Trial Outcomes & Findings for A Study To Assess the Effects Of PF-04457845 On BOLD fMRI In Subjects With Post Traumatic Stress Disorder (NCT NCT02216097)

NCT ID: NCT02216097

Last Updated: 2016-06-29

Results Overview

Baseline BOLD fMRI percent signal change measured from baseline in fearful versus neutral face contrast during the emotional face processing task in bilateral amygdala.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

14 participants

Primary outcome timeframe

Baseline, Day 8

Results posted on

2016-06-29

Participant Flow

Participant milestones

Participant milestones
Measure
PF-04457845
PF-04457845 4 milligrams (mg) was orally administered once daily in the morning on Days 1 to 7.
Placebo
Placebo matched to PF-04457845 was orally administered once daily in the morning on Days 1 to 7.
Overall Study
STARTED
8
6
Overall Study
COMPLETED
8
6
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study To Assess the Effects Of PF-04457845 On BOLD fMRI In Subjects With Post Traumatic Stress Disorder

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
PF-04457845
n=8 Participants
PF-04457845 4 milligrams (mg) was orally administered once daily in the morning on Days 1 to 7.
Placebo
n=6 Participants
Placebo matched to PF-04457845 was orally administered once daily in the morning on Days 1 to 7.
Total
n=14 Participants
Total of all reporting groups
Age, Continuous
35.6 Years
STANDARD_DEVIATION 11.4 • n=5 Participants
36.2 Years
STANDARD_DEVIATION 15.1 • n=7 Participants
35.9 Years
STANDARD_DEVIATION 12.6 • n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
4 Participants
n=7 Participants
9 Participants
n=5 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, Day 8

Population: There were no efficacy evaluations done in this study because of a change in the planned analysis after the study was prematurely terminated due to Good Clinical Practice (GCP) non-compliance that resulted in data integrity and quality issues.

Baseline BOLD fMRI percent signal change measured from baseline in fearful versus neutral face contrast during the emotional face processing task in bilateral amygdala.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline, Day 2

Population: There were no efficacy evaluations done in this study because of a change in the planned analysis after the study was prematurely terminated due to GCP non-compliance that resulted in data integrity and quality issues.

Difference measured in BOLD fMRI percent activation in the bilateral vmPFC during the fear extinction recall phase of the fear extinction paradigm.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline, Day 8

Population: There were no efficacy evaluations done in this study because of a change in the planned analysis after the study was prematurely terminated due to GCP non-compliance that resulted in data integrity and quality issues.

Difference measured in BOLD fMRI percent signal change in the right amygdala in fear versus neutral faces during the emotional face processing task.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline, Day 8

Population: There were no efficacy evaluations done in this study because of a change in the planned analysis after the study was prematurely terminated due to GCP non-compliance that resulted in data integrity and quality issues.

Difference measured in BOLD fMRI percent signal change in the left amygdala in fearful versus neutral faces during face processing task.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline to up to Day 18

Population: The safety analysis population included all participants who received study medication.

The full physical examination included head, ears, eyes, nose, mouth, skin, heart, and lung examinations, lymph nodes, gastrointestinal, skeletal, and neurological systems.

Outcome measures

Outcome measures
Measure
PF-04457845
n=8 Participants
PF-04457845 4 milligrams (mg) was orally administered once daily in the morning on Days 1 to 7.
Placebo
n=6 Participants
Placebo matched to PF-04457845 was orally administered once daily in the morning on Days 1 to 7.
Number of Participants With Abnormal Physical Examination Findings
0 participants
0 participants

SECONDARY outcome

Timeframe: Baseline up to 28 days after last study drug administration (Day 35)

Population: The safety analysis population included all participants who received study medication.

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

Outcome measures

Outcome measures
Measure
PF-04457845
n=8 Participants
PF-04457845 4 milligrams (mg) was orally administered once daily in the morning on Days 1 to 7.
Placebo
n=6 Participants
Placebo matched to PF-04457845 was orally administered once daily in the morning on Days 1 to 7.
Number of Participants With Treatment-Emergent Adverse Events (AEs), Serious Adverse Events (SAEs), and Withdrawals Due to AEs
Number of Participants with AEs
6 participants
4 participants
Number of Participants With Treatment-Emergent Adverse Events (AEs), Serious Adverse Events (SAEs), and Withdrawals Due to AEs
Number of Participants with SAEs
0 participants
0 participants
Number of Participants With Treatment-Emergent Adverse Events (AEs), Serious Adverse Events (SAEs), and Withdrawals Due to AEs
Number of Participants Discontinued Due to AEs
0 participants
0 participants

SECONDARY outcome

Timeframe: Baseline up to Day 18

Population: The safety analysis population included all participants who received study medication.

