Trial Outcomes & Findings for A Phase 2 Multi-Center Study To Evaluate The Efficacy And Safety Of A Chemokine CCR2/5 Receptor Antagonist In Adults With Type 2 Diabetes And Overt Nephropathy (NCT NCT01712061)

NCT ID: NCT01712061

Last Updated: 2015-10-21

Results Overview

The presence of albumin in the urine (macroalbuminuria) is a marker of kidney disease. Albumin and creatinine concentrations were obtained from spot urine samples.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

226 participants

Primary outcome timeframe

Baseline and Week 12

Results posted on

2015-10-21

Participant Flow

The primary entry criterion for participants was based on presence of macroalbuminuria (urine albumin to creatinine ratio \[UACR\] greater than or equal to (\>=)300 milligrams per gram (mg/g).

Participant milestones

Participant milestones
Measure
PF-04634817 150 mg
Participants with estimated glomerular filtration rate (eGFR) values of 20 to less than (\<)30 milliliters/minute (mL/min)/1.73 square meter (m\^2) were dosed orally at 150 mg once daily (QD) for 12 weeks.
PF-04634817 200 mg
Participants with eGFR values of 30 to 75 mL/min/1.73 m\^2 were dosed orally at 200 mg QD for 12 weeks.
Placebo
Participants were dosed orally with matching placebo tablets QD for 12 weeks.
Overall Study
STARTED
30
140
56
Overall Study
COMPLETED
20
114
45
Overall Study
NOT COMPLETED
10
26
11

Reasons for withdrawal

Reasons for withdrawal
Measure
PF-04634817 150 mg
Participants with estimated glomerular filtration rate (eGFR) values of 20 to less than (\<)30 milliliters/minute (mL/min)/1.73 square meter (m\^2) were dosed orally at 150 mg once daily (QD) for 12 weeks.
PF-04634817 200 mg
Participants with eGFR values of 30 to 75 mL/min/1.73 m\^2 were dosed orally at 200 mg QD for 12 weeks.
Placebo
Participants were dosed orally with matching placebo tablets QD for 12 weeks.
Overall Study
Adverse Event
4
9
5
Overall Study
Death
0
0
1
Overall Study
Lost to Follow-up
1
0
1
Overall Study
Did Not Meet Entrance Criteria
4
6
3
Overall Study
Medication Error Without Associated AE
0
1
0
Overall Study
Withdrawal by Subject
1
7
1
Overall Study
Other
0
3
0

Baseline Characteristics

A Phase 2 Multi-Center Study To Evaluate The Efficacy And Safety Of A Chemokine CCR2/5 Receptor Antagonist In Adults With Type 2 Diabetes And Overt Nephropathy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
PF-04634817 200 mg/150 mg
n=170 Participants
Participants were dosed orally at 150 mg (eGFR 20-\<30 mL/min/1.73 m\^2) or 200 mg (30-75 mL/min/1.73 m\^2) QD for 12 weeks.
Placebo
n=56 Participants
Participants were dosed orally with matching placebo tablets QD for 12 weeks.
Total
n=226 Participants
Total of all reporting groups
Age, Customized
Less than (<) 18 years
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
Age, Customized
18-44 years
3 participants
n=5 Participants
0 participants
n=7 Participants
3 participants
n=5 Participants
Age, Customized
45-64 years
78 participants
n=5 Participants
31 participants
n=7 Participants
109 participants
n=5 Participants
Age, Customized
>=65 years
89 participants
n=5 Participants
25 participants
n=7 Participants
114 participants
n=5 Participants
Sex: Female, Male
Female
36 Participants
n=5 Participants
7 Participants
n=7 Participants
43 Participants
n=5 Participants
Sex: Female, Male
Male
134 Participants
n=5 Participants
49 Participants
n=7 Participants
183 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline and Week 12

Population: The Full Analysis Set (FAS) was defined as all participants randomized and who had received at least 1 dose of randomized treatment and had at least 1 post-dose efficacy measurement; n=number of participants analyzed in respective arms for category.

The presence of albumin in the urine (macroalbuminuria) is a marker of kidney disease. Albumin and creatinine concentrations were obtained from spot urine samples.

Outcome measures

Outcome measures
Measure
PF-04634817 200 mg/150 mg
n=159 Participants
Participants were dosed orally at 150 mg (eGFR 20-\<30 mL/min/1.73 m\^2) or 200 mg (30-75 mL/min/1.73 m\^2) QD for 12 weeks.
Placebo
n=51 Participants
Participants were dosed orally with matching placebo tablets QD for 12 weeks.
Percent Reduction From Baseline in Urinary Albumin to Creatinine Ratio (UACR) at Week 12
13.27 percent (%)
95% Confidence Interval 5.43 • Interval 3.14 to 24.62
5.02 percent (%)
95% Confidence Interval 6.87 • Interval -7.9 to 18.7

SECONDARY outcome

Timeframe: Baseline, Weeks 4, 8 and 16

Population: The FAS was defined as all participants randomized and who had received at least 1 dose of randomized treatment and had at least 1 post-dose efficacy measurement; n=number of participants analyzed in respective arms for category.

The presence of albumin in the urine (macroalbuminuria) is a marker of kidney disease. Albumin and creatinine concentrations were obtained from spot urine samples.

