A proof of concept and dose-finding study of XXB750 in patients with heart failure

2023-504678-39-00 Protocol CXXB750A12201 Therapeutic exploratory (Phase II) Ended

Start 13 Mar 2024 · End 9 Nov 2024 · Status Ended · 11 EU/EEA countries · 119 sites · Protocol CXXB750A12201

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ended
Participants planned 740
Countries 11
Sites 119

Heart Failure

To evaluate the efficacy and dose-response relationship of three XXB750 target dose levels compared to placebo in reducing N-terminal prohormone B-type natriuretic peptide (NT-proBNP) from baseline to Week 16 in symptomatic HF patients with LVEF < 50% treated with standard of care, including ACEI/ARB or sacubitril/vals…

Key facts

Sponsor
Novartis Pharma AG
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Cardiovascular Diseases [C14]
Trial duration
13 Mar 2024 → 9 Nov 2024
Decision date (initial)
2024-03-11
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Novartis Pharma AG

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Dose response, Efficacy

To evaluate the efficacy and dose-response relationship of three XXB750 target dose levels compared to placebo in reducing N-terminal prohormone B-type natriuretic peptide (NT-proBNP) from baseline to Week 16 in symptomatic HF patients with LVEF < 50% treated with standard of care, including ACEI/ARB or sacubitril/valsartan.

Secondary objectives 3

  1. To evaluate the treatment effect of the highest XXB750 target dose level compared to placebo in reducing NT-proBNP from baseline to Week 16 in symptomatic HF patients with LVEF <50% treated with standard of care, including ACEI/ARB or sacubitril/valsartan.
  2. To evaluate the treatment effect of combined two highest XXB750 target dose levels administered in addition to a background of ACEI/ARB versus conversion from ACEI/ARB to sacubitril/valsartan, in reducing NT-proBNP from baseline to Week 16.
  3. To evaluate the safety and tolerability of XXB750 up-titration regimens and dose levels.

Conditions and MedDRA coding

Heart Failure

VersionLevelCodeTermSystem organ class
20.0 LLT 10019279 Heart failure 10007541

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 7

  1. Written informed consent must be obtained before any assessment is performed.
  2. Male and female outpatients who are ≥ 18 years old.
  3. Symptom(s) of HF NYHA class II-III at Screening.
  4. LVEF < 50% (most recent local measurement, made within 6 months prior to or during screening using echocardiography, MUGA, CT scanning, MRI or ventricular angiography is acceptable, provided no subsequent measurement ≥ 50%).
  5. NT-proBNP ≥ 600 pg/ml if in sinus rhythm or  NT-proBNP ≥ 900 pg/ml if in atrial fibrillation/flutter at Screening.
  6. Receiving an ACEI or an ARB at a stable dose of at least enalapril 10 mg/d or equivalent for at least 4 weeks before Screening or receiving sacubitril/valsartan at a stable dose of at least 49/51 mg bid for at least 4 weeks before Screening.
  7. Receiving other guideline recommended HF therapies as deemed appropriate by the investigator and that are stable for at least 4 weeks before Screening, unless contraindicated, not tolerated, or not available to patient.

Exclusion criteria 6

  1. Current acute decompensated HF (exacerbation of chronic HF manifested by signs and symptoms that may require intravenous therapy) or hospitalization for HF within 3 months prior to screening.
  2. Office systolic blood pressure (SBP) ≥ 180 mmHg or < 105 mmHg at screening or at randomization.
  3. In subjects with ACEI/ARB medication at screening, previous inability to tolerate any dose of sacubitril/valsartan (as per the investigator's judgment).
  4. Serum potassium > 5.4 mmol/L at screening.
  5. Estimated GFR (eGFR) < 30 mL/min/1.73m2 at screening as measured by the CKD-EPI formula.
  6. Known history of angioedema.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Change in log NT-proBNP from baseline to Week 16

Secondary endpoints 2

  1. Change in log NT-proBNP from baseline to Week 16
  2. Adverse events, safety laboratory parameters, and vital signs from baseline to end of study (EOS)

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

XXB750

PRD9783251 · Product

Active substance
XXB750
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS
Max daily dose
240 mg milligram(s)
Max total dose
240 mg milligram(s)
Max treatment duration
16 Week(s)
Authorisation status
Not Authorised
MA holder
NOVARTIS PHARMA AG
Paediatric formulation
No
Orphan designation
No

Comparator 1

Valsartan

SCP8263247 · ATC

Active substance
Valsartan
Route of administration
ORAL USE
Max daily dose
400 mg milligram(s)
Max total dose
400 mg milligram(s)
Max treatment duration
16 Week(s)
Authorisation status
Authorised
ATC code
C09DX04 — VALSARTAN AND SACUBITRIL
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

0 mg/1 mL Placebo to XXB750 150 mg/1 mL concentrate for solution for injection

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Auxiliary 22

Losartan Potassium

SCP1083046 · ATC

Active substance
Losartan Potassium
Route of administration
ORAL USE
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
16 Week(s)
Authorisation status
Authorised
ATC code
C09CA01 — LOSARTAN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Azilsartan Medoxomil

