Trial Outcomes & Findings for STUDY OF PF-06882961 IN PARTICIPANTS WITH AND WITHOUT VARYING DEGREES OF HEPATIC IMPAIREMENT (NCT NCT04604496)

NCT ID: NCT04604496

Last Updated: 2024-03-21

Results Overview

Maximum observed plasma PF-06882961 concentration.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

24 participants

Primary outcome timeframe

Predose (0 hours), 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 24, 36 and 48 hours post dose on Day 1.

Results posted on

2024-03-21

Participant Flow

A total of 29 participants were screened in the study, among whom, 24 participants were treated with PF-06882961 (Danuglipron).

Participant milestones

Participant milestones
Measure
Without Hepatic Impairment
Participants without hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Mild Hepatic Impairment
Participants with mild hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Moderate Hepatic Impairment
Participants with moderate hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Severe Hepatic Impairment
Participants with severe hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Open Label Treatment
STARTED
6
6
6
6
Open Label Treatment
COMPLETED
6
6
6
6
Open Label Treatment
NOT COMPLETED
0
0
0
0
Follow-Up
STARTED
6
6
6
6
Follow-Up
COMPLETED
6
6
6
6
Follow-Up
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

STUDY OF PF-06882961 IN PARTICIPANTS WITH AND WITHOUT VARYING DEGREES OF HEPATIC IMPAIREMENT

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Without Hepatic Impairment
n=6 Participants
Participants without hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Mild Hepatic Impairment
n=6 Participants
Participants with mild hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Moderate Hepatic Impairment
n=6 Participants
Participants with moderate hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Severe Hepatic Impairment
n=6 Participants
Participants with severe hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Total
n=24 Participants
Total of all reporting groups
Age, Continuous
59.3 Years
STANDARD_DEVIATION 3.08 • n=39 Participants
61.7 Years
STANDARD_DEVIATION 5.85 • n=41 Participants
57.7 Years
STANDARD_DEVIATION 7.12 • n=35 Participants
56.2 Years
STANDARD_DEVIATION 10.21 • n=31 Participants
58.7 Years
STANDARD_DEVIATION 6.89 • n=146 Participants
Age, Customized
45-64 Years
6 Participants
n=39 Participants
3 Participants
n=41 Participants
5 Participants
n=35 Participants
4 Participants
n=31 Participants
18 Participants
n=146 Participants
Age, Customized
>=65 Years
0 Participants
n=39 Participants
3 Participants
n=41 Participants
1 Participants
n=35 Participants
2 Participants
n=31 Participants
6 Participants
n=146 Participants
Sex: Female, Male
Female
3 Participants
n=39 Participants
2 Participants
n=41 Participants
3 Participants
n=35 Participants
3 Participants
n=31 Participants
11 Participants
n=146 Participants
Sex: Female, Male
Male
3 Participants
n=39 Participants
4 Participants
n=41 Participants
3 Participants
n=35 Participants
3 Participants
n=31 Participants
13 Participants
n=146 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=39 Participants
3 Participants
n=41 Participants
3 Participants
n=35 Participants
3 Participants
n=31 Participants
13 Participants
n=146 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
2 Participants
n=39 Participants
3 Participants
n=41 Participants
3 Participants
n=35 Participants
3 Participants
n=31 Participants
11 Participants
n=146 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
Race/Ethnicity, Customized
White
6 Participants
n=39 Participants
5 Participants
n=41 Participants
6 Participants
n=35 Participants
5 Participants
n=31 Participants
22 Participants
n=146 Participants
Race/Ethnicity, Customized
Black or African American
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
1 Participants
n=31 Participants
1 Participants
n=146 Participants
Race/Ethnicity, Customized
Asian
0 Participants
n=39 Participants
1 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
1 Participants
n=146 Participants

PRIMARY outcome

Timeframe: Predose (0 hours), 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 24, 36 and 48 hours post dose on Day 1.

Population: The analysis population refers to all participants who received at least 1 dose of PF-06882961 and had at least 1 of the pharmacokinetic (PK) parameters of interest calculated.

