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A Phase 2 Study Of PF-00232798 In HIV Positive Patients

A Randomised, Double-Blind, Placebo-Controlled, Multicentre Study In Asymptomatic Hiv-Infected Patients To Investigate The Pharmacodynamics, Pharmacokinetics, Safety And Toleration Of PF-00232798

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00495677
Enrollment
43
Registered
2007-07-03
Start date
2007-06-30
Completion date
2008-09-30
Last updated
2013-10-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

HIV

Keywords

Treatment Experienced, Treatment Naive

Brief summary

To assess the viral load response, safety, tolerability and pharmacokinetics of multiple oral doses of PF 00232798 in HIV-positive patient volunteers.

Interventions

Solution, 20 mg. once daily, 10 days

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
MALE
Age
18 Years to 55 Years
Healthy volunteers
No

Inclusion criteria

* Asymptomatic HIV-1 infected male patients between the ages of 18 and 55 years inclusive. * Patients with CCR5 tropic virus as determined by the Monogram PhenoSense Entry assay.

Exclusion criteria

* Patients who have received any experimental drug within the past four months (prior to the first dosing day of the study) or who have previously received another CCR5 antagonist. * Patients with evidence of decompensated liver disease.

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Log 10-transformed Human Immunodeficiency Virus (HIV) Viral Load at Day 11Baseline, Day 11Viral load was determined using the Roche COBAS Taqman HIV-1 assay with a lower limit of detection of 40 copies per milliliter (copies/mL). Samples with an initial reading of less than 1,000,000 copies/mL were diluted into range and re-assayed.

Secondary

MeasureTime frameDescription
Number of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadDay 1 up to Day 25The time to rebound of viral load was calculated as the time from the last dose to the time of the first occasion at which the viral load was greater than the baseline value. Results are reported for number of participants who rebound within specified days from last dose and who did not rebound up to Day 25.
Maximum Observed Plasma Concentration (Cmax)0 hour (pre-dose) on Day 1 to 9; 0 hour (pre-dose), 1, 2, 3, 4, 6, 8, 12, 24 hours post-dose on Day 10; Day 12, 13, 15 morning
Time to Reach Maximum Observed Plasma Concentration (Tmax)0 hour (pre-dose) on Day 1 to 9; 0 hour (pre-dose), 1, 2, 3, 4, 6, 8, 12, 24 hours post-dose on Day 10; Day 12, 13, 15 morning
Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau)0 hour (pre-dose), 1, 2, 3, 4, 6, 8, 12, 24 hours post-dose on Day 10AUCtau= Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to the time end of dosing interval (24 hours post-dose).

Other

MeasureTime frameDescription
Number of Participants With Viral Tropism and ResistanceScreening, pre-dose on Day 1; Day 11, 25Virus tropism was determined using the Monogram PhenoSense Entry assay; standard Trofile tropisim assay was used for Stage 1 and enhanced sensitivity Trofile tropisim assay was used for Stage 2.
Number of Participants With Chemokine Receptor 5 (CCR5) Delta 32 Genotyping and ImmunophenotypingPre-dose on Day 1CCR5 Delta 32 genotyping and immunophenotyping was to be done to assess CCR5 Delta 32 status, other CCR5 polymorphisms, enzymes involved in drug metabolism and/or drug transport proteins in order to measure the impact of genetic variation with respect to PF-00232798 in case any unusual patterns of response or an unexplained excess of adverse events occurred.

Countries

Germany

Participant flow

Participants by arm

ArmCount
PF-00232798 5 mg
Participants received PF-00232798 5 milligram (mg) oral solution once daily up to Day 10 and were followed up to Day 25 in Stage 1.
6
PF-00232798 20 mg
Participants received PF-00232798 20 mg oral solution once daily up to Day 10 and were followed up to Day 25 in Stage 1.
6
PF-00232798 40 mg
Participants received PF-00232798 40 mg oral solution once daily up to Day 10 and were followed up to Day 25 in Stage 2.
8
PF-00232798 150 mg
Participants received PF-00232798 150 mg oral solution once daily up to Day 10 and were followed up to Day 25 in Stage 1.
6
PF-00232798 300 mg
Participants received PF-00232798 300 mg oral solution once daily up to Day 10 and were followed up to Day 25 in Stage 2.
8
PF-00232798 400mg
Participants received PF-00232798 400 mg oral solution once daily up to Day 10 and were followed up to Day 25 in Stage 2.
7
Placebo
Participants received placebo matched to PF-00232798 oral solution once daily up to Day 10 and were followed up to Day 25 in Stage 1.
2
Total43

