Clinical Trial Results:
A Double-Blind, Randomised, Placebo-Controlled, Parallel-Group Study of AP30663 Given Intravenously for Cardioversion in Patients with Atrial Fibrillation
Summary
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EudraCT number |
2018-004445-17 |
Trial protocol |
DK HU |
Global end of trial date |
23 Jan 2023
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Results information
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Results version number |
v1(current) |
This version publication date |
08 Dec 2023
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First version publication date |
08 Dec 2023
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Other versions |
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 |
AP30663-2001
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT04571385 | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
Acesion Pharma
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Sponsor organisation address |
Ole Maaløes Vej 3 , Copenhagen N, Denmark, DK-2200
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Public contact |
Birgitte Vestbjerg, Acesion Pharma ApS, +45 20772575, bve@acesionpharma.com
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Scientific contact |
Birgitte Vestbjerg, Acesion Pharma ApS, +45 20772575, bve@acesionpharma.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 |
23 Jan 2023
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Is this the analysis of the primary completion data? |
No
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Global end of trial reached? |
Yes
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Global end of trial date |
23 Jan 2023
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
The primary objective of the study is to demonstrate efficacy of AP30663 on the basis of the ability to convert atrial fibrillation (AF) following intravenous administration.
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Protection of trial subjects |
This study was conducted in accordance with the accepted version of the Declaration of Helsinki in compliance with International Council for Harmonisation (ICH) good clinical practice (GCP) guidelines, and according to the appropriate regulatory requirements in the countries where the study was conducted.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
09 Sep 2019
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
Yes
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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 |
Denmark: 1
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Country: Number of subjects enrolled |
Hungary: 65
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Worldwide total number of subjects |
66
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EEA total number of subjects |
66
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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) |
27
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From 65 to 84 years |
39
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85 years and over |
0
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Recruitment
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Recruitment details |
The study was conducted at 8 active sites in 2 countries (Denmark and Hungary) from 09 September 2019 to 23 January 2023. | ||||||||||||||||||||||||
Pre-assignment
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Screening details |
A total of 66 subjects were enrolled, of which 63 subjects received the study treatment in 2 parts. Part 1 consists of Placebo and AP30663 (3 milligrams per kilogram [mg/kg]) and part 2 consist of Placebo and AP30663 (5 mg/kg). As per pre-specified analysis, pooled data for placebo arm of both Part 1 and 2 was analysed in the study. | ||||||||||||||||||||||||
Period 1
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Period 1 title |
Overall Study (overall period)
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Is this the baseline period? |
Yes | ||||||||||||||||||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Double blind | ||||||||||||||||||||||||
Roles blinded |
Subject, Investigator, Carer, Assessor | ||||||||||||||||||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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Part 1 and 2: Pooled Placebo | ||||||||||||||||||||||||
Arm description |
Subjects received a single intravenous (IV) infusion of AP30663-matched placebo for 30 minutes on Day 1 in both Part 1 and 2. | ||||||||||||||||||||||||
Arm type |
Placebo | ||||||||||||||||||||||||
Investigational medicinal product name |
Placebo
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Solution for infusion
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Routes of administration |
Intravenous use
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Dosage and administration details |
Subjects received AP30663-matched placebo in both Part 1 and 2.
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Arm title
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Part 1: AP30663 3mg/kg | ||||||||||||||||||||||||
Arm description |
Subjects received a single IV infusion of AP30663 3mg/kg for 30 minutes on Day 1 in Part 1. | ||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||
Investigational medicinal product name |
AP30663
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Concentrate for solution for infusion
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Routes of administration |
Intravenous use
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Dosage and administration details |
Subjects received AP30663 3mg/kg intravenous infusion in Part 1.
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Arm title
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Part 2: AP30663 5mg/kg | ||||||||||||||||||||||||
Arm description |
Subjects received a single IV infusion of AP30663 5mg/kg for 30 minutes on Day 1 in Part 2. | ||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||
Investigational medicinal product name |
AP30663
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Concentrate for solution for infusion
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Routes of administration |
Intravenous use
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Dosage and administration details |
Subjects received AP30663 5mg/kg intravenous infusion in Part 2.
