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This study examines the effect of a small molecule inhibitor to the Sonic Hedgehog pathway on select solid tumors.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PF-04449913 | Drug | Escalating dose of PF-04449913 administered as tablets PO QD in 28-day cycles |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With First Cycle Dose Limiting Toxicities (DLTs) | Any DLT event in Cycle 1: (1) Grade 4 neutropenia lasting more than 7 days; (2) Febrile neutropenia; (3) Grade >=3 neutropenic infection; (4) Grade >=3 thrombocytopenia with bleeding; (5) Grade 4 thrombocytopenia lasting more than 7 days; (6) Grade >=3 non-hematologic toxicity; (7) Failure to deliver at least 80% of the planned doses due to toxicities attributable to PF-04449913 | Baseline up to end of Cycle 1 (Study Day 28) |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With Treatment-emergent Adverse Events (AEs), by National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) (Version 4.0) Grade | An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Treatment-emergent AEs are events occurred 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. If the same participant in a given treatment had more than one occurrence in the same preferred term event category, only the worst CTCAE grade was reported. Grades as per NCI CTCAE, v4.0 were classified as: Grade 1- mild, Grade 2- moderate, Grade 3- severe, Grade 4- life threatening, and Grade 5- death. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Pfizer CT.gov Call Center | Pfizer | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Keck Hospital of University of Southern California | Los Angeles | California | 90033 | United States | ||
| Los Angeles County-University of Southern California Medical Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33993815 | Derived | Fostvedt LK, Shaik N, Martinelli G, Wagner AJ, Ruiz-Garcia A. Exposure-response modeling of the effect of glasdegib on cardiac repolarization in patients with cancer. Expert Rev Clin Pharmacol. 2021 Jul;14(7):927-935. doi: 10.1080/17512433.2021.1925538. Epub 2021 May 18. | |
| 25388167 | Derived | Wagner AJ, Messersmith WA, Shaik MN, Li S, Zheng X, McLachlan KR, Cesari R, Courtney R, Levin WJ, El-Khoueiry AB. A phase I study of PF-04449913, an oral hedgehog inhibitor, in patients with advanced solid tumors. Clin Cancer Res. 2015 Mar 1;21(5):1044-51. doi: 10.1158/1078-0432.CCR-14-1116. Epub 2014 Nov 11. |
| Label | URL |
|---|---|
| To obtain contact information for a study center near you, click here. | View source |
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Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.
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All enrolled participants were assigned to PF-04449913 dose escalation cohorts.
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| ID | Title | Description |
|---|---|---|
| FG000 | PF-04449913 80 mg | Participants received oral single agent PF-04449913 tablets 80 milligram (mg) once daily for 25 days in Cycle 1 followed by 3 days without treatment for the purpose of pharmacokinetic (PK) assessments, and for 28 days in Cycles 2 and beyond, i.e. up to a maximum of 14 treatment cycles (one treatment cycle was defined as 28 days). |
| FG001 | PF-04449913 160 mg | Participants received oral single agent PF-04449913 tablets 160 mg once daily for 25 days in Cycle 1 followed by 3 days without treatment for the purpose of PK assessments, and 28 days in Cycles 2 and beyond, i.e. up to a maximum of 14 treatment cycles (one treatment cycle was defined as 28 days). |
| FG002 | PF-04449913 320 mg | Participants received oral single agent PF-04449913 tablets 320 mg once daily for 25 days in Cycle 1 followed by 3 days without treatment for the purpose of PK assessments, and 28 days in Cycles 2 and beyond i.e. up to a maximum of 14 treatment cycles (one treatment cycle was defined as 28 days). |
| FG003 | PF-04449913 640 mg | Participants received oral single agent PF-04449913 tablets 640 mg once daily for 25 days in Cycle 1 followed by 3 days without treatment for the purpose of PK assessments, and 28 days in Cycles 2 and beyond, i.e. up to a maximum of 14 treatment cycles (one treatment cycle was defined as 28 days). |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
All enrolled participants
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| ID | Title | Description |
|---|---|---|
