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PF-06865571

Phase 2

Nonalcoholic Fatty Liver Disease | Small molecule | Metabolic |Pfizer, Inc.|Trials Updated: Mar 21, 2025

PF-06865571 development status

Highest phase Phase 2
Registered trials 6 across 1 sponsor since Mar 2017

PF-06865571 target and mechanism

ModalitySmall molecule

Also known as Oral [14C]PF-06865571, PF-06865571 Monotherapy, DGAT2i

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials3
Total Enrollment379

FDA Designations

No designations recorded

PF-06865571 clinical trials

PF-06865571 · 3 trials · 5 indications

Phase 2 2Phase 1 1
NCT04399538Study of Pharmacodynamics and Safety of DGAT2i and ACCi Coadministered in Participants With Sponsor-defined Presumed Non Alcoholic SteatohepatitisNonalcoholic Steatohepatitis
COMPLETED75 Analytics
NCT04321031Metabolic Interventions to Resolve Non-alcoholic Steatohepatitis (NASH) With Fibrosis (MIRNA)Nonalcoholic Fatty Liver Disease
COMPLETED256 Analytics
PHASE2COMPLETED
Study of Pharmacodynamics and Safety of DGAT2i and ACCi Coadministered in Participants With Sponsor-defined Presumed Non Alcoholic Steatohepatitis
Nonalcoholic SteatohepatitisUnlock trial analytics
PHASE2COMPLETED
Metabolic Interventions to Resolve Non-alcoholic Steatohepatitis (NASH) With Fibrosis (MIRNA)
Nonalcoholic Fatty Liver DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Percent Change From Baseline (CFB) in Percent (%) Liver Fat as Assessed Via Magnetic Resonance Imaging Using Proton Density Fat Fraction Acquisition (MRI-PDFF) at Week 6
Baseline, Week 6

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 = the sum of PDFFs for (Segment I + Segment II + Segment III + Segment IVa + Segment IVb + Segment V + Segment VI + Segment VII + Segment VIII) divided by (number of segments assessed and no missing/mapping at Baseline, and on Week 6). If some segments did not have results reported at Baseline and/or Week 6, liver PDFF was to be calculated using data in segments that had data available at both Baseline visit and Week 6 visit. For this outcome measure (OM), baseline is defined as the assessment undertaken between Visit 3/Week -2 and Visit 4/Day 1.

Mean Proportion of Participants Achieving Resolution of NASH Without Worsening/Improvement of Fibrosis by >=1 Stage Without Worsening of NASH/Both Based on Assessment by Sponsor-Identified Central Pathologist at Week 48:Bayesian Dose Response Model (BDRM)
Week 48

NASH resolution: disappearance of ballooning (Nonalcoholic Fatty Liver Disease \[NAFLD\] Activity Score \[NAS\] ballooning score=0;0=no ballooning,1=few balloon cells,2=many cells with prominent ballooning; higher scores(HS)=more disease activity \[DA\]),residual/no lobular inflammation(NAS lobular inflammation score 0/1,0=no foci,1= \<2 foci, 2=2-4 foci,3= \>4 foci; HS=more DA),NAS steatosis score 0,1,2,3; 0= \<5% hepatocytes involved (HI),1=5-33% HI ,2= 34-66% HI, 3= \>66% HI; HS=more DA. No worsening of fibrosis: no change/decrease of at least 1 stage in Brunt-Kleiner scale (BKS) compared to baseline (CTB). Improvement in fibrosis by \>=1 stage: decrease of at least 1 stage in BKS CTB. No worsening of NASH: no change/increase in NAS for ballooning, inflammation, steatosis CTB. BDRM utilized to characterize dose response across BID treatment groups, estimate posterior mean proportion (\& 90% credible interval \[CI\], indicated as 'confidence interval' below) for placebo and each BID dose studied.

Number of Participants Achieving Resolution of NASH Without Worsening or Improvement in Fibrosis by >= 1 Stage Without Worsening of NASH or Both Based on Assessment by Sponsor-Identified Central Pathologist at Week 48: Logistic Regression Model
Week 48

Resolution of NASH: disappearance of ballooning (NAS ballooning score= 0; where 0= no ballooning, 1= few balloon cells, 2= many cells with prominent ballooning; higher scores= more disease activity), residual or no lobular inflammation (NAS lobular inflammation score 0 or 1, where 0= no foci, 1= \<2 foci, 2= 2-4 foci, 3= \>4 foci; higher scores= more disease activity), NAS steatosis score 0, 1, 2, or 3, where 0= \<5% hepatocytes involved, 1= 5-33% hepatocytes involved, 2= 34-66% hepatocytes involved, 3= \>66% hepatocytes involved; higher scores= more disease activity. No worsening of fibrosis: no change or decrease of at least 1 stage in BKS compared to baseline. Improvement in fibrosis by \>=1 stage: decrease of at least 1 stage in BKS compared to baseline. No worsening of NASH: no change or increase in NAS for ballooning, inflammation, steatosis compared to baseline.

