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Heart FailurePhase 2NCT02808585

Study to Assess the Safety, Tolerability and PK/PD After 4 Weekly SC Injections of PB1046 in Subjects With Stable HFrEF

A Phase 2 study testing PB1046 Injection in people with Heart Failure, run by PhaseBio Pharmaceuticals Inc. at 5 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will be a sequential multiple-dose escalation study that will enroll (randomize and dose) approximately 28 subjects in four cohorts consisting of 3 active and 1 placebo in Cohort 1 and 6 active and 2 placebo in subsequent cohorts. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Heart Failure
What is being tested?
PB1046 Injection
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
29 participants
Where
5 sitesUnited States
Study dates
Jun 2016to 6 Dec 2017
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Willing and able to sign a written informed consent and follow all study-related procedures,
  • Male subjects and female subjects of reproductive or childbearing potential must practice effective contraception during the study and be willing and able to continue contraception for 30 days after their last dose of study drug,
  • Body mass index ≥ 18 kg/m2 and ≤ 45 kg/m2,
  • Receipt of stable pharmacological therapy(ies) for heart failure for a minimum of 1 month prior to screening and between screening and randomization and are in stable clinical condition,
  • NYHA Class II or III heart failure diagnosis (ischemic or non-ischemic confirmed by medical history) at least 6 months prior to screening,
  • Stable HF defined as no hospitalizations for cardiac related issues within the previous 3 months prior to the screening visit or between screening and randomization,
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  • A screening or historical Left Ventricular Ejection Fraction ≤ 40% by centralized reading of 2-D echocardiography,
  • Screening hemoglobin ≥ 9.0 g/dL secondary to the volume of blood to be collected during the study period,
  • Willing and able to return to the study unit for specified study visits, and be able to self-monitor blood pressure while at home,
  • Live and work in an area with reliable cellular services (e.g., Sprint®) for real time transmission of telemetry data to the core laboratory.

Who cannot join

  • Have previously received PB1046 or have a known allergy to the study drug or any of its components,
  • Participating in any other study and have received any other investigational medication or device within 30 days prior to screening or are taking part in a non-medication study which, in the opinion of the Investigator, would interfere with study compliance or outcome assessments,
  • Diagnosed with acute coronary syndrome (ACS) or an acute myocardial infarction (MI) within 3 months of screening,
  • Canadian Cardiovascular Society (CCS) Class III or IV angina necessitating frequent use of as needed short acting nitroglycerin,
  • Cardiac surgery or valvuloplasty within 3 months prior to screening,
  • Cerebrovascular accident or transient ischemic attack within 3 months prior to screening,
Show all 16Show fewer
  • Sustained systolic blood pressure (SBP) < 110 mmHg and/or diastolic blood pressure (DBP) < 50 mmHg (confirmed by a duplicate seated reading) on at least 3 consecutive readings (self-monitored or office) prior to randomization or overt symptomatic hypotension,
  • Sustained resting heart rate >100 beats per minute (BPM) at screening (V1) or prior to randomization,
  • History or evidence of clinically significant arrhythmias (uncontrolled by drug therapy or use of an implantable defibrillator), long QT syndrome or evidence of QT prolongation demonstrating QTcF > 460 ms prior to randomization (Subjects with QTcF >460 ms due to electronic pacing by an implanted pacemaker/ICD device may be enrolled),
  • Clinically significant renal dysfunction as measured by the estimated glomerular filtration rate (eGFR) of < 40 mL/min/1.73m2 as calculated by the CKD-EPI creatinine-cystatin C equation at screening, or a clinically significant change in renal function between screening and baseline,
  • Clinically significant liver dysfunction as measured by: alanine aminotransferase >3.0 × the upper limit of normal (ULN), aspartate aminotransferase >3.0 × the ULN, or serum bilirubin ≥ 1.6 mg/dL at screening, or a clinically significant change in liver function between screening and baseline,
  • Pregnant or lactating female subjects,
  • Known history of or active alcohol abuse or use of illicit drugs within 1 year prior to randomization,
  • Positive screening for human immunodeficiency virus antibodies, hepatitis B surface antigen, or hepatitis C virus antibodies,
  • Any major surgical procedure within 1 month prior to screening or planned surgical procedure during the study period,
  • Other medical or psychiatric condition which, in the opinion of the Investigator, would place the subject at increased risk or would preclude obtaining voluntary consent/assent or would confound the secondary objectives of study.

