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CompletedNCT03256526Updated Apr 4, 2019Results posted

6-week Safety and PD Study in Adults With NAFLD

A Phase 2 interventional study of Placebo and PF-06835919 Low Dose in Non-alcoholic Fatty Liver Disease, sponsored by Pfizer. Completed at 9 sites in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2019-04-04.

Sponsored by Pfizer · Phase 2, Interventional, and Basic science

Phase
Phase 2
Study type
Interventional
Enrollment
53
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

IN THIS PHASE 2A, RANDOMIZED, DOUBLE BLIND, PLACEBO CONTROLLED, 3 ARM, PARALLEL- GROUP STUDY, SAFETY, TOLERABILITY, AND PHARMACODYNAMICS OF PF-06835919 ADMINISTERED ONCE DAILY FOR 6 WEEKS WILL BE ASSESSED IN ADULTS WITH NONALCOHOLIC FATTY LIVER DISEASE

02

Conditions studied

03

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • BMI at least 28 kg/m2
  • Type 2 diabetes and/or metabolic syndrome

Exclusion criteria

Exclusion Criteria:

  • Liver disease
  • Type 1 diabetes
  • Recent heart attack or stroke
  • Inability to have an MRI scan
04

Study design

Phase
Phase 2
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
53 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Drug: Placebo

  • Experimental
    PF-06835919 Low Dose

    75 mg once daily

    Drug: PF-06835919 Low Dose

  • Experimental
    PF-06835919 High Dose

    300 mg once daily

    Drug: PF-06835919 High Dose

Interventions

  • DrugPlacebo

    0 mg

  • DrugPF-06835919 Low Dose

    75 mg once daily

  • DrugPF-06835919 High Dose

    300 mg once daily

05

What researchers measure

Primary outcomes

  1. Percent Change From Baseline in Whole Liver Fat at Week 6

    The percent change from baseline in whole liver fat at Week 6 was assessed by magnetic resonance imaging proton density fat fraction (MRI-PDFF). MRI-PDFF generates measures of the fraction of mobile protons in the liver attributable to fat content and provides whole liver coverage so that fat content can be assessed across 8 Couinaud liver segments. Whole liver PDFF was calculated as follows: Whole Liver PDFF= PDFFs for (Segment I+Segment II+Segment III+Segment IVa+Segment IVb+Segment V+Segment VI+Segment+VII+Segment VIII) / (number of segments assessed). The same segments were to be used at both baseline and post-baseline time points in the calculation of whole liver PDFF to derive the percent change from baseline. The values of whole liver PDFF ranges from 0 to 100 and higher values represent higher liver fat.

    Time frame: Baseline and Week 6

Secondary outcomes

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

    All-causality adverse events (AEs) were any untoward medical occurrence in a study participant who administered a product or medical device, the event need not necessarily have a causal relationship with the treatment or usage. Treatment-related AEs were any untoward medical occurrence in a study participant who administered a product or medical device, the event needed to have a causal relationship with the treatment or usage. A TEAE was defined as any event not present prior to the initiation of the treatments or any event already present that worsens in either intensity or frequency following exposure to the treatments.

    Time frame: Baseline up to Day 77 (28-35 days post last dose)

  2. Number of Participants With Post-dose Vital Signs Data Meeting Categorical Criteria

    The vital sign categorical criteria included: Sitting DBP (diastolic blood pressure) millimeter of mercury (mmHg) Change \>= 20 mmHg increase Sitting SBP (systolic blood pressure) (mmHg) Change \>= 30 mmHg increase Sitting DBP (mmHg) Change \>= 20 mmHg decrease Sitting SBP (mmHg) Change \>= 30 mmHg decrease Sitting DBP (mmHg) Value \< 50 mmHg Sitting Pulse Rate (bpm) Value \< 40 bpm or Value \> 120 bpm Sitting SBP (mmHg) Value \< 90 mmHg

    Time frame: Baseline up to Day 56 (Week 8)

