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PF-05089771

Phase 2

Diabetic Neuropathy, Painful | Small molecule | Neurology |Pfizer, Inc.|Trials Updated: Nov 19, 2019

PF-05089771 development status

Highest phase Phase 2
Registered trials 10 across 1 sponsor since Jul 2010

PF-05089771 target and mechanism

Molecular targetSCN9A
Target classBlocker
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials8
Total Enrollment576

FDA Designations

No designations recorded

PF-05089771 clinical trials

PF-05089771 · 8 trials · 4 indications

Phase 2 3Phase 1 5
NCT02215252A Clinical Trial To Evaluate PF-05089771 On Its Own And As An Add-On Therapy To Pregabalin (Lyrica) For The Treatment Of Pain Due To Diabetic Peripheral Neuropathy (DPN)Diabetic Neuropathy, Painful
COMPLETED141 Analytics
NCT01769274Evaluation Of The Efficacy And Safety Of Single Doses Of PF-05089771 In Patients With Primary (Inherited) ErythromelalgiaInherited Erythromelalgia
COMPLETED5 Analytics
NCT01529346Efficacy Of PF-05089771 In Treating Postoperative Dental PainPostoperative Dental Pain
COMPLETED235 Analytics
PHASE2COMPLETED
A Clinical Trial To Evaluate PF-05089771 On Its Own And As An Add-On Therapy To Pregabalin (Lyrica) For The Treatment Of Pain Due To Diabetic Peripheral Neuropathy (DPN)
Diabetic Neuropathy, PainfulUnlock trial analytics
PHASE2COMPLETED
Evaluation Of The Efficacy And Safety Of Single Doses Of PF-05089771 In Patients With Primary (Inherited) Erythromelalgia
Inherited ErythromelalgiaUnlock trial analytics
PHASE2COMPLETED
Efficacy Of PF-05089771 In Treating Postoperative Dental Pain
Postoperative Dental PainUnlock trial analytics

Study Endpoints

Primary Endpoints

Daily Pain Numeric Rating Scale (NRS)
Baseline, Week 1, Week 2, Week 3 and Week 4

The endpoint average pain score, based on the mean of the last 7 days' daily pain numeric rating scale (NRS) scores at (NRS is an 11-point scale where 0 = no pain and 10 = worst possible pain) from the daily pain diaries while receiving study medication during the treatment period.

Average Pain Intensity Numerical Rating Scale (PI-NRS) Score - From 0 to 4 Hours Post-dose
Every 15 minutes from 0 to 4 hours post-dose

Participants rated severity of their pain at 11 point PI-NRS, by choosing a number between 0 and 10, where 0= no pain and 10= worst possible pain; higher scores signify more pain. The average pain score was calculated as the mean of the pain scores recorded every 15 minutes from 0 to 4 hours post-dose.

Total Pain Relief From 0 to 6 Hours (TOTPAR[6])
0 to 6 hours

TOTPAR(6) was defined as the total area under pain relief (PR) curve through first 6 hours after dosing, calculated using trapezoidal rule. PR was assumed to be 0 at 0 hour. PR assessed on a 5-point categorical scale: 0(none), 1 (a little), 2 (some), 3 (a lot) and 4 (complete), at different time points during study up to 6 hours. Total score range for TOTPAR(6): 0 (worst) to 24 (best), higher value indicated greater degree of PR. Posterior mean, standard deviation were estimated based on analysis of covariance (ANCOVA) model with non-informative priors within outlier robust Bayesian framework.

Maximum concentration (Cmax) for PF-05089771 in plasma (measured in ng/mL)
days 1-2
AUClast = Area under the curve from the time of dosing to the last data point taken (ng.hr/mL)
days 1-2
AUCinf = Area under the curve from the time of dosing extrapolated to infinity (ng.hr/mL)
days 1-2
Tmax = Time of maximum concentration of PF-05089771 in plasma (hr)
days 1-2
t½ = Elimination half life of PF-05089771 (hr)
days 1-2
Number of participants with adverse events as a measure of safety and tolerability of PF-05089771
Days 1-16
AUCtau= Area under the curve from the time of dosing to the next dose (ng.hr/mL)
Days 1, 6 and 14
Elimination half life (hr) = rate of elimination of PF-05089771 after the final dose
day 14 PK samples collected only for 48 hours
Number of participants with adverse events as a measure of safety and tolerability of PF-05089771.
Days 1-3
MRT = Mean residence time of PF-05089771 in the body (hr)
Days 1-3

