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Study To Compare Single Dose Of Three Modified Release Formulations Of PF-04937319 With Immediate Release Material-Sparing-Tablet (IR MST) Formulation Previously Studied In Adults With Type 2 Diabetes Mellitus.

A Phase 1, Randomized, Open-label, Cross-over, Single-day Study Of Pf-04937319 To Characterize Relative Bioavailability, Tolerability, And Pharmacodynamics Of Four Oral Formulations In Adults With Type 2 Diabetes Mellitus Inadequately Controlled On Metformin

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02206607
Enrollment
39
Registered
2014-08-01
Start date
2014-09-30
Completion date
2015-01-31
Last updated
2016-03-04

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

Conditions

Type 2 Diabetes Mellitus

Keywords

Phase 1, bioavailability, type 2 diabetes mellitus, PF-04937319

Brief summary

Study B1621015 will characterize bioavailability, tolerability and pharmacodynamics of three modified release formulations of PF-04937319 compared with the immediate release material-sparing-tablet (IR MST) formulation in adults with type 2 diabetes.

Interventions

DRUGPF-04937319 IR MST

Immediate release material sparing tablet (IR MST) administered as 150 mg with morning meal and 100 mg with lunch

DRUGPF-04937319 MR 1

Modified release formulation #1 administered with the morning meal at a dose predicted to yield exposure (AUC24) equivalent to 300 mg IR MST

DRUGPF-04937319 MR 2

Modified release formulation #2 administered with the morning meal at a dose predicted to yield exposure (AUC24) equivalent to 300 mg IR MST

DRUGPF-04937319 MR 3

Modified release formulation #3 administered with the morning meal at a dose predicted to yield exposure (AUC24) equivalent to 300 mg IR MST

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

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

Inclusion criteria

* Adults with type 2 diabetes, on stable background metformin therapy either alone or in combination with another oral anti-diabetic agent (OAD) excluding thiazolidinediones (TZDs)

Exclusion criteria

* Patients with cardiovascular event within 6 months of screening * Patients with diabetic complications * Female subjects who are pregnant or planning to become pregnant * Subjects with unstable medical conditions (eg, hypertension)

Design outcomes

Primary

MeasureTime frameDescription
Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUCinf]0 (pre-dose) and 1, 2, 3, 4, 5, 6, 7, 8, 11, 12.5, 14, 16, 20, 24, 36, 48, and 72 hours post-doseAUCinf is the area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time.
Change From Reference in Weighted-Mean-Daily-Glucose (WMDG) on Day 10 (pre-dose) and 1, 2, 3, 4, 5, 6, 7, 8, 11, 12.5, 14, 16, 20, and 24 hours post-doseMWG was calculated as the area under the curve (AUC) for the full 24 hours expressed.

Secondary

MeasureTime frameDescription
PF-04937319 Plasma Concentration at 16 Hours After Morning Dose (C16)0 (pre-dose) and 1, 2, 3, 4, 5, 6, 7, 8, 11, 12.5, 14, 16, 20, 24, 36, 48, and 72 hours post-dose
PF-04937319 Plasma Concentration at 24 Hours After Morning Dose (C24)0 (pre-dose) and 1, 2, 3, 4, 5, 6, 7, 8, 11, 12.5, 14, 16, 20, 24, 36, 48, and 72 hours post-dose
Ratio of Maximum to Approximate Trough PF-04937319 Concentration (Cmax/C24)0 (pre-dose) and 1, 2, 3, 4, 5, 6, 7, 8, 11, 12.5, 14, 16, 20, 24, 36, 48, and 72 hours post-doseCmax/C24 is the ratio of maximum to approximate trough concentration, where Cmax is the overall maximum observed plasma concentration and C24 is the plasma concentration at 24 hours after the morning dose.
Maximum Observed PF-04937319 Plasma Concentration (Cmax)0 (pre-dose) and 1, 2, 3, 4, 5, 6, 7, 8, 11, 12.5, 14, 16, 20, 24, 36, 48, and 72 hours post-dose
Area Under the Curve From Time Zero to Last Quantifiable PF-04937319 Concentration (AUClast)0 (pre-dose) and 1, 2, 3, 4, 5, 6, 7, 8, 11, 12.5, 14, 16, 20, 24, 36, 48, and 72 hours post-doseArea under the plasma concentration time-curve from zero to the last measured concentration (AUClast)
Terminal Elimination Half-Life (t1/2)0 (pre-dose) and 1, 2, 3, 4, 5, 6, 7, 8, 11, 12.5, 14, 16, 20, 24, 36, 48, and 72 hours post-doset1/2 is the time measured for the plasma concentration to decrease by one half.
Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)Baseline up to 28 days after last study drug administration in Period 4An AE was any untoward medical occurrence in a participant who received study drug. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 28 days after last dose that were absent before treatment or that worsened relative to pre-treatment state. AEs included both SAEs and non-SAEs.
Time to Reach Maximum Observed PF-04937319 Plasma Concentration (Tmax)0 (pre-dose) and 1, 2, 3, 4, 5, 6, 7, 8, 11, 12.5, 14, 16, 20, 24, 36, 48, and 72 hours post-dose
PF-04937319 Plasma Concentration at 5 Hours After Morning Dose (C5)0 (pre-dose) and 1, 2, 3, 4, 5, 6, 7, 8, 11, 12.5, 14, 16, 20, 24, 36, 48, and 72 hours post-dose

