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PF-07081532

Phase 1

Diabetes Mellitus Type 2 | Small molecule | Metabolic |Pfizer, Inc.|Last Updated: Sep 24, 2024

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment66

FDA Designations

No designations recorded

Clinical trial landscape

PF-07081532 · 6 trials · 6 indications

Phase 1 6
NCT05745701A Drug-Drug Interaction Study to Examine the Impact of Itraconazole and Cyclosporine on PF-07081532 Pharmacokinetics in Overweight or Obese AdultsHealthy
COMPLETED16 Analytics
NCT05652647A Study to Understand How the Study Medicine (PF-07081532) is Processed and Eliminated in Healthy MenHealthy Participants
COMPLETED6 Analytics
NCT05478603A Study to Understand How the Study Medicine (PF-07081532) is Processed in People With Liver DysfunctionHepatic Impairment
COMPLETED24 Analytics
NCT05158244Study of Multiple Oral Doses of PF-07081532 in Adult Participants With Type 2 Diabetes MellitusType 2 Diabetes Mellitus
COMPLETED34 Analytics
NCT04305587Multiple Escalating Oral Doses Study of PF-07081532 in Adult Participants With Type 2 Diabetes MellitusDiabetes Mellitus Type 2
COMPLETED66 Analytics
NCT04148209Study of Single Ascending Doses of PF-07081532 in Healthy Adult ParticipantsHealthy
COMPLETED22 Analytics
PHASE1COMPLETED
A Drug-Drug Interaction Study to Examine the Impact of Itraconazole and Cyclosporine on PF-07081532 Pharmacokinetics in Overweight or Obese Adults
HealthyUnlock trial analytics
PHASE1COMPLETED
A Study to Understand How the Study Medicine (PF-07081532) is Processed and Eliminated in Healthy Men
Healthy ParticipantsUnlock trial analytics
PHASE1COMPLETED
A Study to Understand How the Study Medicine (PF-07081532) is Processed in People With Liver Dysfunction
Hepatic ImpairmentUnlock trial analytics
PHASE1COMPLETED
Study of Multiple Oral Doses of PF-07081532 in Adult Participants With Type 2 Diabetes Mellitus
Type 2 Diabetes MellitusUnlock trial analytics
PHASE1COMPLETED
Multiple Escalating Oral Doses Study of PF-07081532 in Adult Participants With Type 2 Diabetes Mellitus
Diabetes Mellitus Type 2Unlock trial analytics
PHASE1COMPLETED
Study of Single Ascending Doses of PF-07081532 in Healthy Adult Participants
HealthyUnlock trial analytics

Study Endpoints

Primary Endpoints

Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUCinf) of Lotiglipron When Administered Alone and With Itraconazole or Cyclosporine
Pre-dose of lotiglipron and at 0.5, 1, 2, 4, 6, 8, 10, 12, 14, 24, 36, 48, 72, 96, 120, and 144 (for Period 3 only) hours post dose of lotiglipron on Day 1 of Periods 1 and 2 and on Day 4 of Period 3.

AUCinf is area under the plasma concentration-time profile from time zero extrapolated to infinite time. AUCinf is caluculated by AUClast + (Clast/kel), where Clast is the predicted plasma concentration at the last quantifiable time point estimated from the log-linear regression analysis.

Total Recovery of Radioactivity in Urine, Feces and Both Routes Combined, as Percentage of Orally Administered Radioactive Dose of [14C]PF-07081532
360 hours

Urine and feces samples collected after a single oral dose of \[14C\]PF-07081532 30 mg (\~250 nCi) in Period 1 were analyzed using Accelerator Mass Spectrometry (AMS). "Blank" pre-dose urine samples were collected within the 24 hours prior to dosing, "blank" fecal samples were collected from at least 1 bowel movement within the 48 hours prior to dosing. Following oral dosing, each urine void was collected across intervals of 0-12 hours, 12-24 hours, and each subsequent 24 hour interval up to 360 hours post dose, and all feces excreted were collected across each 24 hour interval up to 360 hours post dose. Recovery of radioactivity in urine, feces, and both routes combined, determined as percentage of the orally administered radioactive dose, are reported.

