A Phase 2 interventional study of Placebo and PF-05221304 in Nonalcoholic Fatty Liver Disease and Nonalcoholic Steatohepatitis, sponsored by Pfizer. Completed at 140 sites in 6 countries. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2020-12-09.
Sponsored by Pfizer · Phase 2, Interventional, and Treatment
Phase 2a, dose-ranging Study with PF-05221304 in Nonalcoholic Fatty Liver Disease (NAFLD)
A Phase 2a, Randomized, Double-blind, Placebo-controlled, Dose-ranging, Parallel Group Study To Evaluate Safety, Tolerability, And Pharmacodynamics Of PF-05221304 Administered Daily For 16-weeks To Adult Subjects With Nonalcoholic Fatty Liver Disease
2,081 studies on the registry are indexed under Liver Diseases; 390 are open to participants now.
This study's enrollment of 305 is above the median of 50 across 1,323 interventional studies indexed under Liver Diseases.
Browse Liver Diseases 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.
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Exclusion Criteria:
Double-Blind, PF-05221304-matching Placebo
Drug: Placebo
PF-05221304 - 2 mg, once-daily
Drug: PF-05221304
PF-05221304 - 10 mg, once-daily
Drug: PF-05221304
PF-05221304 - 25 mg, once-daily
Drug: PF-05221304
PF-05221304 - 50 mg, once-daily
Drug: PF-05221304
Placebo
PF-05221304, Experimental Drug
Percent Change From Baseline in Liver Fat by Magnetic Resonance Imaging-Proton Density Fat Fraction (MRI- PDFF) at Week 16
MRI-PDFF utilized a gradient echo sequence with low flip angle (FA) to minimize T1 bias, corrected T2\* decay (due to iron overload) via modeling of the fat signal as a superposition of multiple frequency components from 5 different lipid types, and was applied in each of the 9 Couinaud segments. This technique improved fat quantification accuracy for the entire liver permitting quantification of small differences/changes following pharmacological intervention.
Time frame: Baseline (between Day -14 and Day 1), Week 16
Percent Change From Baseline in Alanine Aminotransferase at Week 16
Potential improvement in liver function was denoted by reduction in alanine transaminase (ALT)
Time frame: Baseline (Day 1 pre-dose), Week 16
Number of Participants With Treatment-Emergent Adverse Events
An AE was any untoward medical occurrence in a study subject administered a product or medical device. A serious AE (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; life-threatening; initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect. Any such events with initial onset or increasing in severity after the first dose of study treatment were counted as treatment-emergent.
Time frame: From first dose of study treatment (Day 1) up to Week 20
Number of Participants With Laboratory Abnormalities
Following laboratory parameters were assessed against pre-defined abnormality criteria: hematology (hemoglobin, hematocrit, erythrocytes, reticulocytes, platelets, leukocytes, lymphocytes, neutrophils, basophils, eosinophils, monocytes, activated partial thromboplastin time, prothrombin time \[PT\], PT/international normalized ratio, reticulocytes); chemistry (indirect bilirubin, direct bilirubin, protein, albumin, blood urea nitrogen, creatinine, creatine kinase, urate, calcium, sodium, potassium, chloride, bicarbonate, urine urobilinogen); urinalysis (pH, urine glucose, urine ketones, urine protein, urine hemoglobin, nitrites, leukocyte esterase, urine erythrocytes, urine leukocytes, urine hyaline casts, urine bilirubin, granular casts).
Time frame: From first dose of study treatment (Day 1) up to Week 20
Number of Participants With Vital Signs Data Meeting Predefined Criteria
Vital signs categorical summarization criteria: 1) sitting systolic blood pressure (SBP) \<90 or \>180 millimeters of mercury (mmHg); 2) sitting diastolic blood pressure (DBP) \<50 mmHg or \>110 mmHg; 3) sitting pulse rate \<40 or \>120 beats per minute (bpm); 4) change from baseline (increase or decrease) in sitting DBP greater than or equal to (\>=) 20 mmHg; 5) change from baseline (increase or decrease) in sitting SBP \>=30 mmHg.
