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Study of LLG783 in Patients With Peripheral Artery Disease (PAD) and Intermittent Claudication (PAD PoC)

Primary Purpose

Peripheral Artery Disease (PAD); Intermittent Claudication

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
LLG783
Placebo
Sponsored by
Novartis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Peripheral Artery Disease (PAD); Intermittent Claudication focused on measuring PAD, peripheral artery/arterial disease, peripheral vascular disease, leg pain, claudication, leg pain with exercise, exercise test, walk test

Eligibility Criteria

40 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • claudication, as defined by pain with exertion in either leg;
  • On stable medical therapy, including statins, aspirin, and antihypertensive medications (as medically indicated) unless individually contraindicated, for at least 4 weeks prior to the screening visit;
  • Vital signs must be within the following ranges:

    • body temperature between 35.0-37.5°C
    • systolic blood pressure, 90-159 mm Hg
    • diastolic blood pressure, 50-99 mm Hg
    • pulse rate, 50 - 90 bpm
  • Moderately impaired ambulatory function judged by the investigator to be due primarily to PAD and assessed by a maximum walk distance between 50 and 400 meters (inclusive of these values) at the screening 6-minute walk test (6MWT).

Exclusion Criteria:

  • Pregnant or nursing (lactating) women;
  • Patients who meet any of the following PAD related criteria:

    • Patients actively attending and participating in a supervised exercise rehabilitation program (patients who have already completed such a program and remain symptomatic may be included).
    • Patients with any condition other than PAD that limits walking ability.
    • Known inflammatory disease of the arteries (other than atherosclerosis; e.g. Thromboangiitis obliterans).
    • Clinical evidence of critical limb ischemia including new or non-healing ulcers (felt secondary to critical limb ischemia), new or recent onset of resting pain in the lower extremities particularly at night (felt secondary to critical limb ischemia) and/or gangrene of the lower extremities (Fontaine stage III-IV) .
  • Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception during dosing and for 150 days after stopping of investigational drug.
  • Any of the following concomitant cardiovascular or metabolic conditions or diseases:

    • Myocardial infarction within 6 months of screening.
    • Stroke within 6 months of screening.
    • History of clinically significant ventricular arrhythmias, according to the discretion of the investigator, within 6 months of screening.
    • Significant ECG abnormalities, according to the discretion of the investigator, at screening.
    • History of sustained and clinically significant supraventricular arrhythmias (e. g. associated with hemodynamic compromise) within 6 months of screening.
    • Chronic heart failure New York Heart Association Class III or IV.
    • Known presence of aortic aneurysm > 5 cm.
    • Uncontrolled diabetes as defined by a random fasting glucose level of 13 mmol/L or 240 mg/dL or a HbA1c greater than 9% as measured at screening. Diabetes should be treated as appropriate during the study.

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

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

LLG783

Placebo

Arm Description

Patients will receive LLG783 i.v. infusion every 4 weeks for 12 weeks.

Patients will receive placebo to LLG783 i.v. infusion every 4 weeks for 12 weeks.

Outcomes

Primary Outcome Measures

Number of Participants With Adverse Events (AEs), Drug-related AEs, Serious Adverse Events (SAEs) and Deaths
An AE is any untoward medical occurrence (that is, any unfavorable and unintended sign, including abnormal laboratory findings, symptom or disease) in a participant after providing written informed consent for participation in the study until the end of study visit. Therefore, an AE may or may not be temporally or causally associated with the use of a medicinal (investigational) product. An SAE is defined as any AE which is is fatal or life-threatening, results in persistent or significant disability/incapacity, constitutes a congenital anomaly/birth defect in offspring, requires inpatient hospitalization or prolongation of existing hospitalization and is is medically significant.
Change From Baseline in Maximum Walking Distance (MWD) as Assessed by 6-minute Walk Test (6MWT) at Week 16
MWD was assessed by the 6MWT prior to dosing was used to evaluate functional capacity of peripheral artery disease (PAD) participants. 6MWT test included measurement of total distance walked in 6 minutes.

Secondary Outcome Measures

Area Under the Serum Concentration-time Curve From Time Zero to Infinity (AUCinf)
AUCinf is defined as the area under the serum concentration-time curve from time zero to infinity.
Area Under the Serum Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUClast)
AUClast is defined as the area under the serum concentration-time curve from time zero to the time of the last quantifiable concentration.
Area Under the Serum Concentration-time Curve From Time Zero to Defined Time Point 't' (AUC[0-t])
AUC(0-t)is defined as the area under the serum concentration-time curve from time zero to time 't' where is a defined time point after administration.
Area Under the Serum Concentration-time Curve From Time Zero to the End of the Dosing Interval Tau (AUCtau)
AUCtau is defined as the area under the serum concentration-time curve from time zero to the end of the dosing interval tau.
Observed Maximum Serum Concentration (Cmax) Following Drug Administration
Cmax is defined as the observed maximum serum concentration following drug administration.
Time to Reach the Maximum Concentration After Drug Administration (Tmax)
Tmax is defined as the time to reach the maximum concentration after drug administration.
Change From Baseline in Pain-free Walking Distance (PFWD) as Assessed by 6-minute Walk Test at Week 16
PFWD was defined as the distance walked up to the point of onset of claudication symptoms (pain) recorded during the 6MWT and was used to evaluate symptomatic functional capacity of PAD participants. The PFWD was measured as the distance walked up to the time/place where the participant first experiences symptoms typical of their claudication which included pain, cramps, or other discomfort in the buttocks, thighs, calves or feet that occurs during the 6MWT exercise period.

