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PF-05221304

Phase 2

Nonalcoholic Fatty Liver Disease | Small molecule | Metabolic |Pfizer, Inc.|Last Updated: Dec 9, 2020

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment305

FDA Designations

No designations recorded

Clinical trial landscape

PF-05221304 · 5 trials · 5 indications

Phase 2 1Phase 1 4
NCT03248882Phase 2a, Dose-ranging Study With PF-05221304 in Nonalcoholic Fatty Liver Disease (NAFLD)Nonalcoholic Fatty Liver Disease
COMPLETED305 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 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.

Cohort A: Area under the plasma concentration time profile from time zero to the time of the last quantifiable concentration (AUClast)
0, 0.5, 1, 2, 3, 4, 5, 8, 12, 16, 24, 36, 48 and 72 hours post dose
Cohort A: Maximum observed plasma concentration (Cmax)
0, 0.5, 1, 2, 3, 4, 5, 8, 12, 16, 24, 36, 48 and 72 hours post dose
Cohort A: Time to reach Cmax (Tmax)
0, 0.5, 1, 2, 3, 4, 5, 8, 12, 16, 24, 36, 48 and 72 hours post dose
Cohort A: Area under the plasma concentration time profile from time zero extrapolated to infinite time (as data permit) (AUCinf)
0, 0.5, 1, 2, 3, 4, 5, 8, 12, 16, 24, 36, 48 and 72 hours post dose
Cohort A: Terminal half life (as data permit) (t1/2)
0, 0.5, 1, 2, 3, 4, 5, 8, 12, 16, 24, 36, 48 and 72 hours post dose
Cohort A: Apparent clearance (as data permit) (CL/F)
0, 0.5, 1, 2, 3, 4, 5, 8, 12, 16, 24, 36, 48 and 72 hours post dose
Cohort A: Apparent volume of distribution (as data permit) (Vz/F)
0, 0.5, 1, 2, 3, 4, 5, 8, 12, 16, 24, 36, 48 and 72 hours post dose
Cohort B: Number of Subjects experiencing an Adverse Event
Screening up to 28 days after last dose of study medication

Assessment of adverse events (AEs), clinical laboratory tests, vital signs (including blood pressure and pulse rate) and 12 lead ECG.

Mass Balance
0-96 hr

Cumulative recovery of urinary, fecal, and total excretion of radioactivity over time expressed as percentage of total radioactive dose administered

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.

Part 1: Number of Subjects experiencing an Adverse Event
Screening up to 28 days after last dose of study medication

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.

Part 2: Number of Subjects experiencing an Adverse Event
Screening up to 28 days after last dose of study medication

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.

Part 3: Maximum Observed Plasma Concentration (Cmax) for PF-05221304
0, 0.5, 1, 2, 3, 4, 5, 8, 12, 16, 24, 36, and 48 hours post dose

Maximum Observed Plasma Concentration (Cmax)

Part 3: Time to Reach Maximum Observed Concentration for PF-05221304
0, 0.5, 1, 2, 3, 4, 5, 8, 12, 16, 24, 36, and 48 hours post dose

Time to Reach Maximum Observed Plasma Concentration (Tmax)

Part 3: Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) for PF-05221304
0, 0.5, 1, 2, 3, 4, 5, 8, 12, 16, 24, 36, and 48 hours post dose

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

Part 3: Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0- infinity)] for PF-05221304 (as permitted)
0, 0.5, 1, 2, 3, 4, 5, 8, 12, 16, 24, 36, and 48 hours post dose

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).

Part 3: Plasma Decay Half-Life (t1/2) for PF-05221304 (as permitted)
0, 0.5, 1, 2, 3, 4, 5, 8, 12, 16, 24, 36, and 48 hours post dose

Plasma Decay Half-Life (t1/2)

Part 3: Apparent Total Body Clearance (CL/F) for PF-05221304 (as permitted)
0, 0.5, 1, 2, 3, 4, 5, 8, 12, 16, 24, 36, and 48 hours post dose

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.

Part 3: Apparent Volume of Distribution (Vz/F) for PF-05221304 (as permitted)
0, 0.5, 1, 2, 3, 4, 5, 8, 12, 16, 24, 36, and 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. Apparent volume of distribution after oral dose (Vz/F) is influenced by the fraction absorbed.

Secondary Endpoints

Percent Change From Baseline in Alanine Aminotransferase at Week 16
Baseline (Day 1 pre-dose), Week 16
Number of Participants With Treatment-Emergent Adverse Events
From first dose of study treatment (Day 1) up to Week 20
Number of Participants With Laboratory Abnormalities
From first dose of study treatment (Day 1) up to Week 20
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PlaceboPLACEBO_COMPARATORDouble-Blind, PF-05221304-matching Placebo
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 A_ActiveEXPERIMENTAL3 single doses treatment of PF-05221304
Cohort B_ActiveEXPERIMENTALRepeated doses of PF-05221304
Cohort B_PlaceboPLACEBO_COMPARATORRepeated doses of placebo
Investigational ProductEXPERIMENTAL\[14C\]PF-05221304
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
Part 1_Cohort 1_ActiveEXPERIMENTALSingle, escalating dose of PF-05221304
Part 1_Cohort 1_PlaceboPLACEBO_COMPARATORSingle dose of Placebo
Part 1_Cohort 2_ActiveEXPERIMENTALSingle, escalating dose of PF-05221304
Part 1_Cohort 2_PlaceboEXPERIMENTALSingle dose of Placebo
Part 2_ActiveEXPERIMENTALRepeated, escalating doses of PF-05221304
Part 2_PlaceboPLACEBO_COMPARATORRepeated doses of placebo
Part 3EXPERIMENTALSingle dose of PF-05221304 with and without food

Interventions

NameTypeDescription
PlaceboDRUGPlacebo
PF-05221304DRUGPF-05221304, Experimental Drug
[14C]PF-05221304DRUGa single oral dose of \[14C\]PF-05221304 (50 mg/100 µCi liquid formulation)
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Eligibility Criteria

Age Range18 Years to 70 Years
SexALL
Healthy VolunteersNo
Study Sites140

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...

Countries:United StatesAustraliaCanadaIsraelPolandTaiwanJapanBelgiumCzechiaSlovakia
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Frequently asked questions about PF-05221304

What is PF-05221304 used for?

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.

Who makes PF-05221304?

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.

What phase is PF-05221304 in?

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.

What clinical trials has PF-05221304 been in?

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.

Is PF-05221304 the same as PF-06865571?

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.