A Phase 1 interventional study of PF-06293620 and Placebo in Type 2 Diabetes Mellitus, sponsored by Pfizer. Completed at 7 sites in United States. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2018-10-16.
Sponsored by Pfizer · Phase 1, Interventional, and Basic science
A first in human study to determine the safety, tolerability and pharmacokinetics of single and multiple ascending doses of PF-06293620 in subjects with Type 2 Diabetes Mellitus
10,925 studies on the registry are indexed under Diabetes Mellitus; 1,319 are open to participants now.
This study's enrollment of 84 is close to the median of 80 across 8,367 interventional studies indexed under Diabetes Mellitus.
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Exclusion Criteria:
Single Ascending Dose PF-06293620 or placebo
Biological: PF-06293620 · Biological: Placebo
Single Ascending Dose PF-06293620 or placebo
Biological: PF-06293620 · Biological: Placebo
Single Ascending Dose PF-06293620 or placebo
Biological: PF-06293620 · Biological: Placebo
Single Ascending Dose PF-06293620 or placebo
Biological: PF-06293620 · Biological: Placebo
Single Ascending Dose PF-06293620 or placebo
Biological: PF-06293620 · Biological: Placebo
Multiple Ascending Dose PF-06293620 or placebo
Biological: PF-06293620 · Biological: Placebo
Multiple Ascending Dose PF-06293620 or placebo
Biological: PF-06293620 · Biological: Placebo
Multiple Ascending Dose PF-06293620 or placebo
Biological: PF-06293620 · Biological: Placebo
Multiple Ascending Dose PF-06293620 or placebo
Biological: PF-06293620 · Biological: Placebo
subcutaneous, single dose 0.3 mg/kg
Subcutaneous normal saline single dose
Subcutaneous, single dose 1.0 mg/kg
Subcutaneous normal saline single dose
Subcutaneous single dose 3 mg/kg
Subcutaneous normal saline single dose
Subcutaneous single dose 6 mg/kg
Subcutaneous normal saline single dose
Intravenous infusion single dose 1 mg/kg
Intravenous infusion normal saline single dose
Subcutaneous injection multiple dose 75 mg (Days 1, 29 and 57)
Subcutaneous injection normal saline multiple dose (Days 1, 29 and 57)
Subcutaneous injection multiple dose 150 mg (Days 1, 29 and 57)
Subcutaneous injection normal saline multiple dose (Days 1, 29 and 57)
Subcutaneous injection multiple dose 250 mg (Days 1, 29 and 57)
Subcutaneous injection normal saline multiple dose (Days 1, 29 and 57)
Subcutaneous injection multiple dose TBD mg (Days TBD)
Subcutaneous injection normal saline multiple dose (Days TBD)
Number of Participants With All-Causality and Treatment Related Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events
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 Day 85 (for SAD cohorts) or Day 169 (for MAD cohorts) that were absent before treatment or that worsened after treatment. AEs included both serious and non-serious AEs. Causality with the study treatment was determined by the investigator.
Time frame: Days 1 to 85 for SAD cohorts and Days 1 to 169 for MAD cohorts; participants with positive anti-drug antibody (ADA) results were followed up to stabilization of ADA titers or up to 9 months after Day 169 visit.
Number of Participants With Dose Limiting or Intolerable Adverse Events
Dose limiting or intolerable AEs were originally planned to be collected. However, this outcome measure was not actually summarized, since collection and monitoring of treatment-emergent AEs was performed during the study, and deemed sufficient to ensure the participants safety.
Time frame: Days 1 to 85 for SAD cohorts; Days 1 to 169 for MAD Cohorts
Number of Participants With Positive Anti-drug Antibody (ADA) Result
ADA against PF-06293620 in human serum samples was determined following a tiered approach using screening, confirmation, and titer/quantification by semi-quantitative enzyme linked immunosorbent assay (ELISA). Endpoint titer \>=1.88 was considered positive.
Time frame: Days 1 to 85 for SAD cohorts; Days 1 to 169 for MAD Cohorts
Area Under the Serum Concentration-Time Profile From Time 0 Extrapolated to Infinite Time (AUCinf) of PF-06293620 (SAD Cohorts)
AUCinf was calculated as AUClast +(Clast\*/kel), where AUClast is area under the serum concentration-time profile from time 0 to the time of the last quantifiable concentration, Clast\* is the predicted serum concentration at the last quantifiable time point estimated from the log-linear regression analysis, kel is the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve. Only those data points judged to describe the terminal log-linear decline were used in the regression.
Time frame: Pre-dose, 1, 4, 8 and 12 hours post-dose on Day 1; 24 and 36 hours post-dose on Day 2; Days 3, 4, 5, 8, 15, 22, 29, 43, 57, 85
Dose-normalized AUCinf (AUCinf(dn)) of PF-06293620 (SAD Cohorts)
AUCinf(dn) was calculated as AUCinf/dose, where AUCinf is area under the serum concentration-time profile from time 0 extrapolated to infinite time.
Time frame: Pre-dose, 1, 4, 8 and 12 hours post-dose on Day 1; 24 and 36 hours post-dose on Day 2; Days 3, 4, 5, 8, 15, 22, 29, 43, 57, 85
Area Under the Serum Concentration-Time Profile From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of PF-06293620 (SAD Cohorts)
Area under the serum concentration-time profile from time 0 to the time of the last quantifiable concentration (AUClast) of PF-06293620 was determined using linear/log trapezoidal method.
