A Phase 1 interventional study of PF-06946860 and Placebo for PF-06946860 in Non-small Cell Lung Cancer, Pancreatic Cancer and Colorectal Cancer, sponsored by Pfizer. Completed at 33 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-01-12.
Sponsored by Pfizer · Phase 1, Interventional, and Treatment
Study to compare the effects of the investigational new drug (PF-06946860) and a placebo on appetite and to find out how participants with advanced cancer and anorexia feel after receiving repeated subcutaneous (SC-injected under the skin) doses.
A 6 week double blind study to compare the effects of the investigational new drug (PF-06946860) and a placebo on appetite and to find out how participants with advanced cancer and anorexia feel after receiving repeated doses injected under the skin (subcutaneously).
During the initial 6-week treatment period (Part A), a total of 2 doses of study drug or placebo will be administered 3 weeks apart. Each dose contains two injections. Part B is an optional 18-week open-label treatment period where up to 7 doses of study drug may be administered. Part B does not include placebo.
Assessments include:
196 studies on the registry are indexed under Wasting Syndrome; 22 are open to participants now.
This study's enrollment of 18 is below the median of 58 across 130 interventional studies indexed under Wasting Syndrome.
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Key Inclusion Criteria:
Meets any of the following criteria at Randomization:
Key Exclusion Criteria:
subcutaneous injection
Drug: PF-06946860
subcutaneous injection
Drug: PF-06946860 · Drug: Placebo for PF-06946860
subcutaneous injection
subcutaneous injection
Change From Baseline in Cancer-Related Cachexia Symptom Assessment in Appetite Score at Week 4 in Part A
The Cancer-Related Cachexia Symptom Assessment-Appetite was a self-reported questionnaire that measured the severity of anorexia. The measure consisted of 1 question that asked study participants to rate their appetite over the past 7 days from 0-"no appetite" to 10-"very good appetite", where higher score indicated better appetite. In this Outcome Measure (OM), changes from baseline in the Cancer-Related Cachexia Symptom Assessment-Appetite score at Week 4 were summarized descriptively by treatment group.
Time frame: Baseline, Week 4
Change From Baseline in Cancer-Related Cachexia Symptom Assessment in Appetite Score at Weeks 1, 2, 3, 5 and 6 in Part A
The Cancer-Related Cachexia Symptom Assessment-Appetite was a self-reported questionnaire that measured the severity of anorexia. The measure consisted of 1 question that asked study participants to rate their appetite over the past 7 days from 0-"no appetite" to 10-"very good appetite", where higher score indicated better appetite. In this OM, changes from baseline in the Cancer-Related Cachexia Symptom Assessment-Appetite score were summarized descriptively by treatment group and timepoint.
Time frame: Baseline, Weeks 1, 2, 3, 5 and 6
Change From Baseline in Cancer-Related Cachexia Symptom Assessment in Fatigue Score at Weeks 1, 2, 3, 4, 5 and 6 in Part A
The Cancer-Related Cachexia Symptom Assessment-Fatigue was a self-reported questionnaire that measured the severity of fatigue. The measure consisted of 1 question that asked study participants to rate their fatigue over the past 7 days from 0-"no fatigue" to 10-"worst possible fatigue", where higher score indicated worse fatigue. In this OM, changes from baseline in the Cancer-Related Cachexia Symptom Assessment-Fatigue score were summarized descriptively by treatment group and timepoint.
Time frame: Baseline, Weeks 1, 2, 3, 4, 5 and 6
Number of Participants With All-Causality Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) in Part A
An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. TEAEs are events between first dose of study drug and up to discharge from study that are absent before treatment or that worsen relative to pretreatment state. An SAE is any untoward medical occurrence at any dose that: results in death, is life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, or results in congenital anomaly/birth defect.
Time frame: Day 1 through Week 6 (for a period of 6 weeks)
Number of Participants With Laboratory Test Abnormalities in Part A
Laboratory parameters included: hematology (hemoglobin, hematocrit, erythrocytes, erythrocytes mean corpuscular volume, erythrocytes mean corpuscular hemoglobin, erythrocytes mean corpuscular hemoglobin concentration, platelets, leukocytes, lymphocytes, basophils, eosinophils and monocytes), chemistry (bilirubin, aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, protein, albumin, blood urea nitrogen, creatinine, urate, sodium, potassium, chloride, calcium, bicarbonate and glucose) and urine (pH, urine glucose, ketones, urine protein, urine hemoglobin, urobilinogen, urine bilirubin, nitrite, leukocyte esterase, urine erythrocytes \[/high power field (HPF)\], urine leukocytes \[/HPF\] and hyaline casts \[/low power field (LPF)\]).