Relative Abundance of [14C]PF-07081532 and Its Metabolites in Plasma After A Single Oral Dose of [14]PF-07081532 in Period 1
Pre-dose (0 hours [hrs]) and 0.5 hrs, 1 hr, 2 hrs, 4 hrs, 6 hrs, 8 hrs, 10 hrs, 12 hrs, 24 hrs, 36 hrs, 48 hrs, and 72 hrs post Period 1 Day 1 dosing

Plasma samples collected after a single oral dose of \[14C\]PF-07081532 30 mg (\~250 nCi) were analyzed using Ultra Performance Liquid Chromatography coupled to High Resolution Mass Spectrometry (UPLC-HRMS). Relative abundance = (sum of radioactive content of fractions contributing to a particular peak/total circulating drug-related material \[total \[14C\] radioactivity in plasma\]) x 100%. Metabolites that were detected and identifiable (including coeluting metabolites reported together) are reported in this outcome measure (OM).

Relative Abundance of [14C]PF-07081532 and Its Metabolites in Urine and Feces After A Single Oral Dose of [14]PF-07081532 in Period 1
96 hours for urine samples and 144 hours for feces samples

Urine and feces samples collected after a single oral dose of \[14C\]PF-07081532 30 mg (\~250 nCi) were analyzed using UPLC-HRMS. "Blank" pre-dose urine samples were collected within the 24 hours prior to dosing, "blank" fecal samples were collected from at least 1 bowel movement within the 48 hours prior to dosing. To obtain samples for evaluation of relative abundance in urine and feces, following oral dosing, each urine void was collected across intervals of 0-12 hours, 12-24 hours, and each subsequent 24 hour interval up to 96 hours post dose, and all feces excreted were collected across each 24 hour interval up to 144 hours post dose. Relative abundance was determined as sum of radioactive content of fractions contributing to a particular peak divided by total radioactive dose excreted in urine/feces respectively. Metabolites that were detected and identifiable (including coeluting metabolites reported together) are reported in this OM.

Maximum Plasma Concentration (Cmax) of PF-07081532
At 0 (prior to dose), 0.5, 1, 2, 4, 6, 8, 10, 12, 15, 24, 36, 48, 72, 96, 120, and 144 hours post dose on Day 1

Cmax is the maximum plasma concentration.

Area Under the Plasma Concentration-time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) of PF-07081532
At 0 (prior to dose), 0.5, 1, 2, 4, 6, 8, 10, 12, 15, 24, 36, 48, 72, 96, 120, and 144 hours post dose on Day 1

AUCinf is the area under the plasma concentration-time profile from time zero extrapolated to infinite time.

Area Under the Plasma Concentration-time Profile From Time Zero to the Time of the Last Quantifiable Concentration (AUClast) of PF-07081532
At 0 (prior to dose), 0.5, 1, 2, 4, 6, 8, 10, 12, 15, 24, 36, 48, 72, 96, 120, and 144 hours post dose on Day 1

AUClast is the area under the plasma concentration-time profile from time zero to the time of the last quantifiable concentration.

Fraction of Unbound Drug in Plasma (Fu) of PF-07081532
At 0 (prior to dose), 0.5, 1, 2, 4, 6, 8, 10, 12, 15, 24, 36, 48, 72, 96, 120, and 144 hours post dose on Day 1

Fu is the fraction of unbound drug in plasma, which is calculated by Cu/C (where Cu represents unbound concentration and C represents total concentration).

Unbound Cmax (Cmax,u) of PF-07081532
At 0 (prior to dose), 0.5, 1, 2, 4, 6, 8, 10, 12, 15, 24, 36, 48, 72, 96, 120, and 144 hours post dose on Day 1

Cmax,u is the unbound Cmax.

Unbound AUCinf (AUCinf,u) of PF-07081532
At 0 (prior to dose), 0.5, 1, 2, 4, 6, 8, 10, 12, 15, 24, 36, 48, 72, 96, 120, and 144 hours post dose on Day 1

AUCinf,u is the unbound AUCinf.

Unbound AUClast (AUClast,u) of PF-07081532
At 0 (prior to dose), 0.5, 1, 2, 4, 6, 8, 10, 12, 15, 24, 36, 48, 72, 96, 120, and 144 hours post dose on Day 1

AUClast,u is the unbound AUClast.

