Clinical Trial Results:
A Two Part, Phase 2 Open-label, Multi-Centre, Dose Escalation Hemodynamic Study to Evaluate Dose-Response and Safety of Inhaled LIQ861 (Treprostinil) in Pulmonary Arterial Hypertension (WHO Group 1) Subjects
Summary
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EudraCT number |
2018-003414-40 |
Trial protocol |
DE FR |
Global end of trial date |
12 May 2021
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Results information
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Results version number |
v1(current) |
This version publication date |
25 Aug 2022
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First version publication date |
25 Aug 2022
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Other versions |
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Summary report(s) |
LTI-201 Summary |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
LTI-201
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
- | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
Liquidia Technologies, Inc
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Sponsor organisation address |
419 Davis Dr., Suite 100, Morrisville, NC, United States, 27560
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Public contact |
Liquidia Technologies Headquarters, Liquidia Technologies, Inc., +1 919 328-4400, ClinicalTrials@liquidia.com
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Scientific contact |
Liquidia Technologies Headquarters, Liquidia Technologies, Inc., +1 919 328-4400, ClinicalTrials@liquidia.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
26 Oct 2021
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
12 May 2021
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Global end of trial reached? |
Yes
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Global end of trial date |
12 May 2021
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Was the trial ended prematurely? |
Yes
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General information about the trial
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Main objective of the trial |
The primary objective of this study is to characterize hemodynamic dose-response relationships for LIQ861.
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Protection of trial subjects |
Subject signed Informed Consent; Protocol was approved by Ethic Committees and Regulatory Authorities and we adhered to all ICH guidelines.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
02 Jan 2019
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Germany: 15
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Worldwide total number of subjects |
15
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EEA total number of subjects |
15
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
11
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From 65 to 84 years |
4
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85 years and over |
0
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Recruitment
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Recruitment details |
Patients in the LTI-201 study were from PAH centers in France (enrolled 0) and Germany (enrolled 15) from October 30, 2019 (first patient screened) thru December 7, 2020 (last patient screened). | |||||||||||||||
Pre-assignment
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Screening details |
The following screening assessments were performed to assess eligibility criteria: Record medical history, demographics, conmeds, vital signs, functional class assessment, height and weight. Blood was drawn for laboratory assessment and pulmonary function testing performed. 6 Minute Walk test was collected for study eligibility. | |||||||||||||||
Period 1
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Period 1 title |
Part A
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Is this the baseline period? |
Yes | |||||||||||||||
Allocation method |
Not applicable
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Blinding used |
Not blinded | |||||||||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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Cohort 1 - Day 1 | |||||||||||||||
Arm description |
Cohort 1 - Day 1 received 5 mg of LIQ861 | |||||||||||||||
Arm type |
Experimental | |||||||||||||||
Investigational medicinal product name |
treprostinil
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Investigational medicinal product code |
LIQ861 5 mg
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Other name |
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Pharmaceutical forms |
Capsule
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Routes of administration |
Inhalation use
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Dosage and administration details |
Dosage: LIQ861 5 mg capsule contains 26.5 mcg treprostinil
Mode of administration: dry powder inhalation by using the RS00 Model 8 dry-powder inhaler
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Arm title
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Cohort 2 - Day 1 | |||||||||||||||
Arm description |
LIQ861 10 mg Day 1 | |||||||||||||||
Arm type |
Experimental | |||||||||||||||
Investigational medicinal product name |
treprostinil
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Investigational medicinal product code |
LIQ861 10 mg
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Other name |
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Pharmaceutical forms |
Capsule
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Routes of administration |
Inhalation use
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Dosage and administration details |
Dosage: LIQ861 10 mg capsule contains 53 mcg treprostinil
Mode of administration: dry powder inhalation by using the RS00 Model 8 dry-powder inhaler
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Period 2
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Period 2 title |
Part B
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Is this the baseline period? |
No | |||||||||||||||
Allocation method |
Not applicable
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Blinding used |
Not blinded | |||||||||||||||
Arms
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Are arms mutually exclusive |
No
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Arm title
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Cohort 2 - Day 1 | |||||||||||||||
Arm description |
LIQ861 10 mg Day 1 | |||||||||||||||
Arm type |
Experimental | |||||||||||||||
Investigational medicinal product name |
treprostinil
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Investigational medicinal product code |
LIQ861 10 mg
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Other name |
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Pharmaceutical forms |
Capsule
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Routes of administration |
Inhalation use
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Dosage and administration details |
Dosage: LIQ861 10 mg capsule contains 53 mcg treprostinil
Mode of administration: dry powder inhalation by using the RS00 Model 8 dry-powder inhaler
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Arm title
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Cohort 2 - Week 16 | |||||||||||||||
Arm description |
LIQ861 10 mg - Week 16 | |||||||||||||||
Arm type |
Experimental | |||||||||||||||
Investigational medicinal product name |
treprostinil
