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PF-06372865

Phase 2

Chronic Low Back Pain | Small molecule | Pain |Pfizer, Inc.|Trials Updated: Mar 14, 2018

PF-06372865 development status

Highest phase Phase 2
Registered trials 8 across 1 sponsor since Feb 2014

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment309

FDA Designations

No designations recorded

PF-06372865 clinical trials

PF-06372865 · 2 trials · 2 indications

Phase 2 2
NCT02564029PF-06372865 in Subjects With Photosensitive EpilepsyReflex Epilepsy, Photosensitive
COMPLETED7 Analytics
NCT02262754PF-06372865 In Subjects With Chronic Low Back PainChronic Low Back Pain
COMPLETED302 Analytics
PHASE2COMPLETED
PF-06372865 in Subjects With Photosensitive Epilepsy
Reflex Epilepsy, PhotosensitiveUnlock trial analytics
PHASE2COMPLETED
PF-06372865 In Subjects With Chronic Low Back Pain
Chronic Low Back PainUnlock trial analytics

Study Endpoints

Primary Endpoints

The Standardized Photosensitivity Range (SPR) in the Subject's Most Sensitive Eye Condition
Pre-dose, 1, 2, 4 and 6 hours post-dose

The SPR was defined as the number of frequency steps between and including the lower and upper bound at which a generalized electroencephalogram (EEG) epileptiform activity had occurred, whereby subjects were exposed to 14 different frequencies ranging from 2 to 60 flashes per second. The SPR is then an integer score that ranges from 0 to 14 with lower scores representing better outcomes. The primary outcome measure was based on the average Least Squares Mean (LSmean) effect over the first 6 hours postdose.

Change From Baseline in Daily Low Back Pain Intensity (LBPI) Score as Measured by an 11-point Numeric Rating Scale (NRS) at Week 4
Baseline, Week 4

Daily average low back pain was assessed on an 11-point numeric rating scale (NRS). Participants described their average low back pain during the past 24 hours on a scale ranging from 0 (no pain) to 10 (worst possible pain), where higher scores indicate higher pain. Baseline value was calculated as the mean of the scores over the last 7 days in the placebo run-in period, prior to randomization. Post-baseline weekly scores were calculated based on the mean of the scores over the 7 days prior to and including the day at the end of the corresponding week.

Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Baseline up to 28 days after the last dose of study treatment (Day 56)

An AE was any untoward medical occurrence in a participant who received study treatment without regard to possibility of causal relationship. The 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 or 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. AEs included both serious and non-serious adverse events.

Number of Participants With Laboratory Abnormalities
Baseline up to 28 days after the last dose of study treatment (Day 56)

Abnormality criteria included: hemoglobin, hematocrit and red blood cells (RBCs) (less than \[\<\] 0.8\*lower limit of normal \[LLN\]); white blood cells (WBC) (\<0.6\*LLN, greater than \[\>\] 1.5\*upper limit of normal \[ULN\]); MCV, MCH, MCHC (\<0.9\*LLN, \>1.1\*ULN); platelets (\<0.5\*LLN\>, \>1.75\*ULN); neutrophils, lymphocytes(\<0.8\*LLN, \>1.2\*ULN); eosinophils, basophils, monocytes (\>1.2\*ULN); total bilirubin (\>1.5\*ULN); aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase (\>3\*ULN); total protein, albumin (\<0.8\*LLN, \>1.2\*ULN); creatinine, blood urea nitrogen (\>1.3\*ULN); glucose (\<0.6\*LLN, \>1.5\*ULN); uric acid (\>1.2\*ULN); sodium, potassium, chloride, calcium, bicarbonate (\<0.9\*LLN, \>1.1\*ULN); urine pH (\<4.5, \>8); qualitative urine glucose, ketones, protein, blood values (greater than or equal to \[\>=\] 1) in urine dipstick test; urine RBC, WBC (\>=20); hyaline casts (\>1), bacteria (\>20).

Number of Participants With Vital Sign Abnormalities
Baseline up to Follow-up (44 days)

Participants who met the criteria for abnormal findings in vital signs data were reported. Criteria for abnormalities in vital signs: supine systolic blood pressure (SBP) \<90 millimeter of mercury (mmHg), supine diastolic BP (DBP) \<50 mmHg, supine pulse rate \<40 beats per minute (bpm) or \>120 bpm. Maximum increase or decrease from baseline in supine SBP \>=30 mmHg and maximum increase or decrease from baseline in supine DBP \>=20 mmHg.