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Notes [1] - The number of subjects reported to be in the baseline period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same. Justification: Only treated subjects were considered for the baseline period. [2] - The number of subjects at this milestone seems inconsistent with the number of subjects in the arm. It is expected that the number of subjects will be greater than, or equal to the number that completed, minus those who left. Justification: FAS included all randomized subjects who were administered double-blind study treatment and had an evaluable AF conversion status within 90 minutes from the start of infusion. [3] - The number of subjects at this milestone seems inconsistent with the number of subjects in the arm. It is expected that the number of subjects will be greater than, or equal to the number that completed, minus those who left. Justification: FAS included all randomized subjects who were administered double-blind study treatment and had an evaluable AF conversion status within 90 minutes from the start of infusion. [4] - The number of subjects at this milestone seems inconsistent with the number of subjects in the arm. It is expected that the number of subjects will be greater than, or equal to the number that completed, minus those who left. Justification: The PK Set included all subjects in the Safety Set who had at least one evaluable post-baseline drug concentration value. |
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Baseline characteristics reporting groups
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Reporting group title |
Part 1 and 2: Pooled Placebo
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Reporting group description |
Subjects received a single intravenous (IV) infusion of AP30663-matched placebo for 30 minutes on Day 1 in both Part 1 and 2. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Part 1: AP30663 3mg/kg
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Reporting group description |
Subjects received a single IV infusion of AP30663 3mg/kg for 30 minutes on Day 1 in Part 1. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Part 2: AP30663 5mg/kg
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Reporting group description |
Subjects received a single IV infusion of AP30663 5mg/kg for 30 minutes on Day 1 in Part 2. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
Part 1 and 2: Pooled Placebo
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Reporting group description |
Subjects received a single intravenous (IV) infusion of AP30663-matched placebo for 30 minutes on Day 1 in both Part 1 and 2. | ||
Reporting group title |
Part 1: AP30663 3mg/kg
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Reporting group description |
Subjects received a single IV infusion of AP30663 3mg/kg for 30 minutes on Day 1 in Part 1. | ||
Reporting group title |
Part 2: AP30663 5mg/kg
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Reporting group description |
Subjects received a single IV infusion of AP30663 5mg/kg for 30 minutes on Day 1 in Part 2. |
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End point title |
Percentage of Subjects Who Converted From Atrial Fibrillation (AF) Within 90 Minutes From Start of Infusion and Subsequently Had no AF Recurrence Within 1 Minute of Conversion From AF [1] | ||||||||||||||||
End point description |
The 12-lead Holter monitoring equipment was used to monitor heart rate and its rhythm. Electrocardiogram (ECG) was performed in a standardized manner after the subject had rested in the semi-supine position for at least 5 minutes. Conversion from AF to normal sinus rhythm within 90 minutes from start of infusion was determined by the investigator and documented with a rhythm strip confirming conversion. Percentages were based on “number of subjects converted from atrial fibrillation and absence of recurrence of AF within 1 minute of conversion” divided by “total number of subjects” *100 in each treatment group. Analysis was performed based on Bayesian model. Full Analysis Set included all randomized subjects who were administered double-blind study treatment and had an evaluable AF conversion status within 90 minutes from the start of infusion.
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End point type |
Primary
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End point timeframe |
Within 90 minutes from the start of infusion (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: A Bayesian analysis was performed for this endpoint, however the results from this cannot be reported in the system. |
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No statistical analyses for this end point |
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End point title |
Time to Conversion From Atrial Fibrillation From Start of Infusion | ||||||||||||||||
End point description |
The 12-lead Holter monitoring equipment was used to monitor heart rate and its rhythm. ECG was performed in a standardized manner after the participant had rested in the semi-supine position for at least 5 minutes. Time to conversion (in minutes) was calculated by time of conversion or censoring minus time of start of infusion. Full Analysis Set included all randomized subjects who were administered double-blind study treatment and had an evaluable AF conversion status within 90 minutes from the start of infusion. Here, “number of subjects analysed” signifies those subjects were evaluable for this endpoints.
