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Phase 1 N=73 Randomized Quadruple-blind Basic Science

Safety and Tolerability Study Of PF-06835375 In Subjects With Seropositive Systemic Lupus Erythematosus Or Rheumatoid Arthritis

Systemic Lupus Erythematosus · Rheumatoid Arthritis

Enrolled (actual)
73
Serious AEs
4.1%
Results posted
Oct 2023
Primary outcome: Primary: Number of Participants With Dose-Limiting Toxicity (DLT) — 0; 0; 0; 0 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
PF-06835375 (Drug); Placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Pfizer
Primary completion
Feb 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With Dose-Limiting Toxicity (DLT)
0; 0; 0; 0; 0; 0
PRIMARY
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) by Severity
3; 0; 1; 0; 0; 3
PRIMARY
Number of Participants With All-Causality and Treatment-Related TEAEs
8; 3; 3; 2; 3; 6
PRIMARY
Number of Participants With Permanent Discontinuation Due to TEAEs
0; 0; 0; 0; 0; 0
PRIMARY
Number of Participants With Clinically Significant Laboratory Abnormalities in Hematology, Chemistry, and Urinalysis
1; 0; 0; 0; 0; 0
PRIMARY
Number of Participants With Post-Baseline Vital Signs Data Meeting Categorical Summarization Criteria
2; 0; 0; 0; 1; 1
PRIMARY
Number of Participants With Post-Baseline Electrocardiogram (ECG) Data Meeting Categorical Summarization Criteria
1; 0; 0; 0; 0; 0
PRIMARY
Number of Participants With All-Causality and Treatment-Related Infections and Infestations
4; 2; 3; 0; 2; 1
SECONDARY
B Cell Maximum Decrease (%) From Baseline Over Time Following Single and Multiple Doses of PF-06835375
37.693; 67.283; 84.978; 94.052; 98.546; 98.588
SECONDARY
cTfh Cell Depletion Maximum Decrease (%) From Baseline Over Time Following Single and Multiple Doses of PF-06835375
45.227; 62.360; 84.994; 89.324; 98.675; 97.283
SECONDARY
Maximum Observed Serum Concentration (Cmax) of PF-06835375 in Part A (SAD)
NA; NA; 103.0; 208.7; 994.7; 2645
SECONDARY
Time to Reach Cmax (Tmax) of PF-06835375 in Part A (SAD)
NA; NA; 2.17; 2.08; 2.24; 3.96
SECONDARY
Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUCinf) of PF-06835375 in Part A (SAD)
NA; 1573; 7467; 88190; 288000
SECONDARY
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of PF-06835375 in Part A (SAD)
NA; NA; 1380; 7327; 87120; 287400
SECONDARY
Cmax of PF-06835375 Following First Dose and Multiple Doses in Part B (MAD)
5.743; 34.82; 77.72; 257.8; 26.92; 89.68
SECONDARY
Tmax of PF-06835375 Following First Dose and Multiple Doses in Part B (MAD)
170; 168; 169; 144; 169; 169
SECONDARY
Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) of PF-06835375 Following First Dose and Multiple Doses in Part B (MAD)
1964; 11010; 28070; 70630; 9309; 25610
SECONDARY
AUClast of PF-06835375 Following Multiple Doses in Part B (MAD)
9346; 22050; 84370; 96610
SECONDARY
Minimum Observed Serum Trough Concentration (Cmin) of PF-06835375 Following Multiple Doses in Part B (MAD)
NA; 6.075; 11.81; 9.410
SECONDARY
Observed Accumulation Ratio (Rac) of PF-06835375 Following Multiple Doses in Part B (MAD)
NA; 2.410; 2.977; 2.001
SECONDARY
Peak-to-trough Fluctuation (PTF) of PF-06835375 Following Multiple Doses in Part B (MAD)
NA; 2.037; 1.687; 1.830
SECONDARY
Number of Participants With Anti-Drug Antibodies (ADA) and Neutralizing Antibody (NAb) Against PF-06835375
0; 0; 1; 1; 3; 2

Summary

This is a Phase 1 single and multiple dose escalation study to evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamics of PF-06835375 in subjects with seropositive SLE or RA. The design is double-blind, sponsor open and placebo controlled. This study will include two parts: Part A and Part B. Part A will consist of single ascending dose cohorts, Part B of multiple ascending dose cohorts. This study will enroll up to a total of approximately 112 subjects at approximately 10 sites.

Eligibility Criteria

Inclusion Criteria

  • Patients with Rheumatoid Arthritis: confirmed diagnosis according to 2010 ACR/EULAR criteria with symptom duration at least 6 months and positive with Rheumatoid Factor and/or anti citrullinated peptide antibody
  • Patients with Systemic Lupus Erythematosus: Confirmed diagnosis according to the SLICC Classification Criteria with symptom duration at least 6 months and at least one of the following: positive antinuclear antibody titer, positive anti-dsDNA, anti-Smith antibodies

Exclusion Criteria

  • Active central nervous system manifestations, systemic vasculitis or pleuro/pericarditis
  • Active lupus nephritis
  • Treatment with B cell depleting agents within 52 weeks prior to screening
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03334851). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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