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PF-04937319

Phase 2

Diabetes Mellitus, Type 2 | Small molecule | Metabolic |Pfizer, Inc.|Last Updated: Mar 10, 2017

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment365

FDA Designations

No designations recorded

Clinical trial landscape

PF-04937319 · 5 trials · 4 indications

Phase 2 2Phase 1 3
NCT01517373Study To Understand Efficacy And Safety Of Investigational Agent (PF-04937319) Compared To Approved Agent (Glimepiride) In Patients With Diabetes On MetforminDiabetes Mellitus, Type 2
COMPLETED304 Analytics
NCT01475461Phase 2 Study To Evaluate Safety And Efficacy Of Investigational Drug - PF04937319 In Patients With Type 2 DiabetesType 2 Diabetes Mellitus
COMPLETED345 Analytics
PHASE2COMPLETED
Study To Understand Efficacy And Safety Of Investigational Agent (PF-04937319) Compared To Approved Agent (Glimepiride) In Patients With Diabetes On Metformin
Diabetes Mellitus, Type 2Unlock trial analytics
PHASE2COMPLETED
Phase 2 Study To Evaluate Safety And Efficacy Of Investigational Drug - PF04937319 In Patients With Type 2 Diabetes
Type 2 Diabetes MellitusUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in Glycosylated Hemoglobin (HbA1C) at Week 12
Baseline (Day 1), Week 12

HbA1c is a form of hemoglobin which is measured primarily to identify the average glycemic control over prolonged periods of time. The normal range for the HbA1c test, was identified as less than 6.5 percent by the study-specific central laboratory used. Change from baseline in percentage of HbA1C was reported.

Pf-04937319: Maximum plasma concentration (Cmax)
0 - 96 hours post dose
Pf-04937319: Time for Cmax (Tmax)
0 - 96 hours post dose
Pf-04937319: Area under the plasma concentration-time profile from time zero to the time of the last quantifiable concentration (AUClast)
0 - 96 hours post dose
Pf-04937319: Area under the plasma concentration-time profile from time zero extrapolated to infinite time (AUCinf)
0 - 96 hours post dose
Pf-04937319: terminal half-life (T1/2)
0 - 96 hours post dose
PF-06455349: Maximum Observed Plasma Concentration (Cmax)
0 - 96 hours post dose
PF-06455349: Time to Reach Maximum Observed Plasma Concentration (Tmax)
0 - 96 hours post dose
PF-06455349: Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast)
0 - 96 hours post dose
PF-06455349: Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)]
0 - 96 hours post dose
PF-06455349: Plasma Decay Half-Life (t1/2)
0 - 96 hours post dose
Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Baseline (Day 1) up to 14 days after last dose of study treatment (up to 28 days)

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 14 days after last dose that were absent before treatment or that worsened relative to pre-treatment state.

Maximum Observed Plasma Concentration (Cmax) On Day 1
0 (pre-dose), 0.5, 1.5, 3, 5, 8, 12, 16, 24 hours (hrs) post morning dose on Day 1 (fasted condition)
Maximum Observed Plasma Concentration (Cmax) On Day 6
0 (pre-dose), 0.5, 1.5, 3, 5, 8 hours post-dose on Day 6 (fed condition)
Time to Reach Maximum Observed Plasma Concentration (Tmax) on Day 1
0 (pre-dose), 0.5, 1.5, 3, 5, 8, 12, 16, 24 hours post morning dose on Day 1 (fasted condition)
Time to Reach Maximum Observed Plasma Concentration (Tmax) on Day 6
0 (pre-dose), 0.5, 1.5, 3, 5, 8 hours post-dose on Day 6 (fed condition)
Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) on Day 1
0 (pre-dose), 0.5, 1.5, 3, 5, 8, 12, 16, 24 hours post morning dose on Day 1 (fasted condition)

AUCtau is the area under the plasma concentration versus time curve from time zero (pre-dose) to the end of the dosing interval (tau), here dosing interval is 24 hours.

Maximum Observed Plasma Concentration at Steady State (Cmax, ss) On Day 14
0 (pre-dose), 0.5, 1.5, 3, 5, 8, 12, 16, 24 hours post morning dose on Day 14 (fasted condition)
Time to Reach Maximum Observed Plasma Concentration at Steady State (Tmax, ss) on Day 14
0 (pre-dose), 0.5, 1.5, 3, 5, 8, 12, 16, 24 hours post morning dose on Day 14 (fasted condition)
Area Under the Curve From Time Zero to End of Dosing Interval at Steady State (AUCtau, ss) on Day 14
0 (pre-dose), 0.5, 1.5, 3, 5, 8, 12, 16, 24 hours post morning dose on Day 14 (fasted condition)

AUCtau, ss = Area under the plasma concentration versus time curve from time zero (pre-dose) to the end of the dosing interval (tau) at steady state, here dosing interval is 24 hours.