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End point type |
Secondary
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End point timeframe |
From start of infusion (Day 1) up to Day 2
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Notes [2] - No subjects had conversion from AF to normal rhythm in placebo arm. |
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No statistical analyses for this end point |
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End point title |
Percentage of Subjects With Relapse of AF Within 5 Minutes (IRAF) After Pharmacological or Direct Current (DC) Cardioversion | ||||||||||||||||
End point description |
The 12-lead Holter monitoring equipment was used to monitor heart rate and its rhythm. ECG was performed in a standardized manner after the subjects had rested in the semi-supine position for at least 5 minutes. Subjects with relapse of AF within 5 minutes following pharmacological or DC cardioversion was presented by treatment and analyzed using a logistic regression model. Percentages were based on “number of subjects with relapse of AF within 5 minutes after Pharmacological or DC cardioversion” divided by “total number of subjects” *100 in each treatment group. Full Analysis Set included all randomized subjects who were administered double-blind study treatment and had an evaluable AF conversion status within 90 minutes from the start of infusion
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End point type |
Secondary
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End point timeframe |
Within 5 minutes after cardioversion (Day 1)
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No statistical analyses for this end point |
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End point title |
Percentage of Subjects With Sinus Rhythm (SR) at 3 Hours, 24 Hours and Day 30 After Start of Infusion | ||||||||||||||||||||||||||||
End point description |
The 12-lead Holter monitoring equipment was used to monitor heart rate and its rhythm. ECG was performed in a standardized manner that the subject had rested in the semi-supine position for at least 5 minutes. Percentage of subjects in SR was assessed from Holter ECGs at 3 hours, 24 hours and Day 30 after start of infusion. Percentages were based on “number of subjects in SR at 3 hours, 24 hours and Day 30 after start of infusion” divided by “total number of subjects” *100 in each treatment group. Full Analysis Set included all randomized subjects who were administered double-blind study treatment and had an evaluable AF conversion status within 90 minutes from the start of infusion. Here, "number of subjects analysed" signifies subjects who were evaluable for this endpoint and "n" signifies to subjects evaluable at given timepoints.
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End point type |
Secondary
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End point timeframe |
At 3 hours, 24 hours and Day 30 after start of Infusion (Day 1)
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No statistical analyses for this end point |
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End point title |
Number of Subjects With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs | ||||||||||||||||||||
End point description |
An adverse event (AE) is any untoward medical occurrence in a clinical study subject, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. TEAEs are defined as any AE occurring or worsening on or after the first dose of study medication. A serious adverse event (SAE) is defined as any serious adverse event that, at any dose: results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, significant medical events that may jeopardize the subject or require medical or surgical intervention to prevent one of the other outcomes listed before. TEAEs include both serious and non-serious adverse events. Safety set included all randomized subjects who were administered double-blind study treatment. Subjects analysed according to the treatment
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End point type |
Secondary
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End point timeframe |
From start of infusion (Day 1) up to follow-up (Day 35)
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No statistical analyses for this end point |
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End point title |
Changes From Baseline in Fridericia’s Correction of QT Interval (ΔQTcF) Interval Data Over Time | ||||||||||||||||||||||||||||||||||||
End point description |
QTcF was assessed based on 12-lead Holter monitoring equipment. Triplicate ECGs were extracted at the same time points as PK sampling and were read in a semi-automated manner by a blinded cardiologist. The subject rested in the semi-supine position for at least 5 minutes at ECG extraction timepoints. Change from baseline was estimated based on a linear mixed-effects model: ΔQTcF = Time + Treatment + Time*Treatment + Baseline QTcF. All randomized subjects who were administered double-blind study treatment and with measurements at baseline as well as on-treatment with at least 1 post-dose time point with a valid ΔQTcF value. Subjects were analyzed according to the treatment received. Here, "n" signifies to subjects evaluable at given timepoints. Here, “99999” refers no subject is available at 2-hours post-dose sample.
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End point type |
Secondary
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End point timeframe |
Baseline, 15 minutes, 45 minutes, 2 hours, 8 hours and 24 hours post-dose
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No statistical analyses for this end point |
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End point title |
Maximum Observed Peak Plasma Concentration (Cmax) of AP30663 [3] | ||||||||||||
End point description |
Cmax was defined as the maximum observed peak plasma concentration of a drug after administration, obtained directly from the plasma concentration-time curve. Blood samples were collected at indicated timepoints. Pharmacokinetics (PK) was conducted using standard noncompartmental method. The PK Set included all subjects in the Safety Set who had at least one evaluable post-baseline drug concentration value.