Time frame: Days 1, 22 and 43
| Milestone | Placebo -> OL PF-06946860 200mg Q3W | PF-06946860 200mg Q3W -> OL PF-06946860 200mg Q3W |
|---|---|---|
| Started | 6 | 12 |
| Completed | 5 | 9 |
| Not completed | 1 | 3 |
| Withdrew: Death | 0 | 2 |
| Withdrew: Withdrawal by subject | 0 | 1 |
| Withdrew: Physician decision | 1 | 0 |
| Milestone | Placebo -> OL PF-06946860 200mg Q3W | PF-06946860 200mg Q3W -> OL PF-06946860 200mg Q3W |
|---|---|---|
| Started | 5 | 9 |
| Completed | 2 | 5 |
| Not completed | 3 | 4 |
| Withdrew: Other | 0 | 1 |
| Withdrew: Withdrawal by subject | 1 | 0 |
| Withdrew: Physician decision | 0 | 1 |
| Withdrew: Death | 1 | 2 |
| Withdrew: Adverse event | 1 | 0 |
The Cancer-Related Cachexia Symptom Assessment-Appetite was a self-reported questionnaire that measured the severity of anorexia. The measure consisted of 1 question that asked study participants to rate their appetite over the past 7 days from 0-"no appetite" to 10-"very good appetite", where higher score indicated better appetite. In this Outcome Measure (OM), changes from baseline in the Cancer-Related Cachexia Symptom Assessment-Appetite score at Week 4 were summarized descriptively by treatment group.
| Units on a Scale | Placebo | PF-06946860 200mg Q3W |
|---|---|---|
| Change From Baseline in Cancer-Related Cachexia Symptom Assessment in Appetite Score at Week 4 in Part A | 2.45 (1.01 to 3.88) | 1.84 (0.79 to 2.90) |
The Cancer-Related Cachexia Symptom Assessment-Appetite was a self-reported questionnaire that measured the severity of anorexia. The measure consisted of 1 question that asked study participants to rate their appetite over the past 7 days from 0-"no appetite" to 10-"very good appetite", where higher score indicated better appetite. In this OM, changes from baseline in the Cancer-Related Cachexia Symptom Assessment-Appetite score were summarized descriptively by treatment group and timepoint.
| Units on a Scale | Placebo | PF-06946860 200mg Q3W |
|---|---|---|
| Week 1 | 0.99 (-0.66 to 2.64) | 2.19 (1.17 to 3.20) |
| Week 2 | 1.11 (-0.03 to 2.25) | 2.21 (1.45 to 2.98) |
| Week 3 | 1.27 (-0.35 to 2.89) | 2.30 (1.20 to 3.41) |
| Week 5 | 1.95 (0.27 to 3.63) | 1.95 (0.82 to 3.08) |
| Week 6 | 2.41 (0.49 to 4.33) | 1.61 (0.32 to 2.90) |
The Cancer-Related Cachexia Symptom Assessment-Fatigue was a self-reported questionnaire that measured the severity of fatigue. The measure consisted of 1 question that asked study participants to rate their fatigue over the past 7 days from 0-"no fatigue" to 10-"worst possible fatigue", where higher score indicated worse fatigue. In this OM, changes from baseline in the Cancer-Related Cachexia Symptom Assessment-Fatigue score were summarized descriptively by treatment group and timepoint.
| Units on a Scale | Placebo | PF-06946860 200mg Q3W |
|---|---|---|
| Week 1 | 1.84 (-1.47 to 5.16) | 1.52 (-0.57 to 3.60) |
| Week 2 | 0.04 (-2.71 to 2.80) | -2.12 (-3.91 to -0.34) |
| Week 3 | -1.21 (-2.33 to -0.09) | -0.49 (-1.23 to 0.25) |
| Week 4 | -1.00 (-2.40 to 0.40) | -0.55 (-1.57 to 0.48) |
| Week 5 | -0.92 (-2.47 to 0.63) | -0.24 (-1.31 to 0.82) |
| Week 6 | -1.13 (-2.40 to 0.15) | 0.74 (-0.09 to 1.57) |
An AE is any untoward medical occurrence in a patient or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. TEAEs are events between first dose of study drug and up to discharge from study that are absent before treatment or that worsen relative to pretreatment state. An SAE is any untoward medical occurrence at any dose that: results in death, is life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, or results in congenital anomaly/birth defect.
