A Phase 1 interventional study of PDE9i and PDE9i in Phase 1 Sickle Cell, sponsored by Pfizer. Completed at 23 sites in 5 countries. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2017-12-14.
Sponsored by Pfizer · Phase 1, Interventional, and Basic science
This study is being conducted to assess the safety, tolerability, pharmacokinetics and pharmacodynamics of an investigational drug, PF-04447943, in subjects with stable sickle cell disease with and without co-administration with hydroxyurea. This study will also aid in selecting the doses for future studies and evaluation of substances in the blood which may help access the effectiveness of the drug.
1,103 studies on the registry are indexed under Anemia, Sickle Cell; 235 are open to participants now.
This study's enrollment of 30 is below the median of 40 across 750 interventional studies indexed under Anemia, Sickle Cell.
Browse Anemia, Sickle Cell studies →Pfizer is the lead sponsor of 3,244 studies on the registry; 139 are open to participants now.
Of its 582 completed or terminated interventional studies of FDA-regulated products, 381 (65%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
A family history of long QT syndrome and/or ECG abnormalities at screening or randomization, including those listed below:
Drug: PDE9i
Drug: PDE9i
Drug: placebo for PDE9i
Drug: PDE9i
oral dose, every 12 hours for 28 days
oral dose, every 12 hours for 28 days
oral dose, every 12 hours for 28 days
oral dose, every 12 hours for 28 days
Number of Participants With Potentially Clinically Important (PCI) Change From Baseline in Vital Signs
Number of participants with changes from baseline in vital signs meeting the following criteria is presented: (1) maximum increase from baseline in supine systolic blood pressure (SBP) \>=30 millimeters of mercury (mmHg); (2) maximum increase from baseline in supine diastolic blood pressure (DBP) \>=20 mmHg; (3) maximum decrease from baseline in supine SBP \>=30 mmHg; and (4) maximum decrease from baseline in supine DBP \>=20 mmHg.
Time frame: Baseline up to 30 days post last dose on Day 29
Number of Participants With Potentially Clinically Important (PCI) Change From Baseline in Neurologic Function
Clinical assessment of neurologic functions included cranial nerve function, coordination, deep tendon reflexes, muscle strength, and reflexes (left and right ankles). Clinical importance of neurologic function changes was determined by the investigator.
Time frame: Baseline up to Day 29
Number of Participants With Potentially Clinically Important (PCI) Change in Physical Examination Findings
Physical examination included head, ears, eyes, nose, mouth, skin, heart and lung examinations, lymph nodes, gastrointestinal, musculoskeletal, and neurological systems. Clinical importance of physical examination changes was determined by the investigator.
Time frame: Baseline up to 30 days post last dose on Day 29
Number of Participants With Clinically Significant Treatment-Emergent Electrocardiogram (ECG) Findings
Maximum absolute values and increases from baseline were summarized for PR interval (time from the beginning of P wave to the start of QRS complex, corresponding to the end of atrial depolarization and onset of ventricular depolarization), QRS complex (time from Q wave to the end of S wave, corresponding to ventricle depolarization), and QTcF interval (time from the beginning of Q wave to the end of T wave corresponding to electrical systole corrected for heart rate using Fridericia's formula). Number of participants with ECG findings meeting the following criteria is presented: (1) PR interval \>=300 msec; (2) QRS complex \>=200 msec; (3) QTcF interval: 450 to \<480 msec; (4) QTcF interval: 480 to \<500 msec; (5) QTcF interval \>=500 msec; (6) PR interval percent increase from baseline \>=25/50 percent; (7) QRS complex percent increase from baseline \>=25/50 percent; (8) QTcF interval increase from baseline: 30 to \<60 msec; (9) QTcF interval increase from baseline \>=60 msec.
Time frame: Baseline up to 30 days post last dose on Day 29
Number of Participants With Potentially Clinically Important (PCI) Change From Baseline in Symptoms of Sickle Cell Disease
The following symptoms were assessed: anemia; fatigue; chronic pain; acute pain; infections; fever; swelling hands; swelling feet; abdominal swelling; pale skin; pale nail beds; yellow tint to skin; whites of eyes turned yellow; stroke. Number of participants with changes from baseline deemed potentially clinically important by the investigator is presented.