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006
Stage 1 (25 Days)Adverse Event0010000

Baseline characteristics

CharacteristicPF-00232798 300 mgPF-00232798 400mgPlaceboTotalPF-00232798 5 mgPF-00232798 20 mgPF-00232798 40 mgPF-00232798 150 mg
Age Continuous36.1 years
STANDARD_DEVIATION 9.6
32.9 years
STANDARD_DEVIATION 5
29 years
STANDARD_DEVIATION 5.7
35.2 years
STANDARD_DEVIATION 7.8
31.5 years
STANDARD_DEVIATION 8.9
39.8 years
STANDARD_DEVIATION 8.5
36.5 years
STANDARD_DEVIATION 5.4
36.2 years
STANDARD_DEVIATION 9.1
Sex: Female, Male
Female
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Sex: Female, Male
Male
8 Participants7 Participants2 Participants43 Participants6 Participants6 Participants8 Participants6 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
2 / 66 / 67 / 85 / 66 / 83 / 72 / 2
serious
Total, serious adverse events
0 / 61 / 60 / 80 / 60 / 81 / 70 / 2

Outcome results

Primary

Change From Baseline in Log 10-transformed Human Immunodeficiency Virus (HIV) Viral Load at Day 11

Viral load was determined using the Roche COBAS Taqman HIV-1 assay with a lower limit of detection of 40 copies per milliliter (copies/mL). Samples with an initial reading of less than 1,000,000 copies/mL were diluted into range and re-assayed.

Time frame: Baseline, Day 11

Population: Pharmacodynamic population included all participants who were randomized, treated and had at least 1 post-dose HIV viral load measurement in the study.

ArmMeasureGroupValue (MEAN)Dispersion
PF-00232798 5 mgChange From Baseline in Log 10-transformed Human Immunodeficiency Virus (HIV) Viral Load at Day 11Change at Day 11-0.253 log10 copies/mLStandard Deviation 0.3308
PF-00232798 5 mgChange From Baseline in Log 10-transformed Human Immunodeficiency Virus (HIV) Viral Load at Day 11Baseline4.692 log10 copies/mLStandard Deviation 0.3075
PF-00232798 20 mgChange From Baseline in Log 10-transformed Human Immunodeficiency Virus (HIV) Viral Load at Day 11Baseline4.338 log10 copies/mLStandard Deviation 0.4753
PF-00232798 20 mgChange From Baseline in Log 10-transformed Human Immunodeficiency Virus (HIV) Viral Load at Day 11Change at Day 11-0.687 log10 copies/mLStandard Deviation 0.426
PF-00232798 40 mgChange From Baseline in Log 10-transformed Human Immunodeficiency Virus (HIV) Viral Load at Day 11Change at Day 11-0.916 log10 copies/mLStandard Deviation 0.4267
PF-00232798 40 mgChange From Baseline in Log 10-transformed Human Immunodeficiency Virus (HIV) Viral Load at Day 11Baseline4.306 log10 copies/mLStandard Deviation 0.8241
PF-00232798 150 mgChange From Baseline in Log 10-transformed Human Immunodeficiency Virus (HIV) Viral Load at Day 11Baseline4.483 log10 copies/mLStandard Deviation 0.4322
PF-00232798 150 mgChange From Baseline in Log 10-transformed Human Immunodeficiency Virus (HIV) Viral Load at Day 11Change at Day 11-1.325 log10 copies/mLStandard Deviation 0.3887
PF-00232798 300 mgChange From Baseline in Log 10-transformed Human Immunodeficiency Virus (HIV) Viral Load at Day 11Change at Day 11-1.546 log10 copies/mLStandard Deviation 0.3028
PF-00232798 300 mgChange From Baseline in Log 10-transformed Human Immunodeficiency Virus (HIV) Viral Load at Day 11Baseline4.315 log10 copies/mLStandard Deviation 0.612
PF-00232798 400 mgChange From Baseline in Log 10-transformed Human Immunodeficiency Virus (HIV) Viral Load at Day 11Baseline4.715 log10 copies/mLStandard Deviation 0.3153
PF-00232798 400 mgChange From Baseline in Log 10-transformed Human Immunodeficiency Virus (HIV) Viral Load at Day 11Change at Day 11-1.492 log10 copies/mLStandard Deviation 0.5103
PlaceboChange From Baseline in Log 10-transformed Human Immunodeficiency Virus (HIV) Viral Load at Day 11Change at Day 11-0.135 log10 copies/mLStandard Deviation 0.0089
PlaceboChange From Baseline in Log 10-transformed Human Immunodeficiency Virus (HIV) Viral Load at Day 11Baseline4.482 log10 copies/mLStandard Deviation 0.98
Secondary

Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau)

AUCtau= Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to the time end of dosing interval (24 hours post-dose).