SCP180104 · ATC

Active substance
Azilsartan Medoxomil
Substance synonyms
TAK-491
Route of administration
ORAL USE
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
16 Week(s)
Authorisation status
Authorised
ATC code
C09CA09 — AZILSARTAN MEDOXOMIL
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Valsartan

SCP131775 · ATC

Active substance
Valsartan
Route of administration
ORAL USE
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
16 Week(s)
Authorisation status
Authorised
ATC code
C09CA04 — IRBESARTAN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Hydrochlorothiazide

SCP136623 · ATC

Active substance
Hydrochlorothiazide
Route of administration
ORAL USE
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
16 Week(s)
Authorisation status
Authorised
ATC code
C09CA07 — TELMISARTAN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Eprosartan Mesilate

SCP162949 · ATC

Active substance
Eprosartan Mesilate
Substance synonyms
EPROSARTAN MESYLATE, 4-[[2-BUTYL-5-[(E)-2-CARBOXY-3-THIOPHEN-2-YL-PROP-1-ENYL]IMIDAZOL-1-YL]METHYL]BENZOIC ACID: METHANESULFONIC ACID
Route of administration
ORAL USE
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
16 Week(s)
Authorisation status
Authorised
ATC code
C09CA02 — EPROSARTAN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Olmesartan Medoxomil

SCP132986 · ATC

Active substance
Olmesartan Medoxomil
Route of administration
ORAL USE
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
16 Week(s)
Authorisation status
Authorised
ATC code
C09CA08 — OLMESARTAN MEDOXOMIL
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Candesartan

SCP128457 · ATC

Active substance
Candesartan
Route of administration
ORAL USE
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
16 Week(s)
Authorisation status
Authorised
ATC code
C09CA06 — CANDESARTAN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Valsartan

SCP1000156 · ATC

Active substance
Valsartan
Route of administration
ORAL USE
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
16 Week(s)
Authorisation status
Authorised
ATC code
C09CA03 — VALSARTAN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cilazapril

SCP136325 · ATC

Active substance
Cilazapril
Route of administration
ORAL USE
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
16 Week(s)
Authorisation status
Authorised
ATC code
C09AA08 — CILAZAPRIL
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Trandolapril

SCP146035 · ATC

Active substance
Trandolapril
Route of administration
ORAL USE
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
16 Week(s)
Authorisation status
Authorised
ATC code
C09AA10 — TRANDOLAPRIL
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Perindopril Tert-Butylamine

SCP126600 · ATC

Active substance
Perindopril Tert-Butylamine
Substance synonyms
PERINDOPRIL ERBUMINE
Route of administration
ORAL USE
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
16 Week(s)
Authorisation status
Authorised
ATC code
C09AA04 — PERINDOPRIL
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Lisinopril Dihydrate

SCP1138921 · ATC

Active substance
Lisinopril Dihydrate
Route of administration
ORAL USE
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
16 Week(s)
Authorisation status
Authorised
ATC code
C09AA03 — LISINOPRIL
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Hydrochlorothiazide

SCP10361725 · ATC

Active substance
Hydrochlorothiazide
Route of administration
ORAL USE
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
16 Week(s)
Authorisation status
Authorised
ATC code
C09AA05 — RAMIPRIL
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Zofenopril Calcium

SCP189600 · ATC

Active substance
Zofenopril Calcium
Substance synonyms
Zofenopril hemicalcium
Route of administration
ORAL USE
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
16 Week(s)
Authorisation status
Authorised
ATC code
C09AA15 — ZOFENOPRIL
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Enalapril Maleate

SCP129505 · ATC

Active substance
Enalapril Maleate
Substance synonyms
Enalapril hydrogen maleate
Route of administration
ORAL USE
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
16 Week(s)
Authorisation status
Authorised
ATC code
C09AA02 — ENALAPRIL
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

SCP1140493 · ATC

Route of administration
ORAL USE
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
16 Week(s)
Authorisation status
Authorised
ATC code
C09AA07 — BENAZEPRIL
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Imidapril Hydrochloride

SCP161869 · ATC

Active substance
Imidapril Hydrochloride
Route of administration
ORAL USE
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
16 Week(s)
Authorisation status
Authorised
ATC code
C09AA16 — IMIDAPRIL
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

SCP211111 · ATC

Route of administration
ORAL USE
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
16 Week(s)
Authorisation status
Authorised
ATC code
C09AA13 — MOEXIPRIL
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Captopril

SCP128193 · ATC

Active substance
Captopril
Route of administration
ORAL USE
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
16 Week(s)
Authorisation status
Authorised
ATC code
C09AA01 — CAPTOPRIL
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Fosinopril Sodium

SCP129020 · ATC

Active substance
Fosinopril Sodium
Substance synonyms
SODIUM (2S,4S)-4-CYCLOHEXYL-1-[2-[(2-METHYL-1-PROPANOYLOXY-PROPOXY)-(4-PHENYLBUTYL)PHOSPHORYL]ACETYL]PYRROLIDINE-2-CARBOXYLATE
Route of administration
ORAL USE
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
16 Week(s)
Authorisation status
Authorised
ATC code
C09AA09 — FOSINOPRIL
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

