Flag of the European Union EU Clinical Trials Register Help

Clinical trials

The European Union Clinical Trials Register   allows you to search for protocol and results information on:
  • interventional clinical trials that were approved in the European Union (EU)/European Economic Area (EEA) under the Clinical Trials Directive 2001/20/EC
  • clinical trials conducted outside the EU/EEA that are linked to European paediatric-medicine development

  • EU/EEA interventional clinical trials approved under or transitioned to the Clinical Trial Regulation 536/2014 are publicly accessible through the
    Clinical Trials Information System (CTIS).


    The EU Clinical Trials Register currently displays   43871   clinical trials with a EudraCT protocol, of which   7290   are clinical trials conducted with subjects less than 18 years old.   The register also displays information on   18700   older paediatric trials (in scope of Article 45 of the Paediatric Regulation (EC) No 1901/2006).

    Phase 1 trials conducted solely on adults and that are not part of an agreed paediatric investigation plan (PIP) are not publicly available (see Frequently Asked Questions ).  
     
    Examples: Cancer AND drug name. Pneumonia AND sponsor name.
    How to search [pdf]
    Search Tips: Under advanced search you can use filters for Country, Age Group, Gender, Trial Phase, Trial Status, Date Range, Rare Diseases and Orphan Designation. For these items you should use the filters and not add them to your search terms in the text field.
    Advanced Search: Search tools
     

    < Back to search results

    Download PDF

    Clinical Trial Results:
    A Double-Blind, Randomised, Placebo-Controlled, Parallel-Group Study of AP30663 Given Intravenously for Cardioversion in Patients with Atrial Fibrillation

    Summary
    EudraCT number
    2018-004445-17
    Trial protocol
    DK   HU  
    Global end of trial date
    23 Jan 2023

    Results information
    Results version number
    v1(current)
    This version publication date
    08 Dec 2023
    First version publication date
    08 Dec 2023
    Other versions

    Trial information

    Close Top of page
    Trial identification
    Sponsor protocol code
    AP30663-2001
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT04571385
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Acesion Pharma
    Sponsor organisation address
    Ole Maaløes Vej 3 , Copenhagen N, Denmark, DK-2200
    Public contact
    Birgitte Vestbjerg, Acesion Pharma ApS, +45 20772575, bve@acesionpharma.com
    Scientific contact
    Birgitte Vestbjerg, Acesion Pharma ApS, +45 20772575, bve@acesionpharma.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    23 Jan 2023
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    23 Jan 2023
    Was the trial ended prematurely?
    No
    General information about the trial
    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.
    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.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    09 Sep 2019
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Denmark: 1
    Country: Number of subjects enrolled
    Hungary: 65
    Worldwide total number of subjects
    66
    EEA total number of subjects
    66
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    27
    From 65 to 84 years
    39
    85 years and over
    0

    Subject disposition

    Close Top of page
    Recruitment
    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
    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
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Carer, Assessor

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    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
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Subjects received AP30663-matched placebo in both Part 1 and 2.

    Arm title
    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
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Subjects received AP30663 3mg/kg intravenous infusion in Part 1.

    Arm title
    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
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Concentrate for solution for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Subjects received AP30663 5mg/kg intravenous infusion in Part 2.

    Number of subjects in period 1 [1]
    Part 1 and 2: Pooled Placebo Part 1: AP30663 3mg/kg Part 2: AP30663 5mg/kg
    Started
    26
    15
    22
    Full Analysis Set (FAS)
    25 [2]
    12 [3]
    22
    Safety Set
    26
    15
    22
    Pharmacokinetic (PK) Set
    0 [4]
    15
    22
    Completed
    26
    15
    22
    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.

    Baseline characteristics

    Close Top of page
    Baseline characteristics reporting groups
    Reporting group title
    Part 1 and 2: Pooled Placebo
    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
    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
    Reporting group description
    Subjects received a single IV infusion of AP30663 5mg/kg for 30 minutes on Day 1 in Part 2.

    Reporting group values
    Part 1 and 2: Pooled Placebo Part 1: AP30663 3mg/kg Part 2: AP30663 5mg/kg Total
    Number of subjects
    26 15 22 63
    Age categorical
    Units: Subjects
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    64.3 ( 9.23 ) 65.4 ( 8.48 ) 65.5 ( 10.38 ) -
    Gender categorical
    Units: Subjects
        Female
    8 3 7 18
        Male
    18 12 15 45
    Ethnicity
    Units: Subjects
        Hispanic or Latino
    0 0 0 0
        Not Hispanic or Latino
    26 15 22 63
        Unknown or Not Reported
    0 0 0 0

    End points

    Close Top of page
    End points reporting groups
    Reporting group title
    Part 1 and 2: Pooled Placebo
    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
    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
    Reporting group description
    Subjects received a single IV infusion of AP30663 5mg/kg for 30 minutes on Day 1 in Part 2.