Time frame: Pre-dose, 1, 4, 8 and 12 hours post-dose on Day 1; 24 and 36 hours post-dose on Day 2; Days 3, 4, 5, 8, 15, 22, 29, 43, 57, 85
Dose-normalized AUClast (AUClast(dn)) of PF-06293620 (SAD Cohorts)
AUClast(dn) of PF-06293620 was calculated as AUClast/dose, where AUClast was area under the serum concentration-time profile from time 0 to the time of the last quantifiable concentration.
Time frame: Pre-dose, 1, 4, 8 and 12 hours post-dose on Day 1; 24 and 36 hours post-dose on Day 2; Days 3, 4, 5, 8, 15, 22, 29, 43, 57, 85
Clearance (CL) of PF-06293620 (SAD Cohorts)
Clearance (CL) was calculated as dose/AUCinf, where AUCinf was area under the serum concentration-time profile from time 0 extrapolated to infinite time. This outcome measure only applies to IV arms.
Time frame: Pre-dose, 1, 4, 8 and 12 hours post-dose on Day 1; 24 and 36 hours post-dose on Day 2; Days 3, 4, 5, 8, 15, 22, 29, 43, 57, 85
Apparent Clearance (CL/F) of PF-06293620 (SAD Cohorts)
Apparent Clearance (CL/F) of PF-06293620 was calculated as dose/AUCinf, where AUCinf was area under the serum concentration-time profile from time 0 extrapolated to infinite time. This outcome measure only applies to SC arms.
Time frame: Pre-dose, 1, 4, 8 and 12 hours post-dose on Day 1; 24 and 36 hours post-dose on Day 2; Days 3, 4, 5, 8, 15, 22, 29, 43, 57, 85
Maximum Serum Concentration (Cmax) of PF-06293620 (SAD Cohorts)
Maximum serum concentration (Cmax) of PF-06293620 was observed directly from data.
Time frame: Pre-dose, 1, 4, 8 and 12 hours post-dose on Day 1; 24 and 36 hours post-dose on Day 2; Days 3, 4, 5, 8, 15, 22, 29, 43, 57, 85
Time for Maximum Serum Concentration (Tmax) of PF-06293620 (SAD Cohorts)
Time for Maximum serum concentration (Tmax) of PF-06293620 was observed directly from data as time of first occurrence.
Time frame: Pre-dose, 1, 4, 8 and 12 hours post-dose on Day 1; 24 and 36 hours post-dose on Day 2; Days 3, 4, 5, 8, 15, 22, 29, 43, 57, 85
Steady-state Volume of Distribution (Vss) of PF-06293620 (SAD Cohorts)
Steady-state volume of distribution (Vss) of PF-06293620 was calculated as CL\*MRT, where MRT was the mean residence time calculated as (AUMCinf/AUCinf - infusion duration/2), AUMCinf was area under the moment curve from time 0 extrapolated to infinity; CL was the clearance. This outcome measure only applies to IV arms.
Time frame: Pre-dose, 1, 4, 8 and 12 hours post-dose on Day 1; 24 and 36 hours post-dose on Day 2; Days 3, 4, 5, 8, 15, 22, 29, 43, 57, 85
Apparent Volume of Distribution (Vz/F) of PF-06293620 (SAD Cohorts)
Apparent Volume of Distribution (Vz/F) of PF-06293620 was calculated as dose/(AUCinf\*kel), where AUCinf was area under the serum concentration-time profile from time 0 extrapolated to infinite time, kel was the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve. This outcome measure only applies to SC arms.
Time frame: Pre-dose, 1, 4, 8 and 12 hours post-dose on Day 1; 24 and 36 hours post-dose on Day 2; Days 3, 4, 5, 8, 15, 22, 29, 43, 57, 85
Terminal Elimination Half-life (Thalf) of PF-06293620 (SAD Cohorts)
Terminal elimination half-life (Thalf) of PF-06293620 was calculated as ln(2)/kel, where kel was the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve. Only those data points judged to describe the terminal log-linear decline were used in the regression.
Time frame: Pre-dose, 1, 4, 8 and 12 hours post-dose on Day 1; 24 and 36 hours post-dose on Day 2; Days 3, 4, 5, 8, 15, 22, 29, 43, 57, 85
Area Under the Concentration-Time Profile From Time 0 to Time Tau (AUCtau) of PF-06293620 (MAD Cohorts) After Day 1 and Day 57 Administration
Tau refers to the dosing interval, which was 4 weeks (672 hours). Area under the concentration-time profile from time 0 to time tau (AUCtau) was determined using linear/log trapezoidal method.
Time frame: Pre-dose, 1 and 4 hours post-dose on Day 1; Days 2, 3, 7, 8, 15, 27, 28; pre-dose, 1 and 4 hours post-dose on Day 29; Days 36, 43; pre-dose, 1 and 4 hours post-dose on Day 57; Days 58, 59, 63, 64, 71, 78, 84, 85, 99, 113, 141, 169
Maximum Serum Concentration (Cmax) of PF-06293620 (MAD Cohorts) After Day 1 and Day 57 Administration
Time frame: Pre-dose, 1 and 4 hours post-dose on Day 1; Days 2, 3, 7, 8, 15, 27, 28; pre-dose, 1 and 4 hours post-dose on Day 29; Days 36, 43; pre-dose, 1 and 4 hours post-dose on Day 57; Days 58, 59, 63, 64, 71, 78, 84, 85, 99, 113, 141, 169
Average Concentration (Cav) of PF-06293620 (MAD Cohorts) After Day 1 and Day 57 Administration
Average Concentration (Cav) of PF-06293620 was calculated as AUCtau/tau, where AUCtau was area under the concentration-time profile from time 0 to time tau, and tau was the dosing interval, 4 weeks (672 hours).
