CClinicalTrials.gg
TerminatedNCT03185481Updated Apr 12, 2019Results posted

Safety and Tolerability of PF-06649751 in Parkinson's Disease Patients With Motor Fluctuations

A Phase 2 interventional study of 1 mg QD to 15 mg QD PF-06649751 and 3 mg QD to 15 mg QD PF-06649751 in Parkinson's Disease With Motor Fluctuations, sponsored by Pfizer. Terminated at 9 sites in United States. Open to participants aged 40 Years to 87 Years. Per ClinicalTrials.gov, last updated 2019-04-12.

Sponsored by Pfizer · Phase 2, Interventional, and Treatment

Why this study was terminated
Terminated 25Sep17 due to parent study insufficient efficacy. Not due to safety
Phase
Phase 2
Study type
Interventional
Enrollment
5
Allocation
Randomized
Ages
40 Years to 87 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the long term safety and tolerability of PF-06649751 in Parkinson's disease patients who experience motor-fluctuations.

Read the detailed description

This is an open label study evaluating the long term safety and tolerability of PF-06649751 in Parkinson's disease patients who experience motor-fluctuations. Subjects who completed Ph2 study B7601003 will be randomized to one of 4 treatment groups (15 mg QD, 7 mg QD, 3 mg QD, or 1 mg QD group) depending on the treatment received in B7601003 and titrated up to 15 mg QD over a 3 week period, as appropriate. All subjects who were blindly down-titrated during the B7601003 study will remain at/or be titrated to 7 mg QD only and remain at that dose for the rest of the B7601017 study in order to protect the blind for the prior study. Subjects who successfully titrate to 15 mg QD will enter the Adjustment Period at that dose.

Subjects who cannot tolerate 15 mg QD at any time during the study will be allowed to down-titrate to 7 mg QD (but not lower) and will stay at that dose for the rest of the study.

Subjects who cannot remain at a stable dose (7 mg or 15 mg QD) will be discontinued.

02

Conditions studied

  • Parkinson's Disease With Motor Fluctuations

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Keywords

  • Parkinson's Disease
  • Motor Fluctuations
  • D1 partial agonist
03

In context

Parkinson Disease

4,487 studies on the registry are indexed under Parkinson Disease; 1,082 are open to participants now.

This study's enrollment of 5 is below the median of 40 across 3,294 interventional studies indexed under Parkinson Disease.

Browse Parkinson Disease studies →

Lead sponsor

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.

04

Who can participate

Ages eligible
40 Years to 87 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Having successfully completed parent study B7601003.
  • Clinical diagnosis of Parkinson's disease.
  • Able to refrain from any Parkinson's disease medication not permitted by the protocol.

Exclusion criteria

Exclusion Criteria:

  • Female of childbearing potential.
  • Severe acute or chronic medical or psychiatric condition or laboratory abnormality.
  • Participation in other studies involving investigational drug(s), or treatment with any investigational drug within 30 days.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
5 participants (actual)

Study arms

  • Experimental
    1 mg QD to 15 mg QD PF-06649751

    Up titration from 1 mg QD to 15 mg QD PF-06649751

    Drug: 1 mg QD to 15 mg QD PF-06649751

  • Experimental
    3 mg QD to 15 mg QD PF-06649751

    Up titration from 3 mg QD to 15 mg QD PF-06649751

    Drug: 3 mg QD to 15 mg QD PF-06649751

  • Experimental
    7 mg QD to 15 mg QD PF-06649751

    Up titration from 7 mg QD to 15 mg QD PF-06649751

    Drug: 7 mg QD to 15 mg QD PF-06649751

  • Experimental
    15 mg QD PF-06649751

    15 mg QD PF-06649751 remains at 15 mg QD PF-06649751

    Drug: 15 mg QD PF-06649751

  • Experimental
    1 mg to 7 mg QD PF-06649751

    Up titration from 1 to 7 mg QD PF-06649751 if de-escalated in parent study

    Drug: 1 mg QD to 7 mg QD PF-06649751 (if de-escalated in parent study)

  • Experimental
    3 mg QD to 7 mg QD PF-06649751

    Up titration from 3 to 7 mg QD PF-06649751 if de-escalated in parent study

    Drug: 3 mg QD to 7 mg QD PF-06649751 (de-escalated in parent study)