Number of Participants With Treatment-emergent Adverse Events (All Causalities)
Baseline up to at least 28 days after last dose of study intervention (77 days)

An adverse event (AE) was any untoward medical occurrence in clinical study participant, temporally associated with the use of study drug, whether or not considered related to the study drug. A serious AE (SAE) was defined as one of the following: was fatal or life-threatening; resulted in persistent or significant disability/incapacity; constituted a congenital anomaly/birth defect; was medically significant; required inpatient hospitalization or prolongation of existing hospitalization. A severe AE was defined as severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling, limiting self-care activities of daily living. Treatment-emergent AE was defined as an AE with onset date occurring during the on-treatment period (starting after or on the first dose but before the last dose plus at least 28 days). AEs included all SAEs and non-SAEs.

Number of Participants With Treatment-emergent Adverse Events (Treatment Related)
Baseline up to at least 28 days after last dose of study intervention (77 days)

A treatment related adverse event (AE) was any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study drug, considered related to the study drug (assessed by the investigator \[Yes/No\]). A serious AE (SAE) was defined as one of the following: was fatal or life-threatening; resulted in persistent or significant disability/incapacity; constituted a congenital anomaly/birth defect; was medically significant; required inpatient hospitalization or prolongation of existing hospitalization. A severe AE was defined as severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; disabling, limiting self-care activities of daily living. Treatment-emergent AE was defined as an AE with onset date occurring during the on-treatment period (starting after or on the first dose but before the last dose plus at least 28 days). AEs included all SAEs and non-SAEs.

Number of Participants With Laboratory Test Abnormalities (Without Regard to Baseline Abnormality)
Baseline up to 7-14 days after last dose of study drug (maximum: 56 days)

Following laboratory parameters analyzed for laboratory examination: hemoglobin (HGB); hematocrit; erythrocytes; erythrocytes (Ery.) mean corpuscular volume; Ery. mean corpuscular HGB; Ery. mean corpuscular HGB concentration; platelets; leukocytes; lymphocytes; neutrophils; basophils; eosinophils; monocytes; bilirubin; direct bilirubin; indirect bilirubin; aspartate aminotransferase; alanine aminotransferase; gamma glutamyl transferase; alkaline phosphatase; albumin; urea nitrogen; creatinine; urate; cholesterol; high density lipoprotein (HDL) cholesterol; sodium; potassium; chloride; calcium; bicarbonate; thyroxine; free; thyrotropin; creatine kinase; amylase; triacylglycerol lipase; triglycerides; pH; urine glucose; ketones; urine protein; urine hemoglobin; urobilinogen; urine bilirubin; nitrite; leukocyte esterase; urine erythrocytes; urine leukocytes; epithelial cells; casts; and bacteria.

Number of Participants With Pre-specified Categorical Post-Baseline Vital Signs Data
Baseline up to 14 days after last dose of study intervention (maximum: 56 days)

Pre-specified categorical criteria included: supine systolic blood pressure (SBP) less than (\<) 90 millimeters of mercury (mmHg), supine SBP increase from baseline greater or equal to (\>=) 30 mmHg, supine SBP decrease from baseline \>=30 mmHg, supine diastolic blood pressure (DBP) \<50 mmHg, supine DBP increase from baseline \>=20 mmHg, supine DBP decrease from baseline \>=20 mmHg, supine pulse rate \<40 beats per minutes (bpm), and supine pulse rate greater than (\>) 120 bpm. Supine BP was measured with the participant's arm supported at the level of the heart, and recorded to the nearest mmHg after approximately 5 minutes of rest.

Number of Participants With Pre-specified Categorical Post-Baseline Electrocardiogram (ECG) Data
Baseline up to 14 days after last dose of study intervention (maximum: 56 days)

Triplicate 12-lead ECGs were collected using an ECG machine that automatically calculates the heart rate and measures PR, QT, and QTc intervals and QRS complex. Pre-specified categorical criteria included: PR interval greater or equal to 300 msec, PR interval %Chg\>=25/50% (%Chg\>=25/50% denotes baseline \>200 msec and \>=25% increase or baseline less than or equal to \[\<=\] 200 msec and \>=50% increase), QRS interval \>=140 msec, QRS interval increase from baseline \>=50%, QT interval corrected using Fridericia's formula (QTcF) \>450 msec and \<=480 msec, QTcF \>480 msec and \<=500 msec, QTcF \>500 msec, QTcF increase from baseline \>30 msec and \<=60 msec, and QTcF increase from baseline \>60 msec.