  3. Number of Participants With Post-dose ECG Data Meeting Categorical Criteria

    The ECG categorical criteria included: PR Interval (msec) percent (%)Change \>= 25% increase when baseline \>200 or \>=50% increase when baseline \<=200 QRS Interval (msec) %Change \>= 50% increase QTcF Interval (Fridericia's Correction) (msec) increase 30 \<= Change \< 60 or Change \>= 60 PR Interval (msec) Value \>= 300 QRS Interval (msec) Value \>= 140 QTcF Interval (Fridericia's Correction) (msec) 450 \<= Value \<480 or 480 \<=Value \<500 or Value \>= 500

    Time frame: Baseline up to Day 56 (Week 8)

  4. Number of Participants With Laboratory Abnormalities

    Below parameters were evaluated for laboratory tests: Hemoglobin, Hematocrit, Erythrocytes, Ery. Mean Copuscular Volume, Ery. Mean Copuscular Hemoglobin, Ery. Mean Corpuscular HGB Concentration, Platelets, Leukocytes, Lymphocytes, Neuprophils, Basophils, Eosinophils, Monocytes, Bilirubin, Direct Biliirubin, Indirect Bilirubin, Aspartate Aminotransferase, Alanine Aminotransferase, Gamma Glutamyl Transferase, Alkaline Phosphatase, Protein, Albumin, Albumin, Blood Urea Nitrogen, Creatinine, Urate, Sodium, Potassium, Chloride, Calcium, Bicarbonate, Glucose-Fasting, pH, Urine Glucose, Ketone, Urine Protein, Urine Hemoglobin, Urobilinogen, Urine Bilirubin, Nitrite, Leukocyte Esterase, Urine Erythocytes, Urine leukocytes, Hyaline Casts, Urine Creatinine.

    Time frame: Baseline up to Day 56 (Week 8)

06

Results

Posted Apr 4, 2019

Participant flow

Participant flow — Overall Study
MilestonePlaceboPF-06835919 75 mgPF-06835919 300 mg
Started191717
Completed171714
Not completed203
Withdrew: Adverse event101
Withdrew: Lost to follow-up102

Outcome measures

PrimaryPercent Change From Baseline in Whole Liver Fat at Week 6

The percent change from baseline in whole liver fat at Week 6 was assessed by magnetic resonance imaging proton density fat fraction (MRI-PDFF). MRI-PDFF generates measures of the fraction of mobile protons in the liver attributable to fat content and provides whole liver coverage so that fat content can be assessed across 8 Couinaud liver segments. Whole liver PDFF was calculated as follows: Whole Liver PDFF= PDFFs for (Segment I+Segment II+Segment III+Segment IVa+Segment IVb+Segment V+Segment VI+Segment+VII+Segment VIII) / (number of segments assessed). The same segments were to be used at both baseline and post-baseline time points in the calculation of whole liver PDFF to derive the percent change from baseline. The values of whole liver PDFF ranges from 0 to 100 and higher values represent higher liver fat.

Time frame:
Baseline and Week 6
Reported as:
Mean · Percent Change
Percent Change From Baseline in Whole Liver Fat at Week 6
Percent ChangePlaceboPF-06835919 75 mgPF-06835919 300 mg
Percent Change From Baseline in Whole Liver Fat at Week 6-7.97 ± 24.5212.84 ± 22.246-25.43 ± 22.434
Statistical analysis
  • Placebo vs PF-06835919 75 mg · ANCOVA · p = 0.1654 · Ls mean difference: 11.45 · 90% CI -2.19 to 25.09
  • Placebo vs PF-06835919 300 mg · ANCOVA · p = 0.0395 · Ls mean difference: -18.73 · 90% CI -33.55 to -3.90
SecondaryNumber of Participants With Treatment-Emergent Adverse Events (TEAEs)

All-causality adverse events (AEs) were any untoward medical occurrence in a study participant who administered a product or medical device, the event need not necessarily have a causal relationship with the treatment or usage. Treatment-related AEs were any untoward medical occurrence in a study participant who administered a product or medical device, the event needed to have a causal relationship with the treatment or usage. A TEAE was defined as any event not present prior to the initiation of the treatments or any event already present that worsens in either intensity or frequency following exposure to the treatments.

