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Also known as Oral [14C]PF-06865571, PF-06865571 Monotherapy, DGAT2i
PF-06865571 · 3 trials · 5 indications
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.
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.
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.
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.
| Arm | Type | Description |
|---|---|---|
| Placebo | PLACEBO_COMPARATOR | Participants will receive medication for 6 weeks |
| DGAT2i (25 mg BID) + ACCi (10 mg BID) | EXPERIMENTAL | Participants will receive medication for 6 weeks |
| DGAT2i (100 mg BID) + ACCi (10 mg BID) | EXPERIMENTAL | Participants will receive medication for 6 weeks |
| DGAT2i (300 mg QD) + ACCi (20 mg QD) | EXPERIMENTAL | Participants will receive medication for 6 weeks |
| DGAT2i (300 mg BID) + ACCi (10 mg BID) | EXPERIMENTAL | Participants will receive medication for 6 weeks |
| PF-06865571 25 milligrams (mg) twice daily (BID) | EXPERIMENTAL | participants will receive medication for 48 weeks |
| PF-06865571 75 mg BID | EXPERIMENTAL | participants will receive medication for 48 weeks |
| PF-06865571 150 mg BID | EXPERIMENTAL | participants will receive medication for 48 weeks |
| PF-06865571 300 mg BID | EXPERIMENTAL | participants will receive medication for 48 weeks |
| PF-06865571 (150 mg BID) + PF-05221304 (5 mg BID) | EXPERIMENTAL | participants will receive medication for 48 weeks |
| PF-06865771 (300 mg BID) + PF-05221304 (10 mg BID) | EXPERIMENTAL | participants will receive medication for 48 weeks |
| PF-06865571 100 mg | EXPERIMENTAL | - |
| PF-06865571 600 mg | EXPERIMENTAL | - |
| Name | Type | Description |
|---|---|---|
| PF-06865571 | DRUG | Tablet |
| PF-05221304 | DRUG | Tablet |
| Placebo | DRUG | Tablet |
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...
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.
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.
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.
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.
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.