A Phase 1 interventional study of PF-03654746 and Placebo in Alzheimer's Disease, sponsored by Pfizer. Terminated at 2 sites in United States. Open to participants aged 55 Years to 85 Years. Per ClinicalTrials.gov, last updated 2014-06-04.
Sponsored by Pfizer · Phase 1, Interventional, and Treatment
This is a study to evaluate the safety, tolerability and blood levels of PF-03654746 in subjects will mild to moderate Alzheimer's disease.
3,765 studies on the registry are indexed under Alzheimer Disease; 881 are open to participants now.
This study's enrollment of 9 is below the median of 68 across 2,861 interventional studies indexed under Alzheimer Disease.
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Exclusion Criteria:
Drug: PF-03654746
Drug: Placebo
PF-03654746 capsule of 0.25 mg, 0.5 mg, and 1.0 mg strength. Drug is dosed orally once a day. Forced titration dosing for the first 15 days of the study being at 0.25 mg for 5 days, then 0.5 mg for days 6-10, then 1.0 mg for days 11-15. Flexible dosing for the next 15 days depending on tolerability and safety assessments done by the investigator.
Matching placebo capsules to PF-03654746 with strengths of 0.25 mg, 0.5 mg, and 1.0 mg. Drug is dosed orally once a day. Forced titration dosing for the first 15 days of the study being at 0.25 mg for 5 days, then 0.5 mg for days 6-10, then 1.0 mg for days 11-15. Flexible dosing for the next 15 days depending on tolerability and safety assessments done by the investigator.
Number of Participants With Clinically Significant Vital Sign Abnormalities
Criteria for potential clinical concern in vital signs: supine and standing systolic blood pressure (SBP) less than (\<) 90 millimeter of mercury (mmHg), supine and standing diastolic BP (DBP) \<50 mmHg, supine pulse rate \<40 beats per minute (bpm) or \>120 bpm, standing pulse rate \<40 bpm or \>140 bpm. Maximum increase or decrease from baseline in supine (Su) and standing (St) SBP \>=30 mmHg and maximum increase or decrease from baseline in supine and standing DBP \>=20 mmHg.
Time frame: Baseline up to 7 to 10 days after last dose
Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities
Criteria for potential clinical concern in ECG parameters: maximum PR interval of \>=300 milliseconds (msec), maximum QRS interval \>=200 msec, maximum fridericia's corrected QT (QTcF) interval \>=500 msec, PR interval or QRS interval increase from baseline \>=25 percent (%) or 50 percent (%), QTCF interval increase from baseline 30 to 60 msec or \>=60 msec.
Time frame: Baseline up to 7 to 10 days after last dose
Number of Participants With Clinically Significant Laboratory Test Abnormalities
Criteria for laboratory tests abnormalities included: hemoglobin, hematocrit and red blood cells (\< 0.8\*lower limit of normal\[LLN\]); leucocytes (\<0.6/\>1.5\*upper limit of normal \[ULN\]); platelets (\<0.5\*LLN/\>1.75\*ULN); neutrophils, lymphocytes (\<0.8\*LLN/\>1.2\*ULN); eosinophils, basophils, monocytes (\>1.2\*ULN); total bilirubin (\>1.5\*ULN); aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (\>3\*ULN), total protein, albumin (\<0.8\*LLN/\>1.2\*ULN); creatinine, urea (\>1.3\*ULN); glucose (\<0.6\*LLN/\>1.5\*ULN); uric acid (\>1.2\*ULN); sodium, potassium, chloride, calcium, bicarbonate (\<0.9\*LLN/\>1.1\*ULN); urine red blood cells (RBCs), urine white blood cells (WBCs), urine epithelial cells (\>=6 high-powered field), urine bacteria \>20 high-powered field; qualitative urine glucose, ketones, protein values \>=1 in urine dipstick test. Total number of participants with any laboratory abnormalities was reported.
Time frame: Baseline up to 7 to 10 days after last dose
Number of Participants With Clinically Significant Change From Baseline in Physical Examination
Physical examination included examination of the skin, eyes, ears, throat, neck, and cardiac, respiratory, gastrointestinal and musculoskeletal systems. The examination assessed the participants for any potential changes in physical status, as determined by the investigator. Any untoward findings identified on physical exams conducted after the administration of the first dose of study medication was captured as an adverse event.