    Primary: 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

    Close Top of page
    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.
    End point type
    Primary
    End point timeframe
    Within 90 minutes from the start of infusion (Day 1)
    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.
    End point values
    Part 1 and 2: Pooled Placebo Part 1: AP30663 3mg/kg Part 2: AP30663 5mg/kg
    Number of subjects analysed
    25
    12
    22
    Units: Percentage of subjects
        number (not applicable)
    0
    41.7
    54.5
    No statistical analyses for this end point

    Secondary: Time to Conversion From Atrial Fibrillation From Start of Infusion

    Close Top of page
    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.
    End point type
    Secondary
    End point timeframe
    From start of infusion (Day 1) up to Day 2
    End point values
    Part 1 and 2: Pooled Placebo Part 1: AP30663 3mg/kg Part 2: AP30663 5mg/kg
    Number of subjects analysed
    0 [2]
    5
    12
    Units: minutes
        median (full range (min-max))
    ( to )
    42.0 (24 to 81)
    35.0 (19 to 89)
    Notes
    [2] - No subjects had conversion from AF to normal rhythm in placebo arm.
    No statistical analyses for this end point

    Secondary: Percentage of Subjects With Relapse of AF Within 5 Minutes (IRAF) After Pharmacological or Direct Current (DC) Cardioversion

    Close Top of page
    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
    End point type
    Secondary
    End point timeframe
    Within 5 minutes after cardioversion (Day 1)
    End point values
    Part 1 and 2: Pooled Placebo Part 1: AP30663 3mg/kg Part 2: AP30663 5mg/kg
    Number of subjects analysed
    25
    12
    22
    Units: Percentage of subjects
        number (not applicable)
    4.0
    0
    0
    No statistical analyses for this end point

    Secondary: Percentage of Subjects With Sinus Rhythm (SR) at 3 Hours, 24 Hours and Day 30 After Start of Infusion

    Close Top of page
    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.
    End point type
    Secondary
    End point timeframe
    At 3 hours, 24 hours and Day 30 after start of Infusion (Day 1)
    End point values
    Part 1 and 2: Pooled Placebo Part 1: AP30663 3mg/kg Part 2: AP30663 5mg/kg
    Number of subjects analysed
    25
    11
    21
    Units: Percentage of subjects
    number (not applicable)
        Sinus Rhythm at 3 hours (n= 25, 11, 21)
    84.0
    100.0
    95.2
        Sinus Rhythm at 24 hours (n= 25, 11, 21)
    76.0
    100.0
    100.0
        Sinus Rhythm at Day 30 (n= 25, 10, 21)
    64.0
    90.0
    71.4
    No statistical analyses for this end point

    Secondary: Number of Subjects With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs

    Close Top of page
    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
    End point type
    Secondary
    End point timeframe
    From start of infusion (Day 1) up to follow-up (Day 35)
    End point values
    Part 1 and 2: Pooled Placebo Part 1: AP30663 3mg/kg Part 2: AP30663 5mg/kg
    Number of subjects analysed
    26
    15
    22
    Units: Subjects
        Subjects with TEAEs
    13
    4
    11
        Subjects with Serious TEAEs
    4
    0
    0
    No statistical analyses for this end point

    Secondary: Changes From Baseline in Fridericia’s Correction of QT Interval (ΔQTcF) Interval Data Over Time

    Close Top of page
    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.
    End point type
    Secondary
    End point timeframe
    Baseline, 15 minutes, 45 minutes, 2 hours, 8 hours and 24 hours post-dose
    End point values
    Part 1 and 2: Pooled Placebo Part 1: AP30663 3mg/kg Part 2: AP30663 5mg/kg
    Number of subjects analysed
    26
    15
    22
    Units: millisecond
    least squares mean (standard error)
        Change at 15 minutes post-dose (n= 26, 15, 22)
    1.9 ( 3.21 )
    11.7 ( 4.26 )
    21.2 ( 3.49 )
        Change at 45 minutes post-dose (n= 26, 15, 21)
    1.0 ( 3.21 )
    19.4 ( 4.26 )
    37.7 ( 3.53 )
        Change at 2 hours post-dose (n= 14, 15, 0)
    6.2 ( 3.93 )
    23.0 ( 4.26 )
    99999 ( 99999 )
        Change at 8 hours post-dose (n= 24, 14, 20)
    11.5 ( 3.29 )
    13.6 ( 4.34 )
    17.2 ( 3.59 )
        Change at 24 hours post-dose (n= 16, 11, 10)
    10.3 ( 3.74 )
    14.9 ( 4.67 )
    13.1 ( 4.53 )
    No statistical analyses for this end point