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Investigational medicinal product code |
LIQ861
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Other name |
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Pharmaceutical forms |
Capsule
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Routes of administration |
Inhalation use
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Dosage and administration details |
Dosage: Subjects titrated to symptom relief (dosed between 5 mg and 30 mg LIQ861)
Mode of administration: dry powder inhalation by using the RS00 Model 8 dry-powder inhaler
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End points reporting groups
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Reporting group title |
Cohort 1 - Day 1
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Reporting group description |
Cohort 1 - Day 1 received 5 mg of LIQ861 | ||
Reporting group title |
Cohort 2 - Day 1
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Reporting group description |
LIQ861 10 mg Day 1 | ||
Reporting group title |
Cohort 2 - Day 1
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Reporting group description |
LIQ861 10 mg Day 1 | ||
Reporting group title |
Cohort 2 - Week 16
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Reporting group description |
LIQ861 10 mg - Week 16 | ||
Subject analysis set title |
Cohort 1
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Subject analysis set type |
Full analysis | ||
Subject analysis set description |
Group of patient's dosed with 5 mg of LIQ861
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Subject analysis set title |
Cohort 2
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Subject analysis set type |
Per protocol | ||
Subject analysis set description |
Subjects received 10 mg of LIQ861. Only Day 1 data is available as study was terminated early.
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End point title |
Pulmonary Vascular Resistance - Day 1 [1] | ||||||||||||
End point description |
The change in PVR measured from Baseline (pre-dose) to maximal response (eMAX) at Day 1 will be considered the primary efficacy endpoint.
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End point type |
Primary
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End point timeframe |
Day 1
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Notes [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: No formal statistical testing was done. All variables were analyzed descriptively, ie, continuous variables by summary statistics and categorical variables by frequency tables using number and percentage of subjects. |
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No statistical analyses for this end point |
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End point title |
Incidence and Severity of AEs [2] | |||||||||
End point description |
The primary safety endpoint in Parts A and B and the open-label extension period will be the incidence and severity of AEs and Serious Adverse Events (SAEs) grouped by Medical Dictionary for Regulatory Activities (MedDRA) System Organ Class, dose level, time on drug, and relationship to dose.
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End point type |
Primary
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End point timeframe |
Safety endpoints changes from Day 1 to end of treatment.
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Notes [2] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: No formal statistical testing was done. All variables were analyzed descriptively, ie, continuous variables by summary statistics and categorical variables by frequency tables using number and percentage of subjects. |
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No statistical analyses for this end point |
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End point title |
Pulmonary Vascular Resistance - Week 16 [3] | ||||||||
End point description |
The change in PVR measured from Baseline (pre-dose) to maximal response (eMAX) at Week 16 will be considered the primary efficacy endpoint.
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End point type |
Primary
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End point timeframe |
Week 16
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Notes [3] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: No formal statistical testing was done. All variables were analyzed descriptively, ie, continuous variables by summary statistics and categorical variables by frequency tables using number and percentage of subjects. |
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No statistical analyses for this end point |
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End point title |
Mean Pulmonary Arterial Pressure - Day 1 | ||||||||||||
End point description |
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End point type |
Other pre-specified
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End point timeframe |
Day 1
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No statistical analyses for this end point |
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End point title |
PK Parameters: Cmax | ||||||||||||
End point description |
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End point type |
Other pre-specified
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End point timeframe |
Day 1
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No statistical analyses for this end point |
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End point title |
PK Parameters: AUC (tau) | ||||||||||||
End point description |
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End point type |
Other pre-specified
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End point timeframe |
Day 1
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No statistical analyses for this end point |
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End point title |
Mean Pulmonary Arterial Pressure - Week 16 | ||||||||
End point description |
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End point type |
Other pre-specified
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End point timeframe |
Week 16
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No statistical analyses for this end point |
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Adverse events information
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Timeframe for reporting adverse events |
Day 1 to 30 days after end of treatment.
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Assessment type |
Systematic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
22.1
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Reporting groups
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Reporting group title |
Cohort 1
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Reporting group description |
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Reporting group title |
Cohort 2
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Reporting group description |
- | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 0% | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? No | |||
Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
The study was prematurely terminated due to the impact of COVID on recruitment. Due to the early termination, only the first two cohorts were enrolled and the LIQ861 dose of subjects in Part B was down titrated at the investigator's discretion. |