Time frame: Baseline up to 7 to 10 days after last dose
Medical Outcomes Study - Sleep Scale (MOS-SS) Score at Baseline
Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range\* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score.
Time frame: Baseline
Medical Outcomes Study - Sleep Scale (MOS-SS) Score at Day 5
Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range\* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score.
Time frame: Day 5
Medical Outcomes Study - Sleep Scale (MOS-SS) Score at Day 10
Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range\* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score.
Time frame: Day 10
Medical Outcomes Study - Sleep Scale (MOS-SS) Score at Day 15
Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range\* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score.
Time frame: Day 15
Medical Outcomes Study - Sleep Scale (MOS-SS) Score at Day 20
Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range\* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score.
Time frame: Day 20
Medical Outcomes Study - Sleep Scale (MOS-SS) Score at Day 25
Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range\* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score.
Time frame: Day 25
Medical Outcomes Study - Sleep Scale (MOS-SS) Score at Day 30
Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range\* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score.
Time frame: Day 30
Medical Outcomes Study - Sleep Scale (MOS-SS) Score at Follow-up
Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range\* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score.
Time frame: Follow-up (7 to 10 days after last dose)
Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score at Day 5
NPI: 12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, night-time behavior. Severity (1=Mild to 3=Severe), frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency\*severity=each domain score (range 0-12). Total score=sum of each domain score (range 0-144); higher score=greater behavioral disturbances; negative change score from baseline=improvement.
Time frame: Baseline, Day 5
Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score at Day 10
NPI: 12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, night-time behavior. Severity (1=Mild to 3=Severe), frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency\*severity=each domain score (range 0-12). Total score=sum of each domain score (range 0-144); higher score=greater behavioral disturbances; negative change score from baseline=improvement.
Time frame: Baseline, Day 10
Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score at Day 15
NPI: 12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, night-time behavior. Severity (1=Mild to 3=Severe), frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency\*severity=each domain score (range 0-12). Total score=sum of each domain score (range 0-144); higher score=greater behavioral disturbances; negative change score from baseline=improvement.
Time frame: Baseline, Day 15
Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score at Day 20
NPI: 12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, night-time behavior. Severity (1=Mild to 3=Severe), frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency\*severity=each domain score (range 0-12). Total score=sum of each domain score (range 0-144); higher score=greater behavioral disturbances; negative change score from baseline=improvement.
Time frame: Baseline, Day 20
Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score at Day 25
NPI: 12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, night-time behavior. Severity (1=Mild to 3=Severe), frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency\*severity=each domain score (range 0-12). Total score=sum of each domain score (range 0-144); higher score=greater behavioral disturbances; negative change score from baseline=improvement.
Time frame: Baseline, Day 25
Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score at Day 30
NPI: 12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, night-time behavior. Severity (1=Mild to 3=Severe), frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency\*severity=each domain score (range 0-12). Total score=sum of each domain score (range 0-144); higher score=greater behavioral disturbances; negative change score from baseline=improvement.
Time frame: Baseline, Day 30
Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score at Follow-up
NPI: 12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, night-time behavior. Severity (1=Mild to 3=Severe), frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency\*severity=each domain score (range 0-12). Total score=sum of each domain score (range 0-144); higher score=greater behavioral disturbances; negative change score from baseline=improvement.
Time frame: Baseline, Follow-up (7 to 10 days after last dose)
Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Day 5
MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. Total score derived from sub-scores; total ranged from 0 to 30, higher score indicates better cognitive state.
Time frame: Baseline, Day 5
Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Day 10
MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. Total score derived from sub-scores; total ranged from 0 to 30, higher score indicates better cognitive state.
Time frame: Baseline, Day 10
Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Day 15
MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. Total score derived from sub-scores; total ranged from 0 to 30, higher score indicates better cognitive state.
Time frame: Baseline, Day 15
Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Day 20
MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. Total score derived from sub-scores; total ranged from 0 to 30, higher score indicates better cognitive state.
Time frame: Baseline, Day 20
Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Day 25
MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. Total score derived from sub-scores; total ranged from 0 to 30, higher score indicates better cognitive state.
Time frame: Baseline, Day 25
Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Day 30
MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. Total score derived from sub-scores; total ranged from 0 to 30, higher score indicates better cognitive state.
