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PF-05231023

Phase 1

Diabetes Mellitus, Type 2 | Small molecule | Metabolic |Pfizer, Inc.|Last Updated: Nov 18, 2016

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment134

FDA Designations

No designations recorded

Clinical trial landscape

PF-05231023 · 3 trials · 2 indications

Phase 1 3
NCT01673178Multiple Dose Study Of PF-05231023 In Adult Subjects Who Have Poor Lipid Control With And Without Type 2 Diabetes MellitusDiabetes Melliuts, Type 2
COMPLETED107 Analytics
NCT01396187Safety and Tolerability of Ascending Intravenous Doses of PF-05231023 In Adult Subjects With Type 2 DiabetesDiabetes Mellitus, Type 2
COMPLETED50 Analytics
NCT01285518Safety And Tolerability Of Escalating Intravenous Doses Of PF-05231023 In Adult Subjects With Type 2 DiabetesDiabetes Mellitus, Type 2
COMPLETED84 Analytics
PHASE1COMPLETED
Multiple Dose Study Of PF-05231023 In Adult Subjects Who Have Poor Lipid Control With And Without Type 2 Diabetes Mellitus
Diabetes Melliuts, Type 2Unlock trial analytics
PHASE1COMPLETED
Safety and Tolerability of Ascending Intravenous Doses of PF-05231023 In Adult Subjects With Type 2 Diabetes
Diabetes Mellitus, Type 2Unlock trial analytics
PHASE1COMPLETED
Safety And Tolerability Of Escalating Intravenous Doses Of PF-05231023 In Adult Subjects With Type 2 Diabetes
Diabetes Mellitus, Type 2Unlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Baseline up to 28 days after last dose

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 events were between first dose of study drug and up to 28 days after last dose that were absent before treatment or that worsened relative to pre-treatment state.

Number of Participants With Laboratory Abnormalities
Baseline up to Day 49

Criteria for laboratory test abnormality: Hematology (hemoglobin, hematocrit, red blood corpuscles \[RBC\] count: less than \[\<\]0.8\*lower limit of normal \[LLN\], platelets: \<0.5\*LLN/greater than \[\>\]1.75\*upper limit of normal \[ULN\], leukocytes: \<0.6\*LLN or \>1.5\*ULN, lymphocytes, total neutrophils: \<0.8\*LLN or \>1.2\*ULN, basophils, eosinophil: \<0.8\*LLN, monocytes: \>1.2\*ULN); Liver Function (aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase: \>0.3\*ULN, total protein, albumin: \<0.8\*LLN or \>1.2\*ULN); total bilirubin, direct bilirubin, indirect bilirubin: \>1.5\*ULN; Renal Function (blood urea nitrogen, creatinine: \>1.3\*ULN, uric acid: \>1.2\*ULN); Electrolytes (sodium: \<0.95\*LLN or \>1.05\*ULN, potassium, chloride, calcium, bicarbonate: \<0.9\*LLN or \>1.1\*ULN; creatine kinase: \>2.0\*ULN; glucose fasting: \<0.6\*LLN or \>1.5\*ULN, urine white blood corpuscles \[WBC\] and RBC: greater than or equal to (\>=) 20/High Power Field \[HPF\]).

Number of Participants With Clinically Significant Vital Sign Abnormalities
Baseline up to Day 49

Criteria for clinically significant vital signs abnormalities included supine/sitting pulse rate of \<40 beats per minute (bpm) or \>120 bpm, supine systolic blood pressure (SBP) of \<90 millimeter of mercury (mmHg), \>=30 mmHg maximum increase and decrease from baseline in same posture, supine diastolic blood pressure (DBP) of \<50 mmHg; \>=20 mmHg maximum increase and decrease from baseline in same posture.

Number of Participants With Clinically Significant Electrocardiogram Findings
Baseline up to Day 49

Clinically significant ECG findings included PR interval \>=300 milliseconds (msec) or \>=25 percent (%) increase from baseline (if baseline PR interval \>200 msec) or \>=50% increase (if baseline PR interval less than or equal to \[\<=\] 200 msec); QRS interval \>=140 msec or \>=50% increase from baseline; QT interval \>=500 msec, corrected QT interval based on Fridericia's formula (QTcF) 450 to \<480 msec, 480 to \<500 msec, \>=500 msec or \>=30 msec but \<60 msec increase from baseline or \>=60 msec increase from baseline.

Number of Participants With Abnormal Physical Examinations
Baseline up to Day 49

Physical examination included general examination and examination of head, ears, eyes, nose, mouth, throat, neck, abdomen, skin, heart, lungs, lymph nodes, and gastrointestinal and musculoskeletal and neurological system.

