A 26-Week, 2-Part Study to Evaluate the Efficacy and Safety of PF-06882961 in Adults With Obesity

Sponsor
Pfizer (Industry)
Overall Status
Active, not recruiting
CT.gov ID
NCT04707313
Collaborator
(none)
499
41
9
22
12.2
0.6

Study Details

Study Description

Brief Summary

This study will assess the efficacy, safety, tolerability and pharmacokinetics (PK) of PF-06882961 in adults with obesity. The first part of the study, Part A, consists of study treatment dosing in Weeks 1 to 16. The second part of the study, Part B, is planned such that participants in Part A will continue dosing from Weeks 17 through 26. The planned End of Treatment is expected to be Week 26.

Condition or Disease Intervention/Treatment Phase
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
499 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A 26-WEEK, PHASE 2B, 2-PART, RANDOMIZED, DOUBLE-BLIND, PLACEBO CONTROLLED, PARALLEL GROUP, DOSE-RANGING STUDY TO EVALUATE THE EFFICACY AND SAFETY OF PF-06882961 ADMINISTRATION IN ADULTS WITH OBESITY
Actual Study Start Date :
Jan 29, 2021
Anticipated Primary Completion Date :
Oct 27, 2022
Anticipated Study Completion Date :
Dec 1, 2022

Arms and Interventions

Arm Intervention/Treatment
Placebo Comparator: Placebo

Drug: Placebo
4 matching placebo tablets taken twice daily

Experimental: PF-06882961 40 milligrams (mg) twice daily (BID), standard titration

The dose will be titrated with 1 week of dosing at each step to reach the target dose of 40 mg BID. Titration steps include: 10 mg BID, 20 mg BID, and 40 mg BID.

Drug: PF-06882961
Participants will be randomized to one of 5 active target dose levels (40, 80, 120, 160 or 200 mg) achieved through 1-week titration steps (standard titration) or 3 active target dose levels (120, 160 or 200 mg) achieved through 2-week titration steps (slow titration), taking 4 tablets twice daily

Experimental: PF-06882961 80 mg BID, standard titration

The dose will be titrated with 1 week of dosing at each step to reach the target dose of 80 mg BID. Titration steps include: 10 mg BID, 20 mg BID, 40 mg BID, 60 mg BID and 80 mg BID.

Drug: PF-06882961
Participants will be randomized to one of 5 active target dose levels (40, 80, 120, 160 or 200 mg) achieved through 1-week titration steps (standard titration) or 3 active target dose levels (120, 160 or 200 mg) achieved through 2-week titration steps (slow titration), taking 4 tablets twice daily

Experimental: PF-06882961 120 mg BID, standard titration

The dose will be titrated with 1 week of dosing at each step to reach the target dose of 120 mg BID. Titration steps include: 10 mg BID, 20 mg BID, 40 mg BID, 60 mg BID, 80 mg BID, 100 mg BID and 120 mg BID.

Drug: PF-06882961
Participants will be randomized to one of 5 active target dose levels (40, 80, 120, 160 or 200 mg) achieved through 1-week titration steps (standard titration) or 3 active target dose levels (120, 160 or 200 mg) achieved through 2-week titration steps (slow titration), taking 4 tablets twice daily

Experimental: PF-06882961 160 mg BID, standard titration

The dose will be titrated with 1 week of dosing at each step to reach the target dose of 160 mg BID. Titration steps include: 10 mg BID, 20 mg BID, 40 mg BID, 60 mg BID, 80 mg BID, 100 mg BID, 120 mg BID, 140 mg BID and 160 mg BID.

Drug: PF-06882961
Participants will be randomized to one of 5 active target dose levels (40, 80, 120, 160 or 200 mg) achieved through 1-week titration steps (standard titration) or 3 active target dose levels (120, 160 or 200 mg) achieved through 2-week titration steps (slow titration), taking 4 tablets twice daily

Experimental: PF-06882961 200 mg BID, standard titration

The dose will be titrated with 1 week of dosing at each step to reach the target dose of 200 mg BID. Titration steps include: 10 mg BID, 20 mg BID, 40 mg BID, 60 mg BID, 80 mg BID, 100 mg BID, 120 mg BID, 140 mg BID, 160 mg BID, 180 mg BID and 200 mg BID.