| BG000 | PF-04449913 80 mg | Participants received oral single agent PF-04449913 tablets 80 milligram (mg) once daily for 25 days in Cycle 1 followed by 3 days without treatment for the purpose of pharmacokinetic (PK) assessments, and for 28 days in Cycles 2 and beyond, i.e. up to a maximum of 14 treatment cycles (one treatment cycle was defined as 28 days). |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Customized | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants With First Cycle Dose Limiting Toxicities (DLTs) | Any DLT event in Cycle 1: (1) Grade 4 neutropenia lasting more than 7 days; (2) Febrile neutropenia; (3) Grade >=3 neutropenic infection; (4) Grade >=3 thrombocytopenia with bleeding; (5) Grade 4 thrombocytopenia lasting more than 7 days; (6) Grade >=3 non-hematologic toxicity; (7) Failure to deliver at least 80% of the planned doses due to toxicities attributable to PF-04449913 | Per-Protocol Analysis Set: all enrolled participants who received at least 1 dose of study medication and did not have major treatment deviations during Cycle 1. | Posted | Count of Participants | Participants | Baseline up to end of Cycle 1 (Study Day 28) |
|
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The same event may appear as both an AE and a serious AE (SAE). However, what are presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | PF-04449913 80 mg | Participants received oral single agent PF-04449913 tablets 80 milligram (mg) once daily for 25 days in Cycle 1 followed by 3 days without treatment for the purpose of pharmacokinetic (PK) assessments, and for 28 days in Cycles 2 and beyond, i.e. up to a maximum of 14 treatment cycles (one treatment cycle was defined as 28 days). |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal pain | Gastrointestinal disorders | MedDRA version 15.1 | Non-systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA version 15.1 | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Pfizer ClinicalTrials.gov Call Center | Pfizer, Inc. | 1-800-718-1021 | ClinicalTrials.gov_Inquiries@pfizer.com |
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| ID | Term |
|---|---|
| C000592580 | glasdegib |
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| Baseline up to 28 days post last dose of study medication (maximum duration: 14 cycles [each cycle of 28 days]) |
| Percentage of Participants With Treatment-related AEs, by NCI CTCAE (Version 4.0) Grade | An AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. Treatment-related AEs are events that were assessed by the investigator as related to study medication. If the same participant in a given treatment had more than one occurrence in the same preferred term event category, only the worst CTCAE grade was reported. Grades as per NCI CTCAE, v4.0 were classified as: Grade 1- mild, Grade 2- moderate, Grade 3- severe, Grade 4- life threatening, and Grade 5- death. | Baseline up to 28 days post last dose of study medication (maximum duration: 14 cycles [each cycle of 28 days]) |
| Hedgehog Biomarker Modulation: Relative GLI1 Gene Expression (Ratio) to Baseline for Normal Skin on Cycle 1/Day 15 | Ribonucleic acid (RNA) was extracted from skin samples and complementary deoxyribonucleic acid (cDNA) was prepared. Gene expression was measured using custom Taqman low density array (TLDA) cards run on the Applied Biosystems ViiATM 7 system. The ratio for each participant at each dosing level was calculated at C1D15 to baseline assay readout (C1D1), and the mean of it is reported in this outcome measure. | Baseline and Cycle 1/Day 15 |
| Maximum Observed Plasma Concentration (Cmax) on Cycle 1/Day 1 | Cmax of PF-04449913 on Cycle 1/Day 1 has been reported. | Pre dose, 1, 2, 4, 6, 10 and 24 hours post dose on Cycle 1/Day 1 |
| Maximum Observed Plasma Concentration (Cmax) on Cycle 1/Day 25 | Cmax of PF-04449913 on Cycle 1/Day 25 has been reported. | Pre dose, 1, 2, 4, 10, 24, 48, 72 and 96 hours post dose on Cycle 1/Day 25 |
| Time to Reach Maximum Observed Plasma Concentration (Tmax) on Cycle 1/Day 1 | Tmax of PF-04449913 on Cycle 1/Day 1 has been reported. | Pre dose, 1, 2, 4, 6, 10 and 24 hours post dose on Cycle 1/Day 1 |
| Time to Reach Maximum Observed Plasma Concentration (Tmax) on Cycle 1/Day 25 | Tmax of PF-04449913 on Cycle 1/Day 25 has been reported. | Pre dose, 1, 2, 4, 10, 24, 48, 72 and 96 hours post dose on Cycle 1/Day 25 |
| Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) on Cycle 1/Day 1 | AUCtau of PF-04449913 on Cycle 1/Day 1 has been reported. AUCtau is defined as area under the curve from time 0 to tau, where tau is the dosing interval of 24 hours. | Pre dose, 1, 2, 4, 6, 10 and 24 hours post dose on Cycle 1/Day 1 |
| Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) on Cycle 1/Day 25 | AUCtau of PF-04449913 on Cycle 1/Day 25 has been reported. AUCtau is defined as area under the curve from time 0 to tau, where tau is the dosing interval of 24 hours. | Pre dose, 1, 2, 4, 10, 24, 48, 72 and 96 hours post dose on Cycle 1/Day 25 |
| Plasma Decay Half-life (t1/2) on Cycle 1/Day 25 | Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. | Pre dose, 1, 2, 4, 10, 24, 48, 72 and 96 hours post dose on Cycle 1/Day 25 |
| Apparent Oral Clearance (CL/F) on Cycle 1/Day 25 | Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. | Pre dose, 1, 2, 4, 10, 24, 48, 72 and 96 hours post dose on Cycle 1/Day 25 |