  • Experimental
    7 mg QD to 7 mg QD PF-06649751

    7 mg QD remains at 7 mg QD PF-06649751 if de-escalated in parent study

    Drug: 7 mg QD to 7 mg QD PF-06649751 (de-escalated in parent study)

  • Experimental
    15 mg to 7 mg QD PF-06649751

    15 mg QD de-escalated to 7 mg QD in parent study B7601003 remain at 15 mg QD PF-06649751

    Drug: 15 mg QD de-escalated to 7 mg QD PF-06649751 in parent study remain at 7 mg QD

Interventions

  • Drug1 mg QD to 15 mg QD PF-06649751

    Up titration from 1 mg QD to 15 mg QD PF-06649751

  • Drug3 mg QD to 15 mg QD PF-06649751

    Up titration from 3 mg QD to 15 mg QD PF-06649751

  • Drug7 mg QD to 15 mg QD PF-06649751

    Up titration from 7 mg QD to 15 mg QD PF-06649751

  • Drug15 mg QD PF-06649751

    15 mg QD PF-06649751 remaining at 15 mg QD PF-06649751

  • Drug1 mg QD to 7 mg QD PF-06649751 (if de-escalated in parent study)

    Up titration from 1 mg QD to 7 mg QD PF-06649751 for subject at 1 mg QD who were blindly de-escalated in the parent study

  • Drug3 mg QD to 7 mg QD PF-06649751 (de-escalated in parent study)

    Up titration from 3 mg QD to 7 mg QD PF-06649751 for 3 mg QD subjects who were blindly de-escalated in parent study

  • Drug7 mg QD to 7 mg QD PF-06649751 (de-escalated in parent study)

    7 mg QD to remain at 7 mg QD PF-06649751 for subjects who were blindly de-escalated in parent study

  • Drug15 mg QD de-escalated to 7 mg QD PF-06649751 in parent study remain at 7 mg QD

    7mg QD PF-06649751 for subjects assigned to 15 mg QD who were blindly de-escalated to 7 mg QD PF-06649751 in parent study

06

What researchers measure

Primary outcomes

  1. Number of Participants With Treatment-Emergent Adverse Events (All Causalities)

    An adverse event (AE) is any untoward medical occurrence in a study participant administered a product or medical device; the event need not necessarily have a causal relationship with the treatment or usage. Any AE occurring following the start of treatment or occurring before treatment but increasing in severity afterward were counted as treatment-emergent AE (TEAE).

    Time frame: Baseline to last visit after termination (up to approximately 3 months)

  2. Number of Participants With Treatment-Emergent Adverse Events (Treatment Related)

    An adverse event (AE) is any untoward medical occurrence in a study participant administered a product or medical device. Any AE occurring following the start of treatment or occurring before treatment but increasing in severity afterward were counted as treatment-emergent AE (TEAE).

    Time frame: Baseline to last visit after termination (up to approximately 3 months)

  3. Number of Participants With Clinically Significant Findings in Physical Examination

    A full physical examination included head, ears, eyes, nose, mouth, skin, heart and lung examinations, lymph nodes, gastrointestinal and musculoskeletal systems. The clinical significance was determined by the investigator.

    Time frame: Baseline to last visit after termination (up to approximately 3 months)

  4. Number of Participants With Clinically Significant Findings in Neurological Examination

    The full neurological examination included assessment of the visual fields and of the right and left optic fundus; cranial nerves; mental state; muscle strength and tone, abnormal movements; deep tendon reflexes; sensory exam, coordination, gait and station. Higher cortical and motor function was considered part of the complete neurological exam. The brief neurological exam included observation for cerebellar (intention) tremor and for non cerebellar tremors (eg, resting or positional), finger to nose, heel to shin, Romberg, gait and tandem walking, positional and gaze evoked nystagmus. The clinical significance was determined by the investigator.