Outcome measures

Outcome measures
Measure
PF-04634817 200 mg/150 mg
n=159 Participants
Participants were dosed orally at 150 mg (eGFR 20-\<30 mL/min/1.73 m\^2) or 200 mg (30-75 mL/min/1.73 m\^2) QD for 12 weeks.
Placebo
n=51 Participants
Participants were dosed orally with matching placebo tablets QD for 12 weeks.
Change From Baseline in UACR at Weeks 4, 8 and 16
Baseline (n=157,50)
127.41 mg/millimolar creatinine (mmolCr)
Geometric Coefficient of Variation 96
121.80 mg/millimolar creatinine (mmolCr)
Geometric Coefficient of Variation 88
Change From Baseline in UACR at Weeks 4, 8 and 16
Change From Baseline at Week 4 (n=148,46)
0.89 mg/millimolar creatinine (mmolCr)
Geometric Coefficient of Variation 66
0.91 mg/millimolar creatinine (mmolCr)
Geometric Coefficient of Variation 88
Change From Baseline in UACR at Weeks 4, 8 and 16
Change From Baseline at Week 8 (n=134,43)
0.90 mg/millimolar creatinine (mmolCr)
Geometric Coefficient of Variation 62
0.94 mg/millimolar creatinine (mmolCr)
Geometric Coefficient of Variation 57
Change From Baseline in UACR at Weeks 4, 8 and 16
Change From Baseline at Week 16 (n=126,37)
0.93 mg/millimolar creatinine (mmolCr)
Geometric Coefficient of Variation 72
0.92 mg/millimolar creatinine (mmolCr)
Geometric Coefficient of Variation 56

SECONDARY outcome

Timeframe: Baseline, Weeks 4, 8, 12 and 16

Population: The FAS was defined as all participants randomized and who had received at least 1 dose of randomized treatment and had at least 1 post-dose efficacy measurement; n=number of participants analyzed in respective arms for category.

The presence of protein in the urine (proteinuria) often implies kidney disease. Protein and creatinine concentrations were obtained from spot urine samples.

Outcome measures

Outcome measures
Measure
PF-04634817 200 mg/150 mg
n=159 Participants
Participants were dosed orally at 150 mg (eGFR 20-\<30 mL/min/1.73 m\^2) or 200 mg (30-75 mL/min/1.73 m\^2) QD for 12 weeks.
Placebo
n=51 Participants
Participants were dosed orally with matching placebo tablets QD for 12 weeks.
Change From Baseline in Urinary Protein to Creatinine Ratio (UPCR) at Weeks 4, 8, 12 and 16
Baseline (n=155,49)
185.42 mg/mmolCr
Geometric Coefficient of Variation 97
176.31 mg/mmolCr
Geometric Coefficient of Variation 82
Change From Baseline in Urinary Protein to Creatinine Ratio (UPCR) at Weeks 4, 8, 12 and 16
Change From Baseline at Week 4 (n=143,45)
0.93 mg/mmolCr
Geometric Coefficient of Variation 47
0.92 mg/mmolCr
Geometric Coefficient of Variation 76
Change From Baseline in Urinary Protein to Creatinine Ratio (UPCR) at Weeks 4, 8, 12 and 16
Change From Baseline at Week 8 (n=130,42)
0.92 mg/mmolCr
Geometric Coefficient of Variation 50
0.94 mg/mmolCr
Geometric Coefficient of Variation 46
Change From Baseline in Urinary Protein to Creatinine Ratio (UPCR) at Weeks 4, 8, 12 and 16
Change From Baseline at Week 12 (n=125,42)
0.92 mg/mmolCr
Geometric Coefficient of Variation 58
0.92 mg/mmolCr
Geometric Coefficient of Variation 79
Change From Baseline in Urinary Protein to Creatinine Ratio (UPCR) at Weeks 4, 8, 12 and 16
Change From Baseline at Week 16 (n=125,36)
0.95 mg/mmolCr
Geometric Coefficient of Variation 58
0.92 mg/mmolCr
Geometric Coefficient of Variation 55

SECONDARY outcome

Timeframe: Baseline, Week 1, 4, 8, 12 and 16

Population: The FAS was defined as all participants randomized and who had received at least 1 dose of randomized treatment and had at least 1 post-dose efficacy measurement; n=number of participants analyzed in respective arms for category.

eGFR was calculated using the MDRD equation and normalized to 1.73 m\^2 body surface area. Age and corresponding creatinine at each visit (Weeks 1, 4, 8, 12 and 16) were used to calculate GFR