| Apparent Volume of Distribution (Vz/F) on Cycle 1/Day 25 | 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. | Pre dose, 1, 2, 4, 10, 24, 48, 72 and 96 hours post dose on Cycle 1/Day 25 |
| Accumulation Ratio (Rac) on Cycle 1/Day 25 | Accumulation ratio was calculated as AUCtau at steady state (Cycle 1/Day 25)/AUCtau on Study Day 1 | Pre dose, 1, 2, 4, 6, 10 and 24 hours post dose on Cycle 1/Day 1, and pre dose, 1, 2, 4, 10, 24, 48, 72 and 96 hours post dose on Cycle 1/Day 25 |
| Average Concentration at Steady State (Cavg) on Cycle 1/Day 25 | Pre dose, 1, 2, 4, 10, 24, 48, 72 and 96 hours post dose on Cycle 1/Day 25 |
| Number of Participants With Increase From Baseline in Corrected QT Using Fridericia's Formula (QTcF) Interval | Triplicate 12-lead electrocardiogram (ECG) measurements (each recording separated by approximately 2 minutes) were performed and average was calculated. The time from electrocardiogram Q wave to the end of the T wave corresponding to electrical systole (QT) was corrected for heart rate (QTc). QTc using Fridericia's formula (QTcF) was calculated. Participants with maximum increase from baseline of less than (<) 30 millisecond (msec), 30 to <60 msec and >=60 msec were summarized. | Baseline up to Cycle 14 (each cycle 28 days) |
| Number of Participants With Decrease From Baseline in QTcF Interval | Triplicate 12-lead ECG measurements (each recording separated by approximately 2 minutes) were performed and average was calculated. QTcF was calculated. Participants with maximum decrease from baseline of <30 msec, 30 to <60 msec and >=60 msec were summarized. | Baseline up to Cycle 14 (each cycle 28 days) |
| Number of Participants With Post-baseline QTcF Interval Greater Than or Equal to 500 Msec | Triplicate 12-lead ECG measurements (each recording separated by approximately 2 minutes) were performed and average was calculated. Participants with post-baseline absolute QTcF values >=500 msec were summarized. | Baseline up to Cycle 14 (each cycle 28 days) |
| Percentage of Participants With Objective Response | Percentage of participants with objective response based on assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1. Confirmed responses were those that persisted on repeat imaging study at least 4 weeks after initial documentation of response. CR was defined as complete disappearance of all target lesions with the exception of nodal disease. PR was defined as >=30% decrease under baseline of the sum of diameters of all target measurable lesions. | Baseline up to Cycle 14 (each cycle 28 days) |
| Progression-Free Survival (PFS) | Time from Cycle 1/Day 1 to first documentation of disease progression or to death due to any cause, whichever occurred first. Progression was defined using RECIST 1.1 as 20% increase in the sum of diameters of target measurable lesions above the smallest sum observed, with a minimum absolute increase of 5 mm. PFS (days) was calculated as (first event date minus the date of first dose of study medication plus 1). | Baseline up to Cycle 14 (each cycle 28 days) |
| Time to Progression (TTP) | Time from Cycle 1/Day 1 to first documentation of disease progression. Progression was defined using RECIST 1.1 as 20% increase in the sum of diameters of target measurable lesions above the smallest sum observed, with a minimum absolute increase of 5 mm. TTP (days) was calculated as (first event date minus the date of first dose of study medication plus 1). | Baseline up to Cycle 14 (each cycle 28 days) |
| Duration of Response (DR) | Duration from date of first documentation of objective response to date of first documentation of disease progression or death. Progression was defined using RECIST 1.1 as 20% increase in the sum of diameters of target measurable lesions above the smallest sum observed, with a minimum absolute increase of 5 mm. DR was calculated as (the date of the first documentation of objective tumor progression or death due to cancer minus the date of the first objective response that was subsequently confirmed plus 1). | Baseline up to Cycle 14 (each cycle 28 days) |
| Los Angeles |
| California |
| 90033 |
| United States |
| University of Southern California/Norris Comprehensive Cancer Center/Investigational Drug Service | Los Angeles | California | 90033 | United States |
| University of Southern California/Norris Comprehensive Cancer Center | Los Angeles | California | 90033 | United States |
| Anschutz Cancer Pavilion | Aurora | Colorado | 80045 | United States |
| University of Colorado Denver | Aurora | Colorado | 80045 | United States |
| University of Colorado Hospital | Aurora | Colorado | 80045 | United States |
| Brigham and Women's Hospital (BWH) | Boston | Massachusetts | 02115 | United States |
| Dana-Farber Cancer Institute (DFCI) | Boston | Massachusetts | 02115 | United States |
| Lost to Follow-up |
|
| Withdrawal by Subject |
|
| Physician Decision |
|
| Disease progression |
|
| Adverse Event |
|
| Study drug stop longer than 14 days |
|
| BG001 |