Time frame:
Baseline up to Day 77 (28-35 days post last dose)
Reported as:
Count of participants · Participants
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)
ParticipantsPlaceboPF-06835919 75 mgPF-06835919 300 mg
All-causality TEAEs545
Treatment-related TEAEs011
SecondaryNumber of Participants With Post-dose Vital Signs Data Meeting Categorical Criteria

The vital sign categorical criteria included: Sitting DBP (diastolic blood pressure) millimeter of mercury (mmHg) Change \>= 20 mmHg increase Sitting SBP (systolic blood pressure) (mmHg) Change \>= 30 mmHg increase Sitting DBP (mmHg) Change \>= 20 mmHg decrease Sitting SBP (mmHg) Change \>= 30 mmHg decrease Sitting DBP (mmHg) Value \< 50 mmHg Sitting Pulse Rate (bpm) Value \< 40 bpm or Value \> 120 bpm Sitting SBP (mmHg) Value \< 90 mmHg

Time frame:
Baseline up to Day 56 (Week 8)
Reported as:
Count of participants · Participants
Number of Participants With Post-dose Vital Signs Data Meeting Categorical Criteria
ParticipantsPlaceboPF-06835919 75 mgPF-06835919 300 mg
Sitting DBP (mmHg) Change >= 20 mmHg increase101
Sitting SBP (mmHg) Change >= 30 mmHg increase002
Sitting DBP (mmHg) Change >= 20 mmHg decrease110
Sitting SBP (mmHg) Change >= 30 mmHg decrease012
Sitting DBP (mmHg) Value <50 mmHg000
Sitting Pulse Rate (bpm) Value < 40 bpm000
Sitting Pulse Rate (bpm) Value > 120 bpm000
Sitting SBP (mmHg) Value < 90 mmHg010
SecondaryNumber of Participants With Post-dose ECG Data Meeting Categorical Criteria

The ECG categorical criteria included: PR Interval (msec) percent (%)Change \>= 25% increase when baseline \>200 or \>=50% increase when baseline \<=200 QRS Interval (msec) %Change \>= 50% increase QTcF Interval (Fridericia's Correction) (msec) increase 30 \<= Change \< 60 or Change \>= 60 PR Interval (msec) Value \>= 300 QRS Interval (msec) Value \>= 140 QTcF Interval (Fridericia's Correction) (msec) 450 \<= Value \<480 or 480 \<=Value \<500 or Value \>= 500

Time frame:
Baseline up to Day 56 (Week 8)
Reported as:
Count of participants · Participants
Number of Participants With Post-dose ECG Data Meeting Categorical Criteria
ParticipantsPlaceboPF-06835919 75 mgPF-06835919 300 mg
PR Interval (msec) %Change >= 25/50% increase000
QRS Interval (msec) %Change >= 50% increase000
QTcF Interval (msec) 30<= Change < 60 increase100
QTcF Interval (msec) Change >= 60 increase000
PR Interval (msec) Value >= 300000
QRS Interval (msec) Value >= 140000
QTcF Interval (msec) 450 <= Value <480110
QTcF Interval (msec) 480<= Value < 500000
QTcF Interval (msec) Value >= 500100
SecondaryNumber of Participants With Laboratory Abnormalities

Below parameters were evaluated for laboratory tests: Hemoglobin, Hematocrit, Erythrocytes, Ery. Mean Copuscular Volume, Ery. Mean Copuscular Hemoglobin, Ery. Mean Corpuscular HGB Concentration, Platelets, Leukocytes, Lymphocytes, Neuprophils, Basophils, Eosinophils, Monocytes, Bilirubin, Direct Biliirubin, Indirect Bilirubin, Aspartate Aminotransferase, Alanine Aminotransferase, Gamma Glutamyl Transferase, Alkaline Phosphatase, Protein, Albumin, Albumin, Blood Urea Nitrogen, Creatinine, Urate, Sodium, Potassium, Chloride, Calcium, Bicarbonate, Glucose-Fasting, pH, Urine Glucose, Ketone, Urine Protein, Urine Hemoglobin, Urobilinogen, Urine Bilirubin, Nitrite, Leukocyte Esterase, Urine Erythocytes, Urine leukocytes, Hyaline Casts, Urine Creatinine.