    Time frame: Baseline to last visit after termination (up to approximately 3 months)

  5. Number of Participants With Abnormalities in Laboratory Test (Without Regard to Baseline Abnormality)

    Laboratory tests included hematology(hemoglobin,hematocrit,red and white blood cell count,mean corpuscular volume,mean corpuscular hemoglobin,mean corpuscular hemoglobin concentration,platelet count,neutrophils,eosinophils,monocytes, basophils,lymphocytes), chemistry(blood urea nitrogen/urea and creatinine,fasting glucose, calcium,sodium,potassium, chloride,total carbon dioxide,aspartate and alanine aminotransferase,total bilirubin,alkaline phosphatase,uric acid,albumin,total protein),urinalysis(pH,qualitative glucose protein,blood,ketones,nitrites,leukocyte esterase,urobilinogen,urine bilirubin,microscopy,specific gravity,urine creatinine),other tests(urine drug screen,follicle stimulating hormone,anti neutrophil cytoplasmic antibody panel,qualitative antinuclear antibody,fibrinogen,C reactive protein,erythrocyte sedimentation rate,C3, C4, CH50/CH100,rheumatoid factor,immunoglobulin panel,if anti- neutrophil cytoplasmic antibody positive:proteinase 3 Ab,myeloperoxidase Ab tests).

    Time frame: Baseline to last visit after termination(up to approximately 3 months)

  6. Number of Participants With Vital Signs Data Meeting Pre-defined Criteria

    Number of participants with vital signs findings meeting the following criteria is presented:(1) standing DBP increase from baseline\>= 20 mm Hg; (2) standing SBP increase from baseline\>= 30 mm Hg; (3) supine DBP increase from baseline \>=20 mm Hg; (4) supine SBP increase from baseline \>=30 mm Hg; (5)standing DBP decrease from baseline\>= 20 mm Hg; (6) standing SBP decrease from baseline\>= 30 mm Hg; (7) supine DBP decrease from baseline \>=20 mm Hg; (8) supine SBP decrease from baseline \>=30 mm Hg.

    Time frame: Baseline to last visit after termination (up to approximately 3 months)

  7. Number of Participants With Vital Signs Data of Orthostatic Hypotension Meeting Pre-defined Criteria

    Orthostatic hypotension was defined as a decrease of \>=20 mmHg for systolic blood pressure (SBP) or \>=10 mmHg for diastolic blood pressure (DBP) 2 minutes after standing from a supine position.

    Time frame: Baseline to last visit after termination (up to approximately 3 months)

  8. Number of Participants With Electrocardiogram Data Meeting Pre-defined Criteria

    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 duration (time from Q wave to the end of S wave, corresponding to ventricle depolarization), QT interval (time from the beginning of Q wave to the end of T wave) and QTcF interval ( QT interval corresponding to electrical systole corrected for heart rate using Fridericia's formula) are summarized. Number of participants with ECG findings meeting the following criteria is presented: (1) PR interval \>=300 msec; (2) QRS duration \>=140 msec; (3) QT interval \>= 500; (4) QTcF interval: 450 to \<480 msec; (5) QTcF interval: 480 to \<500 msec; (6) QTcF interval \>=500 msec.

    Time frame: Baseline to last visit after termination (up to approximately 3 months)

  9. Number of Participants With Worsening Suicidality and New Onset Suicidality

    The Columbia Suicide Severity Rating Scale (C-SSRS) is an interview based rating scale to systematically assess suicidal ideation and suicidal behavior. At each suicidality assessment, participants felt to have significant suicidal ideation with actual plan and intent or suicidal behavior, must be evaluated by a clinician/mental health professional (MHP) skilled in the evaluation of suicidality in the participants by virtue of training or experience who determined if it is safe for the participants to participate/continue in the trial. The denominator used in the percentages was the number of participants assessed for suicidality or worsening, the denominator included the subset of participants who had any level of suicidality reported at baseline. For new onset, the denominator included the subset of participants with no suicidality reported at baseline.

    Time frame: Baseline to last visit after termination (up to approximately 3 months)

  10. Number of Participants With Benzodiazepine Discontinuation Symptoms Based on Physician Withdrawal Checklist (PWC-20)

    The PWC-20 is a physician-completed, 20-item reliable and sensitive instrument for the assessment of benzodiazepine discontinuation symptoms, including anxiety and nervous, depersonalization and derealization, diarrhea, diaphoresis, difficulty concentrating and remembering, dizziness-lightheadedness, depression, fatigue, lethargy and lack of energy, headaches, increased acuity for sound, smell, touch, or pain, insomnia, irritability, loss of appetite, muscle aches or stiffness, nausea-vomiting paresthesias, poor coordination, restlessness and agitation, tremor-tremulousness, and weakness. Summaries of the count of participants experiencing symptoms and severity listed in the PWC-20 were provided.