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

United States5 sites
  • Pinnacle Research Group, LLC

    Anniston, Alabama, 36207

  • Cardiology Associates Research Company

    Daytona Beach, Florida, 32117

  • North Dallas Research Associates

    McKinney, Texas, 75069

  • Revivial Research

    Miami, Florida, 33173

  • Phoenix Medical Research

    Peoria, Arizona, 85381

Other trials in United States

About this study

Official title: Randomized, Double-blind, Placebo-controlled, Multiple-Dose, Study to Assess the Safety, Tolerability, PK and PD After 4 Weeks of Once Weekly Sc. Inj. of PB1046 in Adults With Stable HFrEF, and in Subjects With Cardiac Dysfunction Secondary to DMD

This study will be a sequential multiple-dose escalation study that will enroll (randomize and dose) approximately 28 subjects in four cohorts consisting of 3 active and 1 placebo in Cohort 1 and 6 active and 2 placebo in subsequent cohorts. Randomized subjects will receive a fixed weekly dose of study drug or placebo for a 4 week dosing period.

Read the detailed description

Qualifying subjects will have a diagnosis of NYHA Class II or III heart failure with a reduced ejection fraction (HFrEF), be in stable condition, and be taking clinician-directed appropriate pharmacological therapy (e.g., angiotensin converting enzyme inhibitors, angiotensin receptor blockers or an evidence based beta blocker) for heart failure at stable doses (with the exception of diuretics) for at least 1 month prior to screening.

During the period between screening and randomization (planned first dose), the study subject will remain on stable pharmacological therapy for heart failure. Also the study subject will be in stable health with no hospitalizations or clinically significant acute illnesses between screening and randomization that would put the subject at increased risk for study participation.

Randomized subjects will receive a fixed weekly dose of study drug or placebo for a 4 week dosing period. Dose escalation in subsequent cohorts will continue if the safety and pharmacokinetic profile are deemed acceptable as assessed by the Study Review Committee.

Conditions
Heart Failure
Being tested
PB1046 Injection, Placebo Injection
Medical subject headings
Heart Failure

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PB1046 InjectionDrug

    Also called PB1046

    Four weekly subcutaneous injections of PB1046.

  • Placebo InjectionDrug

    Also called Placebo

    Four weekly subcutaneous injections of placebo.

Study groups in NCT02808585
Study groupRoleWhat they receive
PB1046 Injection, 0.2 mg/kgExperimentalFour weekly doses of PB1046 Injection, 0.2 mg/kg
Receives: Drug: PB1046 Injection
PB1046 Injection, 0.4 mg/kgExperimentalFour weekly doses of PB1046 Injection, 0.4 mg/kg
Receives: Drug: PB1046 Injection
PB1046 Injection, 0.6 mg/kgExperimentalFour weekly doses of PB1046 Injection, 0.6 mg/kg
Receives: Drug: PB1046 Injection
PB1046 Injection, 1.2 mg/kgExperimentalFour weekly doses of PB1046 Injection, 1.2 mg/kg
Receives: Drug: PB1046 Injection
Placebo ComparatorPlacebo comparatorFour weekly doses of Placebo (0.9% NaCl) Injection
Receives: Drug: Placebo Injection

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Telemetry

    Number of participants with rhythm abnormalities as assessed by continuous mobile telemetry monitoring.

    Measured: Up to six weeks starting 7 to 10 days before first dose.