Countries

United States

Participant flow

Pre-assignment details

Prior to being enrolled in the 4 period crossover, participants were required to complete an open-label, sponsor-provided metformin period. 42 participants started the metformin period and of those 42 participants, 39 were enrolled in the 4 period crossover and received at least 1 dose PF-04937319.

Participants by arm

ArmCount
All Participants
Participants received at least 1 dose of PF-04937319.
39
Total39

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004
Open-Label Run-InWithdrawal by Subject30000
Second Intervention PeriodInsufficient Clinical Response00010

Baseline characteristics

CharacteristicAll Participants
Age, Continuous57.7 years
STANDARD_DEVIATION 7.1
Sex: Female, Male
Female
19 Participants
Sex: Female, Male
Male
20 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —
other
Total, other adverse events
1 / 4211 / 386 / 3910 / 395 / 38
serious
Total, serious adverse events
0 / 420 / 380 / 390 / 390 / 38

Outcome results

Primary

Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUCinf]

AUCinf is the area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time.

Time frame: 0 (pre-dose) and 1, 2, 3, 4, 5, 6, 7, 8, 11, 12.5, 14, 16, 20, 24, 36, 48, and 72 hours post-dose

Population: The pharmacokinetic (PK) parameter analysis population included all randomized participants who received at least 1 dose of PF-04937319 and who had at least 1 of the PK parameters of interest measured and available in at least 1 period; number of participants analyzed (N) is number of evaluable participants for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
PF-04937319 150+100 mg IRArea Under the Curve From Time Zero to Extrapolated Infinite Time [AUCinf]10690 nanogram*hour/milliliter (ng*hr/mL)Geometric Coefficient of Variation 26
PF-04937319 250 mg MR1Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUCinf]3187 nanogram*hour/milliliter (ng*hr/mL)Geometric Coefficient of Variation 59
PF-04937319 300 mg MR2Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUCinf]2725 nanogram*hour/milliliter (ng*hr/mL)Geometric Coefficient of Variation 35
PF-04937319 330 mg MR3Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUCinf]3430 nanogram*hour/milliliter (ng*hr/mL)Geometric Coefficient of Variation 37
90% CI: [28.09, 34.8]
90% CI: [23.11, 28.27]
90% CI: [28.93, 35.49]
Primary

Change From Reference in Weighted-Mean-Daily-Glucose (WMDG) on Day 1

MWG was calculated as the area under the curve (AUC) for the full 24 hours expressed.

Time frame: 0 (pre-dose) and 1, 2, 3, 4, 5, 6, 7, 8, 11, 12.5, 14, 16, 20, and 24 hours post-dose

Population: The pharmacodynamic analysis included participants who had taken at least 1 dose of PF-04937319 and who had WMDG assessment for at least 1 modified-release formulation and the Reference (IR MST) formulation; n=number of participants evaluated in respective arms for category.

