Chronic Low Back Pain
Conditions
Brief summary
PF-06372865 In Subjects With Chronic Low Back Pain
Interventions
Dose level 1 daily dosing BID for 1 week followed by dose level 2 daily BID for 3 weeks
Placebo for PF-06372865 and placebo for naproxen daily
500 mg BID for 4 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
\-
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change From Baseline in Daily Low Back Pain Intensity (LBPI) Score as Measured by an 11-point Numeric Rating Scale (NRS) at Week 4 | Baseline, Week 4 | Daily average low back pain was assessed on an 11-point numeric rating scale (NRS). Participants described their average low back pain during the past 24 hours on a scale ranging from 0 (no pain) to 10 (worst possible pain), where higher scores indicate higher pain. Baseline value was calculated as the mean of the scores over the last 7 days in the placebo run-in period, prior to randomization. Post-baseline weekly scores were calculated based on the mean of the scores over the 7 days prior to and including the day at the end of the corresponding week. |
| Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | Baseline up to 28 days after the last dose of study treatment (Day 56) | An AE was any untoward medical occurrence in a participant who received study treatment without regard to possibility of causal relationship. The 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 or 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 pretreatment state. AEs included both serious and non-serious adverse events. |
| Number of Participants With Laboratory Abnormalities | Baseline up to 28 days after the last dose of study treatment (Day 56) | Abnormality criteria included: hemoglobin, hematocrit and red blood cells (RBCs) (less than \[\<\] 0.8\*lower limit of normal \[LLN\]); white blood cells (WBC) (\<0.6\*LLN, greater than \[\>\] 1.5\*upper limit of normal \[ULN\]); MCV, MCH, MCHC (\<0.9\*LLN, \>1.1\*ULN); platelets (\<0.5\*LLN\>, \>1.75\*ULN); neutrophils, lymphocytes(\<0.8\*LLN, \>1.2\*ULN); eosinophils, basophils, monocytes (\>1.2\*ULN); total bilirubin (\>1.5\*ULN); aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase (\>3\*ULN); total protein, albumin (\<0.8\*LLN, \>1.2\*ULN); creatinine, blood urea nitrogen (\>1.3\*ULN); glucose (\<0.6\*LLN, \>1.5\*ULN); uric acid (\>1.2\*ULN); sodium, potassium, chloride, calcium, bicarbonate (\<0.9\*LLN, \>1.1\*ULN); urine pH (\<4.5, \>8); qualitative urine glucose, ketones, protein, blood values (greater than or equal to \[\>=\] 1) in urine dipstick test; urine RBC, WBC (\>=20); hyaline casts (\>1), bacteria (\>20). |
| Number of Participants With Vital Sign Abnormalities | Baseline up to Follow-up (44 days) | Participants who met the criteria for abnormal findings in vital signs data were reported. Criteria for abnormalities in vital signs: supine systolic blood pressure (SBP) \<90 millimeter of mercury (mmHg), supine diastolic BP (DBP) \<50 mmHg, supine pulse rate \<40 beats per minute (bpm) or \>120 bpm. Maximum increase or decrease from baseline in supine SBP \>=30 mmHg and maximum increase or decrease from baseline in supine DBP \>=20 mmHg. |
| Number of Participants With Electrocardiogram (ECG) Abnormalities | Baseline up to Follow-up (44 days) | Participants with abnormal ECG findings were reported. Criteria for potential clinical concern in ECG parameters: maximum (max.) PR interval of \>=300 milliseconds (msec), maximum QRS interval \>=140 msec, maximum QTCF interval (Fridericia's Correction) of 450 to \<480 msec, 480 to \<500 msec and \>=500 msec, maximum of \>=25 percent (%) increase from baseline (IFB) value of \>200 msec and \>=50% for baseline value of less than or equal to (\<=) 200 msec for PR interval, maximum increase from baseline of \>=50% for QRS interval, maximum increase from baseline of \>=30 msec to \<60 msec and maximum increase from baseline of \>60 msec in QTCF interval (Fridericia's Correction). |
| Number of Participants With Categorical Scores on the Columbia Suicide Severity Rating Scale (C-SSRS) | Screening, Baseline, Week 1, 2, 3, 4 | The C-SSRS (mapped to Columbia Classification Algorithm of Suicide Assessment \[C-CASA\]) is an interview-based rating scale to systematically assess suicidal ideation and suicidal behavior. C-SSRS assessed whether participant experienced following: completed suicide =1, suicide attempt =2 (response of Yes on actual attempt), preparatory acts toward imminent suicidal behavior =3 (Yes on preparatory acts or behavior), suicidal ideation =4 (Yes on wish to be dead, non-specific active suicidal thoughts, active suicidal ideation with methods without intent to act or some intent to act, without specific plan or with specific plan and intent), any suicidal behavior or ideation, self-injurious behavior =7 (Yes on Has participant engaged in non-suicidal self-injurious behavior). |
| Change From End of Treatment Visit in Physician's Withdrawal Checklist (PWC) Score at Follow-up Visit | End of treatment (Day 30), follow-up (Day 44) | PWC is a 20 item physician rated interview to measure anxiolytic drug withdrawal-related signs and symptoms. Each individual item score ranges from 0 (not present) to 3 (severe), where higher scores = more affected condition. PWC total score range from 0 (not present) to 60 (severe), where higher score = more affected condition. Change: score at follow-up visit minus score at the end of treatment visit. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Days Participants Used the Rescue Medication | Week 1, 2, 3, 4 | The number of days for which the participants used the rescue medication were reported. Participants recorded the usage of acetaminophen rescue medication in the daily diary. |
| Amount of Rescue Medication Used by the Participants | Week 1, 2, 3, 4 | The amount of rescue medication (Acetaminophen \[paracetamol\]) used was reported. Participants were permitted to use any commercial product of acetaminophen tablet/caplet/capsule. |
| Change From Baseline in Roland-Morris Disability Questionnaire (RMDQ) Total Score at Week 1, 2, and 3 | Baseline, Week 1, 2, 3 | Each participant assessed his or her own disability due to low back pain using the RMDQ worksheet. The RMDQ total score was calculated as the total number of statements that were checked; the RMDQ total possible scores ranges from 0 to 24, with higher scores indicating greater disability. |
| Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) at Week 2 and 4 | Baseline, Week 2, Week 4 | This test assesses verbal learning and memory. Participants are given a list of 12 words and asked to repeat as many words as they can recall during 3 separate learning trials. The total recall score ranges from 0 (no memory) to 36 (best memory) while the delayed recall trial score ranges from 0 (no memory) to 12 (best memory); higher scores indicated greater verbal learning and recall. |
| Chronic Low Back Pain (CLBP) Responder Index Analysis | Week 1, 2, 3, 4 | Participants were successful responders if they had any of the following: \>=30 percent reduction in mean daily average LBPI from baseline to particular week; decrease of \>=30 percent in participant's global assessment of low back pain (disease activity) from baseline to particular week or no worsening (increase) in RMDQ total score from baseline to particular week. |
| Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2 3 and 4 | Baseline, Week 1, 2, 3, 4 | Average back pain was assessed with an 11-point NRS ranging from 0 (no pain) to 10 (worst possible pain), where higher scores indicated higher pain. Participants described their average low back pain during the past 24 hours by choosing the appropriate number from 0 to 10. |
| Patient Global Impression of Change (PGI-C) Score | Week 1, 2, 3, 4 | PGI-C was a participant rated instrument to measure participant's assessment of change in his or her overall status since the previous visit on a 7-point scale; ranging from 1 (very much improved) to 7 (very much worse), where higher scores indicated more worsening. |
| Number of Participants With Global Evaluation of Study Medication (GESM) at Week 4 | Week 4 | Participants rated their study treatment by GESM questionnaire. It was a qualitative measure of efficacy utilizing a 4-point Likert scale ranging from 1 (poor) to 4 (excellent), where higher score indicated a better overall response to the treatment. Number of participants who reported a particular score had been reported. |
