HypertensionPhase 2NCT00701649
Study to Evaluate Safety and Tolerability, Pharmacodynamic Effects and Exploratory Efficacy of a Vaccine Against Essential Hypertension
A Phase 2 study testing CYT006-AngQb in people with Hypertension, run by Cytos Biotechnology AG at 6 sites in 2 countries.
Trial summary
CYT006-AngQb is a vaccine that induces a B-cell mediated immune response characterized by the generation of specific antibodies (IgG and IgM) against Angiotensin II. The vaccine is administered by subcutaneous injection. The objectives of the study are: To evaluate safety and tolerability of 5 s.c. Read more about this study
- Who is it for?
- Ages 18 to 69 years
- Conditions the study is for
- Hypertension
- What is being tested?
- CYT006-AngQb
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 60 participants
- Where
- 6 sitesin 2 countries
- Study dates
- Mar 2008to Nov 2009
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 69 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients with mild to moderate essential hypertension (Grade I and Grade II) with mean sitting office SBP =140-179 mmHg and/or mean sitting office DBP = 90-109 mmHg on 2 consecutive visits (screening and V1).
- Daytime blood pressure above threshold for definition of hypertension in the screening ABPM measurement (SBP >135 mmHg).
- Patients without current antihypertensive therapy.
- Patients on antihypertensive therapy, which can be stopped.
- 18 to 69 years of age.
- Male patients, or female patients without childbearing potential .
Who cannot join
- Patients with "very high added risk" according to 2007 Guidelines for the Management of Arterial Hypertension (Journal of Hypertension, 2007, 25:1105-1187), i.e. those with:
- grade III hypertension (mean sitting office SBP ≥180mmHg and/or mean sitting DBP≥110mmHg)
- history or presence of established cardiovascular or renal disease:
- Ischemic stroke, cerebral hemorrhage, transient ischemic attack
- Myocardial infarction, angina pectoris, coronary re-vascularization, heart failure
- Peripheral artery disease
Show all 22Show fewer
- Diabetic nephropathy
- Known autoimmune disease.
- Severe allergy.
- Pregnancy or breastfeeding.
- Women in childbearing age that are not surgically sterilized.
- Patients with a history or current positive test for HIV infection, AIDS, or other immunosuppressive disorders; hepatitis B or C.
- Current diagnosis or history of malignancy.
- Presence of suspicious lymphadenopathy or splenomegaly on physical examination.
- Drug or alcohol abuse within the past 2 years.
- Presence or history of relevant cardiovascular, renal, hepatic, pulmonary, endocrine, autoimmune, neurological and psychiatric disease as judged by the investigator.
- Any current or past disease or conditions (physical or mental) that would, in the opinion of the investigator, interfere with the study procedures or interpretation of the study data (e.g. workers in the night shift).
- Previous participation in a clinical trial with a Qb based vaccine.
- Use of an investigational drug within 3 months before enrolment, or planned use during the whole study period.
- Possible dependency of the patient on sponsor and/or investigator.
- Planned active immunization 2 weeks before or 2 weeks after any study medication vaccination.
- Donation or loss >=400 mL of blood within 8 weeks prior to dosing or major surgery within past 2 months.
Trial locations and contacts
6 sites in 2 countries.
6 sites in 2 countries
Switzerland4 sites
University Hospital Basel
Basel, CH-4031
Inselspital
Bern, CH-3010
Hopital Universitaire Geneve
Geneva, CH-1211
Med Zentrum Römerhof
Zurich, CH-8091
Germany2 sites
CRS Mannheim
Mannheim, D-68167
CRS Mönchengladbach
Mönchengladbach, D-41061
About this study
Official title: A Double Blind, Randomized, Placebo Controlled, Parallel Group Phase IIa Study to Evaluate Safety and Tolerability, Pharmacodynamic Effects and Exploratory Efficacy of an Anti-Angiotensin II Vaccine (CYT006-AngQb) in Patients With Mild to Moderate Essential Hypertension
CYT006-AngQb is a vaccine that induces a B-cell mediated immune response characterized by the generation of specific antibodies (IgG and IgM) against Angiotensin II. The vaccine is administered by subcutaneous injection.
The objectives of the study are:
- To evaluate safety and tolerability of 5 s.c. injections of 300µg CYT006-AngQb with Alhydrogel™ in patients with mild to moderate essential hypertension (hypertension Grade I and II).
- To assess pharmacodynamic effects, i.e. anti-Ang II immune response and renin- angiotensin system (RAS) biomarkers.
- To explore the effect on blood pressure using ABPM.
- Conditions
- Hypertension
- Being tested
- CYT006-AngQb, Placebo
- Keywords
- mild essential hypertension, moderate essential hypertension
- Medical subject headings
- Hypertension
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CYT006-AngQbBiological
s.c.