Outcome measures

Outcome measures
Measure
PF-04634817 200 mg/150 mg
n=159 Participants
Participants were dosed orally at 150 mg (eGFR 20-\<30 mL/min/1.73 m\^2) or 200 mg (30-75 mL/min/1.73 m\^2) QD for 12 weeks.
Placebo
n=51 Participants
Participants were dosed orally with matching placebo tablets QD for 12 weeks.
Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) Using the Abbreviated Modified Diet in Renal Disease (MDRD) Formula at Weeks 1, 4, 8, 12 and 16
Change From Baseline at Week 16 (n=134,44)
-2.14 mL/min/1.73m^2
Standard Deviation 6.42
-1.18 mL/min/1.73m^2
Standard Deviation 5.58
Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) Using the Abbreviated Modified Diet in Renal Disease (MDRD) Formula at Weeks 1, 4, 8, 12 and 16
Baseline (n=159,51)
41.80 mL/min/1.73m^2
Standard Deviation 12.18
41.65 mL/min/1.73m^2
Standard Deviation 13.46
Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) Using the Abbreviated Modified Diet in Renal Disease (MDRD) Formula at Weeks 1, 4, 8, 12 and 16
Change From Baseline at Week 1 (n=157,50)
-0.77 mL/min/1.73m^2
Standard Deviation 5.80
-0.35 mL/min/1.73m^2
Standard Deviation 5.28
Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) Using the Abbreviated Modified Diet in Renal Disease (MDRD) Formula at Weeks 1, 4, 8, 12 and 16
Change From Baseline at Week 4 (n=157,51)
-1.07 mL/min/1.73m^2
Standard Deviation 5.37
-1.32 mL/min/1.73m^2
Standard Deviation 5.12
Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) Using the Abbreviated Modified Diet in Renal Disease (MDRD) Formula at Weeks 1, 4, 8, 12 and 16
Change From Baseline at Week 8 (n=147,47)
-1.60 mL/min/1.73m^2
Standard Deviation 5.34
-2.15 mL/min/1.73m^2
Standard Deviation 6.83
Change From Baseline in Estimated Glomerular Filtration Rate (eGFR) Using the Abbreviated Modified Diet in Renal Disease (MDRD) Formula at Weeks 1, 4, 8, 12 and 16
Change From Baseline at Week 12 (n=136,45)
-1.14 mL/min/1.73m^2
Standard Deviation 5.70
-1.03 mL/min/1.73m^2
Standard Deviation 5.75

SECONDARY outcome

Timeframe: Baseline, Week 12, and Week 16

Population: The FAS was defined as all participants randomized and who had received at least 1 dose of randomized treatment and had at least 1 post-dose efficacy measurement; n=number of participants analyzed in respective arms for category.

Serum cystatin C may be a more reliable endogenous marker of GFR than serum creatinine. eGFR was calculated using the Cystatin Formula and normalized to 1.73 m\^2 body surface area.

Outcome measures

Outcome measures
Measure
PF-04634817 200 mg/150 mg
n=159 Participants
Participants were dosed orally at 150 mg (eGFR 20-\<30 mL/min/1.73 m\^2) or 200 mg (30-75 mL/min/1.73 m\^2) QD for 12 weeks.
Placebo
n=51 Participants
Participants were dosed orally with matching placebo tablets QD for 12 weeks.
Change From Baseline in eGFR Using Cystatin Formula at Weeks 12 and 16
Baseline (n=159,50)
45.28 mL/min/1.73m^2
Standard Deviation 14.22
45.36 mL/min/1.73m^2
Standard Deviation 14.94
Change From Baseline in eGFR Using Cystatin Formula at Weeks 12 and 16
Change From Baseline at Week 12 (n=135,44)
-1.10 mL/min/1.73m^2
Standard Deviation 6.30
-0.70 mL/min/1.73m^2
Standard Deviation 5.49
Change From Baseline in eGFR Using Cystatin Formula at Weeks 12 and 16
Change From Baseline at Week 16 (n=134,43)
-2.27 mL/min/1.73m^2
Standard Deviation 6.77
-0.91 mL/min/1.73m^2
Standard Deviation 6.30

SECONDARY outcome

Timeframe: Baseline, Week 1, 4, 8, 12 and 16

Population: The FAS was defined as all participants randomized and who had received at least 1 dose of randomized treatment and had at least 1 post-dose efficacy measurement; n=number of participants analyzed in respective arms for category.

Serum creatinine is an indicator of kidney function. Creatinine is a substance formed from the metabolism of creatine, commonly found in blood, urine, and muscle tissue. It is removed from the blood by the kidneys and excreted in urine. Normal adult blood levels of creatinine=45 to 90 micromoles per liter (mcmol/L) for females, 60 to 110 mcmol/L for males, however normal values are age-dependent. Change from baseline=creatinine level at Week 1, 4, 8, 12 or 16 minus baseline level where higher scores represented decreased kidney function.

Outcome measures

Outcome measures
Measure
PF-04634817 200 mg/150 mg
n=159 Participants
Participants were dosed orally at 150 mg (eGFR 20-\<30 mL/min/1.73 m\^2) or 200 mg (30-75 mL/min/1.73 m\^2) QD for 12 weeks.
Placebo
n=51 Participants
Participants were dosed orally with matching placebo tablets QD for 12 weeks.
Change From Baseline in Serum Creatinine at Weeks 1, 4, 8, 12 and 16
Change From Baseline at Week 1 (n=158,50)
0.05 milligrams per deciliter (mg/dL)
Standard Deviation 0.22
0.03 milligrams per deciliter (mg/dL)
Standard Deviation 0.17
Change From Baseline in Serum Creatinine at Weeks 1, 4, 8, 12 and 16
Change From Baseline at Week 12 (n=137,45)
0.05 milligrams per deciliter (mg/dL)
Standard Deviation 0.24
0.08 milligrams per deciliter (mg/dL)
Standard Deviation 0.20
Change From Baseline in Serum Creatinine at Weeks 1, 4, 8, 12 and 16
Baseline (n=159,51)
1.72 milligrams per deciliter (mg/dL)
Standard Deviation 0.51
1.77 milligrams per deciliter (mg/dL)
Standard Deviation 0.51
Change From Baseline in Serum Creatinine at Weeks 1, 4, 8, 12 and 16
Change From Baseline at Week 4 (n=157,51)
0.06 milligrams per deciliter (mg/dL)
Standard Deviation 0.21
0.11 milligrams per deciliter (mg/dL)
Standard Deviation 0.30
Change From Baseline in Serum Creatinine at Weeks 1, 4, 8, 12 and 16
Change From Baseline at Week 8 (n=147,47)
0.06 milligrams per deciliter (mg/dL)
Standard Deviation 0.21
0.09 milligrams per deciliter (mg/dL)
Standard Deviation 0.24
Change From Baseline in Serum Creatinine at Weeks 1, 4, 8, 12 and 16
Change From Baseline at Week 16 (n=134,44)
0.09 milligrams per deciliter (mg/dL)
Standard Deviation 0.30
0.09 milligrams per deciliter (mg/dL)
Standard Deviation 0.29

SECONDARY outcome

Timeframe: Baseline, Week 12, and Week 16

Population: The FAS was defined as all participants randomized and who had received at least 1 dose of randomized treatment and had at least 1 post-dose efficacy measurement; n=number of participants analyzed in respective arms for category.