    Time frame: At last visit

Secondary outcomes

  1. Change From Baseline for Hauser Participant Diary Data in Daily OFF Time

    Available diaries are designed to record participant motor state for half hour intervals. These diaries are a way for participant to assess their own health status without clinician bias or interpretation. In participant diaries, "OFF" time is defined as a period when medication has worn off and is no longer providing benefit with regard to mobility, slowness, and stiffness. During this period, Parkinson's Disease (PD) participants experience relatively poor overall function with worsening of tremor, rigidity, balance, or bradykinesia.

    Time frame: Baseline, Day 21 and Day 35

  2. Change From Baseline for Hauser Participant Diary Data in Daily ON Time With Troublesome Dyskinesia

    Available diaries are designed to record participant motor state for half hour intervals. These diaries are a way for participants to assess their own health status without clinician bias or interpretation. "ON" time is defined as the time when medication is providing benefit with regard to mobility, slowness, and stiffness. "ON" time can be classified as associated with or without troublesome dyskinesia that interfere with activities of daily living.It has been demonstrated that "ON" time with troublesome dyskinesia are generally considered by participants to be "bad time" with regard to motor function.

    Time frame: Baseline, Day 21 and Day 35

  3. Change From Baseline for Hauser Participant Diary Data in Daily ON Time Without Troublesome Dyskinesia

    Available diaries are designed to record participant motor state for half hour intervals. These diaries are a way for participants to assess their own health status without clinician bias or interpretation. "ON" time is defined as the time when medication is providing benefit with regard to mobility, slowness, and stiffness. "ON" time can be classified as associated with or without troublesome dyskinesia that interfere with activities of daily living. "ON" time without dyskinesia and on time with non troublesome dyskinesia are generally considered to be "good time".

    Time frame: Baseline, Day 21 and Day 35

  4. Change From Baseline in Movement Disorder Society Sponsored Revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Parts I, II, III, IV, and Total Score

    The total MDS-UPDRS score developed by the Movement Disorder Society is the most common method of evaluating the severity of Parkinson's Disease (PD). Part I assesses non motor experiences of daily living(range 0-52).Part II assesses motor experiences of daily living(0-52). Part III assesses the motor signs of PD.Part IV assesses motor complications, dyskinesias, and motor fluctuations(0-24).Total Score:The sum of Parts I, II, III, and IV.Each question is anchored with five responses:0=normal, 1=slight, 2=mild, 3= moderate, 4=severe.Higher part and total scores indicate more severe signs of PD.There are four subscales in Part III:the tremor subscale(range 0-36),the rigidity subscale(0-20),the bradykinesia subscale(0-36),the postural instability and gait disorder (PIGD) subscale(0-12).

    Time frame: Baseline to last visit after termination (up to approximately 3 months)

07

Results

Posted Apr 12, 2019
Limitations and caveats
This study was early terminated,not due to safety concern,but lack of sufficient demonstrated efficacy of the study drug to improve PD symptoms.

Participant flow

Participant flow — Overall Study
MilestonePF-06649751 15 mg
Started5
Completed0
Not completed5
Withdrew: Adverse event1
Withdrew: Study terminated by sponsor4

Outcome measures

PrimaryNumber of Participants With Treatment-Emergent Adverse Events (All Causalities)

An adverse event (AE) is any untoward medical occurrence in a study participant administered a product or medical device; the event need not necessarily have a causal relationship with the treatment or usage. Any AE occurring following the start of treatment or occurring before treatment but increasing in severity afterward were counted as treatment-emergent AE (TEAE).

Time frame:
Baseline to last visit after termination (up to approximately 3 months)
Reported as:
Count of participants · Participants
Number of Participants With Treatment-Emergent Adverse Events (All Causalities)
ParticipantsPF-06649751 15 mg
Number of Participants With Treatment-Emergent Adverse Events (All Causalities)3
PrimaryNumber of Participants With Treatment-Emergent Adverse Events (Treatment Related)

An adverse event (AE) is any untoward medical occurrence in a study participant administered a product or medical device. Any AE occurring following the start of treatment or occurring before treatment but increasing in severity afterward were counted as treatment-emergent AE (TEAE).

