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Safety And Efficacy Of Oral PF-4136309 In Patients With Chronic Hepatitis C Infection And Abnormal Liver Enzymes

A RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED PHASE 2 STUDY TO EVALUATE THE EFFICACY AND SAFETY OF ORAL PF-04136309 500 MG BID IN SUBJECTS WITH CHRONIC HCV INFECTION AND RAISED AMINOTRANSFERASES

Status
Terminated
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01226797
Enrollment
24
Registered
2010-10-22
Start date
2011-01-17
Completion date
2012-02-09
Last updated
2023-07-27

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

Conditions

Hepatitis C, Chronic

Keywords

Chronic HCV infection, raised ALT, transaminitis, HCV infection

Brief summary

This study will evaluate the effect of PF-04136309 in patients with chronic hepatitic C virus infection and abnormal liver enzymes.

Detailed description

Study recruitment was stopped on Dec 15, 2011 due to difficulty in enrolling the targeted number of patients. Subjects currently enrolled into the study will complete the study as per protocol. There were no safety concerns involved in the decision to stop enrollment. The new anticipated Last Subject Last Visit (LSLV) is February 2012.

Interventions

DRUGPlacebo

Take 4 capsules twice daily 12 hours apart with water. Swallow whole.

Take 4 capsules twice daily 12 hours apart with water. Swallow whole.

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No

Inclusion criteria

* Chronic HCV infection * ALT \>1.5 but \<10 times upper limit of normal

Exclusion criteria

* Decompensated or severe liver disease defined by one or more of the following criteria: Prior liver biopsy showing cirrhosis. * International Normalized Ratio (INR) greater than or equal to 1.5. * Total bilirubin greater than or equal to 1.5X ULN, or \>2X ULN for unconjugated bilirubin. * Serum albumin below normal. * ALT or aspartate aminotransferase (AST) \>10 x ULN. * Evidence of portal hypertension including splenomegaly, ascites, encephalopathy, and/or esophageal varices. * Presence of human immunodeficiency virus (HIV). * Co-infection with hepatitis B virus (HBV). * Co-infection with Epstein Barr Virus (EBV) and/or Cytomegalovirus (CMV).

Design outcomes

Primary

MeasureTime frameDescription
Percentage of Participants With a Response in Serum Alanine Aminotransferase (ALT) Level at Week 4Week 4Responder was defined as a participant who experienced reduction in ALT of greater than or equal to (\>=) 30 percent (%) of the baseline value. Baseline ALT value was defined as mean of measurements collected at screening visits 1 and 2 and pre-dose Day 1. ALT levels were determined at central lab.