Cystatin C is a protein which is mainly used as a biomarker of kidney function. If kidney function and GFR decline, the blood levels of cystatin C rise.

Outcome measures

Outcome measures
Measure
PF-04634817 200 mg/150 mg
n=159 Participants
Participants were dosed orally at 150 mg (eGFR 20-\<30 mL/min/1.73 m\^2) or 200 mg (30-75 mL/min/1.73 m\^2) QD for 12 weeks.
Placebo
n=51 Participants
Participants were dosed orally with matching placebo tablets QD for 12 weeks.
Change From Baseline in Serum Cystatin C at Weeks 12 and 16
Baseline (n=159,51)
1.54 mg/dL
Standard Deviation 0.43
1.52 mg/dL
Standard Deviation 0.41
Change From Baseline in Serum Cystatin C at Weeks 12 and 16
Change From Baseline at Week 12 (n=136,45)
0.03 mg/dL
Standard Deviation 0.25
0.03 mg/dL
Standard Deviation 0.21
Change From Baseline in Serum Cystatin C at Weeks 12 and 16
Change From Baseline at Week 16 (n=134,44)
0.05 mg/dL
Standard Deviation 0.26
0.06 mg/dL
Standard Deviation 0.25

SECONDARY outcome

Timeframe: Baseline, Weeks 4, 8, 12 and 16

Population: The FAS was defined as all participants randomized and who had received at least 1 dose of randomized treatment and had at least 1 post-dose efficacy measurement; n=number of participants analyzed in respective arms for category.

HbA1c is a form of hemoglobin that is measured primarily to identify the average plasma glucose concentration over prolonged periods of time. As the average amount of plasma glucose increases, the fraction of HbA1c increases in a predictable way.

Outcome measures

Outcome measures
Measure
PF-04634817 200 mg/150 mg
n=159 Participants
Participants were dosed orally at 150 mg (eGFR 20-\<30 mL/min/1.73 m\^2) or 200 mg (30-75 mL/min/1.73 m\^2) QD for 12 weeks.
Placebo
n=51 Participants
Participants were dosed orally with matching placebo tablets QD for 12 weeks.
Change From Baseline in Plasma Glycosylated Hemoglobin (HbA1c) at Weeks 4, 8, 12 and 16
Baseline (n=159,51)
7.51 percent
Standard Deviation 1.22
7.91 percent
Standard Deviation 1.42
Change From Baseline in Plasma Glycosylated Hemoglobin (HbA1c) at Weeks 4, 8, 12 and 16
Change From Baseline at Week 4 (n=157,51)
0.03 percent
Standard Deviation 0.46
-0.04 percent
Standard Deviation 0.46
Change From Baseline in Plasma Glycosylated Hemoglobin (HbA1c) at Weeks 4, 8, 12 and 16
Change From Baseline at Week 8 (n=147,46)
-0.02 percent
Standard Deviation 0.64
-0.08 percent
Standard Deviation 0.71
Change From Baseline in Plasma Glycosylated Hemoglobin (HbA1c) at Weeks 4, 8, 12 and 16
Change From Baseline at Week 12 (n=137,44)
-0.01 percent
Standard Deviation 0.76
-0.06 percent
Standard Deviation 0.81
Change From Baseline in Plasma Glycosylated Hemoglobin (HbA1c) at Weeks 4, 8, 12 and 16
Change From Baseline at Week 16 (n=133,44)
0.04 percent
Standard Deviation 0.89
-0.04 percent
Standard Deviation 1.13

SECONDARY outcome

Timeframe: 1, 2, 4 hours post-dose on Day 1; 2 hours post-dose on Weeks 1, 4, 8 and 12

Population: The PK Concentration Analysis Set is defined as all participants in the FAS for whom a PK sample was obtained and analyzed; n=number of participants analyzed in respective arms for category.