Number of Participants With Treatment Emergent Treatment-Related Adverse Events
From the first dose up to 28-35 days after last administration of study intervention (that is a maximum of 63 days from first dose for Part A and a maximum of 77 days from first dose for Part B and Part C)

An adverse event (AE) is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An serious adverse event (SAE) was defined as an AE: 1. resulting in death, 2. was life-threatening, 3. required inpatient hospitalization or prolongation of existing hospitalization, 4. resulted in persistent disability, 5. was a congenital anomaly/birth defect, or considered to be an important medical event. Treatment-related AE was any untoward medical occurrence attributed to study intervention in a participant who received study intervention. Treatment-emergent are events between first dose of study intervention and up to 28-35 days after last dose that were absent before treatment or that worsened relative to pretreatment state.

Number of Participants With Laboratory Abnormalities
From Baseline to 7-14 days following last dose administration (that is a maximum of 42 days from baseline for Part A and a maximum of 56 days from baseline for Part B and Part C)

Participants with laboratory abnormalities with ≥2 occurrences (without regard to baseline abnormality) that met pre-specified criteria were High-density lipoprotein (HDL) Cholesterol \<0.8✕ lower limit of normal (LLN); Bicarbonate \<0.9✕LLN; Calcitonin\>1.0✕upper limit of normal (ULN); Triglycerides \>1.3✕ULN; Aspartate Aminotransferase \>3.0✕ULN; Low-density lipoprotein (LDL) Cholesterol \>1.2✕ULN; Urine Glucose ≥1; Urine Ketones ≥1; Urine Leukocyte Esterase ≥1; Urine Leukocytes ≥20; Urine Hyaline Casts \>1; Urine Hemoglobin ≥1; and Urine Nitrite ≥1.

Number of Participants With Vital Signs Abnormalities
From Baseline to 7-14 days following last dose administration (that is a maximum of 42 days from baseline for Part A and a maximum of 56 days from baseline for Part B and Part C)

Vital signs (pulse rate, systolic and diastolic blood pressure) were obtained with participant in the supine position. The pre-specified categorical analysis criteria in vital signs, were supine systolic blood pressure \< 90 millimeters of mercury (mmHg), supine systolic blood pressure increase/decrease from baseline ≥ 30mmHg; supine diastolic blood pressure \<50 mmHg, supine diastolic blood pressure increase/decrease from baseline ≥ 20mmHg; pulse rate \<40 beats per minute (bpm) or \>120 bpm.

Number of Participants With Abnormal Electrocardiogram (ECG)
From Baseline to 7-14 days following last dose administration (that is a maximum of 42 days from baseline for Part A and a maximum of 56 days from baseline for Part B and Part C)

The pre-specified categorical analysis criteria in ECG, were PR interval: value ≥ 300 milliseconds (msec), percentage change ≥ 25/50%; QRS duration: value ≥140 msec, percentage change ≥ 50%; QTcF interval: 450 \< value ≤ 480 msec, 480 \< value ≤ 500 msec, value \>500 msec, and 30\<change ≤ 60 msec, change \>60 msec.

Percentage of participants with adverse events
From screening until follow-up call (28-35 days after the last dose of investigational product)
Percentage of participants with safety laboratory test results above/below certain threshold
Days -1, 2 and 4 of each period and at follow-up visit (7-14 days after the last dose of investigational product)
Percentage of participants with vital signs above/below certain threshold
Days 1-4 of each period and at follow-up visit (7-14 days after the last dose of investigational product)
Percentage of participants with 12-lead electrocardiogram (ECG) results above/below certain threshold
Days 1-4 of each period and at follow-up visit (7-14 days after the last dose of investigational product)