| Plasma Concentration of PF-06372865 | Baseline, Week 1, 2, 3, 4 | Data was calculated by setting concentration values below the lower limit of quantification (LLOQ) to zero. The LLOQ was \<0.0100 nanogram per milliliter (ng/mL). |
| Plasma Concentration of Naproxen | Baseline, Week 1, 2, 3, 4 | Data was calculated by setting concentration values below the LLOQ to zero. The LLOQ was \<1000 ng/mL. |
| Change From Baseline in Participant's Global Assessment (PtGA) of Low Back Pain Score at Week 1, 2, 3 and 4 | Baseline, Week 1, 2, 3, 4 | Participant rated 5-point Likert scale ranging from 0 (no pain) to 4 (worst possible pain) with a higher score indicating greater level of pain. |
| Percent Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2, 3 and 4 | Baseline, Week 1, 2, 3, 4 | Average back pain was assessed with an 11-point NRS ranging from 0 (no pain) to 10 (worst possible pain), where higher scores indicated higher pain. Participants described their average low back pain during the past 24 hours by choosing the appropriate number from 0 to 10. |
| Number of Participants With Sustained Response Rates in Daily Average LBPI NRS Scores at Greater Than or Equal to (>=) 30 Percent and >=50 Percent Reduction From Baseline | Baseline up to Week 4 | Average back pain was assessed with an 11-point NRS ranging from 0 (no pain) to 10 (worst possible pain), where higher scores indicated higher pain. Participants described their average low back pain during the past 24 hours by choosing the appropriate number from 0 to 10. Percentage of reduction from baseline in the daily average LBPI NRS score was calculated as: (\[daily value - baseline value\] divided by baseline value) multiplied by 100. Number of participants with sustained response rates (for a minimum of 4 consecutive days) in the daily average LBPI NRS scores that were at \>=30 percent and \>=50 percent reduced from baseline were reported. |
| Number of Participants Withdrawn Due to Lack of Efficacy | Baseline up to Week 4 | Participants withdrew from the study due to lack of efficacy (insufficient clinical response) were reported. |
| Change From Baseline in Roland-Morris Disability Questionnaire (RMDQ) Total Score at Week 4 | Baseline, Week 4 | Each participant assessed his or her own disability due to low back pain using the RMDQ worksheet. The RMDQ total score was calculated as the total number of statements that were checked; the RMDQ total possible scores ranges from 0 to 24, with higher scores indicating greater disability. |
| Time to Withdrawal Due to Lack of Efficacy | Baseline up to Week 4 | Kaplan Meier and Cox Proportional Hazards analyses were to be used to compute the time to withdrawal due to lack of efficacy. Withdrawal due to lack of efficacy was identified from the participant summary case report form (CRF) page and where reason was identified as Insufficient Clinical Response. Time to withdrawal was calculated as Date of withdrawal - Date of Randomization. |
| Number of Participants Using Rescue Medication | Week 1, 2, 3, 4 | Participants were permitted to use any commercial product (tablet/caplet/capsule) of acetaminophen (paracetamol) 500 mg as a rescue medication. Number of participants who used rescue medication were reported. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Placebo Participants received placebo matched to PF-06372865 tablets along with Naproxen 500 milligram (mg) tablets orally, twice daily for four weeks. | 74 |
| PF-06372865 Participants received PF-06372865 2.5 mg tablets along with placebo matched to Naproxen tablets orally, twice daily for one week followed by PF-06372865 7.5 mg tablets along with placebo matched to Naproxen tablets orally, twice daily for three weeks. | 74 |
| Naproxen Participants received Naproxen 500 mg tablets along with placebo matched to PF-06372865 tablets orally, twice daily for four weeks. | 74 |
| Total | 222 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 |
|---|---|---|---|---|
| Overall Study | Adverse Event | 3 | 4 | 0 |
| Overall Study | Lack of Efficacy | 2 | 0 | 1 |
| Overall Study | Lost to Follow-up | 0 | 0 | 1 |
| Overall Study | No longer meets eligibility criteria | 0 | 1 | 0 |
| Overall Study | Other | 4 | 0 | 2 |
| Overall Study | Protocol Violation | 1 | 0 | 0 |
| Overall Study | Study terminated by sponsor | 5 | 4 | 4 |
| Overall Study | Withdrawal by Subject | 1 | 0 | 1 |
Baseline characteristics
| Characteristic | Placebo | PF-06372865 | Naproxen | Total |
|---|---|---|---|---|
| Age, Continuous | 51.1 years STANDARD_DEVIATION 12.1 | 49.7 years STANDARD_DEVIATION 13.8 | 51.6 years STANDARD_DEVIATION 13.1 | 50.8 years STANDARD_DEVIATION 12.9 |
| Gender FEMALE | 38 Participants | 39 Participants | 37 Participants | 114 Participants |
| Gender MALE | 36 Participants | 35 Participants | 37 Participants | 108 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — |
| other Total, other adverse events | 25 / 74 | 34 / 74 | 26 / 74 |
| serious Total, serious adverse events | 1 / 74 | 1 / 74 | 2 / 74 |
Outcome results
Change From Baseline in Daily Low Back Pain Intensity (LBPI) Score as Measured by an 11-point Numeric Rating Scale (NRS) at Week 4
Daily average low back pain was assessed on an 11-point numeric rating scale (NRS). Participants described their average low back pain during the past 24 hours on a scale ranging from 0 (no pain) to 10 (worst possible pain), where higher scores indicate higher pain. Baseline value was calculated as the mean of the scores over the last 7 days in the placebo run-in period, prior to randomization. Post-baseline weekly scores were calculated based on the mean of the scores over the 7 days prior to and including the day at the end of the corresponding week.
Time frame: Baseline, Week 4
Population: FAS included all participants randomized and who had received at least 1 dose of randomized treatment.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Change From Baseline in Daily Low Back Pain Intensity (LBPI) Score as Measured by an 11-point Numeric Rating Scale (NRS) at Week 4 | -1.19 units on a scale | 90% Confidence Interval 1.351 |
| PF-06372865 | Change From Baseline in Daily Low Back Pain Intensity (LBPI) Score as Measured by an 11-point Numeric Rating Scale (NRS) at Week 4 | -1.03 units on a scale | 90% Confidence Interval 1.091 |
| Naproxen | Change From Baseline in Daily Low Back Pain Intensity (LBPI) Score as Measured by an 11-point Numeric Rating Scale (NRS) at Week 4 | -1.45 units on a scale | 90% Confidence Interval 1.401 |
Change From End of Treatment Visit in Physician's Withdrawal Checklist (PWC) Score at Follow-up Visit
PWC is a 20 item physician rated interview to measure anxiolytic drug withdrawal-related signs and symptoms. Each individual item score ranges from 0 (not present) to 3 (severe), where higher scores = more affected condition. PWC total score range from 0 (not present) to 60 (severe), where higher score = more affected condition. Change: score at follow-up visit minus score at the end of treatment visit.
Time frame: End of treatment (Day 30), follow-up (Day 44)
Population: Safety analysis set included all participants who received at least 1 dose of study treatment.
| Arm | Measure | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Change From End of Treatment Visit in Physician's Withdrawal Checklist (PWC) Score at Follow-up Visit | -0.11 units on a scale | 90% Confidence Interval 1.351 |
| PF-06372865 | Change From End of Treatment Visit in Physician's Withdrawal Checklist (PWC) Score at Follow-up Visit | -0.34 units on a scale | 90% Confidence Interval 1.091 |
| Naproxen | Change From End of Treatment Visit in Physician's Withdrawal Checklist (PWC) Score at Follow-up Visit | 0.01 units on a scale | 90% Confidence Interval 1.401 |
Number of Participants With Categorical Scores on the Columbia Suicide Severity Rating Scale (C-SSRS)
The C-SSRS (mapped to Columbia Classification Algorithm of Suicide Assessment \[C-CASA\]) is an interview-based rating scale to systematically assess suicidal ideation and suicidal behavior. C-SSRS assessed whether participant experienced following: completed suicide =1, suicide attempt =2 (response of Yes on actual attempt), preparatory acts toward imminent suicidal behavior =3 (Yes on preparatory acts or behavior), suicidal ideation =4 (Yes on wish to be dead, non-specific active suicidal thoughts, active suicidal ideation with methods without intent to act or some intent to act, without specific plan or with specific plan and intent), any suicidal behavior or ideation, self-injurious behavior =7 (Yes on Has participant engaged in non-suicidal self-injurious behavior).