  2. 12-Lead ECG Assessment - Incidence of Clinically Significant Findings

    Number of participants with a clinically significant change from baseline in 12-Lead ECG and presence of rhythm abnormalities and relationship to exposure of PB1046 compared to placebo

    Measured: Seven weeks starting the first week of dosing.

  3. 12-Lead ECG - Categorical Analysis of QT/QTc Interval - Participants With Clinically Significant Findings

    Number of participants with a clinically significant change from baseline in 12-Lead ECG and presence or absence of rhythm abnormalities and relationship to exposure of PB1046 compared to placebo

    Measured: Seven weeks starting the first week of dosing.

  4. Laboratory Parameters - Serum Chemistry - Participants With Clinically Significant Findings

    Number of participants with clinically significant changes from baseline in laboratory parameters (serum chemistry) and the relationship to PB1046 compared to placebo

    Measured: Eight weeks starting one week before first dose.

  5. Laboratory Parameters - Hematology - Participants With Clinically Significant Findings

    Number of participants with clinically significant changes from baseline in laboratory parameters (hematology) and the relationship to PB1046 compared to placebo

    Measured: Eight weeks starting one week before first dose.

  6. Laboratory Parameters - Urinalysis - Participants With Clinically Significant Findings

    Number of participants with clinically significant changes from baseline in laboratory parameters (urinalysis) and the relationship to PB1046 compared to placebo

    Measured: Eight weeks starting one week before first dose.

  7. Laboratory Parameters - eGFR

    Changes from baseline in laboratory parameters (eGFR) and the relationship to PB1046 compared to placebo.

    Calculated using Chronic Kidney Disease Epidemiology Collaboration Equation (CKD-EPI)

    Measured: Baseline, Week 2, 3, 4, 5 and 8.

  8. Laboratory Parameters - Lipid Profile - Participants With Clinically Significant Findings

    Number of participants with clinically significant changes from baseline in laboratory parameters (lipid profile) and the relationship to PB1046 compared to placebo

    Measured: Eight weeks starting one week before first dose (Baseline and at Week 8).

  9. Vital Signs - Systolic Blood Pressure

    Changes from baseline in vital signs (systolic blood pressure) and the relationship to PB1046 compared to placebo.

    Measured: Baseline, Day 0, Day 1, 2, 3, 5, 7, 14, 21, 22, 23, 24, 26, 28, 29, 30, 31, and 49.

  10. Vital Signs - Heart Rate

    Changes from baseline in vital signs (heart rate) and the relationship to PB1046 compared to placebo.

    Measured: Baseline, Day 0, Day 1, 2, 3, 5, 7, 14, 21, 22, 23, 24, 26, 28, 29, 30, 31, and 49.

  11. Vital Signs - Temperature

    Changes from baseline in vital signs (temperature) and the relationship to PB1046 compared to placebo.

    Measured: Baseline, Day 0, Day 1, 2, 3, 5, 7, 14, 21, 22, 23, 24, 26, 28, 29, 30, 31, and 49.

  12. Vital Signs - Respiratory Rate

    Changes from baseline in vital signs (respiratory rate) and the relationship to PB1046 compared to placebo.

    Measured: Baseline, Day 0, Day 1, 2, 3, 5, 7, 14, 21, 22, 23, 24, 26, 28, 29, 30, 31, and 49.

  13. Vital Signs - Diastolic Blood Pressure

    Changes from baseline in vital signs (systolic blood pressure) and the relationship to PB1046 compared to placebo.

    Measured: Baseline, Day 0, Day 1, 2, 3, 5, 7, 14, 21, 22, 23, 24, 26, 28, 29, 30, 31, and 49.

Secondary outcomes (8)
  1. Pharmacokinetic Profile - Area Under the Curve Over the Dosing Interval [AUC(0-t)]

    Comparison of dose exposures [AUC(0-t)] during once weekly administration of various doses of PB1046

    Measured: Pre-dose, Day 1 post-dose (1, 3, 24, 48, 72, 120 hours post-dose 1), Day 7, 14, 21 (1, 3, 24, 48, 72, 120 hours post-dose 4), Day 22, 23, 24, 26, 28, 29, 30, and 31.