| PF-04449913 160 mg |
Participants received oral single agent PF-04449913 tablets 160 mg once daily for 25 days in Cycle 1 followed by 3 days without treatment for the purpose of PK assessments, and 28 days in Cycles 2 and beyond, i.e. up to a maximum of 14 treatment cycles (one treatment cycle was defined as 28 days). |
| BG002 | PF-04449913 320 mg | Participants received oral single agent PF-04449913 tablets 320 mg once daily for 25 days in Cycle 1 followed by 3 days without treatment for the purpose of PK assessments, and 28 days in Cycles 2 and beyond i.e. up to a maximum of 14 treatment cycles (one treatment cycle was defined as 28 days). |
| BG003 | PF-04449913 640 mg | Participants received oral single agent PF-04449913 tablets 640 mg once daily for 25 days in Cycle 1 followed by 3 days without treatment for the purpose of PK assessments, and 28 days in Cycles 2 and beyond, i.e. up to a maximum of 14 treatment cycles (one treatment cycle was defined as 28 days). |
| BG004 | Total | Total of all reporting groups |
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| OG001 | PF-04449913 160 mg | Participants received oral single agent PF-04449913 tablets 160 mg once daily for 25 days in Cycle 1 followed by 3 days without treatment for the purpose of PK assessments, and 28 days in Cycles 2 and beyond, i.e. up to a maximum of 14 treatment cycles (one treatment cycle was defined as 28 days). |
| OG002 | PF-04449913 320 mg | Participants received oral single agent PF-04449913 tablets 320 mg once daily for 25 days in Cycle 1 followed by 3 days without treatment for the purpose of PK assessments, and 28 days in Cycles 2 and beyond i.e. up to a maximum of 14 treatment cycles (one treatment cycle was defined as 28 days). |
| OG003 | PF-04449913 640 mg | Participants received oral single agent PF-04449913 tablets 640 mg once daily for 25 days in Cycle 1 followed by 3 days without treatment for the purpose of PK assessments, and 28 days in Cycles 2 and beyond, i.e. up to a maximum of 14 treatment cycles (one treatment cycle was defined as 28 days). |
|
|
| Secondary | Percentage of Participants With Treatment-emergent Adverse Events (AEs), by National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) (Version 4.0) Grade | An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Treatment-emergent AEs are events occurred 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. If the same participant in a given treatment had more than one occurrence in the same preferred term event category, only the worst CTCAE grade was reported. Grades as per NCI CTCAE, v4.0 were classified as: Grade 1- mild, Grade 2- moderate, Grade 3- severe, Grade 4- life threatening, and Grade 5- death. | Safety Analysis Set: all enrolled participants who received at least 1 dose of study medication. | Posted | Number | percentage of participants | Baseline up to 28 days post last dose of study medication (maximum duration: 14 cycles [each cycle of 28 days]) |
|
|
|
| Secondary | Percentage of Participants With Treatment-related AEs, by NCI CTCAE (Version 4.0) Grade | An AE was any untoward medical occurrence attributed to study drug in a participant who received study drug. Treatment-related AEs are events that were assessed by the investigator as related to study medication. If the same participant in a given treatment had more than one occurrence in the same preferred term event category, only the worst CTCAE grade was reported. Grades as per NCI CTCAE, v4.0 were classified as: Grade 1- mild, Grade 2- moderate, Grade 3- severe, Grade 4- life threatening, and Grade 5- death. | Safety Analysis Set: all enrolled participants who received at least 1 dose of study medication. | Posted | Number | percentage of participants | Baseline up to 28 days post last dose of study medication (maximum duration: 14 cycles [each cycle of 28 days]) |
|
|
|
| Secondary | Hedgehog Biomarker Modulation: Relative GLI1 Gene Expression (Ratio) to Baseline for Normal Skin on Cycle 1/Day 15 | Ribonucleic acid (RNA) was extracted from skin samples and complementary deoxyribonucleic acid (cDNA) was prepared. Gene expression was measured using custom Taqman low density array (TLDA) cards run on the Applied Biosystems ViiATM 7 system. The ratio for each participant at each dosing level was calculated at C1D15 to baseline assay readout (C1D1), and the mean of it is reported in this outcome measure. | Pharmacodynamic (PD) Analysis Set: all enrolled participants who received at least 1 dose of study medication, and had baseline and at least 1 on-treatment PD result. | Posted | Mean | Standard Deviation | ratio | Baseline and Cycle 1/Day 15 |
|
|
|
| Secondary | Maximum Observed Plasma Concentration (Cmax) on Cycle 1/Day 1 | Cmax of PF-04449913 on Cycle 1/Day 1 has been reported. | PK Analysis Set: all treated participants who had at least 1 of the PK parameters of interest. N=number of participants evaluable for the outcome measure | Posted | Mean | Standard Deviation | nanogram/milliliter (ng/mL) | Pre dose, 1, 2, 4, 6, 10 and 24 hours post dose on Cycle 1/Day 1 |