Time frame: Screening, Baseline, Week 1, 2, 3, 4
Population: Data was not collected for this outcome measure as per study team's decision, since it was a semi-structured interview and was difficult to pull accurate scores from it.
Number of Participants With Electrocardiogram (ECG) Abnormalities
Participants with abnormal ECG findings were reported. Criteria for potential clinical concern in ECG parameters: maximum (max.) PR interval of \>=300 milliseconds (msec), maximum QRS interval \>=140 msec, maximum QTCF interval (Fridericia's Correction) of 450 to \<480 msec, 480 to \<500 msec and \>=500 msec, maximum of \>=25 percent (%) increase from baseline (IFB) value of \>200 msec and \>=50% for baseline value of less than or equal to (\<=) 200 msec for PR interval, maximum increase from baseline of \>=50% for QRS interval, maximum increase from baseline of \>=30 msec to \<60 msec and maximum increase from baseline of \>60 msec in QTCF interval (Fridericia's Correction).
Time frame: Baseline up to Follow-up (44 days)
Population: Safety analysis set included all participants who received at least 1 dose of study treatment. Here, n signifies the number of participants evaluable for the specific category.
| Arm | Measure | Group | Value (NUMBER) | Dispersion |
|---|---|---|---|---|
| Placebo | Number of Participants With Electrocardiogram (ECG) Abnormalities | Max. QTCF Interval: 480 to <500 msec (n=72,74,72) | 0 participants | — |
| Placebo | Number of Participants With Electrocardiogram (ECG) Abnormalities | Max. QTCF Interval IFB: >=60 msec (n=72,74,72) | 3 participants | — |
| Placebo | Number of Participants With Electrocardiogram (ECG) Abnormalities | Max. PR Interval IFB: >=25 or 50% (n=72, 74, 71) | 1 participants | — |
| Placebo | Number of Participants With Electrocardiogram (ECG) Abnormalities | Max. QTCF Interval: >=500 msec (n=72, 74, 72) | 0 participants | — |
| Placebo | Number of Participants With Electrocardiogram (ECG) Abnormalities | Max. PR Interval: >=300 msec (n=72, 74, 72) | 0 participants | 1.351 |
| Placebo | Number of Participants With Electrocardiogram (ECG) Abnormalities | Max. QTCF Interval IFB: 30 to<60 msec (n=72,74,72) | 3 participants | — |
| Placebo | Number of Participants With Electrocardiogram (ECG) Abnormalities | Max. QTCF Interval: 450 to <480 msec (n=72,74,72) | 1 participants | — |
| Placebo | Number of Participants With Electrocardiogram (ECG) Abnormalities | Max. QRS Complex: >=140 msec (n=72, 74, 72) | 0 participants | — |
| Placebo | Number of Participants With Electrocardiogram (ECG) Abnormalities | Max. QRS Complex IFB: >=50% (n=72, 74, 72) | 1 participants | — |
| PF-06372865 | Number of Participants With Electrocardiogram (ECG) Abnormalities | Max. QTCF Interval: >=500 msec (n=72, 74, 72) | 0 participants | — |
| PF-06372865 | Number of Participants With Electrocardiogram (ECG) Abnormalities | Max. PR Interval: >=300 msec (n=72, 74, 72) | 0 participants | 1.091 |
| PF-06372865 | Number of Participants With Electrocardiogram (ECG) Abnormalities | Max. QRS Complex: >=140 msec (n=72, 74, 72) | 0 participants | — |
| PF-06372865 | Number of Participants With Electrocardiogram (ECG) Abnormalities | Max. QTCF Interval: 450 to <480 msec (n=72,74,72) | 1 participants | — |
| PF-06372865 | Number of Participants With Electrocardiogram (ECG) Abnormalities | Max. QTCF Interval: 480 to <500 msec (n=72,74,72) | 1 participants | — |
| PF-06372865 | Number of Participants With Electrocardiogram (ECG) Abnormalities | Max. PR Interval IFB: >=25 or 50% (n=72, 74, 71) | 0 participants | — |
| PF-06372865 | Number of Participants With Electrocardiogram (ECG) Abnormalities | Max. QRS Complex IFB: >=50% (n=72, 74, 72) | 0 participants | — |
| PF-06372865 | Number of Participants With Electrocardiogram (ECG) Abnormalities | Max. QTCF Interval IFB: 30 to<60 msec (n=72,74,72) | 4 participants | — |
| PF-06372865 | Number of Participants With Electrocardiogram (ECG) Abnormalities | Max. QTCF Interval IFB: >=60 msec (n=72,74,72) | 1 participants | — |
| Naproxen | Number of Participants With Electrocardiogram (ECG) Abnormalities | Max. QTCF Interval: 450 to <480 msec (n=72,74,72) | 2 participants | — |
| Naproxen | Number of Participants With Electrocardiogram (ECG) Abnormalities | Max. PR Interval: >=300 msec (n=72, 74, 72) | 0 participants | 1.401 |
| Naproxen | Number of Participants With Electrocardiogram (ECG) Abnormalities | Max. QRS Complex IFB: >=50% (n=72, 74, 72) | 1 participants | — |
| Naproxen | Number of Participants With Electrocardiogram (ECG) Abnormalities | Max. QRS Complex: >=140 msec (n=72, 74, 72) | 1 participants | — |
| Naproxen | Number of Participants With Electrocardiogram (ECG) Abnormalities | Max. QTCF Interval IFB: >=60 msec (n=72,74,72) | 0 participants | — |
| Naproxen | Number of Participants With Electrocardiogram (ECG) Abnormalities | Max. QTCF Interval: >=500 msec (n=72, 74, 72) | 0 participants | — |
| Naproxen | Number of Participants With Electrocardiogram (ECG) Abnormalities | Max. QTCF Interval: 480 to <500 msec (n=72,74,72) | 0 participants | — |
| Naproxen | Number of Participants With Electrocardiogram (ECG) Abnormalities | Max. QTCF Interval IFB: 30 to<60 msec (n=72,74,72) | 0 participants | — |
| Naproxen | Number of Participants With Electrocardiogram (ECG) Abnormalities | Max. PR Interval IFB: >=25 or 50% (n=72, 74, 71) | 0 participants | — |
Number of Participants With Laboratory Abnormalities
Abnormality criteria included: hemoglobin, hematocrit and red blood cells (RBCs) (less than \[\<\] 0.8\*lower limit of normal \[LLN\]); white blood cells (WBC) (\<0.6\*LLN, greater than \[\>\] 1.5\*upper limit of normal \[ULN\]); MCV, MCH, MCHC (\<0.9\*LLN, \>1.1\*ULN); platelets (\<0.5\*LLN\>, \>1.75\*ULN); neutrophils, lymphocytes(\<0.8\*LLN, \>1.2\*ULN); eosinophils, basophils, monocytes (\>1.2\*ULN); total bilirubin (\>1.5\*ULN); aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase (\>3\*ULN); total protein, albumin (\<0.8\*LLN, \>1.2\*ULN); creatinine, blood urea nitrogen (\>1.3\*ULN); glucose (\<0.6\*LLN, \>1.5\*ULN); uric acid (\>1.2\*ULN); sodium, potassium, chloride, calcium, bicarbonate (\<0.9\*LLN, \>1.1\*ULN); urine pH (\<4.5, \>8); qualitative urine glucose, ketones, protein, blood values (greater than or equal to \[\>=\] 1) in urine dipstick test; urine RBC, WBC (\>=20); hyaline casts (\>1), bacteria (\>20).
Time frame: Baseline up to 28 days after the last dose of study treatment (Day 56)
Population: Safety analysis set included all participants who received at least 1 dose of study treatment. Here, number of participants analyzed signifies those participants who were evaluable for this outcome measure.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Placebo | Number of Participants With Laboratory Abnormalities | 26 participants |
| PF-06372865 | Number of Participants With Laboratory Abnormalities | 44 participants |
| Naproxen | Number of Participants With Laboratory Abnormalities | 41 participants |
Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
An AE was any untoward medical occurrence in a participant who received study treatment without regard to possibility of causal relationship. The 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 or 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 pretreatment state. AEs included both serious and non-serious adverse events.