  2. Pharmacokinetic Profile - Maximum Serum Concentration (Cmax)

    Comparison of dose exposures (Cmax) during once weekly administration of various doses of PB1046

    Measured: Pre-dose, Day 1 post-dose (1, 3, 24, 48, 72, 120 hours post-dose 1), Day 7, 14, 21 (1, 3, 24, 48, 72, 120 hours post-dose 4), Day 22, 23, 24, 26, 28, 29, 30, and 31.

  3. Pharmacokinetic Profile - Time to Cmax (Tmax)

    Comparison of dose exposures (Tmax) during once weekly administration of various doses of PB1046

    Measured: Pre-dose, Day 1 post-dose (1, 3, 24, 48, 72, 120 hours post-dose 1), Day 7, 14, 21 (1, 3, 24, 48, 72, 120 hours post-dose 4), Day 22, 23, 24, 26, 28, 29, 30, and 31.

  4. Pharmacokinetic Profile - Elimination Rate Constant (Lambda z)

    Comparison of dose exposures (lambda z) during once weekly administration of various doses of PB1046

    Measured: Pre-dose, Day 1 post-dose (1, 3, 24, 48, 72, 120 hours post-dose 1), Day 7, 14, 21 (1, 3, 24, 48, 72, 120 hours post-dose 4), Day 22, 23, 24, 26, 28, 29, 30, and 31.

  5. Pharmacokinetic Profile - Elimination Half-life (t½)

    Comparison of dose exposures (t½) during once weekly administration of various doses of PB1046

    Measured: Pre-dose, Day 1 post-dose (1, 3, 24, 48, 72, 120 hours post-dose 1), Day 7, 14, 21 (1, 3, 24, 48, 72, 120 hours post-dose 4), Day 22, 23, 24, 26, 28, 29, 30, and 31.

  6. Pharmacokinetic Profile - Clearance (CL/F), Uncorrected for Bioavailability

    Comparison of dose exposures (CL/F) during once weekly administration of various doses of PB1046

    Measured: Pre-dose, Day 1 post-dose (1, 3, 24, 48, 72, 120 hours post-dose 1), Day 7, 14, 21 (1, 3, 24, 48, 72, 120 hours post-dose 4), Day 22, 23, 24, 26, 28, 29, 30, and 31.

  7. Pharmacokinetic Profile - Volume of Distribution (Vz/F), Uncorrected for Bioavailability (F)

    Comparison of dose exposures (Vz/F) during once weekly administration of various doses of PB1046

    Measured: Pre-dose, Day 1 post-dose (1, 3, 24, 48, 72, 120 hours post-dose 1), Day 7, 14, 21 (1, 3, 24, 48, 72, 120 hours post-dose 4), Day 22, 23, 24, 26, 28, 29, 30, and 31.

  8. Immunogenicity

    Number of participants reporting positive immunogenicity (four-fold increase of pre-dose titer)

    Measured: Eleven weeks starting the first week of dosing.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Jun 2016 (estimated)
  2. Study startJun 2016
  3. Primary completion6 Dec 2017
  4. Study completion6 Dec 2017

Resources

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
Sequential
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
29 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02808585
Sponsor's protocol ID
PB1046-PT-CL-0003-P1
Status last verified
Jun 2022
First submitted
8 Jun 2016
Last updated
14 Jul 2022
Data monitoring committee
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing PB1046 Injection in people with Heart Failure, run by PhaseBio Pharmaceuticals Inc. at 5 sites in United States.

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 10 inclusion and 16 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 14 Jul 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in United States. 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?

Yes. Results are posted in the registry (first posted 14 Jul 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Telemetry (time frame: Up to six weeks starting 7 to 10 days before first dose.). The study lists 13 primary outcomes in all. 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 14 Jul 2022; AzTrials last refreshed its copy on 6 Nov 2026.

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