|
|
|
| Secondary | Maximum Observed Plasma Concentration (Cmax) on Cycle 1/Day 25 | Cmax of PF-04449913 on Cycle 1/Day 25 has been reported. | PK Analysis Set: all treated participants who had at least 1 of the PK parameters of interest. N=number of participants evaluable for the outcome measure | Posted | Mean | Standard Deviation | ng/mL | Pre dose, 1, 2, 4, 10, 24, 48, 72 and 96 hours post dose on Cycle 1/Day 25 |
|
|
|
| Secondary | Time to Reach Maximum Observed Plasma Concentration (Tmax) on Cycle 1/Day 1 | Tmax of PF-04449913 on Cycle 1/Day 1 has been reported. | PK Analysis Set: all treated participants who had at least 1 of the PK parameters of interest. N=number of participants evaluable for the outcome measure | Posted | Median | Full Range | hours | Pre dose, 1, 2, 4, 6, 10 and 24 hours post dose on Cycle 1/Day 1 |
|
|
|
| Secondary | Time to Reach Maximum Observed Plasma Concentration (Tmax) on Cycle 1/Day 25 | Tmax of PF-04449913 on Cycle 1/Day 25 has been reported. | PK Analysis Set: all treated participants who had at least 1 of the PK parameters of interest. N=number of participants evaluable for the outcome measure | Posted | Median | Full Range | hours | Pre dose, 1, 2, 4, 10, 24, 48, 72 and 96 hours post dose on Cycle 1/Day 25 |
|
|
|
| Secondary | Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) on Cycle 1/Day 1 | AUCtau of PF-04449913 on Cycle 1/Day 1 has been reported. AUCtau is defined as area under the curve from time 0 to tau, where tau is the dosing interval of 24 hours. | PK Analysis Set: all treated participants who had at least 1 of the PK parameters of interest. N=number of participants evaluable for the outcome measure | Posted | Mean | Standard Deviation | nanogram*hour/milliliter (ng*hr/mL) | Pre dose, 1, 2, 4, 6, 10 and 24 hours post dose on Cycle 1/Day 1 |
|
|
|
| Secondary | Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) on Cycle 1/Day 25 | AUCtau of PF-04449913 on Cycle 1/Day 25 has been reported. AUCtau is defined as area under the curve from time 0 to tau, where tau is the dosing interval of 24 hours. | PK Analysis Set: all treated participants who had at least 1 of the PK parameters of interest. N=number of participants evaluable for the outcome measure | Posted | Mean | Standard Deviation | ng*hr/mL | Pre dose, 1, 2, 4, 10, 24, 48, 72 and 96 hours post dose on Cycle 1/Day 25 |
|
|
|
| Secondary | Plasma Decay Half-life (t1/2) on Cycle 1/Day 25 | Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. | PK Analysis Set: all treated participants who had at least 1 of the PK parameters of interest. N=number of participants evaluable for the outcome measure | Posted | Mean | Standard Deviation | hours | Pre dose, 1, 2, 4, 10, 24, 48, 72 and 96 hours post dose on Cycle 1/Day 25 |
|
|
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| Secondary | Apparent Oral Clearance (CL/F) on Cycle 1/Day 25 | Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. | PK Analysis Set: all treated participants who had at least 1 of the PK parameters of interest. N=number of participants evaluable for the outcome measure | Posted | Mean | Standard Deviation | liter/hour (L/hr) | Pre dose, 1, 2, 4, 10, 24, 48, 72 and 96 hours post dose on Cycle 1/Day 25 |
|
|
|
| Secondary | Apparent Volume of Distribution (Vz/F) on Cycle 1/Day 25 | 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. | PK Analysis Set: all treated participants who had at least 1 of the PK parameters of interest. N=number of participants evaluable for the outcome measure | Posted | Mean | Standard Deviation | liter (L) | Pre dose, 1, 2, 4, 10, 24, 48, 72 and 96 hours post dose on Cycle 1/Day 25 |
|
|
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| Secondary | Accumulation Ratio (Rac) on Cycle 1/Day 25 | Accumulation ratio was calculated as AUCtau at steady state (Cycle 1/Day 25)/AUCtau on Study Day 1 | PK Analysis Set: all treated participants who had at least 1 of the PK parameters of interest. N=number of participants evaluable for the outcome measure | Posted | Median | Full Range | ratio | Pre dose, 1, 2, 4, 6, 10 and 24 hours post dose on Cycle 1/Day 1, and pre dose, 1, 2, 4, 10, 24, 48, 72 and 96 hours post dose on Cycle 1/Day 25 |
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| Secondary | Average Concentration at Steady State (Cavg) on Cycle 1/Day 25 | PK Analysis Set: all treated participants who had at least 1 of the PK parameters of interest. N=number of participants evaluable for the outcome measure | Posted | Mean | Standard Deviation | ng/mL | Pre dose, 1, 2, 4, 10, 24, 48, 72 and 96 hours post dose on Cycle 1/Day 25 |
|
|
|