Time frame: Baseline, Day 30
Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Follow-up
MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. Total score derived from sub-scores; total ranged from 0 to 30, higher score indicates better cognitive state.
Time frame: Baseline, Follow-up (7 to 10 days after last dose)
Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) for PF-03654746
Time frame: 0 hour (pre-dose), 0.5, 1, 3, 8 and 12 hours post-dose on Day 30
Maximum Serum Concentration (Cmax) for PF-03654746
Time frame: 0 hour (pre-dose), 0.5, 1, 3, 8 and 12 hours post-dose on Day 30
Time to Reach Maximum Observed Serum Concentration (Tmax) for PF-03654746
Time frame: 0 hour (pre-dose), 0.5, 1, 3, 8 and 12 hours post-dose on Day 30
Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) for Donepezil
Time frame: 0 hour (pre-dose), 0.5, 1, 3, 8, 12 hours post-dose on Day 0, Day 30
Maximum Plasma Concentration (Cmax) for Donepezil
Time frame: 0 hour (pre-dose), 0.5, 1, 3, 8, 12 hours post-dose on Day 0, Day 30
Time to Reach Maximum Observed Plasma Concentration (Tmax) for Donepezil
Time frame: 0 hour (pre-dose), 0.5, 1, 3, 8, 12 hours post-dose on Day 0, Day 30
Participants who were on a stable dose of donepezil (Aricept) 10 milligram (mg) once daily for at least 30 days before screening and on stable morning dosing at least 14 days before Day 0 were enrolled in this study.
| Milestone | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Started | 7 | 2 |
| Completed | 7 | 2 |
| Not completed | 0 | 0 |
Criteria for potential clinical concern in vital signs: supine and standing systolic blood pressure (SBP) less than (\<) 90 millimeter of mercury (mmHg), supine and standing diastolic BP (DBP) \<50 mmHg, supine pulse rate \<40 beats per minute (bpm) or \>120 bpm, standing pulse rate \<40 bpm or \>140 bpm. Maximum increase or decrease from baseline in supine (Su) and standing (St) SBP \>=30 mmHg and maximum increase or decrease from baseline in supine and standing DBP \>=20 mmHg.
| participants | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Supine SBP <90 mmHg | 0 | 0 |
| Standing SBP <90 mmHg | 0 | 0 |
| Supine DBP <50 mmHg | 0 | 0 |
| Standing DBP <50 mmHg | 0 | 0 |
| Supine pulse rate <40 bpm | 0 | 0 |
| Supine pulse rate >120 bpm | 0 | 0 |
| Standing pulse rate <40 bpm | 0 | 0 |
| Standing pulse rate >140 bpm | 0 | 0 |
| Su SBP: Maximum increase from baseline >=30 mmHg | 3 | 0 |
| St SBP: Maximum increase from baseline >=30 mmHg | 1 | 0 |
| Su DBP: Maximum increase from baseline >=20 mmHg | 2 | 0 |
| St DBP: Maximum increase from baseline >=20 mmHg | 1 | 0 |
| Su SBP: Maximum decrease from baseline >=30 mmHg | 0 | 1 |
| St SBP: Maximum decrease from baseline >=30 mmHg | 0 | 0 |
| Su DBP: Maximum decrease from baseline >=20 mmHg | 0 | 0 |
| St DBP: Maximum decrease from baseline >=20 mmHg | 1 | 1 |
Criteria for potential clinical concern in ECG parameters: maximum PR interval of \>=300 milliseconds (msec), maximum QRS interval \>=200 msec, maximum fridericia's corrected QT (QTcF) interval \>=500 msec, PR interval or QRS interval increase from baseline \>=25 percent (%) or 50 percent (%), QTCF interval increase from baseline 30 to 60 msec or \>=60 msec.
