A Phase 1 interventional study of PF06263276 and Vehicle in Psoriasis Vulgaris, sponsored by Pfizer. Completed at 1 site in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-06-09.
Sponsored by Pfizer · Phase 1, Interventional, and Treatment
This is a vehicle and comparator controlled Proof of Mechanism (PoM) trial to evaluate the effect on psoriasis disease activity and safety of topically applied PF 06263276 in subjects with psoriasis vulgaris.
1,928 studies on the registry are indexed under Psoriasis; 234 are open to participants now.
This study's enrollment of 15 is below the median of 70 across 1,472 interventional studies indexed under Psoriasis.
Browse Psoriasis studies →Pfizer is the lead sponsor of 3,323 studies on the registry; 145 are open to participants now.
Of its 597 completed or terminated interventional studies of FDA-regulated products, 391 (65%) have results posted.
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Study treatments 1-6 Study drug, vehicle, Tofacitinib, vehicle, Daivonex solution and ointment
Drug: PF06263276 · Other: Vehicle · Drug: 2%Tofacitinib Ointment · Drug: Daivonex · Drug: Daivonex Ointment
4% PF 06263276 solution Daily dosage: approximately 8 mg PF 06263276 QD
Active ingredient-free vehicle to 4% solution
Daily Dosage: approximately 4 mg tofacitinib
Active ingredient-free vehicle to 2% Ointment
Daivonex solution (50 ug/ml Calcipotriol) Daily Dosage of calcipotriol: approximately 0.01 mg
Daivonex ointment (50 ug/g Calcipotriol) Daily Dosage of calcipotriol: approximately 0.01 mg
Change From Baseline in Psoriatic Skin Thickness/Echo-Poor Band (EPB) for PF-06263276 4% Solution in Comparison to Corresponding Vehicle at Day 12
Psoriatic skin thickness was measured using a 20 megahertz (MHz) high frequency sonograph. Serial A-scans were composed and presented on a monitor as a section of the skin.
Time frame: Day 1 (Baseline), Day 12
Change From Baseline in Psoriatic Skin Thickness/EPB for PF-06263276 4% Solution in Comparison to Daivonex Solution at Day 12
Time frame: Day 1 (Baseline), Day 12
Change From Baseline in Psoriatic Skin Thickness/EPB for Tofacitinib 2% Ointment in Comparison to Corresponding Vehicle at Day 12
Time frame: Day 1 (Baseline), Day 12
Change From Baseline in Psoriatic Skin Thickness/EPB at Day 8
Time frame: Day 1 (Baseline), Day 8
Area Under the Curve (AUC) of Psoriatic Skin Thickness/EPB
The AUC of psoriatic skin thickness/EPB from Day 1 to Day 12 was determined using the linear trapezoidal rule. The mean raw values are reported.
Time frame: Day 1 (baseline) up to Day 12
Global Clinical Assessment at Day 1, 8 and 12
Global Clinical Assessment of the test fields was performed by visual examination using a 5-point score (-1=worsened; 0=unchanged \[no effect\]; 1=slight improvement; 2=clear improvement but not completely healed; 3=completely healed). Clinically apparent differences in erythema and infiltration will contribute to this global assessment. At baseline (Day 1), the score was documented as "0" (unchanged).
Time frame: Day 1, Day 8, Day 12
Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs): Specified Skin AEs
An AE was any untoward medical occurrence in a participant who received study drug. 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 are events 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. AEs included both SAEs and non-SAEs. The number of participants with specified skin AEs was reported.
Time frame: Baseline up to 28 days after last study drug administration (Day 21)
Number of Participants With Laboratory Abnormalities Meeting the Criteria for Potential Clinical Concern
The following laboratory parameters were analyzed: hematology (hemoglobin, hematocrit, red blood cell \[RBC\] count, RBC morphology, platelet count, white blood cell \[WBC\] count, total neutrophils, eosinophils, monocytes, basophils, lymphocytes); blood chemistry (blood urea nitrogen \[BUN\], creatinine, glucose, calcium, sodium, potassium, chloride, total bicarbonate, aspartate aminotransferase \[AST\], alanine aminotransferase \[ALT\], total bilirubin, alkaline phosphatase, uric acid, albumin, and total protein; urinalysis (pH, glucose, protein, blood, ketones, nitrites, leukocyte esterase, urobilinogen, urine bilirubin, microscopy \[if urine dipstick was positive for blood, protein, nitrites or leukocyte esterase\]); others (e.g., urine human chorionic gonadotropin \[hCG\] for females of childbearing potential).