Thyroid Stimulating Hormone (TSH) Level at Baseline
Baseline

Results are reported in micro international units per milliliter (mcIU/mL).

Thyroid Stimulating Hormone (TSH) Level at Day 1
Day 1
Thyroid Stimulating Hormone (TSH) Level at Day 25
Day 25
Thyroid Stimulating Hormone (TSH) Level at Day 39
Day 39
Thyroid Stimulating Hormone (TSH) Level at Day 49
Day 49
Phosphate Level at Baseline
Baseline
Change From Baseline in Phosphate Level at Day 8
Baseline, Day 8
Change From Baseline in Phosphate Level at Day 15
Baseline, Day 15
Change From Baseline in Phosphate Level at Day 25
Baseline, Day 25
Change From Baseline in Phosphate Level at Day 49
Baseline, Day 49
Creatine Phosphokinase (CPK) Level at Baseline
Baseline
Change From Baseline in Creatine Phosphokinase (CPK) Level at Day 8
Baseline, Day 8
Change From Baseline in Creatine Phosphokinase (CPK) Level at Day 15
Baseline, Day 15
Change From Baseline in Creatine Phosphokinase (CPK) Level at Day 25
Baseline, Day 25
Change From Baseline in Creatine Phosphokinase (CPK) Level at Day 49
Baseline, Day 49
Serum N-terminal Propeptides of Type 1 Collagen (PINP) and C-Telopeptide Cross-Linking of Type 1 Collagen (CTX) Levels at Baseline
Baseline
Percent Change From Baseline in Serum N-terminal Propeptides of Type 1 Collagen (PINP) and C-Telopeptide Cross-Linking of Type 1 Collagen (CTX) Levels at Day 25
Baseline, Day 25
Percent Change From Baseline in Serum N-terminal Propeptides of Type 1 Collagen (PINP) and C-Telopeptide Cross-Linking of Type 1 Collagen (CTX) Levels at Day 39
Baseline, Day 39
Percent Change From Baseline Serum N-terminal Propeptides of Type 1 Collagen (PINP) and C-Telopeptide Cross-Linking of Type 1 Collagen (CTX) Levels at Day 49
Baseline, Day 49
Blood Osteocalcin and Bone-Specific Alkaline Phosphatase Levels at Baseline
Baseline
Percent Change From Baseline in Blood Osteocalcin and Bone-Specific Alkaline Phosphatase Levels at Day 25
Baseline, Day 25
Percent Change From Baseline in Blood Osteocalcin and Bone-Specific Alkaline Phosphatase Levels at Day 39
Baseline, Day 39
Percent Change From Baseline in Blood Osteocalcin and Bone-Specific Alkaline Phosphatase Levels at Day 49
Baseline, Day 49
Tartrate-resistant Acid Phosphatase Isoform 5b (TRAP 5b) Levels at Baseline
Baseline
Percent Change From Baseline in Tartrate-resistant Acid Phosphatase Isoform 5b (TRAP 5b) Levels at Day 25
Baseline, Day 25
Percent Change From Baseline in Tartrate-resistant Acid Phosphatase Isoform 5b (TRAP 5b) Levels at Day 39
Baseline, Day 39
Percent Change From Baseline in Tartrate-resistant Acid Phosphatase Isoform 5b (TRAP 5b) Levels at Day 49
Day 49
Average Urinary Calcium and Phosphate Levels Over 24 Hours at Baseline
Baseline
Change From Baseline in Average Urinary Calcium and Phosphate Levels Over 24 Hours at Day 24
Day 24
Number of Participants With Anti-PF-05231023 Antibodies and Neutralizing Antibodies at Day 1
Day 1

Anti-PF-05231023 antibodies and neutralizing antibodies were analyzed only for participants who received PF-05231023 as per planned analysis. One sample at Day 1 was inadvertently tested for neutralizing antibody even though the corresponding anti-PF-05231023 antibody was negative.

Number of Participants With Anti-PF-05231023 Antibodies and Neutralizing Antibodies at Day 39
Day 39

Anti-PF-05231023 antibodies and neutralizing antibodies were analyzed only for participants who received PF-05231023 as per planned analysis. One sample at Day 39 was inadvertently tested for neutralizing antibody even though the corresponding anti-PF-05231023 antibody was negative.

