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The current study is proposed to evaluate whether there is any clinically meaningful effect of hepatic impairment on the plasma Pharmacokinetic (PK) of PF-06882961
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PF-06882961 participants without Hepatic Impairment | Experimental | This arm includes participants who will receive an oral dose of PF-06882961 20 milligrams (mg) on Day 1 |
|
| PF-06882961 participants with mild Hepatic Impairment | Experimental | This arm includes participants who will receive an oral dose of PF-06882961 20 mg on Day 1 |
|
| PF-06882961 participants with moderate Hepatic Impairment | Experimental | This arm includes participants who will receive an oral dose of PF-06882961 20 mg on Day 1 |
|
| PF-06882961 participants with severe Hepatic Impairment | Experimental | This arm includes participants who will receive an oral dose of PF-06882961 20 mg on Day 1 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PF-06882961 20MG | Drug | PF-06882961 in 20 mg oral tablet will be administered on Day 1 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Plasma Concentration (Cmax) | Maximum observed plasma PF-06882961 concentration. | Predose (0 hours), 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 24, 36 and 48 hours post dose on Day 1. |
| Area Under the Plasma Concentration-Time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) | Area under the plasma PF-06882961 concentration-time profile from time 0 extrapolated to infinite time. | Predose (0 hours), 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 24, 36 and 48 hours post dose on Day 1. |
| Area Under the Plasma Concentration-Time Profile From Time Zero to the Time of the Last Quantifiable Concentration (AUClast) | Area under the plasma PF-06882961 concentration-time profile from time 0 extrapolated to the time of the last quantifiable concentration. | Predose (0 hours), 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 24, 36 and 48 hours post dose on Day 1. |
| Fraction of Unbound Drug in Plasma (fu) | fu = Cu/C (where Cu represents unbound concentration and C represents total concentration). | Predose (0 hours), and 4 hours post dose on Day 1. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Reporting Treatment-emergent Adverse Events (AEs) | Adverse events (AEs): any untoward medical occurrence in a clinical investigation participant administered a product or medical device, without regard to causality. Treatment-emergent AEs (TEAEs): AEs which occurred for the first time during the effective duration of treatment or AEs that increased in severity during treatment. AEs included SAEs and non-serious AEs. Serious AEs (SAEs) were any untoward medical occurrence at any dose that resulted in death; was life-threatening; required inpatient hospitalization or caused prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduction normal life functions). Treatment-related TEAEs were any untoward medical occurrence attributed to study treatment. Relatedness to study treatment was determined by the investigator. |
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Inclusion Criteria:
Exclusion Criteria:
HbA1c ≥6.5%; FPG ≥126 mg/Dl; eGFR<60 mL/min/1.73m2;
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| Name | Affiliation | Role |
|---|---|---|
| Pfizer CT.gov Call Center | Pfizer | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Miami Division of Clinical Pharmacology | Miami | Florida | 33136 | United States | ||
| Orlando Clinical Research Center |
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| 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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A total of 29 participants were screened in the study, among whom, 24 participants were treated with PF-06882961 (Danuglipron).
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| ID | Title | Description |
|---|---|---|
| FG000 | Without Hepatic Impairment | Participants without hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1. |
| FG001 | Mild Hepatic Impairment | Participants with mild hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1. |
| FG002 | Moderate Hepatic Impairment | Participants with moderate hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1. |
| FG003 | Severe Hepatic Impairment | Participants with severe hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Open Label Treatment |
| |||||||||||||
| Follow-Up |
|
The baseline analysis population included all participants enrolled in the study.