| participants | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Maximum PR interval >=300 msec | 0 | 0 |
| Maximum QRS Complex >=200 msec | 0 | 0 |
| Maximum QTCF interval >=500 msec | 1 | 0 |
| PR interval increase from baseline >=25/50 % | 0 | 0 |
| QRS complex increase from baseline >=25/50 % | 0 | 0 |
| QTCF interval increase from baseline 30 to 60 msec | 2 | 0 |
| QTCF interval increase from baseline >=60 msec | 1 | 0 |
Criteria for laboratory tests abnormalities included: hemoglobin, hematocrit and red blood cells (\< 0.8\*lower limit of normal\[LLN\]); leucocytes (\<0.6/\>1.5\*upper limit of normal \[ULN\]); platelets (\<0.5\*LLN/\>1.75\*ULN); neutrophils, lymphocytes (\<0.8\*LLN/\>1.2\*ULN); eosinophils, basophils, monocytes (\>1.2\*ULN); total bilirubin (\>1.5\*ULN); aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (\>3\*ULN), total protein, albumin (\<0.8\*LLN/\>1.2\*ULN); creatinine, urea (\>1.3\*ULN); glucose (\<0.6\*LLN/\>1.5\*ULN); uric acid (\>1.2\*ULN); sodium, potassium, chloride, calcium, bicarbonate (\<0.9\*LLN/\>1.1\*ULN); urine red blood cells (RBCs), urine white blood cells (WBCs), urine epithelial cells (\>=6 high-powered field), urine bacteria \>20 high-powered field; qualitative urine glucose, ketones, protein values \>=1 in urine dipstick test. Total number of participants with any laboratory abnormalities was reported.
| participants | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Number of Participants With Clinically Significant Laboratory Test Abnormalities | 7 | 0 |
Physical examination included examination of the skin, eyes, ears, throat, neck, and cardiac, respiratory, gastrointestinal and musculoskeletal systems. The examination assessed the participants for any potential changes in physical status, as determined by the investigator. Any untoward findings identified on physical exams conducted after the administration of the first dose of study medication was captured as an adverse event.
| participants | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Number of Participants With Clinically Significant Change From Baseline in Physical Examination | 0 | 0 |
Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range\* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score.
| units on a scale | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Sleep disturbance | 23.76 ± 21.57 | 15.65 ± 22.13 |
| Somnolence | 30.49 ± 18.40 | 16.70 ± 14.14 |
| Sleep adequacy | 65.71 ± 32.07 | 85.00 ± 21.21 |
| Snore | 45.71 ± 37.80 | 20.00 ± 28.28 |
| Awaken short of breath or with headache | 8.57 ± 15.74 | 0.00 ± 0.00 |
| Quantity of sleep | 7.86 ± 0.90 | 10.50 ± 2.12 |
| Optimal sleep | 0.71 ± 0.49 | 0.00 ± 0.00 |
| Sleep problem index I | 23.81 ± 17.70 | 10.00 ± 14.14 |
| Sleep problem index II | 24.21 ± 15.81 | 14.70 ± 17.68 |
Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range\* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score.
| units on a scale | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Sleep disturbance | 25.01 ± 19.56 | 15.65 ± 22.13 |
| Somnolence | 28.57 ± 26.87 | 16.70 ± 14.14 |
| Sleep adequacy | 65.71 ± 22.25 | 90.00 ± 14.14 |
| Snore | 28.57 ± 30.24 | 20.00 ± 28.28 |
| Awaken short of breath or with headache | 8.57 ± 22.68 | 0.00 ± 0.00 |
| Quantity of sleep | 7.57 ± 0.98 | 9.50 ± 0.71 |
| Optimal sleep | 0.71 ± 0.49 | 0.00 ± 0.00 |
| Sleep problem index I | 21.89 ± 14.25 | 8.35 ± 11.81 |
| Sleep problem index II | 24.76 ± 14.64 | 13.60 ± 16.12 |
Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range\* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score.
| units on a scale | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Sleep disturbance | 27.69 ± 27.86 | 13.15 ± 18.60 |
| Somnolence | 29.53 ± 31.46 | 16.70 ± 14.14 |
| Sleep adequacy | 67.14 ± 29.28 | 90.00 ± 14.14 |
| Snore | 34.29 ± 35.99 | 20.00 ± 28.28 |
| Awaken short of breath or with headache | 14.29 ± 37.80 | 0.00 ± 0.00 |
| Quantity of sleep | 7.43 ± 1.13 | 9.50 ± 0.71 |
| Optimal sleep | 0.57 ± 0.53 | 0.00 ± 0.00 |
| Sleep problem index I | 26.19 ± 20.14 | 8.35 ± 11.81 |
| Sleep problem index II | 26.90 ± 19.49 | 12.50 ± 14.57 |
Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range\* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score.