    Secondary: Maximum Observed Peak Plasma Concentration (Cmax) of AP30663

    Close Top of page
    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.
    End point type
    Secondary
    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
    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.
    End point values
    Part 1: AP30663 3mg/kg Part 2: AP30663 5mg/kg
    Number of subjects analysed
    15
    22
    Units: Micrograms per liter
        geometric mean (geometric coefficient of variation)
    7606.065 ( 31.5 )
    10281.754 ( 30.9 )
    No statistical analyses for this end point

    Secondary: Time to Reach Peak Plasma Concentration (Tmax) of AP30663

    Close Top of page
    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.
    End point type
    Secondary
    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
    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.
    End point values
    Part 1: AP30663 3mg/kg Part 2: AP30663 5mg/kg
    Number of subjects analysed
    15
    22
    Units: hours
        median (full range (min-max))
    0.4170 (0.250 to 0.500)
    0.4170 (0.250 to 1.000)
    No statistical analyses for this end point

    Secondary: Terminal Half Life of (T1/2) of AP30663

    Close Top of page
    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
    End point type
    Secondary
    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
    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.
    End point values
    Part 1: AP30663 3mg/kg Part 2: AP30663 5mg/kg
    Number of subjects analysed
    14
    22
    Units: hours
        median (full range (min-max))
    5.363 (2.60 to 8.39)
    5.620 (4.35 to 8.74)
    No statistical analyses for this end point

    Secondary: Area Under the Concentration Time Curve From Pre-dose Concentration up to 30 Minutes (AUC0-0.5) of AP30663

    Close Top of page
    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.
    End point type
    Secondary
    End point timeframe
    Baseline (pre-infusion) and at 5, 15, 25, 30 minutes post-infusion
    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.
    End point values
    Part 1: AP30663 3mg/kg Part 2: AP30663 5mg/kg
    Number of subjects analysed
    15
    22
    Units: Hours*micrograms per liter
        geometric mean (geometric coefficient of variation)
    2568.175 ( 41.2 )
    3446.078 ( 79.1 )
    No statistical analyses for this end point

    Secondary: Area Under the Concentration Time Curve up to the Last Measurable Concentration (AUC0-t) of AP30663

    Close Top of page
    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.
    End point type
    Secondary
    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
    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.
    End point values
    Part 1: AP30663 3mg/kg Part 2: AP30663 5mg/kg
    Number of subjects analysed
    15
    22
    Units: Hours*micrograms per liter
        geometric mean (geometric coefficient of variation)
    19328.384 ( 44.0 )
    29587.109 ( 31.4 )
    No statistical analyses for this end point

    Secondary: Area Under the Concentration-Time Curve From Pre-dose (Zero) Through Concentration to Infinity (AUC0-inf) of AP30663

    Close Top of page
    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.
    End point type
    Secondary
    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
    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.
    End point values
    Part 1: AP30663 3mg/kg Part 2: AP30663 5mg/kg
    Number of subjects analysed
    14
    22
    Units: Hours*micrograms per liter
        geometric mean (geometric coefficient of variation)
    21623.095 ( 43.4 )
    31448.932 ( 33.3 )
    No statistical analyses for this end point

    Secondary: Elimination Rate Constant (Kel) of AP30663

    Close Top of page
    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.
    End point type
    Secondary
    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
    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.
    End point values
    Part 1: AP30663 3mg/kg Part 2: AP30663 5mg/kg
    Number of subjects analysed
    14
    22
    Units: per hour
        geometric mean (geometric coefficient of variation)
    0.13092 ( 31.4 )
    0.11817 ( 18.6 )
    No statistical analyses for this end point

    Adverse events

    Close Top of page
    Adverse events information
    Timeframe for reporting adverse events
    From start of infusion (Day 1) up to follow-up (Day 35)
    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.
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    24.1
    Reporting groups
    Reporting group title
    Part 1 and 2: Pooled Placebo
    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
    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
    Reporting group description
    Subjects received a single IV infusion of AP30663 5mg/kg for 30 minutes on Day 1 in Part 2.