Time frame: Baseline up to 28 days after the last dose of study treatment (Day 56)
Population: Safety analysis set included all participants who received at least 1 dose of study treatment.
| Arm | Measure | Group | Value (NUMBER) | Dispersion |
|---|---|---|---|---|
| Placebo | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | AEs | 26 participants | 1.351 |
| Placebo | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | SAEs | 1 participants | — |
| PF-06372865 | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | AEs | 34 participants | 1.091 |
| PF-06372865 | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | SAEs | 1 participants | — |
| Naproxen | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | AEs | 28 participants | 1.401 |
| Naproxen | Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | SAEs | 2 participants | — |
Number of Participants With Vital Sign Abnormalities
Participants who met the criteria for abnormal findings in vital signs data were reported. Criteria for abnormalities in vital signs: supine systolic blood pressure (SBP) \<90 millimeter of mercury (mmHg), supine diastolic BP (DBP) \<50 mmHg, supine pulse rate \<40 beats per minute (bpm) or \>120 bpm. Maximum increase or decrease from baseline in supine SBP \>=30 mmHg and maximum increase or decrease from baseline in supine DBP \>=20 mmHg.
Time frame: Baseline up to Follow-up (44 days)
Population: Safety analysis set included all participants who received at least 1 dose of study treatment.
| Arm | Measure | Group | Value (NUMBER) | Dispersion |
|---|---|---|---|---|
| Placebo | Number of Participants With Vital Sign Abnormalities | Supine SBP: <90 mmHg | 0 participants | 1.351 |
| Placebo | Number of Participants With Vital Sign Abnormalities | Supine DBP: <50 mmHg | 0 participants | — |
| Placebo | Number of Participants With Vital Sign Abnormalities | Supine pulse rate: <40 bpm | 0 participants | — |
| Placebo | Number of Participants With Vital Sign Abnormalities | Supine pulse rate: >120 bpm | 0 participants | — |
| Placebo | Number of Participants With Vital Sign Abnormalities | Maximum increase in Supine SBP: >=30 mmHg | 5 participants | — |
| Placebo | Number of Participants With Vital Sign Abnormalities | Maximum increase in Supine DBP: >=20 mmHg | 6 participants | — |
| Placebo | Number of Participants With Vital Sign Abnormalities | Maximum decrease in Supine SBP: >=30 mmHg | 1 participants | — |
| Placebo | Number of Participants With Vital Sign Abnormalities | Maximum decrease in Supine DBP: >=20 mmHg | 3 participants | — |
| PF-06372865 | Number of Participants With Vital Sign Abnormalities | Supine pulse rate: <40 bpm | 0 participants | — |
| PF-06372865 | Number of Participants With Vital Sign Abnormalities | Maximum decrease in Supine SBP: >=30 mmHg | 6 participants | — |
| PF-06372865 | Number of Participants With Vital Sign Abnormalities | Supine pulse rate: >120 bpm | 0 participants | — |
| PF-06372865 | Number of Participants With Vital Sign Abnormalities | Maximum increase in Supine SBP: >=30 mmHg | 0 participants | — |
| PF-06372865 | Number of Participants With Vital Sign Abnormalities | Maximum increase in Supine DBP: >=20 mmHg | 3 participants | — |
| PF-06372865 | Number of Participants With Vital Sign Abnormalities | Supine SBP: <90 mmHg | 1 participants | 1.091 |
| PF-06372865 | Number of Participants With Vital Sign Abnormalities | Supine DBP: <50 mmHg | 1 participants | — |
| PF-06372865 | Number of Participants With Vital Sign Abnormalities | Maximum decrease in Supine DBP: >=20 mmHg | 9 participants | — |
| Naproxen | Number of Participants With Vital Sign Abnormalities | Supine pulse rate: <40 bpm | 0 participants | — |
| Naproxen | Number of Participants With Vital Sign Abnormalities | Supine DBP: <50 mmHg | 0 participants | — |
| Naproxen | Number of Participants With Vital Sign Abnormalities | Supine SBP: <90 mmHg | 0 participants | 1.401 |
| Naproxen | Number of Participants With Vital Sign Abnormalities | Supine pulse rate: >120 bpm | 0 participants | — |
| Naproxen | Number of Participants With Vital Sign Abnormalities | Maximum decrease in Supine SBP: >=30 mmHg | 4 participants | — |
| Naproxen | Number of Participants With Vital Sign Abnormalities | Maximum increase in Supine DBP: >=20 mmHg | 4 participants | — |
| Naproxen | Number of Participants With Vital Sign Abnormalities | Maximum increase in Supine SBP: >=30 mmHg | 1 participants | — |
| Naproxen | Number of Participants With Vital Sign Abnormalities | Maximum decrease in Supine DBP: >=20 mmHg | 3 participants | — |
Amount of Rescue Medication Used by the Participants
The amount of rescue medication (Acetaminophen \[paracetamol\]) used was reported. Participants were permitted to use any commercial product of acetaminophen tablet/caplet/capsule.
Time frame: Week 1, 2, 3, 4
Population: FAS included all participants randomized and who had received at least 1 dose of randomized treatment. Here, n signifies participants who were evaluable at the specified time point for each arm.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Placebo | Amount of Rescue Medication Used by the Participants | Week 1 (n= 72, 70, 74) | 1388.9 mg | Standard Deviation 2703.97 |
| Placebo | Amount of Rescue Medication Used by the Participants | Week 2 (n= 65, 68, 72) | 1030.8 mg | Standard Deviation 1669.76 |
| Placebo | Amount of Rescue Medication Used by the Participants | Week 3 (n= 61, 65, 71) | 1172.1 mg | Standard Deviation 1955.52 |
| Placebo | Amount of Rescue Medication Used by the Participants | Week 4 (n= 58, 62, 67) | 1101.7 mg | Standard Deviation 2069.03 |
| PF-06372865 | Amount of Rescue Medication Used by the Participants | Week 4 (n= 58, 62, 67) | 1348.8 mg | Standard Deviation 2925.65 |
| PF-06372865 | Amount of Rescue Medication Used by the Participants | Week 1 (n= 72, 70, 74) | 1621.8 mg | Standard Deviation 4169.38 |
| PF-06372865 | Amount of Rescue Medication Used by the Participants | Week 3 (n= 61, 65, 71) | 1416.9 mg | Standard Deviation 3552.05 |
| PF-06372865 | Amount of Rescue Medication Used by the Participants | Week 2 (n= 65, 68, 72) | 1594.1 mg | Standard Deviation 3708.11 |
| Naproxen | Amount of Rescue Medication Used by the Participants | Week 4 (n= 58, 62, 67) | 1489.2 mg | Standard Deviation 3567.2 |
| Naproxen | Amount of Rescue Medication Used by the Participants | Week 2 (n= 65, 68, 72) | 1920.5 mg | Standard Deviation 4327.48 |
| Naproxen | Amount of Rescue Medication Used by the Participants | Week 3 (n= 61, 65, 71) | 1740.5 mg | Standard Deviation 4361.26 |
| Naproxen | Amount of Rescue Medication Used by the Participants | Week 1 (n= 72, 70, 74) | 2064.5 mg | Standard Deviation 4298.8 |
Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2 3 and 4
Average back pain was assessed with an 11-point NRS ranging from 0 (no pain) to 10 (worst possible pain), where higher scores indicated higher pain. Participants described their average low back pain during the past 24 hours by choosing the appropriate number from 0 to 10.