SCP217314 · ATC

Route of administration
ORAL USE
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
16 Week(s)
Authorisation status
Authorised
ATC code
C09AA12 — DELAPRIL
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Quinapril Hydrochloride

SCP1166632 · ATC

Active substance
Quinapril Hydrochloride
Route of administration
ORAL USE
Max daily dose
0 DF dosage form
Max total dose
0 DF dosage form
Max treatment duration
16 Week(s)
Authorisation status
Authorised
ATC code
C09AA06 — QUINAPRIL
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Novartis Pharma AG

Sponsor organisation
Novartis Pharma AG
Address
Lichtstrasse 35
City
Basel Town
Postcode
4056
Country
Switzerland

Scientific contact point

Organisation
Novartis Pharma AG
Contact name
Novartis Pharma Arzneimittel GmbH

Public contact point

Organisation
Novartis Pharma AG
Contact name
Novartis Pharma Arzneimittel GmbH

Third parties 24

OrganisationCity, countryDuties
World Courier Bulgaria Ltd
ORL-000001024
Sofia, Bulgaria Other
Somalogic Operating Co. Inc.
ORG-100042788
Boulder, United States Other
Icon Clinical Research Limited
ORG-100008322
Dublin 18, Ireland On site monitoring
SGS France
ORG-100011566
Saint Benoit, France Other
Medpace Reference Laboratories LLC
ORG-100041727
Cincinnati, United States Other
Specific Pharma A/S
ORG-100015041
Copenhagen Sv, Denmark Code 14, Other
Longboat Clinical Limited
ORG-100045828
Limerick, Ireland Other
Lonza AG
ORG-100011548
Stein Ag, Switzerland Other
S & D Pharma Logistics BG EOOD
ORG-100017521
Sofia, Bulgaria Other
Syneos Health Inc.
ORG-100008382
Morrisville, United States On site monitoring
Medidata Solutions Inc.
ORG-100016256
New York, United States Data management, E-data capture
RWS Life Sciences Inc.
ORG-100042348
East Hartford, United States Other
Medpace Singapore Pte. Ltd
ORL-000003294
Singapore Other
Parexel International (IRL) Limited
ORG-100022780
Dublin 2, Ireland Code 12
Creapharm Clinical Supplies
ORG-100020131
Reims, France Other
Jumo Health USA Inc.
ORG-100044054
New Haven, United States Other
Medical Equipment Supplies And Management Limited
ORG-100044212
Chorley, United Kingdom Other
Tjoapack Netherlands B.V.
ORG-100011583
Etten-Leur, Netherlands Other
Medpace, Reference Laboratories
ORL-000003424
Shanghai, China Other
MEDPACE LABORATORIES
ORG-100042942
Leuven, Belgium Other
Eurofins Genomics Europe Genotyping A/S
ORG-100044656
Galten, Denmark Other
Movianto Slovensko s.r.o.
ORG-100020628
Senec, Slovakia Code 14, Other
Alloga (Nederland) B.V.
ORG-100021718
Veghel, Netherlands Other
IQVIA Limited
ORG-100008655
Reading, United Kingdom On site monitoring, Other, Interactive response technologies (IRT)

Locations

11 EU/EEA countries · 119 investigational sites

By country

CountryMS statusPlanned subjectsSites
Bulgaria Ended 48 10
Czechia Ended 70 8
Denmark Ended 18 5
France Ended 40 13
Germany Ended 60 25
Hungary Ended 35 10
Italy Ended 45 16
Netherlands Ended 18 6
Portugal Ended 12 4
Slovakia Ended 33 8
Spain Ended 45 14
Rest of world
Japan, United Kingdom, China, Taiwan, Brazil, South Africa, United States, India
316

Investigational sites

Bulgaria

10 sites · Ended
University Hospital St Marina Varna
#3008:First Cardiology Clinic, Hristo Smirnenski St 1, 9010, Varna
National Multidisciplinary Transport Hospital Tsar Boris III
#3001:Clinic of Cardiology, Bulevard Knyaginya Mariya Luiza 104, 1233, Sofia
Mnogoprofilna Bolnitsa Za Aktivno Lechenie Puls AD
#3002:Department of cardiology, Ulitsa Slavyanska 62, 2700, Blagoevgrad
Medical Center New Polyclinic Gabrovo Ltd.
#3003, Mogilev 52a, 5300, Gabrovo
Medical Center Dea Medicals EOOD
#3004, Ulitsa Hristo Botev 51, 2500, Kyustendil
University Hospital St. Anna
#3007:Clinic of Cardiology, Ulitsa Dimitir Mollov 1, 1750, Sofiya
Medical Center Medconsult Pleven OOD
#3009, Floor 4, Ulitsa Sveti Sveti Kiril I Metodiy 18, Pleven
Medical Center Hera EOOD
#3010, Ulitsa Klisura 20, 1510, Sofiya
University Multiprofile Hospital For Active Treatment Saint Georgi EAD
#3006:Clinic of Cardiology, Bulevard Peshtersko Shose 66, 4002, Plovdiv
Medical Center Zara-Med EOOD
#3005, Ulitsa Orfey 4, 6003, Stara Zagora