Secondary

MeasureTime frameDescription
Change From Baseline in Serum ALT at Weeks 1, 2, 3 and 4Baseline, Weeks 1, 2, 3 and 4Baseline ALT value was defined as mean of measurements collected at screening visits 1 and 2 and pre-dose Day 1.
Serum ALT at BaselineBaselineBaseline ALT level was defined as the mean of measurements collected on Screening visits 1 and 2 and pre-dose Day 1.
Change From Baseline in Serum AST at Weeks 1, 2, 3 and 4Baseline, Weeks 1, 2, 3 and 4Baseline AST level was defined as the mean of measurements collected on screening visit 1 and pre-dose Day 1.
Serum AST at BaselineBaselineBaseline AST level was defined as the mean of measurements collected on screening visit 1 and pre-dose Day 1.
Change From Baseline in Methacetin Breath Test (BreathID) at Weeks 1 and 4Baseline, Weeks 1 and 4After drinking 13ˆC-methacetin, participants breath was collected using a BreathID® collection system for approximately 60 minutes and the ratio of 13ˆCO2:12ˆCO2 were determined to monitor the function of the liver. Results to be reported in ratio.
Change From Baseline in Enhanced Liver Fibrosis Test (ELF) at Week 4Baseline, Week 4Markers of fibrosis assessed in the ELF test comprise hyaluronic acid (HA), tissue inhibitor of matrix metalloproteinase 1 (TIMP-1), and amino terminal peptide of pro-collagen III (PIIINP). The HA ranges from 0 to 1000 in ng/mL; the TIMP-1 ranges from 0 to 3000 ng/mL; and the PIIINP tissue ranges from 0 to 151 in nanograms/milliliter (ng/mL). ELF algorithm calculates a discriminant score (DS) specified by DS = -7.412 plus (+) 0.681 times (\*)ln(HA)+ 0.494 \* ln(TIMP1)+ 0.775 \* ln(PIIINP). Results to be reported in discriminant score.
Percentage of Participants With a Response in Serum Aspartate Aminotransferase (AST) Level From Baseline at Week 4Week 4AST responder status was defined as a reduction in AST \>= 30% of the baseline value and or normalization. Baseline AST level was defined as the mean of measurements collected on screening visit 1 and pre-dose Day 1. AST levels were determined at central lab.
Plasma Decay Half-Life (t1/2) of PF-04136309Pre-dose, 0.5, 1, 2, 4, 6, 8 and 12 hours post-dose on Day 28Plasma decay half-life was the time measured for the plasma concentration to decrease by one half.
Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) of PF-04136309Pre-dose, 0.5, 1, 2, 4, 6, 8 and 12 hours post-dose on Day 28AUCtau was defined as area under the concentration curve from time zero to end of dosing interval of PF-04136309.
Time to Reach Maximum Observed Plasma Concentration (Tmax) of PF-04136309Pre-dose, 0.5, 1, 2, 4, 6, 8 and 12 hours post-dose on Day 28Tmax was defined as time to reach maximum observed plasma concentration of PF-04136309.
Change From Baseline in Phosphorylated Extracellular Signal- Regulated Kinase (p-ERK) Levels at Week 2 and 4Baseline, Week 2 and 4p-ERK is a biomarker used to assess bioavailability of PF-04136309. Baseline p-ERK level defined as the last pre-dose measurement.
Baseline p-ERKBaselinep-ERK is a biomarker used to assess bioavailability of PF-04136309. Baseline p-ERK level defined as the last pre-dose measurement.
Maximum Observed Plasma Concentration (Cmax) of PF-04136309Pre-dose, 0.5, 1, 2, 4, 6, 8 and 12 hours post-dose on Day 28Cmax was defined as maximum observed plasma concentration of PF-04136309.

Countries

Hong Kong, India, Singapore, South Korea, Taiwan

Participant flow

Participants by arm

ArmCount
PF-04136309
PF-04136309 administered orally as four 125 mg capsules twice daily for up to 4 weeks.
12
Placebo
PF-04136309 matched placebo capsules administered as four capsules twice daily for up to 4 weeks.
12
Total24

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event10
Overall StudyNo longer willing to participate10
Overall StudyProtocol Violation01

Baseline characteristics

CharacteristicPF-04136309PlaceboTotal
Age, Customized
18 to 44 years
1 Participants2 Participants3 Participants
Age, Customized
45 to 64 years
11 Participants10 Participants21 Participants
Sex: Female, Male
Female
6 Participants7 Participants13 Participants
Sex: Female, Male
Male
6 Participants5 Participants11 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
8 / 123 / 12
serious
Total, serious adverse events
2 / 120 / 12

Outcome results

Primary

Percentage of Participants With a Response in Serum Alanine Aminotransferase (ALT) Level at Week 4

Responder was defined as a participant who experienced reduction in ALT of greater than or equal to (\>=) 30 percent (%) of the baseline value. Baseline ALT value was defined as mean of measurements collected at screening visits 1 and 2 and pre-dose Day 1. ALT levels were determined at central lab.

Time frame: Week 4

Population: Full Analysis Set (FAS): all randomized participants who had a baseline value and at least 1 post-baseline value. Missing data was imputed using last observation carried forward (LOCF).

