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TerminatedPhase 1Results posted

A Clinical Trial of the Study Medicine (PF-07081532) in People With Diabetes and Kidney Dysfunction

A PHASE 1, OPEN-LABEL, SINGLE-DOSE, PARALLEL-GROUP STUDY TO EVALUATE THE PHARMACOKINETICS OF PF-07081532 IN ADULT PARTICIPANTS WITH TYPE 2 DIABETES MELLITUS WITH VARYING DEGREES OF RENAL IMPAIRMENT RELATIVE TO PARTICIPANTS WITHOUT RENAL IMPAIRMENT

Lead sponsor

Pfizer

Asset

Lotiglipron

Oral · GLP-1 agonist

Listed sites

2

Recruiting sites

Enrollment

18

actual

Study population

Renal impairment, Type 2 diabetes

Key I/E criteria

BMI 17.5-45.4HbA1c 6-10.5%

Primary endpoints

Cmax for PF-07081532 Following a Single Oral Dose of PF-07081532 20 mgUnbound Cmax for PF-07081532 Following a Single Oral Dose of PF-07081532 20 mgAUC From Time 0 to Infinity (AUCinf) for PF-07081532 Following a Single Oral

Footprint

Where this trial recruits

Site locations as reported to ClinicalTrials.gov. Site count is not enrollment count; per-site enrollment is not available from source.

Identifiers

Registered as

NCT IDNCT05510245
Org study IDC3991007

Timeline

Milestones

Study first posted2022-08-22actual
Study start2022-08-29actual
Primary completion2023-07-20actual
Study completion2023-07-20actual
Last update posted2024-11-05actual
Results first posted2024-11-05actual

Assets

Investigational agents

Study populations

Who this study enrolls

Renal impairmentType 2 diabetes

Eligibility

Who can enroll

Minimum age18 Years
SexAll
Healthy volunteersNot accepted

Inclusion criteria

1. Stable renal function (for participants not on dialysis) defined as ≤25% difference between 2 measurements of BSA-unnormalized eGFR

2. A prior diagnosis of T2DM with an HbA1c ≥6% and ≤10.5%

3. Women may be of child-bearing potential

4. BMI of 17.5 to 45.4 kg/m2

5. NORMAL FUNCTION (GROUP 1): Normal renal function (mean eGFR ≥90 mL/min) based on an average of measures from Screening visits S1 and S2 (eGFR should be calculated using the 2021 CKD EPI Scr-Scys combined equation:

Demographically comparable to participants with impaired renal function at Screening
A body weight within ±15 kg of the mean body weight of the pooled renal impairment groups (Groups 2, 3 and 4)
An age within ±10 years of the mean age of the pooled renal impairment groups (Groups 2, 3 and 4)
Attempts will be made to ensure that the male to female distribution in Group 1 is comparable to that in the pooled renal impairment groups (Groups 2, 3 and 4).

Exclusion criteria

1. Diagnosis of type 1 diabetes mellitus or secondary forms of diabetes, or history of diabetic ketoacidosis.

2. History of myocardial infarction, unstable angina, arterial revascularization, stroke, New York Heart Association Functional Class II-IV heart failure, or transient ischemic attack within 3 months of Screening

3. Personal or family history of MTC or MEN2, or participants with suspected MTC per the investigator's judgement.

4. History of acute pancreatitis within 6 months before Screening or any history of chronic pancreatitis.

5. Urinary incontinence.

6. Participants with acute renal disease.

7. Renal allograft recipients.

8. Participants who have previously received a kidney, liver, or heart transplant.

Endpoints (18)

What's being measured

Protocol endpoints and posted registry outcome measures, grouped into outcome categories. Composite endpoints show their component event types. Standard codes (LOINC, SNOMED CT) are shown where available.

Coverage by outcome category

Safety / tolerability / PK
13
Renal / kidney
5

Renal / kidney

5 endpoints
Primary/registry result

Maximum Observed Concentration (Cmax) for PF-07081532 Following a Single Oral Dose of PF-07081532 20 mg in Participants With Varying Degrees of Renal Impairment

Time frame:Pre-dose, 0.5, 1, 2, 4, 6, 8, 10, 12, 15, 24, 36, 48, 72, 96, 120, 144 hours post dose on Day 1

concentration, descriptive

Posted result

GroupValue (geometric_mean), Nanograms per milliliter (ng/mL)95% CI
Mild Renal Impairment2084
Moderate Renal Impairment1823
Severe Renal Impairment1978
Primary/registry result