Drug: PF-06882961
Participants will be randomized to one of 5 active target dose levels (40, 80, 120, 160 or 200 mg) achieved through 1-week titration steps (standard titration) or 3 active target dose levels (120, 160 or 200 mg) achieved through 2-week titration steps (slow titration), taking 4 tablets twice daily

Experimental: PF-06882961 120 mg BID, slow titration

The dose will be titrated with 2 weeks of dosing at each step to reach the target dose of 120 mg BID. Titration steps include: 10 mg BID, 20 mg BID, 40 mg BID, 60 mg BID, 80 mg BID, 100 mg BID and 120 mg BID.

Drug: PF-06882961
Participants will be randomized to one of 5 active target dose levels (40, 80, 120, 160 or 200 mg) achieved through 1-week titration steps (standard titration) or 3 active target dose levels (120, 160 or 200 mg) achieved through 2-week titration steps (slow titration), taking 4 tablets twice daily

Experimental: PF-06882961 160 mg BID, slow titration

The dose will be titrated with 2 weeks of dosing at each step to reach the target dose of 160 mg BID. Titration steps include: 10 mg BID, 20 mg BID, 40 mg BID, 60 mg BID, 80 mg, 100 mg BID, 120 mg BID, 140 mg BID and 160 mg BID.

Drug: PF-06882961
Participants will be randomized to one of 5 active target dose levels (40, 80, 120, 160 or 200 mg) achieved through 1-week titration steps (standard titration) or 3 active target dose levels (120, 160 or 200 mg) achieved through 2-week titration steps (slow titration), taking 4 tablets twice daily

Experimental: PF-06882961 200 mg BID, slow titration

The dose will be titrated with 2 weeks of dosing at each step to reach the target dose of 200 mg BID. Titration steps include: 10 mg BID, 20 mg BID, 40 mg BID, 60 mg BID, 80 mg BID, 100 mg BID, 120 mg BID, 140 mg BID, 160 mg BID, 180 mg BID and 200 mg BID.

Drug: PF-06882961
Participants will be randomized to one of 5 active target dose levels (40, 80, 120, 160 or 200 mg) achieved through 1-week titration steps (standard titration) or 3 active target dose levels (120, 160 or 200 mg) achieved through 2-week titration steps (slow titration), taking 4 tablets twice daily

Outcome Measures

Primary Outcome Measures

  1. Percent change from baseline in body weight [Baseline, Week 26 (End of Treatment)]

Secondary Outcome Measures

  1. Body weight loss of greater than or equal to 5% [Baseline, Week 26 (End of Treatment)]

  2. Percent change from baseline in body weight [Baseline, Week 2, 4, 6, 8, 10, 12, 16, 18 and 22]

  3. Absolute change from baseline in waist circumference [Baseline, Week 26 (End of Treatment)]

  4. Absolute change from baseline in waist-to-hip ratio [Baseline, Week 26 (End of Treatment)]

  5. Absolute change from baseline in hemoglobin A1c [Baseline, Week 16 and 26]

  6. Absolute change from baseline in fasting plasma glucose [Baseline, Week 2, 4, 6, 8, 10, 12, 16, 18, 22 and 26]

  7. Incidence of treatment emergent adverse events (AEs and SAEs) [Baseline up to Week 31]

  8. Incidence of treatment emergent clinically significant laboratory abnormalities [Baseline up to Week 28]

  9. Incidence of treatment emergent clinically significant vital sign abnormalities [Baseline up to Week 28]

  10. Incidence of treatment emergent clinically significant electrocardiogram (ECG) abnormalities [Baseline up to Week 28]

  11. Number of participants with categorical scores on the Columbia-Suicide Severity Rating Scale (C-SSRS) [Baseline up to Week 28]

  12. Number of participants with categorical scores on the Patient Health Questionniare-9 (PHQ-9) [Baseline up to Week 28]

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 75 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Participants with obesity, defined as a Body Mass Index greater than or equal to 30.0 kg/m2

  • Stable body weight, defined as <5 kg change (per participant report) for 90 days before visit 1

Exclusion Criteria:
  • Any condition possibly affecting drug absorption

  • Current or prior diagnosis of Type 1 or Type 2 diabetes mellitus or secondary forms of diabetes

  • History of myocardial infarction, unstable angina, arterial revascularization, stroke, heart failure, or transient ischemic attack within 6 months prior to visit 1

  • Any malignancy not considered cured

  • Personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 or suspected MTC

  • History of acute pancreatitis within 180 days (6 months) prior to visit 1 or any history of chronic pancreatitis

  • Symptomatic gallbladder disease

  • Medical history or characteristics suggestive of genetic or syndromic obesity or obesity induced by other endocrinological disorders

  • History of major depressive disorder or other severe psychiatric disorders within the last 2 years

