A Phase 1, Placebo-controlled, Randomized Trial To Assess The Safety, Tolerability, Pharmacokinetics And Pharmacodynamics Of Multiple Iv Doses Of Pf-05231023 In Obese Hyperlipidemic Adult Subjects With And Without Type 2 Diabetes Mellitus On A Background Of Atorvastatin
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 发起方
- Pfizer
- 入组人数
- 107
- 试验地点
- 17
- 主要终点
- Phosphate Level at Baseline
研究概览
简要总结
This is a trial in obese subjects who have poor lipid control with and without Type 2 diabetes mellitus to study the safety, tolerability and pharmacokinetics of multiple doses of PF-05231023
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 30 Years 至 70 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Male and female subjects of non-childbearing potential between the ages of 30 and 70 years with and without a diagnosis of Type 2 diabetes mellitus (according to the American Diabetes Association guidelines).
- •Subjects with poor lipid control as confirmed by laboratory tests.
- •BMI of 30 to 40 Kg/m2 and a total body weight of >50 kg (110 lbs).
排除标准
- •Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurologic, or allergic disease (including drug allergies, but excluding asymptomatic, seasonal allergies at time of dosing).
- •Levels of blood enzymes indicating pancreatitis or elevated liver function enzymes outside of the laboratory's reference range as confirmed by laboratory tests.
- •Subjects with Type 1 Diabetes Mellitus.
研究组 & 干预措施
Placebo Arm
干预措施: Placebo (Other)
25 mg
干预措施: 25 mg PF-05231023 (Drug)
50 mg
干预措施: 50 mg PF-05231023 (Drug)
100 mg
干预措施: 100 mg PF-05231023 (Drug)
150 mg
干预措施: 150 mg PF-05231023 (Drug)
结局指标
主要结局
Phosphate Level at Baseline
时间窗: Baseline
Number of Participants With Clinically Significant Vital Sign Abnormalities
时间窗: Baseline up to Day 49
Criteria for clinically significant vital signs abnormalities included supine/sitting pulse rate of \<40 beats per minute (bpm) or \>120 bpm, supine systolic blood pressure (SBP) of \<90 millimeter of mercury (mmHg), \>=30 mmHg maximum increase and decrease from baseline in same posture, supine diastolic blood pressure (DBP) of \<50 mmHg; \>=20 mmHg maximum increase and decrease from baseline in same posture.
Number of Participants With Clinically Significant Electrocardiogram Findings
时间窗: Baseline up to Day 49
Clinically significant ECG findings included PR interval \>=300 milliseconds (msec) or \>=25 percent (%) increase from baseline (if baseline PR interval \>200 msec) or \>=50% increase (if baseline PR interval less than or equal to \[\<=\] 200 msec); QRS interval \>=140 msec or \>=50% increase from baseline; QT interval \>=500 msec, corrected QT interval based on Fridericia's formula (QTcF) 450 to \<480 msec, 480 to \<500 msec, \>=500 msec or \>=30 msec but \<60 msec increase from baseline or \>=60 msec increase from baseline.
Change From Baseline in Phosphate Level at Day 25
时间窗: Baseline, Day 25
Percent Change From Baseline in Serum N-terminal Propeptides of Type 1 Collagen (PINP) and C-Telopeptide Cross-Linking of Type 1 Collagen (CTX) Levels at Day 25
时间窗: Baseline, Day 25
Percent Change From Baseline in Blood Osteocalcin and Bone-Specific Alkaline Phosphatase Levels at Day 25
时间窗: Baseline, Day 25
Average Urinary Calcium and Phosphate Levels Over 24 Hours at Baseline
时间窗: Baseline
Change From Baseline in Average Urinary Calcium and Phosphate Levels Over 24 Hours at Day 24
时间窗: Day 24
Blood Osteocalcin and Bone-Specific Alkaline Phosphatase Levels at Baseline
时间窗: Baseline
Number of Participants With Abnormal Physical Examinations
时间窗: Baseline up to Day 49
Physical examination included general examination and examination of head, ears, eyes, nose, mouth, throat, neck, abdomen, skin, heart, lungs, lymph nodes, and gastrointestinal and musculoskeletal and neurological system.
Thyroid Stimulating Hormone (TSH) Level at Baseline
时间窗: Baseline
Results are reported in micro international units per milliliter (mcIU/mL).
