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Renal Hemodynamic Effects of RLX030A in Subjects With Chronic Heart Failure (CHF)

Primary Purpose

Chronic Heart Failure (CHF)

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
RLX030
Placebo
Sponsored by
Novartis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Heart Failure (CHF) focused on measuring Heart failure, RLX030, hemodynamics, cardiovascular diseases

Eligibility Criteria

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

Inclusion Criteria:

  • Written informed consent must be obtained before any assessment is performed.
  • Male and female heart failure patients with body weight <160 kg, on standard therapy including a stable dose of furosemide 40-240 mg/day orally (p.o). or equivalent dose of loop diuretics, reduced systolic function (LVEF ≤ 45% measured within the past 6 months), BNP ≥ 100 pg/mL or NT-pro-BNP of ≥ 400 pg/mLNYHA Class II or III, and worsening symptoms, e.g. fatigue, dyspnea, breathlessness within 3 months
  • Mild to moderate renal impairment

Exclusion criteria:

  • Systolic blood pressure (SBP) < 110 mm Hg at the time of randomization
  • Administration of intravenous radiographic contrast agent within 72 hours prior to randomization or acute contrast-induced nephropathy at the time of randomization
  • Current use of non-steroidal antiinflammatory drugs (NSAIDs)
  • Current or planned (through the completion of study drug infusion) treatment with any i.v. therapies, including vasodilators (including nesiritide), positive inotropic agents, vasopressors, levosimendan, or mechanical support (intra-aortic balloon pump, endotracheal intubation, mechanical ventilation, or any ventricular assist device).
  • Clinically significant hepatic impairment defined as hepatic encephalopathy of any degree or total bilirubin > 50 μmol/l (3 mg/dl) or, if patient is not on warfarin therapy, INR > 2.0 (or Prothrombin Time > 2 * ULN)

Other protocol-defined inclusion/exclusion criteria may apply.

Sites / Locations

  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

RLX030

Placebo

Arm Description

RLX030 as intravenous infusion for 24 hours.

Placebo as intravenous infusion for 24 hours.

Outcomes

Primary Outcome Measures

Change from baseline in renal plasma flow (RPF) measured by Para-aminohippuric acid (PAH) clearance in subjects with CHF after 24 hours intravenous (i.v) infusion of RLX030
Serial blood and urine collections over time for determination of PAH and its clearance respectively
Change from baseline in glomerular filtration rate (GFR) as measured by Iothalamate (IOTH) clearance in subjects with CHF after 24 hours i.v. infusion of RLX030
Serial blood and urine collections over time for determination of IOTH and its clearance respectively

Secondary Outcome Measures

Change from baseline in filtration fraction (FF) in subjects with CHF after 24 hours infusion of RLX030
The filtration fraction (FF) is derived as the ratio of GFR divided by RBF in percent.
Change over time in Diuresis
Urine samples will be collected for analyses.
Change over time in calculated creatinine clearance
Urine samples will be collected for analyses.
Change over time on fractional sodium excretion(natriuresis)
Urine samples will be collected for analyses.
Central aortic systolic pressure-time curve
A cuff will be used for a brachial blood pressure measurement and a wrist sensor for arterial pulse waveforms
Radial augmentation index-time curve
A cuff will be used for a brachial blood pressure measurement and a wrist sensor for arterial pulse waveforms
Number of patients with adverse events, serious adverse events and death
Monitoring of adverse events, serious adverse events and death from screening to end of study
Pharmacokinetics of RLX030: area under the serum concentration-time curve from time zero to infinity (AUCinf)Time
Blood will be collected from an indwelling catheter.
Pharmacokinetics of RLX030: area under the serum concentration-time curve from time zero to the time of the last quantifiable concentration (AUClast)
Blood will be collected from an indwelling catheter.
Pharmacokinetics of RLX030: serum concentration over 20 hours of infusion (C24h)
Blood will be collected from an indwelling catheter.
Pharmacokinetics of RLX030: terminal elimination half-life (T1/2)following intravenous administration
Blood will be collected from an indwelling catheter.
Pharmacokinetics of RLX030: mean residence time (MRT)intravenous administration
Blood will be collected from an indwelling catheter.
Pharmacokinetics of RLX030: volume of distribution at steady state (Vss) following intravenous administration
Blood will be collected from an indwelling catheter.
Pharmacokinetics of RLX030: systemic clearance from serum (CL) following intravenous administration(natriuresis)
Blood will be collected from an indwelling catheter.
Corrected QT (QTc) Interval Using Fridericia's and Bazett's Formula
Continuous 12 lead Holter ECG monitoring for extraction of ECGs and analysis