| units on a scale | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Sleep disturbance | 28.76 ± 11.58 | 13.15 ± 18.60 |
| Somnolence | 28.57 ± 20.27 | 16.70 ± 14.14 |
| Sleep adequacy | 64.29 ± 31.01 | 90.00 ± 14.14 |
| Snore | 40.00 ± 41.63 | 20.00 ± 28.28 |
| Awaken short of breath or with headache | 5.71 ± 15.12 | 0.00 ± 0.00 |
| Quantity of sleep | 7.29 ± 0.95 | 9.50 ± 0.71 |
| Optimal sleep | 0.71 ± 0.49 | 0.00 ± 0.00 |
| Sleep problem index I | 28.10 ± 16.55 | 8.35 ± 11.81 |
| Sleep problem index II | 26.74 ± 15.20 | 12.50 ± 14.57 |
Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range\* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score.
| units on a scale | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Sleep disturbance | 23.57 ± 22.07 | 5.65 ± 7.99 |
| Somnolence | 37.14 ± 30.75 | 10.00 ± 14.14 |
| Sleep adequacy | 61.43 ± 26.10 | 95.00 ± 7.07 |
| Snore | 42.86 ± 43.86 | 10.00 ± 14.14 |
| Awaken short of breath or with headache | 8.57 ± 15.74 | 0.00 ± 0.00 |
| Quantity of sleep | 7.00 ± 1.41 | 9.50 ± 0.71 |
| Optimal sleep | 0.43 ± 0.53 | 0.00 ± 0.00 |
| Sleep problem index I | 26.19 ± 18.11 | 3.35 ± 4.74 |
| Sleep problem index II | 26.67 ± 18.20 | 5.85 ± 8.27 |
Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range\* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score.
| units on a scale | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Sleep disturbance | 23.76 ± 21.18 | 3.15 ± 4.45 |
| Somnolence | 36.19 ± 28.24 | 6.65 ± 9.40 |
| Sleep adequacy | 72.86 ± 22.15 | 95.00 ± 7.07 |
| Snore | 45.71 ± 47.21 | 10.00 ± 14.14 |
| Awaken short of breath or with headache | 5.71 ± 15.12 | 0.00 ± 0.00 |
| Quantity of sleep | 7.71 ± 0.95 | 9.50 ± 0.71 |
| Optimal sleep | 0.71 ± 0.49 | 0.00 ± 0.00 |
| Sleep problem index I | 22.37 ± 16.86 | 1.65 ± 2.33 |
| Sleep problem index II | 23.89 ± 16.04 | 3.60 ± 5.09 |
Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range\* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score.
| units on a scale | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Sleep disturbance | 23.04 ± 21.99 | 3.15 ± 4.45 |
| Somnolence | 37.16 ± 24.62 | 6.65 ± 9.40 |
| Sleep adequacy | 72.86 ± 22.15 | 95.00 ± 7.07 |
| Snore | 42.86 ± 43.86 | 10.00 ± 14.14 |
| Awaken short of breath or with headache | 5.71 ± 15.12 | 0.00 ± 0.00 |
| Quantity of sleep | 7.86 ± 1.07 | 9.50 ± 0.71 |
| Optimal sleep | 0.57 ± 0.53 | 0.00 ± 0.00 |
| Sleep problem index I | 21.90 ± 17.52 | 1.65 ± 2.33 |
| Sleep problem index II | 23.26 ± 16.21 | 3.60 ± 5.09 |
Participant-rated 12-item questionnaire to assess sleep quality and quantity. The items contribute to each scale and are averaged to create the 7 subscale scores: sleep disturbance, snoring, awaken short of breath (ASoB) or with a headache, somnolence, sleep adequacy, sleep quantity (range 0 to 24) and optimal sleep (yes: 1, no: 0), and overall sleep problem index (SPI) I and II. Except for sleep quantity and optimal sleep, scores are transformed (actual raw score minus lowest possible score divided by possible raw score range\* 100); total score range: 0 to 100; higher score = greater intensity of attribute. Except for sleep quantity, sleep adequacy and optimal sleep, higher scores=greater impairment. Scales with at least one item answered was used to generate a scale score.
