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PF-05221304

Phase 2

Non-Alcoholic Fatty Liver Disease (NAFLD) | Small molecule | Gastrointestinal |Pfizer, Inc.|Trials Updated: Dec 9, 2020

PF-05221304 development status

Highest phase Phase 2
Registered trials 6 across 1 sponsor since Aug 2016

PF-05221304 target and mechanism

ModalitySmall molecule

Also known as [14C]PF-05221304, PF-05221304 Monotherapy, experimental drug

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials3
Total Enrollment428

FDA Designations

No designations recorded

PF-05221304 clinical trials

PF-05221304 · 3 trials · 4 indications

Phase 2 2Phase 1 1
NCT03776175A Study To Assess Pharmacodynamics, Safety And Tolerability Of PF-05221304 And PF-06865571 Co-Administered For 6 Weeks In Adults With Non-Alcoholic Fatty Liver Disease.Non-Alcoholic Fatty Liver Disease (NAFLD)
COMPLETED99 Analytics
NCT03248882Phase 2a, Dose-ranging Study With PF-05221304 in Nonalcoholic Fatty Liver Disease (NAFLD)Nonalcoholic Fatty Liver Disease
COMPLETED305 Analytics
PHASE2COMPLETED
A Study To Assess Pharmacodynamics, Safety And Tolerability Of PF-05221304 And PF-06865571 Co-Administered For 6 Weeks In Adults With Non-Alcoholic Fatty Liver Disease.
Non-Alcoholic Fatty Liver Disease (NAFLD)Unlock trial analytics
PHASE2COMPLETED
Phase 2a, Dose-ranging Study With PF-05221304 in Nonalcoholic Fatty Liver Disease (NAFLD)
Nonalcoholic Fatty Liver DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Percent Change From Baseline in Whole Liver Proton Density Fat Fraction (PDFF) at Day 42
Baseline, Day 42

Magnetic resonance imaging proton density fat fraction (MRI-PDFF) technique is an established method that enables quantification of fat content in the liver. It measures the fraction of mobile protons in the liver attributable to fat content and provides whole liver coverage so that fat content can be assessed across 8 Couinaud liver segments. Whole liver PDFF = PDFFs for (Segment I + Segment II + Segment III + Segment IVa + Segment IVb + Segment V + Segment VI + Segment VII + Segment VIII) divided by total number of segments assessed.

Percent Change From Baseline in Liver Fat by Magnetic Resonance Imaging-Proton Density Fat Fraction (MRI- PDFF) at Week 16
Baseline (between Day -14 and Day 1), Week 16

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.

Maximum Plasma Concentration (Cmax) of PF-05221304
0, 1, 2, 3, 4, 5, 8, 10, 16, 24, 36, 48, 72, 96, 120, 144 hours postdose

Cmax was observed directly from data.

Area Under the Plasma Concentration-Time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) of PF-05221304
0, 1, 2, 3, 4, 5, 8, 10, 16, 24, 36, 48, 72, 96, 120, 144 hours postdose

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.

Fraction Unbound (fu) of PF-05221304
4 hours postdose

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.

Unbound Cmax (Cmax,u) of PF-05221304
4 hours postdose

Cmax,u was calculated by fu\*Cmax.

Unbound AUCinf (AUCinf,u) of PF-05221304
4 hours postdose

AUCinf,u was calculated by fu\*AUCinf.

Secondary Endpoints

Number of Participants With Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Baseline up to 35 days from last dose of study drug or early termination: (maximum up to Day 77)
Number of Participants With Laboratory Abnormalities
Baseline up to 35 days last from dose of study drug or early termination (maximum up to Day 77)
Maximum Change (Increase or Decrease) From Baseline to Post-last Dose of Study Drug in Vital Signs: Blood Pressure
Baseline, Post-last dose of study drug (up to Day 42)
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PlaceboPLACEBO_COMPARATORPlacebo (PF 05221304) BID Placebo (PF 06865571) BID
PF-05221304 MonotherapyEXPERIMENTAL15 mg PF-05221304 BID Placebo (PF-06865571) BID
PF-06865571 MonotherapyEXPERIMENTALPlacebo (PF-05221304) BID 300 mg PF-06865571 BID
PF-05221304 and PF-06865571 CombinationEXPERIMENTAL15 mg PF-05221304 BID 300 mg PF-06865571 BID
PF-05221304 - 2 mgACTIVE_COMPARATORPF-05221304 - 2 mg, once-daily
PF-05221304 - 10 mgACTIVE_COMPARATORPF-05221304 - 10 mg, once-daily
PF-05221304 - 25 mgACTIVE_COMPARATORPF-05221304 - 25 mg, once-daily
PF-05221304 - 50 mgACTIVE_COMPARATORPF-05221304 - 50 mg, once-daily
Cohort 1_Without impairmentEXPERIMENTALSingle, 25 mg dose of PF-05221304
Cohort 2_Mild impairmentEXPERIMENTALSingle, 25 mg dose of PF-05221304
Cohort 3_Moderate impairmentEXPERIMENTALSingle, 25 mg dose of PF-05221304
Cohort 4_Severe impairmentEXPERIMENTALSingle, 25 mg dose of PF-05221304