Full Information

First Posted
March 2, 2012
Last Updated
December 11, 2020
Sponsor
Novartis Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT01546532
Brief Title
Renal Hemodynamic Effects of RLX030A in Subjects With Chronic Heart Failure (CHF)
Official Title
A Multicenter, Randomized, Double-blind, Parallel Group, Placebo-controlled Study to Evaluate the Renal Hemodynamic Effects of RLX030 and Placebo Infused for 24 Hours in Subjects With Chronic Heart Failure (CHF)
Study Type
Interventional

2. Study Status

Record Verification Date
February 2013
Overall Recruitment Status
Completed
Study Start Date
February 2012 (undefined)
Primary Completion Date
December 2012 (Actual)
Study Completion Date
December 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novartis Pharmaceuticals

4. Oversight

5. Study Description

Brief Summary
This study will assess the renal hemodynamic effect of RLX030 infusion in subjects with chronic heart failure. In addition safety and effects on renal function and biomarkers will be assessed.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Heart Failure (CHF)
Keywords
Heart failure, RLX030, hemodynamics, cardiovascular diseases

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
118 (Actual)

8. Arms, Groups, and Interventions

Arm Title
RLX030
Arm Type
Experimental
Arm Description
RLX030 as intravenous infusion for 24 hours.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo as intravenous infusion for 24 hours.
Intervention Type
Drug
Intervention Name(s)
RLX030
Intervention Description
RLX030 as intravenous infusion for 24 hours.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Intravenous infusion of Placebo over 24 hours
Primary Outcome Measure Information:
Title
Change from baseline in renal plasma flow (RPF) measured by Para-aminohippuric acid (PAH) clearance in subjects with CHF after 24 hours intravenous (i.v) infusion of RLX030
Description
Serial blood and urine collections over time for determination of PAH and its clearance respectively
Time Frame
Baseline, during and after the end of 24 hours infusion
Title
Change from baseline in glomerular filtration rate (GFR) as measured by Iothalamate (IOTH) clearance in subjects with CHF after 24 hours i.v. infusion of RLX030
Description
Serial blood and urine collections over time for determination of IOTH and its clearance respectively
Time Frame
Baseline, during and after the end of 24 hours infusion
Secondary Outcome Measure Information:
Title
Change from baseline in filtration fraction (FF) in subjects with CHF after 24 hours infusion of RLX030
Description
The filtration fraction (FF) is derived as the ratio of GFR divided by RBF in percent.
Time Frame
Baseline, during and after the end of 24 hours of infusion
Title
Change over time in Diuresis
Description
Urine samples will be collected for analyses.
Time Frame
During 24 hours of infusion and after the end of the infusion
Title
Change over time in calculated creatinine clearance
Description
Urine samples will be collected for analyses.
Time Frame
During 24 hours of infusion and after the end of the infusion
Title
Change over time on fractional sodium excretion(natriuresis)
Description
Urine samples will be collected for analyses.
Time Frame
During 24 hours of infusion and after the end of the infusion
Title
Central aortic systolic pressure-time curve
Description
A cuff will be used for a brachial blood pressure measurement and a wrist sensor for arterial pulse waveforms
Time Frame
During 24 hours of infusion and after the end of the infusion
Title
Radial augmentation index-time curve
Description
A cuff will be used for a brachial blood pressure measurement and a wrist sensor for arterial pulse waveforms
Time Frame
During 24 hours of infusion and after the end of the infusion
Title
Number of patients with adverse events, serious adverse events and death
Description
Monitoring of adverse events, serious adverse events and death from screening to end of study
Time Frame
During 24 hours of infusion and after the end of the infusion
Title
Pharmacokinetics of RLX030: area under the serum concentration-time curve from time zero to infinity (AUCinf)Time
Description
Blood will be collected from an indwelling catheter.
Time Frame
During 24 hours of infusion and for 24 hours after the end of infusion
Title
Pharmacokinetics of RLX030: area under the serum concentration-time curve from time zero to the time of the last quantifiable concentration (AUClast)
Description
Blood will be collected from an indwelling catheter.
Time Frame
During 24 hours of infusion and for 24 hours after the end of infusion
Title
Pharmacokinetics of RLX030: serum concentration over 20 hours of infusion (C24h)
Description
Blood will be collected from an indwelling catheter.
Time Frame
During 24 hours of infusion and for 24 hours after the end of infusion
Title
Pharmacokinetics of RLX030: terminal elimination half-life (T1/2)following intravenous administration
Description
Blood will be collected from an indwelling catheter.
Time Frame
During 24 hours of infusion and for 24 hours after the end of infusion
Title
Pharmacokinetics of RLX030: mean residence time (MRT)intravenous administration
Description
Blood will be collected from an indwelling catheter.
Time Frame
During 24 hours of infusion and for 24 hours after the end of infusion
Title
Pharmacokinetics of RLX030: volume of distribution at steady state (Vss) following intravenous administration
Description
Blood will be collected from an indwelling catheter.
Time Frame
During 24 hours of infusion and for 24 hours after the end of infusion
Title
Pharmacokinetics of RLX030: systemic clearance from serum (CL) following intravenous administration(natriuresis)
Description
Blood will be collected from an indwelling catheter.
Time Frame
During 24 hours of infusion and for 24 hours after the end of infusion
Title
Corrected QT (QTc) Interval Using Fridericia's and Bazett's Formula
Description
Continuous 12 lead Holter ECG monitoring for extraction of ECGs and analysis
Time Frame
Baseline, during the 24 hours of infusion and after the end of the infusion