Time frame:
Baseline up to Day 56 (Week 8)
Reported as:
Count of participants · Participants
Number of Participants With Laboratory Abnormalities
ParticipantsPlaceboPF-06835919 75 mgPF-06835919 300 mg
Number of Participants With Laboratory Abnormalities988

Adverse events

Collected over Baseline up to Day 77 (28-35 days post last dose). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo0/19 (0%)0/19 (0%)5/19 (26.3%)
PF-06835919 75 mg0/17 (0%)0/17 (0%)4/17 (23.5%)
PF-06835919 300 mg0/17 (0%)0/17 (0%)5/17 (29.4%)
Most frequent other events
Showing 10 of 20
Most frequent other events
EventPlaceboPF-06835919 75 mgPF-06835919 300 mg
Urinary tract infectionInfections and infestations2/191/171/17
DiarrhoeaGastrointestinal disorders0/190/171/17
DyspepsiaGastrointestinal disorders0/190/171/17
GastritisGastrointestinal disorders0/190/171/17
VomitingGastrointestinal disorders0/190/171/17
FatigueGeneral disorders1/191/170/17
PainGeneral disorders0/191/170/17
Viral infectionInfections and infestations0/191/170/17
Increased appetiteMetabolism and nutrition disorders0/190/171/17
Back painMusculoskeletal and connective tissue disorders1/190/171/17

Baseline characteristics

The baseline analysis population included all eligible participants who received the study medication.

Age, Continuous
Age, Continuous(Years)PlaceboPF-06835919 75 mgPF-06835919 300 mgTotal
Mean51.00 ± 9.6752.82 ± 8.1752.29 ± 9.2652.00 ± 8.94
Age, Customized
Age, Customized(Participants)PlaceboPF-06835919 75 mgPF-06835919 300 mgTotal
18-44 Years62311
45-64 Years13151442
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboPF-06835919 75 mgPF-06835919 300 mgTotal
Female791026
Male128727
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)PlaceboPF-06835919 75 mgPF-06835919 300 mgTotal
Hispanic or Latino1561031
Not Hispanic or Latino411722
Unknown or Not Reported0000
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)PlaceboPF-06835919 75 mgPF-06835919 300 mgTotal
White17101239
Black or African American26513
Asian0101
American Indian or Alaska Native0000
Native Hawaiian or Other Pacific Islander0000
Age Range
Age Range(Years)PlaceboPF-06835919 75 mgPF-06835919 300 mgTotal
Median53.00 (31 to 63)54.00 (32 to 64)54.00 (31 to 63)54.00 (31 to 64)
07

Study locations

9 sites
  • National Research Institute
    Los Angeles, California 90057, United States
  • Avail Clinical Research, LLC
    DeLand, Florida 32720, United States
  • Stand-Up MRI of Miami
    Miami, Florida 33145, United States
  • Avail Clinical Research, LLC
    Orange City, Florida 32763, United States
  • Qps-Mra, Llc
    South Miami, Florida 33143, United States
  • Sterling Research Group, Ltd.
    Cincinnati, Ohio 45219, United States
  • WR-ClinSearch LLC
    Chattanooga, Tennessee 37421, United States
  • Clinical Trials of Texas, Inc.
    San Antonio, Texas 78229, United States
  • National Clinical Research, Inc
    Richmond, Virginia 23294, United States
08

References and documents

Publications

  • Kazierad DJ, Chidsey K, Somayaji VR, Bergman AJ, Birnbaum MJ, Calle RA. Inhibition of ketohexokinase in adults with NAFLD reduces liver fat and inflammatory markers: A randomized phase 2 trial. Med. 2021 Jul 9;2(7):800-813.e3. doi: 10.1016/j.medj.2021.04.007. Epub 2021 Apr 27. PubMed 35590219 ↗

Study documents

  • Study protocol · Jun 29, 2017
  • Statistical analysis plan · Nov 7, 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.

09

Registry details

Key details

Study ID
NCT03256526
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Aug 22, 2017
Start date
Sep 27, 2017
Primary completion
Mar 30, 2018
Completion
Apr 27, 2018
Results posted
Apr 4, 2019
Last update
Apr 4, 2019

Study contacts

Pfizer CT.gov Call Center
study director · Pfizer

Oversight

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

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

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