Full Information

First Posted
June 19, 2017
Last Updated
December 9, 2020
Sponsor
Novartis Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT03194776
Brief Title
Study of LLG783 in Patients With Peripheral Artery Disease (PAD) and Intermittent Claudication
Acronym
PAD PoC
Official Title
A Patient and Investigator-blinded, Randomized, Placebo Controlled Study of LLG783 in Patients With Peripheral Artery Disease (PAD) and Intermittent Claudication
Study Type
Interventional

2. Study Status

Record Verification Date
March 2020
Overall Recruitment Status
Completed
Study Start Date
September 20, 2017 (Actual)
Primary Completion Date
September 7, 2018 (Actual)
Study Completion Date
December 27, 2018 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

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

5. Study Description

Brief Summary
This study is designed to determine whether LLG783 displays the clinical safety and efficacy profile, after multiple i.v. doses, to support further development in patients with PAD and intermittent claudication.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Peripheral Artery Disease (PAD); Intermittent Claudication
Keywords
PAD, peripheral artery/arterial disease, peripheral vascular disease, leg pain, claudication, leg pain with exercise, exercise test, walk test

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Model Description
Randomized, patient and investigator-blinded, placebo controlled, parallel group study
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
46 (Actual)

8. Arms, Groups, and Interventions

Arm Title
LLG783
Arm Type
Experimental
Arm Description
Patients will receive LLG783 i.v. infusion every 4 weeks for 12 weeks.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Patients will receive placebo to LLG783 i.v. infusion every 4 weeks for 12 weeks.
Intervention Type
Drug
Intervention Name(s)
LLG783
Intervention Description
LLG783 concentrate solution for infusion/injection suitable for i.v. administration as well as s.c. administration.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo to LLG783 concentrate solution for infusion/injection suitable for i.v. administration as well as s.c. administration.
Primary Outcome Measure Information:
Title
Number of Participants With Adverse Events (AEs), Drug-related AEs, Serious Adverse Events (SAEs) and Deaths
Description
An AE is any untoward medical occurrence (that is, any unfavorable and unintended sign, including abnormal laboratory findings, symptom or disease) in a participant after providing written informed consent for participation in the study until the end of study visit. Therefore, an AE may or may not be temporally or causally associated with the use of a medicinal (investigational) product. An SAE is defined as any AE which is is fatal or life-threatening, results in persistent or significant disability/incapacity, constitutes a congenital anomaly/birth defect in offspring, requires inpatient hospitalization or prolongation of existing hospitalization and is is medically significant.
Time Frame
Up to 32 Weeks
Title
Change From Baseline in Maximum Walking Distance (MWD) as Assessed by 6-minute Walk Test (6MWT) at Week 16
Description
MWD was assessed by the 6MWT prior to dosing was used to evaluate functional capacity of peripheral artery disease (PAD) participants. 6MWT test included measurement of total distance walked in 6 minutes.
Time Frame
Baseline, Week 16 (Day 113)
Secondary Outcome Measure Information:
Title
Area Under the Serum Concentration-time Curve From Time Zero to Infinity (AUCinf)
Description
AUCinf is defined as the area under the serum concentration-time curve from time zero to infinity.
Time Frame
1 hour predose and 1, 2 and 4 hours postdose on Day 1; 0 hour predose and 1, 2 and 4 hours postdose on Day 85
Title
Area Under the Serum Concentration-time Curve From Time Zero to the Time of the Last Quantifiable Concentration (AUClast)
Description
AUClast is defined as the area under the serum concentration-time curve from time zero to the time of the last quantifiable concentration.
Time Frame
1 hour predose and 1, 2 and 4 hours postdose on Day 1; 0 hour predose on Day 29 and 57; 0 hour predose and 1, 2 and 4 hours postdose on Day 85
Title
Area Under the Serum Concentration-time Curve From Time Zero to Defined Time Point 't' (AUC[0-t])
Description
AUC(0-t)is defined as the area under the serum concentration-time curve from time zero to time 't' where is a defined time point after administration.
Time Frame
1 hour predose and 1, 2 and 4 hours postdose on Day 1; 0 hour predose on Day 29 and 57; 0 hour predose and 1, 2 and 4 hours postdose on Day 85
Title
Area Under the Serum Concentration-time Curve From Time Zero to the End of the Dosing Interval Tau (AUCtau)
Description
AUCtau is defined as the area under the serum concentration-time curve from time zero to the end of the dosing interval tau.
Time Frame
1 hour predose and 1, 2 and 4 hours postdose on Day 1; 0 hour predose on Day 29 and 57; 0 hour predose and 1, 2 and 4 hours postdose on Day 85
Title