| Secondary | Number of Participants With Increase From Baseline in Corrected QT Using Fridericia's Formula (QTcF) Interval | Triplicate 12-lead electrocardiogram (ECG) measurements (each recording separated by approximately 2 minutes) were performed and average was calculated. The time from electrocardiogram Q wave to the end of the T wave corresponding to electrical systole (QT) was corrected for heart rate (QTc). QTc using Fridericia's formula (QTcF) was calculated. Participants with maximum increase from baseline of less than (<) 30 millisecond (msec), 30 to <60 msec and >=60 msec were summarized. | QTc Analysis Set: all enrolled participants who had at least 1 ECG assessment after receiving at least 1 dose of study medication. | Posted | Number | participants | Baseline up to Cycle 14 (each cycle 28 days) |
|
|
|
| Secondary | Number of Participants With Decrease From Baseline in QTcF Interval | Triplicate 12-lead ECG measurements (each recording separated by approximately 2 minutes) were performed and average was calculated. QTcF was calculated. Participants with maximum decrease from baseline of <30 msec, 30 to <60 msec and >=60 msec were summarized. | QTc Analysis Set: all enrolled participants who had at least 1 ECG assessment after receiving at least 1 dose of study medication. | Posted | Number | participants | Baseline up to Cycle 14 (each cycle 28 days) |
|
|
|
| Secondary | Number of Participants With Post-baseline QTcF Interval Greater Than or Equal to 500 Msec | Triplicate 12-lead ECG measurements (each recording separated by approximately 2 minutes) were performed and average was calculated. Participants with post-baseline absolute QTcF values >=500 msec were summarized. | QTc Analysis Set: all enrolled participants who had at least 1 ECG assessment after receiving at least 1 dose of study medication. | Posted | Number | participants | Baseline up to Cycle 14 (each cycle 28 days) |
|
|
|
| Secondary | Percentage of Participants With Objective Response | Percentage of participants with objective response based on assessment of confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1. Confirmed responses were those that persisted on repeat imaging study at least 4 weeks after initial documentation of response. CR was defined as complete disappearance of all target lesions with the exception of nodal disease. PR was defined as >=30% decrease under baseline of the sum of diameters of all target measurable lesions. | Efficacy Analysis Set: all enrolled participants who received at least 1 dose of study medication. | Posted | Number | 95% Confidence Interval | percentage of participants | Baseline up to Cycle 14 (each cycle 28 days) |
|
|
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| Secondary | Progression-Free Survival (PFS) | Time from Cycle 1/Day 1 to first documentation of disease progression or to death due to any cause, whichever occurred first. Progression was defined using RECIST 1.1 as 20% increase in the sum of diameters of target measurable lesions above the smallest sum observed, with a minimum absolute increase of 5 mm. PFS (days) was calculated as (first event date minus the date of first dose of study medication plus 1). | This OM was planned for expansion cohort only. Since none of the participants were enrolled in expansion cohort, no data was collected for progression free survival and thus the outcome measure was not performed. | Posted | Baseline up to Cycle 14 (each cycle 28 days) |
|
|
| Secondary | Time to Progression (TTP) | Time from Cycle 1/Day 1 to first documentation of disease progression. Progression was defined using RECIST 1.1 as 20% increase in the sum of diameters of target measurable lesions above the smallest sum observed, with a minimum absolute increase of 5 mm. TTP (days) was calculated as (first event date minus the date of first dose of study medication plus 1). | This OM was planned for expansion cohort only. Since none of the participants were enrolled in expansion cohort, no data was collected for time to progression and thus the outcome measure was not performed. | Posted | Baseline up to Cycle 14 (each cycle 28 days) |
|
|
| Secondary | Duration of Response (DR) | Duration from date of first documentation of objective response to date of first documentation of disease progression or death. Progression was defined using RECIST 1.1 as 20% increase in the sum of diameters of target measurable lesions above the smallest sum observed, with a minimum absolute increase of 5 mm. DR was calculated as (the date of the first documentation of objective tumor progression or death due to cancer minus the date of the first objective response that was subsequently confirmed plus 1). | This OM was planned for expansion cohort only. Since none of the participants were enrolled in expansion cohort, no data was collected for duration of response and thus the outcome measure was not performed. | Posted | Baseline up to Cycle 14 (each cycle 28 days) |
|
|
| 2 |
| 4 |
| 4 |
| 4 |