    Serious adverse events
    Part 1 and 2: Pooled Placebo Part 1: AP30663 3mg/kg Part 2: AP30663 5mg/kg
    Total subjects affected by serious adverse events
         subjects affected / exposed
    4 / 26 (15.38%)
    0 / 15 (0.00%)
    0 / 22 (0.00%)
         number of deaths (all causes)
    0
    0
    0
         number of deaths resulting from adverse events
    0
    0
    0
    Cardiac disorders
    Atrial fibrillation
    alternative assessment type: Systematic
         subjects affected / exposed
    4 / 26 (15.38%)
    0 / 15 (0.00%)
    0 / 22 (0.00%)
         occurrences causally related to treatment / all
    0 / 4
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    Part 1 and 2: Pooled Placebo Part 1: AP30663 3mg/kg Part 2: AP30663 5mg/kg
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    13 / 26 (50.00%)
    4 / 15 (26.67%)
    11 / 22 (50.00%)
    Investigations
    Blood bilirubin increased
    alternative assessment type: Systematic
         subjects affected / exposed
    0 / 26 (0.00%)
    0 / 15 (0.00%)
    1 / 22 (4.55%)
         occurrences all number
    0
    0
    1
    Electrocardiogram QT prolonged
    alternative assessment type: Systematic
         subjects affected / exposed
    0 / 26 (0.00%)
    1 / 15 (6.67%)
    0 / 22 (0.00%)
         occurrences all number
    0
    1
    0
    Vascular disorders
    Hypertension
    alternative assessment type: Systematic
         subjects affected / exposed
    0 / 26 (0.00%)
    1 / 15 (6.67%)
    0 / 22 (0.00%)
         occurrences all number
    0
    1
    0
    Hypotension
    alternative assessment type: Systematic
         subjects affected / exposed
    0 / 26 (0.00%)
    1 / 15 (6.67%)
    1 / 22 (4.55%)
         occurrences all number
    0
    1
    1
    Phlebitis
    alternative assessment type: Systematic
         subjects affected / exposed
    2 / 26 (7.69%)
    0 / 15 (0.00%)
    0 / 22 (0.00%)
         occurrences all number
    2
    0
    0
    Cardiac disorders
    Atrial fibrillation
    alternative assessment type: Systematic
         subjects affected / exposed
    7 / 26 (26.92%)
    1 / 15 (6.67%)
    7 / 22 (31.82%)
         occurrences all number
    7
    1
    7
    Atrial flutter
    alternative assessment type: Systematic
         subjects affected / exposed
    1 / 26 (3.85%)
    0 / 15 (0.00%)
    3 / 22 (13.64%)
         occurrences all number
    1
    0
    3
    Atrioventricular block first degree
    alternative assessment type: Systematic
         subjects affected / exposed
    1 / 26 (3.85%)
    2 / 15 (13.33%)
    0 / 22 (0.00%)
         occurrences all number
    1
    2
    0
    Bundle branch block left
    alternative assessment type: Systematic
         subjects affected / exposed
    0 / 26 (0.00%)
    0 / 15 (0.00%)
    1 / 22 (4.55%)
         occurrences all number
    0
    0
    1
    Bundle branch block right
    alternative assessment type: Systematic
         subjects affected / exposed
    0 / 26 (0.00%)
    0 / 15 (0.00%)
    1 / 22 (4.55%)
         occurrences all number
    0
    0
    1
    Left ventricular failure
    alternative assessment type: Systematic
         subjects affected / exposed
    0 / 26 (0.00%)
    0 / 15 (0.00%)
    1 / 22 (4.55%)
         occurrences all number
    0
    0
    1
    Supraventricular tachycardia
    alternative assessment type: Systematic
         subjects affected / exposed
    1 / 26 (3.85%)
    0 / 15 (0.00%)
    0 / 22 (0.00%)
         occurrences all number
    1
    0
    0
    Nervous system disorders
    Dizziness postural
    alternative assessment type: Systematic
         subjects affected / exposed
    0 / 26 (0.00%)
    0 / 15 (0.00%)
    1 / 22 (4.55%)
         occurrences all number
    0
    0
    1
    Psychiatric disorders
    Insomnia
    alternative assessment type: Systematic
         subjects affected / exposed
    1 / 26 (3.85%)
    0 / 15 (0.00%)
    0 / 22 (0.00%)
         occurrences all number
    1
    0
    0
    Renal and urinary disorders
    Haematuria
    alternative assessment type: Systematic
         subjects affected / exposed
    0 / 26 (0.00%)
    0 / 15 (0.00%)
    2 / 22 (9.09%)
         occurrences all number
    0
    0
    2
    Metabolism and nutrition disorders
    Diabetes mellitus
    alternative assessment type: Systematic
         subjects affected / exposed
    0 / 26 (0.00%)
    0 / 15 (0.00%)
    1 / 22 (4.55%)
         occurrences all number
    0
    0
    1
    Hypokalaemia
    alternative assessment type: Systematic
         subjects affected / exposed
    1 / 26 (3.85%)
    0 / 15 (0.00%)
    0 / 22 (0.00%)
         occurrences all number
    1
    0
    0

    More information

    Close Top of page

    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    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.
    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.
    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.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

    European Medicines Agency © 1995-Sat May 04 02:01:33 CEST 2024 | Domenico Scarlattilaan 6, 1083 HS Amsterdam, The Netherlands
    EMA HMA