Time frame: Baseline up to Day 12
Number of Participants With Potentially Clinically Significant Vital Signs Findings
Vital signs assessment included pulse rate and blood pressure. Criteria for vital sign values meeting potential clinical concern included: supine/sitting pulse rate \<40 or \>120 beats per minute (bpm), standing pulse rate \<40 or \>140 bpm; systolic blood pressure (SBP) \>=30 millimeters of mercury (mmHg) change from baseline in same posture or SBP \<90 mmHg, diastolic blood pressure (DBP) \>=20 mmHg change from baseline in same posture or DBP \<50 mmHg.
Time frame: Baseline up to Day 12
| Milestone | All Participants |
|---|---|
| Started | 15 |
| Completed | 15 |
| Not completed | 0 |
Psoriatic skin thickness was measured using a 20 megahertz (MHz) high frequency sonograph. Serial A-scans were composed and presented on a monitor as a section of the skin.
| micrometers | PF-06263276 4% Solution | PF-06263276 Vehicle |
|---|---|---|
| Baseline | 358.9 ± 132.84 | 353.1 ± 121.03 |
| Change at Day 12 | 17.7 ± 91.10 | 32.9 ± 96.72 |
| micrometers | PF-06263276 4% Solution | Daivonex Solution |
|---|---|---|
| Change From Baseline in Psoriatic Skin Thickness/EPB for PF-06263276 4% Solution in Comparison to Daivonex Solution at Day 12 | 17.7 ± 91.10 | -135.5 ± 114.27 |
| micrometers | Tofacitinib 2% Ointment | Tofacitinib Vehicle |
|---|---|---|
| Baseline | 364.1 ± 135.82 | 357.3 ± 135.60 |
| Change at Day 12 | -117.8 ± 115.15 | 0.1 ± 95.04 |
| micrometers | PF-06263276 4% Solution | PF-06263276 Vehicle | Tofacitinib 2% Ointment | Tofacitinib Vehicle | Daivonex Solution | Daivonex Ointment |
|---|---|---|---|---|---|---|
| Baseline | 358.9 ± 132.84 | 353.1 ± 121.03 | 364.1 ± 135.82 | 357.3 ± 135.60 | 376.1 ± 148.44 | 364.1 ± 124.35 |
| Change at Day 8 | 18.0 ± 86.37 | 38.5 ± 65.45 | -90.5 ± 84.11 | 15.1 ± 104.55 | -98.8 ± 127.18 | -104.7 ± 65.83 |
The AUC of psoriatic skin thickness/EPB from Day 1 to Day 12 was determined using the linear trapezoidal rule. The mean raw values are reported.
| micrometers*day | PF-06263276 4% Solution | PF-06263276 Vehicle | Tofacitinib 2% Ointment | Tofacitinib Vehicle | Daivonex Solution | Daivonex Ointment |
|---|---|---|---|---|---|---|
| Area Under the Curve (AUC) of Psoriatic Skin Thickness/EPB | 4082.60 ± 1726.167 | 4161.40 ± 1436.733 | 3271.93 ± 1210.138 | 4013.07 ± 1465.339 | 3322.40 ± 1663.668 | 3165.47 ± 1113.937 |
Global Clinical Assessment of the test fields was performed by visual examination using a 5-point score (-1=worsened; 0=unchanged \[no effect\]; 1=slight improvement; 2=clear improvement but not completely healed; 3=completely healed). Clinically apparent differences in erythema and infiltration will contribute to this global assessment. At baseline (Day 1), the score was documented as "0" (unchanged).
