A Study To Evaluate The Safety And Tolerability Of PF-03882845 In Patients With Type 2 Diabetic Nephropathy

This study has been terminated.
(See termination reason in detailed description.)
Sponsor:
Information provided by (Responsible Party):
Pfizer
ClinicalTrials.gov Identifier:
NCT01488877
First received: December 6, 2011
Last updated: September 24, 2013
Last verified: September 2013
Results First Received: July 18, 2013  
Study Type: Interventional
Study Design: Allocation: Randomized;   Endpoint Classification: Safety/Efficacy Study;   Intervention Model: Parallel Assignment;   Masking: Double Blind (Subject, Investigator);   Primary Purpose: Basic Science
Condition: Type 2 Diabetic Nephropathy
Interventions: Drug: PF-03882845
Drug: Spironolactone
Other: placebo

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
No text entered.

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
Total 6 participants were enrolled in the study. Study was terminated early after partial completion of Cohort 1 (PF-03882845 3 milligram (mg)/placebo) and Cohort 4 (spironolactone 25 mg/placebo); Cohort 2 (PF-03882845 1 or 10 mg/placebo) and Cohort 3 (PF-03882845 1, 10 or 30 mg/placebo) were not enrolled.

Reporting Groups
  Description
PF-03882845 Placebo Placebo matched to PF-03882845 3 mg tablet in Cohort 1, orally once daily up to Day 14.
PF-03882845 3 mg PF-03882845 3 mg tablet in Cohort 1, orally once daily up to Day 14.
Spironolactone Placebo Similar-looking placebo matched to spironolactone 25 mg tablet in Cohort 4, orally once daily up to Day 14.

Participant Flow for 2 periods

Period 1:   Initial Randomization
    PF-03882845 Placebo     PF-03882845 3 mg     Spironolactone Placebo  
STARTED     1     5     0  
COMPLETED     1     5     0  
NOT COMPLETED     0     0     0  

Period 2:   Re-randomization
    PF-03882845 Placebo     PF-03882845 3 mg     Spironolactone Placebo  
STARTED     0     0     3 [1]
COMPLETED     0     0     3  
NOT COMPLETED     0     0     0  
[1] Three participants were re-randomized from PF-03882845 3 mg arm.



  Baseline Characteristics
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Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
No text entered.

Reporting Groups
  Description
Entire Study Population All participants who were enrolled in this study.

Baseline Measures
    Entire Study Population  
Number of Participants  
[units: participants]
  6  
Age, Customized  
[units: participants]
 
less than (<) 18 years     0  
18 to 44 years     0  
45 to 64 years     6  
greater than or equal to (>=) 65 years     0  
Gender  
[units: participants]
 
Female     3  
Male     3  



  Outcome Measures
  Show All Outcome Measures

1.  Primary:   Change From Baseline in Serum Potassium at Day 8   [ Time Frame: Baseline, Day 7, 8 ]

2.  Primary:   Change From Baseline in Serum Potassium at Day 15   [ Time Frame: Baseline, Day 14, 15 ]

3.  Primary:   Number of Participants With Confirmed and Severe Hyperkalemia   [ Time Frame: Baseline up to Day 15 ]

4.  Secondary:   Plasma Pharmacokinetic (PK) Parameters   [ Time Frame: 0 (pre-dose), 2, 4, 6, 8, 10, 14, 24 hours post-dose on Day 1, 14 ]

5.  Secondary:   Change From Baseline in Sitting Systolic and Diastolic Blood Pressure at Day 15   [ Time Frame: Day 1 (Baseline), 15 ]
  Hide Outcome Measure 5

Measure Type Secondary
Measure Title Change From Baseline in Sitting Systolic and Diastolic Blood Pressure at Day 15
Measure Description Systolic blood pressure (BP): BP when heart is contracting; maximum arterial pressure during contraction of left ventricle of heart. Diastolic blood pressure: BP when heart is relaxing; minimum arterial pressure during relaxation and dilation of ventricles of heart. A total of 3 measurements were performed; average of triplicate BP values collected pre-dose on Day 1 served as baseline. The same arm and same sized cuff (properly sized and calibrated) was used throughout the study, after participant sat for 5 minutes for the first measurement and 2 minutes for second and third measurements.
Time Frame Day 1 (Baseline), 15  
Safety Issue Yes  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Safety analysis set included all participants who received at least 1 dose of study medication.

Reporting Groups
  Description
Placebo Placebo matched to PF-03882845 3 mg tablet in Cohort 1 or similar-looking placebo matched to spironolactone 25 mg tablet in Cohort 4, orally once daily up to Day 14.
PF-03882845 3 mg PF-03882845 3 mg tablet in Cohort 1, orally once daily up to Day 14.

Measured Values
    Placebo     PF-03882845 3 mg  
Number of Participants Analyzed  
[units: participants]
  4     5  
Change From Baseline in Sitting Systolic and Diastolic Blood Pressure at Day 15  
[units: millimeter of mercury (mmHg)]
Mean ± Standard Deviation
   
Baseline: Systolic BP     127.83  ± 19.601     125.53  ± 8.194  
Baseline: Diastolic BP     74.92  ± 10.049     74.13  ± 5.237  
Change at Day 15: Systolic BP     -4.83  ± 22.599     -3.20  ± 10.002  
Change at Day 15: Diastolic BP     -1.08  ± 9.398     1.00  ± 3.504  

No statistical analysis provided for Change From Baseline in Sitting Systolic and Diastolic Blood Pressure at Day 15



6.  Secondary:   Change From Baseline in Sitting Pulse Rate at Day 15   [ Time Frame: Day 1 (Baseline), 15 ]


  Serious Adverse Events


  Other Adverse Events


  Limitations and Caveats
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Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
Study was terminated prematurely; this was based on a strategic decision by the sponsor to terminate further development of this compound for proposed indication. The study was not terminated for safety or lack of efficacy reasons.


  More Information