Time frame: From first dose of study treatment (Day 1) up to Week 18
Number of Participants With 12-Lead Electrocardiogram (ECG) Data Meeting Predefined Criteria
ECG categorical summarization criteria: 1) QRS interval (time from ECG Q wave to the end of the S wave corresponding to ventricle depolarization) \>=140 milliseconds (msec); 2) QRS interval \>=50% change from baseline; 3) PR interval (the interval between the start of the P wave and the start of the QRS complex, corresponding to the time between the onset of the atrial depolarization and onset of ventricular depolarization) \>=300 msec; 4) PR interval \>=25% change when baseline is \>200 msec or \>=50% change when baseline is \<=200 msec; 5) QT interval (time from ECG Q wave to the end of the T wave corresponding to electrical systole): absolute value of \>=500 msec; 6) QTcF interval (QT corrected for heart rate using Fridericia's formula) absolute value of 450 to \<480 msec; 7) QTcF interval: absolute value of 480 to \<500 msec; 8) QTcF interval: absolute value \>=500 msec; 9) QTcF interval: a change from baseline of 30 to \<60 msec; 10) QTcF interval: a change from baseline \>=60 msec.
Time frame: From first dose of study treatment (Day 1) up to Week 18
| Milestone | Placebo | PF-05221304 2 mg | PF-05221304 10 mg | PF-05221304 25 mg | PF-05221304 50 mg |
|---|---|---|---|---|---|
| Started | 61 | 63 | 62 | 58 | 61 |
| Received treatment | 61 | 63 | 62 | 58 | 61 |
| Completed | 54 | 58 | 55 | 48 | 48 |
| Not completed | 7 | 5 | 7 | 10 | 13 |
| Withdrew: Adverse event | 3 | 3 | 2 | 6 | 9 |
| Withdrew: Lost to follow-up | 0 | 0 | 0 | 0 | 1 |
| Withdrew: Protocol violation | 2 | 0 | 2 | 0 | 1 |
| Withdrew: Withdrawal by subject | 2 | 2 | 3 | 4 | 2 |
MRI-PDFF utilized a gradient echo sequence with low flip angle (FA) to minimize T1 bias, corrected T2\* decay (due to iron overload) via modeling of the fat signal as a superposition of multiple frequency components from 5 different lipid types, and was applied in each of the 9 Couinaud segments. This technique improved fat quantification accuracy for the entire liver permitting quantification of small differences/changes following pharmacological intervention.
| Percent change | Placebo | PF-05221304 2 mg | PF-05221304 10 mg | PF-05221304 25 mg | PF-05221304 50 mg |
|---|---|---|---|---|---|
| Percent Change From Baseline in Liver Fat by Magnetic Resonance Imaging-Proton Density Fat Fraction (MRI- PDFF) at Week 16 | -7.2 (-13.9 to 0.0) | -17.1 (-22.7 to -11.1) | -49.9 (-53.3 to -46.2) | -55.9 (-59.0 to -52.4) | -64.8 (-67.5 to -62.0) |
Potential improvement in liver function was denoted by reduction in alanine transaminase (ALT)
| Percent change | Placebo | PF-05221304 2 mg | PF-05221304 10 mg | PF-05221304 25 mg | PF-05221304 50 mg |
|---|---|---|---|---|---|
| Percent Change From Baseline in Alanine Aminotransferase at Week 16 | -8.5 (-15.2 to -1.2) | -12.5 (-18.7 to -5.8) | -27.7 (-32.9 to -22.2) | -31.3 (-36.6 to -25.5) | -46.8 (-50.8 to -42.4) |
An AE was any untoward medical occurrence in a study subject administered a product or medical device. A serious AE (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; life-threatening; initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect. Any such events with initial onset or increasing in severity after the first dose of study treatment were counted as treatment-emergent.
| Participants | Placebo | PF-05221304 2 mg | PF-05221304 10 mg | PF-05221304 25 mg | PF-05221304 50 mg |
|---|---|---|---|---|---|
| All-causality AE | 41 | 40 | 42 | 45 | 40 |
| All-causality SAE | 0 | 1 | 1 | 2 | 2 |
| Treatment-related AE | 16 | 9 | 12 | 16 | 23 |
| Treatment-related SAE | 0 | 0 | 0 | 0 | 0 |
Following laboratory parameters were assessed against pre-defined abnormality criteria: hematology (hemoglobin, hematocrit, erythrocytes, reticulocytes, platelets, leukocytes, lymphocytes, neutrophils, basophils, eosinophils, monocytes, activated partial thromboplastin time, prothrombin time \[PT\], PT/international normalized ratio, reticulocytes); chemistry (indirect bilirubin, direct bilirubin, protein, albumin, blood urea nitrogen, creatinine, creatine kinase, urate, calcium, sodium, potassium, chloride, bicarbonate, urine urobilinogen); urinalysis (pH, urine glucose, urine ketones, urine protein, urine hemoglobin, nitrites, leukocyte esterase, urine erythrocytes, urine leukocytes, urine hyaline casts, urine bilirubin, granular casts).