Czechia

8 sites · Ended
KardioBusak s.r.o.
3051:Interní a kardiologická ambulance, Kosmonautu 2303, 440 01, Louny
Fakultni Nemocnice Plzen
3052:Kardiologická klinika, Alej Svobody 923/80, 323 00, Plzen 23
Vseobecna Fakultni Nemocnice V Praze
3053:II. interní klinika kardiologie a angiologie, U Nemocnice 499/2, Nove Mesto, Prague
Krajska nemocnice Liberec a.s.
3054:Kardiocentrum, Husova 357/10, Liberec I-Stare Mesto, Liberec (neclenene Mesto)
Oblastni nemocnice Kolin a.s. nemocnice Stredoceskeho kraje
3055:Interní oddělení, Zizkova 146, 280 02, Kolin III
Institute For Clinical And Experimental Medicine
3056:Oddělení srdečního selhání, Videnska 1958/9 Krc, 140 00, Prague
MUDr. Libor Nechvatal s.r.o.
3057:Kardiologická ambulance, Hybesova 289/43, Stare Brno, Brno-Stred
Fakultni Nemocnice Kralovske Vinohrady
3058:Kardiologická klinika, Srobarova 1150/50, Vinohrady, Prague

Denmark

5 sites · Ended
Region Sjaelland
#3151:Kardiologisk Afdeling - Kardiologisk Forsknings Enhed, Sygehusvej 10, 4000, Roskilde
Gentofte Hospital
#3152:Hjertemedicinsk Forskning, klinik 1, Gentofte Hospitalsvej 1, 2900, Hellerup
Aarhus Universitetshospital
#3153:Kardiologisk Medicin B, Palle Juul-Jensens Boulevard 99, 8200, Aarhus N
Hvidovre Hospital
#3154:Kardiologisk ambulatorie 259 opg. 2, Kettegaard Alle 30, 2650, Hvidovre
Slagelse Hospital
#3155:Ambulatorium for hjertesygdomme, Ingemannsvej 18, 4200, Slagelse

France

13 sites · Ended
Centre Hospitalier Universitaire Grenoble Alpes
3107: Cardiologie, Boulevard De La Chantourne, Cs 10217, Grenoble Cedex 9
Centre Hospitalier Regional Universitaire De Tours
3103: Cardiologie, Avenue De La Republique, 37170, Chambray Les Tours
Centre Hospitalier Universitaire De Nantes
3105: Cardiologie et maladies vasculaires, Boulevard Du Professeur Jacques Monod, 44800, Saint Herblain
Hospices Civils De Lyon
3102: Centre d’Investigation Clinique, 59 Boulevard Pinel, 69500, Bron
Centre Hospitalier Universitaire De Montpellier
3108: USIC (Unité de Soins Intensifs en Cardiologie), 80 Avenue Augustin Fliche, 34295, Montpellier Cedex 5
Centre Hospitalier Universitaire De Rennes
3111: Service de Cardiologie et Maladies Vasculaires, 2 Rue Henri Le Guilloux, 35000, Rennes
Bicetre Hospital
3109: Cardiologie, 78 Rue Du General Leclerc, 94275, Le Kremlin Bicetre Cedex
Assistance Publique Hopitaux De Paris
3110: Cardiologie, 2 Rue Ambroise Pare, 75010, Paris
Centre Hospitalier De Beziers
3104: Service de Cardiologie, Zone Dactivite Montimaran, 2 Rue Valentin Hauy, Beziers
Centre Hospitalier Universitaire De Toulouse
3101: Cardiologie, 1 Avenue Du Professeur Jean Poulhes, Tsa 50032, Toulouse Cedex 9
CHU De Rouen
3116: Cardiologie, 1 Rue De Germont, Bp 96031, Rouen Cedex
Centre Hospitalier Universitaire De Poitiers
3106: Cardiologie, 2 Rue De La Miletrie, 86000, Poitiers
Assistance Publique Hopitaux De Paris
3112: Cardiologie, 51 Av Du Mal De Lattre De Tassigny, 94000, Creteil