Observed Maximum Serum Concentration (Cmax) Following Drug Administration
Description
Cmax is defined as the observed maximum serum concentration following drug administration.
Time Frame
1 hour predose and 1, 2 and 4 hours postdose on Day 1; 0 hour predose on Day 29 and 57; 0 hour predose and 1, 2 and 4 hours postdose on Day 85
Title
Time to Reach the Maximum Concentration After Drug Administration (Tmax)
Description
Tmax is defined as the time to reach the maximum concentration after drug administration.
Time Frame
1 hour predose and 1, 2 and 4 hours postdose on Day 1; 0 hour predose on Day 29 and 57; 0 hour predose and 1, 2 and 4 hours postdose on Day 85
Title
Change From Baseline in Pain-free Walking Distance (PFWD) as Assessed by 6-minute Walk Test at Week 16
Description
PFWD was defined as the distance walked up to the point of onset of claudication symptoms (pain) recorded during the 6MWT and was used to evaluate symptomatic functional capacity of PAD participants. The PFWD was measured as the distance walked up to the time/place where the participant first experiences symptoms typical of their claudication which included pain, cramps, or other discomfort in the buttocks, thighs, calves or feet that occurs during the 6MWT exercise period.
Time Frame
Baseline, Week 16 (Day 113)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: claudication, as defined by pain with exertion in either leg; On stable medical therapy, including statins, aspirin, and antihypertensive medications (as medically indicated) unless individually contraindicated, for at least 4 weeks prior to the screening visit; Vital signs must be within the following ranges: body temperature between 35.0-37.5°C systolic blood pressure, 90-159 mm Hg diastolic blood pressure, 50-99 mm Hg pulse rate, 50 - 90 bpm Moderately impaired ambulatory function judged by the investigator to be due primarily to PAD and assessed by a maximum walk distance between 50 and 400 meters (inclusive of these values) at the screening 6-minute walk test (6MWT). Exclusion Criteria: Pregnant or nursing (lactating) women; Patients who meet any of the following PAD related criteria: Patients actively attending and participating in a supervised exercise rehabilitation program (patients who have already completed such a program and remain symptomatic may be included). Patients with any condition other than PAD that limits walking ability. Known inflammatory disease of the arteries (other than atherosclerosis; e.g. Thromboangiitis obliterans). Clinical evidence of critical limb ischemia including new or non-healing ulcers (felt secondary to critical limb ischemia), new or recent onset of resting pain in the lower extremities particularly at night (felt secondary to critical limb ischemia) and/or gangrene of the lower extremities (Fontaine stage III-IV) . Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception during dosing and for 150 days after stopping of investigational drug. Any of the following concomitant cardiovascular or metabolic conditions or diseases: Myocardial infarction within 6 months of screening. Stroke within 6 months of screening. History of clinically significant ventricular arrhythmias, according to the discretion of the investigator, within 6 months of screening. Significant ECG abnormalities, according to the discretion of the investigator, at screening. History of sustained and clinically significant supraventricular arrhythmias (e. g. associated with hemodynamic compromise) within 6 months of screening. Chronic heart failure New York Heart Association Class III or IV. Known presence of aortic aneurysm > 5 cm. Uncontrolled diabetes as defined by a random fasting glucose level of 13 mmol/L or 240 mg/dL or a HbA1c greater than 9% as measured at screening. Diabetes should be treated as appropriate during the study.
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
Jacksonville
State/Province
Florida
ZIP/Postal Code
32216
Country
United States
Facility Name
Novartis Investigative Site
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43215
Country
United States
Facility Name
Novartis Investigative Site
City
Kiel
State/Province
Schleswig-Holstein
ZIP/Postal Code
24105
Country
Germany
Facility Name
Novartis Investigative Site
City
Berlin
ZIP/Postal Code
10117
Country
Germany
Facility Name
Novartis Investigative Site
City
Berlin
ZIP/Postal Code
10787
Country
Germany
Facility Name
Novartis Investigative Site
City
Magdeburg
ZIP/Postal Code
39112
Country
Germany
Facility Name
Novartis Investigative Site
City
Taipei
ZIP/Postal Code
10002
Country
Taiwan
Facility Name
Novartis Investigative Site
City
Taipei
ZIP/Postal Code
11217
Country
Taiwan

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
Links:
URL
https://www.novctrd.com/ctrdweb/patientsummary/patientsummaries?patientSummaryId=474
Description
A Plain Language Trial Summary is available on novartisclinicatrials.com

Learn more about this trial

Study of LLG783 in Patients With Peripheral Artery Disease (PAD) and Intermittent Claudication

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