| Participants | Placebo | PF-05221304 2 mg | PF-05221304 10 mg | PF-05221304 25 mg | PF-05221304 50 mg |
|---|---|---|---|---|---|
| Number of Participants With Laboratory Abnormalities | 39 | 44 | 36 | 33 | 40 |
Vital signs categorical summarization criteria: 1) sitting systolic blood pressure (SBP) \<90 or \>180 millimeters of mercury (mmHg); 2) sitting diastolic blood pressure (DBP) \<50 mmHg or \>110 mmHg; 3) sitting pulse rate \<40 or \>120 beats per minute (bpm); 4) change from baseline (increase or decrease) in sitting DBP greater than or equal to (\>=) 20 mmHg; 5) change from baseline (increase or decrease) in sitting SBP \>=30 mmHg.
| Participants | Placebo | PF-05221304 2 mg | PF-05221304 10 mg | PF-05221304 25 mg | PF-05221304 50 mg |
|---|---|---|---|---|---|
| Sitting SBP <90 mmHg | 0 | 0 | 0 | 0 | 2 |
| Sitting SBP >180 mmHg | 0 | 0 | 0 | 1 | 0 |
| Sitting SBP increase >=30 mmHg | 5 | 6 | 2 | 2 | 0 |
| Sitting SBP decrease >=30 mmHg | 2 | 1 | 5 | 7 | 6 |
| Sitting DBP <50 mmHg | 1 | 0 | 0 | 0 | 0 |
| Sitting DBP >110 mmHg | 0 | 0 | 0 | 0 | 1 |
| Sitting DBP increase >=20 mmHg | 1 | 4 | 2 | 2 | 3 |
| Sitting DBP decrease >=20 mmHg | 0 | 4 | 3 | 4 | 4 |
| Sitting pulse rate <40 bpm | 0 | 0 | 0 | 0 | 0 |
| Sitting pulse rate >120 bpm | 0 | 0 | 0 | 0 | 0 |
ECG categorical summarization criteria: 1) QRS interval (time from ECG Q wave to the end of the S wave corresponding to ventricle depolarization) \>=140 milliseconds (msec); 2) QRS interval \>=50% change from baseline; 3) PR interval (the interval between the start of the P wave and the start of the QRS complex, corresponding to the time between the onset of the atrial depolarization and onset of ventricular depolarization) \>=300 msec; 4) PR interval \>=25% change when baseline is \>200 msec or \>=50% change when baseline is \<=200 msec; 5) QT interval (time from ECG Q wave to the end of the T wave corresponding to electrical systole): absolute value of \>=500 msec; 6) QTcF interval (QT corrected for heart rate using Fridericia's formula) absolute value of 450 to \<480 msec; 7) QTcF interval: absolute value of 480 to \<500 msec; 8) QTcF interval: absolute value \>=500 msec; 9) QTcF interval: a change from baseline of 30 to \<60 msec; 10) QTcF interval: a change from baseline \>=60 msec.
| Participants | Placebo | PF-05221304 2 mg | PF-05221304 10 mg | PF-05221304 25 mg | PF-05221304 50 mg |
|---|---|---|---|---|---|
| PR interval >=300 msec | 0 | 0 | 0 | 0 | 0 |
| %Change in PR interval >=25/50% | 0 | 1 | 0 | 1 | 1 |
| QRS interval >=140 msec | 0 | 0 | 1 | 0 | 0 |
| %Change in QRS interval >=50% | 0 | 0 | 0 | 0 | 0 |
| QT interval >=500 msec | 0 | 0 | 0 | 1 | 0 |
| QTcF interval >=450 to <480 msec | 6 | 10 | 7 | 9 | 3 |
| QTcF interval >=480 to <500 msec | 0 | 1 | 0 | 1 | 1 |
| QTcF interval >=500 msec | 0 | 0 | 0 | 0 | 0 |
| QTcF interval increase >=30 to 60 msec | 5 | 6 | 8 | 10 | 4 |
| QTcF interval increase >=60 msec | 2 | 1 | 0 | 0 | 0 |
Collected over From first dose of study treatment up to 20 weeks. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo | 0/61 (0%) | 0/61 (0%) | 27/61 (44.3%) |
| PF-05221304 2 mg | 0/63 (0%) | 1/63 (1.6%) | 21/63 (33.3%) |
| PF-05221304 10 mg | 0/62 (0%) | 1/62 (1.6%) | 25/62 (40.3%) |
