EUCTR2021-003020-32-ES进行中(未招募)1 期
Phase 2, Double-blind, Randomized, Placebocontrolled Study to Evaluate the Effects of Sotatercept versus Placebo-Controlled for the Treatment of Combined Postcapillary and Precapillary Pulmonary Hypertension (Cpc-PH) due to Heart Failure with Preserved Ejection Fraction (HFpEF) - A Phase 2 Study of Sotatercept for Cpc-PH Treatment
试验速览
- 阶段
- 1 期
- 状态
- 进行中(未招募)
- 入组人数
- 180
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional clinical trial of medicinal product
入排标准
- 性别
- All
入选标准
- •Participants must meet the following criteria to be enrolled in this study:
- •1. Age 18 to 85 years
- •2. Clinical diagnosis of HFpEF:
- •Left ventricular ejection fraction = 50%, with no history of LVEF below 45%
- •3. Demonstrated Cpc-PH by all of the following:
- •Baseline RHC performed within 10 days prior to Visit 1 (during the Screening
- •Period) documenting a minimum PVR = 320 dyn•sec/cm5 (4 wood units)
- •Mean pulmonary arterial pressure > 20 mmHg
- •Pulmonary capillary wedge pressure > 15 mmHg but < 30 mmHg
- •4. New York Heart Association FC of II or III
- •5. Six-Minute Walk Distance = 100 meters repeated twice during Screening and both values
- •within 15% of each other, calculated from the highest value
- •6. Chronic medication for HF or for any underlying condition, administered at a stable (per
- •investigator) dose for = 30 days prior to Visit 1. Diuretics and/or anticoagulants are
- •excepted from this rule but should not be newly started or stopped within 30 days of
- •Visit 1, and a prescribed dose change should not occur within 7 days of Visit 1.
- •Anticoagulation may be suspended for RHC if necessary.
- •7. Females of childbearing potential (defined in Appendix 2) must:
- •Have a negative pregnancy test as verified by the investigator prior to starting study
- •drug administration; she must agree to ongoing pregnancy testing during the course of
- •the study and until 8 weeks after the last dose of the study drug
- •If sexually active, have used, and agree to continue to use highly effective
- •contraception without interruption, for at least 28 days prior to starting the
- •investigational product, during the study (including dose interruptions), and for
- •16 weeks (112 days) after discontinuation of study drug
- •Refrain from breastfeeding a child or donating blood, eggs, or ovum for the duration
- •of the study and for at least 16 weeks (112 days) after the last dose of study drug
- •See Appendix 2 for additional contraceptive information.
- •8. Male participants must:
- •Agree to use a condom, defined as a male latex condom or non-latex condom NOT
- •made out of natural (animal) membrane (e.g., polyurethane), during sexual contact
- •with a pregnant female or a female of childbearing potential while participating in the
- •study, during dose interruptions, and for at least 16 weeks (112 days) following investigational product discontinuation, even if he has undergone a successful
- •vasectomy (see Appendix 2 for additional contraceptive information)
- •Refrain from donating blood or sperm for the duration of the study and for 16 weeks
- •(112 days) after the last dose of study drug
- •9. Ability to adhere to the study visit schedule and understand and comply with all protocol
- •requirements
- •10. Agreement to not participate in any other trials of investigational drugs/devices while
- •enrolled in the A011-16 study
- •11. Ability to understand and provide written informed consent for participation
- •Are the trial subjects under 18? no
- •Number of subjects for this age range:
- •F.1.2 Adults (18-64 years) yes
- •F.1.2.1 Number of subjects for this age range 45
- •F.1.3 Elderly (>=65 years) yes
- •F.1.3.1 Number of subjects for this age range 135
排除标准
- •1. A diagnosis of PH in WHO Group 1, WHO Group 3, WHO Group 4, or WHO Group 5
- •2. Significant parenchymal lung disease (e.g., chronic obstructive pulmonary disease with
- •Global Initiative for Obstructive Lung Disease (GOLD) criteria III and IV, moderate or
- •severe restrictive lung disease, diffuse interstitial fibrosis or alveolitis, pulmonary
- •thromboembolism)
- •3. Cardiovascular co-morbidities, which include any of the following:
- •Any history of greater than mild mitral regurgitation or aortic regurgitation valvular
- •disease or greater than mild aortic or mitral stenosis
- •Acute coronary syndrome, coronary artery bypass graft or percutaneous coronary
- •intervention within 180 days of Visit 1
- •Uncontrolled heart rate (> 100 bpm) from atrial fibrillation or atrial flutter
- •History of serious life-threatening or hemodynamically significant arrhythmia
- •History of or anticipated heart transplant or ventricular assist device implantation
- •History of or anticipated implantation of pacemaker or implantable cardioverter
- •defibrillator
- •Occurrence of myocardial infarction within 90 days of Visit 1
- •History of known pericardial constriction, hypertrophic cardiomyopathy, sarcoidosis,
- •or amyloid cardiomyopathy
- •Uncontrolled systemic hypertension as evidenced by sitting systolic blood pressure
- •>1 60 mmHg or sitting diastolic blood pressure > 110 mmHg during Screening after a
- •period of rest
- •Systemic hypotension as evidenced by sitting systolic blood pressure < 90 mmHg or
- •sitting diastolic blood pressure < 50 mmHg during Screening
- •Resting heart rate of < 45 bpm or > 115 bpm
- •Cerebrovascular accident within 90 days of Visit 1
- •Acutely decompensated HF within 45 days prior to Visit 1, as per investigator
- •Electrocardiogram during Screening Period with Fridericia’s corrected QT interval
- •(QTcF) > 480 msec or > 500 msec if a ventricular conduction defect (right bundle
- •branch block; left bundle branch block; or interventricular conduction delay) is
- •Personal or family history of long corrected QT syndrome or sudden cardiac death in
- •first-degree relative
- •4. Hospitalization for any indication within 30 days of Visit 1
- •5. Received any approved PAH-specific therapies, i.e., endothelin receptor antagonists,
- •prostacyclin analogs, phosphodiesterase-5 inhibitors, or a soluble guanylate cyclase
- •stimulator, within 30 days prior to Visit 1
- •6. Received intravenous inotropes (e.g., dobutamine, dopamine, norepinephrine,
- •vasopressin) within 30 days prior to Visit 1
- •7. Received erythropoietin within 6 months prior to Visit 1
- •8. Known history of chronic liver disease, including untreated hepatitis B and/or hepatitis C
- •(with evidence of recent infection and/or active virus replication), defined as mild to
- •severe hepatic impairment (Child-Pugh Class A to C)
- •9. Prior exposure to sotatercept or luspatercept
- •10. Currently enrolled in or have completed any other investigational product study within
- •30 days for small-molecule drugs or within 5 half-lives for biologics prior to the date of
- •signed informed consent
- •11. Initiation of an exercise program for cardiopulmonary rehabilitation within 90 days prior
- •to Visit 1 or planned initiation during the study (participants who are stable in the
- •maintenance phase of a program and who will continue for the duration of the study are
- •12. Any of the following clinical laboratory values prior to Visit 1 as specified:
- •Hemoglobin above the gender-specific upper limit of normal (ULN) per local
- 另有 1 项未显示
研究者
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