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Written informed consent must be obtained before any assessment is performed. Male and female heart failure patients with body weight <160 kg, on standard therapy including a stable dose of furosemide 40-240 mg/day orally (p.o). or equivalent dose of loop diuretics, reduced systolic function (LVEF ≤ 45% measured within the past 6 months), BNP ≥ 100 pg/mL or NT-pro-BNP of ≥ 400 pg/mLNYHA Class II or III, and worsening symptoms, e.g. fatigue, dyspnea, breathlessness within 3 months Mild to moderate renal impairment Exclusion criteria: Systolic blood pressure (SBP) < 110 mm Hg at the time of randomization Administration of intravenous radiographic contrast agent within 72 hours prior to randomization or acute contrast-induced nephropathy at the time of randomization Current use of non-steroidal antiinflammatory drugs (NSAIDs) Current or planned (through the completion of study drug infusion) treatment with any i.v. therapies, including vasodilators (including nesiritide), positive inotropic agents, vasopressors, levosimendan, or mechanical support (intra-aortic balloon pump, endotracheal intubation, mechanical ventilation, or any ventricular assist device). Clinically significant hepatic impairment defined as hepatic encephalopathy of any degree or total bilirubin > 50 μmol/l (3 mg/dl) or, if patient is not on warfarin therapy, INR > 2.0 (or Prothrombin Time > 2 * ULN) Other protocol-defined inclusion/exclusion criteria may apply.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Novartis Pharmaceuticals
Organizational Affiliation
Novartis Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Novartis Investigative Site
City
Baltimore
State/Province
Maryland
Country
United States
Facility Name
Novartis Investigative Site
City
Berlin
ZIP/Postal Code
10117
Country
Germany
Facility Name
Novartis Investigative Site
City
Erlangen
ZIP/Postal Code
91054
Country
Germany
Facility Name
Novartis Investigative Site
City
Goettingen
ZIP/Postal Code
37075
Country
Germany
Facility Name
Novartis Investigative Site
City
Hamburg
ZIP/Postal Code
20246
Country
Germany
Facility Name
Novartis Investigative Site
City
Deventer
ZIP/Postal Code
7416 SE
Country
Netherlands
Facility Name
Novartis Investigative Site
City
Groningen
ZIP/Postal Code
9713 GZ
Country
Netherlands
Facility Name
Novartis Investigative Site
City
Sneek
ZIP/Postal Code
8601 ZR
Country
Netherlands
Facility Name
Novartis Investigative Site
City
Grodzisk Mazowiecki
ZIP/Postal Code
05-825
Country
Poland
Facility Name
Novartis Investigative Site
City
Katowice
ZIP/Postal Code
40-637
Country
Poland
Facility Name
Novartis Investigative Site
City
Krakow
ZIP/Postal Code
31-202
Country
Poland
Facility Name
Novartis Investigative Site
City
Kraków
ZIP/Postal Code
31-501
Country
Poland
Facility Name
Novartis Investigative Site
City
Lublin
ZIP/Postal Code
20-954
Country
Poland
Facility Name
Novartis Investigative Site
City
Walbrzych
ZIP/Postal Code
58-309
Country
Poland
Facility Name
Novartis Investigative Site
City
Warszawa
ZIP/Postal Code
04-628
Country
Poland

12. IPD Sharing Statement

Citations:
PubMed Identifier
25286914
Citation
Voors AA, Dahlke M, Meyer S, Stepinska J, Gottlieb SS, Jones A, Zhang Y, Laurent D, Slart RH, Navis GJ. Renal hemodynamic effects of serelaxin in patients with chronic heart failure: a randomized, placebo-controlled study. Circ Heart Fail. 2014 Nov;7(6):994-1002. doi: 10.1161/CIRCHEARTFAILURE.114.001536. Epub 2014 Oct 6.
Results Reference
derived
Links:
URL
https://www.novctrd.com/ctrdweb/trialresult/trialresults/pdf?trialResultId=10684
Description
Results for CRLX030A2202 from the Novartis Clinical Trials website

Learn more about this trial

Renal Hemodynamic Effects of RLX030A in Subjects With Chronic Heart Failure (CHF)

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