| EG001 | PF-04449913 160 mg | Participants received oral single agent PF-04449913 tablets 160 mg once daily for 25 days in Cycle 1 followed by 3 days without treatment for the purpose of PK assessments, and 28 days in Cycles 2 and beyond, i.e. up to a maximum of 14 treatment cycles (one treatment cycle was defined as 28 days). | 2 | 4 | 4 | 4 |
| EG002 | PF-04449913 320 mg | Participants received oral single agent PF-04449913 tablets 320 mg once daily for 25 days in Cycle 1 followed by 3 days without treatment for the purpose of PK assessments, and 28 days in Cycles 2 and beyond i.e. up to a maximum of 14 treatment cycles (one treatment cycle was defined as 28 days). | 3 | 7 | 7 | 7 |
| EG003 | PF-04449913 640 mg | Participants received oral single agent PF-04449913 tablets 640 mg once daily for 25 days in Cycle 1 followed by 3 days without treatment for the purpose of PK assessments, and 28 days in Cycles 2 and beyond, i.e. up to a maximum of 14 treatment cycles (one treatment cycle was defined as 28 days). | 3 | 8 | 8 | 8 |
| Ileus | Gastrointestinal disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Chills | General disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Disease progression | General disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Pain | General disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Pyrexia | General disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Peritonitis bacterial | Infections and infestations | MedDRA version 15.1 | Non-systematic Assessment |
|
| Pneumonia | Infections and infestations | MedDRA version 15.1 | Non-systematic Assessment |
|
| Dehydration | Metabolism and nutrition disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Cerebrovascular accident | Nervous system disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Renal failure acute | Renal and urinary disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Leukopenia | Blood and lymphatic system disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Palpitations | Cardiac disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Sinus tachycardia | Cardiac disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Ear pain | Ear and labyrinth disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Eye pain | Eye disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Abdominal distension | Gastrointestinal disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Abdominal pain upper | Gastrointestinal disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Abdominal rigidity | Gastrointestinal disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Ascites | Gastrointestinal disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Constipation | Gastrointestinal disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Dry mouth | Gastrointestinal disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Dyspepsia | Gastrointestinal disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Flatulence | Gastrointestinal disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Gastrooesophageal reflux disease | Gastrointestinal disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Lip dry | Gastrointestinal disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Parotid gland inflammation | Gastrointestinal disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Stomatitis | Gastrointestinal disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Asthenia | General disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Chest pain | General disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Chills | General disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Fatigue | General disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Malaise | General disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Mucosal inflammation | General disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Oedema peripheral | General disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Hyperbilirubinaemia | Hepatobiliary disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Respiratory tract infection viral | Infections and infestations | MedDRA version 15.1 | Non-systematic Assessment |
|
| Sinusitis | Infections and infestations | MedDRA version 15.1 | Non-systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | MedDRA version 15.1 | Non-systematic Assessment |
|
| Urinary tract infection | Infections and infestations | MedDRA version 15.1 | Non-systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | MedDRA version 15.1 | Non-systematic Assessment |
|
| Aspartate aminotransferase increased | Investigations | MedDRA version 15.1 | Non-systematic Assessment |
|
| Blood alkaline phosphatase increased | Investigations | MedDRA version 15.1 | Non-systematic Assessment |
|
| Blood bilirubin increased | Investigations | MedDRA version 15.1 | Non-systematic Assessment |
|
| Blood creatinine increased | Investigations | MedDRA version 15.1 | Non-systematic Assessment |
|
| Blood lactate dehydrogenase increased | Investigations | MedDRA version 15.1 | Non-systematic Assessment |
|
| Blood uric acid increased | Investigations | MedDRA version 15.1 | Non-systematic Assessment |