Plasma Decay Half-Life (t1/2) on Day 14
0 (pre-dose), 0.5, 1.5, 3, 5, 8, 12, 16, 24, 36, 48 hours post morning dose on Day 14 (fasted condition)

Plasma decay half-life is the time measured for the plasma concentration to decrease by one half.

Minimum Observed Plasma Trough Concentration at Steady State (Cmin, ss) on Day 14
0 (pre-dose), 0.5, 1.5, 3, 5, 8, 12, 16 hours post morning dose on Day 14 (fasted condition)
Percentage of Unchanged Drug Excreted in the Urine Over Dosing Interval (Ae[%]) on Day 14
0 hour (pre-dose) through 24 hours post-dose on Day 14

Percentage of drug excreted unchanged in urine calculated as overall amount of unchanged drug excreted in the urine over the dosing interval (24 hours) divided by total daily dose multiplied by 100.

Apparent Oral Clearance (CL/F) on Day 14
0 (pre-dose), 0.5, 1.5, 3, 5, 8, 12, 16, 24 hours post morning dose on Day 14 (fasted condition)

Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood.

Apparent Volume of Distribution (Vz/F) on Day 14
0 (pre-dose), 0.5, 1.5, 3, 5, 8, 12, 16, 24 hours post morning dose on Day 14 (fasted condition)

Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug.

Observed Accumulation Ratio for AUCtau (Rac)
0 (pre-dose), 0.5, 1.5, 3, 5, 8, 12, 16, 24 hours post morning dose on Day 1 and Day 14 (fasted condition)

Accumulation ratio for AUCtau (Rac) was calculated as area under the curve from time zero to end of dosing interval (AUCtau) on Day 14 divided by area under the curve from time zero to end of dosing interval (AUCtau) on Day 1. Dosing interval = 24 hours.

Observed Accumulation Ratio for Cmax (Rac, Cmax)
0 (pre-dose), 0.5, 1.5, 3, 5, 8, 12, 16, 24 hours post morning dose on Day 1 and Day 14 (fasted condition)

Accumulation ratio for Cmax (Rac, Cmax) was calculated as maximum observed plasma concentration (Cmax) on Day 14 divided by maximum observed plasma concentration (Cmax) on Day 1.

Percent Change From Baseline in Glucose Area Under the Curve From Time 2 to 6 Hours (AUC [2-6]) After a Mixed Meal Tolerance Test (MMTT) at Day 1
-46, -45.75, -45.5, -45, -44.5, -44, -43, -42 hrs pre-dose on Day -1; 2, 2.25, 2.5, 3, 3.5, 4, 5, 6 hrs post-dose on Day 1 (fasted condition)

Percent change from baseline in area under the plasma glucose concentration-time curve as determined by standardized MMTT. Linear trapezoidal method was used to compute AUC. Baseline value was the AUC (2-6) calculated on Day -1.

Percent Change From Baseline in Glucose Area Under the Curve From Time 2 to 6 Hours (AUC [2-6]) After a Mixed Meal Tolerance Test (MMTT) at Day 14
-46, -45.75, -45.5, -45, -44.5, -44, -43, -42 hrs pre-dose on Day -1; 2, 2.25, 2.5, 3, 3.5, 4, 5, 6 hrs post-dose on Day 14 (fasted condition)

Percent change from baseline in area under the plasma glucose concentration-time curve as determined by standardized MMTT. Linear trapezoidal method was used to compute AUC. Baseline value was the AUC (2-6) calculated on Day -1.

Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)
Day 1 up to 10 days after last dose of study medication (up to 11 days)

An AE was any untoward medical occurrence in a participant who received study medication 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 medication and up to 10 days after last dose that were absent before treatment or that worsened relative to pretreatment state.

Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast)
0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48 hours post-dose

Area under the plasma concentration-time curve from zero to the last measured concentration (AUClast).

Maximum Observed Plasma Concentration (Cmax)
0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48 hours post-dose
Time to Reach Maximum Observed Plasma Concentration (Tmax)
0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48 hours post-dose
Apparent Oral Clearance (CL/F)
0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48 hours post-dose

Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood.

Apparent Volume of Distribution (Vz/F)
0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48 hours post-dose

Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired plasma concentration of a drug.

Plasma Decay Half-Life (t1/2)
0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48 hours post-dose

Plasma decay half-life (t1/2) is the time measured for the plasma concentration to decrease by one half.

Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUCinf)
0 (pre-dose), 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48 hours post-dose

AUCinf is the area under the plasma concentration versus time curve from time zero to extrapolated infinite time.

