Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
PF-05221304 · 5 trials · 5 indications
MRI-PDFF utilized a gradient echo sequence with low flip angle (FA) to minimize T1 bias, corrected T2\* decay (due to iron overload) via modeling of the fat signal as a superposition of multiple frequency components from 5 different lipid types, and was applied in each of the 9 Couinaud segments. This technique improved fat quantification accuracy for the entire liver permitting quantification of small differences/changes following pharmacological intervention.
Assessment of adverse events (AEs), clinical laboratory tests, vital signs (including blood pressure and pulse rate) and 12 lead ECG.
Cumulative recovery of urinary, fecal, and total excretion of radioactivity over time expressed as percentage of total radioactive dose administered
Cmax was observed directly from data.
AUCinf was calculated by AUClast + (Clast\*/kel), where AUClast was the area under the plasma concentration-time profile from time 0 to the time of the last quantifiable concentration, Clast\* was the predicted plasma concentration at the last quantifiable time point estimated from the log-linear regression analysis, and kel was the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve.
fu was the fraction of PF-05221304 unbound in plasma. fu was calculated based on the post-dialysis plasma concentrations, post-dialysis buffer concentrations, collected post-dialysis plasma and post-dialysis buffer sample volume (assuming no volume shift prior to and after dialysis), and the total plasma concentrations.
Cmax,u was calculated by fu\*Cmax.
AUCinf,u was calculated by fu\*AUCinf.
Assessment by adverse event monitoring, 12 lead ECGs, telemetry, vital signs and clinical safety laboratory measurements. Treatment-related AE was any untoward medical occurrence attributed to study drug in a subject who received study drug. Serious adverse event (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 28 days after last dose that were absent before treatment or that worsened relative to pretreatment state. Relatedness to Drug was assessed by the investigator (Yes/No). Subjects with multiple occurrences of an AE within a category were counted once within the category.
Assessment by adverse event monitoring, 12 lead ECGs, telemetry, vital signs and clinical safety laboratory measurements. Treatment-related AE was any untoward medical occurrence attributed to study drug in a subject who received study drug. Serious adverse event (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 28 days after last dose that were absent before treatment or that worsened relative to pretreatment state. Relatedness to Drug was assessed by the investigator (Yes/No). Subjects with multiple occurrences of an AE within a category were counted once within the category.
Maximum Observed Plasma Concentration (Cmax)
Time to Reach Maximum Observed Plasma Concentration (Tmax)
Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast)
AUC (0-infinity)= Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-infinity). It is obtained from AUC (0-t) plus AUC (t-infinity).
Plasma Decay Half-Life (t1/2)
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 apparent total body clearance is influenced by the fraction of the dose absorbed. Clearance was estimated from population pharmacokinetic (PK) modeling. 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. Apparent volume of distribution after oral dose (Vz/F) is influenced by the fraction absorbed.
| Arm | Type | Description |
|---|---|---|
| Placebo | PLACEBO_COMPARATOR | Double-Blind, PF-05221304-matching Placebo |
| PF-05221304 - 2 mg | ACTIVE_COMPARATOR | PF-05221304 - 2 mg, once-daily |
| PF-05221304 - 10 mg | ACTIVE_COMPARATOR | PF-05221304 - 10 mg, once-daily |
| PF-05221304 - 25 mg | ACTIVE_COMPARATOR | PF-05221304 - 25 mg, once-daily |
| PF-05221304 - 50 mg | ACTIVE_COMPARATOR | PF-05221304 - 50 mg, once-daily |
| Cohort A_Active | EXPERIMENTAL | 3 single doses treatment of PF-05221304 |
| Cohort B_Active | EXPERIMENTAL | Repeated doses of PF-05221304 |
| Cohort B_Placebo | PLACEBO_COMPARATOR | Repeated doses of placebo |
| Investigational Product | EXPERIMENTAL | \[14C\]PF-05221304 |
| Cohort 1_Without impairment | EXPERIMENTAL | Single, 25 mg dose of PF-05221304 |
| Cohort 2_Mild impairment | EXPERIMENTAL | Single, 25 mg dose of PF-05221304 |
| Cohort 3_Moderate impairment | EXPERIMENTAL | Single, 25 mg dose of PF-05221304 |
| Cohort 4_Severe impairment | EXPERIMENTAL | Single, 25 mg dose of PF-05221304 |
| Part 1_Cohort 1_Active | EXPERIMENTAL | Single, escalating dose of PF-05221304 |
| Part 1_Cohort 1_Placebo | PLACEBO_COMPARATOR | Single dose of Placebo |
| Part 1_Cohort 2_Active | EXPERIMENTAL | Single, escalating dose of PF-05221304 |
| Part 1_Cohort 2_Placebo | EXPERIMENTAL | Single dose of Placebo |
| Part 2_Active | EXPERIMENTAL | Repeated, escalating doses of PF-05221304 |
| Part 2_Placebo | PLACEBO_COMPARATOR | Repeated doses of placebo |
| Part 3 | EXPERIMENTAL | Single dose of PF-05221304 with and without food |
| Name | Type | Description |
|---|---|---|
| Placebo | DRUG | Placebo |
| PF-05221304 | DRUG | PF-05221304, Experimental Drug |
| [14C]PF-05221304 | DRUG | a single oral dose of \[14C\]PF-05221304 (50 mg/100 µCi liquid formulation) |
Inclusion Criteria: * Body Mass Index \>= 25 kg/m2 * Body Weight \> 50 kg * Liver fat (assessed via MRI-PDFF) \>= 8% * Biopsy-proven NASH - diagnosed in previous 24-months * Presumed NASH - per Sponsor's definition * NAFLD with minimal inflammation/fibrosis * Features of Metabolic Syndrome Exclusi...
PF-05221304 is an investigational small molecule being studied for non-alcoholic fatty liver disease (NAFLD), including nonalcoholic steatohepatitis. It has also been evaluated in healthy subjects and in people with hepatic impairment. It is not approved and remains in clinical development.
PF-05221304 is being developed by Pfizer, Inc., which trades on the New York Stock Exchange under the ticker PFE. Pfizer has sponsored multiple clinical trials of the drug in NAFLD and related conditions.
PF-05221304 has completed Phase 1 and Phase 2 clinical trials. The most advanced completed study was a Phase 2a dose-ranging trial in nonalcoholic fatty liver disease. The drug is investigational and has not been approved by regulatory authorities.
PF-05221304 has been studied in four completed trials. NCT02871037 was a Phase 1 single and repeated dose study in healthy subjects. NCT03248882 was a Phase 2a dose-ranging trial in NAFLD. NCT03309202 evaluated the drug in hepatic impairment. NCT03776175 assessed PF-05221304 co-administered with PF-06865571 in NAFLD.
No, PF-05221304 and PF-06865571 are distinct investigational drugs. They were co-administered in one clinical trial, NCT03776175, which assessed the pharmacodynamics, safety, and tolerability of the two drugs given together for six weeks in adults with non-alcoholic fatty liver disease.