跳至主要内容
临床试验/NCT06347159
NCT06347159进行中(未招募)2 期

An Open-label Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of EDG-7500 in Adults With Hypertrophic Cardiomyopathy

Edgewise Therapeutics, Inc.29 个研究点 分布在 1 个国家目标入组 79 人开始时间: 2024年4月11日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
进行中(未招募)
入组人数
79
试验地点
29
主要终点
Incidence of treatment-emergent adverse events

研究概览

简要总结

This study is being conducted in order to understand the safety and effects of different doses of EDG-7500 as a single dose in adults with obstructive hypertrophic cardiomyopathy (oHCM) and as multiple doses in adults with obstructive or nonobstructive hypertrophic cardiomyopathy (nHCM).

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Sequential
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Male or nonpregnant female, age ≥18 years to <85 years.
  • Body mass index (BMI) ≥18 to <35 kg/m2; weight ≥50 kg at Screening (BMI ≥ 18 to < 40 kg/m2 is permitted for participants < 50 years).
  • Diagnosed with hypertrophic cardiomyopathy at the time of Screening consistent with current American College of Cardiology Foundation/American Heart Association Guidelines.
  • LVOT peak gradient ≥ 50 mmHg measured at rest or during the Valsalva maneuver as determined by echocardiography at Screening (Part A, B and D oHCM only).
  • LVOT peak gradient < 30 mmHg measured at rest and < 50 mmHg measured during the Valsalva maneuver as determined by echocardiography at Screening (Part C and D nHCM only).
  • Documented left ventricular ejection fraction (LVEF) ≥ 0.60 at Screening.
  • New York Heart Association (NYHA) Classification II-III at Screening.
  • Kansas City Cardiomyopathy Questionnaire-Clinical Summary Score (KCCQ-CSS) < 85 at Screening.
  • NT-proBNP ≥ 300 pg/mL (NT-proBNP ≥ 225 pg/mL is permitted for African American participants) (Part C and D nHCM only).

排除标准

  • Invasive septal reduction therapy < 180 days prior to or during Screening.
  • Documented history of active or untreated obstructive coronary artery disease during Screening or treated for obstructive coronary artery disease < 180 days prior to Screening.
  • Documented history of myocardial infarction with residual wall motion abnormalities < 180 days prior to or during Screening.
  • Significant valvular heart disease (moderate or greater aortic stenosis or regurgitation, moderate or greater mitral stenosis or regurgitation not due to systolic anterior motion of the mitral valve)
  • History of LV systolic dysfunction (LVEF < 0.45) or stress cardiomyopathy at any time.
  • Known or suspected infiltrative or storage disorder causing cardiac hypertrophy that may mimic HCM, such as Fabry disease, amyloidosis, or Noonan syndrome with LV hypertrophy.
  • A history of unexplained syncope <180 days prior to or during Screening.
  • A history of sustained ventricular tachyarrhythmia or sudden cardiac arrest < 180 days prior or during Screening.
  • A history of known appropriate implantable cardioverter defibrillator (ICD) discharge <180 days prior to or during Screening or ICD implanted < 14 days prior to Screening.
  • History of permanent AF or atrial flutter. Documented AF or atrial flutter requiring rhythm restoring treatment < 180 days prior to Screening Visit (participants with documented AF or atrial flutter requiring rhythm restoring treatment ≥ 180 days prior to Screening require adequate anticoagulation.)
  • Fridericia-corrected QT interval (QTcF) ≥480 ms or any other ECG abnormality considered by the Investigator or Medical Monitor to pose a risk to participant safety at Screening (QTcF < 530 ms is permitted for participants with documented bundle branch blockage (BBB) and/or cardiac pacing).
  • Receiving a CMI (e.g., Camzyos® [mavacamten] or aficamten) < 90 days prior to Screening.

研究组 & 干预措施

Part C: EDG-7500 Multiple Dose in Adults with Nonobstructive Hypertrophic Cardiomyopathy

Experimental

EDG-7500 once daily for up to 28 days.

干预措施: EDG-7500 (Drug)

Part D: EDG-7500 Multiple Dose in Adults with Hypertrophic Cardiomyopathy

Experimental

EDG-7500 daily for up to 24 months in new participants and participants who have completed Part B or C.

干预措施: EDG-7500 (Drug)

Part A: EDG-7500 Single Dose

Experimental

干预措施: EDG-7500 (Drug)

Part B: EDG-7500 Multiple Dose in Adults with Obstructive Hypertrophic Cardiomyopathy

Experimental

EDG-7500 once daily for up to 28 days.

干预措施: EDG-7500 (Drug)

结局指标

主要结局

Incidence of treatment-emergent adverse events

时间窗: From screening through study completion (Part A: Up to 38 days; Part B and C: Up to 73 days; Part D: Up to 18 months)

次要结局

  • Change from baseline in cardiac biomarkers(From baseline through study completion (Part B and C: Up to 38 days; Part D: Up to 18 months))
  • Change from baseline in cardiac biomarkers(From baseline through study completion (Part B and C: Up to 38 days; Part D: Up to 18 months))
  • Change from baseline in left ventricular outflow tract (LVOT) gradient(From baseline through study completion (Part A: Up to 10 days; Part B: Up to 38 days; Part D: Up to 18 months))
  • Pharmacokinetic parameters of EDG-7500 as measured by maximum plasma concentration (Cmax)(From baseline through study completion (Part A: Up to 10 days))

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (29)

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