NCT03217331
Completed
Phase 1
CRD-102 for Right Heart Failure in Patients With Left Ventricular Assist Devices
Cardiora Pty. Ltd.1 site in 1 country6 target enrollmentMarch 6, 2018
Overview
- Phase
- Phase 1
- Intervention
- CRD-102
- Conditions
- Right Heart Failure
- Sponsor
- Cardiora Pty. Ltd.
- Enrollment
- 6
- Locations
- 1
- Primary Endpoint
- Safety: Subject incidence of adverse events
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
This is a Phase 1b/IIa, single centre, non-randomised open-label uncontrolled study to assess safety, effect and PK of oral CRD-102 in patients with RHF associated with the presence of an LVAD.
Detailed Description
The study will be conducted over a 40 day time period inclusive of screening and follow up time periods. Eligible subjects will receive oral CRD-102 for 14 days.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients are enrolled only if they met the following criteria.
- •Males and females aged 18-85 years inclusive
- •Have received a LVAD (HeartWare HVAD, HeartMate II) at least 30 days prior to screening.
- •Stable LVAD patients with evidence of ongoing right heart failure as evidenced by raised right atrial pressure indicated by JVP \>6cm OR measured right atrial pressure ≥12mmHg within the 3 months prior to or at Baseline OR dilated IVC on echocardiography PLUS all of the following;
- •ongoing diuretic therapy;
- •echocardiography in the 3 months prior to or at Baseline showing at least mild impairment in overall RV systolic function by visual assessment together with a TAPSE \< 14mm.
- •Able to give written informed consent and agree to adhere to all protocol requirements.
- •All patients will be required to have an implanted cardiaoverter defibrillator. (ICD)
Exclusion Criteria
- •Hemodynamically unstable patients.
- •Hypotension (MAP\<60 or systolic BP \<90 mmHg) at Screening or Baseline
- •Hypertension (MAP\>95 or systolic BP \>130 mmHg) at Screening or Baseline
- •Ventricular tachycardia or ventricular fibrillation in the past 30 days or poorly controlled atrial fibrillation (ventricular rate \>120 bpm)
- •Concurrent participation in another investigational device study or prior participation in which a device was implanted and remains in place
- •Receipt of any investigational research agent within 30 days or 5 half-lives (whichever is longer) prior to Baseline.
- •Current treatment with intravenous inotropes or levosimendan, or treatment within the 2 weeks prior to Screening
- •Significant renal (eGFR\<25 ml/min/1.73 sq m) or hepatic (bilirubin \>3mg/dL) impairment or anemia (Hb \<90g/dL) at Screening or Baseline.
- •Expected heart transplantation within the study period.
- •History of allergic reaction to milrinone or any excipients in the study drug.
Arms & Interventions
CRD-102 Treatment
CRD102 Treatment
Intervention: CRD-102
Outcomes
Primary Outcomes
Safety: Subject incidence of adverse events
Time Frame: 40 days
Number of adverse events as a measure of safety and tolerability.
Study Sites (1)
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