Thyroid Stimulating Hormone (TSH) Level at Day 1
时间窗: Day 1
Thyroid Stimulating Hormone (TSH) Level at Day 39
时间窗: Day 39
Change From Baseline in Phosphate Level at Day 15
时间窗: Baseline, Day 15
Tartrate-resistant Acid Phosphatase Isoform 5b (TRAP 5b) Levels at Baseline
时间窗: Baseline
Percent Change From Baseline in Tartrate-resistant Acid Phosphatase Isoform 5b (TRAP 5b) Levels at Day 49
时间窗: Day 49
Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
时间窗: Baseline up to 28 days after last dose
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 events were between first dose of study drug and up to 28 days after last dose that were absent before treatment or that worsened relative to pre-treatment state.
Number of Participants With Laboratory Abnormalities
时间窗: Baseline up to Day 49
Criteria for laboratory test abnormality: Hematology (hemoglobin, hematocrit, red blood corpuscles \[RBC\] count: less than \[\<\]0.8\*lower limit of normal \[LLN\], platelets: \<0.5\*LLN/greater than \[\>\]1.75\*upper limit of normal \[ULN\], leukocytes: \<0.6\*LLN or \>1.5\*ULN, lymphocytes, total neutrophils: \<0.8\*LLN or \>1.2\*ULN, basophils, eosinophil: \<0.8\*LLN, monocytes: \>1.2\*ULN); Liver Function (aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase: \>0.3\*ULN, total protein, albumin: \<0.8\*LLN or \>1.2\*ULN); total bilirubin, direct bilirubin, indirect bilirubin: \>1.5\*ULN; Renal Function (blood urea nitrogen, creatinine: \>1.3\*ULN, uric acid: \>1.2\*ULN); Electrolytes (sodium: \<0.95\*LLN or \>1.05\*ULN, potassium, chloride, calcium, bicarbonate: \<0.9\*LLN or \>1.1\*ULN; creatine kinase: \>2.0\*ULN; glucose fasting: \<0.6\*LLN or \>1.5\*ULN, urine white blood corpuscles \[WBC\] and RBC: greater than or equal to (\>=) 20/High Power Field \[HPF\]).
Thyroid Stimulating Hormone (TSH) Level at Day 25
时间窗: Day 25
Thyroid Stimulating Hormone (TSH) Level at Day 49
时间窗: Day 49
Creatine Phosphokinase (CPK) Level at Baseline
时间窗: Baseline
Change From Baseline in Creatine Phosphokinase (CPK) Level at Day 15
时间窗: Baseline, Day 15
Change From Baseline in Creatine Phosphokinase (CPK) Level at Day 49
时间窗: Baseline, Day 49
Serum N-terminal Propeptides of Type 1 Collagen (PINP) and C-Telopeptide Cross-Linking of Type 1 Collagen (CTX) Levels at Baseline
时间窗: Baseline
Percent Change From Baseline in Serum N-terminal Propeptides of Type 1 Collagen (PINP) and C-Telopeptide Cross-Linking of Type 1 Collagen (CTX) Levels at Day 39
时间窗: Baseline, Day 39
Change From Baseline in Phosphate Level at Day 8
时间窗: Baseline, Day 8
Change From Baseline in Creatine Phosphokinase (CPK) Level at Day 8
时间窗: Baseline, Day 8
Percent Change From Baseline Serum N-terminal Propeptides of Type 1 Collagen (PINP) and C-Telopeptide Cross-Linking of Type 1 Collagen (CTX) Levels at Day 49
时间窗: Baseline, Day 49
Percent Change From Baseline in Blood Osteocalcin and Bone-Specific Alkaline Phosphatase Levels at Day 39
时间窗: Baseline, Day 39
Percent Change From Baseline in Blood Osteocalcin and Bone-Specific Alkaline Phosphatase Levels at Day 49
时间窗: Baseline, Day 49
Percent Change From Baseline in Tartrate-resistant Acid Phosphatase Isoform 5b (TRAP 5b) Levels at Day 25
时间窗: Baseline, Day 25
Number of Participants With Anti-PF-05231023 Antibodies and Neutralizing Antibodies at Day 39
时间窗: Day 39
Anti-PF-05231023 antibodies and neutralizing antibodies were analyzed only for participants who received PF-05231023 as per planned analysis. One sample at Day 39 was inadvertently tested for neutralizing antibody even though the corresponding anti-PF-05231023 antibody was negative.