| units on a scale | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Sleep disturbance | 16.44 ± 17.07 | 3.15 ± 4.45 |
| Somnolence | 32.39 ± 27.62 | 6.65 ± 9.40 |
| Sleep adequacy | 72.86 ± 23.60 | 95.00 ± 7.07 |
| Snore | 42.86 ± 43.86 | 10.00 ± 14.14 |
| Awaken short of breath or with headache | 5.71 ± 15.12 | 0.00 ± 0.00 |
| Quantity of sleep | 8.14 ± 0.69 | 9.50 ± 0.71 |
| Optimal sleep | 0.71 ± 0.49 | 0.00 ± 0.00 |
| Sleep problem index I | 17.61 ± 15.25 | 1.65 ± 2.33 |
| Sleep problem index II | 19.67 ± 14.12 | 3.60 ± 5.09 |
NPI: 12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, night-time behavior. Severity (1=Mild to 3=Severe), frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency\*severity=each domain score (range 0-12). Total score=sum of each domain score (range 0-144); higher score=greater behavioral disturbances; negative change score from baseline=improvement.
| units on a scale | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Baseline | 4.1 ± 6.09 | 3.0 ± 4.24 |
| Change at Day 5 | -1.9 ± 5.64 | -1.0 ± 1.41 |
NPI: 12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, night-time behavior. Severity (1=Mild to 3=Severe), frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency\*severity=each domain score (range 0-12). Total score=sum of each domain score (range 0-144); higher score=greater behavioral disturbances; negative change score from baseline=improvement.
| units on a scale | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score at Day 10 | -1.7 ± 4.75 | -1.0 ± 1.41 |
NPI: 12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, night-time behavior. Severity (1=Mild to 3=Severe), frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency\*severity=each domain score (range 0-12). Total score=sum of each domain score (range 0-144); higher score=greater behavioral disturbances; negative change score from baseline=improvement.
| units on a scale | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score at Day 15 | -2.6 ± 4.39 | -1.0 ± 1.41 |
NPI: 12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, night-time behavior. Severity (1=Mild to 3=Severe), frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency\*severity=each domain score (range 0-12). Total score=sum of each domain score (range 0-144); higher score=greater behavioral disturbances; negative change score from baseline=improvement.
| units on a scale | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score at Day 20 | -2.7 ± 5.71 | 0.0 ± 0.00 |
NPI: 12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, night-time behavior. Severity (1=Mild to 3=Severe), frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency\*severity=each domain score (range 0-12). Total score=sum of each domain score (range 0-144); higher score=greater behavioral disturbances; negative change score from baseline=improvement.
| units on a scale | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score at Day 25 | -2.6 ± 4.39 | 0.0 ± 0.00 |
NPI: 12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, night-time behavior. Severity (1=Mild to 3=Severe), frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency\*severity=each domain score (range 0-12). Total score=sum of each domain score (range 0-144); higher score=greater behavioral disturbances; negative change score from baseline=improvement.
| units on a scale | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score at Day 30 | -1.4 ± 5.22 | 0.0 ± 0.00 |
NPI: 12-domain caregiver assessment of behavioral disturbances occurring in dementia: delusions, hallucinations, agitation/aggression, depression/dysphoria, anxiety, elation/euphoria, apathy/indifference, disinhibition, irritability/lability, motor disturbance, appetite/eating, night-time behavior. Severity (1=Mild to 3=Severe), frequency (1=occasionally to 4=very frequently) scales recorded for each domain; frequency\*severity=each domain score (range 0-12). Total score=sum of each domain score (range 0-144); higher score=greater behavioral disturbances; negative change score from baseline=improvement.
| units on a scale | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Change From Baseline in Neuropsychiatric Inventory (NPI) Total Score at Follow-up | -2.6 ± 4.39 | 1.5 ± 2.12 |
MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. Total score derived from sub-scores; total ranged from 0 to 30, higher score indicates better cognitive state.
| units on a scale | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Baseline | 24.6 ± 1.51 | 24.0 ± 0.00 |
| Change at Day 5 | -0.7 ± 2.29 | 3.0 ± 0.00 |
MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. Total score derived from sub-scores; total ranged from 0 to 30, higher score indicates better cognitive state.
| units on a scale | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Day 10 | 0.1 ± 2.34 | 3.0 ± 0.00 |
MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. Total score derived from sub-scores; total ranged from 0 to 30, higher score indicates better cognitive state.
| units on a scale | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Day 15 | 1.3 ± 1.80 | 2.5 ± 0.71 |
MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. Total score derived from sub-scores; total ranged from 0 to 30, higher score indicates better cognitive state.