| Participants | Placebo | PF-06946860 200mg Q3W |
|---|---|---|
| Participants With All-Causality TEAEs | 4 | 7 |
| Participants With All-Causality SAEs | 1 | 3 |
Laboratory parameters included: hematology (hemoglobin, hematocrit, erythrocytes, erythrocytes mean corpuscular volume, erythrocytes mean corpuscular hemoglobin, erythrocytes mean corpuscular hemoglobin concentration, platelets, leukocytes, lymphocytes, basophils, eosinophils and monocytes), chemistry (bilirubin, aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, protein, albumin, blood urea nitrogen, creatinine, urate, sodium, potassium, chloride, calcium, bicarbonate and glucose) and urine (pH, urine glucose, ketones, urine protein, urine hemoglobin, urobilinogen, urine bilirubin, nitrite, leukocyte esterase, urine erythrocytes \[/high power field (HPF)\], urine leukocytes \[/HPF\] and hyaline casts \[/low power field (LPF)\]).
| Participants | Placebo | PF- 06946860 200mg Q3W |
|---|---|---|
| Hemoglobin <0.8 x lower limit of normal (LLN) | 2 | 4 |
| Hematocrit <0.8 x LLN | 2 | 3 |
| Erythrocytes <0.8 x LLN | 1 | 4 |
| Erythrocytes Mean Corpuscular Volume <0.9 x LLN | 0 | 0 |
| Erythrocytes Mean Corpuscular Volume >1.1 x upper limit of normal (ULN) | 0 | 1 |
| Erythrocytes Mean Corpuscular Hemoglobin <0.9 x LLN | 0 | 1 |
| Erythrocytes Mean Corpuscular Hemoglobin >1.1 x ULN | 0 | 0 |
| Erythrocytes Mean Corpuscular Hemoglobin Concentration <0.9 x LLN | 0 | 0 |
| Erythrocytes Mean Corpuscular Hemoglobin Concentration >1.1 x ULN | 0 | 0 |
| Platelets <0.5 x LLN | 0 | 0 |
| Platelets >1.75 x ULN | 0 | 1 |
| Leukocytes <0.6 x LLN | 1 | 0 |
| Leukocytes >1.5 x ULN | 0 | 0 |
| Lymphocytes <0.8 x LLN | 2 | 6 |
| Lymphocytes >1.2 x ULN | 0 | 0 |
| Basophils >1.2 x ULN | 0 | 1 |
| Eosinophils >1.2 x ULN | 0 | 0 |
| Monocytes >1.2 x ULN | 0 | 1 |
| Bilirubin >1.5 x ULN | 0 | 0 |
| Aspartate Aminotransferase >3.0 x ULN | 0 | 0 |
| Alanine Aminotransferase >3.0 x ULN | 0 | 0 |
| Alkaline Phosphatase >3.0 x ULN | 0 | 2 |
| Protein <0.8 x LLN | 1 | 0 |
| Protein >1.2 x ULN | 0 | 0 |
| Albumin <0.8 x LLN | 0 | 0 |
| Albumin >1.2 x ULN | 0 | 0 |
| Blood Urea Nitrogen >1.3 x ULN | 0 | 0 |
| Creatinine >1.3 x ULN | 0 | 1 |
| Urate >1.2 x ULN | 0 | 0 |
| Sodium <0.95 x LLN | 0 | 0 |
| Sodium >1.05 x ULN | 0 | 0 |
| Potassium <0.9 x LLN | 0 | 0 |
| Potassium >1.1 x ULN | 0 | 0 |
| Chloride <0.9 x LLN | 0 | 0 |
| Chloride >1.1 x ULN | 0 | 0 |
| Calcium <0.9 x LLN | 0 | 0 |
| Calcium >1.1 x ULN | 0 | 0 |
| Bicarbonate <0.9 x LLN | 1 | 1 |
| Bicarbonate >1.1 x ULN | 0 | 0 |
| Glucose <0.6 x LLN | 0 | 0 |
| Glucose >1.5 x ULN | 1 | 2 |
| pH <4.5 | 0 | 0 |
| pH >8 | 0 | 0 |
| Urine Glucose >=1 | 0 | 1 |
| Ketones >=1 | 0 | 0 |
| Urine Protein >=1 | 2 | 0 |
| Urine Hemoglobin >=1 | 0 | 2 |
| Urobilinogen >=1 | 0 | 0 |
| Urine Bilirubin >=1 | 0 | 0 |
| Nitrite >=1 | 0 | 1 |
| Leukocyte Esterase >=1 | 1 | 2 |
| Urine Erythrocytes (/HPF) >=20 | 0 | 1 |
| Urine Leukocytes (/HPF) >=20 | 0 | 1 |
| Hyaline Casts (/LPF) >1 | 0 | 2 |
Collected over Part A: Day 1 through Week 6 Part A + Part B: up to 24 weeks. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo | 1/6 (16.7%) | 1/6 (16.7%) | 4/6 (66.7%) |
