This Phase 2 study (EPIMODE) will evaluate the efficacy and safety of CS1 compared with placebo when added to standard-of-care therapy in participants with pulmonary arterial hypertension. Participants completing Treatment Period 1 (Week 36) will be re-randomized to continue or switch study treatment for Treatment Period 2 through Week 52.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
126
Change from baseline in pulmonary vascular resistance (PVR)
Pulmonary vascular resistance calculated from right heart catheterization measurements using the Thermodilution or Fick method for determination of cardiac output.
Time frame: Baseline to Week 36
Change from baseline in 6-minute walk distance (6MWD)
Time frame: Baseline to Week 36
Change from baseline in Registry to Evaluate Early and Long-term Pulmonary Arterial Hypertension Disease Management (REVEAL) Lite 2 score
Time frame: Baseline to Week 36
Change from baseline in REVEAL Risk Score (RRS) 2.0
Time frame: Baseline to Week 36
Change from baseline in tricuspid annular plane systolic excursion (TAPSE)
Time frame: Baseline to Week 36
Change from baseline in right ventricular (RV) strain
Time frame: Baseline to Week 36
Change from baseline in World Health Organization (WHO) Functional Class
WHO Functional Class ranges from Class I to Class IV, with lower class indicating better functional status.
Time frame: Baseline to Week 36
Percentage of participants with improvement in WHO Functional Class
WHO Functional Class ranges from Class I to Class IV, with lower class indicating better functional status.
Time frame: Week 36
Change from baseline in N-terminal pro-B-type natriuretic peptide (NT-proBNP) or B-type natriuretic peptide (BNP)
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Time frame: Baseline to Week 36
Change from baseline in mean pulmonary arterial pressure (mPAP)
Time frame: Baseline to Week 36
Change from baseline in cardiac output (CO)
Time frame: Baseline to Week 36
Percentage of participants with clinical worsening of pulmonary arterial hypertension (PAH)
Clinical worsening as defined in the study protocol.
Time frame: Week 36
Time to first clinical worsening event
Clinical worsening as defined in the study protocol.
Time frame: Baseline through Week 36
Change from baseline in PAH-SYMPACT (Pulmonary Arterial Hypertension Symptoms and Impact Questionnaire) domain scores
Domain scores assess symptoms and impacts of PAH; higher scores indicate greater symptom burden and disease impact.
Time frame: Baseline to Week 36
Change in 6MWD from Week 36
Time frame: Week 36 to Week 52
Change in TAPSE from Week 36
Time frame: Week 36 to Week 52
Change in RV strain from Week 36
Time frame: Week 36 to Week 52
Change in NT-proBNP or BNP from Week 36
Time frame: Week 36 to Week 52
Change in WHO Functional Class from Week 36
WHO Functional Class ranges from Class I to Class IV, with lower class indicating better functional status.
Time frame: Week 36 to Week 52
Change in REVEAL Lite 2 score from Week 36
Time frame: Week 36 to Week 52
Incidence of treatment-emergent adverse events (TEAEs)
Time frame: Up to Week 56
Incidence of serious adverse events (SAEs)
Time frame: Up to Week 56