The following laboratory parameters were analyzed: hematology (hemoglobin, hematocrit, red blood cell count, mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), platelet count, white blood cell count, total neutrophils, eosinophils, monocytes, basophils, lymphocytes; liver function (aspartate aminotransferase, alanine aminotransferase, total bilirubin, alkaline phosphatase, albumin, total protein); renal function (blood urea nitrogen, creatinine, uric acid); electrolytes (sodium, potassium, chloride, calcium, bicarbonate); chemistry (glucose); urinalysis (dipstick) (urine pH, urine glucose, urine protein, urine blood, urine ketones, urine bilirubin, urine nitrite, urine leukocyte esterase); urinalysis microscopy (urine red blood cell, urine white blood cell, urine bacteria). Only parameters with abnormal values were reported.

Outcome measures

Outcome measures
Measure
PF-04457845
n=8 Participants
PF-04457845 4 milligrams (mg) was orally administered once daily in the morning on Days 1 to 7.
Placebo
n=6 Participants
Placebo matched to PF-04457845 was orally administered once daily in the morning on Days 1 to 7.
Number of Participants With Clinical Laboratory Values Meeting Criteria for Potential Clinical Concern
Total neutrophils <0.8 times lower limit of normal
1 participants
0 participants
Number of Participants With Clinical Laboratory Values Meeting Criteria for Potential Clinical Concern
Urine positive for nitrite
1 participants
0 participants
Number of Participants With Clinical Laboratory Values Meeting Criteria for Potential Clinical Concern
Urine positive for leukocyte esterase
0 participants
1 participants

SECONDARY outcome

Timeframe: Baseline up to Day 18

Population: The safety analysis population included all participants who received study medication.

Vital signs assessment included pulse rate and blood pressure. Criteria for vital sign values meeting potential clinical concern included: supine pulse rate \<40 or \>120 beats per minute (bpm), standing pulse rate \<40 or \>140 bpm; systolic blood pressure (SBP) of \>=30 millimeters of mercury (mmHg) change from baseline or SBP \<90 mmHg; diastolic blood pressure (DBP) \>=20 mmHg change from baseline or DBP \<50 mmHg.

Outcome measures

Outcome measures
Measure
PF-04457845
n=8 Participants
PF-04457845 4 milligrams (mg) was orally administered once daily in the morning on Days 1 to 7.
Placebo
n=6 Participants
Placebo matched to PF-04457845 was orally administered once daily in the morning on Days 1 to 7.
Number of Participants With Vital Signs Data Meeting Criteria of Potential Clinical Concern
Supine SBP <90 mmHg
0 participants
0 participants
Number of Participants With Vital Signs Data Meeting Criteria of Potential Clinical Concern
Standing SBP <90 mmHg
0 participants
0 participants
Number of Participants With Vital Signs Data Meeting Criteria of Potential Clinical Concern
Supine DBP <50 mmHg
0 participants
0 participants
Number of Participants With Vital Signs Data Meeting Criteria of Potential Clinical Concern
Standing DBP <50 mmHg
0 participants
0 participants
Number of Participants With Vital Signs Data Meeting Criteria of Potential Clinical Concern
Supine Pulse Rate <40 or >120 bpm
0 participants
0 participants
Number of Participants With Vital Signs Data Meeting Criteria of Potential Clinical Concern
Standing Pulse Rate <40 or >140 bpm
0 participants
0 participants
Number of Participants With Vital Signs Data Meeting Criteria of Potential Clinical Concern
Supine SBP >=30 mmHg Increase From Baseline
0 participants
0 participants
Number of Participants With Vital Signs Data Meeting Criteria of Potential Clinical Concern
Standing SBP >=30 mmHg Increase From Baseline
0 participants
1 participants
Number of Participants With Vital Signs Data Meeting Criteria of Potential Clinical Concern
Supine DBP >=20 mmHg Increase From Baseline
1 participants
0 participants
Number of Participants With Vital Signs Data Meeting Criteria of Potential Clinical Concern
Standing DBP >=20 mmHg Increase From Baseline
0 participants
0 participants
Number of Participants With Vital Signs Data Meeting Criteria of Potential Clinical Concern
Supine SBP >=30 mmHg Decrease From Baseline
0 participants
0 participants
Number of Participants With Vital Signs Data Meeting Criteria of Potential Clinical Concern
Standing SBP >=30 mmHg Decrease From Baseline
0 participants
0 participants
Number of Participants With Vital Signs Data Meeting Criteria of Potential Clinical Concern
Supine DBP >=20 mmHg Decrease From Baseline
0 participants
0 participants
Number of Participants With Vital Signs Data Meeting Criteria of Potential Clinical Concern
Standing DBP >=20 mmHg Decrease From Baseline
1 participants
1 participants

