time period.

Apparent Oral Clearance on Day 7 for PF-04937319
0 hour (pre-dose), 1.5, 3, 5, 6.5, 8, 11, 12.5, 14, 24 hours post morning dose on Day 7

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 oral bioavailability. It is calculated as the total oral daily dose divided by AUC24, where AUC24 is the area under the plasma concentration-time profile from time 0 to 24 hours.

Terminal Half-Life (t1/2) on Day 7 for PF-04937319
0 hour (pre-dose), 1.5, 3, 5, 6.5, 8, 11, 12.5, 14, 24, 36, 48 hours post morning dose on Day 7

Terminal half-life is the time measured for the plasma concentration to decrease by one half. Terminal half-life is calculated by dividing the natural logarithm to the base e (Log e) multiplied by (\*) 2/k el, where 'k el' is the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve. Only those data points judged to describe the terminal log-linear decline were used in the regression.

Apparent Volume of Distribution on Day 7 for PF-04937319
0 hour (pre-dose), 1.5, 3, 5, 6.5, 8, 11, 12.5, 14, 24 hours post morning dose on Day 7

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 is influenced by the oral bioavailability. It is calculated as the total oral daily dose divided by AUC24\* k el, where AUC24 is the area under the plasma concentration-time profile from time 0 to 24 hours and terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve.

Accumulation Ratio (Rac) on Day 7 for PF-04937319
0 hour (pre-dose), 1.5, 3, 5, 6.5, 8, 11, 12.5, 14, 24 hours post morning dose on Day 7

Rac is based on AUC24. It is the ratio of AUC24 of Day 7 and AUC24 of Day 1, where AUC24 is the area under the plasma concentration-time profile from time 0 to 24 hours.

Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Baseline (Day 1) up to 14 days after last dose of study treatment (up to 28 days)

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. 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 dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 14 days after last dose that were absent before treatment or that worsened relative to pre-treatment state.

Maximum Observed Plasma Concentration (Cmax) On Day 1
0 (pre-dose), 0.5, 1.5, 3, 5, 8, 12, 16, 24 hours (hrs) post morning dose on Day 1 (fasted condition)
Maximum Observed Plasma Concentration (Cmax) On Day 6
0 (pre-dose), 0.5, 1.5, 3, 5, 8 hours post-dose on Day 6 (fed condition)
Time to Reach Maximum Observed Plasma Concentration (Tmax) on Day 1
0 (pre-dose), 0.5, 1.5, 3, 5, 8, 12, 16, 24 hours post morning dose on Day 1 (fasted condition)
Time to Reach Maximum Observed Plasma Concentration (Tmax) on Day 6
0 (pre-dose), 0.5, 1.5, 3, 5, 8 hours post-dose on Day 6 (fed condition)
Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) on Day 1
0 (pre-dose), 0.5, 1.5, 3, 5, 8, 12, 16, 24 hours post morning dose on Day 1 (fasted condition)

AUCtau is the area under the plasma concentration versus time curve from time zero (pre-dose) to the end of the dosing interval (tau), here dosing interval is 24 hours.

Maximum Observed Plasma Concentration at Steady State (Cmax, ss) On Day 14
0 (pre-dose), 0.5, 1.5, 3, 5, 8, 12, 16, 24 hours post morning dose on Day 14 (fasted condition)
Time to Reach Maximum Observed Plasma Concentration at Steady State (Tmax, ss) on Day 14
0 (pre-dose), 0.5, 1.5, 3, 5, 8, 12, 16, 24 hours post morning dose on Day 14 (fasted condition)
Area Under the Curve From Time Zero to End of Dosing Interval at Steady State (AUCtau, ss) on Day 14
0 (pre-dose), 0.5, 1.5, 3, 5, 8, 12, 16, 24 hours post morning dose on Day 14 (fasted condition)

AUCtau, ss = Area under the plasma concentration versus time curve from time zero (pre-dose) to the end of the dosing interval (tau) at steady state, here dosing interval is 24 hours.

Plasma Decay Half-Life (t1/2) on Day 14
0 (pre-dose), 0.5, 1.5, 3, 5, 8, 12, 16, 24, 36, 48 hours post morning dose on Day 14 (fasted condition)

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

Minimum Observed Plasma Trough Concentration at Steady State (Cmin, ss) on Day 14
0 (pre-dose), 0.5, 1.5, 3, 5, 8, 12, 16 hours post morning dose on Day 14 (fasted condition)
Percentage of Unchanged Drug Excreted in the Urine Over Dosing Interval (Ae[%]) on Day 14
0 hour (pre-dose) through 24 hours post-dose on Day 14

Percentage of drug excreted unchanged in urine calculated as overall amount of unchanged drug excreted in the urine over the dosing interval (24 hours) divided by total daily dose multiplied by 100.