| units on a scale | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Day 20 | 0.4 ± 2.94 | 4.0 ± 0.00 |
MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. Total score derived from sub-scores; total ranged from 0 to 30, higher score indicates better cognitive state.
| units on a scale | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Day 25 | 1.0 ± 2.08 | 3.5 ± 0.71 |
MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. Total score derived from sub-scores; total ranged from 0 to 30, higher score indicates better cognitive state.
| units on a scale | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Day 30 | 0.6 ± 2.37 | 3.0 ± 2.83 |
MMSE measured general cognitive functioning: orientation, memory, attention, concentration, naming, repetition, comprehension, and ability to create a sentence and to copy two intersecting polygons. Total score derived from sub-scores; total ranged from 0 to 30, higher score indicates better cognitive state.
| units on a scale | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Change From Baseline in Mini Mental State Examination (MMSE) Total Score at Follow-up | 0.7 ± 1.60 | 3.0 ± 4.24 |
| nanogram hour per milliliter (ng*hr/mL) | PF-03654746 and Donepezil |
|---|---|
| Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) for PF-03654746 | 118.6 ± 35.687 |
| nanogran per millileter (ng/mL) | PF-03654746 and Donepezil |
|---|---|
| Maximum Serum Concentration (Cmax) for PF-03654746 | 9.430 ± 2.7317 |
| hours | PF-03654746 and Donepezil |
|---|---|
| Time to Reach Maximum Observed Serum Concentration (Tmax) for PF-03654746 | 3.00 (1.00 to 3.00) |
| ng*hr/mL | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Day 0 | 881.6 ± 282.03 | 1109 ± 176.07 |
| Day 30 | 1035 ± 364.62 | 1013 ± 91.217 |
| ng/mL | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Day 0 | 45.47 ± 12.847 | 53.89 ± 10.465 |
| Day 30 | 50.28 ± 14.864 | 49.73 ± 1.7678 |
| hours | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| Day 0 | 2.98 (0.967 to 3.00) | 2.99 (2.98 to 3.00) |
| Day 30 | 3.00 (2.98 to 12.0) | 2.98 (2.98 to 2.98) |
Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| PF-03654746 and Donepezil | — | 0/7 (0%) | 5/7 (71.4%) |
| Placebo and Donepezil | — | 0/2 (0%) | 0/2 (0%) |
| Event | PF-03654746 and Donepezil | Placebo and Donepezil |
|---|---|---|
| HeadacheNervous system disorders | 1/7 | 0/2 |
| Abnormal dreamsPsychiatric disorders | 1/7 | 0/2 |
| Euphoric moodPsychiatric disorders | 1/7 | 0/2 |
| Hypnagogic hallucinationPsychiatric disorders | 1/7 | 0/2 |
| IllusionPsychiatric disorders | 1/7 | 0/2 |
| Erectile dysfunctionReproductive system and breast disorders | 1/7 | 0/2 |
| CoughRespiratory, thoracic and mediastinal disorders | 1/7 | 0/2 |
| EpistaxisRespiratory, thoracic and mediastinal disorders | 1/7 | 0/2 |
| Nasal congestionRespiratory, thoracic and mediastinal disorders | 1/7 | 0/2 |
| UrticariaSkin and subcutaneous tissue disorders | 1/7 | 0/2 |
Safety population included all participants who took at least 1 dose of study drug.
| Age, Customized(participants) | PF-03654746 and Donepezil | Placebo and Donepezil | Total |
|---|---|---|---|
| 45 to 64 years | 1 | 0 | 1 |
| Greater than or equal to (>=) 65 years | 6 | 2 | 8 |
| Sex: Female, Male(Participants) | PF-03654746 and Donepezil | Placebo and Donepezil | Total |
|---|---|---|---|
| Female | 1 | 0 | 1 |
| Male | 6 | 2 | 8 |
The record gives a start of Dec 2009, a primary completion of May 2010 and a completion of May 2010. It does not say whether these dates are actual or estimated.
Results were first posted in Jun 2014, 4 years 1 month after primary completion.
How these figures are worked out, and which studies are left out of them.
This study is terminated, as verified in May 2014. You cannot join it, but the record below documents what was studied.
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Studies of the drug tested here: PF-03654746