Time frame:
Baseline to last visit after termination (up to approximately 3 months)
Reported as:
Count of participants · Participants
Number of Participants With Treatment-Emergent Adverse Events (Treatment Related)
ParticipantsPF-06649751 15 mg
Number of Participants With Treatment-Emergent Adverse Events (Treatment Related)2
PrimaryNumber of Participants With Clinically Significant Findings in Physical Examination

A full physical examination included head, ears, eyes, nose, mouth, skin, heart and lung examinations, lymph nodes, gastrointestinal and musculoskeletal systems. The clinical significance was determined by the investigator.

Time frame:
Baseline to last visit after termination (up to approximately 3 months)
Reported as:
Count of participants · Participants
Number of Participants With Clinically Significant Findings in Physical Examination
ParticipantsPF-06649751 15 mg
Number of Participants With Clinically Significant Findings in Physical Examination0
PrimaryNumber of Participants With Clinically Significant Findings in Neurological Examination

The full neurological examination included assessment of the visual fields and of the right and left optic fundus; cranial nerves; mental state; muscle strength and tone, abnormal movements; deep tendon reflexes; sensory exam, coordination, gait and station. Higher cortical and motor function was considered part of the complete neurological exam. The brief neurological exam included observation for cerebellar (intention) tremor and for non cerebellar tremors (eg, resting or positional), finger to nose, heel to shin, Romberg, gait and tandem walking, positional and gaze evoked nystagmus. The clinical significance was determined by the investigator.

Time frame:
Baseline to last visit after termination (up to approximately 3 months)
Reported as:
Count of participants · Participants
Number of Participants With Clinically Significant Findings in Neurological Examination
ParticipantsPF-06649751 15 mg
Number of Participants With Clinically Significant Findings in Neurological Examination0
PrimaryNumber of Participants With Abnormalities in Laboratory Test (Without Regard to Baseline Abnormality)

Laboratory tests included hematology(hemoglobin,hematocrit,red and white blood cell count,mean corpuscular volume,mean corpuscular hemoglobin,mean corpuscular hemoglobin concentration,platelet count,neutrophils,eosinophils,monocytes, basophils,lymphocytes), chemistry(blood urea nitrogen/urea and creatinine,fasting glucose, calcium,sodium,potassium, chloride,total carbon dioxide,aspartate and alanine aminotransferase,total bilirubin,alkaline phosphatase,uric acid,albumin,total protein),urinalysis(pH,qualitative glucose protein,blood,ketones,nitrites,leukocyte esterase,urobilinogen,urine bilirubin,microscopy,specific gravity,urine creatinine),other tests(urine drug screen,follicle stimulating hormone,anti neutrophil cytoplasmic antibody panel,qualitative antinuclear antibody,fibrinogen,C reactive protein,erythrocyte sedimentation rate,C3, C4, CH50/CH100,rheumatoid factor,immunoglobulin panel,if anti- neutrophil cytoplasmic antibody positive:proteinase 3 Ab,myeloperoxidase Ab tests).

Time frame:
Baseline to last visit after termination(up to approximately 3 months)
Reported as:
Count of participants · Participants
Number of Participants With Abnormalities in Laboratory Test (Without Regard to Baseline Abnormality)
ParticipantsPF-06649751 15 mg
Number of Participants With Abnormalities in Laboratory Test (Without Regard to Baseline Abnormality)1
PrimaryNumber of Participants With Vital Signs Data Meeting Pre-defined Criteria

Number of participants with vital signs findings meeting the following criteria is presented:(1) standing DBP increase from baseline\>= 20 mm Hg; (2) standing SBP increase from baseline\>= 30 mm Hg; (3) supine DBP increase from baseline \>=20 mm Hg; (4) supine SBP increase from baseline \>=30 mm Hg; (5)standing DBP decrease from baseline\>= 20 mm Hg; (6) standing SBP decrease from baseline\>= 30 mm Hg; (7) supine DBP decrease from baseline \>=20 mm Hg; (8) supine SBP decrease from baseline \>=30 mm Hg.