ArmMeasureValue (NUMBER)
PF-04136309Percentage of Participants With a Response in Serum Alanine Aminotransferase (ALT) Level at Week 425.00 Percentage of participants
PlaceboPercentage of Participants With a Response in Serum Alanine Aminotransferase (ALT) Level at Week 436.36 Percentage of participants
p-value: 0.666895% CI: [0.1, 3.51]Fisher Exact
Secondary

Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) of PF-04136309

AUCtau was defined as area under the concentration curve from time zero to end of dosing interval of PF-04136309.

Time frame: Pre-dose, 0.5, 1, 2, 4, 6, 8 and 12 hours post-dose on Day 28

Population: PK parameter analysis set included all enrolled participants treated and who had at least 1 of the PK parameters of interest. Here, Overall Number of Participants Analyzed signifies number of participants who were evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
PF-04136309Area Under the Curve From Time Zero to End of Dosing Interval (AUCtau) of PF-0413630912940 Nanograms*hour per milliliterStandard Deviation 6945.8
Secondary

Baseline p-ERK

p-ERK is a biomarker used to assess bioavailability of PF-04136309. Baseline p-ERK level defined as the last pre-dose measurement.

Time frame: Baseline

Population: FAS population included all randomized participants who had a baseline value and at least 1 post-baseline value; Observed data

ArmMeasureValue (MEAN)Dispersion
PF-04136309Baseline p-ERK29.63 Percentage of p-ERKStandard Deviation 24.451
PlaceboBaseline p-ERK23.94 Percentage of p-ERKStandard Deviation 16.435
Secondary

Change From Baseline in Enhanced Liver Fibrosis Test (ELF) at Week 4

Markers of fibrosis assessed in the ELF test comprise hyaluronic acid (HA), tissue inhibitor of matrix metalloproteinase 1 (TIMP-1), and amino terminal peptide of pro-collagen III (PIIINP). The HA ranges from 0 to 1000 in ng/mL; the TIMP-1 ranges from 0 to 3000 ng/mL; and the PIIINP tissue ranges from 0 to 151 in nanograms/milliliter (ng/mL). ELF algorithm calculates a discriminant score (DS) specified by DS = -7.412 plus (+) 0.681 times (\*)ln(HA)+ 0.494 \* ln(TIMP1)+ 0.775 \* ln(PIIINP). Results to be reported in discriminant score.

Time frame: Baseline, Week 4

Population: Data for this outcome measure was not collected because there was a change in planned analysis owing to low enrolment number in the study.

Secondary

Change From Baseline in Methacetin Breath Test (BreathID) at Weeks 1 and 4

After drinking 13ˆC-methacetin, participants breath was collected using a BreathID® collection system for approximately 60 minutes and the ratio of 13ˆCO2:12ˆCO2 were determined to monitor the function of the liver. Results to be reported in ratio.

Time frame: Baseline, Weeks 1 and 4

Population: Data for this outcome measure was not collected because there was a change in planned analysis owing to low enrolment number in the study.

Secondary

Change From Baseline in Phosphorylated Extracellular Signal- Regulated Kinase (p-ERK) Levels at Week 2 and 4

p-ERK is a biomarker used to assess bioavailability of PF-04136309. Baseline p-ERK level defined as the last pre-dose measurement.

Time frame: Baseline, Week 2 and 4

Population: FAS population included all randomized participants who had a baseline value and at least 1 post-baseline value. Missing data was imputed using LOCF.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
PF-04136309Change From Baseline in Phosphorylated Extracellular Signal- Regulated Kinase (p-ERK) Levels at Week 2 and 4Change at Week 2-19.00 Percentage of p-ERK
PF-04136309Change From Baseline in Phosphorylated Extracellular Signal- Regulated Kinase (p-ERK) Levels at Week 2 and 4Change at Week 4-19.39 Percentage of p-ERK
PlaceboChange From Baseline in Phosphorylated Extracellular Signal- Regulated Kinase (p-ERK) Levels at Week 2 and 4Change at Week 23.06 Percentage of p-ERK
PlaceboChange From Baseline in Phosphorylated Extracellular Signal- Regulated Kinase (p-ERK) Levels at Week 2 and 4Change at Week 4-3.05 Percentage of p-ERK
Comparison: At Week 2p-value: 0.003195% CI: [-35.67, -8.44]ANCOVA
Comparison: At Week 4p-value: 0.001595% CI: [-25.64, -7.04]ANCOVA
Secondary

Change From Baseline in Serum ALT at Weeks 1, 2, 3 and 4

Baseline ALT value was defined as mean of measurements collected at screening visits 1 and 2 and pre-dose Day 1.