Number of Participants With Anti-PF-05231023 Antibodies and Neutralizing Antibodies at Day 49
Day 49
Number of Participants With Abnormal Physical Examination Findings
Baseline up to Day 42

Physical examination included assessment of height, weight, blood pressure, pulse rate and body temperature. Criteria for abnormal physical findings was based on investigator's discretion and were reported as adverse event (AE), as planned.

Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)
Baseline up to Day 77

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 Day 77 which were absent before treatment or that worsened relative to pretreatment state.

Number of Participants With Abnormal Laboratory Values
Baseline up to Day 42

Criteria for laboratory tests abnormalities included: hemoglobin, hematocrit and red blood cells (RBCs)(less than \[\<\] 0.8\*lower limit of normal\[LLN\]); leucocytes (\<0.6/greater than \[\>\]1.5\*upper limit of normal \[ULN\]); platelets (\<0.5\*LLN\>\</0\>1.75\*ULN); neutrophils, lymphocytes (\<0.8\*LLN\>\</0\>1.2\*ULN); eosinophils, basophils, monocytes (\>1.2\*ULN); total bilirubin, direct bilirubin, indirect bilirubin (\>1.5\*ULN); aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (\>3\*ULN), total protein, albumin (\<0.8\*LLN\>\</0\>1.2\*ULN); creatinine, urea (\>1.3\*ULN); glucose (\<0.6\*LLN\>\</0\>1.5\*ULN); uric acid (\>1.2\*ULN); sodium, potassium, chloride, calcium, bicarbonate (\<0.9\*LLN\>\</0\>1.1\*ULN); urine RBCs, urine white blood cells (WBCs) (\> or equal\[=\]20 high-powered field), urine bacteria \>20 high-powered field. Total number of participants with any laboratory abnormalities were reported.

Number of Participants With Vital Signs Abnormalities
Baseline up to Day 77

Criteria for vital signs abnormalities: supine systolic blood pressure (SBP) \<90 millimeter of mercury (mm Hg), supine diastolic BP (DBP) \<50 mm Hg, supine pulse rate \<40 beats per minute (bpm), \> 120 bpm. Maximum increase or decrease from baseline in supine SBP \>=30 mm Hg and maximum increase or decrease from baseline in supine DBP \>=20 mm Hg.

Number of Participants With Electrocardiogram (ECG) Abnormalities
Baseline up to Day 77

Criteria for potential clinical concern in ECG parameters: maximum PR interval of greater than or equal to (\>=) 300 milliseconds (msec), maximum QRS interval \>=140 msec, maximum QTCF interval (Fridericia's Correction) of 450 to \<480 msec, 480 to \<500 msec and \>=500 msec, maximum increase of \>=25 percent (%) for baseline value of \>200 msec and \>=50% for baseline value of less than or equal to (\<=) 200 msec for PR interval, maximum increase from baseline of \>=50% for QRS interval, maximum increase from baseline of \>=30 msec to \<60 msec and maximum increase from baseline of \>60 msec in QTCF interval (Fridericia's Correction).

Number of Participants With Blood Glucose Abnormalities
Baseline up to Day 32

Criteria for blood glucose abnormality: Blood glucose levels \<0.6\* LLN or \>1.5\* ULN.

Number of Participants With Hypoglycemic Adverse Event Based on Capillary Glucose Levels
Day 0 up to Day 22

Capillary blood glucose levels were collected to observe any hypoglycemic adverse events. Hypoglycemia was assessed as following categories; Severe hypoglycemia (1. Participant was unable to treat himself/herself, requiring assistance of another person to actively administer carbohydrate, glucagon 2. Exhibited one of following neurological symptoms memory loss, uncontrollable behavior, irrational behavior, unusual difficulty in awakening, suspected seizure, seizure or loss of consciousness, 3. Glucose \<50 mg/dL confirmed on repeat measure); Documented symptomatic hypoglycemia (1. Symptoms of hypoglycaemia accompanied by a measured glucose concentration \<=70 mg/dL); asymptomatic hypoglycemia (not accompanied by typical symptoms of hypoglycaemia but with a measured glucose concentration \<=70 mg/dL), and probable hypoglycemia (typical symptoms of hypoglycaemia are not accompanied by a glucose determination, but was presumably caused by a plasma glucose concentration \<=70 mg/dL).

Number of Participants With Anti-Drug Antibodies (ADA): Day 1
Day 1

Assays for the determination of human anti-drug (Anti-PF-05231023) antibodies (ADA) was performed.

Number of Participants With Anti-Drug Antibodies (ADA): Day 8
Day 8

Assays for the determination of human anti-drug (Anti-PF-05231023) antibodies (ADA) was performed.