Time frame: Baseline, Week 1, 2, 3, 4
Population: FAS included all participants randomized and who had received at least 1 dose of randomized treatment. Here, n signifies participants who were evaluable at the specified time point for each arm.
| Arm | Measure | Group | Value (LEAST_SQUARES_MEAN) | Dispersion |
|---|---|---|---|---|
| Placebo | Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2 3 and 4 | Change at week 1 (n= 74, 74, 74) | -0.50 units on a scale | 90% Confidence Interval 1.351 |
| Placebo | Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2 3 and 4 | Change at week 2 (n= 65, 70, 72) | -0.93 units on a scale | — |
| Placebo | Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2 3 and 4 | Change at week 3 (n= 62, 69, 70) | -1.12 units on a scale | — |
| Placebo | Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2 3 and 4 | Change at week 4 (n= 59, 64, 66) | -1.22 units on a scale | — |
| PF-06372865 | Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2 3 and 4 | Change at week 4 (n= 59, 64, 66) | -1.14 units on a scale | — |
| PF-06372865 | Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2 3 and 4 | Change at week 1 (n= 74, 74, 74) | -0.41 units on a scale | 90% Confidence Interval 1.091 |
| PF-06372865 | Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2 3 and 4 | Change at week 3 (n= 62, 69, 70) | -1.09 units on a scale | — |
| PF-06372865 | Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2 3 and 4 | Change at week 2 (n= 65, 70, 72) | -0.98 units on a scale | — |
| Naproxen | Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2 3 and 4 | Change at week 4 (n= 59, 64, 66) | -1.58 units on a scale | — |
| Naproxen | Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2 3 and 4 | Change at week 2 (n= 65, 70, 72) | -1.17 units on a scale | — |
| Naproxen | Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2 3 and 4 | Change at week 3 (n= 62, 69, 70) | -1.39 units on a scale | — |
| Naproxen | Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2 3 and 4 | Change at week 1 (n= 74, 74, 74) | -0.70 units on a scale | 90% Confidence Interval 1.401 |
Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) at Week 2 and 4
This test assesses verbal learning and memory. Participants are given a list of 12 words and asked to repeat as many words as they can recall during 3 separate learning trials. The total recall score ranges from 0 (no memory) to 36 (best memory) while the delayed recall trial score ranges from 0 (no memory) to 12 (best memory); higher scores indicated greater verbal learning and recall.
Time frame: Baseline, Week 2, Week 4
Population: FAS included all participants randomized and who had received at least 1 dose of randomized treatment. Here, n signifies participants who were evaluable at the specified time point for each arm.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Placebo | Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) at Week 2 and 4 | Total recall score: at Baseline (n= 74,74,74) | 24.47 units on a scale | Standard Deviation 5.118 |
| Placebo | Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) at Week 2 and 4 | Total recall score: Change at Week 2 (n= 66,72,71) | 0.74 units on a scale | Standard Deviation 3.702 |
| Placebo | Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) at Week 2 and 4 | Total recall score: Change at Week 4 (n= 56,66,66) | 1.43 units on a scale | Standard Deviation 3.637 |
| Placebo | Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) at Week 2 and 4 | Delayed Recall Score: at Baseline (n= 74,74,74) | 8.59 units on a scale | Standard Deviation 2.415 |
| Placebo | Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) at Week 2 and 4 | Delayed Recall Score:Change at Week 2 (n=66,72,71) | 0.18 units on a scale | Standard Deviation 2.225 |
| Placebo | Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) at Week 2 and 4 | Delayed Recall Score:Change at Week 4 (n=56,65,66) | 0.57 units on a scale | Standard Deviation 1.925 |
| PF-06372865 | Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) at Week 2 and 4 | Delayed Recall Score:Change at Week 4 (n=56,65,66) | -0.28 units on a scale | Standard Deviation 2.197 |
| PF-06372865 | Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) at Week 2 and 4 | Total recall score: at Baseline (n= 74,74,74) | 22.92 units on a scale | Standard Deviation 5.581 |
| PF-06372865 | Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) at Week 2 and 4 | Delayed Recall Score: at Baseline (n= 74,74,74) | 8.31 units on a scale | Standard Deviation 2.828 |
| PF-06372865 | Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) at Week 2 and 4 | Delayed Recall Score:Change at Week 2 (n=66,72,71) | -0.57 units on a scale | Standard Deviation 2.803 |
| PF-06372865 | Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) at Week 2 and 4 | Total recall score: Change at Week 2 (n= 66,72,71) | 0.57 units on a scale | Standard Deviation 3.95 |
| PF-06372865 | Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) at Week 2 and 4 | Total recall score: Change at Week 4 (n= 56,66,66) | 0.68 units on a scale | Standard Deviation 3.522 |
| Naproxen | Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) at Week 2 and 4 | Total recall score: Change at Week 2 (n= 66,72,71) | -0.30 units on a scale | Standard Deviation 4.773 |
| Naproxen | Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) at Week 2 and 4 | Total recall score: Change at Week 4 (n= 56,66,66) | 0.11 units on a scale | Standard Deviation 4.062 |
| Naproxen | Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) at Week 2 and 4 | Delayed Recall Score:Change at Week 4 (n=56,65,66) | 0.41 units on a scale | Standard Deviation 1.831 |
| Naproxen | Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) at Week 2 and 4 | Delayed Recall Score: at Baseline (n= 74,74,74) | 8.59 units on a scale | Standard Deviation 2.643 |
| Naproxen | Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) at Week 2 and 4 | Total recall score: at Baseline (n= 74,74,74) | 24.46 units on a scale | Standard Deviation 5.455 |
| Naproxen | Change From Baseline in Hopkins Verbal Learning Test-Revised (HVLT-R) at Week 2 and 4 | Delayed Recall Score:Change at Week 2 (n=66,72,71) | -0.06 units on a scale | Standard Deviation 1.912 |
Change From Baseline in Participant's Global Assessment (PtGA) of Low Back Pain Score at Week 1, 2, 3 and 4
Participant rated 5-point Likert scale ranging from 0 (no pain) to 4 (worst possible pain) with a higher score indicating greater level of pain.
Time frame: Baseline, Week 1, 2, 3, 4
Population: FAS included all participants randomized and who had received at least 1 dose of randomized treatment. Here, n signifies participants who were evaluable at the specified time point for each arm.
| Arm | Measure | Group | Value (LEAST_SQUARES_MEAN) |
|---|---|---|---|
| Placebo | Change From Baseline in Participant's Global Assessment (PtGA) of Low Back Pain Score at Week 1, 2, 3 and 4 | Change at Week 1 (n= 73, 73, 73) | -0.20 units on a scale |
| Placebo | Change From Baseline in Participant's Global Assessment (PtGA) of Low Back Pain Score at Week 1, 2, 3 and 4 | Change at Week 2 (n= 66, 71, 72) | -0.24 units on a scale |
| Placebo | Change From Baseline in Participant's Global Assessment (PtGA) of Low Back Pain Score at Week 1, 2, 3 and 4 | Change at Week 3 (n= 62, 67, 71) | -0.45 units on a scale |
| Placebo | Change From Baseline in Participant's Global Assessment (PtGA) of Low Back Pain Score at Week 1, 2, 3 and 4 | Change at Week 4 (n= 58, 65, 65) | -0.33 units on a scale |
| PF-06372865 | Change From Baseline in Participant's Global Assessment (PtGA) of Low Back Pain Score at Week 1, 2, 3 and 4 | Change at Week 4 (n= 58, 65, 65) | -0.21 units on a scale |
| PF-06372865 | Change From Baseline in Participant's Global Assessment (PtGA) of Low Back Pain Score at Week 1, 2, 3 and 4 | Change at Week 1 (n= 73, 73, 73) | -0.19 units on a scale |
| PF-06372865 | Change From Baseline in Participant's Global Assessment (PtGA) of Low Back Pain Score at Week 1, 2, 3 and 4 | Change at Week 3 (n= 62, 67, 71) | -0.31 units on a scale |
| PF-06372865 | Change From Baseline in Participant's Global Assessment (PtGA) of Low Back Pain Score at Week 1, 2, 3 and 4 | Change at Week 2 (n= 66, 71, 72) | -0.28 units on a scale |
| Naproxen | Change From Baseline in Participant's Global Assessment (PtGA) of Low Back Pain Score at Week 1, 2, 3 and 4 | Change at Week 4 (n= 58, 65, 65) | -0.54 units on a scale |
| Naproxen | Change From Baseline in Participant's Global Assessment (PtGA) of Low Back Pain Score at Week 1, 2, 3 and 4 | Change at Week 2 (n= 66, 71, 72) | -0.39 units on a scale |
| Naproxen | Change From Baseline in Participant's Global Assessment (PtGA) of Low Back Pain Score at Week 1, 2, 3 and 4 | Change at Week 3 (n= 62, 67, 71) | -0.43 units on a scale |
| Naproxen | Change From Baseline in Participant's Global Assessment (PtGA) of Low Back Pain Score at Week 1, 2, 3 and 4 | Change at Week 1 (n= 73, 73, 73) | -0.34 units on a scale |
Change From Baseline in Roland-Morris Disability Questionnaire (RMDQ) Total Score at Week 1, 2, and 3
Each participant assessed his or her own disability due to low back pain using the RMDQ worksheet. The RMDQ total score was calculated as the total number of statements that were checked; the RMDQ total possible scores ranges from 0 to 24, with higher scores indicating greater disability.