Germany

25 sites · Ended
Klinische Forschung Hannover-Mitte GmbH
#3239, Schillerstrasse 30, Mitte, Hanover
Klinische Forschung Schwerin GmbH
#3240, Friedrichstrasse 1, Altstadt, Schwerin
Klinische Forschung Dresden GmbH
#3236, Prager Strasse 10, Seevorstadt-Ost/Grosser Garten, Dresden
Klinische Forschung Hamburg GmbH
#3238, Hoheluftchaussee 18, Hoheluft-Ost, Hamburg
Klinik am See
#3242:Klinik für Innere Medizin / Kardiologie, Seebad 84, 15562, Rüdersdorf bei Berlin
Facharztzentrum Dresden-Neustadt Betriebsgesellschaft mbH
#3224:Zentrum für klinische Prüfungen, Forststrasse 3, Radeberger Vorstadt, Dresden
Klinikum der Stadt Ludwigshafen am Rhein gGmbH
#3222:Klinik für Kardiologie, Pneumologie, Angiologie und Internistische Intensivmedizin, Bremserstrasse 79, Friesenheim, Ludwigshafen Am Rhein
Praxis Dr. Markus Knapp
#3230:Praxis, Weiler Wiese 5, 74523, Schwäbisch Hall
Velocity Clinical Research GmBH
#3210:Klinische Forschung Berlin, Ansbacher Strasse 17-19, Schoeneberg, Berlin
Universitätsklinikum des Saarlandes
#3229:Klinik für Innere Medizin III, Klinik für Innere Medizin III Kirrberger Str.100 Homburg/Saar, 66421, Homburg
Medical Center - University Of Freiburg
#3225:Klinik für Kardiologie und Angiologie, Suedring 15, 79189, Bad Krozingen
Praxis für Innere Medizin Kardiologie Pneumologie
#3207:Praxis für Innere Medizin Kardiologie Pneumologie, Wiener Platz 5, 51065, Cologne
Herzzentrum Dresden GmbH Universitaetsklinik
#3211:Innere Medizin und Kardiologie, Fetscherstrasse 76, Johannstadt-Nord, Dresden
Robert Bosch Gesellschaft fuer medizinische Forschung mbH
#3227:Kardiologie, Auerbachstrasse 112, Bad Cannstatt, Stuttgart
ClinPhenomics CVC GmbH
#3209:Studienzentrum Frankfurt, Schaumainkai 101-103, Sachsenhausen, Frankfurt Am Main
Herzzentrum Leipzig GmbH
#3223:Kardiologie, Struempellstrasse 40a, Probstheida, Leipzig
Studienzentrum Bocholder Straße
#3220:Praxis, Bocholderstr 158, 45355, Essen
Dr. med. Andreas Wilke Dr. med. Andrej Malazhavy und Detelin Lalev Denchev Fachaerzte Innere Medizin und Kardiologie Partnerschaft
#3218:Praxis, Hauptkanal Links 100, Papenburg-Untenende, Papenburg
Marienhaus Klinikum St. Elisabeth Neuwied
#3203, Friedrich-Ebert-Strasse 59, 56564, Neuwied
Klinikum Coburg GmbH
#3215:Innere Medizin und Kardiologie, Ketschendorfer Strasse 33, 96450, Coburg
Goethe University Frankfurt
#3216:Universitaetsklinikum Frankfurt Medizinische Klinik 3 / Kardiologie, Theodor-Stern-Kai 7, 60590, Frankfurt Am Main
Universitaetsklinikum Schleswig-Holstein
#3214:Klinik für Innere Medizin III Kardiologie, Angiologie und internistische Intensivmedizin, Arnold-Heller-Strasse 3, Brunswik, Kiel
Hausarztzentrum Butendorf
#3202, Horster Strasse 137, Butendorf, Gladbeck
Praxis Dr. Toursarkissian
#3212:Praxis, Heinz-Galinski-Str. 1, 13347, Berlin
Praxis fuer Gastroenterologie im Haus der Gesundheit Ludwigshafen
#3204:Praxis, Leiningerstr. 49-53, 67067, Ludwigshafen

Hungary

10 sites · Ended
TaNa Med Kft.
3256, Hunyadi Janos Utca 14, 9200, Mosonmagyarovar
University Of Pecs
3257: I sz Belgyogyaszati Klinika, Ifjusag Utja 13, 7624, Pecs
Studium Egeszseghaz Kft.
3258, Szechenyi Ut 16 Fsz. 1, 6300, Kalocsa
University Of Debrecen
3254: Kardiologiai es Szivsebeszeti Klin, Moricz Zsigmond Korut 22, 4032, Debrecen
DRC Kft.
3252, Ady Endre Utca 12/b, 8230, Balatonfured
University Of Szeged
3253: Csaladorvosi Intezet es Rendelo, Tisza Lajos Korut 109, 6725, Szeged
Semmelweis University
3251: Varosmajori Sziv es Ergyogy K, Varosmajor Utca 68, Kerulet, Budapest XII
Central Hospital Of Northern Pest Military Hospital
3259: Kardiologiai Szakrendelo, Robert Karoly Korut 44, 1134, Budapest XIII
Del-Pesti Centrumkorhaz Orszagos Hematologiai Es Infektologiai Intezet
3261: Szent Istvan Telephely I Belgy Osztaly, Nagyvarad Ter 1, 1097, Budapest Ix
Budapesti Uzsoki Utcai Korhaz
3260, Uzsoki Utca 29-41, 1145, Budapest XIV