Maximum observed plasma PF-06882961 concentration.

Outcome measures

Outcome measures
Measure
Without Hepatic Impairment
n=6 Participants
Participants without hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Mild Hepatic Impairment
n=6 Participants
Participants with mild hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Moderate Hepatic Impairment
n=6 Participants
Participants with moderate hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Severe Hepatic Impairment
n=6 Participants
Participants with severe hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Maximum Plasma Concentration (Cmax)
23.56 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 50
31.37 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 33
51.82 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 83
78.73 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 33

PRIMARY outcome

Timeframe: Predose (0 hours), 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 24, 36 and 48 hours post dose on Day 1.

Population: The analysis population refers to all participants who received at least 1 dose of PF-06882961 and had at least 1 of the PK parameters of interest calculated.

Area under the plasma PF-06882961 concentration-time profile from time 0 extrapolated to infinite time.

Outcome measures

Outcome measures
Measure
Without Hepatic Impairment
n=6 Participants
Participants without hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Mild Hepatic Impairment
n=6 Participants
Participants with mild hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Moderate Hepatic Impairment
n=6 Participants
Participants with moderate hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Severe Hepatic Impairment
n=6 Participants
Participants with severe hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Area Under the Plasma Concentration-Time Profile From Time Zero Extrapolated to Infinite Time (AUCinf)
193.4 nanogram*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 83
237.3 nanogram*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 34
546.7 nanogram*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 116
1239 nanogram*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 75

PRIMARY outcome

Timeframe: Predose (0 hours), 1, 2, 3, 4, 5, 6, 8, 10, 12, 14, 24, 36 and 48 hours post dose on Day 1.

Population: The analysis population refers to all participants who received at least 1 dose of PF-06882961 and had at least 1 of the PK parameters of interest calculated.

Area under the plasma PF-06882961 concentration-time profile from time 0 extrapolated to the time of the last quantifiable concentration.

Outcome measures

Outcome measures
Measure
Without Hepatic Impairment
n=6 Participants
Participants without hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Mild Hepatic Impairment
n=6 Participants
Participants with mild hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Moderate Hepatic Impairment
n=6 Participants
Participants with moderate hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Severe Hepatic Impairment
n=6 Participants
Participants with severe hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Area Under the Plasma Concentration-Time Profile From Time Zero to the Time of the Last Quantifiable Concentration (AUClast)
191.2 nanogram*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 84
235.0 nanogram*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 34
542.9 nanogram*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 117
1217 nanogram*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 73

PRIMARY outcome

Timeframe: Predose (0 hours), and 4 hours post dose on Day 1.

Population: The analysis population refers to all participants who received at least 1 dose of PF-06882961 and had at least 1 of the PK parameters of interest calculated.

fu = Cu/C (where Cu represents unbound concentration and C represents total concentration).

Outcome measures

Outcome measures
Measure
Without Hepatic Impairment
n=6 Participants
Participants without hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Mild Hepatic Impairment
n=6 Participants
Participants with mild hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Moderate Hepatic Impairment
n=6 Participants
Participants with moderate hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Severe Hepatic Impairment
n=6 Participants
Participants with severe hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Fraction of Unbound Drug in Plasma (fu)
0.02137 Ratio
Geometric Coefficient of Variation 18
0.01820 Ratio
Geometric Coefficient of Variation 13
0.02059 Ratio
Geometric Coefficient of Variation 21
0.02889 Ratio
Geometric Coefficient of Variation 53

SECONDARY outcome

Timeframe: Baseline to Day 30

Population: All participants assigned to study intervention and who took at least 1 dose of study intervention.

Adverse events (AEs): any untoward medical occurrence in a clinical investigation participant administered a product or medical device, without regard to causality. Treatment-emergent AEs (TEAEs): AEs which occurred for the first time during the effective duration of treatment or AEs that increased in severity during treatment. AEs included SAEs and non-serious AEs. Serious AEs (SAEs) were any untoward medical occurrence at any dose that resulted in death; was life-threatening; required inpatient hospitalization or caused prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduction normal life functions). Treatment-related TEAEs were any untoward medical occurrence attributed to study treatment. Relatedness to study treatment was determined by the investigator.