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| ID | Title | Description |
|---|---|---|
| BG000 | Without Hepatic Impairment | Participants without hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1. |
| BG001 | Mild Hepatic Impairment |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| 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 | Maximum Plasma Concentration (Cmax) | Maximum observed plasma PF-06882961 concentration. | The analysis population refers to all participants who received at least 1 dose of PF-06882961 and had at least 1 of the pharmacokinetic (PK) parameters of interest calculated. | Posted | Geometric Mean | Geometric Coefficient of Variation | nanogram per milliliter (ng/mL) | Predose (0 hours), 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 24, 36 and 48 hours post dose on Day 1. |
|
Baseline to Day 30
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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 | Without Hepatic Impairment | Participants without hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Diarrhoea | Gastrointestinal disorders | MedDRA v24.1 | 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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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Oct 5, 2020 | Oct 24, 2022 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Dec 10, 2020 | Oct 24, 2022 | SAP_001.pdf |
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| ID | Term |
|---|---|
| C000731016 | danuglipron |
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| Baseline to Day 30 |
| Number of Participants With Clinical Laboratory Abnormalities | Protocol-required safety laboratory assessments included: hemoglobin <0.8 x lower limit of normal (LLN), hematocrit <0.8 x LLN, erythrocytes <0.8 x LLN, ery. mean corpuscular volume >1.1 x upper limit of normal (ULN), ery. mean corpuscular hemoglobin >1.1 x ULN, platelets <0.5 x LLN, eosinophils >1.2 x ULN, activated partial thromboplastin time >1.1 x ULN, prothrombin time >1.1 x ULN, prothrombin intl. normalized ratio >1.1 x ULN; bilirubin/direct bilirubin/indirect bilirubin >1.5 x ULN, aspartate aminotransferase/alanine aminotransferase/gamma glutamyl transferase >3.0 x ULN, albumin <0.8 x LLN, urate >1.2 x ULN, bicarbonate >1.1 x ULN, triacylglycerol lipase >1.5 x ULN; urine hemoglobin/urine urobilinogen/urine nitrite/urine leukocyte esterase ≥1. | Baseline to Day 3 |
| Number of Participants With Categorical Vital Signs Data | Vital signs categorical criteria: 1) supine systolic blood pressure (SBP) <90 millimeters of mercury (mmHg); 2) supine diastolic blood pressure (DBP) <50 mmHg; 3) supine pulse rate <40 or >120 beats per minute (bpm); 4) change from baseline (increase or decrease) in supine SBP greater than or equal to (≥) 30 mmHg; 5) change from baseline (increase or decrease) in supine DBP ≥ 20 mmHg. | Baseline to Day 3 |
| Number of Participants With Categorical Electrocardiogram (ECG) Data | ECG categorical criteria: 1. PR interval (the interval between the start of the P wave and the start of the QRS complex, corresponding to the time between the onset of the atrial depolarization and onset of ventricular depolarization): a) greater than or equal to (≥) 300 millisecond (msec), b) ≥25% increase when baseline is > 200 msec or ≥50% increase when baseline is less than or equal to (≤) 200 msec. 2. QRS interval (time from ECG Q wave to the end of the S wave corresponding to ventricle depolarization): a) ≥140 msec, b) ≥50% increase from baseline. 3. QTcF interval (QT corrected using the Fridericia formula): a) >450 msec and ≤480 msec, b) >480 msec and ≤500 msec, c) >500 msec, d) >30 msec and ≤60 msec increase from baseline, e) >60 msec increase from baseline | Baseline to Day 3 |
| Orlando |
| Florida |
| 32809 |
| United States |
| COMPLETED |
|
| NOT COMPLETED |
|
Participants with mild hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
| BG002 | Moderate Hepatic Impairment | Participants with moderate hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1. |
| BG003 | Severe Hepatic Impairment | Participants with severe hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1. |
| BG004 | Total | Total of all reporting groups |
| Years |
|
| Age, Customized | Count of Participants | Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
Participants with mild hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