Time frame: Baseline, Week 1, 2, 3
Population: FAS included all participants randomized and who had received at least 1 dose of randomized treatment. Here, n signifies participants who were evaluable at the specified time point for each arm.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Placebo | Change From Baseline in Roland-Morris Disability Questionnaire (RMDQ) Total Score at Week 1, 2, and 3 | Baseline (n= 74, 74, 74) | 9.8 units on a scale | Standard Deviation 5.47 |
| Placebo | Change From Baseline in Roland-Morris Disability Questionnaire (RMDQ) Total Score at Week 1, 2, and 3 | Change at week 1 (n= 73, 73, 73) | -0.4 units on a scale | Standard Deviation 2.48 |
| Placebo | Change From Baseline in Roland-Morris Disability Questionnaire (RMDQ) Total Score at Week 1, 2, and 3 | Change at week 2 (n= 66, 71, 72) | -0.7 units on a scale | Standard Deviation 3.17 |
| Placebo | Change From Baseline in Roland-Morris Disability Questionnaire (RMDQ) Total Score at Week 1, 2, and 3 | Change at week 3 (n= 62, 67, 71) | -1.0 units on a scale | Standard Deviation 3.24 |
| PF-06372865 | Change From Baseline in Roland-Morris Disability Questionnaire (RMDQ) Total Score at Week 1, 2, and 3 | Change at week 3 (n= 62, 67, 71) | -1.3 units on a scale | Standard Deviation 3.39 |
| PF-06372865 | Change From Baseline in Roland-Morris Disability Questionnaire (RMDQ) Total Score at Week 1, 2, and 3 | Baseline (n= 74, 74, 74) | 9.4 units on a scale | Standard Deviation 5.23 |
| PF-06372865 | Change From Baseline in Roland-Morris Disability Questionnaire (RMDQ) Total Score at Week 1, 2, and 3 | Change at week 2 (n= 66, 71, 72) | -1.3 units on a scale | Standard Deviation 3.59 |
| PF-06372865 | Change From Baseline in Roland-Morris Disability Questionnaire (RMDQ) Total Score at Week 1, 2, and 3 | Change at week 1 (n= 73, 73, 73) | -0.5 units on a scale | Standard Deviation 3.73 |
| Naproxen | Change From Baseline in Roland-Morris Disability Questionnaire (RMDQ) Total Score at Week 1, 2, and 3 | Change at week 3 (n= 62, 67, 71) | -2.0 units on a scale | Standard Deviation 4.21 |
| Naproxen | Change From Baseline in Roland-Morris Disability Questionnaire (RMDQ) Total Score at Week 1, 2, and 3 | Change at week 1 (n= 73, 73, 73) | -1.2 units on a scale | Standard Deviation 3.51 |
| Naproxen | Change From Baseline in Roland-Morris Disability Questionnaire (RMDQ) Total Score at Week 1, 2, and 3 | Change at week 2 (n= 66, 71, 72) | -1.6 units on a scale | Standard Deviation 4.07 |
| Naproxen | Change From Baseline in Roland-Morris Disability Questionnaire (RMDQ) Total Score at Week 1, 2, and 3 | Baseline (n= 74, 74, 74) | 8.5 units on a scale | Standard Deviation 5.48 |
Change From Baseline in Roland-Morris Disability Questionnaire (RMDQ) Total Score at Week 4
Each participant assessed his or her own disability due to low back pain using the RMDQ worksheet. The RMDQ total score was calculated as the total number of statements that were checked; the RMDQ total possible scores ranges from 0 to 24, with higher scores indicating greater disability.
Time frame: Baseline, Week 4
Population: FAS included all participants randomized and who had received at least 1 dose of randomized treatment.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Placebo | Change From Baseline in Roland-Morris Disability Questionnaire (RMDQ) Total Score at Week 4 | -1.00 units on a scale | 90% Confidence Interval 3.36 |
| PF-06372865 | Change From Baseline in Roland-Morris Disability Questionnaire (RMDQ) Total Score at Week 4 | -1.64 units on a scale | 90% Confidence Interval 3.85 |
| Naproxen | Change From Baseline in Roland-Morris Disability Questionnaire (RMDQ) Total Score at Week 4 | -2.43 units on a scale | 90% Confidence Interval 4.73 |
Chronic Low Back Pain (CLBP) Responder Index Analysis
Participants were successful responders if they had any of the following: \>=30 percent reduction in mean daily average LBPI from baseline to particular week; decrease of \>=30 percent in participant's global assessment of low back pain (disease activity) from baseline to particular week or no worsening (increase) in RMDQ total score from baseline to particular week.
Time frame: Week 1, 2, 3, 4
Population: FAS included all participants randomized and who had received at least 1 dose of randomized treatment.
| Arm | Measure | Group | Value (NUMBER) | Dispersion |
|---|---|---|---|---|
| Placebo | Chronic Low Back Pain (CLBP) Responder Index Analysis | Week 1 | 0 participants | 2.62 |
| Placebo | Chronic Low Back Pain (CLBP) Responder Index Analysis | Week 2 | 5 participants | 2.65 |
| Placebo | Chronic Low Back Pain (CLBP) Responder Index Analysis | Week 3 | 12 participants | 3.11 |
| Placebo | Chronic Low Back Pain (CLBP) Responder Index Analysis | Week 4 | 9 participants | 2.37 |
| PF-06372865 | Chronic Low Back Pain (CLBP) Responder Index Analysis | Week 4 | 11 participants | 2.15 |
| PF-06372865 | Chronic Low Back Pain (CLBP) Responder Index Analysis | Week 1 | 0 participants | 2.49 |
| PF-06372865 | Chronic Low Back Pain (CLBP) Responder Index Analysis | Week 3 | 8 participants | 2.22 |
| PF-06372865 | Chronic Low Back Pain (CLBP) Responder Index Analysis | Week 2 | 8 participants | 2.77 |
| Naproxen | Chronic Low Back Pain (CLBP) Responder Index Analysis | Week 4 | 19 participants | 2.45 |
| Naproxen | Chronic Low Back Pain (CLBP) Responder Index Analysis | Week 2 | 11 participants | 2.54 |
| Naproxen | Chronic Low Back Pain (CLBP) Responder Index Analysis | Week 3 | 14 participants | 2.46 |
| Naproxen | Chronic Low Back Pain (CLBP) Responder Index Analysis | Week 1 | 8 participants | 2.44 |
Number of Days Participants Used the Rescue Medication
The number of days for which the participants used the rescue medication were reported. Participants recorded the usage of acetaminophen rescue medication in the daily diary.