Apparent Oral Clearance (CL/F) on Day 14
0 (pre-dose), 0.5, 1.5, 3, 5, 8, 12, 16, 24 hours post morning dose on Day 14 (fasted condition)

Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood.

Apparent Volume of Distribution (Vz/F) on Day 14
0 (pre-dose), 0.5, 1.5, 3, 5, 8, 12, 16, 24 hours post morning dose on Day 14 (fasted condition)

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.

Observed Accumulation Ratio for AUCtau (Rac)
0 (pre-dose), 0.5, 1.5, 3, 5, 8, 12, 16, 24 hours post morning dose on Day 1 and Day 14 (fasted condition)

Accumulation ratio for AUCtau (Rac) was calculated as area under the curve from time zero to end of dosing interval (AUCtau) on Day 14 divided by area under the curve from time zero to end of dosing interval (AUCtau) on Day 1. Dosing interval = 24 hours.

Observed Accumulation Ratio for Cmax (Rac, Cmax)
0 (pre-dose), 0.5, 1.5, 3, 5, 8, 12, 16, 24 hours post morning dose on Day 1 and Day 14 (fasted condition)

Accumulation ratio for Cmax (Rac, Cmax) was calculated as maximum observed plasma concentration (Cmax) on Day 14 divided by maximum observed plasma concentration (Cmax) on Day 1.

Percent Change From Baseline in Glucose Area Under the Curve From Time 2 to 6 Hours (AUC [2-6]) After a Mixed Meal Tolerance Test (MMTT) at Day 1
-46, -45.75, -45.5, -45, -44.5, -44, -43, -42 hrs pre-dose on Day -1; 2, 2.25, 2.5, 3, 3.5, 4, 5, 6 hrs post-dose on Day 1 (fasted condition)

Percent change from baseline in area under the plasma glucose concentration-time curve as determined by standardized MMTT. Linear trapezoidal method was used to compute AUC. Baseline value was the AUC (2-6) calculated on Day -1.

Percent Change From Baseline in Glucose Area Under the Curve From Time 2 to 6 Hours (AUC [2-6]) After a Mixed Meal Tolerance Test (MMTT) at Day 14
-46, -45.75, -45.5, -45, -44.5, -44, -43, -42 hrs pre-dose on Day -1; 2, 2.25, 2.5, 3, 3.5, 4, 5, 6 hrs post-dose on Day 14 (fasted condition)

Percent change from baseline in area under the plasma glucose concentration-time curve as determined by standardized MMTT. Linear trapezoidal method was used to compute AUC. Baseline value was the AUC (2-6) calculated on Day -1.

Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)
Day 1 up to 10 days after last dose of study medication (up to 11 days)

An AE was any untoward medical occurrence in a participant who received study medication without regard to possibility of causal relationship. 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 dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study medication and up to 10 days after last dose that were absent before treatment or that worsened relative to pretreatment state.

Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast)
0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48 hours post-dose

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

Maximum Observed Plasma Concentration (Cmax)
0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48 hours post-dose
Time to Reach Maximum Observed Plasma Concentration (Tmax)
0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48 hours post-dose
Apparent Oral Clearance (CL/F)
0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48 hours post-dose

Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood.

Apparent Volume of Distribution (Vz/F)
0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48 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.

Plasma Decay Half-Life (t1/2)
0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48 hours post-dose

Plasma decay half-life (t1/2) is the time measured for the plasma concentration to decrease by one half.

Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUCinf)
0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48 hours post-dose

AUCinf is the area under the plasma concentration versus time curve from time zero to extrapolated infinite time.

Secondary Endpoints

Change From Baseline in Glycosylated Hemoglobin (HbA1C) at Week 2, 4, 6 and 8
Baseline (Day 1), Week 2, 4, 6, 8
Change From Baseline in Fasting Plasma Glucose at Week 2, 4, 6, 8 and 12
Baseline (Day 1), Week 2, 4, 6, 8, 12
Percentage of Participants Achieving Less Than 6.5 Percent and Less Than 7 Percent Glycosylated Hemoglobin (HbA1c) Levels at Week 12
Week 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PlaceboPLACEBO_COMPARATORPlacebo to match PF-04937319 and glimepiride
PF-04937319 10 mgEXPERIMENTAL -
PF-04937319 50 mgEXPERIMENTAL -
PF-04937319 100 mgEXPERIMENTAL -
GlimepirideACTIVE_COMPARATOR -
PF-04937319 - Dose 1EXPERIMENTAL -
PF-04937319 - Dose 2EXPERIMENTAL -
PF-04937319 - Dose 3EXPERIMENTAL -
PF-04937319 - Dose 4EXPERIMENTAL -
SitagliptinACTIVE_COMPARATOR -
PF-04937319EXPERIMENTALPF-04937319 Split dose