Unbound Cmax (Cmax,u) for PF-07081532 Following a Single Oral Dose of PF-07081532 20 mg in Participants With Varying Degrees of Renal Impairment

Time frame:Pre-dose, 0.5, 1, 2, 4, 6, 8, 10, 12, 15, 24, 36, 48, 72, 96, 120, 144 hours post dose on Day 1

concentration, descriptive

Posted result

GroupValue (geometric_mean), ng/mL95% CI
Mild Renal Impairment0.6178
Moderate Renal Impairment0.5895
Severe Renal Impairment0.8239
Primary/registry result

Area Under the Concentration-Time Curve From Time 0 to Infinity (AUCinf) for PF-07081532 Following a Single Oral Dose of PF-07081532 20 mg in Participants With Varying Degrees of Renal Impairment

Time frame:Pre-dose, 0.5, 1, 2, 4, 6, 8, 10, 12, 15, 24, 36, 48, 72, 96, 120, 144 hours post dose on Day 1

concentration, descriptive

Posted result

GroupValue (geometric_mean), Nanograms*hours/milliliter (ng*h/mL)95% CI
Mild Renal Impairment59820
Moderate Renal Impairment45600
Severe Renal Impairment43870
Primary/registry result

Unbound AUCinf (AUCinf,u) for PF-07081532 Following a Single Oral Dose of PF-07081532 20 mg in Participants With Varying Degrees of Renal Impairment

Time frame:Pre-dose, 0.5, 1, 2, 4, 6, 8, 10, 12, 15, 24, 36, 48, 72, 96, 120, 144 hours post dose on Day 1

descriptive

Posted result

GroupValue (geometric_mean), ng*h/mL95% CI
Mild Renal Impairment17.51
Moderate Renal Impairment14.75
Severe Renal Impairment18.44
Primary/registry result

Unbound Fraction (fu) for PF-07081532 Following a Single Oral Dose of PF-07081532 20 mg in Participants With Varying Degrees of Renal Impairment

Time frame:Pre-dose, 0.5, 1, 2, 4, 6, 8, 10, 12, 15, 24, 36, 48, 72, 96, 120, 144 hours post dose on Day 1

descriptive

Posted result

GroupValue (geometric_mean), Ratio95% CI
Mild Renal Impairment0.0002964
Moderate Renal Impairment0.0003234
Severe Renal Impairment0.0004163

Safety / tolerability / PK

13 endpoints
Primary/protocol endpoint

Maximum Observed Concentration (Cmax) for PF-07081532 Following a Single Oral Dose of PF-07081532 20 mg in Participants With Varying Degrees of Renal Impairment

Time frame:Pre-dose, 0.5, 1, 2, 4, 6, 8, 10, 12, 15, 24, 36, 48, 72, 96, 120, 144 hours post dose on Day 1

Cmax

concentration, descriptive

Primary/protocol endpoint

Unbound Cmax (Cmax,u) for PF-07081532 Following a Single Oral Dose of PF-07081532 20 mg in Participants With Varying Degrees of Renal Impairment

Time frame:Pre-dose, 0.5, 1, 2, 4, 6, 8, 10, 12, 15, 24, 36, 48, 72, 96, 120, 144 hours post dose on Day 1

Cmax

concentration, descriptive

Primary/protocol endpoint

Area Under the Concentration-Time Curve From Time 0 to Infinity (AUCinf) for PF-07081532 Following a Single Oral Dose of PF-07081532 20 mg in Participants With Varying Degrees of Renal Impairment

Time frame:Pre-dose, 0.5, 1, 2, 4, 6, 8, 10, 12, 15, 24, 36, 48, 72, 96, 120, 144 hours post dose on Day 1

AUC₀–∞

concentration, descriptive

Primary/protocol endpoint

Unbound AUCinf (AUCinf,u) for PF-07081532 Following a Single Oral Dose of PF-07081532 20 mg in Participants With Varying Degrees of Renal Impairment

Time frame:Pre-dose, 0.5, 1, 2, 4, 6, 8, 10, 12, 15, 24, 36, 48, 72, 96, 120, 144 hours post dose on Day 1

AUC₀–∞

concentration, descriptive

Primary/protocol endpoint

Unbound Fraction (fu) for PF-07081532 Following a Single Oral Dose of PF-07081532 20 mg in Participants With Varying Degrees of Renal Impairment