Time frame:
Baseline to last visit after termination (up to approximately 3 months)
Reported as:
Count of participants · Participants
Number of Participants With Vital Signs Data Meeting Pre-defined Criteria
ParticipantsPF-06649751 15 mg
Standing DBP increase from baseline >= 20 mm Hg0
Standing SBP increase from baseline >= 30 mm Hg1
Supine DBP increase from baseline >= 20 mm Hg0
Supine SBP increase from baseline >= 30 mm Hg2
Standing DBP decrease from baseline >= 20 mm Hg0
Standing SBP decrease from baseline >= 30 mm Hg0
Supine DBP decrease from baseline >= 20 mm Hg0
Supine SBP decrease from baseline >= 30 mm Hg0
PrimaryNumber of Participants With Vital Signs Data of Orthostatic Hypotension Meeting Pre-defined Criteria

Orthostatic hypotension was defined as a decrease of \>=20 mmHg for systolic blood pressure (SBP) or \>=10 mmHg for diastolic blood pressure (DBP) 2 minutes after standing from a supine position.

Time frame:
Baseline to last visit after termination (up to approximately 3 months)
Reported as:
Count of participants · Participants
Number of Participants With Vital Signs Data of Orthostatic Hypotension Meeting Pre-defined Criteria
ParticipantsPF-06649751 15 mg
DBP postural difference>=10 mm Hg(Supine-Standing)3
SBP postural difference>=20 mm Hg(Supine-Standing)4
PrimaryNumber of Participants With Electrocardiogram Data Meeting Pre-defined Criteria

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 duration (time from Q wave to the end of S wave, corresponding to ventricle depolarization), QT interval (time from the beginning of Q wave to the end of T wave) and QTcF interval ( QT interval corresponding to electrical systole corrected for heart rate using Fridericia's formula) are summarized. Number of participants with ECG findings meeting the following criteria is presented: (1) PR interval \>=300 msec; (2) QRS duration \>=140 msec; (3) QT interval \>= 500; (4) QTcF interval: 450 to \<480 msec; (5) QTcF interval: 480 to \<500 msec; (6) QTcF interval \>=500 msec.

Time frame:
Baseline to last visit after termination (up to approximately 3 months)
Reported as:
Count of participants · Participants
Number of Participants With Electrocardiogram Data Meeting Pre-defined Criteria
ParticipantsPF-06649751 15 mg
PR Interval (aggregate) >= 300 msec0
QRS Duration (aggregate) >= 140 msec0
QT Interval (aggregate) >= 500 msec0
QTcF Interval (aggregate) >= 450 msec, <480msec0
QTcF Interval (aggregate) >= 480 msec, <500msec0
QTcF Interval (aggregate) >= 500 msec0
PrimaryNumber of Participants With Worsening Suicidality and New Onset Suicidality

The Columbia Suicide Severity Rating Scale (C-SSRS) is an interview based rating scale to systematically assess suicidal ideation and suicidal behavior. At each suicidality assessment, participants felt to have significant suicidal ideation with actual plan and intent or suicidal behavior, must be evaluated by a clinician/mental health professional (MHP) skilled in the evaluation of suicidality in the participants by virtue of training or experience who determined if it is safe for the participants to participate/continue in the trial. The denominator used in the percentages was the number of participants assessed for suicidality or worsening, the denominator included the subset of participants who had any level of suicidality reported at baseline. For new onset, the denominator included the subset of participants with no suicidality reported at baseline.

Time frame:
Baseline to last visit after termination (up to approximately 3 months)
Reported as:
Count of participants · Participants
Number of Participants With Worsening Suicidality and New Onset Suicidality
ParticipantsPF-06649751 15 mg
New Onset0
Worsening0
PrimaryNumber of Participants With Benzodiazepine Discontinuation Symptoms Based on Physician Withdrawal Checklist (PWC-20)

The PWC-20 is a physician-completed, 20-item reliable and sensitive instrument for the assessment of benzodiazepine discontinuation symptoms, including anxiety and nervous, depersonalization and derealization, diarrhea, diaphoresis, difficulty concentrating and remembering, dizziness-lightheadedness, depression, fatigue, lethargy and lack of energy, headaches, increased acuity for sound, smell, touch, or pain, insomnia, irritability, loss of appetite, muscle aches or stiffness, nausea-vomiting paresthesias, poor coordination, restlessness and agitation, tremor-tremulousness, and weakness. Summaries of the count of participants experiencing symptoms and severity listed in the PWC-20 were provided.