Number of Participants With Anti-Drug Antibodies (ADA): Day 15
Day 15

Assays for the determination of human anti-drug (Anti-PF-05231023) antibodies (ADA) was performed.

Number of Participants With Anti-Drug Antibodies (ADA): Day 22
Day 22

Assays for the determination of human anti-drug (Anti-PF-05231023) antibodies (ADA) was performed.

Number of Participants With Anti-Drug Antibodies (ADA): Day 34
Day 34

Assays for the determination of human anti-drug (Anti-PF-05231023) antibodies (ADA) was performed.

Insulin-like Growth Factor - 1 (IGF-1), Insulin-like Growth Factor Binding Protein-1 (IGFBP-1), Insulin-like Growth Factor Binding Protein-2 (IGFBP-2), Growth Hormone (GH) Levels: Day 1
Day 1

Plasma samples for IGF-1, and GH were analyzed using a validated, sensitive, and specific immunochromatographic membrane assay (ICMA) fluorescence method. Plasma samples for IGFBP-1, IGFBP-2 were assayed using a validated, sensitive, and specific colorimetric sandwich (enzyme-linked immunosorbent assay) ELISA method.

Insulin-like Growth Factor - 1 (IGF-1), Insulin-like Growth Factor Binding Protein-1 (IGFBP-1), Insulin-like Growth Factor Binding Protein-2 (IGFBP-2), Growth Hormone (GH) Levels: Day 2
Day 2

Plasma samples for IGF-1, and GH were analyzed using a validated, sensitive, and specific immunochromatographic membrane assay (ICMA) fluorescence method. Plasma samples for IGFBP-1, IGFBP-2 were assayed using a validated, sensitive, and specific colorimetric sandwich ELISA method.

Insulin-like Growth Factor - 1 (IGF-1), Insulin-like Growth Factor Binding Protein-1 (IGFBP-1), Insulin-like Growth Factor Binding Protein-2 (IGFBP-2), Growth Hormone (GH) Levels: Day 3
Day 3

Plasma samples for IGF-1, and GH were analyzed using a validated, sensitive, and specific immunochromatographic membrane assay (ICMA) fluorescence method. Plasma samples for IGFBP-1, IGFBP-2 were assayed using a validated, sensitive, and specific colorimetric sandwich ELISA method.

Insulin-like Growth Factor - 1 (IGF-1), Insulin-like Growth Factor Binding Protein-1 (IGFBP-1), Insulin-like Growth Factor Binding Protein-2 (IGFBP-2), Growth Hormone (GH) Levels: Day 5
Day 5

Plasma samples for IGF-1, and GH were analyzed using a validated, sensitive, and specific immunochromatographic membrane assay (ICMA) fluorescence method. Plasma samples for IGFBP-1, IGFBP-2 were assayed using a validated, sensitive, and specific colorimetric sandwich ELISA method.

Insulin-like Growth Factor - 1 (IGF-1), Insulin-like Growth Factor Binding Protein-1 (IGFBP-1), Insulin-like Growth Factor Binding Protein-2 (IGFBP-2), Growth Hormone (GH) Levels: Day 7
Day 7

Plasma samples for IGF-1, and GH were analyzed using a validated, sensitive, and specific immunochromatographic membrane assay (ICMA) fluorescence method. Plasma samples for IGFBP-1, IGFBP-2 were assayed using a validated, sensitive, and specific colorimetric sandwich ELISA method.

Insulin-like Growth Factor - 1 (IGF-1), Insulin-like Growth Factor Binding Protein-1 (IGFBP-1), Insulin-like Growth Factor Binding Protein-2 (IGFBP-2), Growth Hormone (GH) Levels: Day 15
Day 15

Plasma samples for IGF-1, and GH were analyzed using a validated, sensitive, and specific immunochromatographic membrane assay (ICMA) fluorescence method. Plasma samples for IGFBP-1, IGFBP-2 were assayed using a validated, sensitive, and specific colorimetric sandwich ELISA method.

Insulin-like Growth Factor Binding Protein-3 (IGFBP-3) Levels: Day 1
Day 1

Plasma samples were assayed using a validated, sensitive, and specific ICMA fluorescence method.

Insulin-like Growth Factor Binding Protein-3 (IGFBP-3) Levels: Day 2
Day 2

Plasma samples were assayed using a validated, sensitive, and specific ICMA fluorescence method.

Insulin-like Growth Factor Binding Protein-3 (IGFBP-3) Levels: Day 3
Day 3

Plasma samples were assayed using a validated, sensitive, and specific ICMA fluorescence method.