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End point type |
Secondary
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End point timeframe |
Baseline (pre-infusion) and at 5, 15, 25, 30, 45 minutes, 1 hour, 1.5 hours, 4 hours, 8 hours and 24 hours post-infusion
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Notes [3] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Pk data was evaluated only for AP30663. |
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No statistical analyses for this end point |
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End point title |
Time to Reach Peak Plasma Concentration (Tmax) of AP30663 [4] | ||||||||||||
End point description |
Tmax was directly determined from concentration time data. Blood samples were collected at indicated timepoints. Pharmacokinetics was conducted using standard noncompartmental method. The PK Set included all subjects in the Safety Set who had at least one evaluable post-baseline drug concentration value.
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End point type |
Secondary
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End point timeframe |
Baseline (pre-infusion) and at 5, 15, 25, 30, 45 minutes, 1 hour, 1.5 hours, 4 hours, 8 hours and 24 hours post-infusion
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Notes [4] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Pk data was evaluated only for AP30663. |
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No statistical analyses for this end point |
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End point title |
Terminal Half Life of (T1/2) of AP30663 [5] | ||||||||||||
End point description |
T1/2 was calculated as loge (2) per elimination rate constant (kel), where kel is the terminal phase rate constant calculated by a linear regression of the log-linear concentration-time curve. Blood samples were collected at indicated timepoints. Pharmacokinetics was conducted using standard noncompartmental method. The PK Set included all subjects in the Safety Set who had at least one evaluable post-baseline drug concentration value. Here, "number of subjects analysed" signifies subjects who were evaluable for this endpoint
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End point type |
Secondary
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End point timeframe |
Baseline (pre-infusion) and at 5, 15, 25, 30, 45 minutes, 1 hour, 1.5 hours, 4 hours, 8 hours and 24 hours post-infusion
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Notes [5] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Pk data was evaluated only for AP30663. |
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No statistical analyses for this end point |
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End point title |
Area Under the Concentration Time Curve From Pre-dose Concentration up to 30 Minutes (AUC0-0.5) of AP30663 [6] | ||||||||||||
End point description |
AUC0-0.5 was defined as area under the concentration time curve from pre-dose concentration up to 30 minutes. Blood samples were collected at indicated timepoints. Pharmacokinetics was conducted using standard noncompartmental method. The PK Set included all subjects in the safety set who had at least one evaluable post-baseline drug concentration value.
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End point type |
Secondary
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End point timeframe |
Baseline (pre-infusion) and at 5, 15, 25, 30 minutes post-infusion
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Notes [6] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Pk data was evaluated only for AP30663. |
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No statistical analyses for this end point |
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End point title |
Area Under the Concentration Time Curve up to the Last Measurable Concentration (AUC0-t) of AP30663 [7] | ||||||||||||
End point description |
AUC0-t was defined as area under the concentration-time curve from time zero to time of last measurable concentration. Blood samples were collected at indicated timepoints. Pharmacokinetics was conducted using standard noncompartmental method. The PK Set included all subjects in the safety set who had at least one evaluable post-baseline drug concentration value.
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End point type |
Secondary
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End point timeframe |
Baseline (pre-infusion) and at 5, 15, 25, 30, 45 minutes, 1 hour, 1.5 hours, 4 hours, 8 hours and 24 hours post-infusion
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Notes [7] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Pk data was evaluated only for AP30663. |
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No statistical analyses for this end point |
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End point title |
Area Under the Concentration-Time Curve From Pre-dose (Zero) Through Concentration to Infinity (AUC0-inf) of AP30663 [8] | ||||||||||||
End point description |
AUC0-inf was defined as area under the concentration time curve from pre-dose through concentration to infinity (extrapolated), calculated as AUC0-t + Ct/Kel, where Ct is the last observed non-zero concentration. Blood samples were collected at indicated timepoints. Pharmacokinetics was conducted using standard noncompartmental method. The PK Set included all subjects in the safety set who had at least one evaluable post-baseline drug concentration value. Here, “number of subjects analysed” signifies those subjects were evaluable for this endpoint.
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End point type |
Secondary
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End point timeframe |
Baseline (pre-infusion) and at 5, 15, 25, 30, 45 minutes, 1 hour, 1.5 hours, 4 hours, 8 hours and 24 hours post-infusion
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Notes [8] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Pk data was evaluated only for AP30663. |
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No statistical analyses for this end point |
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End point title |
Elimination Rate Constant (Kel) of AP30663 [9] | ||||||||||||
End point description |
Kel represents the fraction of drug eliminated per unit of time. Elimination rate constant was calculated using linear regression on the terminal portion of the log-linear concentration versus time curve. Blood samples were collected at indicated timepoints. Pharmacokinetics was conducted using standard noncompartmental method. The PK Set included all subjects in the safety set who had at least one evaluable post-baseline drug concentration value. Here, “number of subjects analysed” signifies those subjects were evaluable for this endpoint.
