Evidence map›Paper›PMID 29178434›Full record

Trial reportBritish journal of clinical pharmacology2018

Demonstration of an anti-hyperalgesic effect of a novel pan-Trk inhibitor PF-06273340 in a battery of human evoked pain models.

Peter Loudon, Pieter Siebenga, Donal Gorman, Katrina Gore, Pinky Dua, Guido van Amerongen, Justin L Hay, Geert Jan Groeneveld, Richard P Butt

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of clinical pharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02260947 (A Double Blind, Double Dummy, Randomized, Placebocontrolled, 5 Period Cross-over Study To Examine The Effect of Pf-06273340 On Evoked Pain Endpoints In Healthy Volunteers Using Pregabalin And Ibuprofen As Positive Controls), which is not on this map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02260947 phase1completednot on this map

A Double Blind, Double Dummy, Randomized, Placebocontrolled, 5 Period Cross-over Study To Examine The Effect of Pf-06273340 On Evoked Pain Endpoints In Healthy Volunteers Using Pregabalin And Ibuprofen As Positive Controls

TypeinterventionalSponsorPfizerRan2014 to 2014Enrolled20ConditionsHealthyArmsPF-06273340, Pregabalin, Ibuprofen, Placebo
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  9. Review
  10. Mechanism-based nonopioid analgesic targets.The Journal of clinical investigation · 2025
    Review
  11. Does In Vitro Potency Predict Clinically Efficacious Concentrations?Clinical pharmacology and therapeutics · 2020
    Article
  12. Article
  13. Quantitative Systems Pharmacology and Empirical Models: Friends or Foes?CPT: pharmacometrics & systems pharmacology · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 3 countries.

Peter LoudonNeuroscience and Pain Research Unit, Pfizer WRD, Cambridge, UK.
Pieter SiebengaCentre for Human Drug Research, Zernikedreef, 8,2333 CL, Leiden, the Netherlands.
Donal GormanNeuroscience and Pain Research Unit, Pfizer WRD, Cambridge, UK.ORCID 0000-0003-4853-9817
Katrina GoreNeuroscience and Pain Research Unit, Pfizer WRD, Cambridge, UK.
Pinky DuaNeuroscience and Pain Research Unit, Pfizer WRD, Cambridge, UK.
Guido van AmerongenCentre for Human Drug Research, Zernikedreef, 8,2333 CL, Leiden, the Netherlands.
Justin L HayCentre for Human Drug Research, Zernikedreef, 8,2333 CL, Leiden, the Netherlands.
Geert Jan GroeneveldCentre for Human Drug Research, Zernikedreef, 8,2333 CL, Leiden, the Netherlands.
Richard P ButtNeuroscience and Pain Research Unit, Pfizer WRD, Cambridge, UK.
Pfizer (United States) · USCentre for Human Drug Research · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimInhibitors of nerve growth factor (NGF) reduce pain in several chronic pain indications. NGF signals through tyrosine kinase receptors of the tropomyosin-related kinase (Trk) family and the unrelated p75 receptor. PF-06273340 is a small molecule inhibitor of Trks A, B and C that reduces pain in nonclinical models, and the present study aimed to investigate the pharmacodynamics of this first-in-class molecule in humans.

methodsA randomized, double-blind, single-dose, placebo- and active-controlled five-period crossover study was conducted in healthy human subjects (NCT02260947). Subjects received five treatments: PF-06273340 50 mg, PF-06273340 400 mg, pregabalin 300 mg, ibuprofen 600 mg and placebo. The five primary endpoints were the pain detection threshold for the thermal pain tests and the pain tolerance threshold for the cold pressor, electrical stair and pressure pain tests. The trial had predefined decision rules based on 95% confidence that the PF-06273340 effect was better than that of placebo.

resultsTwenty subjects entered the study, with 18 completing all five periods. The high dose of PF-06273340 met the decision rules on the ultraviolet (UV) B skin thermal pain endpoint [least squares (LS) mean vs. placebo: 1.13, 95% confidence interval: 0.64-1.61], but not on the other four primary endpoints. The low dose did not meet the decision criteria for any of the five primary endpoints. Pregabalin (cold pressor and electrical stair tests) and ibuprofen (UVB thermal pain) showed significant analgesic effects on expected endpoints.

conclusionsThe study demonstrated, for the first time, the translation of nonclinical effects into man in an inflammatory pain analgesic pharmacodynamic endpoint using a pan-Trk inhibitor.

Indexed as

AdolescentAdultAnalgesicsCross-Over StudiesDose-Response Relationship, DrugDouble-Blind MethodHealthy VolunteersHumansHyperalgesiaMaleMembrane GlycoproteinsMiddle AgedPain ThresholdPyrimidinesPyrrolesReceptor, trkAAnalgesicsMembrane GlycoproteinsNTRK1 protein, humanPF-06273340PyrimidinesPyrrolesReceptor, trkAReceptor, trkBReceptor, trkCtropomyosin-related kinase-B, humanpainpharmacodynamicsphase I (drug development)

Identifiers

PMID29178434
PMCPMC5777446
OpenAlexW2769391898

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.