Time frame: Week 1, 2, 3, 4
Population: FAS included all participants randomized and who had received at least 1 dose of randomized treatment. Here, n signifies participants who were evaluable at the specified time point for each arm.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Placebo | Number of Days Participants Used the Rescue Medication | Week 1 (n= 74, 74, 74) | 1.7 days | Standard Deviation 2.62 |
| Placebo | Number of Days Participants Used the Rescue Medication | Week 2 (n= 67, 72, 72) | 1.6 days | Standard Deviation 2.65 |
| Placebo | Number of Days Participants Used the Rescue Medication | Week 3 (n= 63, 69, 71) | 1.9 days | Standard Deviation 3.11 |
| Placebo | Number of Days Participants Used the Rescue Medication | Week 4 (59, 66, 67) | 1.4 days | Standard Deviation 2.37 |
| PF-06372865 | Number of Days Participants Used the Rescue Medication | Week 4 (59, 66, 67) | 1.4 days | Standard Deviation 2.15 |
| PF-06372865 | Number of Days Participants Used the Rescue Medication | Week 1 (n= 74, 74, 74) | 1.7 days | Standard Deviation 2.49 |
| PF-06372865 | Number of Days Participants Used the Rescue Medication | Week 3 (n= 63, 69, 71) | 1.4 days | Standard Deviation 2.22 |
| PF-06372865 | Number of Days Participants Used the Rescue Medication | Week 2 (n= 67, 72, 72) | 1.8 days | Standard Deviation 2.77 |
| Naproxen | Number of Days Participants Used the Rescue Medication | Week 4 (59, 66, 67) | 1.4 days | Standard Deviation 2.45 |
| Naproxen | Number of Days Participants Used the Rescue Medication | Week 2 (n= 67, 72, 72) | 1.6 days | Standard Deviation 2.54 |
| Naproxen | Number of Days Participants Used the Rescue Medication | Week 3 (n= 63, 69, 71) | 1.5 days | Standard Deviation 2.46 |
| Naproxen | Number of Days Participants Used the Rescue Medication | Week 1 (n= 74, 74, 74) | 1.7 days | Standard Deviation 2.44 |
Number of Participants Using Rescue Medication
Participants were permitted to use any commercial product (tablet/caplet/capsule) of acetaminophen (paracetamol) 500 mg as a rescue medication. Number of participants who used rescue medication were reported.
Time frame: Week 1, 2, 3, 4
Population: FAS included all participants randomized and who had received at least 1 dose of randomized treatment. Here, n signifies participants who were evaluable at the specified time point for each arm.
| Arm | Measure | Group | Value (NUMBER) | Dispersion |
|---|---|---|---|---|
| Placebo | Number of Participants Using Rescue Medication | Week 1 (n= 74, 74, 74) | 34 participants | 1.351 |
| Placebo | Number of Participants Using Rescue Medication | Week 2 (n= 67, 72, 72) | 26 participants | — |
| Placebo | Number of Participants Using Rescue Medication | Week 3 (n= 63, 69, 71) | 25 participants | — |
| Placebo | Number of Participants Using Rescue Medication | Week 4 (59, 66, 67) | 23 participants | — |
| PF-06372865 | Number of Participants Using Rescue Medication | Week 4 (59, 66, 67) | 27 participants | — |
| PF-06372865 | Number of Participants Using Rescue Medication | Week 1 (n= 74, 74, 74) | 35 participants | 1.091 |
| PF-06372865 | Number of Participants Using Rescue Medication | Week 3 (n= 63, 69, 71) | 31 participants | — |
| PF-06372865 | Number of Participants Using Rescue Medication | Week 2 (n= 67, 72, 72) | 32 participants | — |
| Naproxen | Number of Participants Using Rescue Medication | Week 4 (59, 66, 67) | 22 participants | — |
| Naproxen | Number of Participants Using Rescue Medication | Week 2 (n= 67, 72, 72) | 30 participants | — |
| Naproxen | Number of Participants Using Rescue Medication | Week 3 (n= 63, 69, 71) | 27 participants | — |
| Naproxen | Number of Participants Using Rescue Medication | Week 1 (n= 74, 74, 74) | 34 participants | 1.401 |
Number of Participants Withdrawn Due to Lack of Efficacy
Participants withdrew from the study due to lack of efficacy (insufficient clinical response) were reported.
Time frame: Baseline up to Week 4
Population: FAS included all participants randomized and who had received at least 1 dose of randomized treatment.
| Arm | Measure | Value (NUMBER) | Dispersion |
|---|---|---|---|
| Placebo | Number of Participants Withdrawn Due to Lack of Efficacy | 2 participants | 1.351 |
| PF-06372865 | Number of Participants Withdrawn Due to Lack of Efficacy | 0 participants | 1.091 |
| Naproxen | Number of Participants Withdrawn Due to Lack of Efficacy | 1 participants | 1.401 |
Number of Participants With Global Evaluation of Study Medication (GESM) at Week 4
Participants rated their study treatment by GESM questionnaire. It was a qualitative measure of efficacy utilizing a 4-point Likert scale ranging from 1 (poor) to 4 (excellent), where higher score indicated a better overall response to the treatment. Number of participants who reported a particular score had been reported.
Time frame: Week 4
Population: FAS included all participants randomized and who had received at least 1 dose of randomized treatment. Here, number of participants analyzed signifies those participants who were evaluable for this outcome measure.
| Arm | Measure | Group | Value (NUMBER) | Dispersion |
|---|---|---|---|---|
| Placebo | Number of Participants With Global Evaluation of Study Medication (GESM) at Week 4 | Poor | 8 participants | 2.62 |
| Placebo | Number of Participants With Global Evaluation of Study Medication (GESM) at Week 4 | Fair | 26 participants | 2.65 |
| Placebo | Number of Participants With Global Evaluation of Study Medication (GESM) at Week 4 | Good | 28 participants | 3.11 |
| Placebo | Number of Participants With Global Evaluation of Study Medication (GESM) at Week 4 | Excellent | 8 participants | 2.37 |
| PF-06372865 | Number of Participants With Global Evaluation of Study Medication (GESM) at Week 4 | Excellent | 8 participants | 2.15 |
| PF-06372865 | Number of Participants With Global Evaluation of Study Medication (GESM) at Week 4 | Poor | 11 participants | 2.49 |
| PF-06372865 | Number of Participants With Global Evaluation of Study Medication (GESM) at Week 4 | Good | 36 participants | 2.22 |
| PF-06372865 | Number of Participants With Global Evaluation of Study Medication (GESM) at Week 4 | Fair | 18 participants | 2.77 |
| Naproxen | Number of Participants With Global Evaluation of Study Medication (GESM) at Week 4 | Excellent | 15 participants | 2.45 |
| Naproxen | Number of Participants With Global Evaluation of Study Medication (GESM) at Week 4 | Fair | 14 participants | 2.54 |
| Naproxen | Number of Participants With Global Evaluation of Study Medication (GESM) at Week 4 | Good | 37 participants | 2.46 |
| Naproxen | Number of Participants With Global Evaluation of Study Medication (GESM) at Week 4 | Poor | 5 participants | 2.44 |
Number of Participants With Sustained Response Rates in Daily Average LBPI NRS Scores at Greater Than or Equal to (>=) 30 Percent and >=50 Percent Reduction From Baseline
Average back pain was assessed with an 11-point NRS ranging from 0 (no pain) to 10 (worst possible pain), where higher scores indicated higher pain. Participants described their average low back pain during the past 24 hours by choosing the appropriate number from 0 to 10. Percentage of reduction from baseline in the daily average LBPI NRS score was calculated as: (\[daily value - baseline value\] divided by baseline value) multiplied by 100. Number of participants with sustained response rates (for a minimum of 4 consecutive days) in the daily average LBPI NRS scores that were at \>=30 percent and \>=50 percent reduced from baseline were reported.
Time frame: Baseline up to Week 4
Population: FAS included all participants randomized and who had received at least 1 dose of randomized treatment.
| Arm | Measure | Group | Value (NUMBER) | Dispersion |
|---|---|---|---|---|
| Placebo | Number of Participants With Sustained Response Rates in Daily Average LBPI NRS Scores at Greater Than or Equal to (>=) 30 Percent and >=50 Percent Reduction From Baseline | >=30 percent response | 25 participants | 1.351 |
| Placebo | Number of Participants With Sustained Response Rates in Daily Average LBPI NRS Scores at Greater Than or Equal to (>=) 30 Percent and >=50 Percent Reduction From Baseline | >=50 percent response | 11 participants | — |
| PF-06372865 | Number of Participants With Sustained Response Rates in Daily Average LBPI NRS Scores at Greater Than or Equal to (>=) 30 Percent and >=50 Percent Reduction From Baseline | >=30 percent response | 24 participants | 1.091 |
| PF-06372865 | Number of Participants With Sustained Response Rates in Daily Average LBPI NRS Scores at Greater Than or Equal to (>=) 30 Percent and >=50 Percent Reduction From Baseline | >=50 percent response | 9 participants | — |
| Naproxen | Number of Participants With Sustained Response Rates in Daily Average LBPI NRS Scores at Greater Than or Equal to (>=) 30 Percent and >=50 Percent Reduction From Baseline | >=30 percent response | 31 participants | 1.401 |
| Naproxen | Number of Participants With Sustained Response Rates in Daily Average LBPI NRS Scores at Greater Than or Equal to (>=) 30 Percent and >=50 Percent Reduction From Baseline | >=50 percent response | 12 participants | — |
Patient Global Impression of Change (PGI-C) Score
PGI-C was a participant rated instrument to measure participant's assessment of change in his or her overall status since the previous visit on a 7-point scale; ranging from 1 (very much improved) to 7 (very much worse), where higher scores indicated more worsening.