| PF-05221304 25 mg | 0/58 (0%) | 2/58 (3.4%) | 31/58 (53.4%) |
| PF-05221304 50 mg | 0/61 (0%) | 2/61 (3.3%) | 29/61 (47.5%) |
| Event | Placebo | PF-05221304 2 mg | PF-05221304 10 mg | PF-05221304 25 mg | PF-05221304 50 mg |
|---|---|---|---|---|---|
| Angina unstableCardiac disorders | 0/61 | 0/63 | 0/62 | 1/58 | 0/61 |
| Myocardial ischaemiaCardiac disorders | 0/61 | 0/63 | 0/62 | 1/58 | 0/61 |
| Renal colicRenal and urinary disorders | 0/61 | 0/63 | 0/62 | 0/58 | 1/61 |
| AsthmaRespiratory, thoracic and mediastinal disorders | 0/61 | 0/63 | 0/62 | 0/58 | 1/61 |
| Upper respiratory tract infectionInfections and infestations | 0/61 | 0/63 | 1/62 | 0/58 | 0/61 |
| Rib fractureInjury, poisoning and procedural complications | 0/61 | 0/63 | 1/62 | 0/58 | 0/61 |
| Myocardial infarctionCardiac disorders | 0/61 | 1/63 | 0/62 | 0/58 | 0/61 |
| PneumoniaInfections and infestations | 0/61 | 1/63 | 0/62 | 0/58 | 0/61 |
| Event | Placebo | PF-05221304 2 mg | PF-05221304 10 mg | PF-05221304 25 mg | PF-05221304 50 mg |
|---|---|---|---|---|---|
| HypertriglyceridaemiaMetabolism and nutrition disorders | 2/61 | 1/63 | 6/62 | 4/58 | 10/61 |
| HeadacheNervous system disorders | 8/61 | 3/63 | 3/62 | 7/58 | 4/61 |
| DiarrhoeaGastrointestinal disorders | 3/61 | 3/63 | 8/62 | 2/58 | 4/61 |
| Abdominal pain upperGastrointestinal disorders | 1/61 | 0/63 | 1/62 | 6/58 | 1/61 |
| Upper respiratory tract infectionInfections and infestations | 2/61 | 6/63 | 3/62 | 3/58 | 2/61 |
| NauseaGastrointestinal disorders | 3/61 | 0/63 | 3/62 | 5/58 | 4/61 |
| Urinary tract infectionInfections and infestations | 1/61 | 1/63 | 2/62 | 5/58 | 4/61 |
| FatigueGeneral disorders | 5/61 | 3/63 | 2/62 | 2/58 | 2/61 |
| ArthralgiaMusculoskeletal and connective tissue disorders | 1/61 | 1/63 | 3/62 | 4/58 | 0/61 |
| Muscle spasmsMusculoskeletal and connective tissue disorders | 4/61 | 0/63 | 2/62 | 1/58 | 0/61 |
All randomized participants who received at least 1 dose of randomized study treatment.
| Age, Continuous(Years) | Placebo | PF-05221304 2 mg | PF-05221304 10 mg | PF-05221304 25 mg | PF-05221304 50 mg | Total |
|---|---|---|---|---|---|---|
| Mean | 53.3 ± 10.8 | 54.1 ± 11.9 | 52.7 ± 12.8 | 54.0 ± 11.6 | 52.8 ± 13.1 | 53.38 ± 11.99 |
| Sex: Female, Male(Participants) | Placebo | PF-05221304 2 mg | PF-05221304 10 mg | PF-05221304 25 mg | PF-05221304 50 mg | Total |
|---|---|---|---|---|---|---|
| Female | 36 | 37 | 33 | 35 | 30 | 171 |
| Male | 25 | 26 | 29 | 23 | 31 | 134 |
| Race/Ethnicity, Customized(Participants) | Placebo | PF-05221304 2 mg | PF-05221304 10 mg | PF-05221304 25 mg | PF-05221304 50 mg | Total |
|---|---|---|---|---|---|---|
| White | 53 | 50 | 52 | 46 | 51 | 252 |
| Black or African American | 1 | 1 | 1 | 1 | 0 | 4 |
| Asian | 5 | 7 | 7 | 9 | 10 | 38 |
| American Indian or Alaska Native | 0 | 1 | 0 | 0 | 0 | 1 |
| Native Hawaiian or Other Pacific Islander | 0 | 1 | 0 | 0 | 0 | 1 |
| Not Reported | 2 | 3 | 2 | 2 | 0 | 9 |
Showing the first 100 of 140 sites across 6 countries.
Documents are hosted by the registry — open the source record to download them.
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.
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