Time frame: Pre-dose, 1 and 4 hours post-dose on Day 1; Days 2, 3, 7, 8, 15, 27, 28; pre-dose, 1 and 4 hours post-dose on Day 29; Days 36, 43; pre-dose, 1 and 4 hours post-dose on Day 57; Days 58, 59, 63, 64, 71, 78, 84, 85, 99, 113, 141, 169
Lowest Concentration Observed During the Dosing Interval (Cmin) of PF-06293620 (MAD Cohorts) After Day 57 Administration
Time frame: Pre-dose, 1 and 4 hours post-dose on Day 57; Days 58, 59, 63, 64, 71, 78, 84, 85, 99, 113, 141, 169
Time for Maximum Serum Concentration (Tmax) of PF-06293620 (MAD Cohorts) After Day 1 and Day 57 Administration
Time for maximum serum concentration (Tmax) of PF-06293620 was observed directly from data as time of first occurrence.
Time frame: Pre-dose, 1 and 4 hours post-dose on Day 1; Days 2, 3, 7, 8, 15, 27, 28; pre-dose, 1 and 4 hours post-dose on Day 29; Days 36, 43; pre-dose, 1 and 4 hours post-dose on Day 57; Days 58, 59, 63, 64, 71, 78, 84, 85, 99, 113, 141, 169
Apparent Clearance (CL/F) of PF-06293620 (MAD Cohorts) After Day 57 Administration
Apparent clearance (CL/F) of PF-06293620 was calculated as dose/AUCtau, where AUCtau was area under the concentration-time profile from time 0 to time tau, and tau was the dosing interval, 4 weeks (672 hours).
Time frame: Pre-dose, 1 and 4 hours post-dose on Day 57; Days 58, 59, 63, 64, 71, 78, 84, 85, 99, 113, 141, 169
Apparent Volume of Distribution (Vz/F) of PF-06293620 (MAD Cohorts) After Day 57 Administration
Apparent volume of distribution (Vz/F) of PF-06293620 was calculated as dose/(AUCtau/kel), where AUCtau was area under the concentration-time profile from time 0 to time tau, and tau was the dosing interval, 4 weeks (672 hours); and kel was the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve. Only those data points judged to describe the terminal log-linear decline were used in the regression.
Time frame: Pre-dose, 1 and 4 hours post-dose on Day 57; Days 58, 59, 63, 64, 71, 78, 84, 85, 99, 113, 141, 169
Terminal Elimination Half-life (Thalf) of PF-06293620 (MAD Cohorts) After Day 57 Administration
Terminal elimination half-life (Thalf) of PF-06293620 was calculated as ln(2)/kel, where kel was the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve. Only those data points judged to describe the terminal log-linear decline were used in the regression.
Time frame: Pre-dose, 1 and 4 hours post-dose on Day 57; Days 58, 59, 63, 64, 71, 78, 84, 85, 99, 113, 141, 169
Observed Accumulation Ratio Based on AUC (Rac) of PF-06293620 (MAD Cohorts)
Observed accumulation ratio based on AUC (Rac) of PF-06293620 was calculated as AUCtau(Day57)/AUCtau(Day1).
Time frame: Pre-dose, 1 and 4 hours post-dose on Day 1; Days 2, 3, 7, 8, 15, 27, 28; pre-dose, 1 and 4 hours post-dose on Day 29; Days 36, 43; pre-dose, 1 and 4 hours post-dose on Day 57; Days 58, 59, 63, 64, 71, 78, 84, 85, 99, 113, 141, 169
Observed Accumulation Ratio Based on Cmax (Rac,Cmax) of PF-06293620 (MAD Cohorts)
Observed accumulation ratio based on Cmax (Rac,Cmax) of PF-06293620 was calculated as Cmax(Day57)/Cmax(Day1).
Time frame: Pre-dose, 1 and 4 hours post-dose on Day 1; Days 2, 3, 7, 8, 15, 27, 28; pre-dose, 1 and 4 hours post-dose on Day 29; Days 36, 43; pre-dose, 1 and 4 hours post-dose on Day 57; Days 58, 59, 63, 64, 71, 78, 84, 85, 99, 113, 141, 169
| Milestone | Placebo SC (SAD Cohorts) | PF-06293620 0.3 mg/kg SC (SAD Cohorts) | PF-06293620 1.0 mg/kg SC (SAD Cohorts) | PF-06293620 3.0 mg/kg SC (SAD Cohorts) | PF-06293620 6.0 mg/kg SC (SAD Cohorts) | Placebo IV (SAD Cohorts) | PF-06293620 1.0 mg/kg IV (SAD Cohorts) | Placebo SC (MAD Cohorts) | PF-06293620 50 mg SC (MAD Cohorts) | PF-06293620 75 mg SC (MAD Cohorts) | PF-06293620 150 mg SC (MAD Cohorts) |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Started | 9 | 6 | 6 | 6 | 9 | 2 | 6 | 8 | 8 | 16 | 8 |
| Completed | 9 | 6 | 5 | 6 | 7 | 1 | 6 | 7 | 8 | 14 | 8 |
| Not completed | 0 | 0 | 1 | 0 | 2 | 1 | 0 | 1 | 0 | 2 | 0 |
| Withdrew: Withdrawal by subject | 0 | 0 | 1 | 0 | 2 | 0 | 0 | 0 | 0 | 0 | 0 |
| Withdrew: Other | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 2 | 0 |
| Withdrew: Lost to follow-up | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 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 Day 85 (for SAD cohorts) or Day 169 (for MAD cohorts) that were absent before treatment or that worsened after treatment. AEs included both serious and non-serious AEs. Causality with the study treatment was determined by the investigator.