PlaceboBiological
s.c.
| Study group | Role | What they receive |
|---|---|---|
| 1 | Experimental | Not described Receives: Biological: CYT006-AngQb |
| 2 | Placebo comparator | Not described Receives: Biological: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Adverse events: quality, quantity, severity
Measured: Throughout the study until week 48
Secondary outcomes (3)
Change in daytime, nighttime and 24-hour ambulatory blood pressure from baseline
Measured: 24 hours
Titer of IgG specific for angiotensin II
Measured: Throughout the study untill week 48
Amount of RAS-Biomarkers (plasma renin concentration, angiotensin II, aldosterone)
Measured: 24 hours
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Jun 2008 (estimated)
- Study startMar 2008
- Primary completionMar 2009
- Study completionNov 2009
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for HypertensionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 60 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Cytos Biotechnology AG
- Sponsor type
- Industry (pharma, biotech, devices)
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00701649
- Sponsor's protocol ID
- CYT006-AngQb 02
- Other IDs
- Eudract No. 2007-005843-93
- Status last verified
- Dec 2009
- First submitted
- 18 Jun 2008
- Last updated
- 2 Dec 2009
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 2 Dec 2009. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Double Blind, Randomized, Placebo Controlled, Parallel Group Phase IIa Study to Evaluate Safety and Tolerability, Pharmacodynamic Effects and Exploratory Efficacy of an Anti-Angiotensin II Vaccine (CYT006-AngQb) in Patients With Mild to Moderate Essential Hypertension
- ClinicalTrials.gov ID
- NCT00701649
- Acronym / sponsor ID
- CYT006-AngQb 02
- Conditions
- Hypertension
- Keywords
- mild essential hypertension, moderate essential hypertension
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 60 participants (estimated)
- Lead sponsor
- Cytos Biotechnology AGIndustry (pharma, biotech, devices)
- Study start
- Mar 2008
- Primary completion
- Mar 2009 (actual)
- Study completion
- Nov 2009 (actual)
- First posted
- 19 Jun 2008 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
CYT006-AngQb is a vaccine that induces a B-cell mediated immune response characterized by the generation of specific antibodies (IgG and IgM) against Angiotensin II. The vaccine is administered by subcutaneous injection.
The objectives of the study are:
- To evaluate safety and tolerability of 5 s.c. injections of 300µg CYT006-AngQb with Alhydrogel™ in patients with mild to moderate essential hypertension (hypertension Grade I and II).
- To assess pharmacodynamic effects, i.e. anti-Ang II immune response and renin- angiotensin system (RAS) biomarkers.
- To explore the effect on blood pressure using ABPM.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| 1 | Experimental | Biological: CYT006-AngQb |
| 2 | Placebo comparator | Biological: Placebo |
Who may qualify
- Ages
- 18 to 69 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Patients with mild to moderate essential hypertension (Grade I and Grade II) with mean sitting office SBP =140-179 mmHg and/or mean sitting office DBP = 90-109 mmHg on 2 consecutive visits (screening and V1).
- Daytime blood pressure above threshold for definition of hypertension in the screening ABPM measurement (SBP >135 mmHg).
- Patients without current antihypertensive therapy.
- Patients on antihypertensive therapy, which can be stopped.
- 18 to 69 years of age.
Key exclusion criteria (22 listed)
- Patients with "very high added risk" according to 2007 Guidelines for the Management of Arterial Hypertension (Journal of Hypertension, 2007, 25:1105-1187), i.e. those with:
- grade III hypertension (mean sitting office SBP ≥180mmHg and/or mean sitting DBP≥110mmHg)
- history or presence of established cardiovascular or renal disease:
- Ischemic stroke, cerebral hemorrhage, transient ischemic attack
- Myocardial infarction, angina pectoris, coronary re-vascularization, heart failure
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| CYT006-AngQbs.c. | Biological | 1 |
| Placebos.c. | Biological | 2 |
Primary outcome
Adverse events: quality, quantity, severity
Time frame: Throughout the study until week 48
3 secondary outcomes
Change in daytime, nighttime and 24-hour ambulatory blood pressure from baseline
Time frame: 24 hours
Titer of IgG specific for angiotensin II
Time frame: Throughout the study untill week 48
Amount of RAS-Biomarkers (plasma renin concentration, angiotensin II, aldosterone)
Time frame: 24 hours
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Dec 2009.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
6 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing CYT006-AngQb in people with Hypertension, run by Cytos Biotechnology AG at 6 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 22 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 2 Dec 2009. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 6 sites in Switzerland, Germany. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Adverse events: quality, quantity, severity (time frame: Throughout the study until week 48). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Dec 2009.