Secondary Endpoints

Change From Baseline in Glycosylated Hemoglobin (HbA1C) at Week 2, 4, 6 and 8
Baseline (Day 1), Week 2, 4, 6, 8
Change From Baseline in Fasting Plasma Glucose at Week 2, 4, 6, 8 and 12
Baseline (Day 1), Week 2, 4, 6, 8, 12
Percentage of Participants Achieving Less Than 6.5 Percent and Less Than 7 Percent Glycosylated Hemoglobin (HbA1c) Levels at Week 12
Week 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PlaceboPLACEBO_COMPARATORPlacebo to match PF-04937319 and glimepiride
PF-04937319 10 mgEXPERIMENTAL -
PF-04937319 50 mgEXPERIMENTAL -
PF-04937319 100 mgEXPERIMENTAL -
GlimepirideACTIVE_COMPARATOR -
PF-04937319 - Dose 1EXPERIMENTAL -
PF-04937319 - Dose 2EXPERIMENTAL -
PF-04937319 - Dose 3EXPERIMENTAL -
PF-04937319 - Dose 4EXPERIMENTAL -
SitagliptinACTIVE_COMPARATOR -
PF-04937319EXPERIMENTAL -

Interventions

NameTypeDescription
PlaceboDRUGCombination of tablets and capsules, a total of 3 pills/dose, administered once daily for 84-days
PF-04937319 10 mgDRUGCombination of tablets and capsules, dose of 10 mg, a total of 3 pills/dose, administered once daily for 84-days
PF-04937319 50 mgDRUGCombination of tablets and capsules, dose of 50 mg, a total of 3 pills/dose, administered once daily for 84-days
PF-04937319 100 mgDRUGCombination of tablets and capsules, dose of 100 mg, a total of 3 pills/dose, administered once daily for 84-days
GlimepirideDRUGCombination of tablets and capsules, dose of up to 6 mg, a total of 3 pills/dose, administered once daily for 84-days
PF-04937319 - 3mgDRUGPF-04937319 3mg administered as tablets once-daily for 84-days
PF-04937319 - 20mgDRUGPF-04937319 20mg administered as tablets once-daily for 84-days
PF-04937319 - 50mgDRUGPF-04937319 50mg administered as tablets once-daily for 84-days
PF-04937319 - 100mgDRUGPF-04937319 100mg administered as tablets once-daily for 84-days
Sitagliptin - 100mgDRUGSitagliptin 100mg administered as tablets once-daily for 84-days
Pf-04937319DRUGFormulation A) Pf-04937319 50 mg - administered as tablet
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Eligibility Criteria

Age Range18 Years to 70 Years
SexALL
Healthy VolunteersNo
Study Sites53

Inclusion Criteria: * Age 18-70 yrs, male and females, with T2DM, on metformin alone or in combination with 1 other oral agent Exclusion Criteria: * Subjects with recent cardiovascular events, those with evidence of diabetic complications

Countries:United StatesBulgariaCanadaHungaryIndiaSlovakiaTaiwanPhilippinesRomaniaSouth AfricaSingapore
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Frequently asked questions about PF-04937319

What is PF-04937319 used for?

PF-04937319 is an investigational small molecule being studied for the treatment of Type 2 Diabetes Mellitus. It has been evaluated in clinical trials involving patients with Type 2 Diabetes and in healthy subjects. The drug is being developed by Pfizer, Inc. and is currently in Phase 2 clinical development.

Who makes PF-04937319?

PF-04937319 is being developed by Pfizer, Inc., a biopharmaceutical company traded on the New York Stock Exchange under the ticker symbol PFE. The drug is an investigational small molecule in Phase 2 clinical development for the treatment of Type 2 Diabetes Mellitus.

What phase is PF-04937319 in?

PF-04937319 is in Phase 2 clinical development. It is an investigational drug and has not been approved by regulatory authorities. The drug has completed Phase 1 and Phase 2 trials, including a Phase 2 study comparing it to glimepiride in patients with Type 2 Diabetes on metformin.

What clinical trials has PF-04937319 been in?

PF-04937319 has been studied in four completed clinical trials. These include NCT01044537 and NCT01272804, which assessed safety, tolerability, and pharmacokinetics in patients with Type 2 Diabetes. NCT01513928 evaluated different formulations in healthy subjects in Singapore, and NCT01517373 was a Phase 2 efficacy and safety study comparing PF-04937319 to glimepiride in patients with Type 2 Diabetes on metformin.

Is PF-04937319 being studied in patients with Type 2 Diabetes?

Yes, PF-04937319 has been studied in patients with Type 2 Diabetes Mellitus. Clinical trials have enrolled patients with this condition, including a Phase 2 study with 304 participants that compared the drug to glimepiride in patients also taking metformin. The trials were conducted in multiple countries, including the United States, Bulgaria, Canada, Hungary, India, Slovakia, and Taiwan.