Time frame: Baseline up to 30 days post last dose on Day 29
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
An adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a product or medical device, regardless of its causal relationship with study treatment. Serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; was life-threatening (immediate risk of death); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent AEs are events between first dose of study drug and up to follow-up visit (30 days post last dose on Day 29) that were absent before treatment or that worsened after treatment. AEs included both serious and non-serious AEs.
Time frame: Day 1 to 30 days post last dose on Day 29
Number of Participants With Laboratory Test Abnormalities
The laboratory test included: hematology (hemoglobin, hematocrit, red blood cell count, mean corpuscular volume, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration, platelet count, white blood cell count, absolute total neutrophils, eosinophils, monocytes, basophils, and lymphocytes), chemistry (blood urea nitrogen/urea, serum creatinine, fasting glucose, calcium, sodium, potassium, chloride, total carbon dioxide, aspartate aminotransferase, alanine aminotransferase, total bilirubin, alkaline phosphatase, uric acid, albumin, total protein, and high sensitivity C-reactive protein), urinalysis (pH, qualitative glucose, qualitative protein, qualitative blood, ketones, nitrites, leukocyte esterase, urobilinogen, urine bilirubin, and microscopy), and other tests (follicle stimulating hormone and serum human chorionic gonadotropin, urine drug screening). Abnormality was determined by the investigator.
Time frame: Baseline up to 30 days post last dose on Day 29
Area Under the Curve From Time Zero to 12 Hours Post Dose (AUC(0-12h)) of PF-04447943
AUC(0-12h) referred to area under the plasma concentration-time curve from 0 to 12 hours post dose.
Time frame: Prior to 0 hour, and 0.5, 1, 2, 4, 8, and 12 hours post dose on Day 1
Maximum Observed Plasma Concentration (Cmax) of PF-04447943
Time frame: Prior to 0 hour, and 0.5, 1, 2, 4, 8, and 12 hours post dose on Day 1
Time for Maximum Observed Plasma Concentration (Tmax) of PF-04447943
Time frame: Prior to 0 hour, and 0.5, 1, 2, 4, 8, and 12 hours post dose on Day 1
| Milestone | PF-04447943 5 mg BID | PF-04447943 25 mg BID | Placebo |
|---|---|---|---|
| Started | 7 | 16 | 7 |
| Completed | 7 | 14 | 7 |
| Not completed | 0 | 2 | 0 |
| Withdrew: Adverse event | 0 | 1 | 0 |
| Withdrew: Withdrawal by subject | 0 | 1 | 0 |
Number of participants with changes from baseline in vital signs meeting the following criteria is presented: (1) maximum increase from baseline in supine systolic blood pressure (SBP) \>=30 millimeters of mercury (mmHg); (2) maximum increase from baseline in supine diastolic blood pressure (DBP) \>=20 mmHg; (3) maximum decrease from baseline in supine SBP \>=30 mmHg; and (4) maximum decrease from baseline in supine DBP \>=20 mmHg.
| participants | PF-04447943 5 mg BID | PF-04447943 25 mg BID | Placebo |
|---|---|---|---|
| Maximum increase in supine SBP >=30 mmHg | 0 | 0 | 0 |
| Maximum increase in supine DBP >=20 mmHg | 2 | 0 | 1 |
| Maximum decrease in supine SBP >=30 mmHg | 0 | 1 | 0 |
| Maximum decrease in supine DBP >=20 mmHg | 2 | 0 | 1 |
Clinical assessment of neurologic functions included cranial nerve function, coordination, deep tendon reflexes, muscle strength, and reflexes (left and right ankles). Clinical importance of neurologic function changes was determined by the investigator.