Outcome measures

Outcome measures
Measure
Without Hepatic Impairment
n=6 Participants
Participants without hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Mild Hepatic Impairment
n=6 Participants
Participants with mild hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Moderate Hepatic Impairment
n=6 Participants
Participants with moderate hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Severe Hepatic Impairment
n=6 Participants
Participants with severe hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Number of Participants Reporting Treatment-emergent Adverse Events (AEs)
All-causality
0 Participants
1 Participants
2 Participants
1 Participants
Number of Participants Reporting Treatment-emergent Adverse Events (AEs)
Treatment-related
0 Participants
1 Participants
2 Participants
1 Participants

SECONDARY outcome

Timeframe: Baseline to Day 3

Population: All participants assigned to study intervention and who took at least 1 dose of study intervention.

Protocol-required safety laboratory assessments included: hemoglobin \<0.8 x lower limit of normal (LLN), hematocrit \<0.8 x LLN, erythrocytes \<0.8 x LLN, ery. mean corpuscular volume \>1.1 x upper limit of normal (ULN), ery. mean corpuscular hemoglobin \>1.1 x ULN, platelets \<0.5 x LLN, eosinophils \>1.2 x ULN, activated partial thromboplastin time \>1.1 x ULN, prothrombin time \>1.1 x ULN, prothrombin intl. normalized ratio \>1.1 x ULN; bilirubin/direct bilirubin/indirect bilirubin \>1.5 x ULN, aspartate aminotransferase/alanine aminotransferase/gamma glutamyl transferase \>3.0 x ULN, albumin \<0.8 x LLN, urate \>1.2 x ULN, bicarbonate \>1.1 x ULN, triacylglycerol lipase \>1.5 x ULN; urine hemoglobin/urine urobilinogen/urine nitrite/urine leukocyte esterase ≥1.

Outcome measures

Outcome measures
Measure
Without Hepatic Impairment
n=6 Participants
Participants without hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Mild Hepatic Impairment
n=6 Participants
Participants with mild hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Moderate Hepatic Impairment
n=6 Participants
Participants with moderate hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Severe Hepatic Impairment
n=6 Participants
Participants with severe hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Number of Participants With Clinical Laboratory Abnormalities
3 Participants
4 Participants
5 Participants
6 Participants

SECONDARY outcome

Timeframe: Baseline to Day 3

Population: All participants assigned to study intervention and who took at least 1 dose of study intervention.

Vital signs categorical criteria: 1) supine systolic blood pressure (SBP) \<90 millimeters of mercury (mmHg); 2) supine diastolic blood pressure (DBP) \<50 mmHg; 3) supine pulse rate \<40 or \>120 beats per minute (bpm); 4) change from baseline (increase or decrease) in supine SBP greater than or equal to (≥) 30 mmHg; 5) change from baseline (increase or decrease) in supine DBP ≥ 20 mmHg.

Outcome measures

Outcome measures
Measure
Without Hepatic Impairment
n=6 Participants
Participants without hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Mild Hepatic Impairment
n=6 Participants
Participants with mild hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Moderate Hepatic Impairment
n=6 Participants
Participants with moderate hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Severe Hepatic Impairment
n=6 Participants
Participants with severe hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Number of Participants With Categorical Vital Signs Data
Sitting DBP Change ≥ 20 mm Hg increase
0 Participants
0 Participants
2 Participants
1 Participants
Number of Participants With Categorical Vital Signs Data
Sitting SBP Change ≥ 30 mm Hg increase
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Categorical Vital Signs Data
Sitting SBP Change ≥ 30 mm Hg decrease
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Categorical Vital Signs Data
Pulse rate value <40 bpm
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Categorical Vital Signs Data
Pulse rate value >120 bpm
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Categorical Vital Signs Data
Sitting DBP value <50 mm Hg
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants With Categorical Vital Signs Data
Sitting DBP Change ≥ 20 mm Hg decrease
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Categorical Vital Signs Data
Sitting SBP value <90 mm Hg
0 Participants
0 Participants
0 Participants
1 Participants

SECONDARY outcome

Timeframe: Baseline to Day 3

Population: All participants who took at least 1 dose of study intervention.

