Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Also known as PF-04937319
PF-04937319 high dose · 5 trials · 3 indications
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.
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.
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.
AUC24 is the area under the plasma concentration versus time curve from time zero (pre-dose) to 24 hours post-dose (0 to 24).
AUC24 is the area under the plasma concentration versus time curve from time zero (pre-dose) to 24 hours post-dose (0 to 24).
Ctrough is the concentration prior to study drug administration.
Cav is the average plasma concentration during the 0 to 24 hour time period.
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 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.
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.
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.
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.
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.
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 is the time measured for the plasma concentration to decrease by one half.
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.
Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood.
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.
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.
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 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 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.
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 plasma concentration-time curve from zero to the last measured concentration (AUClast).
Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood.
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) is the time measured for the plasma concentration to decrease by one half.
AUCinf is the area under the plasma concentration versus time curve from time zero to extrapolated infinite time.
| Arm | Type | Description |
|---|---|---|
| Placebo | PLACEBO_COMPARATOR | Placebo to match PF-04937319 and glimepiride |
| PF-04937319 10 mg | EXPERIMENTAL | - |
| PF-04937319 50 mg | EXPERIMENTAL | - |
| PF-04937319 100 mg | EXPERIMENTAL | - |
| Glimepiride | ACTIVE_COMPARATOR | - |
| PF-04937319 - Dose 1 | EXPERIMENTAL | - |
| PF-04937319 - Dose 2 | EXPERIMENTAL | - |
| PF-04937319 - Dose 3 | EXPERIMENTAL | - |
| PF-04937319 - Dose 4 | EXPERIMENTAL | - |
| Sitagliptin | ACTIVE_COMPARATOR | - |
| PF-04937319 | EXPERIMENTAL | PF-04937319 Split dose |
| Name | Type | Description |
|---|---|---|
| Placebo | DRUG | Combination of tablets and capsules, a total of 3 pills/dose, administered once daily for 84-days |
| PF-04937319 10 mg | DRUG | Combination of tablets and capsules, dose of 10 mg, a total of 3 pills/dose, administered once daily for 84-days |
| PF-04937319 50 mg | DRUG | Combination of tablets and capsules, dose of 50 mg, a total of 3 pills/dose, administered once daily for 84-days |
| PF-04937319 100 mg | DRUG | Combination of tablets and capsules, dose of 100 mg, a total of 3 pills/dose, administered once daily for 84-days |
| Glimepiride | DRUG | Combination of tablets and capsules, dose of up to 6 mg, a total of 3 pills/dose, administered once daily for 84-days |
| PF-04937319 - 3mg | DRUG | PF-04937319 3mg administered as tablets once-daily for 84-days |
| PF-04937319 - 20mg | DRUG | PF-04937319 20mg administered as tablets once-daily for 84-days |
| PF-04937319 - 50mg | DRUG | PF-04937319 50mg administered as tablets once-daily for 84-days |
| PF-04937319 - 100mg | DRUG | PF-04937319 100mg administered as tablets once-daily for 84-days |
| Sitagliptin - 100mg | DRUG | Sitagliptin 100mg administered as tablets once-daily for 84-days |
| PF-04937319 high dose | DRUG | tablets, 150 mg with breakfast plus 100 mg with lunch, 7 days |
| PF-04937319 low dose | DRUG | tablets, 50 mg with breakfast plus 50 mg with lunch, 7 days |
| PF-04937319 | DRUG | Subjects 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. |
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
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.
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.
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.
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.
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.
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.