Number of Participants With Electrocardiogram (ECG) Abnormalities
Baseline up to Follow-up (44 days)

Participants with abnormal ECG findings were reported. Criteria for potential clinical concern in ECG parameters: maximum (max.) PR interval of \>=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 of \>=25 percent (%) increase from baseline (IFB) 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 Categorical Scores on the Columbia Suicide Severity Rating Scale (C-SSRS)
Screening, Baseline, Week 1, 2, 3, 4

The C-SSRS (mapped to Columbia Classification Algorithm of Suicide Assessment \[C-CASA\]) is an interview-based rating scale to systematically assess suicidal ideation and suicidal behavior. C-SSRS assessed whether participant experienced following: completed suicide =1, suicide attempt =2 (response of "Yes" on "actual attempt"), preparatory acts toward imminent suicidal behavior =3 ("Yes" on "preparatory acts or behavior"), suicidal ideation =4 ("Yes" on "wish to be dead", "non-specific active suicidal thoughts", "active suicidal ideation with methods without intent to act or some intent to act, without specific plan or with specific plan and intent), any suicidal behavior or ideation, self-injurious behavior =7 ("Yes" on "Has participant engaged in non-suicidal self-injurious behavior").

Change From End of Treatment Visit in Physician's Withdrawal Checklist (PWC) Score at Follow-up Visit
End of treatment (Day 30), follow-up (Day 44)

PWC is a 20 item physician rated interview to measure anxiolytic drug withdrawal-related signs and symptoms. Each individual item score ranges from 0 (not present) to 3 (severe), where higher scores = more affected condition. PWC total score range from 0 (not present) to 60 (severe), where higher score = more affected condition. Change: score at follow-up visit minus score at the end of treatment visit.

Secondary Endpoints

The SPR in the Eye Closure, Eyes Closed, and Eyes Open Condition
Pre-dose, 1, 2, 4 and 6 hours post-dose
The Percentage of Participants With Complete Suppression, Partial Response, and no Response to Intermittent Photic Stimulation (IPS)
Pre-dose, 1, 2, 4 and 6 hours post-dose
Maximum Plasma Concentration (Cmax) of PF-06372865
1, 2, 4 and 6 hours post-dose
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelCROSSOVER
PurposeBASIC_SCIENCE

Treatment Arms

ArmTypeDescription
PF-06372865 dose level 1EXPERIMENTAL17.5 milligram (mg) single dose
PF-06372865 dose level 2EXPERIMENTAL52.5 mg single dose
PlaceboPLACEBO_COMPARATORSingle dose
LorazepamACTIVE_COMPARATOR2mg single dose
PF-06372865EXPERIMENTALDaily BID dosing for 4 weeks
NaproxenACTIVE_COMPARATORDaily BID dosing for 4 weeks

Interventions

NameTypeDescription
PF-06372865DRUGSingle dose
PlaceboDRUGPlacebo for PF-06372865 and placebo for lorazepam
LorazepamDRUG2 mg single oral dose
NaproxenDRUG500 mg BID for 4 weeks
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Eligibility Criteria

Age Range18 Years to 60 Years
SexALL
Healthy VolunteersNo
Study Sites16

Inclusion Criteria: * A diagnosis and history of photoparoxysmal response on electroencephalogram (EEG) with or without a diagnosis of epilepsy for which subjects are taking up to 0 - 2 concomitant antiepileptic drugs. * Subjects currently taking antiepileptic drug(s) to be on a stable dose for 4 w...

Countries:United States
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Competitive Landscape -Chronic Cough Disorders 3 trials (matched to "Chronic Low Back Pain")

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Frequently asked questions about PF-06372865

What is PF-06372865?

PF-06372865 is an investigational small molecule developed by Pfizer, Inc. (NYSE: PFE). It has been studied in Phase 2 clinical trials for chronic low back pain and for reflex epilepsy, including photosensitive epilepsy. It is not approved for any indication and remains in clinical development.

What is PF-06372865 used for?

PF-06372865 has been evaluated in Phase 2 trials for two indications: chronic low back pain and reflex epilepsy, specifically photosensitive epilepsy. It is an investigational agent and is not approved for any use. All studies of PF-06372865 to date have been completed.

Who makes PF-06372865?

PF-06372865 is developed by Pfizer, Inc., which trades on the New York Stock Exchange under the ticker PFE. Pfizer sponsored the Phase 2 clinical trials of PF-06372865 in chronic low back pain and in reflex epilepsy with photosensitivity.

What phase is PF-06372865 in?

PF-06372865 is in Phase 2 development. It has completed Phase 2 trials in chronic low back pain and in reflex epilepsy with photosensitivity. It is an investigational drug and has not been approved by the FDA for any indication.

What clinical trials is PF-06372865 in?

PF-06372865 has been studied in two completed Phase 2 trials: NCT02262754 in subjects with chronic low back pain, which enrolled 302 participants, and NCT02564029 in subjects with photosensitive epilepsy, which enrolled 7 participants. Both were randomized, double-blind, placebo-controlled studies conducted in the United States.