Outcome measures

Outcome measures
Measure
PF-04634817 200 mg/150 mg
n=30 Participants
Participants were dosed orally at 150 mg (eGFR 20-\<30 mL/min/1.73 m\^2) or 200 mg (30-75 mL/min/1.73 m\^2) QD for 12 weeks.
Placebo
n=140 Participants
Participants were dosed orally with matching placebo tablets QD for 12 weeks.
Summary of Plasma PF-04634817 Pharmacokinetic (PK) Concentrations at Day 1 and Weeks 1, 4, 8 and 12
Day 1: 1 Hour Post-Dose (n=29,124)
434.5 ng/mL
Geometric Coefficient of Variation 65
524.4 ng/mL
Geometric Coefficient of Variation 83
Summary of Plasma PF-04634817 Pharmacokinetic (PK) Concentrations at Day 1 and Weeks 1, 4, 8 and 12
Day 1: 2 Hours Post-Dose (n=30,139)
579.3 ng/mL
Geometric Coefficient of Variation 37
602.9 ng/mL
Geometric Coefficient of Variation 52
Summary of Plasma PF-04634817 Pharmacokinetic (PK) Concentrations at Day 1 and Weeks 1, 4, 8 and 12
Day 1: 4 Hours Post-Dose (n=29,137)
497.4 ng/mL
Geometric Coefficient of Variation 38
547.7 ng/mL
Geometric Coefficient of Variation 46
Summary of Plasma PF-04634817 Pharmacokinetic (PK) Concentrations at Day 1 and Weeks 1, 4, 8 and 12
Week 1: Pre-Dose (n=28,131)
294.4 ng/mL
Geometric Coefficient of Variation 60
231.2 ng/mL
Geometric Coefficient of Variation 73
Summary of Plasma PF-04634817 Pharmacokinetic (PK) Concentrations at Day 1 and Weeks 1, 4, 8 and 12
Week 1: 2 Hours Post-Dose (n=28,132)
884.8 ng/mL
Geometric Coefficient of Variation 42
865.0 ng/mL
Geometric Coefficient of Variation 55
Summary of Plasma PF-04634817 Pharmacokinetic (PK) Concentrations at Day 1 and Weeks 1, 4, 8 and 12
Week 4: Pre-Dose (n=25,126)
231.3 ng/mL
Geometric Coefficient of Variation 51
239.5 ng/mL
Geometric Coefficient of Variation 87
Summary of Plasma PF-04634817 Pharmacokinetic (PK) Concentrations at Day 1 and Weeks 1, 4, 8 and 12
Week 4: 2 Hours Post-Dose (n=24,122)
785.8 ng/mL
Geometric Coefficient of Variation 45
918 ng/mL
Geometric Coefficient of Variation 55
Summary of Plasma PF-04634817 Pharmacokinetic (PK) Concentrations at Day 1 and Weeks 1, 4, 8 and 12
Week 8: Pre-Dose (n=23,113)
310.2 ng/mL
Geometric Coefficient of Variation 79
245.2 ng/mL
Geometric Coefficient of Variation 77
Summary of Plasma PF-04634817 Pharmacokinetic (PK) Concentrations at Day 1 and Weeks 1, 4, 8 and 12
Week 8: 2 Hours Post-Dose (n=23,114)
730.0 ng/mL
Geometric Coefficient of Variation 70
895 ng/mL
Geometric Coefficient of Variation 57
Summary of Plasma PF-04634817 Pharmacokinetic (PK) Concentrations at Day 1 and Weeks 1, 4, 8 and 12
Week 12 (n=20,113)
320.1 ng/mL
Geometric Coefficient of Variation 75
252.3 ng/mL
Geometric Coefficient of Variation 84

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, Weeks 1, 4, 8, 12 and 16

Population: The Safety Analysis Set is defined as all participants who receive at least 1 dose of study medication; n=number of participants analyzed in respective arms for category.

Outcome measures

Outcome measures
Measure
PF-04634817 200 mg/150 mg
n=170 Participants
Participants were dosed orally at 150 mg (eGFR 20-\<30 mL/min/1.73 m\^2) or 200 mg (30-75 mL/min/1.73 m\^2) QD for 12 weeks.
Placebo
n=56 Participants
Participants were dosed orally with matching placebo tablets QD for 12 weeks.
Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Weeks 1, 4, 8, 12 and 16
Supine SBP: Baseline (n=168,53)
140.4 millimeters of mercury (mm Hg)
Standard Deviation 13.96
139.9 millimeters of mercury (mm Hg)
Standard Deviation 13.60
Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Weeks 1, 4, 8, 12 and 16
Supine SBP:Change From Baseline Week 1 (n=164,53)
-0.8 millimeters of mercury (mm Hg)
Standard Deviation 12.75
-1.6 millimeters of mercury (mm Hg)
Standard Deviation 12.87
Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Weeks 1, 4, 8, 12 and 16
Supine SBP:Change From Baseline Week 4 (n=154,49)
-0.5 millimeters of mercury (mm Hg)
Standard Deviation 15.43
-1.6 millimeters of mercury (mm Hg)
Standard Deviation 14.19
Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Weeks 1, 4, 8, 12 and 16
Supine SBP:Change From Baseline Week 8 (n=142,47)
-3.4 millimeters of mercury (mm Hg)
Standard Deviation 12.94
-1.1 millimeters of mercury (mm Hg)
Standard Deviation 13.71
Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Weeks 1, 4, 8, 12 and 16
Supine SBP:Change From Baseline Week 12 (n=134,45)
-2.0 millimeters of mercury (mm Hg)
Standard Deviation 13.28
-1.3 millimeters of mercury (mm Hg)
Standard Deviation 13.23
Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Weeks 1, 4, 8, 12 and 16
Supine SBP:Change From Baseline Week 16 (n=138,45)
-2.4 millimeters of mercury (mm Hg)
Standard Deviation 15.14
-0.3 millimeters of mercury (mm Hg)
Standard Deviation 14.41
Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Weeks 1, 4, 8, 12 and 16
Supine DBP: Baseline (n=168,53)
75.9 millimeters of mercury (mm Hg)
Standard Deviation 8.97
77.1 millimeters of mercury (mm Hg)
Standard Deviation 6.88
Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Weeks 1, 4, 8, 12 and 16
Supine DBP:Change From Baseline Week 1 (n=164,53)
-0.2 millimeters of mercury (mm Hg)
Standard Deviation 6.94
-2.7 millimeters of mercury (mm Hg)
Standard Deviation 7.58
Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Weeks 1, 4, 8, 12 and 16
Supine DBP:Change From Baseline Week 4 (n=154,49)
0.1 millimeters of mercury (mm Hg)
Standard Deviation 8.23
-1.8 millimeters of mercury (mm Hg)
Standard Deviation 7.47
Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Weeks 1, 4, 8, 12 and 16
Supine DBP:Change From Baseline Week 8 (n=142,47)
-1.9 millimeters of mercury (mm Hg)
Standard Deviation 7.46
-1.5 millimeters of mercury (mm Hg)
Standard Deviation 7.05
Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Weeks 1, 4, 8, 12 and 16
Supine DBP:Change From Baseline Week 12 (n=134,45)
-0.9 millimeters of mercury (mm Hg)
Standard Deviation 6.88
-0.2 millimeters of mercury (mm Hg)
Standard Deviation 6.69
Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Weeks 1, 4, 8, 12 and 16
Supine DBP:Change From Baseline Week 16 (n=138,45)
-1.7 millimeters of mercury (mm Hg)
Standard Deviation 7.98
0.9 millimeters of mercury (mm Hg)
Standard Deviation 8.40

