Pulmonary Arterial Hypertension Clinical Trial
Official title:
A PHASE 1, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED STUDY TO EVALUATE THE SAFETY, TOLERABILITY, PHARMACOKINETICS, AND PHARMACODYNAMICS OF SINGLE ESCALATING DOSES OF PF-07868489 IN HEALTHY ADULT PARTICIPANTS AND REPEAT DOSES IN PARTICIPANTS WITH PULMONARY ARTERIAL HYPERTENSION
The purpose of the study is to learn how the study medicine called PF-07868489 is tolerated and acts in healthy adult people and people with pulmonary arterial hypertension (PAH). Part A: An investigator- and participant-blind, sponsor-open, placebo-controlled, single ascending dose study to assess the safety, tolerability, and pharmacokinetics (PK) of PF-07868489 in healthy adult participants. Part B: A 24-week, randomized, double blind, placebo-controlled study to assess the safety, tolerability, PK, and pharmacodynamics (PD) of PF-07868489 in adult participants with PAH.
Status | Recruiting |
Enrollment | 90 |
Est. completion date | September 18, 2026 |
Est. primary completion date | September 18, 2026 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility | Key Inclusion Criteria Part A: - overtly healthy - Body mass index (BMI) of 16 to 32 kg/m2; and a total body weight >50 kg. Key Exclusion Criteria Part A: - clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurological, infections or allergic disease. - smoking more than 10 cigarettes (or equivalent) per day or smoking history =10 pack-years. Key Inclusion Criteria Part B: - diagnosis of pulmonary arterial hypertension (PAH) - stable dose of standard of care PAH vasodilators - BMI 16 to 32 kg/m2; and a total body weight >45 kg. - 6MWD = 150 and = 450. - Pre-randomization RHC documenting a minimum of PVR = 400 dyn ·sec/cm5. Key Exclusion Criteria Part B: - Any medical or psychiatric condition or laboratory abnormality. - Stopped receiving pulmonary hypertension chronic general supportive therapy 90 days prior to Day 1. - Pulmonary capillary wedge pressure > 15 mmHg on right heart catheterization (RHC) conducted during Screening. - History of severe allergic or anaphylactic reaction or hypersensitivity to recombinant proteins or excipients in investigational product. - Major surgery within 8 weeks prior to randomization. - Participants who smoke more than 10 cigarettes (or equivalent) per day or has a smoking history =10 pack-years. |
Country | Name | City | State |
---|---|---|---|
United States | Anaheim Clinical Trials, LLC | Anaheim | California |
Lead Sponsor | Collaborator |
---|---|
Pfizer |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Number of Participants with Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | Part A | Baseline up to Day 113. | |
Primary | Number of Participants With Change From Baseline in Laboratory Tests Results | Part A | Baseline up to Day 113 | |
Primary | Number of Participants With Vital Sign Abnormalities | Part A | Baseline up to Day 113 | |
Primary | Number of Participants With Change From Baseline in Electrocardiogram (ECG) Parameters | Part A | Baseline up to Day 113 | |
Primary | Number of Participants with Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) | Part B | Baseline up to Day 281 | |
Primary | Number of Participants With Change From Baseline in Laboratory Tests Results | Part B | Baseline up to Day 281 | |
Primary | Number of Participants With Vital Sign Abnormalities | Part B | Baseline up to Day 281 | |
Primary | Number of Participants With Change From Baseline in Electrocardiogram (ECG) Parameters | Part B | Baseline up to Day 281 | |
Secondary | Area Under the Plasma Concentration-time Profile From Time Zero to the Time of Last Quantifiable Concentration (AUClast) | single dose | Pre dose, 8, 12, 24, 48,72,96,168,336 hours post dose | |
Secondary | Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUCinf) | single dose | Pre dose, 8, 12, 24, 48,72,96,168,336 hours post dose | |
Secondary | Maximum Observed Plasma Concentration (Cmax) | single dose | Pre dose, 8, 12, 24, 48,72,96,168,336 hours post dose | |
Secondary | Time to Reach Maximum Observed Plasma Concentration (Tmax) | single dose | 4-7 days | |
Secondary | Incidence of Anti-Drug Antibody (ADA) | single dose | Baseline and up to week 16 | |
Secondary | Change From Baseline in N-Terminal Prohormone Brain Natriuretic Peptide (NT-proBNP) Concentration at Week24 | repeated doses | Baseline, week 24 | |
Secondary | Plasma Decay Half-Life (t1/2) | single dose | 20 days | |
Secondary | Minimum Observed Plasma Trough Concentration (Cmin) | repeat doses | week 4 | |
Secondary | Plasma Decay Half-Life (t1/2) | repeat doses | 20 days | |
Secondary | Incidence of Anti-Drug Antibody (ADA) | repeated doses | Baseline and up to week 40 |
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