| participants | Placebo SC (SAD Cohorts) | PF-06293620 0.3 mg/kg SC (SAD Cohorts) | PF-06293620 1.0 mg/kg SC (SAD Cohorts) | PF-06293620 3.0 mg/kg SC (SAD Cohorts) | PF-06293620 6.0 mg/kg SC (SAD Cohorts) | Placebo IV (SAD Cohorts) | PF-06293620 1.0 mg/kg IV (SAD Cohorts) | Placebo SC (MAD Cohorts) | PF-06293620 50 mg SC (MAD Cohorts) | PF-06293620 75 mg SC (MAD Cohorts) | PF-06293620 150 mg SC (MAD Cohorts) |
|---|---|---|---|---|---|---|---|---|---|---|---|
| All-causality AE | 5 | 3 | 3 | 5 | 5 | 0 | 3 | 4 | 4 | 11 | 8 |
| All-causality SAE | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 2 |
| Treatment-related AE | 1 | 0 | 0 | 3 | 3 | 0 | 1 | 1 | 1 | 4 | 5 |
| Treatment-related SAE | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Dose limiting or intolerable AEs were originally planned to be collected. However, this outcome measure was not actually summarized, since collection and monitoring of treatment-emergent AEs was performed during the study, and deemed sufficient to ensure the participants safety.
No measurements were reported for this outcome.
ADA against PF-06293620 in human serum samples was determined following a tiered approach using screening, confirmation, and titer/quantification by semi-quantitative enzyme linked immunosorbent assay (ELISA). Endpoint titer \>=1.88 was considered positive.
| participants | Placebo SC (SAD Cohorts) | PF-06293620 0.3 mg/kg SC (SAD Cohorts) | PF-06293620 1.0 mg/kg SC (SAD Cohorts) | PF-06293620 3.0 mg/kg SC (SAD Cohorts) | PF-06293620 6.0 mg/kg SC (SAD Cohorts) | Placebo IV (SAD Cohorts) | PF-06293620 1.0 mg/kg IV (SAD Cohorts) | Placebo SC (MAD Cohorts) | PF-06293620 50 mg SC (MAD Cohorts) | PF-06293620 75 mg SC (MAD Cohorts) | PF-06293620 150 mg SC (MAD Cohorts) |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Number of Participants With Positive Anti-drug Antibody (ADA) Result | 1 | 5 | 2 | 1 | 2 | 0 | 1 | 0 | 5 | 7 | 4 |
AUCinf was calculated as AUClast +(Clast\*/kel), where AUClast is area under the serum concentration-time profile from time 0 to the time of the last quantifiable concentration, Clast\* is the predicted serum concentration at the last quantifiable time point estimated from the log-linear regression analysis, kel is the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve. Only those data points judged to describe the terminal log-linear decline were used in the regression.
| microgram*hour/milliliter (mcg*hr/mL) | PF-06293620 0.3 mg/kg SC (SAD Cohorts) | PF-06293620 1.0 mg/kg SC (SAD Cohorts) | PF-06293620 3.0 mg/kg SC (SAD Cohorts) | PF-06293620 6.0 mg/kg SC (SAD Cohorts) | PF-06293620 1.0 mg/kg IV (SAD Cohorts) |
|---|---|---|---|---|---|
| Area Under the Serum Concentration-Time Profile From Time 0 Extrapolated to Infinite Time (AUCinf) of PF-06293620 (SAD Cohorts) | 300 ± NA | 1716 ± 46 | 6306 ± 54 | 19440 ± 56 | 6775 ± 12 |
AUCinf(dn) was calculated as AUCinf/dose, where AUCinf is area under the serum concentration-time profile from time 0 extrapolated to infinite time.
| mcg*hr/mL/mg | PF-06293620 0.3 mg/kg SC (SAD Cohorts) | PF-06293620 1.0 mg/kg SC (SAD Cohorts) | PF-06293620 3.0 mg/kg SC (SAD Cohorts) | PF-06293620 6.0 mg/kg SC (SAD Cohorts) | PF-06293620 1.0 mg/kg IV (SAD Cohorts) |
|---|---|---|---|---|---|
| Dose-normalized AUCinf (AUCinf(dn)) of PF-06293620 (SAD Cohorts) | 12.00 ± NA | 22.24 ± 45 | 23.79 ± 47 | 36.13 ± 49 | 67.94 ± 16 |
Area under the serum concentration-time profile from time 0 to the time of the last quantifiable concentration (AUClast) of PF-06293620 was determined using linear/log trapezoidal method.