Italy

16 sites · Ended
ASST Grande Ospedale Metropolitano Niguarda
3310:S.C. Cardiologia 2 - Insufficienza Cardiaca e Trapianti, Piazza Dell'ospedale Maggiore 3, 20162, Milan
Azienda Ospedaliera Policlinico Universitario Tor Vergata
3313:U.O.C. Cardiologia, Viale Oxford 81, 00133, Rome
I.N.R.C.A. Istituto Nazionale Di Riposo E Cura Per Gli Anziani
3305:UOC Clinica Medica e Geriatrica, Via Santa Margherita 5, 60124, Ancona
University Hospital Of Ferrara
3303:Centro Scompenso Cardiaco U.O. Cardiologia, Cona, Via Aldo Moro 8, Ferrara
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
3311:UOSD Scompenso Cardiaco, Largo Francesco Vito 1, 00168, Rome
Santa Maria Degli Angeli Hospital
3316:S.C. Cardiologia, Via Montereale 24, 33170, Pordenone
Azienda Sanitaria Universitaria Friuli Centrale
3315:S.O.C. Cardiologia, Piazzale Santa Maria Della Misericordia 15, 33100, Udine
Azienda Ospedaliera Dei Colli
3312:U.O.S.D. Scompenso Cardiaco e Cardiologia Riabilitativa, Via Leonardo Bianchi, 80131, Naples
Azienda Ospedaliera Papa Giovanni XXIII
3302:U.O.C. Cardiologia 1, Piazza Oms 1, 24127, Bergamo
Azienda Ospedaliero Universitaria Pisana
3307:U.O Medicina 1, Via Roma 67, 56126, Pisa
Azienda USL IRCCS Di Reggio Emilia
3308:U.O.C. Cardiologia Ospedaliera, Viale Risorgimento 80, 42123, Reggio Emilia
Cattinara Hospital
3306:Polo Cardiologico - S.C. Cardiologia, Strada Di Fiume 447, 34149, Trieste
Azienda Ospedale-Universita Padova
3309:U.O.C. Clinica Medica 3 Dipartimento di Medicina - DIMED, Via Nicolo' Giustiniani 2, 35128, Padova
Azienda Ospedaliera Universitaria Gaetano Martino Messina
3314:U.O.S. Diagnosi e Terapia dello Scompenso Cardiaco U.O.C. Medicina Interna, Via Consolare Valeria N 1, 98124, Messina
Azienda Socio Sanitaria Territoriale Degli Spedali Civili Di Brescia
3301:U.O.C. Cardiologia, Piazzale Spedali Civili 1, 25123, Brescia
Centro Cardiologico Monzino S.p.A.
3304:U.O. Scompenso, Cardiologia Critica e Cardiologia Riabilitativa, Via Carlo Parea 4, 20138, Milan

Netherlands

6 sites · Ended
Stichting Radboud University Medical Center
#3352:Cardiology, Geert Grooteplein Zuid 10, 6525 GA, Nijmegen
Zuyderland Medisch Centrum Stichting
#3356:Cardiology, Henri Dunantstraat 5, 6419 PC, Heerlen
Stichting Treant Ziekenhuiszorg
#3355:Cardiology, Boermarkeweg 60, 7824 AA, Emmen
Universitair Medisch Centrum Groningen
#3351:Cardiology, Hanzeplein 1, 9713 GZ, Groningen
Medisch Centrum Leeuwarden B.V.
#3354:Cardiology, Henri Dunantweg 2, 8934 AD, Leeuwarden
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
#3353:Cardiology, Dr. Molewaterplein 50, 3015 GE, Rotterdam

Portugal

4 sites · Ended
Hospital De Sao Francisco Xavier
3401: Serviço de Medicina Interna, Estrada Forte Do Alto Duque, 1449-005, Lisbon
Hospital Da Luz S.A.
3402: Serviço de Medicina Interna, Avenida Lusiada 100, 1500-650, Lisbon
Centro Hospitalar De Vila Nova De Gaia/Espinho E.P.E.
3404: Serviço de Cardiologia, Rua Conceicao Fernandes S/n, 4434-502, Vila Nova De Gaia
Centro Hospitalar Universitario De Lisboa Norte E.P.E.
3403: Serviço de Cardiologia, Avenida Professor Egas Moniz, 1649-035, Lisbon

Slovakia

8 sites · Ended
InterStom s.r.o.
3456: Ambulancia vnútorného lekárstva, Cajkovskeho 2, Klokocina, Nitra
Interna SK s.r.o.
3459: Kardiologická ambulancia, Mudr. Pribulu 412/4, 089 01, Svidnik
Medical group Kosice s.r.o.
3452: Kardiologická ambulancia, Mudronova 29, Juh, Kosice
Medispol s.r.o.
3453: Ambulancia vnútorného lekárstva, Konstantinova 17, 080 01, Presov
Kardiomed Nz s.r.o.
3464: Kardiologická ambulancia, L. Stura 18, 940 02, Nove Zamky
KVC Kardiovaskularne Centrum s.r.o.
3463: Kardiologická ambulanci, Prieloztek 1, Jahodniky, Martin
Alian s.r.o.
3451: Angiologická ambulancia, Sv. Jakuba 33, 085 01, Bardejov
Kardiocentrum Nitra s.r.o.
3455: Kardiologická ambulancia, Spitalska 6, Stare Mesto, Nitra