Time frame: Baseline, Weeks 1, 2, 3 and 4

Population: FAS population included all randomized participants who had a baseline value and at least 1 post-baseline value. Missing data was imputed using LOCF.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
PF-04136309Change From Baseline in Serum ALT at Weeks 1, 2, 3 and 4Change at Week 111.75 International units per liter
PF-04136309Change From Baseline in Serum ALT at Weeks 1, 2, 3 and 4Change at Week 2-9.40 International units per liter
PF-04136309Change From Baseline in Serum ALT at Weeks 1, 2, 3 and 4Change at Week 3-9.90 International units per liter
PF-04136309Change From Baseline in Serum ALT at Weeks 1, 2, 3 and 4Change at Week 4-8.25 International units per liter
PlaceboChange From Baseline in Serum ALT at Weeks 1, 2, 3 and 4Change at Week 4-32.87 International units per liter
PlaceboChange From Baseline in Serum ALT at Weeks 1, 2, 3 and 4Change at Week 1-13.70 International units per liter
PlaceboChange From Baseline in Serum ALT at Weeks 1, 2, 3 and 4Change at Week 3-25.08 International units per liter
PlaceboChange From Baseline in Serum ALT at Weeks 1, 2, 3 and 4Change at Week 2-22.89 International units per liter
Comparison: At Week 1p-value: 0.125995% CI: [-7.79, 58.69]ANCOVA
Comparison: At Week 2p-value: 0.329795% CI: [-14.67, 41.66]ANCOVA
Comparison: At Week 3p-value: 0.392595% CI: [-21.04, 51.39]ANCOVA
Comparison: At Week 4p-value: 0.20895% CI: [-14.85, 64.09]ANCOVA
Secondary

Change From Baseline in Serum AST at Weeks 1, 2, 3 and 4

Baseline AST level was defined as the mean of measurements collected on screening visit 1 and pre-dose Day 1.

Time frame: Baseline, Weeks 1, 2, 3 and 4

Population: FAS population included all randomized participants who had a baseline value and at least 1 post-baseline value. Missing data was imputed using LOCF.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)
PF-04136309Change From Baseline in Serum AST at Weeks 1, 2, 3 and 4Change at Week 15.90 International units per liter
PF-04136309Change From Baseline in Serum AST at Weeks 1, 2, 3 and 4Change at Week 2-5.60 International units per liter
PF-04136309Change From Baseline in Serum AST at Weeks 1, 2, 3 and 4Change at Week 3-1.65 International units per liter
PF-04136309Change From Baseline in Serum AST at Weeks 1, 2, 3 and 4Change at Week 45.22 International units per liter
PlaceboChange From Baseline in Serum AST at Weeks 1, 2, 3 and 4Change at Week 4-23.97 International units per liter
PlaceboChange From Baseline in Serum AST at Weeks 1, 2, 3 and 4Change at Week 1-15.98 International units per liter
PlaceboChange From Baseline in Serum AST at Weeks 1, 2, 3 and 4Change at Week 3-15.74 International units per liter
PlaceboChange From Baseline in Serum AST at Weeks 1, 2, 3 and 4Change at Week 2-14.89 International units per liter
Comparison: At Week 1p-value: 0.057795% CI: [-0.78, 44.53]ANCOVA
Comparison: At Week 2p-value: 0.366995% CI: [-11.71, 30.3]ANCOVA
Comparison: At Week 3p-value: 0.248295% CI: [-10.62, 38.8]ANCOVA
Comparison: At Week 4p-value: 0.080195% CI: [-3.84, 62.22]ANCOVA
Secondary

Maximum Observed Plasma Concentration (Cmax) of PF-04136309

Cmax was defined as maximum observed plasma concentration of PF-04136309.

