QUantum Genomics Incremental Dosing in Heart Failure - QUID-HF (QUID-HF)
11 oktober 2018 bijgewerkt door: Quantum Genomics SA
A Randomized, Double-blind, Multi-centre Study to Assess Safety and Efficacy of Incremental Doses of QGC001 in Patients With NYHA Class II/III Chronic Heart Failure (HF) With Left Ventricular Systolic Dysfunction Versus Placebo.
Heart Failure (HF) a common clinical condition characterized by either by a heart that does not pump sufficiently or becomes stiff. A variety of mechanisms contribute to progressive cardiac remodeling and dysfunction.
A new therapeutic approaches by preventing activation of the brain neuromodulatory pathway, may lead to improve HF.
QCG001 is a prodrug of EC33, a aminopeptidase A (APA) inhibitor. QCG001 has been shown to be an antihypertensive agent in animal models.
This study investigates the safety and efficacy of QGC001 in HF patients.
Studie Overzicht
Toestand
Beëindigd
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
Despite advances in care, prognosis remains poor once overt Heart Failure (HF) has developed. HF is a common clinical condition characterized by either by a heart that does not pump sufficiently or becomes stiff and it is associates with higher incidences of patient illness and death in both case. A variety of mechanisms contribute to progressive cardiac remodeling and dysfunction.
A new therapeutic approaches by preventing activation of the brain neuromodulatory pathway, may lead to improve HF.
QCG001 is a prodrug of EC33, a specific and selective of the aminopeptidase A (APA) inhibitor. QCG001 has been shown to be an antihypertensive agent in animal models.
This study investigates the safety and efficacy of QGC001 up-titrated form 50mg twice daily to a maximum of 500 mg twice daily, on patients with worsening chronic HF during 28 days and 7 days after discontinuation (day 35).
6 European countries are involved in this study (France, Netherlands, Germany, Norway, Poland and United Kingdom) including 20 investigational hospitals. Patients would be followed during 35 days and inclusion period lasts until December 2017.
Studietype
Ingrijpend
Inschrijving (Werkelijk)
23
Fase
- Fase 2
Contacten en locaties
In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.
Studie Locaties
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Berlin, Duitsland
- Charity Universitatsmedizin Berlin
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Hannover, Duitsland, D-30625
- Medizinische Hochschule Hannover
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Homburg, Duitsland, 66421
- Klinik für Innere Medizin III
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Bron, Frankrijk, 69677
- Hopital Louis Pradel
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Montpellier, Frankrijk, 34295
- Hopital Arnaud de Villeneuve
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Nancy, Frankrijk, 54500
- CHRU NANCY
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Nantes, Frankrijk, 44093
- Hôpital Laennec
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Paris, Frankrijk, 75013
- Hôpital Pitie Salpétrière
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Paris, Frankrijk, 75015
- Georges Pompidou European Hospital
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Rouen, Frankrijk, 76031
- Hôpital Charles Nicolle
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Strasbourg, Frankrijk, 67000
- Hopitaux Universitaires de Strasbourg
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Toulouse, Frankrijk, 31000
- Clinique Pasteur
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Budapest, Hongarije, 1134
- Magyar Honvedseg Egeszsegugyi Kozpont
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Budapest, Hongarije, 1122
- Heart and Vascular Center of Semmelweis University
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Groningen, Nederland, 9713GZ
- University Medical Center Groningen
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Maastricht, Nederland, PO 5800
- Maastricht University Medical Centre
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Stavanger, Noorwegen, 4011
- Stavanger University Hospital
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Wroclaw, Polen, 50981
- Clinical Military Hospital
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Łódź, Polen, 94048
- NZOZ All-Med Centrum Medyczne
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Frýdek-Místek, Tsjechië, 73801
- Hospital of Fridek-Mistek P.O.
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Praha, Tsjechië, 12808
- General University Hospital
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Dundee, Verenigd Koninkrijk, DD1 9SY
- Ninewells Hospital
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England
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Birmingham, England, Verenigd Koninkrijk, B18 7QH
- University of Birmingham Institute of Cardiovascular Sciences City Hospital,
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Deelname Criteria
Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
18 jaar en ouder (Volwassen, Oudere volwassene)
Accepteert gezonde vrijwilligers
Nee
Geslachten die in aanmerking komen voor studie
Allemaal
Beschrijving
Inclusion Criteria:
- A signed and dated informed consent form prior to any study procedure
- Adult male subjects and female subjects without childbearing potential.
- Clinical diagnosis of CHF with history of NYHA class II-III for at least 3 months before randomisation.
- Documented left ventricular ejection fraction (LVEF) < 40% measured by any modality within the previous 12 months in the subject's medical history.
- Subjects must also have at least one local measurement of BNP level ≥ 300 pg/mL or NT-proBNP level ≥ 1200 pg/mL (preferred assay, local laboratory) at the screening visit (maximum 7 days before randomisation).
- eGFR > 30 mL/min/1.73 m2 (MDRD) at screening.
- Serum potassium < 5.0 mmol/L at screening.
- Systolic blood pressure < 110 mmHg (average of 3 consecutive measurements) at screening.
- Prescribed to optimal pharmacologic therapy per "ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2016", or based on the updated current clinical practice, unless contra-indicated or not-tolerated, and on a stable dose for at least 30 days prior to enrolment (the dosage of the drugs cannot be increased or decreased respectively by more than double or half of initial dosage).
- Taking oral loop diuretics at doses < 250 mg furosemide daily (or equivalent).
Exclusion Criteria:
- BMI > 45 kg.m-2.