Time frame: 0 hour (pre-dose), 1, 2, 3, 4, 6, 8, 12, 24 hours post-dose on Day 10

Population: Pharmacokinetic parameter analysis population included all participants who were randomized, treated and had at least 1 of the pharmacokinetic parameters of interest in the study.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
PF-00232798 5 mgArea Under the Curve From Time Zero to End of Dosing Interval (AUCtau)265.3 nanogram*hour per milliliter (ng*hr/mL)Standard Deviation 181.46
PF-00232798 20 mgArea Under the Curve From Time Zero to End of Dosing Interval (AUCtau)1157.4 nanogram*hour per milliliter (ng*hr/mL)Standard Deviation 884.12
PF-00232798 40 mgArea Under the Curve From Time Zero to End of Dosing Interval (AUCtau)2945.1 nanogram*hour per milliliter (ng*hr/mL)Standard Deviation 1548.47
PF-00232798 150 mgArea Under the Curve From Time Zero to End of Dosing Interval (AUCtau)17319.1 nanogram*hour per milliliter (ng*hr/mL)Standard Deviation 7529.14
PF-00232798 300 mgArea Under the Curve From Time Zero to End of Dosing Interval (AUCtau)28347.9 nanogram*hour per milliliter (ng*hr/mL)Standard Deviation 5435.54
PF-00232798 400 mgArea Under the Curve From Time Zero to End of Dosing Interval (AUCtau)41027.3 nanogram*hour per milliliter (ng*hr/mL)Standard Deviation 20326.95
Secondary

Maximum Observed Plasma Concentration (Cmax)

Time frame: 0 hour (pre-dose) on Day 1 to 9; 0 hour (pre-dose), 1, 2, 3, 4, 6, 8, 12, 24 hours post-dose on Day 10; Day 12, 13, 15 morning

Population: Pharmacokinetic parameter analysis population included all participants who were randomized, treated and had at least 1 of the pharmacokinetic parameters of interest in the study.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
PF-00232798 5 mgMaximum Observed Plasma Concentration (Cmax)25.21 nanogram per milliliter (ng/mL)Standard Deviation 13.964
PF-00232798 20 mgMaximum Observed Plasma Concentration (Cmax)185.57 nanogram per milliliter (ng/mL)Standard Deviation 268.401
PF-00232798 40 mgMaximum Observed Plasma Concentration (Cmax)379.27 nanogram per milliliter (ng/mL)Standard Deviation 239.376
PF-00232798 150 mgMaximum Observed Plasma Concentration (Cmax)2675.57 nanogram per milliliter (ng/mL)Standard Deviation 860.86
PF-00232798 300 mgMaximum Observed Plasma Concentration (Cmax)3793.01 nanogram per milliliter (ng/mL)Standard Deviation 285.845
PF-00232798 400 mgMaximum Observed Plasma Concentration (Cmax)4802.57 nanogram per milliliter (ng/mL)Standard Deviation 2025.429
Secondary

Number of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral Load

The time to rebound of viral load was calculated as the time from the last dose to the time of the first occasion at which the viral load was greater than the baseline value. Results are reported for number of participants who rebound within specified days from last dose and who did not rebound up to Day 25.

Time frame: Day 1 up to Day 25

Population: Pharmacodynamic population included all participants who were randomized, treated and had at least 1 post-dose HIV viral load measurement in the study.