Spain

14 sites · Ended
Hospital Universitario 12 De Octubre
3509: Cardiologia, Bloque D, Avenida De Cordoba Sn, Madrid
Hospital Universitario Ramon Y Cajal
3510: Medicina interna, Carretera Del Colmenar Viejo Km 9 100, Por El Pardo, Madrid
Hospital Alta Resolución De Utrera
3513: Cardiología, Avda Brigadas Internacionales,s/n Consulta de Cardiología. Bloque 3., 41410, UTRERA. Sevilla
Hospital Universitario Puerta De Hierro De Majadahonda
3507: Cardiologia, Calle De Manuel De Falla 1, 28222, Majadahonda
Hospital Clinico Universitario De Valencia
3502: Cardiologia, Avenida Blasco Ibanez 17, 46010, Valencia
Hospital Clinico San Carlos
3512: Cardiologia, Calle Del Profesor Martin Lagos Sn, 28040, Madrid
El Hospital Universitario De Gran Canaria Dr. Negrin
3503: Cardiologia, Barranco De La Ballena S N, 35010, Las Palmas De Gran Canaria
University Clinical Hospital Virgen De La Arrixaca
3506: Cardiologia, Carretera De Cartagena Sn, El Palmar, Murcia
Hospital Universitario Virgen De La Victoria
3504: Cardiologia, Calle Del Arroyo Teatinos Sn, 29010, Malaga
Hospital Universitario Y Politecnico La Fe
3505: Cardiologia, Avenida De Fernando Abril Martorell 106, 46026, Valencia
Hospital Universitario Virgen De Valme
3501: Medicina interna, Avenida Bellavista S/n, 41014, Sevilla
Marina Salud S.A.
3511: Cardiologia, Partida Beniadla S/n, 03700, Denia
Complexo Hospitalario Universitario De Santiago
3508: Cardiologia, Calle Choupana Da S/n, 15706, Santiago De Compostela
Hospital Universitario Juan Ramon Jimenez
3514: Cardiologia, Ronda Exterior Norte S/n, 21005, Huelva

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Bulgaria 2024-03-27 2024-03-27 2024-11-08
Czechia 2024-08-07 2024-08-07 2024-08-09
France 2024-08-09 2024-08-09 2024-08-09
Germany 2024-05-23 2024-05-23 2024-08-09
Hungary 2024-07-31 2024-07-31 2024-08-09
Italy 2024-04-26 2024-04-26 2024-08-09
Portugal 2024-03-13 2024-03-13 2024-08-09
Slovakia 2024-05-09 2024-05-09 2024-08-09
Spain 2024-04-17 2024-04-17 2024-08-09

Oversight and notifications

Regulatory notifications under CTR Articles 38, 52, 53, 54 and 77

Temporary halts 9 · Art. 38 CTR

Temporary halt TH-40665

Halt date
2024-08-09
Member states concerned
Spain
Publication date
2024-08-13
Reason
Safety related (clinical or pre-clinical results)
Follow-up measures
The decision was taken to temporary halt screening, randomizing and dosing of all double-blind injectable medication of XXB750 and matching placebo in Study CXXB750A12201 until further notice.
All randomized participants actively involved in the study should continue to attend study visits as per the study schedule and undergo all study procedures, with careful monitoring of study participants. See the attached letter for more details.
Benefit-risk balance changed
Yes
Treatment stopped
Yes

Temporary halt TH-40667

Halt date
2024-08-09
Member states concerned
Slovakia
Publication date
2024-08-13
Reason
Safety related (clinical or pre-clinical results)
Follow-up measures
The decision was taken to temporary halt screening, randomizing and dosing of all double-blind injectable medication of XXB750 and matching placebo in Study CXXB750A12201 until further notice.
All randomized participants actively involved in the study should continue to attend study visits as per the study schedule and undergo all study procedures, with careful monitoring of study participants. See the attached letter for more details.
Benefit-risk balance changed
Yes
Treatment stopped
Yes

Temporary halt TH-40657

Halt date
2024-08-09
Member states concerned
France
Publication date
2024-08-13
Reason
Safety related (clinical or pre-clinical results)
Follow-up measures
The decision was taken to temporary halt screening, randomizing and dosing of all double-blind injectable medication of XXB750 and matching placebo in Study CXXB750A12201 until further notice.
All randomized participants actively involved in the study should continue to attend study visits as per the study schedule and undergo all study procedures, with careful monitoring of study participants. See the attached letter for more details.
Benefit-risk balance changed
Yes
Treatment stopped
Yes

