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Trial to Learn About the Study Medicine (PF-07081532) and Rybelsus in People With Type 2 Diabetes and Separately PF-07081532 in People With Obesity

Pfizer logo

Pfizer

Status and phase

Terminated
Phase 2

Conditions

Diabetes Mellitus
Obesity

Treatments

Other: Placebo
Drug: PF-07081532
Drug: Rybelsus

Study type

Interventional

Funder types

Industry

Identifiers

NCT05579977
2022-002834-15 (EudraCT Number)
C3991004

Details and patient eligibility

About

The purpose of this study is to find out if PF-07081532 ("the active study drug"), is safe and helps treat people with obesity without diabetes to lose weight, and people with diabetes to keep their blood sugar in good control. Individuals diagnosed with diabetes that are on metformin or individuals with obesity without diabetes will be included in the study.

Those participating in the diabetes part of the study, will receive either active study drug, placebo, or an approved treatment called Rybelsus. Those in the obesity part of the study, will receive either active study drug or placebo. The study will last for about 36 weeks except for the first 25% of the participants that enter in which case the study will last for approximately 48 weeks. during this time there will be visits every 4 weeks with phone calls in between.

Enrollment

902 patients

Sex

All

Ages

18 to 75 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

T2DM

  • T2DM inadequately controlled with metformin
  • BMI ≥23.0 kg/m2 (≥20.0 kg/m2 in Japan)
  • HbA1C of 7% to 10% (53-86 mmol/mol)
  • FPG ≤270 mg/dL (15 mmol/L)

Obesity

  • BMI ≥30.0 kg/m2
  • HbA1C ≤6.4% (47 mmol/mol)
  • FPG ≤126 mg/dL (7 mmol/L)

Exclusion criteria

  • Any of the following: Active/current, symptomatic gallbladder disease; History of pancreatitis in the prior 2-months;History of Type 1 Diabetes Mellitus, or secondary forms of diabetes; Any condition affecting drug absorption; Medical history of active liver disease (other than non-alcoholic hepatic steatosis)
  • Use of pharmacological agents with approved indication for weight loss
  • T2DM:Use of any agent (other than metformin)for the explicit purpose of glycemic control;History of diabetic ketoacidosis;Proliferative retinopathy or maculopathy requiring acute treatment;
  • Obesity: Previous or planned weight reduction surgery; Major depressive disorder or other severe psychiatric disorders; Any lifetime history of a suicide attempt; PHQ-9 score ≥15; Response of "yes" to Question 4 or 5, or on any suicidal behavioral question on the C-SSRS
  • Clinically significant cardiovascular conditions
  • Uncontrolled blood pressure
  • Personal or within first-degree relative family history of MTC or MEN2
  • Other medical or psychiatric condition that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study
  • Any of the following central lab results: Fasting C-peptide <0.8 ng/mL; ALT or AST ≥2.5x ULN; Direct bilirubin >ULN or T Bili >1.5x ULN except when participants have a history of Gilbert syndrome ; TSH >1.5x ULN or <LLN; Serum calcitonin >ULN; Serum amylase or serum lipase >ULN; eGFR <45 ml/min/1.73 ; Active Hepatitis B, or Hepatitis C; A positive urine drug test for illicit drugs

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Quadruple Blind

902 participants in 13 patient groups, including a placebo group

PF-07081532 20 mg T2DM
Experimental group
Description:
PF-07081532 20 mg daily in T2DM
Treatment:
Drug: PF-07081532
PF-07081532 40 mg T2DM
Experimental group
Description:
PF-07081532 40 mg daily in T2DM
Treatment:
Drug: PF-07081532
PF-07081532 80 mg T2DM
Experimental group
Description:
PF-07081532 80 mg daily in T2DM
Treatment:
Drug: PF-07081532
PF-07081532 160 mg T2DM
Experimental group
Description:
PF-07081532 160 mg daily in T2DM
Treatment:
Drug: PF-07081532
PF-07081532 260 mg T2DM
Experimental group
Description:
PF-07081532 260 mg daily in T2DM
Treatment:
Drug: PF-07081532
Placebo T2DM
Placebo Comparator group
Description:
Placebo daily in T2DM
Treatment:
Other: Placebo
PF-07081532 80 mg Obesity
Experimental group
Description:
PF-07081532 80 mg daily in Obesity
Treatment:
Drug: PF-07081532
PF-07081532 140 mg Obesity
Experimental group
Description:
PF-07081532 140 mg daily in Obesity
Treatment:
Drug: PF-07081532
PF-07081532 200 mg Obesity (Option 1)
Experimental group
Description:
PF-07081532 200 mg daily in Obesity
Treatment:
Drug: PF-07081532
PF-07081532 200 mg Obesity (Option 2)
Experimental group
Description:
PF-07081532 200 mg daily in Obesity
Treatment:
Drug: PF-07081532
PF-07081532 260 mg Obesity
Experimental group
Description:
PF-07081532 260 mg daily in Obesity
Treatment:
Drug: PF-07081532
Rybelsus 14 mg T2DM
Active Comparator group
Description:
Semaglutide 14 mg daily in T2DM
Treatment:
Drug: Rybelsus
Placebo Obesity
Placebo Comparator group
Description:
Placebo in Obesity
Treatment:
Other: Placebo

Trial documents
2

Trial contacts and locations

90

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Data sourced from clinicaltrials.gov

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