Relative Change From Baseline in Whole Liver Fat at Day 15 as Assessed by Magnetic Resonance Imaging (MRI) - Proton Density Fat Fraction (PDFF)
Baseline (Day 1), Day 15

MRI-PDFF is an established method that enables quantification of fat content in the liver. The value of whole liver fat as assessed by MRI-PDFF is expressed in percentage and ranges from 0 to 100% with higher values representing higher liver fat level.

Secondary Endpoints

Percent CFB in Fasting Serum Triglycerides at Week 6
Baseline, Week 6
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
Baseline up to at least 28 days after the last administration of the study intervention or until study completion or withdrawal, whichever was longer (maximum of approximately 24 weeks).
Number of Participants With TEAEs of Special Interest by Preferred Term (PT)
Baseline up to at least 28 days after the last administration of the study intervention or until study completion or withdrawal, whichever was longer (maximum of approximately 24 weeks).
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeBASIC_SCIENCE

Treatment Arms

ArmTypeDescription
PlaceboPLACEBO_COMPARATORParticipants will receive medication for 6 weeks
DGAT2i (25 mg BID) + ACCi (10 mg BID)EXPERIMENTALParticipants will receive medication for 6 weeks
DGAT2i (100 mg BID) + ACCi (10 mg BID)EXPERIMENTALParticipants will receive medication for 6 weeks
DGAT2i (300 mg QD) + ACCi (20 mg QD)EXPERIMENTALParticipants will receive medication for 6 weeks
DGAT2i (300 mg BID) + ACCi (10 mg BID)EXPERIMENTALParticipants will receive medication for 6 weeks
PF-06865571 25 milligrams (mg) twice daily (BID)EXPERIMENTALparticipants will receive medication for 48 weeks
PF-06865571 75 mg BIDEXPERIMENTALparticipants will receive medication for 48 weeks
PF-06865571 150 mg BIDEXPERIMENTALparticipants will receive medication for 48 weeks
PF-06865571 300 mg BIDEXPERIMENTALparticipants will receive medication for 48 weeks
PF-06865571 (150 mg BID) + PF-05221304 (5 mg BID)EXPERIMENTALparticipants will receive medication for 48 weeks
PF-06865771 (300 mg BID) + PF-05221304 (10 mg BID)EXPERIMENTALparticipants will receive medication for 48 weeks
PF-06865571 100 mgEXPERIMENTAL -
PF-06865571 600 mgEXPERIMENTAL -

Interventions

NameTypeDescription
PF-06865571DRUGTablet
PF-05221304DRUGTablet
PlaceboDRUGTablet
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites20

Inclusion Criteria: * BMI ≥25 and ≤ 40 kg/m2 * concomitant medical conditions associated with NAFLD Exclusion Criteria: * Evidence of other causes of liver disease such as Alcoholic steatohepatitis, (de)compensated cirrhosis, active viral hepatitis * Any condition possibly affecting drug absorpti...

Countries:United StatesCanadaBulgariaChinaHong KongIndiaJapanPolandPuerto RicoSlovakiaSouth KoreaTaiwan
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Frequently asked questions about PF-06865571

What is PF-06865571?

PF-06865571 is an investigational small molecule developed by Pfizer for metabolic liver disease. It has been studied in nonalcoholic steatohepatitis (NASH) and nonalcoholic fatty liver disease (NAFLD). It is not approved and remains in clinical development.

What is PF-06865571 used for in NASH?

PF-06865571 has been evaluated for the treatment of nonalcoholic steatohepatitis (NASH) and nonalcoholic fatty liver disease (NAFLD). Clinical trials have studied it in adults with these conditions, including a Phase 2 study in participants with NASH and liver fibrosis.

Who makes PF-06865571?

PF-06865571 is developed by Pfizer, Inc., which trades on the New York Stock Exchange under the ticker PFE. Pfizer sponsored the clinical trials of PF-06865571 in nonalcoholic steatohepatitis and nonalcoholic fatty liver disease.

What phase is PF-06865571 in?

PF-06865571 is in Phase 1 development. It is an investigational drug and has not been approved by the FDA. A Phase 1 trial and Phase 2 trials have been completed, but no active trials are currently listed.

What clinical trials is PF-06865571 in?

PF-06865571 has been studied in completed trials including NCT04399538, a Phase 2 study of DGAT2i and ACCi coadministered in presumed NASH; NCT04321031, a Phase 2 NASH with fibrosis study; and NCT03513588, a Phase 1 two-week study in NAFLD.