| PF-06946860 200mg Q3W | 2/12 (16.7%) | 3/12 (25%) | 4/12 (33.3%) |
| Placebo -> OL PF-06946860 200mg Q3W | 2/6 (33.3%) | 2/6 (33.3%) | 6/6 (100%) |
| PF-06946860 200mg Q3W -> OL PF-06946860 200mg Q3W | 4/12 (33.3%) | 5/12 (41.7%) | 8/12 (66.7%) |
| Event | Placebo | PF-06946860 200mg Q3W | Placebo -> OL PF-06946860 200mg Q3W | PF-06946860 200mg Q3W -> OL PF-06946860 200mg Q3W |
|---|---|---|---|---|
| Cardiac arrestCardiac disorders | 1/6 | 0/12 | 1/6 | 0/12 |
| Disease progressionGeneral disorders | 0/6 | 0/12 | 1/6 | 2/12 |
| HypokalaemiaMetabolism and nutrition disorders | 1/6 | 0/12 | 1/6 | 0/12 |
| Acute myocardial infarctionCardiac disorders | 0/6 | 1/12 | 0/6 | 1/12 |
| Pulmonary embolismRespiratory, thoracic and mediastinal disorders | 0/6 | 1/12 | 0/6 | 1/12 |
| Respiratory failureRespiratory, thoracic and mediastinal disorders | 0/6 | 1/12 | 0/6 | 1/12 |
| Event | Placebo | PF-06946860 200mg Q3W | Placebo -> OL PF-06946860 200mg Q3W | PF-06946860 200mg Q3W -> OL PF-06946860 200mg Q3W |
|---|---|---|---|---|
| ConstipationGastrointestinal disorders | 0/6 | 0/12 | 2/6 | 0/12 |
| FallInjury, poisoning and procedural complications | 1/6 | 0/12 | 2/6 | 0/12 |
| Urinary tract infectionInfections and infestations | 1/6 | 3/12 | 1/6 | 3/12 |
| Ocular hyperaemiaEye disorders | 0/6 | 0/12 | 1/6 | 0/12 |
| Abdominal pain lowerGastrointestinal disorders | 0/6 | 0/12 | 1/6 | 0/12 |
| NauseaGastrointestinal disorders | 0/6 | 1/12 | 1/6 | 2/12 |
| VomitingGastrointestinal disorders | 0/6 | 1/12 | 0/6 | 2/12 |
| FatigueGeneral disorders | 0/6 | 0/12 | 1/6 | 1/12 |
| Gait disturbanceGeneral disorders | 0/6 | 0/12 | 1/6 | 0/12 |
| OedemaGeneral disorders | 0/6 | 0/12 | 1/6 | 0/12 |
The baseline analysis population included all participants randomly assigned to study intervention and who took at least 1 dose of study intervention.
| Age, Continuous(Years) | Placebo -> OL PF-06946860 200mg Q3W | PF-06946860 200mg Q3W -> OL PF-06946860 200mg Q3W | Total |
|---|---|---|---|
| Mean | 68.0 ± 7.95 | 74.0 ± 9.12 | 72.0 ± 8.99 |
| Age, Customized(Participants) | Placebo -> OL PF-06946860 200mg Q3W | PF-06946860 200mg Q3W -> OL PF-06946860 200mg Q3W | Total |
|---|---|---|---|
| <18 | 0 | 0 | 0 |
| 18-44 | 0 | 0 | 0 |
| 45-64 | 2 | 2 | 4 |
| >=65 | 4 | 10 | 14 |
| Sex: Female, Male(Participants) | Placebo -> OL PF-06946860 200mg Q3W | PF-06946860 200mg Q3W -> OL PF-06946860 200mg Q3W | Total |
|---|---|---|---|
| Female | 2 | 5 | 7 |
| Male | 4 | 7 | 11 |
| Ethnicity (NIH/OMB)(Participants) | Placebo -> OL PF-06946860 200mg Q3W | PF-06946860 200mg Q3W -> OL PF-06946860 200mg Q3W | Total |
|---|---|---|---|
| Hispanic or Latino | 0 | 1 | 1 |
| Not Hispanic or Latino | 5 | 11 | 16 |
| Unknown or Not Reported | 1 | 0 | 1 |
| Race/Ethnicity, Customized(Participants) | Placebo -> OL PF-06946860 200mg Q3W | PF-06946860 200mg Q3W -> OL PF-06946860 200mg Q3W | Total |
|---|---|---|---|
| White | 3 | 11 | 14 |
| Black or African American | 3 | 0 | 3 |
| Asian | 0 | 1 | 1 |
Documents are hosted by the registry — open the source record to download them.
Plan to share: No — 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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