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Effectiveness of CRD-4730 in Participants With Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT) (CPVT)

Primary Purpose

CPVT1, Heart Defects, Congenital, Heart Diseases

Status
Not yet recruiting
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
CRD-4730
Placebo
Sponsored by
Cardurion Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for CPVT1 focused on measuring CaMKII, Catecholaminergic polymorphic VT, Ventricular Tachycardia, CRD-4730

Eligibility Criteria

18 Years - 99 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Males or Females ≥18 years of age, at screening. Confirmed CPVT diagnosis, based on genetic screening for a known RyR2 mutation and a clinical phenotype consistent with CPVT at screening. Ability to perform an Exercise Stress Test (EST) during which exercise-induced ventricular couplets or higher-grade VA (equivalent to a VA score ≥3) are identified by the investigator. Stable doses of any anti-arrhythmic medication, except amiodarone, for 4 weeks prior to screening. Adhere to all contraceptive criteria. Exclusion Criteria: Clinically significant structural heart disease, diagnosis of heart failure, or clinically significant coronary artery disease. History of a myocardial infarction, cerebrovascular accident, or transient ischemic attack within 3 months of screening. History of malignancy within the past 5 years at screening (except successfully treated basal cell carcinoma or non-metastatic squamous cell carcinoma of the skin or cervical carcinoma in situ). Female participant that is pregnant or lactating/ breastfeeding, or has plans to do so during the study or within 3 months following last dose of study drug. Use of amiodarone with 3 months prior to screening. NOTE: other protocol defined Inclusion/ Exclusion criteria may apply.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    Placebo Comparator

    Arm Label

    Dose 1

    Dose 2

    Dose 3

    Arm Description

    CRD-4730 Dose 1 capsule

    CRD-4730 Dose 2 capsule

    Placebo capsule to match CRD-4730

    Outcomes

    Primary Outcome Measures

    Treatment Emergent Adverse Events (TEAEs)
    The number of participants with TEAEs including drug-related AEs, serious AEs (SAEs), and AEs leading to study drug discontinuation will be assessed.
    Changes in Laboratory Assessments
    The number of participants who have normal/ abnormal values at Baseline compared to normal/ abnormal values post-Baseline will be assessed for hematology, serum chemistry and urinalysis.
    Changes in Vital Signs Measurement: Systolic and Diastolic blood pressure
    Percent change from Baseline to post Baseline will be assessed for systolic and diastolic blood pressure
    Changes in Vital Signs Measurement: Pulse Rate
    Percent change from Baseline to post Baseline will be assessed for pulse rate
    Changes in Vital Signs Measurement: Respiratory Rate
    Percent change from Baseline to post Baseline will be assessed for respiratory rate
    Changes in Vital Signs Measurement: Body Temperature
    Percent change from Baseline to post Baseline will be assessed for body temperature
    Changes in Physical Exam
    General physical exams will be carried out to detect any abnormalities in the cardiovascular, respiratory and other body systems
    Changes in Electrocardiogram (ECG) Measurements
    Number of participants who have normal/abnormal ECG measurements at Baseline will be compared to normal/abnormal ECG measurement post Baseline

    Secondary Outcome Measures

    Change in Ventricular Arrhythmia (VA) score during Exercise Stress Test (EST)
    The VA score is a physician administered score on a scale of 0-5 with higher numbers being worse.
    Change in Ventricular Arrhythmia (VA) score during Exercise Stress Test (EST)
    The VA score is a physician administered score on a scale of 0-5 with higher numbers being worse.
    Change in Ventricular Arrhythmia (VA) score during Exercise Stress Test (EST)
    The VA score is a physician administered score on a scale of 0-5 with higher numbers being worse.
    Assessment of PK effect
    Plasma concentrations of CRD-4730 over time for each treatment period

    Full Information

    First Posted
    August 8, 2023
    Last Updated
    August 17, 2023
    Sponsor
    Cardurion Pharmaceuticals, Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT06005428
    Brief Title
    Effectiveness of CRD-4730 in Participants With Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT)
    Acronym
    CPVT
    Official Title
    A Phase 2A, Investigator & Subject Blinded, Sponsor Unblinded, Placebo-Controlled, Clinical Study to Evaluate Safety, Tolerability, Pharmacokinetics, Pharmacodynamics of CRD-4730 in Participants With Catecholaminergic Polymorphic Ventricular Tachycardia
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    August 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    September 15, 2023 (Anticipated)
    Primary Completion Date
    November 29, 2024 (Anticipated)
    Study Completion Date
    December 31, 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Cardurion Pharmaceuticals, Inc.