Secondary Endpoints

Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
From the first dose up to 35 days after administration of the final dose of study intervention (Period 3 Day 9, Study Day 19), the maximum duration was 54 Days
Number of Participants With Laboratory Abnormalities
Baseline (pre-dose on Day 1), Period 2 Day 5 (Study Day 10), and Period 3 Day 10 (Study Day 20)
Number of Participants Meeting Pre-Specified Criteria of Vital Signs
Pre-dose Day 1 in periods 1, 2 and 3 (Study Days 1, 6, and 11, respectively), and prior to discharge on Period 3 Day 10 (Study Day 20)
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Period 1: PF-07081532ACTIVE_COMPARATORParticipants will receive PF-07081532 as a single dose on Day 1.
Period 2: Cyclosporine + PF-07081532EXPERIMENTALParticipants will receive a single dose of PF-07081532 and a single dose of cyclosporine on Day 1.
Period 3: Itraconazole + PF-07081532EXPERIMENTALParticipants will receive itraconazole daily for 9 days plus a single dose of PF-07081532 on Day 4.
One group of healthy adult male participantsEXPERIMENTAL -
Group 1: PF-07081532 Participants without hepatic impairmentEXPERIMENTALParticipants without hepatic impairment will receive a single 20 mg dose of PF-07081532, administered orally as 1 PF-07081532 20 mg tablet.
Group 2: PF-07081532 Participants with mild hepatic impairmentEXPERIMENTALParticipants with mild hepatic impairment will receive a single 20 mg dose of PF-07081532, administered orally as 1 PF-07081532 20 mg tablet
Group 3: PF-07081532 Participants with moderate hepatic impairmentEXPERIMENTALParticipants with moderate hepatic impairment will receive a single 20 mg dose of PF-07081532, administered orally as 1 PF-07081532 20 mg tablet.
Group 4: PF-07081532 Participants with severe hepatic impairmentEXPERIMENTALParticipants with severe hepatic impairment will receive a single20 mg dose of PF-07081532, administered orally as 1 PF-07081532 20 mg tablet.
PF-07081532EXPERIMENTALmultiple dosing, once-daily for 42 days
PlaceboPLACEBO_COMPARATORmultiple dosing, once-daily for 42 days
Active ObesityEXPERIMENTALPart B
Placebo ObesityPLACEBO_COMPARATORPart B
Active T2DMEXPERIMENTALParts A and C
Placebo T2DMPLACEBO_COMPARATORParts A and C
TreatmentEXPERIMENTALParticipants receiving PF-07081532

Interventions

NameTypeDescription
PF-07081532DRUGOral Tablet
CyclosporineDEVICEOral Solution
ItraconazoleDRUGOral Capsule
Oral [14C]PF-07081532DRUGA single oral dose of \[14C\]PF-07081532, will be administered as a liquid formulation in study period 1.
Oral PF-07081532 and IV [14C]PF-07081532DRUGIn study period 2: a single, oral, unlabeled dose of PF-07081532 will be administered as a liquid formulation. Approximately 1 hours after the administration of the unlabeled oral dose, a single dose of \[14C\]PF-07081532 will be administered via intravenous infusion.
PlaceboDRUGPlacebo, once daily for 42 days
ClopidogrelDRUGPart B may include a drug-drug interaction study using open-label clopidogrel. Clopidrogrel may be given as two single doses of 75 mg administered on day -2 and day 41.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: 1. Otherwise healthy female and male participants must be at least 18 years of age at the time of signing the ICD (healthy is defined as no clinically relevant abnormalities identified by a detailed medical history, physical examination, including blood pressure and pulse rate m...

Countries:United StatesNetherlandsBelgium
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Frequently asked questions about PF-07081532

What is PF-07081532 used for?

PF-07081532 is an investigational small molecule being studied for metabolic conditions, including Type 2 Diabetes Mellitus. It has also been evaluated in healthy participants and in studies involving hepatic impairment. The drug is in Phase 1 clinical development and is not yet approved by the FDA.

Who makes PF-07081532?

PF-07081532 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 trials for metabolic indications, including Type 2 Diabetes Mellitus.

What phase is PF-07081532 in?

PF-07081532 is in Phase 1 clinical development. It is an investigational drug and has not received FDA approval. All completed trials for PF-07081532 are Phase 1 studies, and the drug remains in early-stage clinical testing for Type 2 Diabetes Mellitus and related metabolic conditions.

What clinical trials is PF-07081532 in?

PF-07081532 has completed four Phase 1 clinical trials. These include NCT04148209, a single ascending dose study in healthy adults in Belgium; NCT04305587, a multiple escalating dose study in adults with Type 2 Diabetes Mellitus in the United States; NCT05158244, a multiple oral dose study in Type 2 Diabetes Mellitus patients; and NCT05745701, a drug-drug interaction study in overweight or obese adults.

Is PF-07081532 the same as other diabetes drugs?

PF-07081532 is a distinct investigational small molecule developed by Pfizer. It is not identified as being the same as any other marketed diabetes medication. The drug is being studied specifically for its effects in Type 2 Diabetes Mellitus and is currently in Phase 1 clinical trials.