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End point type |
Secondary
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End point timeframe |
Baseline (pre-infusion) and at 5, 15, 25, 30, 45 minutes, 1 hour, 1.5 hours, 4 hours, 8 hours and 24 hours post-infusion
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Notes [9] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period. Justification: Pk data was evaluated only for AP30663. |
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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 |
From start of infusion (Day 1) up to follow-up (Day 35)
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Adverse event reporting additional description |
Safety set included all randomized subjects who were administered double-blind study treatment and had analyzed according to the treatment received.
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Assessment type |
Non-systematic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
24.1
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Reporting groups
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Reporting group title |
Part 1 and 2: Pooled Placebo
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Reporting group description |
Subjects received a single IV infusion of AP30663 matched placebo for 30 minutes on Day 1 in both Part 1 and 2. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Part 1: AP30663 3mg/kg
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Reporting group description |
Subjects received a single IV infusion of AP30663 3mg/kg for 30 minutes on Day 1 in Part 1. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Part 2: AP30663 5mg/kg
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Reporting group description |
Subjects received a single IV infusion of AP30663 5mg/kg for 30 minutes on Day 1 in Part 2. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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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? Yes | |||
Date |
Amendment |
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03 Feb 2020 |
Amendment 1:
• Update to study design to include adaptive design as Part 2 of the study and corresponding updates to sample size and addition of the new AP30663 doses relevant for Part 2.
• Addition of criteria for interim analyses.
• Updates to the study objectives to reflect that the assessments were pertaining to 1 or more dose levels of AP30663.
• Addition of details for the DMC activities during the Part 2 of the study.
• Update to the statistical analysis method for the primary endpoint.
• Additional clarification of study procedures, including updates to:
1. time points for collection of plasma samples
2. prior and concomitant medications
3. role of investigators in process of treatment discontinuation
4. study drug administration
5. ECG reading and extraction windows
6. instructions for assessing local infusion site reactions.
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01 Jun 2020 |
Amendment 2:
• Update to the study design for Part I of the study: Changed the number of subjects for the first interim analysis to be “up to” 36 randomised subjects, rather than 36 randomised subjects. Added explanation that interim analysis could be planned on a reduced cohort if preliminary blinded safety and efficacy data were sufficient for the DMC to provide a recommendation for Part 2.
• Clarification that “up to” 108 subjects were to be enrolled in Parts 1 and 2.
• Update to the exclusion criteria to exclude subjects with any malignant cancer within 3 years of signing ICF and to exclude subjects who used any antiarrhythmic drug class I and/or III within 6 months before randomisation.
• Update to the schedule of assessments and associated footnotes for clarification regarding testing TSH levels at screening visit, haematology and clinical chemistry testing at Day 1 visit, 12-lead 24-hour Holter (Day 2 stop continued assessment after the last PK sampling at 24 hours).
• Update to the patient discontinuation/withdrawal section for clarification which subjects were to be replaced and to remove reference to low potassium and magnesium levels at screening.
• Removal of retest of magnesium before randomisation.
• Addition of a washout period of 6 months before randomisation for antiarrhythmic class I and III drugs.
• Further administrative updates, minor clarifications and typographical and formatting changes that did not affect content. |
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23 Mar 2022 |
Amendment 3:
• Updates to the exclusion criteria 4, 13 18, 20, 21, 22, 26.
• Update to the introduction and study rationale with results of the completed phase 1 studies.
• Addition of a 2 hour-window for efficacy endpoint proportion of subjects in SR at 24 hours.
• Change from 24 hour-Holter ECG and 24 hour-telemetry to 8 hours post-infusion for both.
• Updates and clarifications regarding study procedures, assessment parameters and collection windows in schedule of assessment and associated footnotes as well as in procedure sections.
• Adjustment of the quality management and risk evaluation section.
• Addition of preinfusion ECG QTcF above 450 ms as withdrawal criterion.
• Updates to list of prohibited medications and associated washout periods.
• Addition of 1 coagulation parameter (INR or APTT) at screening.
• For AE collection, addition of reference to the Investigator’s Brochure (IB) section on guidance for the investigator. |
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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. | |||
None reported |