ArmMeasureGroupValue (MEAN)Dispersion
PF-04937319 150+100 mg IRChange From Reference in Weighted-Mean-Daily-Glucose (WMDG) on Day 1Observed (n=36,33,32,35)159.47 milligrams per deciliter (mg/dL)Standard Deviation 42.949
PF-04937319 150+100 mg IRChange From Reference in Weighted-Mean-Daily-Glucose (WMDG) on Day 1Change From Reference (36,33,32,35)NA milligrams per deciliter (mg/dL)
PF-04937319 250 mg MR1Change From Reference in Weighted-Mean-Daily-Glucose (WMDG) on Day 1Change From Reference (36,33,32,35)15.55 milligrams per deciliter (mg/dL)Standard Deviation 19.358
PF-04937319 250 mg MR1Change From Reference in Weighted-Mean-Daily-Glucose (WMDG) on Day 1Observed (n=36,33,32,35)176.24 milligrams per deciliter (mg/dL)Standard Deviation 42.648
PF-04937319 300 mg MR2Change From Reference in Weighted-Mean-Daily-Glucose (WMDG) on Day 1Observed (n=36,33,32,35)170.85 milligrams per deciliter (mg/dL)Standard Deviation 38.928
PF-04937319 300 mg MR2Change From Reference in Weighted-Mean-Daily-Glucose (WMDG) on Day 1Change From Reference (36,33,32,35)15.96 milligrams per deciliter (mg/dL)Standard Deviation 17.122
PF-04937319 330 mg MR3Change From Reference in Weighted-Mean-Daily-Glucose (WMDG) on Day 1Observed (n=36,33,32,35)180.47 milligrams per deciliter (mg/dL)Standard Deviation 50.099
PF-04937319 330 mg MR3Change From Reference in Weighted-Mean-Daily-Glucose (WMDG) on Day 1Change From Reference (36,33,32,35)20.15 milligrams per deciliter (mg/dL)Standard Deviation 20.005
p-value: 180% CI: [11.39, 20.06]Mixed Models Analysis
p-value: 180% CI: [11.93, 20.7]Mixed Models Analysis
p-value: 180% CI: [16.13, 24.62]Mixed Models Analysis
Secondary

Area Under the Curve From Time Zero to Last Quantifiable PF-04937319 Concentration (AUClast)

Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast)

Time frame: 0 (pre-dose) and 1, 2, 3, 4, 5, 6, 7, 8, 11, 12.5, 14, 16, 20, 24, 36, 48, and 72 hours post-dose

Population: The PK parameter analysis population included all randomized participants who received at least 1 dose of PF-04937319 and who had at least 1 of the PK parameters of interest measured and available in at least 1 period.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
PF-04937319 150+100 mg IRArea Under the Curve From Time Zero to Last Quantifiable PF-04937319 Concentration (AUClast)10560 ng*hr/mLGeometric Coefficient of Variation 26
PF-04937319 250 mg MR1Area Under the Curve From Time Zero to Last Quantifiable PF-04937319 Concentration (AUClast)3287 ng*hr/mLGeometric Coefficient of Variation 55
PF-04937319 300 mg MR2Area Under the Curve From Time Zero to Last Quantifiable PF-04937319 Concentration (AUClast)2644 ng*hr/mLGeometric Coefficient of Variation 34
PF-04937319 330 mg MR3Area Under the Curve From Time Zero to Last Quantifiable PF-04937319 Concentration (AUClast)3369 ng*hr/mLGeometric Coefficient of Variation 34
90% CI: [28.28, 34.1]
90% CI: [22.73, 27.4]
90% CI: [28.86, 34.81]
Secondary

Maximum Observed PF-04937319 Plasma Concentration (Cmax)

Time frame: 0 (pre-dose) and 1, 2, 3, 4, 5, 6, 7, 8, 11, 12.5, 14, 16, 20, 24, 36, 48, and 72 hours post-dose

Population: The PK parameter analysis population included all randomized participants who received at least 1 dose of PF-04937319 and who had at least 1 of the PK parameters of interest measured and available in at least 1 period.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
PF-04937319 150+100 mg IRMaximum Observed PF-04937319 Plasma Concentration (Cmax)641.2 ng/mLGeometric Coefficient of Variation 22
PF-04937319 250 mg MR1Maximum Observed PF-04937319 Plasma Concentration (Cmax)161.8 ng/mLGeometric Coefficient of Variation 37
PF-04937319 300 mg MR2Maximum Observed PF-04937319 Plasma Concentration (Cmax)171.3 ng/mLGeometric Coefficient of Variation 24
PF-04937319 330 mg MR3Maximum Observed PF-04937319 Plasma Concentration (Cmax)236.2 ng/mLGeometric Coefficient of Variation 24
90% CI: [23.28, 27.31]
90% CI: [24.36, 28.57]
90% CI: [34.09, 40.02]
Secondary

Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)

An AE was any untoward medical occurrence in a participant who received study drug. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug and up to 28 days after last dose that were absent before treatment or that worsened relative to pre-treatment state. AEs included both SAEs and non-SAEs.

