A Study of EDG-7500 in Adults With Hypertrophic Cardiomyopathy (CIRRUS-HCM)
An Open-label Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of EDG-7500 in Adults With Hypertrophic Cardiomyopathy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Edgewise Therapeutics, Inc.
- Phone Number: 720-262-7002
- Email: cardiacstudies@edgewisetx.com
Study Locations
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California
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San Francisco, California, United States, 94143
- University of California, San Francisco
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Stanford, California, United States, 94305
- Stanford University Hospital / Stanford Health Care
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Georgia
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Atlanta, Georgia, United States, 30322
- Emory Clinic
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Massachusetts
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Boston, Massachusetts, United States, 02114
- Massachusetts General Hospital
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Boston, Massachusetts, United States, 02115
- Brigham and Womens Hospital
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Burlington, Massachusetts, United States, 01805
- Lahey Hospital and Medical Center
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Michigan
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Ann Arbor, Michigan, United States, 48109
- Michigan Medicine - Michigan Clinical Research Unit
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Missouri
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Kansas City, Missouri, United States, 64111
- Saint Luke's Hospital of Kansas City
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New Jersey
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Morristown, New Jersey, United States, 07960
- Morristown Medical Center (Atlantic Health System)
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New York
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Manhasset, New York, United States, 11030
- North Shore University Hospital
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New York, New York, United States, 10016
- NYU Langone Health Medical Center - HCM Program Office (Study open to existing NYU patients only)
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North Carolina
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Charlotte, North Carolina, United States, 28204
- Sanger Heart and Vascular Institute
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Morrisville, North Carolina, United States, 27560
- Duke Health Center Arringdon
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Ohio
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Cincinnati, Ohio, United States, 45219
- The Lindner Research Center at Christ Hospital
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Cleveland, Ohio, United States, 44195
- Cleveland Clinic
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Cleveland, Ohio, United States, 33612
- University Hospitals Cleveland Medical Center
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Oregon
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Portland, Oregon, United States, 97239
- Oregon Health & Science University (OHSU)
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19104
- Hospital of the University of Pennsylvania (University of Pennsylvania School of Medicine)
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South Carolina
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Charleston, South Carolina, United States, 29425
- Medical University of South Carolina
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Virginia
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Charlottesville, Virginia, United States, 22903
- University of Virginia Heart and Vascular Center Fontaine
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Washington
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Seattle, Washington, United States, 98101
- Virginia Mason Medical Center
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Key Inclusion Criteria:
- 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).
Key Exclusion Criteria:
- 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.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Part A: EDG-7500 Single Dose
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Liquid suspension formulation of EDG-7500
Solid oral formulation of EDG-7500
|
|
Experimental: Part B: EDG-7500 Multiple Dose in Adults with Obstructive Hypertrophic Cardiomyopathy
EDG-7500 once daily for up to 28 days.
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Liquid suspension formulation of EDG-7500
Solid oral formulation of EDG-7500
|
|
Experimental: Part C: EDG-7500 Multiple Dose in Adults with Nonobstructive Hypertrophic Cardiomyopathy
EDG-7500 once daily for up to 28 days.
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Liquid suspension formulation of EDG-7500
Solid oral formulation of EDG-7500
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Experimental: Part D: EDG-7500 Multiple Dose in Adults with Hypertrophic Cardiomyopathy
EDG-7500 daily for up to 24 months in new participants and participants who have completed Part B or C.
|
Liquid suspension formulation of EDG-7500
Solid oral formulation of EDG-7500
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Incidence of treatment-emergent adverse events
Time Frame: 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)
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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)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change from baseline in cardiac biomarkers
Time Frame: From baseline through study completion (Part B and C: Up to 38 days; Part D: Up to 18 months)
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From baseline through study completion (Part B and C: Up to 38 days; Part D: Up to 18 months)
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|
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Change from baseline in left ventricular outflow tract (LVOT) gradient
Time Frame: From baseline through study completion (Part A: Up to 10 days; Part B: Up to 38 days; Part D: Up to 18 months)
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Resting and post-Valsalva LVOT gradient by echocardiography
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From baseline through study completion (Part A: Up to 10 days; Part B: Up to 38 days; Part D: Up to 18 months)
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Pharmacokinetic parameters of EDG-7500 as measured by maximum plasma concentration (Cmax)
Time Frame: From baseline through study completion (Part A: Up to 10 days)
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From baseline through study completion (Part A: Up to 10 days)
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Medical Director, Edgewise Therapeutics, Inc.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- EDG-7500-102
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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