Time frame:Pre-dose, 0.5, 1, 2, 4, 6, 8, 10, 12, 15, 24, 36, 48, 72, 96, 120, 144 hours post dose on Day 1

ratio, descriptive

Secondary/registry result

Number of Participants With Treatment-Emergent Adverse Events (TEAEs)

Time frame:From time of administration of study treatment on Day 1 up to the end of the study (up to a maximum of 31 days post dose)

event count, event

Posted result

GroupValue (count_of_participants), Participants95% CI
Mild Renal ImpairmentParticipants With All-Causality TEAEs1
Participants With All-Causality SAEs0
Participants With All-Causality Severe TEAEs0
Participants With Treatment-Related TEAEs0
Participants With Treatment-Related SAEs0
Participants With Treatment-Related Severe TEAEs0
Moderate Renal ImpairmentParticipants With All-Causality TEAEs2
Participants With All-Causality SAEs0
Participants With All-Causality Severe TEAEs0
Participants With Treatment-Related TEAEs2
Participants With Treatment-Related SAEs0
Participants With Treatment-Related Severe TEAEs0
Severe Renal ImpairmentParticipants With All-Causality TEAEs1
Participants With All-Causality SAEs0
Participants With All-Causality Severe TEAEs0
Participants With Treatment-Related TEAEs0
Participants With Treatment-Related SAEs0
Participants With Treatment-Related Severe TEAEs0
Secondary/registry result

Number of Participants With Laboratory Test Abnormalities

Time frame:Pre-dose, 72 and 144 hours post dose on Day 1

event count, event

Posted result

GroupValue (count_of_participants), Participants95% CI
Mild Renal ImpairmentHematology-Hemoglobin (grams per deciliter [g/dL])<0.8*lower limit of normal (LLN)0
Hematology-Hematocrit (%)<0.8*LLN0
Hematology-Erythrocytes (10^12/Liter [L])<0.8*LLN0
Hematology-Eosinophils (10^9/L)>1.2* upper limit of normal (ULN)0
Clinical Chemistry-Gamma Glutamyl Transferase (units [U]/L)>3.0*ULN0
Clinical Chemistry-Urea Nitrogen (milligrams [mg] / dL)>1.3*ULN1
Clinical Chemistry-Creatinine (mg/dL)>1.3*ULN0
Clinical Chemistry-Urate (mg/dL)>1.2*ULN0
Clinical Chemistry-Potassium (milliequivalents [mEq] / L)>1.1*ULN0
Clinical Chemistry-Magnesium (mg/dL)<0.9*LLN0
Clinical Chemistry-Phosphate (mg/dL)<0.8*LLN0
Clinical Chemistry-Phosphate (mg/dL)>1.2*ULN0
Clinical Chemistry-Bicarbonate (mEq/L)<0.9*LLN0
Clinical Chemistry-Fasting Glucose (mg/dL)>1.5*ULN1
Urinalysis-Urine Glucose Positive0
Urinalysis-Urine Protein Positive0
Urinalysis-Urine Hemoglobin Positive0
Urinalysis-Nitrite Positive1
Urinalysis-Leukocyte Esterase Positive1
Moderate Renal ImpairmentHematology-Hemoglobin (grams per deciliter [g/dL])<0.8*lower limit of normal (LLN)1
Hematology-Hematocrit (%)<0.8*LLN0
Hematology-Erythrocytes (10^12/Liter [L])<0.8*LLN1
Hematology-Eosinophils (10^9/L)>1.2* upper limit of normal (ULN)0
Clinical Chemistry-Gamma Glutamyl Transferase (units [U]/L)>3.0*ULN0
Clinical Chemistry-Urea Nitrogen (milligrams [mg] / dL)>1.3*ULN4
Clinical Chemistry-Creatinine (mg/dL)>1.3*ULN3
Clinical Chemistry-Urate (mg/dL)>1.2*ULN0
Clinical Chemistry-Potassium (milliequivalents [mEq] / L)>1.1*ULN0
Clinical Chemistry-Magnesium (mg/dL)<0.9*LLN1
Clinical Chemistry-Phosphate (mg/dL)<0.8*LLN0
Clinical Chemistry-Phosphate (mg/dL)>1.2*ULN1
Clinical Chemistry-Bicarbonate (mEq/L)<0.9*LLN0
Clinical Chemistry-Fasting Glucose (mg/dL)>1.5*ULN3
Urinalysis-Urine Glucose Positive1
Urinalysis-Urine Protein Positive2
Urinalysis-Urine Hemoglobin Positive0
Urinalysis-Nitrite Positive0
Urinalysis-Leukocyte Esterase Positive1
Severe Renal ImpairmentHematology-Hemoglobin (grams per deciliter [g/dL])<0.8*lower limit of normal (LLN)4
Hematology-Hematocrit (%)<0.8*LLN4
Hematology-Erythrocytes (10^12/Liter [L])<0.8*LLN4
Hematology-Eosinophils (10^9/L)>1.2* upper limit of normal (ULN)1
Clinical Chemistry-Gamma Glutamyl Transferase (units [U]/L)>3.0*ULN1
Clinical Chemistry-Urea Nitrogen (milligrams [mg] / dL)>1.3*ULN7
Clinical Chemistry-Creatinine (mg/dL)>1.3*ULN8
Clinical Chemistry-Urate (mg/dL)>1.2*ULN1
Clinical Chemistry-Potassium (milliequivalents [mEq] / L)>1.1*ULN1
Clinical Chemistry-Magnesium (mg/dL)<0.9*LLN0
Clinical Chemistry-Phosphate (mg/dL)<0.8*LLN1
Clinical Chemistry-Phosphate (mg/dL)>1.2*ULN0
Clinical Chemistry-Bicarbonate (mEq/L)<0.9*LLN1
Clinical Chemistry-Fasting Glucose (mg/dL)>1.5*ULN2
Urinalysis-Urine Glucose Positive1
Urinalysis-Urine Protein Positive5
Urinalysis-Urine Hemoglobin Positive1
Urinalysis-Nitrite Positive1
Urinalysis-Leukocyte Esterase Positive2
Secondary/registry result