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, Weeks 1, 4, 8, 12 and 16

Population: The Safety Analysis Set is defined as all participants who receive at least 1 dose of study medication; n=number of participants analyzed in respective arms for category.

Outcome measures

Outcome measures
Measure
PF-04634817 200 mg/150 mg
n=170 Participants
Participants were dosed orally at 150 mg (eGFR 20-\<30 mL/min/1.73 m\^2) or 200 mg (30-75 mL/min/1.73 m\^2) QD for 12 weeks.
Placebo
n=56 Participants
Participants were dosed orally with matching placebo tablets QD for 12 weeks.
Change From Baseline in Pulse Rate at Weeks 1, 4, 8, 12 and 16
Baseline (n=168,53)
68.7 beats per minute (bpm)
Standard Deviation 9.74
69.3 beats per minute (bpm)
Standard Deviation 9.30
Change From Baseline in Pulse Rate at Weeks 1, 4, 8, 12 and 16
Change From Baseline at Week 1 (n=164,53)
0.1 beats per minute (bpm)
Standard Deviation 5.86
-0.7 beats per minute (bpm)
Standard Deviation 5.63
Change From Baseline in Pulse Rate at Weeks 1, 4, 8, 12 and 16
Change From Baseline at Week 4 (n=154,49)
0.3 beats per minute (bpm)
Standard Deviation 6.01
-1.0 beats per minute (bpm)
Standard Deviation 6.63
Change From Baseline in Pulse Rate at Weeks 1, 4, 8, 12 and 16
Change From Baseline at Week 8 (n=142,47)
0.2 beats per minute (bpm)
Standard Deviation 6.54
1.4 beats per minute (bpm)
Standard Deviation 6.77
Change From Baseline in Pulse Rate at Weeks 1, 4, 8, 12 and 16
Change From Baseline at Week 12 (n=134,45)
0.2 beats per minute (bpm)
Standard Deviation 7.03
0.5 beats per minute (bpm)
Standard Deviation 7.33
Change From Baseline in Pulse Rate at Weeks 1, 4, 8, 12 and 16
Change From Baseline at Week 16 (n=138,45)
1.4 beats per minute (bpm)
Standard Deviation 8.22
-0.1 beats per minute (bpm)
Standard Deviation 6.92

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, Weeks 1, 4, 8, 12 and 16

Population: The Safety Analysis Set is defined as all participants who receive at least 1 dose of study medication; n=number of participants analyzed in respective arms for category.

Outcome measures

Outcome measures
Measure
PF-04634817 200 mg/150 mg
n=170 Participants
Participants were dosed orally at 150 mg (eGFR 20-\<30 mL/min/1.73 m\^2) or 200 mg (30-75 mL/min/1.73 m\^2) QD for 12 weeks.
Placebo
n=56 Participants
Participants were dosed orally with matching placebo tablets QD for 12 weeks.
Change From Baseline in Body Weight at Weeks 1, 4, 8, 12 and 16
Baseline (n=167,53)
93.8 kilograms (kg)
Standard Deviation 23.97
95.1 kilograms (kg)
Standard Deviation 25.95
Change From Baseline in Body Weight at Weeks 1, 4, 8, 12 and 16
Change From Baseline at Week 16 (n=137,45)
-0.1 kilograms (kg)
Standard Deviation 2.79
0.2 kilograms (kg)
Standard Deviation 3.37
Change From Baseline in Body Weight at Weeks 1, 4, 8, 12 and 16
Change From Baseline at Week 1 (n=163,53)
0.0 kilograms (kg)
Standard Deviation 1.03
0.3 kilograms (kg)
Standard Deviation 1.42
Change From Baseline in Body Weight at Weeks 1, 4, 8, 12 and 16
Change From Baseline at Week 4 (n=153,49)
-0.0 kilograms (kg)
Standard Deviation 1.74
0.4 kilograms (kg)
Standard Deviation 3.29
Change From Baseline in Body Weight at Weeks 1, 4, 8, 12 and 16
Change From Baseline at Week 8 (n=141,47)
0.1 kilograms (kg)
Standard Deviation 2.45
0.7 kilograms (kg)
Standard Deviation 2.74
Change From Baseline in Body Weight at Weeks 1, 4, 8, 12 and 16
Change From Baseline at Week 12 (n=134,45)
0.3 kilograms (kg)
Standard Deviation 2.66
0.7 kilograms (kg)
Standard Deviation 3.02

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline up to Week 16 (follow-up visit)

Population: The Safety Analysis Set is defined as all participants who receive at least 1 dose of study medication; number of participants analyzed (N) is number of evaluable participants for this outcome measure.