Time frame: Week 1, 2, 3, 4
Population: FAS included all participants randomized and who had received at least 1 dose of randomized treatment. Here, n signifies participants who were evaluable at the specified time point for each arm.
| Arm | Measure | Group | Value (LEAST_SQUARES_MEAN) |
|---|---|---|---|
| Placebo | Patient Global Impression of Change (PGI-C) Score | Week 1 (n= 73, 73, 73) | 3.32 units on a scale |
| Placebo | Patient Global Impression of Change (PGI-C) Score | Week 2 (n= 66, 71, 72) | 3.12 units on a scale |
| Placebo | Patient Global Impression of Change (PGI-C) Score | Week 3 (n= 62, 67, 71) | 3.01 units on a scale |
| Placebo | Patient Global Impression of Change (PGI-C) Score | Week 4 (n= 58, 65, 65) | 3.04 units on a scale |
| PF-06372865 | Patient Global Impression of Change (PGI-C) Score | Week 4 (n= 58, 65, 65) | 2.93 units on a scale |
| PF-06372865 | Patient Global Impression of Change (PGI-C) Score | Week 1 (n= 73, 73, 73) | 3.15 units on a scale |
| PF-06372865 | Patient Global Impression of Change (PGI-C) Score | Week 3 (n= 62, 67, 71) | 2.94 units on a scale |
| PF-06372865 | Patient Global Impression of Change (PGI-C) Score | Week 2 (n= 66, 71, 72) | 3.04 units on a scale |
| Naproxen | Patient Global Impression of Change (PGI-C) Score | Week 4 (n= 58, 65, 65) | 2.61 units on a scale |
| Naproxen | Patient Global Impression of Change (PGI-C) Score | Week 2 (n= 66, 71, 72) | 2.83 units on a scale |
| Naproxen | Patient Global Impression of Change (PGI-C) Score | Week 3 (n= 62, 67, 71) | 2.63 units on a scale |
| Naproxen | Patient Global Impression of Change (PGI-C) Score | Week 1 (n= 73, 73, 73) | 2.95 units on a scale |
Percent Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2, 3 and 4
Average back pain was assessed with an 11-point NRS ranging from 0 (no pain) to 10 (worst possible pain), where higher scores indicated higher pain. Participants described their average low back pain during the past 24 hours by choosing the appropriate number from 0 to 10.
Time frame: Baseline, Week 1, 2, 3, 4
Population: FAS included all participants randomized and who had received at least 1 dose of randomized treatment. Here, n signifies participants who were evaluable at the specified time point for each arm.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Placebo | Percent Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2, 3 and 4 | Change at week 1 (n= 74, 74, 74) | -7.453 percent change | Standard Deviation 18.2639 |
| Placebo | Percent Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2, 3 and 4 | Change at week 2 (n= 65, 70, 72) | -15.190 percent change | Standard Deviation 21.7655 |
| Placebo | Percent Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2, 3 and 4 | Change at week 3 (n= 62, 69, 70) | -19.100 percent change | Standard Deviation 25.5461 |
| Placebo | Percent Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2, 3 and 4 | Change at week 4 (n= 59, 64, 66) | -20.958 percent change | Standard Deviation 25.5848 |
| PF-06372865 | Percent Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2, 3 and 4 | Change at week 4 (n= 59, 64, 66) | -17.072 percent change | Standard Deviation 27.4016 |
| PF-06372865 | Percent Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2, 3 and 4 | Change at week 1 (n= 74, 74, 74) | -5.830 percent change | Standard Deviation 16.0979 |
| PF-06372865 | Percent Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2, 3 and 4 | Change at week 3 (n= 62, 69, 70) | -17.167 percent change | Standard Deviation 23.7288 |
| PF-06372865 | Percent Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2, 3 and 4 | Change at week 2 (n= 65, 70, 72) | -15.467 percent change | Standard Deviation 20.4505 |
| Naproxen | Percent Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2, 3 and 4 | Change at week 4 (n= 59, 64, 66) | -23.906 percent change | Standard Deviation 28.019 |
| Naproxen | Percent Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2, 3 and 4 | Change at week 2 (n= 65, 70, 72) | -17.682 percent change | Standard Deviation 24.3704 |
| Naproxen | Percent Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2, 3 and 4 | Change at week 3 (n= 62, 69, 70) | -22.204 percent change | Standard Deviation 23.254 |
| Naproxen | Percent Change From Baseline in Daily Low Back Pain Intensity (LBPI) as Measured by an 11-point Numeric Rating Scale (NRS) at Week 1, 2, 3 and 4 | Change at week 1 (n= 74, 74, 74) | -10.601 percent change | Standard Deviation 17.4139 |
Plasma Concentration of Naproxen
Data was calculated by setting concentration values below the LLOQ to zero. The LLOQ was \<1000 ng/mL.
Time frame: Baseline, Week 1, 2, 3, 4
Population: FAS included all participants randomized and who had received at least 1 dose of randomized treatment. Here, n signifies participants who were evaluable at the specified time point for each arm.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Placebo | Plasma Concentration of Naproxen | Week 4 (n= 65) | 65650 ng/mL | Standard Deviation 33419 |
| Placebo | Plasma Concentration of Naproxen | Baseline (n= 73) | 317.0 ng/mL | Standard Deviation 1963.4 |
| Placebo | Plasma Concentration of Naproxen | Week 1 (n= 74) | 68150 ng/mL | Standard Deviation 35213 |
| Placebo | Plasma Concentration of Naproxen | Week 2 (n= 72) | 67830 ng/mL | Standard Deviation 37004 |
| Placebo | Plasma Concentration of Naproxen | Week 3 (n= 71) | 67140 ng/mL | Standard Deviation 38336 |
Plasma Concentration of PF-06372865
Data was calculated by setting concentration values below the lower limit of quantification (LLOQ) to zero. The LLOQ was \<0.0100 nanogram per milliliter (ng/mL).
Time frame: Baseline, Week 1, 2, 3, 4
Population: FAS included all participants randomized and who had received at least 1 dose of randomized treatment. Here, n signifies participants who were evaluable at the specified time point for each arm.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Placebo | Plasma Concentration of PF-06372865 | Baseline (n= 73) | NA ng/mL | — |
| Placebo | Plasma Concentration of PF-06372865 | Week 1 (n= 74) | 15.57 ng/mL | Standard Deviation 13.214 |
| Placebo | Plasma Concentration of PF-06372865 | Week 2 (n= 72) | 47.51 ng/mL | Standard Deviation 45.668 |
| Placebo | Plasma Concentration of PF-06372865 | Week 3 (n= 71) | 46.65 ng/mL | Standard Deviation 46.305 |
| Placebo | Plasma Concentration of PF-06372865 | Week 4 (n= 65) | 48.24 ng/mL | Standard Deviation 41.975 |
Time to Withdrawal Due to Lack of Efficacy
Kaplan Meier and Cox Proportional Hazards analyses were to be used to compute the time to withdrawal due to lack of efficacy. Withdrawal due to lack of efficacy was identified from the participant summary case report form (CRF) page and where reason was identified as Insufficient Clinical Response. Time to withdrawal was calculated as Date of withdrawal - Date of Randomization.
Time frame: Baseline up to Week 4
Population: FAS included all participants randomized and who had received at least 1 dose of randomized treatment.
| Arm | Measure | Value (MEDIAN) | Dispersion |
|---|---|---|---|
| Placebo | Time to Withdrawal Due to Lack of Efficacy | NA days | 90% Confidence Interval 1.351 |
| PF-06372865 | Time to Withdrawal Due to Lack of Efficacy | NA days | 90% Confidence Interval 1.091 |
| Naproxen | Time to Withdrawal Due to Lack of Efficacy | NA days | 90% Confidence Interval 1.401 |