AzTrials
AzTrials

Pulmonary Arterial HypertensionPhase 2VIPNCT03556020

Phase 2 Study to Assess Safety, Tolerability and Efficacy of Once Weekly SC Pemziviptadil (PB1046) in Subjects With Symptomatic PAH

A Phase 2 study testing Pemziviptadil (PB1046) in people with Pulmonary Arterial Hypertension, run by PhaseBio Pharmaceuticals Inc. at 26 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
Search all trials

Trial summary

This is a multi-center, randomized, double-blind, controlled, Phase 2 study to assess the safety, tolerability, and efficacy of pemziviptadil (PB1046) at the optimally titrated dose after 16 weeks of treatment. Read more about this study

Who is it for?
Ages 18 to 79 years
Conditions the study is for
Pulmonary Arterial Hypertension
What is being tested?
Pemziviptadil (PB1046)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
35 participants
Where
26 sitesUnited States
Study dates
15 Jul 2018to 7 Jan 2022
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 79 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male and female subjects with PAH, ≥18 and ≤ 79 years of age, who are symptomatic and have reduced exercise capacity due primarily to their PAH diagnosis and have been assessed by a qualified individual (i.e. physician, physician assistant, nurse practitioner) to be in NYHA/WHO functional class II or III;
  • Willing and able to sign a written informed consent prior to all study-related procedures;
  • Subjects with PAH belonging to one of the following subgroups of the Nice Clinical Classification of Pulmonary Hypertension Group 1: a. Idiopathic, b. Heritable, c. Drug or toxin-induced, d. Associated with connective tissue disease, HIV infection, portal hypertension, congenital heart disease (pulmonary-to-systemic shunt;
  • Two 6MWD test results > 50 m and < 550 m prior to randomization with results +/- 10% of each other. Note: Up to four tests may be conducted between Screening and Randomization for eligibility purposes;
  • Hemodynamic assessment of PAH demonstrating elevated mPAP and PVR as indicated below during the Screening Period: a. mean pulmonary artery pressure (mPAP) of ≥ 25 mmHg; and, b. pulmonary vascular resistance (PVR) ≥ 400 dyne•sec/cm5; and, c. pulmonary capillary wedge pressure (PCWP) or left ventricular end diastolic pressure (LVEDP) of ≤ 12 mmHg if PVR ≥ 400 and < 500 dynes•sec/cm5; or PCWP/LVEDP ≤ 15 mmHg if PVR ≥ 500 dynes•sec/cm5;
  • Body mass index ≥ 18 kg/m2 and ≤ 40 kg/m2 at screening;
Show all 10Show fewer
  • Meet the following criteria determined by pulmonary function tests completed no more than 24 weeks prior to screening: a. Forced expiratory volume in one second (FEV1) ≥ 55% of predicted normal, b. FEV1: FVC (forced vital capacity) ratio ≥ 0.60;
  • Agrees to use a medically acceptable method of contraception (both male and female patients) throughout the entire study period and continuing for 30 days after their last dose of study drug;
  • Stable background medical regimen of up to 3 oral PAH therapies for at least 30 days prior to Screening and having been on PAH therapy for at least 3 months;
  • If a subject has historical diagnosis (prior to screening visit) of being positive for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C virus (HCV), must be clinically stable and if on therapy, must be on stable therapy for HIV or HCV for at least 3 months; Willing and able to understand and follow instructions; return to the study unit for specified study visits; and able to participate in the study for the entire period.

Who cannot join

  • Concomitant medical disorder, condition, or history, that in the opinion of the Investigator would impair the subject's ability to participate in or complete the requirements of the study;
  • Concomitant medical disorder that is expected to limit the subject's life-expectancy to ≤ 1 year;
  • Pregnant or lactating female subjects;
  • First positive result from serology testing at visit 1 (screening labs) for HIV, HBsAg, or HCV prior to randomization;
  • Participation in another investigational drug study within 30 days prior to screening or participating in a non-medication study which, in the opinion of the Investigator, would interfere with the study compliance or outcome assessments;
  • Use of chronic subcutaneous prostanoid/prostacyclin therapy for PAH within 30 days prior to screening, including prostacyclin receptor agonists;
Show all 18Show fewer
  • More than mild mitral or aortic valve disease, left ventricular ejection fraction < 50%, or left ventricular regional wall motion abnormality suggestive of active coronary artery disease on documented 2D-echocardiography occurring within 12 months of Screening;
  • Sustained systolic blood pressure (SBP) < 95 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) at screening and prior to dosing, or overt symptomatic hypotension;
  • Sustained resting heart rate >110 beats per minute (BPM) (confirmed by duplicate assessments of office vital signs or consecutive ECG assessments) on at least 3 consecutive readings at screening and prior to dosing;
  • Clinically significant renal dysfunction at the Screening Visit as measured by the estimated glomerular filtration rate (eGFR)
  • Significant liver dysfunction as measured by any one of the following at screening: a. alanine aminotransferase (ALT) >3.0 times upper limit of normal (ULN) or; b. aspartate aminotransferase (AST) >3.0 times ULN or; c. serum bilirubin ≥ 1.6 mg/dL;
  • Known history of substance abuse within the past 1 year that in the opinion of the Investigator would impair the subject's ability to participate in or complete the requirements of the study;
  • Any major surgical procedure within 90 days prior to screening or planned surgical procedure during the study period;
  • Any in-patient hospitalization (defined as greater than 23 hours) within 30 days of subject screening;
  • Enrollment within the past 3 months prior to screening or plans to enroll during the study into a cardiopulmonary rehabilitation program;
  • 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 or would confound the objectives of study;
  • Known hypersensitivity to study drug or any of the excipients of the drug formulation;
  • More than two of the following: a. BMI > 35; b. Current atrial fibrillation; c. Current Diabetes Mellitus; d. Current hypertension; e. History of clinically significant coronary artery disease in prior 3 years.

Trial locations and contacts

26 sites in 1 country.

26 sites in 1 country

United States26 sites
  • The Emory Clinic

    Atlanta, Georgia, 30322

  • University of Colorado Denver

    Aurora, Colorado, 80045

  • Tufts University

    Boston, Massachusetts, 02111

  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115

  • University of Chicago

    Chicago, Illinois, 60637

  • The Linder Center for Resarch and Education at The Christ Hospital

    Cincinnati, Ohio, 45219

  • University of Cincinnati

    Cincinnati, Ohio, 45219

  • UT Southwestern Medical Center

    Dallas, Texas, 75390

  • University of Florida

    Gainesville, Florida, 32610

  • Memorial Hermann Hospital CRU affiliated with University of Texas Health Science Center at Houston - McGovern Medical School

    Houston, Texas, 77030

  • University of Iowa Hospitals & Clinics, Dept of Internal Medicine

    Iowa City, Iowa, 52242

  • University of Kansas Medical Center

    Kansas City, Kansas, 66160

  • University of California, San Diego (UCSD)

    La Jolla, California, 92037

  • University of Southern California, Keck School of Medicine

    Los Angeles, California, 90033

  • VA Greater Los Angeles Healthcare System

    Los Angeles, California, 90073

  • The University Miami Health Hospital

    Miami, Florida, 66160

  • IMC - Diagnostic & Medical Clinic, LLC

    Mobile, Alabama, 36604

  • NYU Langone Health

    New York, New York, 10016

  • INTEGRIS Baptist Medical Center

    Oklahoma City, Oklahoma, 73112

  • AdventHealth Orlando

    Orlando, Florida, 32803

  • Allegheny General Hospital

    Pittsburgh, Pennsylvania, 15212

  • UPMC Presbyterian Hospital

    Pittsburgh, Pennsylvania, 15213

  • University of Rochester Medical Center

    Rochester, New York, 14642

  • University of California-Davis

    Sacramento, California, 95817

  • Washington University School of Medicine

    St Louis, Missouri, 63110

  • Banner University Medical Center

    Tucson, Arizona, 85724

Other trials in United States

About this study

Official title: A Randomized, Double-Blind, Parallel Group, Phase 2 Study to Assess the Safety, Tolerability, and Efficacy of Once Weekly Subcutaneous (SC) Injections of a Sustained-Release Vasoactive Intestinal Peptide (VIP) Analogue, Pemziviptadil (PB1046), in Adult Subjects With Symptomatic Pulmonary Arterial Hypertension (PAH)

This is a multi-center, randomized, double-blind, controlled, Phase 2 study to assess the safety, tolerability, and efficacy of pemziviptadil (PB1046) at the optimally titrated dose after 16 weeks of treatment. Subjects will be randomized in a 2:1 ratio to one of two parallel dose groups: a) high-dose group where PB1046 will be up-titrated from a 0.2 mg/kg minimally effective starting dose to a target high dose level of at least 1.2 mg/kg or higher to a maximally tolerated dose (MTD), or b) a low-dose group that will start at 0.2 mg/kg and remain at this minimally effective dose (MED) level with sham up-titration. The total treatment period will be comprised of 2 phases: 1) an initial 10 week dose titration phase in which weekly doses of PB1046 will be titrated (or sham titrated) up to a target dose level of at least 1.2 mg/kg or higher to the MTD, and 2) a maintenance of treatment phase that begins when subjects reach week 11 and continues for 6 weeks during which no further up-titration should occur.

Read the detailed description

The primary safety and tolerability objectives will be assessed by investigating the incidence and severity of adverse events (AEs) as well as changes from baseline in vital signs, laboratory parameters, ECGs and their relationship to pemziviptadil (PB1046). The primary efficacy objective will be assessed by investigating the change in PVR derived from right heart catheterization (RHC). Secondary efficacy objectives will be assessed by investigating the impact of pemziviptadil (PB1046) on change from baseline in 6 minute walk distance (6MWD) test and NT-proBNP, a prognostic biomarker for PAH, in the two groups (comparing the MTD and MED groups) at the end of the treatment period. In addition, the effect of pemziviptadil (PB1046) on other cardiopulmonary hemodynamic parameters (e.g. CI, mPAP, mRAP, wedge pressure and SvO2) as measured by RHC will be assessed. Changes in BDI, HRQoL, and NYHA/WHO (New York Heart Association/World Health Organization) FC will also be assessed.

An independent Data Safety Monitoring Board (DSMB) will periodically assess safety, efficacy and biomarker data to independently assess the overall safety profile of pemziviptadil (PB1046), to help adjudicate potential dose-limiting toxicities, and to monitor the overall benefit risk profile of pemziviptadil (PB1046) during the study. The DSMB will review the safety and tolerability data after the first 10 subjects while recruitment is ongoing.

Being tested
Pemziviptadil (PB1046)
Medical subject headings
Pulmonary Arterial Hypertension

What participants receive

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

  • Pemziviptadil (PB1046)Drug

    Pemziviptadil (PB1046), Once Weekly Subcutaneous Injection

Study groups in NCT03556020
Study groupRoleWhat they receive
High Dose GroupExperimentalMaximally tolerated dose Drug: Pemziviptadil (PB1046), Once Weekly Subcutaneous Injection
Receives: Drug: Pemziviptadil (PB1046)
Low Dose GroupExperimentalMinimally effective dose Drug: Pemziviptadil (PB1046), Once Weekly Subcutaneous Injection
Receives: Drug: Pemziviptadil (PB1046)

What is being measured

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

  1. Incidence and severity of AEs

    Measured: 172 days - Starting up to 30 days prior to first dose and completing 28 days after last dose.

  2. Incidence of Clinical Laboratory Abnormalities

    Measured: 172 days - Starting up to 30 days prior to first dose and completing 28 days after last dose.

  3. Changes in Diastolic Blood Pressure

    Measured: 172 days - Starting up to 30 days prior to first dose and completing 28 days after last dose.

  4. Changes in Systolic Blood Pressure

    Measured: 172 days - Starting up to 30 days prior to first dose and completing 28 days after last dose.

  5. Changes in Oral Body Temperature

    Measured: 172 days - Starting up to 30 days prior to first dose and completing 28 days after last dose.

  6. Changes in Respiratory Rate

    Measured: 172 days - Starting up to 30 days prior to first dose and completing 28 days after last dose.

  7. Changes in Heart Rate

    Measured: 172 days - Starting up to 30 days prior to first dose and completing 28 days after last dose.

  8. 12-Lead ECG - Incidence of clinically significant findings

    Measured: 172 days - Starting up to 30 days prior to first dose and completing 28 days after last dose.

  9. Immunogenicity

    Measured: 172 days - Starting up to 30 days prior to first dose and completing 8 weeks after last dose. May be extended in the event that result does not return to baseline in time allotted.

  10. Change in baseline in pulmonary vascular resistance (PVR)

    Measured: 142 days - Pre-dose (up to 30 days prior to first dose) and post-dose 16.

Secondary outcomes (8)
  1. Change from baseline in 6MWD

    Measured: 142 days - Pre-dose (up to 30 days prior to first dose) and one week post-dose 16.

  2. Change from baseline in NT-proBNP

    Measured: 142 days - Pre-dose (up to 30 days prior to first dose) and one week post-dose 16.

  3. Change from baseline in cardiac index (CI)

    Measured: 142 days - Pre-dose (up to 30 days prior to first dose) and one week post-dose 16.

  4. Change from baseline in mean pulmonary artery pressure (mPAP)

    Measured: 142 days - Pre-dose (up to 30 days prior to first dose) and one week post-dose 16.

  5. Change from baseline in mean right atrial pressure (mRAP)

    Measured: 142 days - Pre-dose (up to 30 days prior to first dose) and one week post-dose 16.

  6. Change from baseline in wedge pressure

    Measured: 142 days - Pre-dose (up to 30 days prior to first dose) and one week post-dose 16.

  7. Change from baseline in mixed venous oxygen saturation (SvO2)

    Measured: 142 days - Pre-dose (up to 30 days prior to first dose) and one week post-dose 16.

  8. Change from baseline in pulmonary artery compliance

    Measured: 142 days - Pre-dose (up to 30 days prior to first dose) and one week post-dose 16.

Timeline

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

  1. First posted14 Jun 2018
  2. Study start15 Jul 2018
  3. Primary completion7 Jan 2022
  4. Study completion7 Jan 2022

Why it stopped: Terminated: Study drug resupply delayed (Covid-19)

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
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
35 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03556020
Sponsor's protocol ID
PB1046-PT-CL-0004
Acronym
VIP
Status last verified
Aug 2022
First submitted
1 Jun 2018
Last updated
23 Aug 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Pemziviptadil (PB1046) in people with Pulmonary Arterial Hypertension, run by PhaseBio Pharmaceuticals Inc. at 26 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 18 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: stopped early, as of the sponsor's last update on 23 Aug 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 26 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. 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 was stopped early (reason given: Terminated: Study drug resupply delayed (Covid-19)). Results are not available in the source record.

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?

Incidence and severity of AEs (time frame: 172 days - Starting up to 30 days prior to first dose and completing 28 days after last dose.). The study lists 10 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 23 Aug 2022.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in