Time frame: Pre-dose, 0.5, 1, 2, 4, 6, 8 and 12 hours post-dose on Day 28

Population: Pharmacokinetic (PK) parameter analysis set included all enrolled participants treated and who had at least 1 of the PK parameters of interest. Here, Overall Number of Participants Analyzed signifies number of participants who were evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
PF-04136309Maximum Observed Plasma Concentration (Cmax) of PF-041363093448 Nanogram per milliliterStandard Deviation 1098.8
Secondary

Percentage of Participants With a Response in Serum Aspartate Aminotransferase (AST) Level From Baseline at Week 4

AST responder status was defined as a reduction in AST \>= 30% of the baseline value and or normalization. Baseline AST level was defined as the mean of measurements collected on screening visit 1 and pre-dose Day 1. AST levels were determined at central lab.

Time frame: Week 4

Population: FAS population included all randomized participants who had a baseline value and at least 1 post-baseline value. Missing data was imputed using LOCF.

ArmMeasureValue (NUMBER)
PF-04136309Percentage of Participants With a Response in Serum Aspartate Aminotransferase (AST) Level From Baseline at Week 48.33 Percentage of participants
PlaceboPercentage of Participants With a Response in Serum Aspartate Aminotransferase (AST) Level From Baseline at Week 436.36 Percentage of participants
p-value: 0.15595% CI: [0.01, 1.73]Fisher Exact
Secondary

Plasma Decay Half-Life (t1/2) of PF-04136309

Plasma decay half-life was the time measured for the plasma concentration to decrease by one half.

Time frame: Pre-dose, 0.5, 1, 2, 4, 6, 8 and 12 hours post-dose on Day 28

Population: PK parameter analysis set included all enrolled participants treated and who had at least 1 of the PK parameters of interest. Here, Overall Number of Participants Analyzed signifies number of participants who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
PF-04136309Plasma Decay Half-Life (t1/2) of PF-0413630914.71 HoursStandard Deviation 1.4594
Secondary

Serum ALT at Baseline

Baseline ALT level was defined as the mean of measurements collected on Screening visits 1 and 2 and pre-dose Day 1.

Time frame: Baseline

Population: FAS population included all randomized participants who had a baseline value and at least 1 post-baseline value; Observed data

ArmMeasureValue (MEAN)Dispersion
PF-04136309Serum ALT at Baseline132.2 International units per literStandard Deviation 61.57
PlaceboSerum ALT at Baseline154.7 International units per literStandard Deviation 81.47
Secondary

Serum AST at Baseline

Baseline AST level was defined as the mean of measurements collected on screening visit 1 and pre-dose Day 1.

Time frame: Baseline

Population: FAS population included all randomized participants who had a baseline value and at least 1 post-baseline value; Observed data

ArmMeasureValue (MEAN)Dispersion
PF-04136309Serum AST at Baseline96.6 International units per literStandard Deviation 47.29
PlaceboSerum AST at Baseline110.6 International units per literStandard Deviation 48.47
Secondary

Time to Reach Maximum Observed Plasma Concentration (Tmax) of PF-04136309

Tmax was defined as time to reach maximum observed plasma concentration of PF-04136309.

Time frame: Pre-dose, 0.5, 1, 2, 4, 6, 8 and 12 hours post-dose on Day 28

Population: PK parameter analysis set included all enrolled participants treated and who had at least 1 of the PK parameters of interest. Here, Overall Number of Participants Analyzed signifies number of participants who were evaluable for this outcome measure.

ArmMeasureValue (MEDIAN)
PF-04136309Time to Reach Maximum Observed Plasma Concentration (Tmax) of PF-041363090.500 Hours

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