| participants | PF-06263276 4% Solution | PF-06263276 Vehicle | Tofacitinib 2% Ointment | Tofacitinib Vehicle | Daivonex Solution | Daivonex Ointment |
|---|---|---|---|---|---|---|
| Day 1: Score -1 | 0 | 0 | 0 | 0 | 0 | 0 |
| Day 1: Score 0 | 15 | 15 | 15 | 15 | 15 | 15 |
| Day 1: Score 1 | 0 | 0 | 0 | 0 | 0 | 0 |
| Day 1: Score 2 | 0 | 0 | 0 | 0 | 0 | 0 |
| Day 1: Score 3 | 0 | 0 | 0 | 0 | 0 | 0 |
| Day 8: Score -1 | 0 | 0 | 0 | 0 | 1 | 0 |
| Day 8: Score 0 | 13 | 15 | 4 | 14 | 1 | 1 |
| Day 8: Score 1 | 2 | 0 | 8 | 0 | 9 | 6 |
| Day 8: Score 2 | 0 | 0 | 3 | 1 | 4 | 8 |
| Day 8: Score 3 | 0 | 0 | 0 | 0 | 0 | 0 |
| Day 12: Score -1 | 0 | 0 | 0 | 0 | 1 | 1 |
| Day 12: Score 0 | 13 | 15 | 4 | 11 | 1 | 2 |
| Day 12: Score 1 | 2 | 0 | 8 | 3 | 6 | 4 |
| Day 12: Score 2 | 0 | 0 | 3 | 1 | 7 | 8 |
| Day 12: Score 3 | 0 | 0 | 0 | 0 | 0 | 0 |
An AE was any untoward medical occurrence in a participant who received study drug. 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 are events 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. AEs included both SAEs and non-SAEs. The number of participants with specified skin AEs was reported.
| participants | PF-06263276 4% Solution | PF-06263276 Vehicle | Tofacitinib 2% Ointment | Tofacitinib Vehicle | Daivonex Solution | Daivonex Ointment |
|---|---|---|---|---|---|---|
| Specified Skin AEs | 0 | 0 | 0 | 0 | 0 | 2 |
| Specified Skin SAEs | 0 | 0 | 0 | 0 | 0 | 0 |
The following laboratory parameters were analyzed: hematology (hemoglobin, hematocrit, red blood cell \[RBC\] count, RBC morphology, platelet count, white blood cell \[WBC\] count, total neutrophils, eosinophils, monocytes, basophils, lymphocytes); blood chemistry (blood urea nitrogen \[BUN\], creatinine, glucose, calcium, sodium, potassium, chloride, total bicarbonate, aspartate aminotransferase \[AST\], alanine aminotransferase \[ALT\], total bilirubin, alkaline phosphatase, uric acid, albumin, and total protein; urinalysis (pH, glucose, protein, blood, ketones, nitrites, leukocyte esterase, urobilinogen, urine bilirubin, microscopy \[if urine dipstick was positive for blood, protein, nitrites or leukocyte esterase\]); others (e.g., urine human chorionic gonadotropin \[hCG\] for females of childbearing potential).
| participants | All Participants |
|---|---|
| Number of Participants With Laboratory Abnormalities Meeting the Criteria for Potential Clinical Concern | 6 |
Vital signs assessment included pulse rate and blood pressure. Criteria for vital sign values meeting potential clinical concern included: supine/sitting pulse rate \<40 or \>120 beats per minute (bpm), standing pulse rate \<40 or \>140 bpm; systolic blood pressure (SBP) \>=30 millimeters of mercury (mmHg) change from baseline in same posture or SBP \<90 mmHg, diastolic blood pressure (DBP) \>=20 mmHg change from baseline in same posture or DBP \<50 mmHg.
| participants | All Participants |
|---|---|
| SBP <90 mmHg | 0 |
| DBP <50 mmHg | 0 |
| Pulse Rate <40 or >120 bpm | 0 |
| Maximum Increase from Baseline in SBP >=30 mmHg | 0 |
| Maximum Increase from Baseline in DBP >=20 mmHg | 0 |
Collected over Baseline up to 28 days after last study drug administration (Day 21). Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| All Participants | — | 0/15 (0%) | 3/15 (20%) |
| Event | All Participants |
|---|---|
| BlisterSkin and subcutaneous tissue disorders | 2/15 |
| NauseaGastrointestinal disorders | 1/15 |
| Facial painGeneral disorders | 1/15 |
| DizzinessNervous system disorders | 1/15 |
| DermatitisSkin and subcutaneous tissue disorders | 1/15 |
| ErythemaSkin and subcutaneous tissue disorders | 1/15 |
The safety population included all enrolled participants who received at least 1 dose of investigational product.
| Age, Continuous(years) | All Participants |
|---|---|
| Mean | 50.4 ± 8.8 |
| Sex: Female, Male(Participants) | All Participants |
|---|---|
| Female | 2 |
| Male | 13 |
This study is completed, as verified in May 2016. You cannot join it, but the record below documents what was studied.
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