| OG002 | Moderate Hepatic Impairment | Participants with moderate hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1. |
| OG003 | Severe Hepatic Impairment | Participants with severe hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1. |
|
|
|
| Primary | Area Under the Plasma Concentration-Time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) | Area under the plasma PF-06882961 concentration-time profile from time 0 extrapolated to infinite time. | The analysis population refers to all participants who received at least 1 dose of PF-06882961 and had at least 1 of the PK parameters of interest calculated. | Posted | Geometric Mean | Geometric Coefficient of Variation | nanogram*hour per milliliter (ng*hr/mL) | Predose (0 hours), 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 24, 36 and 48 hours post dose on Day 1. |
|
|
|
|
| Primary | Area Under the Plasma Concentration-Time Profile From Time Zero to the Time of the Last Quantifiable Concentration (AUClast) | Area under the plasma PF-06882961 concentration-time profile from time 0 extrapolated to the time of the last quantifiable concentration. | The analysis population refers to all participants who received at least 1 dose of PF-06882961 and had at least 1 of the PK parameters of interest calculated. | Posted | Geometric Mean | Geometric Coefficient of Variation | nanogram*hour per milliliter (ng*hr/mL) | Predose (0 hours), 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 24, 36 and 48 hours post dose on Day 1. |
|
|
|
|
| Primary | Fraction of Unbound Drug in Plasma (fu) | fu = Cu/C (where Cu represents unbound concentration and C represents total concentration). | The analysis population refers to all participants who received at least 1 dose of PF-06882961 and had at least 1 of the PK parameters of interest calculated. | Posted | Geometric Mean | Geometric Coefficient of Variation | Ratio | Predose (0 hours), and 4 hours post dose on Day 1. |
|
|
|
|
| Secondary | Number of Participants Reporting Treatment-emergent Adverse Events (AEs) | Adverse events (AEs): any untoward medical occurrence in a clinical investigation participant administered a product or medical device, without regard to causality. Treatment-emergent AEs (TEAEs): AEs which occurred for the first time during the effective duration of treatment or AEs that increased in severity during treatment. AEs included SAEs and non-serious AEs. Serious AEs (SAEs) were any untoward medical occurrence at any dose that resulted in death; was life-threatening; required inpatient hospitalization or caused prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduction normal life functions). Treatment-related TEAEs were any untoward medical occurrence attributed to study treatment. Relatedness to study treatment was determined by the investigator. | All participants assigned to study intervention and who took at least 1 dose of study intervention. | Posted | Count of Participants | Participants | Baseline to Day 30 |
|
|
|
| Secondary | Number of Participants With Clinical Laboratory Abnormalities | Protocol-required safety laboratory assessments included: hemoglobin <0.8 x lower limit of normal (LLN), hematocrit <0.8 x LLN, erythrocytes <0.8 x LLN, ery. mean corpuscular volume >1.1 x upper limit of normal (ULN), ery. mean corpuscular hemoglobin >1.1 x ULN, platelets <0.5 x LLN, eosinophils >1.2 x ULN, activated partial thromboplastin time >1.1 x ULN, prothrombin time >1.1 x ULN, prothrombin intl. normalized ratio >1.1 x ULN; bilirubin/direct bilirubin/indirect bilirubin >1.5 x ULN, aspartate aminotransferase/alanine aminotransferase/gamma glutamyl transferase >3.0 x ULN, albumin <0.8 x LLN, urate >1.2 x ULN, bicarbonate >1.1 x ULN, triacylglycerol lipase >1.5 x ULN; urine hemoglobin/urine urobilinogen/urine nitrite/urine leukocyte esterase ≥1. | All participants assigned to study intervention and who took at least 1 dose of study intervention. | Posted | Count of Participants | Participants | Baseline to Day 3 |
|
|
|
| Secondary | Number of Participants With Categorical Vital Signs Data | Vital signs categorical criteria: 1) supine systolic blood pressure (SBP) <90 millimeters of mercury (mmHg); 2) supine diastolic blood pressure (DBP) <50 mmHg; 3) supine pulse rate <40 or >120 beats per minute (bpm); 4) change from baseline (increase or decrease) in supine SBP greater than or equal to (≥) 30 mmHg; 5) change from baseline (increase or decrease) in supine DBP ≥ 20 mmHg. | All participants assigned to study intervention and who took at least 1 dose of study intervention. | Posted | Count of Participants | Participants | Baseline to Day 3 |