Number of Participants With Anti-PF-05231023 Antibodies and Neutralizing Antibodies at Day 49
时间窗: Day 49
Change From Baseline in Phosphate Level at Day 49
时间窗: Baseline, Day 49
Change From Baseline in Creatine Phosphokinase (CPK) Level at Day 25
时间窗: Baseline, Day 25
Percent Change From Baseline in Tartrate-resistant Acid Phosphatase Isoform 5b (TRAP 5b) Levels at Day 39
时间窗: Baseline, Day 39
Number of Participants With Anti-PF-05231023 Antibodies and Neutralizing Antibodies at Day 1
时间窗: Day 1
Anti-PF-05231023 antibodies and neutralizing antibodies were analyzed only for participants who received PF-05231023 as per planned analysis. One sample at Day 1 was inadvertently tested for neutralizing antibody even though the corresponding anti-PF-05231023 antibody was negative.
次要结局
- Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) of PF-05231023 After Single Dose(0 (pre-dose), 0.5 (end of infusion), 1, 2.5, 3.5, 5.5, 9.5, 11.5 hours after start of infusion on Day 1, Day 4, 0 hours (pre-dose) on Day 8)
- Minimum Observed Plasma Trough Concentration (Cmin) of PF-05231023 After Last Dose(0 (pre-dose), 0.5 (end of infusion), 1, 2.5, 3.5, 4.5 hours after start of infusion on Day 22, Day 24, 25, 29, 39, 49)
- Time to Reach Maximum Observed Plasma Concentration (Tmax) of PF-05231023 After Single Dose(0 (pre-dose), 0.5 (end of infusion), 1, 2.5, 3.5, 5.5, 9.5, 11.5 hours after start of infusion on Day 1, Day 4, 0 hour (pre-dose) on Day 8)
- Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) of PF-05231023 After Last Dose(0 (pre-dose), 0.5 (end of infusion), 1, 2.5, 3.5, 4.5 hours after start of infusion on Day 22, Day 24, 25, 29)
- Apparent Clearance (CL) of PF-05231023(0 (pre-dose), 0.5 (end of infusion), 1, 2.5, 3.5, 4.5 hours after start of infusion on Day 22, Day 24, 25, 29, 39, 49)
- Maximum Observed Plasma Concentration (Cmax) of PF-05231023 After Single Dose(0 (pre-dose), 0.5 (end of infusion), 1, 2.5, 3.5, 5.5, 9.5, 11.5 hours after start of infusion on Day 1, Day 4, 0 hour (pre-dose) on Day 8)
- Time to Reach Maximum Observed Plasma Concentration (Tmax) of PF-05231023 After Last Dose(0 (pre-dose), 0.5 (end of infusion), 1, 2.5, 3.5, 4.5 hours after start of infusion on Day 22, Day 24, 25, 29, 39, 49)
- Maximum Observed Plasma Concentration (Cmax) of PF-05231023 After Last Dose(0 (pre-dose), 0.5 (end of infusion), 1, 2.5, 3.5, 4.5 hours after start of infusion on Day 22, Day 24, 25, 29, 39, 49)
- Accumulation Ratio for Area Under the Curve From Time Zero to End of Dosing Interval (Rac) of PF-05231023(0 (pre-dose), 0.5 (end of infusion ), 1, 2.5, 3.5, 5.5, 9.5, 11.5 hours after start of infusion on Day 1; Day 4, 0 hour (pre-dose) on Day 8; 0 (pre-dose), 0.5 (end of infusion), 1, 2.5, 3.5, 4.5 hours after start of infusion on Day 22; Day 24, 25, 29)
- Accumulation Ratio for Maximum Observed Plasma Concentration (Rac,Cmax) of PF-05231023(0 (pre-dose),0.5(end of infusion), 1, 2.5, 3.5, 5.5, 9.5, 11.5 hours after start of infusion on Day 1; Day 4, 0 hour (pre-dose) on Day 8; 0 (pre-dose), 0.5 (end of infusion), 1, 2.5, 3.5, 4.5 hours after start of infusion on Day 22; Day 24,25,29,39,49)
- Average Plasma Concentration (Cav ) of PF-05231023 After the Last Dose(0 (pre-dose), 0.5 (end of infusion), 1, 2.5, 3.5, 4.5 hours after start of infusion on Day 22, Day 24, 25, 29, 39, 49)
- Plasma Decay Half-Life (t1/2) of PF-05231023(0 (pre-dose), 0.5 (end of infusion), 1, 2.5, 3.5, 4.5 hours after start of infusion on Day 22, Day 24, 25, 29, 39, 49)