| mcg*hr/mL | PF-06293620 0.3 mg/kg SC (SAD Cohorts) | PF-06293620 1.0 mg/kg SC (SAD Cohorts) | PF-06293620 3.0 mg/kg SC (SAD Cohorts) | PF-06293620 6.0 mg/kg SC (SAD Cohorts) | PF-06293620 1.0 mg/kg IV (SAD Cohorts) |
|---|---|---|---|---|---|
| Area Under the Serum Concentration-Time Profile From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of PF-06293620 (SAD Cohorts) | 128.3 ± 54 | 1619 ± 46 | 5945 ± 53 | 18080 ± 58 | 6509 ± 13 |
AUClast(dn) of PF-06293620 was calculated as AUClast/dose, where AUClast was area under the serum concentration-time profile from time 0 to the time of the last quantifiable concentration.
| mcg*hr/mL/mg | PF-06293620 0.3 mg/kg SC (SAD Cohorts) | PF-06293620 1.0 mg/kg SC (SAD Cohorts) | PF-06293620 3.0 mg/kg SC (SAD Cohorts) | PF-06293620 6.0 mg/kg SC (SAD Cohorts) | PF-06293620 1.0 mg/kg IV (SAD Cohorts) |
|---|---|---|---|---|---|
| Dose-normalized AUClast (AUClast(dn)) of PF-06293620 (SAD Cohorts) | 4.779 ± 58 | 21.01 ± 44 | 22.47 ± 47 | 33.59 ± 50 | 65.26 ± 18 |
Clearance (CL) was calculated as dose/AUCinf, where AUCinf was area under the serum concentration-time profile from time 0 extrapolated to infinite time. This outcome measure only applies to IV arms.
| mL/hr | PF-06293620 1.0 mg/kg IV (SAD Cohorts) |
|---|---|
| Clearance (CL) of PF-06293620 (SAD Cohorts) | 14.72 ± 16 |
Apparent Clearance (CL/F) of PF-06293620 was calculated as dose/AUCinf, where AUCinf was area under the serum concentration-time profile from time 0 extrapolated to infinite time. This outcome measure only applies to SC arms.
| mL/hr | PF-06293620 0.3 mg/kg SC (SAD Cohorts) | PF-06293620 1.0 mg/kg SC (SAD Cohorts) | PF-06293620 3.0 mg/kg SC (SAD Cohorts) | PF-06293620 6.0 mg/kg SC (SAD Cohorts) |
|---|---|---|---|---|
| Apparent Clearance (CL/F) of PF-06293620 (SAD Cohorts) | 83.20 ± NA | 44.93 ± 45 | 42.05 ± 47 | 27.67 ± 49 |
Maximum serum concentration (Cmax) of PF-06293620 was observed directly from data.
| mcg/mL | PF-06293620 0.3 mg/kg SC (SAD Cohorts) | PF-06293620 1.0 mg/kg SC (SAD Cohorts) | PF-06293620 3.0 mg/kg SC (SAD Cohorts) | PF-06293620 6.0 mg/kg SC (SAD Cohorts) | PF-06293620 1.0 mg/kg IV (SAD Cohorts) |
|---|---|---|---|---|---|
| Maximum Serum Concentration (Cmax) of PF-06293620 (SAD Cohorts) | 0.3907 ± 58 | 2.896 ± 48 | 7.222 ± 52 | 22.30 ± 62 | 27.64 ± 20 |
Time for Maximum serum concentration (Tmax) of PF-06293620 was observed directly from data as time of first occurrence.
| hours | PF-06293620 0.3 mg/kg SC (SAD Cohorts) | PF-06293620 1.0 mg/kg SC (SAD Cohorts) | PF-06293620 3.0 mg/kg SC (SAD Cohorts) | PF-06293620 6.0 mg/kg SC (SAD Cohorts) | PF-06293620 1.0 mg/kg IV (SAD Cohorts) |
|---|---|---|---|---|---|
| Time for Maximum Serum Concentration (Tmax) of PF-06293620 (SAD Cohorts) | 168 ± 58 | 168 ± 48 | 252 ± 52 | 168 ± 62 | 1.00 ± 20 |
Steady-state volume of distribution (Vss) of PF-06293620 was calculated as CL\*MRT, where MRT was the mean residence time calculated as (AUMCinf/AUCinf - infusion duration/2), AUMCinf was area under the moment curve from time 0 extrapolated to infinity; CL was the clearance. This outcome measure only applies to IV arms.
| liters | PF-06293620 1.0 mg/kg IV (SAD Cohorts) |
|---|---|
| Steady-state Volume of Distribution (Vss) of PF-06293620 (SAD Cohorts) | 7.095 ± 21 |
Apparent Volume of Distribution (Vz/F) of PF-06293620 was calculated as dose/(AUCinf\*kel), where AUCinf was area under the serum concentration-time profile from time 0 extrapolated to infinite time, kel was the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve. This outcome measure only applies to SC arms.
| liters | PF-06293620 0.3 mg/kg SC (SAD Cohorts) | PF-06293620 1.0 mg/kg SC (SAD Cohorts) | PF-06293620 3.0 mg/kg SC (SAD Cohorts) | PF-06293620 6.0 mg/kg SC (SAD Cohorts) |
|---|---|---|---|---|
| Apparent Volume of Distribution (Vz/F) of PF-06293620 (SAD Cohorts) | 21.10 ± NA | 16.25 ± 43 | 20.63 ± 44 | 18.17 ± 48 |
Terminal elimination half-life (Thalf) of PF-06293620 was calculated as ln(2)/kel, where kel was the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve. Only those data points judged to describe the terminal log-linear decline were used in the regression.