| participants | PF-04447943 5 mg BID | PF-04447943 25 mg BID | Placebo |
|---|---|---|---|
| Number of Participants With Potentially Clinically Important (PCI) Change From Baseline in Neurologic Function | 0 | 0 | 0 |
Physical examination included head, ears, eyes, nose, mouth, skin, heart and lung examinations, lymph nodes, gastrointestinal, musculoskeletal, and neurological systems. Clinical importance of physical examination changes was determined by the investigator.
| participants | PF-04447943 5 mg BID | PF-04447943 25 mg BID | Placebo |
|---|---|---|---|
| Number of Participants With Potentially Clinically Important (PCI) Change in Physical Examination Findings | 0 | 0 | 0 |
Maximum absolute values and increases from baseline were summarized for PR interval (time from the beginning of P wave to the start of QRS complex, corresponding to the end of atrial depolarization and onset of ventricular depolarization), QRS complex (time from Q wave to the end of S wave, corresponding to ventricle depolarization), and QTcF interval (time from the beginning of Q wave to the end of T wave corresponding to electrical systole corrected for heart rate using Fridericia's formula). Number of participants with ECG findings meeting the following criteria is presented: (1) PR interval \>=300 msec; (2) QRS complex \>=200 msec; (3) QTcF interval: 450 to \<480 msec; (4) QTcF interval: 480 to \<500 msec; (5) QTcF interval \>=500 msec; (6) PR interval percent increase from baseline \>=25/50 percent; (7) QRS complex percent increase from baseline \>=25/50 percent; (8) QTcF interval increase from baseline: 30 to \<60 msec; (9) QTcF interval increase from baseline \>=60 msec.
| participants | PF-04447943 5 mg BID | PF-04447943 25 mg BID | Placebo |
|---|---|---|---|
| Maximum PR interval >=300 msec | 0 | 0 | 0 |
| Maximum QRS complex >=200 msec | 0 | 0 | 0 |
| Maximum QTcF interval: 450 to <480 msec | 0 | 3 | 2 |
| Maximum QTcF interval: 480 to <500 msec | 0 | 0 | 1 |
| Maximum QTcF interval: >=500 msec | 0 | 0 | 0 |
| PR interval increase >=25/50 percent | 0 | 0 | 0 |
| QRS complex increase >=25/50 percent | 0 | 0 | 0 |
| QTcF interval increase: 30 to <60 msec | 0 | 1 | 0 |
| QTcF interval increase >=60 msec | 0 | 0 | 0 |
The following symptoms were assessed: anemia; fatigue; chronic pain; acute pain; infections; fever; swelling hands; swelling feet; abdominal swelling; pale skin; pale nail beds; yellow tint to skin; whites of eyes turned yellow; stroke. Number of participants with changes from baseline deemed potentially clinically important by the investigator is presented.
| participants | PF-04447943 5 mg BID | PF-04447943 25 mg BID | Placebo |
|---|---|---|---|
| Number of Participants With Potentially Clinically Important (PCI) Change From Baseline in Symptoms of Sickle Cell Disease | 0 | 0 | 0 |
An adverse event (AE) was any untoward medical occurrence in a clinical investigation participant administered a product or medical device, regardless of its causal relationship with study treatment. Serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; was life-threatening (immediate risk of death); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent AEs are events between first dose of study drug and up to follow-up visit (30 days post last dose on Day 29) that were absent before treatment or that worsened after treatment. AEs included both serious and non-serious AEs.
| participants | PF-04447943 5 mg BID | PF-04447943 25 mg BID | Placebo |
|---|---|---|---|
| AEs | 7 | 13 | 7 |
| SAEs | 2 | 1 | 0 |
| Withdrawal due to TEAEs | 0 | 1 | 0 |
The laboratory test included: hematology (hemoglobin, hematocrit, red blood cell count, mean corpuscular volume, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration, platelet count, white blood cell count, absolute total neutrophils, eosinophils, monocytes, basophils, and lymphocytes), chemistry (blood urea nitrogen/urea, serum creatinine, fasting glucose, calcium, sodium, potassium, chloride, total carbon dioxide, aspartate aminotransferase, alanine aminotransferase, total bilirubin, alkaline phosphatase, uric acid, albumin, total protein, and high sensitivity C-reactive protein), urinalysis (pH, qualitative glucose, qualitative protein, qualitative blood, ketones, nitrites, leukocyte esterase, urobilinogen, urine bilirubin, and microscopy), and other tests (follicle stimulating hormone and serum human chorionic gonadotropin, urine drug screening). Abnormality was determined by the investigator.