The following laboratory parameters were analyzed for abnormalities at any time point mentioned in the timeframe: clinical chemistry (sodium, potassium, chloride, bicarbonate, phosphate, glucose, blood urea nitrogen \[BUN\], creatinine, albumin, calcium, bilirubin \[total, direct, and indirect\], gamma-glutamyl transferase \[GGT\], alanine aminotransferase \[ALT\], aspartate aminotransferase \[AST\], lactic dehydrogenase \[LDH\], alkaline phosphatase, creatine phosphokinase \[CPK\], uric acid, amylase and lipase); hematology (hemoglobin, hematocrit, red blood cell \[RBC\] count, white blood cell \[WBC\] count with differential, and platelet count); FSH (for postmenopausal women who had been amenorrheic for less than 2 years prior to screening).

Outcome measures

Outcome measures
Measure
PF-04634817 200 mg/150 mg
n=167 Participants
Participants were dosed orally at 150 mg (eGFR 20-\<30 mL/min/1.73 m\^2) or 200 mg (30-75 mL/min/1.73 m\^2) QD for 12 weeks.
Placebo
n=53 Participants
Participants were dosed orally with matching placebo tablets QD for 12 weeks.
Number of Participants With Laboratory Abnormalities Meeting the Criteria for Potential Clinical Concern
154 participants
49 participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline, Weeks 1, 4 and 12

Population: The Safety Analysis Set is defined as all participants who receive at least 1 dose of study medication; n=number of participants analyzed in respective arms for category.

Criteria for potentially clinically important ECG values were defined as: PR interval \>=300 milliseconds (msec) or \>=25%/50% increase when baseline is \>200 msec and ≥50% increase when baseline is less than or equal to (\<=)200 msec; QRS interval \>=140 msec or \>=50% increase from baseline (IFB); QTc \>=450 msec or \>=30 msec increase; corrected QT interval using Fridericia's formula (QTcF) \>=450 msec or \>=30 msec increase.

Outcome measures

Outcome measures
Measure
PF-04634817 200 mg/150 mg
n=170 Participants
Participants were dosed orally at 150 mg (eGFR 20-\<30 mL/min/1.73 m\^2) or 200 mg (30-75 mL/min/1.73 m\^2) QD for 12 weeks.
Placebo
n=56 Participants
Participants were dosed orally with matching placebo tablets QD for 12 weeks.
Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) Findings
QRS Complex >=50% IFB (n=169,55)
3 participants
0 participants
Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) Findings
QTc Interval >=60 msec IFB (n=169,55)
0 participants
0 participants
Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) Findings
QTcF Interval 30-<60 msec IFB (n=169,55)
8 participants
3 participants
Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) Findings
QTcF Interval >=60 msec IFB (n=169,55)
1 participants
0 participants
Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) Findings
Maximum PR Interval >=300 msec (n=164,55)
3 participants
0 participants
Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) Findings
Maximum QRS Complex >=140 msec (n=169,56)
2 participants
1 participants
Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) Findings
Maximum QT Interval >=500 msec (n=169,56)
0 participants
0 participants
Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) Findings
Maximum QTc Interval 450-<480 msec (n=169,56)
23 participants
11 participants
Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) Findings
Maximum QTc Interval 480-<500 msec (n=169,56)
4 participants
1 participants
Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) Findings
Maximum QTc Interval >=500 msec (n=169,56)
0 participants
0 participants
Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) Findings
Maximum QTcF Interval 450-<480 msec (n=169,56)
11 participants
5 participants
Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) Findings
Maximum QTcF Interval 480-<500 msec (n=169,56)
1 participants
1 participants
Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) Findings
Maximum QTcF Interval >=500 msec (n=169,56)
1 participants
0 participants
Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) Findings
PR Interval >=25/50% IFB (n=163,53)
3 participants
0 participants
Number of Participants With Potentially Clinically Significant Electrocardiogram (ECG) Findings
QTc Interval 30-<60 msec IFB (n=169,55)
15 participants
4 participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline up to 28 days after last study drug administration

Population: The Safety Analysis Set is defined as all participants who receive at least 1 dose of study medication.

An AE was any untoward medical occurrence without regard to causality in a participant who received study drug. A 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 treatment and up to 28 days after last dose that were absent before treatment or that worsened relative to pretreatment state. AEs included both SAEs and non-serious AEs.

Outcome measures

Outcome measures
Measure
PF-04634817 200 mg/150 mg
n=170 Participants
Participants were dosed orally at 150 mg (eGFR 20-\<30 mL/min/1.73 m\^2) or 200 mg (30-75 mL/min/1.73 m\^2) QD for 12 weeks.
Placebo
n=56 Participants
Participants were dosed orally with matching placebo tablets QD for 12 weeks.
Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)
AEs
106 participants
36 participants
Number of Participants With Treatment-Emergent Adverse Events (AEs) or Serious Adverse Events (SAEs)
SAEs
17 participants
5 participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline up to Week 16 (follow-up visit)

Population: The Safety Analysis Set is defined as all participants who receive at least 1 dose of study medication; number of participants analyzed (N) is number of evaluable participants for this outcome measure.