SECONDARY outcome

Timeframe: Baseline up to Day 18

Population: The safety analysis population included all participants who received study medication.

ECG criteria of potential clinical concern were QTc absolute value \>=450 milliseconds (msec) or QTc absolute change \>=30 msec.

Outcome measures

Outcome measures
Measure
PF-04457845
n=8 Participants
PF-04457845 4 milligrams (mg) was orally administered once daily in the morning on Days 1 to 7.
Placebo
n=6 Participants
Placebo matched to PF-04457845 was orally administered once daily in the morning on Days 1 to 7.
Number of Participants With Post-Baseline Electrocardiogram (ECG) Values Meeting Criteria of Potential Clinical Concern
QTcF Interval 450-<480 msec
0 participants
0 participants
Number of Participants With Post-Baseline Electrocardiogram (ECG) Values Meeting Criteria of Potential Clinical Concern
QTcF Interval 480-<500 msec
0 participants
0 participants
Number of Participants With Post-Baseline Electrocardiogram (ECG) Values Meeting Criteria of Potential Clinical Concern
QTcF Interval >=500 msec
0 participants
0 participants
Number of Participants With Post-Baseline Electrocardiogram (ECG) Values Meeting Criteria of Potential Clinical Concern
QTcF Interval >=30 msec Increase From Baseline
0 participants
0 participants

Adverse Events

PF-04457845

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

Placebo

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
PF-04457845
n=8 participants at risk
PF-04457845 4 milligrams (mg) was orally administered once daily in the morning on Days 1 to 7.
Placebo
n=6 participants at risk
Placebo matched to PF-04457845 was orally administered once daily in the morning on Days 1 to 7.
Cardiac disorders
Palpitations
12.5%
1/8 • Number of events 1
0.00%
0/6
Gastrointestinal disorders
Abdominal discomfort
12.5%
1/8 • Number of events 1
0.00%
0/6
Gastrointestinal disorders
Diarrhoea
12.5%
1/8 • Number of events 2
0.00%
0/6
Gastrointestinal disorders
Nausea
12.5%
1/8 • Number of events 1
16.7%
1/6 • Number of events 1
General disorders
Chest discomfort
0.00%
0/8
16.7%
1/6 • Number of events 1
General disorders
Fatigue
0.00%
0/8
16.7%
1/6 • Number of events 1
Infections and infestations
Nasopharyngitis
12.5%
1/8 • Number of events 1
0.00%
0/6
Injury, poisoning and procedural complications
Post procedural haematoma
0.00%
0/8
16.7%
1/6 • Number of events 1
Metabolism and nutrition disorders
Decreased appetite
12.5%
1/8 • Number of events 1
0.00%
0/6
Nervous system disorders
Dizziness
25.0%
2/8 • Number of events 3
0.00%
0/6
Nervous system disorders
Headache
50.0%
4/8 • Number of events 4
50.0%
3/6 • Number of events 3
Nervous system disorders
Migraine
0.00%
0/8
16.7%
1/6 • Number of events 1
Nervous system disorders
Sleep paralysis
0.00%
0/8
16.7%
1/6 • Number of events 1
Psychiatric disorders
Affect lability
12.5%
1/8 • Number of events 1
0.00%
0/6
Psychiatric disorders
Flashback
12.5%
1/8 • Number of events 1
0.00%
0/6
Skin and subcutaneous tissue disorders
Pruritus
12.5%
1/8 • Number of events 1
0.00%
0/6
Psychiatric disorders
Post-traumatic stress disorder
12.5%
1/8 • Number of events 1
0.00%
0/6

Additional Information

Pfizer ClinicalTrials.gov Call Center

Pfizer, Inc.

Phone: 1-800-718-1021

Results disclosure agreements

  • Principal investigator is a sponsor employee Restriction Description: 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