| participants | PF-04447943 5 mg BID | PF-04447943 25 mg BID | Placebo |
|---|---|---|---|
| Number of Participants With Laboratory Test Abnormalities | 7 | 15 | 7 |
AUC(0-12h) referred to area under the plasma concentration-time curve from 0 to 12 hours post dose.
| nanogram*hour/milliliter | PF-04447943 5 mg BID | PF-04447943 25 mg BID |
|---|---|---|
| Area Under the Curve From Time Zero to 12 Hours Post Dose (AUC(0-12h)) of PF-04447943 | 242.0 ± 35 | 1170 ± 29 |
| ng/mL | PF-04447943 5 mg BID | PF-04447943 25 mg BID |
|---|---|---|
| Maximum Observed Plasma Concentration (Cmax) of PF-04447943 | 45.83 ± 39 | 248.2 ± 31 |
| hours | PF-04447943 5 mg BID | PF-04447943 25 mg BID |
|---|---|---|
| Time for Maximum Observed Plasma Concentration (Tmax) of PF-04447943 | 1.92 (1.00 to 4.00) | 1.00 (0.500 to 4.05) |
Collected over Day 1 to follow-up visit (30 days post last dose on Day 29). Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| PF-04447943 5 mg BID | — | 2/7 (28.6%) | 7/7 (100%) |
| PF-04447943 25 mg BID | — | 1/15 (6.7%) | 13/15 (86.7%) |
| Placebo | — | 0/7 (0%) | 7/7 (100%) |
| Event | PF-04447943 5 mg BID | PF-04447943 25 mg BID | Placebo |
|---|---|---|---|
| Sickle cell anaemia with crisisBlood and lymphatic system disorders | 1/7 | 1/15 | 0/7 |
| Biliary colicHepatobiliary disorders | 1/7 | 0/15 | 0/7 |
| PneumoniaInfections and infestations | 0/7 | 1/15 | 0/7 |
| Event | PF-04447943 5 mg BID | PF-04447943 25 mg BID | Placebo |
|---|---|---|---|
| HeadacheNervous system disorders | 4/7 | 5/15 | 2/7 |
| FatigueGeneral disorders | 2/7 | 6/15 | 2/7 |
| Abdominal distensionGastrointestinal disorders | 1/7 | 0/15 | 2/7 |
| Abdominal pain upperGastrointestinal disorders | 2/7 | 0/15 | 0/7 |
| NauseaGastrointestinal disorders | 0/7 | 1/15 | 2/7 |
| DizzinessNervous system disorders | 0/7 | 3/15 | 0/7 |
| Sickle cell anaemia with crisisBlood and lymphatic system disorders | 0/7 | 1/15 | 1/7 |
| ConstipationGastrointestinal disorders | 1/7 | 0/15 | 0/7 |
| DyspepsiaGastrointestinal disorders | 1/7 | 0/15 | 0/7 |
| VomitingGastrointestinal disorders | 0/7 | 0/15 | 1/7 |
Baseline analysis population included all participants who were randomized.
| Age, Continuous(years) | PF-04447943 5 mg BID | PF-04447943 25 mg BID | Placebo | Total |
|---|---|---|---|---|
| Mean | 37.9 ± 10.6 | 36.3 ± 11.0 | 39.4 ± 14.0 | 37.4 ± 11.3 |
| Sex: Female, Male(Participants) | PF-04447943 5 mg BID | PF-04447943 25 mg BID | Placebo | Total |
|---|---|---|---|---|
| Female | 3 | 10 | 5 | 18 |
| Male | 4 | 6 | 2 | 12 |
This study is completed, as verified in Jul 2017. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Pfizer