ECG categorical criteria: 1. 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): a) greater than or equal to (≥) 300 millisecond (msec), b) ≥25% increase when baseline is \> 200 msec or ≥50% increase when baseline is less than or equal to (≤) 200 msec. 2\. QRS interval (time from ECG Q wave to the end of the S wave corresponding to ventricle depolarization): a) ≥140 msec, b) ≥50% increase from baseline. 3\. QTcF interval (QT corrected using the Fridericia formula): a) \>450 msec and ≤480 msec, b) \>480 msec and ≤500 msec, c) \>500 msec, d) \>30 msec and ≤60 msec increase from baseline, e) \>60 msec increase from baseline

Outcome measures

Outcome measures
Measure
Without Hepatic Impairment
n=6 Participants
Participants without hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Mild Hepatic Impairment
n=6 Participants
Participants with mild hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Moderate Hepatic Impairment
n=6 Participants
Participants with moderate hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Severe Hepatic Impairment
n=6 Participants
Participants with severe hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Number of Participants With Categorical Electrocardiogram (ECG) Data
PR interval ≥300 msec
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Categorical Electrocardiogram (ECG) Data
%Change in PR interval ≥25/50%
0 Participants
0 Participants
0 Participants
1 Participants
Number of Participants With Categorical Electrocardiogram (ECG) Data
QRS interval ≥140 msec
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Categorical Electrocardiogram (ECG) Data
%Change in QRS interval ≥50%
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Categorical Electrocardiogram (ECG) Data
QTcF interval >450 and ≤480 msec
0 Participants
1 Participants
1 Participants
3 Participants
Number of Participants With Categorical Electrocardiogram (ECG) Data
QTcF interval >480 and ≤500 msec
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Categorical Electrocardiogram (ECG) Data
QTcF interval >500 msec
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Categorical Electrocardiogram (ECG) Data
Change in QTcF interval >30 and ≤60 msec
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Categorical Electrocardiogram (ECG) Data
Change in QTcF interval >60 msec
0 Participants
0 Participants
0 Participants
0 Participants

Adverse Events

Without Hepatic Impairment

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Mild Hepatic Impairment

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Moderate Hepatic Impairment

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Severe Hepatic Impairment

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Without Hepatic Impairment
n=6 participants at risk
Participants without hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Mild Hepatic Impairment
n=6 participants at risk
Participants with mild hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Moderate Hepatic Impairment
n=6 participants at risk
Participants with moderate hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Severe Hepatic Impairment
n=6 participants at risk
Participants with severe hepatic impairment received a single, oral dose of PF-06882961 20 mg in the fed state on Day 1.
Gastrointestinal disorders
Diarrhoea
0.00%
0/6 • Baseline to Day 30
16.7%
1/6 • Baseline to Day 30
0.00%
0/6 • Baseline to Day 30
0.00%
0/6 • Baseline to Day 30
Gastrointestinal disorders
Nausea
0.00%
0/6 • Baseline to Day 30
0.00%
0/6 • Baseline to Day 30
33.3%
2/6 • Baseline to Day 30
16.7%
1/6 • Baseline to Day 30
Gastrointestinal disorders
Vomiting
0.00%
0/6 • Baseline to Day 30
0.00%
0/6 • Baseline to Day 30
0.00%
0/6 • Baseline to Day 30
16.7%
1/6 • Baseline to Day 30

Additional Information

Pfizer ClinicalTrials.gov Call Center

Pfizer Inc.

Phone: 1-800-718-1021

Results disclosure agreements

  • Principal investigator is a sponsor employee Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
  • Publication restrictions are in place

Restriction type: OTHER