A Research Study To Assess The Effectiveness And Safety Of Different Doses Of Oral PF-00489791 In The Treatment Of Adult Patients With Pulmonary Arterial Hypertension


Tracking Information

Start Date  ICMJEMarch 2009
Estimated Primary Completion DateMay 2010   (final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: February 27, 2009)
Mean change from baseline in PVRI [ Time Frame: Day 1, 4 hours post dose ] [ Designated as safety issue: No ]
Original Primary Outcome Measures ICMJESame as current
Change HistoryComplete list of historical versions of study NCT00853112 on ClinicalTrials.gov Archive Site
Current Secondary Outcome Measures ICMJE 
 (submitted: December 8, 2009)
  • Hourly changes from baseline in cardiac index, mean PAP and other hemodynamic parameters [ Time Frame: Day 1, up to 4 hours post dose ] [ Designated as safety issue: No ]
  • Changes from baseline in PaO2 and PaCO2 [ Time Frame: Day 1, up to 4 hours post dose ] [ Designated as safety issue: Yes ]
  • Plasma concentrations of PF-00489791 and sildenafil [ Time Frame: up to Day 3 - 5 ] [ Designated as safety issue: No ]
  • Safety and tolerability of PF-00489791 after a single dose administration as assessed by incidence of treatment-emergent adverse events, changes from baseline in clinical laboratory tests, and ECG [ Time Frame: up to Day 3 - 5 ] [ Designated as safety issue: Yes ]
  • Greatest reduction and hourly changes from baseline in PVRI [ Time Frame: Day 1, up to 4 hours post dose ] [ Designated as safety issue: No ]
  • Mean change, greatest reduction and hourly changes from baseline in SVRI [ Time Frame: Day 1, up to 4 hours post dose ] [ Designated as safety issue: No ]
  • Safety and tolerability of PF-00489791 after a single dose administration as assessed by incidence of treatment-emergent adverse events [ Time Frame: up to Day 10 - 14 ] [ Designated as safety issue: Yes ]
Original Secondary Outcome Measures ICMJE 
 (submitted: February 27, 2009)
  • Hourly changes from baseline in cardiac index, mean PAP and other hemodynamic parameters [ Time Frame: Day 1, up to 4 hours post dose ] [ Designated as safety issue: No ]
  • Changes from baseline in PaO2 and PaCO2 [ Time Frame: Day 1, up to 4 hours post dose ] [ Designated as safety issue: Yes ]
  • Plasma concentrations of PF-00489791 and sildenafil [ Time Frame: up to Day 4 ] [ Designated as safety issue: No ]
  • Safety and tolerability of PF-00489791 after a single dose administration as assessed by incidence of treatment-emergent adverse events, changes from baseline in clinical laboratory tests, and ECG [ Time Frame: up to Day 4 ] [ Designated as safety issue: Yes ]
  • Greatest reduction and hourly changes from baseline in PVRI [ Time Frame: Day 1, up to 4 hours post dose ] [ Designated as safety issue: No ]
  • Mean change, greatest reduction and hourly changes from baseline in SVRI [ Time Frame: Day 1, up to 4 hours post dose ] [ Designated as safety issue: No ]
  • Safety and tolerability of PF-00489791 after a single dose administration as assessed by incidence of treatment-emergent adverse events [ Time Frame: up to Day 10 - 14 ] [ Designated as safety issue: Yes ]

Descriptive Information

Brief Title  ICMJEA Research Study To Assess The Effectiveness And Safety Of Different Doses Of Oral PF-00489791 In The Treatment Of Adult Patients With Pulmonary Arterial Hypertension
Official Title  ICMJEA Phase 2a, Randomized, Double Blind, Placebo-Controlled, Parallel Group Study Investigating The Dose-Response Of PF-00489791 On Acute Hemodynamics In Subjects With Idiopathic And Familial Pulmonary Hypertension
Brief Summary

Study will assess PF-00489791 efficacy and safety in Pulmonary Arterial Hypertension (PAH)