Number of Participants With Vital Signs Data Meeting Pre-Defined Categorical Criteria

Time frame:At admission on Day -1, pre-dose, and 24, 72, and 144 hours post the dose on Day 1

event count, event

Posted result

GroupValue (count_of_participants), Participants95% CI
Mild Renal ImpairmentSystolic BP (mm Hg) Increase >=30 mm Hg0
Diastolic BP (mm Hg) Increase >=20 mm Hg0
Diastolic BP (mm Hg) Decrease >=20 mm Hg0
Moderate Renal ImpairmentSystolic BP (mm Hg) Increase >=30 mm Hg1
Diastolic BP (mm Hg) Increase >=20 mm Hg0
Diastolic BP (mm Hg) Decrease >=20 mm Hg0
Severe Renal ImpairmentSystolic BP (mm Hg) Increase >=30 mm Hg1
Diastolic BP (mm Hg) Increase >=20 mm Hg1
Diastolic BP (mm Hg) Decrease >=20 mm Hg1
Secondary/registry result

Number of Participants With Electrocardiogram (ECG) Data Meeting Pre-Defined Categorical Criteria

Time frame:Pre-dose, and 144 hours post the dose on Day 1

event count, event

Posted result

GroupValue (count_of_participants), Participants95% CI
Mild Renal Impairment1
Moderate Renal Impairment1
Severe Renal Impairment2
Secondary/protocol endpoint

Number of Participants With Treatment-Emergent Adverse Events (TEAEs)

Time frame:From time of administration of study treatment on Day 1 up to the end of the study (up to a maximum of 31 days post dose)

Treatment-emergent AEs (any)

event count, event

Secondary/protocol endpoint

Number of Participants With Laboratory Test Abnormalities

Time frame:Pre-dose, 72 and 144 hours post dose on Day 1

descriptive

Secondary/protocol endpoint

Number of Participants With Vital Signs Data Meeting Pre-Defined Categorical Criteria

Time frame:At admission on Day -1, pre-dose, and 24, 72, and 144 hours post the dose on Day 1

threshold achievement, event

Secondary/protocol endpoint

Number of Participants With Electrocardiogram (ECG) Data Meeting Pre-Defined Categorical Criteria

Time frame:Pre-dose, and 144 hours post the dose on Day 1

threshold achievement, event

Provenance

Sources

Trial identity, design, statusClinicalTrials.gov API v2
Snapshot dateJuly 1, 2026
Endpoint classificationDelfa endpoint taxonomy v2 (May 13, 2026)
Results tableClinicalTrials.gov results section

Trial facts come from public ClinicalTrials.gov records. Endpoint categories are Delfa's classification of those records, not a ClinicalTrials.gov field. All figures reflect the July 1, 2026 snapshot.