|
| Electrocardiogram QT interval abnormal | Investigations | MedDRA version 15.1 | Non-systematic Assessment |
|
| Electrocardiogram QT prolonged | Investigations | MedDRA version 15.1 | Non-systematic Assessment |
|
| Neutrophil count decreased | Investigations | MedDRA version 15.1 | Non-systematic Assessment |
|
| Weight decreased | Investigations | MedDRA version 15.1 | Non-systematic Assessment |
|
| Decreased appetite | Metabolism and nutrition disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Dehydration | Metabolism and nutrition disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Hyperglycaemia | Metabolism and nutrition disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Hyperuricaemia | Metabolism and nutrition disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Hyponatraemia | Metabolism and nutrition disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Hypophosphataemia | Metabolism and nutrition disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Muscle atrophy | Musculoskeletal and connective tissue disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Muscle twitching | Musculoskeletal and connective tissue disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Musculoskeletal chest pain | Musculoskeletal and connective tissue disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Pain in jaw | Musculoskeletal and connective tissue disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Dysgeusia | Nervous system disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Hypoaesthesia | Nervous system disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Memory impairment | Nervous system disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Neuropathy peripheral | Nervous system disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Paraesthesia | Nervous system disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Presyncope | Nervous system disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Syncope | Nervous system disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Anxiety | Psychiatric disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Depression | Psychiatric disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Insomnia | Psychiatric disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Mental status changes | Psychiatric disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Proteinuria | Renal and urinary disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Menstruation irregular | Reproductive system and breast disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Prostatitis | Reproductive system and breast disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Dysphonia | Respiratory, thoracic and mediastinal disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Hiccups | Respiratory, thoracic and mediastinal disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Rhinorrhoea | Respiratory, thoracic and mediastinal disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Upper-airway cough syndrome | Respiratory, thoracic and mediastinal disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Actinic keratosis | Skin and subcutaneous tissue disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Alopecia | Skin and subcutaneous tissue disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Dermatitis acneiform | Skin and subcutaneous tissue disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Dermatitis contact | Skin and subcutaneous tissue disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Dry skin | Skin and subcutaneous tissue disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Hyperhidrosis | Skin and subcutaneous tissue disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Onychoclasis | Skin and subcutaneous tissue disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Pruritus generalised | Skin and subcutaneous tissue disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Skin hyperpigmentation | Skin and subcutaneous tissue disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Skin hypopigmentation | Skin and subcutaneous tissue disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Hypertension | Vascular disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Hypotension | Vascular disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
| Orthostatic hypotension | Vascular disorders | MedDRA version 15.1 | Non-systematic Assessment |
|
Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
| Any AEs, Grade 2 |
|
| Any AEs, Grade 3 |
|
| Any AEs, Grade 4 |
|
| Any AEs, Grade 5 |
|
| Any AEs, Total |
|
| Any AEs, Grade 2 |
|
| Any AEs, Grade 3 |
|
| Any AEs, Grade 4 |
|
| Any AEs, Grade 5 |
|
| Any AEs, Total |
|
| QTcF, maximum increase from baseline: 30-<60 msec |
|
| QTcF, maximum increase from baseline: >=60 msec |
|
| QTcF, maximum decrease from baseline: 30-<60 msec |
|
| QTcF, maximum decrease from baseline: >=60 msec |
|