Interventions

NameTypeDescription
PlaceboDRUGCombination of tablets and capsules, a total of 3 pills/dose, administered once daily for 84-days
PF-04937319 10 mgDRUGCombination of tablets and capsules, dose of 10 mg, a total of 3 pills/dose, administered once daily for 84-days
PF-04937319 50 mgDRUGCombination of tablets and capsules, dose of 50 mg, a total of 3 pills/dose, administered once daily for 84-days
PF-04937319 100 mgDRUGCombination of tablets and capsules, dose of 100 mg, a total of 3 pills/dose, administered once daily for 84-days
GlimepirideDRUGCombination of tablets and capsules, dose of up to 6 mg, a total of 3 pills/dose, administered once daily for 84-days
PF-04937319 - 3mgDRUGPF-04937319 3mg administered as tablets once-daily for 84-days
PF-04937319 - 20mgDRUGPF-04937319 20mg administered as tablets once-daily for 84-days
PF-04937319 - 50mgDRUGPF-04937319 50mg administered as tablets once-daily for 84-days
PF-04937319 - 100mgDRUGPF-04937319 100mg administered as tablets once-daily for 84-days
Sitagliptin - 100mgDRUGSitagliptin 100mg administered as tablets once-daily for 84-days
PF-04937319 high doseDRUGtablets, 150 mg with breakfast plus 100 mg with lunch, 7 days
PF-04937319 low doseDRUGtablets, 50 mg with breakfast plus 50 mg with lunch, 7 days
PF-04937319DRUGSubjects will be dosed with PF-04937319 for 14 days. The doses planned are 10, 30, 100 and 300 mg QD. All doses will be administered as tablets (10 and 100 mg strengths). In each Cohort, 9 patients will receive PF 04937319 and 3 will receive placebo. An additional cohort of 12 patients (9 active, 3 placebo) may be performed to explore a QD or BID dose. The dose for this additional cohort could be a dose already studied or a new dose that is within the exposure stopping criteria.
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Eligibility Criteria

Age Range18 Years to 70 Years
SexALL
Healthy VolunteersNo
Study Sites53

Inclusion Criteria: * Age 18-70 yrs, male and females, with T2DM, on metformin alone or in combination with 1 other oral agent Exclusion Criteria: * Subjects with recent cardiovascular events, those with evidence of diabetic complications

Countries:United StatesBulgariaCanadaHungaryIndiaSlovakiaTaiwanPhilippinesRomaniaSouth AfricaJapan
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Frequently asked questions about PF-04937319 high dose

What is PF-04937319 high dose used for?

PF-04937319 high dose is an investigational oral small molecule that was studied for the treatment of Type 2 Diabetes Mellitus. It was evaluated as a glucose-lowering therapy in adults with type 2 diabetes, including studies as monotherapy and in combination with metformin. It is not an approved medicine.

Who makes PF-04937319?

PF-04937319 was developed by Pfizer, Inc., which trades on the New York Stock Exchange under the ticker PFE. Pfizer sponsored the clinical program, including Phase 1 and Phase 2 trials conducted in the United States, Japan, Europe, Asia, and South Africa.

What phase is PF-04937319 in?

PF-04937319 reached Phase 2 clinical development for Type 2 Diabetes Mellitus. Five trials have been completed, including two Phase 2 studies and Phase 1 studies, and no trials are currently active. It is an investigational agent and is not an approved treatment.

What clinical trials is PF-04937319 in?

Completed trials include NCT01517373, a Phase 2 study comparing PF-04937319 with glimepiride in patients on metformin, and NCT01475461, a Phase 2 safety and efficacy study. Phase 1 trials include NCT02292433 in Japanese subjects and NCT01272804, a multiple dose study. All five trials are completed.

Is PF-04937319 the same as PF-04937319 high dose?

Yes. PF-04937319 high dose refers to the same investigational compound as PF-04937319, also written Pf-04937319. Related listings include PF-04937319 / ketoconazole, PF-04937319/ ketoconazole, PF-04937319 - 3mg, and PF-04937319 10 mg, which reflect different dose levels or drug interaction study designs.

How many patients were enrolled in PF-04937319 trials?

Across the completed clinical program, 772 participants were enrolled in PF-04937319 trials. The studies were randomized, double-blind, and placebo-controlled. The largest trial, NCT01475461, enrolled 345 patients with Type 2 Diabetes Mellitus, and NCT01517373 enrolled 304 patients.