Secondary Endpoints

Responder Rate Based on a 30% Improvement in Mean Pain Response Using the Daily Pain NRS Score
Baseline, Week 1, Week 2, Week 3 and Week 4
Responder Rate Based on a 50% Improvement in Mean Pain Response Using the Daily Pain NRS Score
Baseline, Week 1, Week 2, Week 3, and Week 4
Neuropathic Pain Symptom Inventory (NPSI) - Burning (Superficial) Spontaneous Pain
Baseline, Week 2, and Week 4
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PF-05089771EXPERIMENTAL -
PlaceboEXPERIMENTAL -
PregabalinEXPERIMENTAL -
PF-05089771 + PregabalinEXPERIMENTAL -
PF-05089771 1600 mgEXPERIMENTAL -
Placebo comparator: matching placeboPLACEBO_COMPARATORSingle oral dose of placebo for PF-05089771 1600 mg
PF-05089771 450 mgEXPERIMENTAL -
PF-05089771 150 mgEXPERIMENTAL -
Ibuprofen 400 mgACTIVE_COMPARATOR -
PF-05089771 Oral Dispersion fastedEXPERIMENTALOral dispersion TS formulation- fasted
PF-05089771 TS formulation fastedEXPERIMENTALCapsules TS formulation- fasted
PF-05089771 TS formulation fedEXPERIMENTALTablets TS formulation- fed
Cohort 1: Experimental intervention: PF-05089771 or placeboEXPERIMENTALSubjects will receive multiple doses of PF-05089771 or placebo twice daily to investigate the safety/tolerability and Pharmacokinetics (PK) of PF-05089771.
Cohort 2: Experimental intervention: PF-05089771 or placeboEXPERIMENTALSubjects will receive multiple doses of PF-05089771 or placebo twice daily to investigate the safety/tolerability and PK of PF-05089771.
Cohort 3: Experimental intervention: PF-05089771 or placeboEXPERIMENTALSubjects with osteoarthritis of the knee will receive multiple doses of PF-05089771 or placebo twice daily to investigate the safety/tolerability and Pharmacokinetic (PK) of PF-05089771.
Cohort 4: Experimental intervention: PF-05089771 or placeboEXPERIMENTALElderly Subjects will receive multiple doses of PF-05089771 or placebo twice daily to investigate the safety/tolerability and Pharmacokinetic (PK) of PF-05089771.
Cohort 5: Experimental intervention: PF-05089771 or placeboEXPERIMENTALSubjects will receive multiple doses of PF-05089771 or placebo twice daily to investigate the safety/tolerability and PK of PF-05089771.
Cohort 1 PF-05089771 or placeboEXPERIMENTALSubjects will receive multiple doses of PF-05089771 or placebo twice daily to investigate the safety/tolerability and PK of PF-05089771. The PK of alternative formulations of PF-05089771 and the effect of food on PK may also be investigated.
Cohort 2 PF-05089771 or placeboEXPERIMENTALSubjects will receive multiple doses of PF-05089771 or placebo twice daily to investigate the safety/tolerability and PK of PF-05089771. The PK of alternative formulations of PF-05089771 and the effect of food on PK may also be investigated.
Cohort 3 PF-05089771 or placeboEXPERIMENTALSubjects will receive multiple doses of PF-05089771 or placebo either twice or thrice daily to investigate the safety/tolerability and PK of PF-05089771. The PK of alternative formulations of PF-05089771 and the effect of food on PK may also be investigated.
Cohort 4 PF-05089771 or placeboEXPERIMENTALSubjects will receive multiple doses of PF-05089771 or placebo either twice or thrice daily to investigate the safety/tolerability and PK of PF-05089771. The PK of alternative formulations of PF-05089771 and the effect of food on PK may also be investigated.
Cohort 6: Experimental intervention: PF-05089771 or placeboEXPERIMENTALCohort 6

Interventions

NameTypeDescription
PF-05089771 150 mgDRUGPF-05089771 150 mg twice daily oral dosing with capsules. Treatment period = 4 weeks.
Matched placebo for PF-05089771 150 mg and pregabalin 300 mgDRUGMatched placebo for PF-05089771 150 mg twice daily and pregabalin 150 mg twice daily oral dosing with capsules. Treatment period = 4 weeks.
Pregabalin 300 mgDRUGPregabalin 150 mg twice daily oral dosing with capsules. Treatment period = 4 weeks.
PF-05089771 150 mg + Pregabalin 300 mgDRUGPF-05089771 150 mg twice daily oral capsules with pregabalin 150 mg twice daily oral capsules. Treatment period = 4 weeks.
PF-05089771DRUGA single oral dose of PF-05089771 1600 mg solution to be administered on Day 1 of each treatment session. There are 2 treatment sessions, therefore 2 single oral doses of PF-05089771 will be adminstered.
PlaceboDRUGPlacebo for PF-05089771 1600 mg solution administered in each treatment session. There are 2 treatment sessions, therefore 2 single oral doses of placebo will be administered.
IbuprofenDRUG2 X 200 mg tablets of ibuprofen administered orally once to the subject on Day 1 postoperatively
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Eligibility Criteria

Age Range18 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites32

Inclusion Criteria: * Men and women aged 18 years to 80 years. * Diagnosis of Type 2 diabetes mellitlus (T2DM) with current glycosylated hemoglobin A1c (HbA1c) levels of ≤ 11% at Screening and on a stable antidiabetic medication regimen for at least 30 days prior to randomization. * Presence of ong...

Countries:United StatesBelgium
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Frequently asked questions about PF-05089771

What is PF-05089771?

PF-05089771 is an investigational small molecule developed by Pfizer for the treatment of pain. It has been studied in Phase 2 clinical trials for painful diabetic peripheral neuropathy, inherited erythromelalgia, and postoperative dental pain. It is not approved and remains in clinical development.

What does PF-05089771 target?

PF-05089771 targets SCN9A, the gene encoding the Nav1.7 sodium channel. It acts as a blocker of this target. By blocking Nav1.7, the drug is designed to reduce pain signaling, which is why it has been studied in neuropathic and other pain conditions.

Who makes PF-05089771?

PF-05089771 is developed by Pfizer, Inc., which trades on the New York Stock Exchange under the ticker PFE. Pfizer sponsored the clinical trials evaluating the compound in pain indications, including painful diabetic peripheral neuropathy and inherited erythromelalgia.

What phase is PF-05089771 in?

PF-05089771 is in Phase 2 development. Five clinical trials have been completed, including Phase 1 pharmacokinetic studies and Phase 2 efficacy studies, and no trials are currently active. The drug is investigational and has not been approved for any indication.

What clinical trials is PF-05089771 in?

Completed trials include NCT02215252, a Phase 2 study of PF-05089771 alone and with pregabalin in painful diabetic peripheral neuropathy, and NCT01769274, a Phase 2 study in inherited erythromelalgia. Phase 1 studies NCT01690351 and NCT01563497 compared capsule, tablet, and oral dispersion formulations in healthy volunteers.