This is a Phase 1B, randomized, participant- and investigator-blinded, placebo-controlled, multi-center clinical trial to evaluate the safety, pharmacokinetics (PK), pharmacodynamics (PD), and biomarkers of inhaled GB002 in adults with World Health Organization (WHO) Group 1 Pulmonary Arterial Hypertension (PAH).
The primary objective for this trial is to evaluate the safety and tolerability of GB002. The secondary objective for this trial is to evaluate the PK parameters of GB002. Exploratory objectives are to evaluate the PD readouts, change in WHO Group I functional class, and change in quality of life associated with GB002 treatment. In this Phase 1B study, two dose levels of GB002 will be tested in adult participants with PAH. Four participants in cohort 1 will be randomized to receive up to two daily doses of either active drug or placebo, with 3 subjects receiving GB002 and 1 subject receiving placebo. An additional 4 participants (3 active and 1 placebo) may be added to cohort 1 at the discretion of the Data Review Committee (DRC). The dose and dosing interval (i.e., once daily or twice daily) for the second cohort will be determined by review of the safety, tolerability, and drug levels in the blood from cohort 1. Cohort 2 participants will also be randomized such that 6 subjects receive GB002 and 2 subjects receive placebo. Eligible subjects who have completed the 2 week treatment period have the option to participate in a 24 week open label extension.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
8
UCSD Medical Center
La Jolla, California, United States
University of California Davis Medical Center
Sacramento, California, United States
University of Colorado Hospital
Number of participants with Treatment-Related Adverse Events GB002 (Main study)
To evaluate the safety and tolerability of GB002
Time frame: Up to 45 days
Number of participants with Treatment-Related Adverse Events GB002 (OLE study)
To evaluate the long-term safety and tolerability and efficacy of GB002
Time frame: Up to 200 days
Pharmacokinetics: Time to Reach Maximum Concentration (Tmax) of GB002 (Main study)
Time frame: 14 days
Pharmacokinetics: Maximum Concentration (Cmax) of GB002 (Main study)
Time frame: 14 days
Pharmacokinetics: Area Under the Concentration Curve (AUC) of GB002 (Main study)
Time frame: 14 days
Changes from baseline in 6-Minute Walk Test (6MWT) (OLE study)
Time frame: 169 days
Changes from baseline in WHO Functional Class (OLE study)
Time frame: 197 days
Changes from baseline in N-terminal pro B-type natriuretic peptide (NT-proBNP) (OLE study)
Time frame: 169 days
Changes from baseline in Pulmonary Arterial Hypertension - Symptoms and Impact (PAH-SYMPACT) Quality of Life questionnaire (OLE study)
Time frame: 197 days
Changes from baseline in Right Ventricular function by imaging (OLE study)
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Aurora, Colorado, United States
Yale New Haven Hospital
New Haven, Connecticut, United States
Mayo Clinic Florida
Jacksonville, Florida, United States
Norton Pulmonary Specialists
Louisville, Kentucky, United States
Brigham and Women's Hospital
Boston, Massachusetts, United States
Mayo Clinic
Rochester, Minnesota, United States
Duke Early Phase Research
Durham, North Carolina, United States
Cleveland Clinic Foundation
Cleveland, Ohio, United States
...and 4 more locations
Time frame: 169 days