|
|
|
| Secondary | Number of Participants With Categorical Electrocardiogram (ECG) Data | ECG categorical criteria: 1. PR interval (the interval between the start of the P wave and the start of the QRS complex, corresponding to the time between the onset of the atrial depolarization and onset of ventricular depolarization): a) greater than or equal to (≥) 300 millisecond (msec), b) ≥25% increase when baseline is > 200 msec or ≥50% increase when baseline is less than or equal to (≤) 200 msec. 2. QRS interval (time from ECG Q wave to the end of the S wave corresponding to ventricle depolarization): a) ≥140 msec, b) ≥50% increase from baseline. 3. QTcF interval (QT corrected using the Fridericia formula): a) >450 msec and ≤480 msec, b) >480 msec and ≤500 msec, c) >500 msec, d) >30 msec and ≤60 msec increase from baseline, e) >60 msec increase from baseline | All participants who took at least 1 dose of study intervention. | Posted | Count of Participants | Participants | Baseline to Day 3 |
|
|
|
| 0 |
| 6 |
| 0 |
| 6 |
| 0 |
| 6 |
| EG001 | Mild Hepatic Impairment | Participants with mild hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1. | 0 | 6 | 0 | 6 | 1 | 6 |
| EG002 | Moderate Hepatic Impairment | Participants with moderate hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1. | 0 | 6 | 0 | 6 | 2 | 6 |
| EG003 | Severe Hepatic Impairment | Participants with severe hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1. | 0 | 6 | 0 | 6 | 1 | 6 |
| Nausea | Gastrointestinal disorders | MedDRA v24.1 | Non-systematic Assessment |
|
| Vomiting | Gastrointestinal disorders | MedDRA v24.1 | 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.
Test: the moderate hepatic impairment Group; Reference: the without hepatic impairment group |
| Ratio of adjusted geometric means |
| 282.73 |
| 2-Sided |
| 90 |
| 141.32 |
| 565.66 |
| Other |
The adjusted ratio and 90% confidence interval from the analysis of variance (ANOVA) model were expressed as percentages. |
| Test: the severe hepatic impairment group; Reference: the without hepatic impairment group | Ratio of adjusted geometric means | 640.78 | 2-Sided | 90 | 320.27 | 1282.00 | Other | The adjusted ratio and 90% confidence interval from the analysis of variance (ANOVA) model were expressed as percentages. |
Test: the moderate hepatic impairment Group; Reference: the without hepatic impairment group |
| Ratio of adjusted geometric means |
| 283.88 |
| 2-Sided |
| 90 |
| 142.10 |
| 567.13 |
| Other |
The adjusted ratio and 90% confidence interval from the analysis of variance (ANOVA) model were expressed as percentages. |
| Test: the severe hepatic impairment group; Reference: the without hepatic impairment group | Ratio of adjusted geometric means | 636.32 | 2-Sided | 90 | 318.51 | 1271.24 | Other | The adjusted ratio and 90% confidence interval from the analysis of variance (ANOVA) model were expressed as percentages. |
Test: the moderate hepatic impairment Group; Reference: the without hepatic impairment group |
| Ratio of adjusted geometric means |
| 96.37 |
| 2-Sided |
| 90 |
| 71.95 |
| 129.07 |
| Other |
The adjusted ratio and 90% confidence interval from the analysis of variance (ANOVA) model were expressed as percentages. |
| Test: the severe hepatic impairment group; Reference: the without hepatic impairment group | Ratio of adjusted geometric means | 135.20 | 2-Sided | 90 | 100.94 | 181.10 | Other | The adjusted ratio and 90% confidence interval from the analysis of variance (ANOVA) model were expressed as percentages. |
| Treatment-related |
|
| Pulse rate value >120 bpm |
|
| Sitting DBP value <50 mm Hg |
|
| Sitting DBP Change ≥ 20 mm Hg increase |
|
| Sitting DBP Change ≥ 20 mm Hg decrease |
|
| Sitting SBP value <90 mm Hg |
|
| Sitting SBP Change ≥ 30 mm Hg increase |
|
| Sitting SBP Change ≥ 30 mm Hg decrease |
|
| %Change in PR interval ≥25/50% |
|
| QRS interval ≥140 msec |
|
| %Change in QRS interval ≥50% |
|
| QTcF interval >450 and ≤480 msec |
|
| QTcF interval >480 and ≤500 msec |
|
| QTcF interval >500 msec |
|
| Change in QTcF interval >30 and ≤60 msec |
|
| Change in QTcF interval >60 msec |
|