| days | PF-06293620 0.3 mg/kg SC (SAD Cohorts) | PF-06293620 1.0 mg/kg SC (SAD Cohorts) | PF-06293620 3.0 mg/kg SC (SAD Cohorts) | PF-06293620 6.0 mg/kg SC (SAD Cohorts) | PF-06293620 1.0 mg/kg IV (SAD Cohorts) |
|---|---|---|---|---|---|
| Terminal Elimination Half-life (Thalf) of PF-06293620 (SAD Cohorts) | 7.33 ± NA | 10.95 ± 3.74 | 14.66 ± 4.21 | 19.23 ± 3.45 | 14.37 ± 3.13 |
Tau refers to the dosing interval, which was 4 weeks (672 hours). Area under the concentration-time profile from time 0 to time tau (AUCtau) was determined using linear/log trapezoidal method.
| mcg*hr/mL | PF-06293620 50 mg SC (MAD Cohorts) | PF-06293620 75 mg SC (MAD Cohorts) | PF-06293620 150 mg SC (MAD Cohorts) |
|---|---|---|---|
| Day 1 | 609.6 ± 137 | 802.5 ± 79 | 2752 ± 73 |
| Day 57 | 1309 ± 60 | 2991 ± 57 | 6121 ± 48 |
| mcg/mL | PF-06293620 50 mg SC (MAD Cohorts) | PF-06293620 75 mg SC (MAD Cohorts) | PF-06293620 150 mg SC (MAD Cohorts) |
|---|---|---|---|
| Day 1 | 1.526 ± 139 | 1.706 ± 72 | 5.184 ± 73 |
| Day 57 | 1.989 ± 183 | 6.012 ± 65 | 11.74 ± 56 |
Average Concentration (Cav) of PF-06293620 was calculated as AUCtau/tau, where AUCtau was area under the concentration-time profile from time 0 to time tau, and tau was the dosing interval, 4 weeks (672 hours).
| mcg/mL | PF-06293620 50 mg SC (MAD Cohorts) | PF-06293620 75 mg SC (MAD Cohorts) | PF-06293620 150 mg SC (MAD Cohorts) |
|---|---|---|---|
| Day 1 | 0.9067 ± 137 | 1.194 ± 79 | 4.096 ± 73 |
| Day 57 | 1.948 ± 60 | 4.449 ± 57 | 9.102 ± 48 |
| µg/mL | PF-06293620 50 mg SC (MAD Cohorts) | PF-06293620 75 mg SC (MAD Cohorts) | PF-06293620 150 mg SC (MAD Cohorts) |
|---|---|---|---|
| Lowest Concentration Observed During the Dosing Interval (Cmin) of PF-06293620 (MAD Cohorts) After Day 57 Administration | 0.7555 ± 94 | 1.979 ± 72 | 5.456 ± 48 |
Time for maximum serum concentration (Tmax) of PF-06293620 was observed directly from data as time of first occurrence.
| hours | PF-06293620 50 mg SC (MAD Cohorts) | PF-06293620 75 mg SC (MAD Cohorts) | PF-06293620 150 mg SC (MAD Cohorts) |
|---|---|---|---|
| Day 1 | 240 (144 to 338) | 252 (48.0 to 338) | 360 (144 to 648) |
| Day 57 | 168 (47.8 to 192) | 144 (47.5 to 648) | 120 (48.0 to 504) |
Apparent clearance (CL/F) of PF-06293620 was calculated as dose/AUCtau, where AUCtau was area under the concentration-time profile from time 0 to time tau, and tau was the dosing interval, 4 weeks (672 hours).
| mL/hr | PF-06293620 50 mg SC (MAD Cohorts) | PF-06293620 75 mg SC (MAD Cohorts) | PF-06293620 150 mg SC (MAD Cohorts) |
|---|---|---|---|
| Apparent Clearance (CL/F) of PF-06293620 (MAD Cohorts) After Day 57 Administration | 38.19 ± 60 | 25.07 ± 57 | 24.53 ± 47 |
Apparent volume of distribution (Vz/F) of PF-06293620 was calculated as dose/(AUCtau/kel), where AUCtau was area under the concentration-time profile from time 0 to time tau, and tau was the dosing interval, 4 weeks (672 hours); and kel was the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve. Only those data points judged to describe the terminal log-linear decline were used in the regression.
| liters | PF-06293620 50 mg SC (MAD Cohorts) | PF-06293620 75 mg SC (MAD Cohorts) | PF-06293620 150 mg SC (MAD Cohorts) |
|---|---|---|---|
| Apparent Volume of Distribution (Vz/F) of PF-06293620 (MAD Cohorts) After Day 57 Administration | 13.43 ± 38 | 10.45 ± 52 | 12.09 ± 40 |
Terminal elimination half-life (Thalf) of PF-06293620 was calculated as ln(2)/kel, where kel was the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve. Only those data points judged to describe the terminal log-linear decline were used in the regression.