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    Yes
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    This is a Phase 2, multicenter, double-blind, sponsor unblinded, placebo-controlled, single-dose clinical study of CRD-4730 to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of CRD-4730 when administered as single oral doses to participants with Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT). The study will have 2 cohorts in which participants with CPVT will participate in a 3-period, randomized 2-sequence study. Each participant will receive 2 different doses of CRD-4730 and 1 dose of matching placebo, with each study drug administered as a single dose.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    CPVT1, Heart Defects, Congenital, Heart Diseases, Ventricular Tachycardia
    Keywords
    CaMKII, Catecholaminergic polymorphic VT, Ventricular Tachycardia, CRD-4730

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Crossover Assignment
    Model Description
    3-period randomized 2-sequence study
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Masking Description
    Investigator and Subject Blinded, Sponsor Unblinded; Placebo-controlled
    Allocation
    Randomized
    Enrollment
    12 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Dose 1
    Arm Type
    Experimental
    Arm Description
    CRD-4730 Dose 1 capsule
    Arm Title
    Dose 2
    Arm Type
    Experimental
    Arm Description
    CRD-4730 Dose 2 capsule
    Arm Title
    Dose 3
    Arm Type
    Placebo Comparator
    Arm Description
    Placebo capsule to match CRD-4730
    Intervention Type
    Drug
    Intervention Name(s)
    CRD-4730
    Intervention Description
    Oral CRD-4730 in capsule form
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Intervention Description
    Placebo to match CRD-4730 in capsule form
    Primary Outcome Measure Information:
    Title
    Treatment Emergent Adverse Events (TEAEs)
    Description
    The number of participants with TEAEs including drug-related AEs, serious AEs (SAEs), and AEs leading to study drug discontinuation will be assessed.
    Time Frame
    Baseline to Day 22
    Title
    Changes in Laboratory Assessments
    Description
    The number of participants who have normal/ abnormal values at Baseline compared to normal/ abnormal values post-Baseline will be assessed for hematology, serum chemistry and urinalysis.
    Time Frame
    Baseline to Day 15
    Title
    Changes in Vital Signs Measurement: Systolic and Diastolic blood pressure
    Description
    Percent change from Baseline to post Baseline will be assessed for systolic and diastolic blood pressure
    Time Frame
    Baseline to Day 15
    Title
    Changes in Vital Signs Measurement: Pulse Rate
    Description
    Percent change from Baseline to post Baseline will be assessed for pulse rate
    Time Frame
    Baseline to Day 15
    Title
    Changes in Vital Signs Measurement: Respiratory Rate
    Description
    Percent change from Baseline to post Baseline will be assessed for respiratory rate
    Time Frame
    Baseline to Day 15
    Title
    Changes in Vital Signs Measurement: Body Temperature
    Description
    Percent change from Baseline to post Baseline will be assessed for body temperature
    Time Frame
    Baseline to Day 15
    Title
    Changes in Physical Exam
    Description
    General physical exams will be carried out to detect any abnormalities in the cardiovascular, respiratory and other body systems
    Time Frame
    Baseline to Day 22
    Title
    Changes in Electrocardiogram (ECG) Measurements
    Description
    Number of participants who have normal/abnormal ECG measurements at Baseline will be compared to normal/abnormal ECG measurement post Baseline
    Time Frame
    Baseline to Day 22
    Secondary Outcome Measure Information:
    Title
    Change in Ventricular Arrhythmia (VA) score during Exercise Stress Test (EST)
    Description
    The VA score is a physician administered score on a scale of 0-5 with higher numbers being worse.
    Time Frame
    Baseline to Day 1
    Title
    Change in Ventricular Arrhythmia (VA) score during Exercise Stress Test (EST)
    Description
    The VA score is a physician administered score on a scale of 0-5 with higher numbers being worse.
    Time Frame
    Baseline to Day 8
    Title
    Change in Ventricular Arrhythmia (VA) score during Exercise Stress Test (EST)
    Description
    The VA score is a physician administered score on a scale of 0-5 with higher numbers being worse.
    Time Frame
    Baseline to Day 15
    Title
    Assessment of PK effect
    Description
    Plasma concentrations of CRD-4730 over time for each treatment period
    Time Frame
    Baseline through Day 15

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    99 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Males or Females ≥18 years of age, at screening. Confirmed CPVT diagnosis, based on genetic screening for a known RyR2 mutation and a clinical phenotype consistent with CPVT at screening. Ability to perform an Exercise Stress Test (EST) during which exercise-induced ventricular couplets or higher-grade VA (equivalent to a VA score ≥3) are identified by the investigator. Stable doses of any anti-arrhythmic medication, except amiodarone, for 4 weeks prior to screening. Adhere to all contraceptive criteria. Exclusion Criteria: Clinically significant structural heart disease, diagnosis of heart failure, or clinically significant coronary artery disease. History of a myocardial infarction, cerebrovascular accident, or transient ischemic attack within 3 months of screening. History of malignancy within the past 5 years at screening (except successfully treated basal cell carcinoma or non-metastatic squamous cell carcinoma of the skin or cervical carcinoma in situ). Female participant that is pregnant or lactating/ breastfeeding, or has plans to do so during the study or within 3 months following last dose of study drug. Use of amiodarone with 3 months prior to screening. NOTE: other protocol defined Inclusion/ Exclusion criteria may apply.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Jason Homsy, M.D., Ph.D.
    Phone
    (617) 863-8088
    Email
    jason.homsy@cardurion.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Jason Homsy, M.D., Ph.D.
    Organizational Affiliation
    Executive Medical Director
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    Effectiveness of CRD-4730 in Participants With Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT)

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