Time frame:
At last visit
Reported as:
Count of participants · Participants
Number of Participants With Benzodiazepine Discontinuation Symptoms Based on Physician Withdrawal Checklist (PWC-20)
ParticipantsPF-06649751 15 mg
Anxiety, Nervousness — Not Present3
Anxiety, Nervousness — Mild1
Anxiety, Nervousness — Moderate0
Anxiety, Nervousness — Severe0
Difficult Concentrating, Remembering — Not Present3
Difficult Concentrating, Remembering — Mild1
Difficult Concentrating, Remembering — Moderate0
Difficult Concentrating, Remembering — Severe0
Dysphoric Mood, Depression — Not Present3
Dysphoric Mood, Depression — Mild1
Dysphoric Mood, Depression — Moderate0
Dysphoric Mood, Depression — Severe0
Fatigue, Lethargy, Lack of Energy — Not Present2
Fatigue, Lethargy, Lack of Energy — Mild1
Fatigue, Lethargy, Lack of Energy — Moderate1
Fatigue, Lethargy, Lack of Energy — Severe0
Insomnia — Not Present2
Insomnia — Mild1
Insomnia — Moderate1
Insomnia — Severe0
Irritability — Not Present3
Irritability — Mild0
Irritability — Moderate1
Irritability — Severe0
Muscle Aches or Stiffness — Not Present3
Muscle Aches or Stiffness — Mild0
Muscle Aches or Stiffness — Moderate1
Muscle Aches or Stiffness — Severe0
Poor Coordination — Not Present2
Poor Coordination — Mild1
Poor Coordination — Moderate1
Poor Coordination — Severe0
Restlessness, Agitation — Not Present3
Restlessness, Agitation — Mild0
Restlessness, Agitation — Moderate1
Restlessness, Agitation — Severe0
Tremor-Tremulousness — Not Present3
Tremor-Tremulousness — Mild0
Tremor-Tremulousness — Moderate0
Tremor-Tremulousness — Severe1
Weakness — Not Present2
Weakness — Mild2
Weakness — Moderate0
Weakness — Severe0
SecondaryChange From Baseline for Hauser Participant Diary Data in Daily OFF Time

Available diaries are designed to record participant motor state for half hour intervals. These diaries are a way for participant to assess their own health status without clinician bias or interpretation. In participant diaries, "OFF" time is defined as a period when medication has worn off and is no longer providing benefit with regard to mobility, slowness, and stiffness. During this period, Parkinson's Disease (PD) participants experience relatively poor overall function with worsening of tremor, rigidity, balance, or bradykinesia.

Time frame:
Baseline, Day 21 and Day 35
Reported as:
Mean · Hours
Change From Baseline for Hauser Participant Diary Data in Daily OFF Time
HoursPF-06649751 15 mg
Baseline3.25 ± NA
Day 210.00 ± NA
Day 35-0.42 ± NA
SecondaryChange From Baseline for Hauser Participant Diary Data in Daily ON Time With Troublesome Dyskinesia

Available diaries are designed to record participant motor state for half hour intervals. These diaries are a way for participants to assess their own health status without clinician bias or interpretation. "ON" time is defined as the time when medication is providing benefit with regard to mobility, slowness, and stiffness. "ON" time can be classified as associated with or without troublesome dyskinesia that interfere with activities of daily living.It has been demonstrated that "ON" time with troublesome dyskinesia are generally considered by participants to be "bad time" with regard to motor function.

Time frame:
Baseline, Day 21 and Day 35
Reported as:
Mean · Hours
Change From Baseline for Hauser Participant Diary Data in Daily ON Time With Troublesome Dyskinesia
HoursPF-06649751 15 mg
Baseline0.00 ± NA
Day 210.00 ± NA
Day 350.00 ± NA
SecondaryChange From Baseline for Hauser Participant Diary Data in Daily ON Time Without Troublesome Dyskinesia

Available diaries are designed to record participant motor state for half hour intervals. These diaries are a way for participants to assess their own health status without clinician bias or interpretation. "ON" time is defined as the time when medication is providing benefit with regard to mobility, slowness, and stiffness. "ON" time can be classified as associated with or without troublesome dyskinesia that interfere with activities of daily living. "ON" time without dyskinesia and on time with non troublesome dyskinesia are generally considered to be "good time".