Insulin-like Growth Factor Binding Protein-3 (IGFBP-3) Levels: Day 5
Day 5

Plasma samples were assayed using a validated, sensitive, and specific ICMA fluorescence method.

Insulin-like Growth Factor Binding Protein-3 (IGFBP-3) Levels: Day 7
Day 7

Plasma samples were assayed using a validated, sensitive, and specific ICMA fluorescence method.

Insulin-like Growth Factor Binding Protein-3 (IGFBP-3) Levels: Day 15
Day 15

Plasma samples were assayed using a validated, sensitive, and specific ICMA fluorescence method.

Number of Participants With Abnormal Cardiac Rhythms Recorded by Telemetry
From 2 hours (H) pre-dose for intravenous bolus or 2 H prior to the start of infusion on Day 1 up to 8 H post-dose for bolus or 8 H following the end of the infusion on Day 1

Criteria for abnormal cardiac rhythms was based on investigator's discretion and were reported as adverse event (AE), as planned.

Secondary Endpoints

Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) of PF-05231023 After Single Dose
0 (pre-dose), 0.5 (end of infusion), 1, 2.5, 3.5, 5.5, 9.5, 11.5 hours after start of infusion on Day 1, Day 4, 0 hours (pre-dose) on Day 8
Time to Reach Maximum Observed Plasma Concentration (Tmax) of PF-05231023 After Single Dose
0 (pre-dose), 0.5 (end of infusion), 1, 2.5, 3.5, 5.5, 9.5, 11.5 hours after start of infusion on Day 1, Day 4, 0 hour (pre-dose) on Day 8
Maximum Observed Plasma Concentration (Cmax) of PF-05231023 After Single Dose
0 (pre-dose), 0.5 (end of infusion), 1, 2.5, 3.5, 5.5, 9.5, 11.5 hours after start of infusion on Day 1, Day 4, 0 hour (pre-dose) on Day 8
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Placebo ArmPLACEBO_COMPARATOR -
25 mgEXPERIMENTAL -
50 mgEXPERIMENTAL -
100 mgEXPERIMENTAL -
150 mgEXPERIMENTAL -
TreatmentEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -

Interventions

NameTypeDescription
PlaceboOTHER0.9% w/v sodium chloride injection, United States Pharmacopeia (USP), once a week for 4 weeks
25 mg PF-05231023DRUG25 mg IV once a week for 4 weeks
50 mg PF-05231023DRUG50 mg IV once a week for 4 weeks
100 mg PF-05231023DRUG100 mg IV once a week for 4 weeks
150 mg PF-05231023DRUG150 mg IV once a week for 4 weeks
PF-05231023DRUG5 mg IV twice a week for 4 weeks
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Eligibility Criteria

Age Range30 Years to 70 Years
SexALL
Healthy VolunteersNo
Study Sites17

Inclusion Criteria: * Male and female subjects of non-childbearing potential between the ages of 30 and 70 years with and without a diagnosis of Type 2 diabetes mellitus (according to the American Diabetes Association guidelines). * Subjects with poor lipid control as confirmed by laboratory tests....

Countries:United States
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Frequently asked questions about PF-05231023

What is PF-05231023 used for?

PF-05231023 is an investigational small molecule being developed by Pfizer for the treatment of Type 2 Diabetes Mellitus. It is administered intravenously and has been studied in adult subjects with Type 2 diabetes, as well as in those with poor lipid control with or without Type 2 diabetes.

Who makes PF-05231023?

PF-05231023 is being developed by Pfizer, Inc., a biopharmaceutical company traded on the New York Stock Exchange under the ticker symbol PFE. The drug is currently in Phase 1 clinical development for Type 2 Diabetes Mellitus.

What phase is PF-05231023 in?

PF-05231023 is in Phase 1 clinical development. It is an investigational drug and has not been approved by regulatory authorities. All completed trials for this asset are Phase 1 studies, and the drug remains under investigation for Type 2 Diabetes Mellitus.

What clinical trials is PF-05231023 in?

PF-05231023 has been studied in three completed Phase 1 trials: NCT01285518, NCT01396187, and NCT01673178. These trials evaluated the safety and tolerability of escalating or ascending intravenous doses in adults with Type 2 diabetes, and one study included subjects with poor lipid control.

Is PF-05231023 the same as any other drug?

PF-05231023 is a unique investigational compound developed by Pfizer. No alternative names for this drug have been reported in clinical trial records. It is being studied specifically for its potential role in managing Type 2 Diabetes Mellitus.