| days | PF-06293620 50 mg SC (MAD Cohorts) | PF-06293620 75 mg SC (MAD Cohorts) | PF-06293620 150 mg SC (MAD Cohorts) |
|---|---|---|---|
| Terminal Elimination Half-life (Thalf) of PF-06293620 (MAD Cohorts) After Day 57 Administration | 10.37 ± 2.22 | 12.72 ± 4.21 | 14.50 ± 2.81 |
Observed accumulation ratio based on AUC (Rac) of PF-06293620 was calculated as AUCtau(Day57)/AUCtau(Day1).
| ratio | PF-06293620 50 mg SC (MAD Cohorts) | PF-06293620 75 mg SC (MAD Cohorts) | PF-06293620 150 mg SC (MAD Cohorts) |
|---|---|---|---|
| Observed Accumulation Ratio Based on AUC (Rac) of PF-06293620 (MAD Cohorts) | 1.833 ± 64 | 3.446 ± 36 | 2.148 ± 30 |
Observed accumulation ratio based on Cmax (Rac,Cmax) of PF-06293620 was calculated as Cmax(Day57)/Cmax(Day1).
| ratio | PF-06293620 50 mg SC (MAD Cohorts) | PF-06293620 75 mg SC (MAD Cohorts) | PF-06293620 150 mg SC (MAD Cohorts) |
|---|---|---|---|
| Observed Accumulation Ratio Based on Cmax (Rac,Cmax) of PF-06293620 (MAD Cohorts) | 1.302 ± 114 | 3.257 ± 42 | 2.188 ± 22 |
Collected over Days 1 to 85 for SAD cohorts and Days 1 to 169 for MAD cohorts; participants with positive anti-drug antibody (ADA) results were followed up to stabilization of ADA titers or up to 9 months after Day 169 visit.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo SC (SAD Cohorts) | 0/9 (0%) | 0/9 (0%) | 5/9 (55.6%) |
| PF-06293620 0.3 mg/kg SC (SAD Cohorts) | 0/6 (0%) | 1/6 (16.7%) | 3/6 (50%) |
| PF-06293620 1.0 mg/kg SC (SAD Cohorts) | 0/6 (0%) | 0/6 (0%) | 3/6 (50%) |
| PF-06293620 3.0 mg/kg SC (SAD Cohorts) | 0/6 (0%) | 0/6 (0%) | 5/6 (83.3%) |
| PF-06293620 6.0 mg/kg SC (SAD Cohorts) | 0/9 (0%) | 0/9 (0%) | 5/9 (55.6%) |
| Placebo IV (SAD Cohorts) | 0/2 (0%) | 0/2 (0%) | 0/2 (0%) |
| PF-06293620 1.0 mg/kg IV (SAD Cohorts) | 0/6 (0%) | 0/6 (0%) | 3/6 (50%) |
| Placebo SC (MAD Cohorts) | 0/8 (0%) | 0/8 (0%) | 4/8 (50%) |
| PF-06293620 50 mg SC (MAD Cohorts) | 0/8 (0%) | 0/8 (0%) | 4/8 (50%) |
| PF-06293620 75 mg SC (MAD Cohorts) | 0/16 (0%) | 1/16 (6.3%) | 11/16 (68.8%) |
| PF-06293620 150 mg SC (MAD Cohorts) | 0/8 (0%) | 2/8 (25%) | 7/8 (87.5%) |
| Event | Placebo SC (SAD Cohorts) | PF-06293620 0.3 mg/kg SC (SAD Cohorts) | PF-06293620 1.0 mg/kg SC (SAD Cohorts) | PF-06293620 3.0 mg/kg SC (SAD Cohorts) | PF-06293620 6.0 mg/kg SC (SAD Cohorts) | Placebo IV (SAD Cohorts) | PF-06293620 1.0 mg/kg IV (SAD Cohorts) | Placebo SC (MAD Cohorts) | PF-06293620 50 mg SC (MAD Cohorts) | PF-06293620 75 mg SC (MAD Cohorts) | PF-06293620 150 mg SC (MAD Cohorts) |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CholelithiasisHepatobiliary disorders | 0/9 | 1/6 | 0/6 | 0/6 | 0/9 | 0/2 | 0/6 | 0/8 | 0/8 | 0/16 | 0/8 |
| Angina unstableCardiac disorders | 0/9 | 0/6 | 0/6 | 0/6 | 0/9 | 0/2 | 0/6 | 0/8 | 0/8 | 0/8 | 1/8 |
| Coronary artery diseaseCardiac disorders | 0/9 | 0/6 | 0/6 | 0/6 | 0/9 | 0/2 | 0/6 | 0/8 | 0/8 | 0/16 | 1/8 |
| Joint injuryInjury, poisoning and procedural complications | 0/9 | 0/6 | 0/6 | 0/6 | 0/9 | 0/2 | 0/6 | 0/8 | 0/8 | 1/16 | 0/8 |
| Event | Placebo SC (SAD Cohorts) | PF-06293620 0.3 mg/kg SC (SAD Cohorts) | PF-06293620 1.0 mg/kg SC (SAD Cohorts) | PF-06293620 3.0 mg/kg SC (SAD Cohorts) | PF-06293620 6.0 mg/kg SC (SAD Cohorts) | Placebo IV (SAD Cohorts) | PF-06293620 1.0 mg/kg IV (SAD Cohorts) | Placebo SC (MAD Cohorts) | PF-06293620 50 mg SC (MAD Cohorts) | PF-06293620 75 mg SC (MAD Cohorts) | PF-06293620 150 mg SC (MAD Cohorts) |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Liver function test increasedInvestigations | 1/9 | 1/6 | 0/6 | 1/6 | 2/9 | 0/2 | 1/6 | 0/8 | 0/8 | 1/16 | 5/8 |