Time frame: Baseline up to 28 days after last study drug administration in Period 4

Population: The safety analysis population included all participants who received at least 1 dose of open-label, sponsor-provided metformin.

ArmMeasureGroupValue (NUMBER)
PF-04937319 150+100 mg IRNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)AEs2 participants
PF-04937319 150+100 mg IRNumber of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)SAEs0 participants
PF-04937319 250 mg MR1Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)AEs16 participants
PF-04937319 250 mg MR1Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)SAEs0 participants
PF-04937319 300 mg MR2Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)AEs11 participants
PF-04937319 300 mg MR2Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)SAEs0 participants
PF-04937319 330 mg MR3Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)SAEs0 participants
PF-04937319 330 mg MR3Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)AEs16 participants
PF-04937319 330 mg MR3Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)AEs10 participants
PF-04937319 330 mg MR3Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)SAEs0 participants
Secondary

PF-04937319 Plasma Concentration at 16 Hours After Morning Dose (C16)

Time frame: 0 (pre-dose) and 1, 2, 3, 4, 5, 6, 7, 8, 11, 12.5, 14, 16, 20, 24, 36, 48, and 72 hours post-dose

Population: The PK parameter analysis population included all randomized participants who received at least 1 dose of PF-04937319 and who had at least 1 of the PK parameters of interest measured and available in at least 1 period.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
PF-04937319 150+100 mg IRPF-04937319 Plasma Concentration at 16 Hours After Morning Dose (C16)324.7 ng/mLGeometric Coefficient of Variation 34
PF-04937319 250 mg MR1PF-04937319 Plasma Concentration at 16 Hours After Morning Dose (C16)74.49 ng/mLGeometric Coefficient of Variation 57
PF-04937319 300 mg MR2PF-04937319 Plasma Concentration at 16 Hours After Morning Dose (C16)58.88 ng/mLGeometric Coefficient of Variation 37
PF-04937319 330 mg MR3PF-04937319 Plasma Concentration at 16 Hours After Morning Dose (C16)77.92 ng/mLGeometric Coefficient of Variation 37
Secondary

PF-04937319 Plasma Concentration at 24 Hours After Morning Dose (C24)

Time frame: 0 (pre-dose) and 1, 2, 3, 4, 5, 6, 7, 8, 11, 12.5, 14, 16, 20, 24, 36, 48, and 72 hours post-dose

Population: The PK parameter analysis population included all randomized participants who received at least 1 dose of PF-04937319 and who had at least 1 of the PK parameters of interest measured and available in at least 1 period.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
PF-04937319 150+100 mg IRPF-04937319 Plasma Concentration at 24 Hours After Morning Dose (C24)171.1 ng/dLGeometric Coefficient of Variation 37
PF-04937319 250 mg MR1PF-04937319 Plasma Concentration at 24 Hours After Morning Dose (C24)56.04 ng/dLGeometric Coefficient of Variation 64
PF-04937319 300 mg MR2PF-04937319 Plasma Concentration at 24 Hours After Morning Dose (C24)39.38 ng/dLGeometric Coefficient of Variation 52
PF-04937319 330 mg MR3PF-04937319 Plasma Concentration at 24 Hours After Morning Dose (C24)48.17 ng/dLGeometric Coefficient of Variation 47
Secondary

PF-04937319 Plasma Concentration at 5 Hours After Morning Dose (C5)

Time frame: 0 (pre-dose) and 1, 2, 3, 4, 5, 6, 7, 8, 11, 12.5, 14, 16, 20, 24, 36, 48, and 72 hours post-dose