  • Any lifetime history of a suicide attempt

  • Known medical history of active liver disease, including chronic active hepatitis B or C, or primary biliary cirrhosis

  • Known history of HIV

  • Supine blood pressure greater than or equal to 160 mmHg (systolic) or greater than or equal to 100 mmHg (diastolic)

  • Clinically relevant ECG abnormalities

  • Positive urine drug screen

  • Participation in a formal weight reduction program within 90 days prior to visit 1

Contacts and Locations

Locations

Site City State Country Postal Code
1 Pinnacle Research Group, LLC Anniston Alabama United States 36207
2 Anaheim Clinical Trials, LLC Anaheim California United States 92801
3 National Research Institute - Wilshire Los Angeles California United States 90057
4 Alliance for Multispecialty Research, LLC Coral Gables Florida United States 33134
5 Optimus U Corporation Miami Florida United States 33125
6 Clinical Neuroscience Solutions, Inc. Orlando Florida United States 32801
7 ForCare Clinical Research Tampa Florida United States 33613
8 Clinical Investigation Specialists Gurnee Illinois United States 60031
9 MediSphere Medical Research Center, LLC Evansville Indiana United States 47714
10 Velocity Clinical Research, Valparaiso Valparaiso Indiana United States 46383
11 Cotton O'Neil Clinical Research Center Topeka Kansas United States 66606
12 L-MARC Research Center Louisville Kentucky United States 40213
13 ActivMed Practices & Research, LLC Methuen Massachusetts United States 01844
14 Meridian Clinical Research, LLC Omaha Nebraska United States 68134
15 PMG Research of Hickory, LLC Hickory North Carolina United States 28601
16 PMG Research of Raleigh, LLC Raleigh North Carolina United States 27609
17 PMG Research of Salisbury, LLC Salisbury North Carolina United States 28144
18 PMG Research of Wilmington, LLC Wilmington North Carolina United States 28401
19 Lillestol Research LLC Fargo North Dakota United States 58104
20 Velocity Clinical Research, Inc. Cleveland Ohio United States 44122
21 Clinical Trials of South Carolina Moncks Corner South Carolina United States 29461
22 Coastal Carolina Research Center North Charleston South Carolina United States 29405
23 Palmetto Clinical Research Summerville South Carolina United States 29485
24 Palmetto Primary Care Physicians (Sub-I physicals only) Summerville South Carolina United States 29485
25 Internal Medicine and Pediatric Associates of Bristol, PC Bristol Tennessee United States 37620
26 PMG Research, Inc. d/b/a PMG Research of Knoxville Knoxville Tennessee United States 37938
27 Clinical Neuroscience Solutions, Inc. Memphis Tennessee United States 38119
28 Rivergrove Medical Clinic Winnipeg Manitoba Canada R2V 4W3
29 Aggarwal and Associates Limited Brampton Ontario Canada L6T 0G1
30 Milestone Research , Inc London Ontario Canada N5W 6A2
31 Manna Research Toronto Toronto Ontario Canada M9W 4L6
32 Ecogene-21 Chicoutimi Quebec Canada G7H 7K9
33 Diex Recherche Sherbrooke Inc. Sherbrooke Quebec Canada J1L 0H8
34 Centre de Recherche Saint-Louis Quebec Canada G1W4R4
35 Alpha Recherche Clinique Quebec Canada G2J 0C4
36 Medical Corporation Heishinkai OCROM Clinic Suita-shi Osaka Japan 565-0853
37 Tokyo Center Clinic Chuo-ku Tokyo Japan 103-0028
38 Fukuwa Clinic Chuo-ku Tokyo Japan 104-0031
39 Medical Corporation Heishinkai ToCROM Clinic Shinjuku-ku Tokyo Japan 160-0008
40 China Medical University Hospital Taichung City Taiwan 40447
41 National Cheng Kung University Hospital Tainan Taiwan 704

Sponsors and Collaborators

  • Pfizer

Investigators

  • Study Director: Pfizer CT.gov Call Center, Pfizer

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Pfizer
ClinicalTrials.gov Identifier:
NCT04707313
Other Study ID Numbers:
  • C3421019
  • 2020-001312-19
First Posted:
Jan 13, 2021
Last Update Posted:
Jun 30, 2022
Last Verified:
Jun 1, 2022
Individual Participant Data (IPD) Sharing Statement:
Yes
Plan to Share IPD:
Yes
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Pfizer
Additional relevant MeSH terms:

Study Results

No Results Posted as of Jun 30, 2022