| DiarrhoeaGastrointestinal disorders | 2/9 | 0/6 | 0/6 | 3/6 | 0/9 | 0/2 | 0/6 | 1/8 | 0/8 | 2/16 | 0/8 |
| Iron deficiency anaemiaBlood and lymphatic system disorders | 0/9 | 0/6 | 0/6 | 0/6 | 0/9 | 0/2 | 0/6 | 0/8 | 0/8 | 0/16 | 3/8 |
| EcchymosisSkin and subcutaneous tissue disorders | 2/9 | 1/6 | 0/6 | 2/6 | 0/9 | 0/2 | 0/6 | 1/8 | 0/8 | 0/16 | 1/8 |
| FallInjury, poisoning and procedural complications | 3/9 | 0/6 | 0/6 | 0/6 | 0/9 | 0/2 | 0/6 | 0/8 | 0/8 | 0/16 | 0/8 |
| VomitingGastrointestinal disorders | 0/9 | 1/6 | 0/6 | 0/6 | 0/9 | 0/2 | 0/6 | 0/8 | 0/8 | 0/16 | 0/8 |
| AstheniaGeneral disorders | 0/9 | 0/6 | 0/6 | 1/6 | 0/9 | 0/2 | 0/6 | 0/8 | 0/8 | 0/16 | 0/8 |
| HungerGeneral disorders | 0/9 | 0/6 | 0/6 | 0/6 | 0/9 | 0/2 | 1/6 | 0/8 | 0/8 | 0/16 | 0/8 |
| Infusion site extravasationGeneral disorders | 0/9 | 1/6 | 0/6 | 0/6 | 0/9 | 0/2 | 0/6 | 0/8 | 0/8 | 0/16 | 0/8 |
| Infusion site hemorrhageGeneral disorders | 0/9 | 0/6 | 0/6 | 0/6 | 0/9 | 0/2 | 1/6 | 0/8 | 0/8 | 0/16 | 0/8 |
Baseline analysis population included all participants enrolled.
| Age, Customized(participants) | Placebo SC (SAD Cohorts) | PF-06293620 0.3 mg/kg SC (SAD Cohorts) | PF-06293620 1.0 mg/kg SC (SAD Cohorts) | PF-06293620 3.0 mg/kg SC (SAD Cohorts) | PF-06293620 6.0 mg/kg SC (SAD Cohorts) | Placebo IV (SAD Cohorts) | PF-06293620 1.0 mg/kg IV (SAD Cohorts) | Placebo SC (MAD Cohorts) | PF-06293620 50 mg SC (MAD Cohorts) | PF-06293620 75 mg SC (MAD Cohorts) | PF-06293620 150 mg SC (MAD Cohorts) | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| <18 years | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| 18-44 years | 0 | 0 | 0 | 0 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 3 |
| 45-64 years | 7 | 4 | 4 | 6 | 6 | 1 | 5 | 7 | 4 | 9 | 8 | 61 |
| >=65 years | 2 | 2 | 2 | 0 | 2 | 0 | 0 | 1 | 4 | 7 | 0 | 20 |
| Sex: Female, Male(Participants) | Placebo SC (SAD Cohorts) | PF-06293620 0.3 mg/kg SC (SAD Cohorts) | PF-06293620 1.0 mg/kg SC (SAD Cohorts) | PF-06293620 3.0 mg/kg SC (SAD Cohorts) | PF-06293620 6.0 mg/kg SC (SAD Cohorts) | Placebo IV (SAD Cohorts) | PF-06293620 1.0 mg/kg IV (SAD Cohorts) | Placebo SC (MAD Cohorts) | PF-06293620 50 mg SC (MAD Cohorts) | PF-06293620 75 mg SC (MAD Cohorts) | PF-06293620 150 mg SC (MAD Cohorts) | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Female | 5 | 1 | 4 | 3 | 4 | 0 | 0 | 4 | 3 | 9 | 1 | 34 |
| Male | 4 | 5 | 2 | 3 | 5 | 2 | 6 | 4 | 5 | 7 | 7 | 50 |
| Ethnicity (NIH/OMB)(Participants) | Placebo SC (SAD Cohorts) | PF-06293620 0.3 mg/kg SC (SAD Cohorts) | PF-06293620 1.0 mg/kg SC (SAD Cohorts) | PF-06293620 3.0 mg/kg SC (SAD Cohorts) | PF-06293620 6.0 mg/kg SC (SAD Cohorts) | Placebo IV (SAD Cohorts) | PF-06293620 1.0 mg/kg IV (SAD Cohorts) | Placebo SC (MAD Cohorts) | PF-06293620 50 mg SC (MAD Cohorts) | PF-06293620 75 mg SC (MAD Cohorts) | PF-06293620 150 mg SC (MAD Cohorts) | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Hispanic or Latino | 6 | 5 | 2 | 4 | 3 | 2 | 4 | 2 | 4 | 7 | 7 | 46 |
| Not Hispanic or Latino | 3 | 1 | 4 | 2 | 6 | 0 | 2 | 6 | 4 | 9 | 1 | 38 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
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