Interventions

NameTypeDescription
PF-05221304 MonotherapyDRUGParticipants enrolled in this Arm will receive 15 mg dose of PF-05221304 (3 tablets of 5 mg each) and 3 tablets of Placebo for PF-06865571, each to be taken twice daily for 41 days and once on Day 42.
PF-06865571 MonotherapyDRUGParticipants enrolled in this Arm will receive 300 mg dose of PF-06865571 (3 tablets of 100 mg each) and 3 tablets of Placebo for PF-05221304, all to be taken twice daily for 41 days and once on Day 42.
PlaceboDRUGParticipants enrolled in this Arm will receive 3 tablets for Placebo of PF-05221304 and 3 tablets of Placebo of PF-06865571, to be taken twice daily for 41 days and once on Day 42.
PF-05221304 and PF-06865571 CombinationDRUGParticipants enrolled in this Arm will receive 15 mg dose of PF-05221304 (3 tablets of 5 mg each) and 3 tablets of PF-06865571 (3 tablets of 100 mg each), each to be taken twice daily for 41 days and once on Day 42.
PF-05221304DRUGPF-05221304, Experimental Drug
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Eligibility Criteria

Age Range18 Years to 70 Years
SexALL
Healthy VolunteersNo
Study Sites29

Inclusion Criteria: * Male subjects or female subjects of non childbearing potential * Total body weight of \>50 kg (110 lbs) and a BMI greater than or equal to 25 kg/m2 * Medical diagnosis of Type 2 Diabetes Mellitus (T2DM) being treated with no more than 1 acceptable oral antidiabetic drug OR Sub...

Countries:United StatesAustraliaCanadaIsraelPolandTaiwanBelgiumCzechiaSlovakia
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Frequently asked questions about PF-05221304

What is PF-05221304?

PF-05221304 is an investigational small molecule developed by Pfizer, Inc. (ticker PFE) for liver-related conditions. It has been studied in nonalcoholic fatty liver disease (NAFLD) and in adults with varying degrees of hepatic impairment. It is an oral agent that has completed early-stage clinical testing and has not been approved for any indication.

What is PF-05221304 used for in nonalcoholic fatty liver disease?

PF-05221304 was studied as a treatment for nonalcoholic fatty liver disease (NAFLD), including nonalcoholic steatohepatitis. Clinical trials enrolled adults with NAFLD to assess the drug alone and co-administered with PF-06865571. It remains investigational and is not approved for treating NAFLD or any other condition.

Who makes PF-05221304?

PF-05221304 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 nonalcoholic fatty liver disease and in patients with hepatic impairment.

What phase is PF-05221304 in?

PF-05221304 is in Phase 1 development, with completed Phase 1 and Phase 2 studies in its clinical program. It is investigational and has not been approved by the FDA or any other regulatory agency for any indication. All trials of the drug are listed as completed.

What clinical trials is PF-05221304 in?

PF-05221304 has been evaluated in completed trials including NCT03248882, a Phase 2a dose-ranging study in NAFLD with 305 participants; NCT03776175, a Phase 2 study of PF-05221304 co-administered with PF-06865571 in adults with NAFLD; and NCT03309202, a Phase 1 study in subjects with varying degrees of hepatic impairment.

Is PF-05221304 the same as [14C]PF-05221304?

Yes. [14C]PF-05221304 is a carbon-14 labeled form of PF-05221304 used in research, and PF-05221304 Monotherapy refers to treatment with the compound alone. All of these names refer to the same Pfizer investigational small molecule studied in nonalcoholic fatty liver disease and hepatic impairment.