Time frame:
Baseline, Day 21 and Day 35
Reported as:
Mean · Hours
Change From Baseline for Hauser Participant Diary Data in Daily ON Time Without Troublesome Dyskinesia
HoursPF-06649751 15 mg
Baseline9.58 ± NA
Day 211.17 ± NA
Day 352.42 ± NA
SecondaryChange From Baseline in Movement Disorder Society Sponsored Revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Parts I, II, III, IV, and Total Score

The total MDS-UPDRS score developed by the Movement Disorder Society is the most common method of evaluating the severity of Parkinson's Disease (PD). Part I assesses non motor experiences of daily living(range 0-52).Part II assesses motor experiences of daily living(0-52). Part III assesses the motor signs of PD.Part IV assesses motor complications, dyskinesias, and motor fluctuations(0-24).Total Score:The sum of Parts I, II, III, and IV.Each question is anchored with five responses:0=normal, 1=slight, 2=mild, 3= moderate, 4=severe.Higher part and total scores indicate more severe signs of PD.There are four subscales in Part III:the tremor subscale(range 0-36),the rigidity subscale(0-20),the bradykinesia subscale(0-36),the postural instability and gait disorder (PIGD) subscale(0-12).

Time frame:
Baseline to last visit after termination (up to approximately 3 months)
Reported as:
Median · Units on a scale
Change From Baseline in Movement Disorder Society Sponsored Revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Parts I, II, III, IV, and Total Score
Units on a scalePF-06649751 15 mg
Part I Score-1.5 (-15 to 9)
Part II Score0 (-10 to 9)
Part III Score-2.5 (-9 to 11)
Part IV Score0 (-3 to 6)
Total Score0 (-32 to 19)

Adverse events

Collected over Baseline to last visit after termination (up to approximately 3 months). Non-serious events are listed at a 1% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
PF-06649751 15 mg0/5 (0%)1/5 (20%)3/5 (60%)
Most frequent serious events
Most frequent serious events
EventPF-06649751 15 mg
Hip FractureInjury, poisoning and procedural complications1/5
Most frequent other events
Most frequent other events
EventPF-06649751 15 mg
HeadacheNervous system disorders2/5
Orthostatic hypotentionVascular disorders2/5
FallInjury, poisoning and procedural complications1/5

Baseline characteristics

Age, Continuous
Age, Continuous(Years)PF-06649751 15 mg
Mean63 ± 11.73
Sex: Female, Male
Sex: Female, Male(Participants)PF-06649751 15 mg
Female0
Male5
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)PF-06649751 15 mg
Hispanic or Latino0
Not Hispanic or Latino5
Unknown or Not Reported0
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)PF-06649751 15 mg
White5
Black or African American0
Asian0
American Indian or Alaska Native0
Native Hawaiian or Other Pacific Islander0
Other0
Unknown0
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Study locations

9 sites
  • Hoag Memorial Hospital Presbyterian
    Newport Beach, California 92663, United States
  • Associated Neurologists of Southern CT, PC
    Fairfield, Connecticut 06824, United States
  • Parkinson's Disease and Movement Disorders Center of Boca Raton
    Boca Raton, Florida 33486, United States
  • Atlanta Center for Medical Research
    Atlanta, Georgia 30331, United States
  • Pharmaceutical Research Associates, Inc.
    Marlton, New Jersey 08053, United States
  • University of Toledo, Gardner-McMaster Parkinson Center
    Toledo, Ohio 43614, United States
  • University of Toledo, Investigational Drug Services
    Toledo, Ohio 43614, United States
  • The Movement Disorder Clinic of Oklahoma
    Tulsa, Oklahoma 74136, United States
  • Booth Gardner Parkinson's Care Center
    Kirkland, Washington 98034, United States
09

References and documents

Study documents

  • Study protocol · Mar 31, 2017
  • Statistical analysis plan · Jul 28, 2017

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 12, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03185481
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Jun 14, 2017
Start date
Jul 6, 2017
Primary completion
Oct 24, 2017
Completion
Oct 25, 2017
Results posted
Apr 12, 2019
Last update
Apr 12, 2019

Study contacts

Pfizer CT.gov Call Center
study director · Pfizer

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Apr 2019. You cannot join it, but the record below documents what was studied.

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