Population: The PK parameter analysis population included all randomized participants who received at least 1 dose of PF-04937319 and who had at least 1 of the PK parameters of interest measured and available in at least 1 period.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
PF-04937319 150+100 mg IRPF-04937319 Plasma Concentration at 5 Hours After Morning Dose (C5)413.2 ng/mLGeometric Coefficient of Variation 26
PF-04937319 250 mg MR1PF-04937319 Plasma Concentration at 5 Hours After Morning Dose (C5)124.3 ng/mLGeometric Coefficient of Variation 43
PF-04937319 300 mg MR2PF-04937319 Plasma Concentration at 5 Hours After Morning Dose (C5)154.3 ng/mLGeometric Coefficient of Variation 29
PF-04937319 330 mg MR3PF-04937319 Plasma Concentration at 5 Hours After Morning Dose (C5)202.1 ng/mLGeometric Coefficient of Variation 30
Secondary

Ratio of Maximum to Approximate Trough PF-04937319 Concentration (Cmax/C24)

Cmax/C24 is the ratio of maximum to approximate trough concentration, where Cmax is the overall maximum observed plasma concentration and C24 is the plasma concentration at 24 hours after the morning dose.

Time frame: 0 (pre-dose) and 1, 2, 3, 4, 5, 6, 7, 8, 11, 12.5, 14, 16, 20, 24, 36, 48, and 72 hours post-dose

Population: The PK parameter analysis population included all randomized participants who received at least 1 dose of PF-04937319 and who had at least 1 of the PK parameters of interest measured and available in at least 1 period.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
PF-04937319 150+100 mg IRRatio of Maximum to Approximate Trough PF-04937319 Concentration (Cmax/C24)3.748 ratioGeometric Coefficient of Variation 33
PF-04937319 250 mg MR1Ratio of Maximum to Approximate Trough PF-04937319 Concentration (Cmax/C24)2.887 ratioGeometric Coefficient of Variation 49
PF-04937319 300 mg MR2Ratio of Maximum to Approximate Trough PF-04937319 Concentration (Cmax/C24)4.350 ratioGeometric Coefficient of Variation 48
PF-04937319 330 mg MR3Ratio of Maximum to Approximate Trough PF-04937319 Concentration (Cmax/C24)4.903 ratioGeometric Coefficient of Variation 43
Secondary

Terminal Elimination Half-Life (t1/2)

t1/2 is the time measured for the plasma concentration to decrease by one half.

Time frame: 0 (pre-dose) and 1, 2, 3, 4, 5, 6, 7, 8, 11, 12.5, 14, 16, 20, 24, 36, 48, and 72 hours post-dose

Population: The PK parameter analysis population included all randomized participants who received at least 1 dose of PF-04937319 and who had at least 1 of the PK parameters of interest measured and available in at least 1 period; number of participants analyzed (N) is number of evaluable participants for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
PF-04937319 150+100 mg IRTerminal Elimination Half-Life (t1/2)8.648 hourStandard Deviation 2.7801
PF-04937319 250 mg MR1Terminal Elimination Half-Life (t1/2)12.10 hourStandard Deviation 5.5922
PF-04937319 300 mg MR2Terminal Elimination Half-Life (t1/2)13.52 hourStandard Deviation 6.9657
PF-04937319 330 mg MR3Terminal Elimination Half-Life (t1/2)12.62 hourStandard Deviation 6.1783
Secondary

Time to Reach Maximum Observed PF-04937319 Plasma Concentration (Tmax)

Time frame: 0 (pre-dose) and 1, 2, 3, 4, 5, 6, 7, 8, 11, 12.5, 14, 16, 20, 24, 36, 48, and 72 hours post-dose

Population: The PK parameter analysis population included all randomized participants who received at least 1 dose of PF-04937319 and who had at least 1 of the PK parameters of interest measured and available in at least 1 period.

ArmMeasureValue (MEDIAN)
PF-04937319 150+100 mg IRTime to Reach Maximum Observed PF-04937319 Plasma Concentration (Tmax)8.00 hours
PF-04937319 250 mg MR1Time to Reach Maximum Observed PF-04937319 Plasma Concentration (Tmax)6.00 hours
PF-04937319 300 mg MR2Time to Reach Maximum Observed PF-04937319 Plasma Concentration (Tmax)5.00 hours
PF-04937319 330 mg MR3Time to Reach Maximum Observed PF-04937319 Plasma Concentration (Tmax)5.00 hours

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