Detailed Description 
Study PhasePhase II
Study Type  ICMJEInterventional
Study Design  ICMJETreatment, Randomized, Double Blind (Subject, Investigator, Outcomes Assessor), Parallel Assignment, Safety/Efficacy Study
Condition  ICMJEHypertension, Pulmonary
Intervention  ICMJE
  • Drug: PF-00489791
    tablet form, 1 mg, single dose (Day 1)
  • Drug: PF-00489791
    tablet form, 2 mg, single dose (Day 1)
  • Drug: PF-00489791
    tablet form, 4 mg, single dose (Day 1)
  • Drug: PF-00489791
    tablet form, 10 mg, single dose (Day 1)
  • Drug: PF-00489791
    tablet form, 20 mg, single dose (Day 1)
  • Drug: placebo
    tablet form, single dose (Day 1)
  • Drug: sildenafil
    tablet form, 20 mg, single dose (Day 1)
    Other Name: Revatio
Study Arms / Comparison Groups
  • PF-00489791 1 mg: Experimental
    Intervention: Drug: PF-00489791
  • PF-00489791 2 mg: Experimental
    Intervention: Drug: PF-00489791
  • PF-00489791 4 mg: Experimental
    Intervention: Drug: PF-00489791
  • PF-00489791 10 mg: Experimental
    Intervention: Drug: PF-00489791
  • PF-00489791 20 mg: Experimental
    Intervention: Drug: PF-00489791
  • Placebo: Placebo Comparator
    Intervention: Drug: placebo
  • Sildenafil: Active Comparator
    Observational comparator arm
    Intervention: Drug: sildenafil

Recruitment Information

Estimated Enrollment  ICMJE72
Estimated Completion DateMay 2010
Estimated Primary Completion DateMay 2010   (final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • Idiopathic or familial pulmonary arterial hypertension (PAH)
  • Mean PAP at least 25 mm Hg, PCWP < 15 mm Hg at rest
  • For females of child-bearing potential negative pregnancy test at screening and use of contraception during the study and 4 weeks after its completion
  • Signed and dated informed consent
  • Willingness to comply with the study plan and procedures

Exclusion Criteria:

  • pulmonary arterial hypertension (PAH)other than idiopathic or familial
  • For females, pregnancy or lactation
  • Use of specific PAH treatments, potent CYP3A4 inhibitors, protease inhibitors, alpha blockers or arginine 30 days prior tio randomization and during the study
  • Change of dose or class of standard background PAH therapy, i.e. oxygen, calcium channel blockers, digoxin, diuretics 30 days prior tio randomization and during the study
  • Large shift in altitude (defined as >5000 feet or 1524 meters) during 90 days prior to baseline visit and/or during the study visit
  • Subjects with intracardiac shunts and/or serious heart, lung or other health conditions
  • HIV positive subjects
  • Subjects participating in another clinical trial with an investigational drug or device
  • Subjects with degenerative retinal disorders, history of non-arteritic anterior ischemic optic neuropathy or untreated proliferative diabetic retinopathy
  • Allergies and previous intolerance of PDE5 inhibitors
  • Alcohol or drug abuse
  • Blood donation during the study, or 1 month before or after the study
GenderBoth
Ages18 Years and older
Accepts Healthy VolunteersNo
Contacts  ICMJE
Contact: Pfizer CT.gov Call Center1-800-718-1021
Location Countries  ICMJEUnited States,   Belgium,   Canada,   Germany,   India,   Russian Federation,   Spain,   Sweden,   Switzerland

Administrative Information

NCT ID  ICMJENCT00853112
Responsible PartyDirector, Clinical Trial Disclosure Group, Pfizer, Inc.
Study ID Numbers  ICMJEA7331009
Study Sponsor  ICMJEPfizer
Collaborators  ICMJE 
Investigators  ICMJE
Study Director:Pfizer CT.gov Call CenterPfizer
Information Provided ByPfizer