- Patients who require the use of HF IV therapy or oral furosemide > 250 mg (or equivalent) at any time during the 48 hours immediately before randomisation.
- Patients with unstable angina, myocardial infarction, PTCA, coronary artery bypass graft, cerebral vascular accident, or transient ischemic attack within previous 3 months (90 days) before enrolment.
- Patients whose primary cause of heart failure is mitral or aortic valve disease or congenital heart disease or hypertrophic obstructive cardiomyopathy or infiltrative cardiomyopathy (e.g. amyloidosis, sarcoidosis) or myocarditis.
- Patients with "new" permanent atrial fibrillation (AF), discovered within 3 months prior to randomization.
- Heart rate > 110 beats/min at screening.
- Patients scheduled for Pacemaker (including ICD, CRT), Angioplasty, CABG or LVAD within the next 3 months.
- Patients with severe documented chronic obstructive lung disease (COPD), defined as chronic need for oxygen therapy
- eGFR < 30 mL/min/1.73 m2 (MDRD) at screening.
- Decrease in eGFR greater than 20% within 3 weeks prior to the screening visit.
- Serum potassium > 5.0 mmol/L at screening.
- Systolic blood pressure < 110 mmHg or with signs or symptoms of hypotension.
- Symptomatic hypotension or orthostatic hypotension defined by a decrease of systolic blood pressure of more than 30 mm Hg in the standing vs. sitting position at screening and at the basal SBP of the D0 (before having taken the study medication).
- A marked baseline prolongation of QT/QTc interval (e.g. repeated demonstrated of a QTc interval > 450 ms) AND QRS < 100 ms. In case of QRS enlargement > 100 ms (i-e bundle branch block, pacemakers) QT does not accurately reflect repolarization and may not be calculated.
- A history of additional risk factors for Torsade de Pointes (TdP) (e.g. hypokalemia, family history of long QT Syndrome).
- The use of concomitant medications that prolong the QT/QTc interval.
- Insulin-requiring diabetic patients (including type 1 Diabetes).
- History of angioneurotic edema.
- Severe liver failure at screening defined by a value of ALAT and/or ASAT≥ 5 from the normal value.
- Patients involved in any interventional clinical study, patients enrolled in Registries and/or in non-interventional studies may participate.
- Patients who take an investigational or non-approved treatment.
- Women of childbearing potential.
- Patients with a prior cardiac transplant or patients currently on the list for cardiac transplantation.
- Patient with hypersensitivity to the active substance or to one of the other components of the trial preparation.
- Patients in whom an allergy requiring chronic treatment is known or exists.
- Patients with a history of previous illnesses of neurological or psychiatric nature that affect the Central Nervous System.
- Patients with a life expectancy of less than 12 months per physician judgment.
- Frail patient who, in the opinion of the investigator will not be able to follow the protocol.
Studie plan
Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Verviervoudigen
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
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Experimenteel: QGC001
QGC001 from 50mg to 500mg capsule twice daily, for 28 days, oral use
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Placebo-vergelijker: Placebo
Placebo, capsule twice daily, for 28 days, oral use
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Lactose capsule manufactured to mimic QGC001 50 mg and 250 mg
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Relative decrease in NT-proBNP
Tijdsspanne: 28 days
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Percentage of subjects with a relative decrease in NT-proBNP of more than 30% from Baseline to day 28.
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28 days
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Blood pressure change
Tijdsspanne: 28 days
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Blood pressure changes at each visit (D7, D14, D21, D28), compared to the Baseline measure
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28 days
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Blood biochemistry
Tijdsspanne: 35 days
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blood biochemistry at D7, D14, D21, D28 and D35.
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35 days
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Urinary biochemistry
Tijdsspanne: 35 days
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electrolytes, urinary osmolarity at D7, D14, D21, D28 and D35.
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35 days
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Change of NT-proBNP
Tijdsspanne: 35 days
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Changes in central lab values of NT-proBNP at D7, D14, D21, D28 and D35.
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35 days
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Change of BNP
Tijdsspanne: 35 days
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Changes in central lab values of BNP at D7, D14, D21, D28 and D35.
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35 days
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Change of selected biomarker levels
Tijdsspanne: 28 days
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Changes in central lab values from baseline in selected biomarker levels (biomarkers involved in the pathophysiology of the disease, which will be decided later) at Day 7, Day 14, Day 21, Day 28
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28 days
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Quality of life Minnesota Living with Heart Failure Score
Tijdsspanne: 28 days
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Quality of life Minnesota Living with Heart Failure Score and D0 and Day 28
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28 days
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Medewerkers en onderzoekers
Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.
Sponsor
Onderzoekers
- Hoofdonderzoeker: Faiez Zannad, MD, Centre d'investigation clinique CHU-Nancy
Studie record data
Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.
Bestudeer belangrijke data
Studie start
1 juni 2016
Primaire voltooiing (Werkelijk)
12 september 2018
Studie voltooiing (Werkelijk)
12 september 2018
Studieregistratiedata
Eerst ingediend
17 mei 2016
Eerst ingediend dat voldeed aan de QC-criteria
20 mei 2016
Eerst geplaatst (Schatting)
23 mei 2016
Updates van studierecords
Laatste update geplaatst (Werkelijk)
16 oktober 2018
Laatste update ingediend die voldeed aan QC-criteria
11 oktober 2018
Laatst geverifieerd
1 oktober 2018
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- QUID-HF_v5.0_20171120
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
NEE
Beschrijving IPD-plan
Individual participant date would be available only by the center via eCRF
Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .