This is an exploratory Phase 2a, randomized, double-blind, placebo-controlled, parallel-group, multicenter study to evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamic effects of RVT-1201 in patients with pulmonary arterial hypertension (PAH).
This is an exploratory Phase 2a, randomized, double-blind, placebo-controlled, parallel-group, multicenter study to evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamic effects of RVT-1201 in patients with pulmonary arterial hypertension (PAH). Study participation for each patient will last approximately 3 months and will consist of a screening period (up to 28 days in duration), a baseline period (day 1, pre-dose), a 6-week treatment period, and a 2-week follow-up period. The study will enroll approximately 36 patients at approximately 20 centers across the United States and Canada.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
3
Pulmonary Associates, PA
Phoenix, Arizona, United States
Adverse events (AEs) and discontinuations due to AEs
Incidence of treatment-emergent adverse events (TEAEs), drug-related adverse events (AEs), and discontinuations due to AEs
Time frame: 8 weeks
Concentration of biomarkers of serotonin biosynthesis in plasma
Absolute concentrations and percent change from baseline in plasma 5-hydroxyindoleacetic acid (5-HIAA) and plasma 5-hydroxytryptamine (5-HT, also known as serotonin) concentrations
Time frame: 8 weeks
Concentration of biomarkers of serotonin biosynthesis in urine
Concentration of urine 5-hydroxyindoleacetic acid (5-HIAA) will be normalized against urine creatinine concentration to determine absolute ratio and percent change from baseline in urine 5-HIAA:creatinine ratio
Time frame: 8 weeks
Study drug (RVT-1201) and active metabolite (KAR5417) plasma concentrations
Measured RVT-1201 and KAR5417 plasma concentrations from sparse sampling
Time frame: 6 weeks
Area under the plasma concentration versus time curve (AUC) of KAR5417 (the active metabolite of RVT-1201)
Measured KAR5417 plasma concentrations from sparse sampling will be used to assess the pharmacokinetic (PK) parameter AUC of KAR5417 administered twice daily in patients with PAH, by means of population PK (PopPK) analysis
Time frame: 6 weeks
Relationship between KAR5417 exposure and percent change from baseline in plasma concentrations of the serotonin-related biomarkers
Evaluate the relationship between exposure (area under the plasma concentration versus time curve \[AUC\]) of KAR5417 (the active metabolite of RVT-1201) and percent change from baseline in plasma concentrations of the serotonin-related biomarkers (5-HIAA and 5-HT)
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University of California Davis Medical Center
Sacramento, California, United States
SBPA Research LLC
Santa Barbara, California, United States
University of Colorado
Aurora, Colorado, United States
George Washington Medical Faculty Associates - Pulmonary Hypertension Program
Washington D.C., District of Columbia, United States
University of Florida
Gainesville, Florida, United States
San Marcus Research Clinic, Inc.
Miami Lakes, Florida, United States
Central Florida Pulmonary Group, P.A.
Orlando, Florida, United States
University of Chicago Medical Center
Chicago, Illinois, United States
Kentuckiana Pulmonary Research Center
Louisville, Kentucky, United States
...and 13 more locations
Time frame: 6 weeks
Relationship between KAR5417 exposure and percent change from baseline in urine concentrations of the serotonin-related biomarkers
Evaluate the relationship between exposure (area under the plasma concentration versus time curve \[AUC\]) of KAR5417 (the active metabolite of RVT-1201) and percent change from baseline in urine 5-HIAA:creatinine concentration ratio
Time frame: 6 weeks