A Phase 2 Study of CRD-4730 in CPVT (CPVT)
A Phase 2, Double-Blind, Repeat-Dose, Placebo-Controlled Crossover Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of CRD-4730 In Participants With Catecholaminergic Polymorphic Ventricular Tachycardia
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: Cardurion
- Phone Number: 617-863-8088
- Email: infoCPVT@cardurion.com
Study Locations
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British Columbia
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Vancouver, British Columbia, Canada, V6Z 1Y6
- Recruiting
- Cardurion Investigative Site
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Bron, France, 69677
- Recruiting
- Cardurion Investigative Site
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Paris, France, 75018
- Recruiting
- Cardurion Investigative Site
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Saint-Herblain, France, 44800
- Recruiting
- Cardurion Investigative Site
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Pavia
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Pavia, Pavia, Italy, 27100
- Recruiting
- Cardurion Investigative Site
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North Holland
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Amsterdam, North Holland, Netherlands, 1105 AZ
- Recruiting
- Cardurion Investigative Site
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Barcelona
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Esplugues de Llobregat, Barcelona, Spain, 08950
- Recruiting
- Cardurion Investigative Site
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California
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San Francisco, California, United States, 94143
- Recruiting
- Cardurion Investigative Site
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North Carolina
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Morrisville, North Carolina, United States, 27560
- Recruiting
- Cardurion Investigative Site
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Texas
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Houston, Texas, United States, 77030
- Recruiting
- Cardurion Investigative Site
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Utah
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Salt Lake City, Utah, United States, 84113
- Recruiting
- Cardurion Investigative Site
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Wisconsin
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Madison, Wisconsin, United States, 53792
- Recruiting
- Cardurion Investigative Site
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Each participant must meet all the following criteria to be enrolled in this study:
- The participant is male or female, ≥18 years of age and of legal adult age in accordance with local requirements.
- The participant has a confirmed CPVT diagnosis, based on genetic screening for a pathogenic ryanodine receptor (RYR2) mutation and a clinical phenotype consistent with CPVT at Screening. Previous CPVT genetic testing documented in medical history is acceptable if confirmed by the Investigator and documented in the study source records.
- The participant can perform an EST during which frequent premature ventricular contractions (PVCs; ≥10 per minute), ventricular bigeminy, or higher-grade VA (equivalent to a VA score ≥2) are identified by the Investigator.
- The participant has been on a stable dose of at least 1 antiarrhythmic medication (including beta blockers but not amiodarone) for 4 weeks prior to Screening, unless the participant has been unable to tolerate antiarrhythmic therapy previously.
- Adheres to all contraceptive criteria.
Exclusion Criteria:
Participants meeting any of the following criteria will be excluded from the study:
- The participant has clinically significant structural heart disease, diagnosis of heart failure, or clinically significant coronary artery disease.
- The participant has a clinically significant abnormal ECG not explained by the diagnosis of CPVT at Screening or clinically significant abnormal intervals, such as prolonged QT.
- The participant has a history of a myocardial infarction, cerebrovascular accident, or transient ischemic attack within 3 months of Screening.
- The participant undergoes implantable cardioverter-defibrillator (ICD) implantation or has sympathetic nerve denervation within 3 months of Screening.
- The participant has an anticipated change in exercise regimen or new exercise program during the course of the study.
- The participant has a history of malignancy within the past 5 years at Screening, with the exception of successfully treated basal cell carcinoma or nonmetastatic squamous cell carcinoma of the skin or cervical carcinoma in situ. Prior exposure to chest radiation for any malignancy is exclusionary.
- The participant has abnormal blood pressure, defined as supine symptomatic hypotension, systolic blood pressure >150 mm Hg or diastolic blood pressure >90 mm Hg, or symptomatic bradycardia or a heart rate >100 bpm at Screening and/or on Day 1. Blood pressure and pulse should be measured after the participant has been in the seated position after 5 minutes of rest.
- The participant has hepatic impairment defined as alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >3 × (upper limit of normal [ULN]) and/or total bilirubin >1.5 × ULN at Screening (unless secondary to confirmed Gilbert syndrome).
- The participant has acute or chronic hepatitis B (HBV; defined as hepatitis B surface antigen [HBsAg] reactive), acute or chronic hepatitis C virus (HCV; defined as detection of HCV antibody and RNA [qualitative]), or human immunodeficiency virus (HIV) infection.
- The female participant is pregnant, lactating/breastfeeding, or has plans to become pregnant during the study or within 3 months following the last study drug administration.
- The participant has taken any antiarrhythmic drug in addition to their stable, chronic regimen unless it has been at least 5 half-lives since administration at the time of Screening.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Dose 1
CRD-4730 Dose 1 Tablet
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Oral CRD-4730 in tablet form
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Experimental: Dose 2
CRD 4730 Dose 2 Tablet
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Oral CRD-4730 in tablet form
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|
Placebo Comparator: Dose 3
Placebo tablet to match CRD-4730
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Placebo to match CRD-4730 in tablet form
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Primary Outcome Measures
Time Frame: Baseline to Day 101
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The number and severity of treatment-emergent adverse events (TEAEs) related to study drug treatment
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Baseline to Day 101
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Secondary Outcome Measure
Time Frame: Baseline to Day 15; Baseline to Day 44; Baseline to Day 73
|
Change in VA score during EST from baseline to Day 15, from baseline to Day 44, and from baseline to Day 73
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Baseline to Day 15; Baseline to Day 44; Baseline to Day 73
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|
Secondary Outcome Measures
Time Frame: Baseline to Day 15; Baseline to Day 44; Baseline to Day 73
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Plasma concentrations of CRD-4730 over time for each treatment period
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Baseline to Day 15; Baseline to Day 44; Baseline to Day 73
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Takagahara, Shuichi, et al. "Novel, Potent, and Highly Selective Calcium/Calmodulin-Dependent Protein Kinase II (CaMKII) Inhibitors Reduce Substrate Phosphorylation in Rat Hearts and Prolong Survival in a Mouse Model of Severe Heart Failure." Circulation 148.Suppl_1 (2023): A12726-A12726.
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CRD-4730-202
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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