ArmMeasureGroupValue (NUMBER)
PF-00232798 5 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 3 days1 participants
PF-00232798 5 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 12 days0 participants
PF-00232798 5 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 2 days1 participants
PF-00232798 5 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 15 days0 participants
PF-00232798 5 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 9 days0 participants
PF-00232798 5 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadNo Rebound1 participants
PF-00232798 5 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 5 days3 participants
PF-00232798 20 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 2 days0 participants
PF-00232798 20 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadNo Rebound1 participants
PF-00232798 20 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 12 days2 participants
PF-00232798 20 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 3 days0 participants
PF-00232798 20 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 5 days0 participants
PF-00232798 20 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 15 days1 participants
PF-00232798 20 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 9 days1 participants
PF-00232798 40 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadNo Rebound6 participants
PF-00232798 40 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 12 days0 participants
PF-00232798 40 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 5 days0 participants
PF-00232798 40 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 9 days2 participants
PF-00232798 40 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 15 days0 participants
PF-00232798 40 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 3 days0 participants
PF-00232798 40 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 2 days0 participants
PF-00232798 150 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadNo Rebound4 participants
PF-00232798 150 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 9 days1 participants
PF-00232798 150 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 12 days0 participants
PF-00232798 150 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 5 days0 participants
PF-00232798 150 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 2 days0 participants
PF-00232798 150 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 3 days0 participants
PF-00232798 150 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 15 days1 participants
PF-00232798 300 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 12 days0 participants
PF-00232798 300 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadNo Rebound6 participants
PF-00232798 300 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 3 days0 participants
PF-00232798 300 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 5 days0 participants
PF-00232798 300 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 9 days1 participants
PF-00232798 300 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 15 days1 participants
PF-00232798 300 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 2 days0 participants
PF-00232798 400 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 3 days0 participants
PF-00232798 400 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 2 days0 participants
PF-00232798 400 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 5 days0 participants
PF-00232798 400 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 9 days0 participants
PF-00232798 400 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 12 days1 participants
PF-00232798 400 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 15 days0 participants
PF-00232798 400 mgNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadNo Rebound6 participants
PlaceboNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadNo Rebound1 participants
PlaceboNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 15 days0 participants
PlaceboNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 5 days0 participants
PlaceboNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 3 days0 participants
PlaceboNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 2 days1 participants
PlaceboNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 12 days0 participants
PlaceboNumber of Participants With Time to Rebound of Human Immunodeficiency Virus (HIV) Viral LoadRebound within 9 days0 participants
Secondary

Time to Reach Maximum Observed Plasma Concentration (Tmax)

Time frame: 0 hour (pre-dose) on Day 1 to 9; 0 hour (pre-dose), 1, 2, 3, 4, 6, 8, 12, 24 hours post-dose on Day 10; Day 12, 13, 15 morning

Population: Pharmacokinetic parameter analysis population included all participants who were randomized, treated and had at least 1 of the pharmacokinetic parameters of interest in the study.

ArmMeasureValue (MEDIAN)
PF-00232798 5 mgTime to Reach Maximum Observed Plasma Concentration (Tmax)3.0000 hours
PF-00232798 20 mgTime to Reach Maximum Observed Plasma Concentration (Tmax)1.0330 hours
PF-00232798 40 mgTime to Reach Maximum Observed Plasma Concentration (Tmax)4.0000 hours
PF-00232798 150 mgTime to Reach Maximum Observed Plasma Concentration (Tmax)3.0415 hours
PF-00232798 300 mgTime to Reach Maximum Observed Plasma Concentration (Tmax)2.0000 hours
PF-00232798 400 mgTime to Reach Maximum Observed Plasma Concentration (Tmax)2.0000 hours
Other Pre-specified

Number of Participants With Chemokine Receptor 5 (CCR5) Delta 32 Genotyping and Immunophenotyping

CCR5 Delta 32 genotyping and immunophenotyping was to be done to assess CCR5 Delta 32 status, other CCR5 polymorphisms, enzymes involved in drug metabolism and/or drug transport proteins in order to measure the impact of genetic variation with respect to PF-00232798 in case any unusual patterns of response or an unexplained excess of adverse events occurred.

Time frame: Pre-dose on Day 1

Population: Results for this outcome were not analyzed because there were no unusual patterns of response or an unexplained excess of adverse events that warranted genotyping.

Other Pre-specified

Number of Participants With Viral Tropism and Resistance

Virus tropism was determined using the Monogram PhenoSense Entry assay; standard Trofile tropisim assay was used for Stage 1 and enhanced sensitivity Trofile tropisim assay was used for Stage 2.

Time frame: Screening, pre-dose on Day 1; Day 11, 25

Population: Results for this outcome was not reported because data was collected in individual participant listings, but not summarized for analyses.

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026