Outcome measures

Outcome measures
Measure
PF-04634817 200 mg/150 mg
n=167 Participants
Participants were dosed orally at 150 mg (eGFR 20-\<30 mL/min/1.73 m\^2) or 200 mg (30-75 mL/min/1.73 m\^2) QD for 12 weeks.
Placebo
n=53 Participants
Participants were dosed orally with matching placebo tablets QD for 12 weeks.
Number of Participants With Increased Fasting Blood Glucose
1 participants
0 participants

Adverse Events

PF-04634817 150 mg

Serious events: 6 serious events
Other events: 11 other events
Deaths: 0 deaths

PF-04634817 200 mg

Serious events: 11 serious events
Other events: 40 other events
Deaths: 0 deaths

Placebo

Serious events: 5 serious events
Other events: 15 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
PF-04634817 150 mg
n=30 participants at risk
Participants with estimated glomerular filtration rate (eGFR) values of 20 to less than (\<)30 milliliters/minute (mL/min)/1.73 square meter (m\^2) were dosed orally at 150 mg once daily (QD) for 12 weeks.
PF-04634817 200 mg
n=140 participants at risk
Participants with eGFR values of 30 to 75 mL/min/1.73 m\^2 were dosed orally at 200 mg QD for 12 weeks.
Placebo
n=56 participants at risk
Participants were dosed orally with matching placebo tablets QD for 12 weeks.
Cardiac disorders
Cardiac failure
3.3%
1/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Gastrointestinal disorders
Gastritis
0.00%
0/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.71%
1/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Gastrointestinal disorders
Pancreatitis acute
0.00%
0/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.71%
1/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
General disorders
Chest pain
0.00%
0/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
1.4%
2/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
General disorders
Generalised oedema
0.00%
0/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.71%
1/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
General disorders
Pyrexia
0.00%
0/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.71%
1/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Hepatobiliary disorders
Cholecystitis acute
0.00%
0/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.71%
1/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Infections and infestations
Cellulitis
0.00%
0/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
1.8%
1/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Infections and infestations
Localised infection
0.00%
0/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
1.8%
1/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Infections and infestations
Pneumonia
6.7%
2/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.71%
1/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
1.8%
1/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Infections and infestations
Septic shock
3.3%
1/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Infections and infestations
Viral infection
0.00%
0/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.71%
1/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Metabolism and nutrition disorders
Dehydration
3.3%
1/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Metabolism and nutrition disorders
Hypokalaemia
3.3%
1/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Musculoskeletal and connective tissue disorders
Gouty arthritis
3.3%
1/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Nervous system disorders
Cerebral infarction
0.00%
0/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.71%
1/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Nervous system disorders
Dizziness
3.3%
1/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Renal and urinary disorders
Renal failure acute
6.7%
2/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
1.4%
2/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.00%
0/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
1.8%
1/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Skin and subcutaneous tissue disorders
Dermatitis
3.3%
1/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Skin and subcutaneous tissue disorders
Erythrodermic psoriasis
3.3%
1/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Social circumstances
Homicide
0.00%
0/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
1.8%
1/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Vascular disorders
Hypertension
0.00%
0/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.71%
1/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.

Other adverse events

Other adverse events
Measure
PF-04634817 150 mg
n=30 participants at risk
Participants with estimated glomerular filtration rate (eGFR) values of 20 to less than (\<)30 milliliters/minute (mL/min)/1.73 square meter (m\^2) were dosed orally at 150 mg once daily (QD) for 12 weeks.
PF-04634817 200 mg
n=140 participants at risk
Participants with eGFR values of 30 to 75 mL/min/1.73 m\^2 were dosed orally at 200 mg QD for 12 weeks.
Placebo
n=56 participants at risk
Participants were dosed orally with matching placebo tablets QD for 12 weeks.
Gastrointestinal disorders
Diarrhoea
6.7%
2/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
8.6%
12/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
5.4%
3/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Gastrointestinal disorders
Nausea
6.7%
2/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
3.6%
5/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
3.6%
2/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
General disorders
Oedema peripheral
10.0%
3/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
5.7%
8/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
7.1%
4/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Infections and infestations
Nasopharyngitis
6.7%
2/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
4.3%
6/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
5.4%
3/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Infections and infestations
Upper respiratory tract infection
6.7%
2/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
3.6%
5/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
3.6%
2/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Investigations
Gamma-glutamyltransferase increased
6.7%
2/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.71%
1/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Metabolism and nutrition disorders
Hyperkalaemia
6.7%
2/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.71%
1/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
1.8%
1/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Metabolism and nutrition disorders
Hypoglycaemia
6.7%
2/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
1.4%
2/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
1.8%
1/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Musculoskeletal and connective tissue disorders
Arthralgia
6.7%
2/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
1.4%
2/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
1.8%
1/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Nervous system disorders
Dizziness
6.7%
2/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
2.9%
4/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
1.8%
1/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Renal and urinary disorders
Dysuria
6.7%
2/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
0.00%
0/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
1.8%
1/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
Vascular disorders
Hypertension
3.3%
1/30 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
4.3%
6/140 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.
5.4%
3/56 • Baseline up to 28 days after last study drug administration
The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one participant and as non-serious in another participant, or one participant may have experienced both a serious and non-serious event during the study.

Additional Information

Pfizer ClinicalTrials.gov Call Center

Pfizer, Inc.

Phone: 1-800-718-1021

Results disclosure agreements

  • Principal investigator is a sponsor employee Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
  • Publication restrictions are in place

Restriction type: OTHER