Temporary halt TH-40669

Halt date
2024-08-09
Member states concerned
Czechia
Publication date
2024-08-13
Reason
Safety related (clinical or pre-clinical results)
Follow-up measures
The decision was taken to temporary halt screening, randomizing and dosing of all double-blind injectable medication of XXB750 and matching placebo in Study CXXB750A12201 until further notice.
All randomized participants actively involved in the study should continue to attend study visits as per the study schedule and undergo all study procedures, with careful monitoring of study participants. See the attached letter for more details.
Benefit-risk balance changed
Yes
Treatment stopped
Yes

Temporary halt TH-40659

Halt date
2024-08-09
Member states concerned
Germany
Publication date
2024-08-13
Reason
Safety related (clinical or pre-clinical results)
Follow-up measures
The decision was taken to temporary halt screening, randomizing and dosing of all double-blind injectable medication of XXB750 and matching placebo in Study CXXB750A12201 until further notice.
All randomized participants actively involved in the study should continue to attend study visits as per the study schedule and undergo all study procedures, with careful monitoring of study participants. See the attached letter for more details.
Benefit-risk balance changed
Yes
Treatment stopped
Yes

Temporary halt TH-56475

Halt date
2024-11-08
Member states concerned
Bulgaria
Publication date
2024-11-08
Reason
Safety related (clinical or pre-clinical results)
Follow-up measures
The decision was taken to temporary halt screening, randomizing and dosing of all double-blind injectable medication of XXB750 and matching placebo in Study CXXB750A12201 until further notice.
All randomized participants actively involved in the study should continue to attend study visits as per the study schedule and undergo all study procedures, with careful monitoring of study participants. See the attached letter for more details.
Benefit-risk balance changed
Yes
Treatment stopped
Yes

Temporary halt TH-40671

Halt date
2024-08-09
Member states concerned
Hungary
Publication date
2024-08-13
Reason
Safety related (clinical or pre-clinical results)
Follow-up measures
The decision was taken to temporary halt screening, randomizing and dosing of all double-blind injectable medication of XXB750 and matching placebo in Study CXXB750A12201 until further notice.
All randomized participants actively involved in the study should continue to attend study visits as per the study schedule and undergo all study procedures, with careful monitoring of study participants. See the attached letter for more details.
Benefit-risk balance changed
Yes
Treatment stopped
Yes

Temporary halt TH-40661

Halt date
2024-08-09
Member states concerned
Italy
Publication date
2024-08-13
Reason
Safety related (clinical or pre-clinical results)
Follow-up measures
The decision was taken to temporary halt screening, randomizing and dosing of all double-blind injectable medication of XXB750 and matching placebo in Study CXXB750A12201 until further notice.
All randomized participants actively involved in the study should continue to attend study visits as per the study schedule and undergo all study procedures, with careful monitoring of study participants. See the attached letter for more details.
Benefit-risk balance changed
Yes
Treatment stopped
Yes

Temporary halt TH-40663

Halt date
2024-08-09
Member states concerned
Portugal
Publication date
2024-08-13
Reason
Safety related (clinical or pre-clinical results)
Follow-up measures
The decision was taken to temporary halt screening, randomizing and dosing of all double-blind injectable medication of XXB750 and matching placebo in Study CXXB750A12201 until further notice.
All randomized participants actively involved in the study should continue to attend study visits as per the study schedule and undergo all study procedures, with careful monitoring of study participants. See the attached letter for more details.
Benefit-risk balance changed
Yes
Treatment stopped
Yes

Urgent safety measures 1 · Art. 54 CTR

Urgent safety measure US-40578

Event date
2024-08-09
Submission date
2024-08-13
In response to
OTHER
Member states affected
Bulgaria, Denmark, France, Germany, Italy, Portugal, Spain, Netherlands, Slovakia, Czechia, Hungary
Event description
The Sponsor’s decision to trigger this urgent safety measure follows a recommendation of the the Data Monitoring Committee after reviewing of aggregate safety data from Study CXXB750A12201. More details are provided in the attached letter.
Measures taken
After consulting with the DMC and the study’s academic Executive Committee, the Sponsor took the decision to temporary halt screening, randomizing and dosing of all double-blind injectable medication of XXB750 and matching placebo in Study CXXB750A12201 until further notice.
All randomized participants actively involved in the study should continue to attend study visits as per the study schedule and undergo all study procedures, with careful monitoring of study participants. See the attached letter for more details.

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
2023-504678-39-00_CXXB750A12201_Summary of Results
SUM-104297
2025-10-30T14:34:04 Submitted Summary of Results
2023-504678-39-00_CXXB750A12201_Summary of Results
SUM-124357
2026-03-20T09:54:11 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
CXXB750A12201_PatientSummary_English-US 2025-10-30T15:34:59 Submitted Laypersons Summary of Results
CXXB750A12201_PatientSummary 2026-02-27T13:03:02 Submitted Laypersons Summary of Results

Documents 30 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Laypersons summary of results (for publication) CXXB750A12201_PatientSummary_Chinese-Taiwan 1
Laypersons summary of results (for publication) CXXB750A12201_PatientSummary_English-US_28Oct2025 1
Laypersons summary of results (for publication) CXXB750A12201_PatientSummary_German 1
Laypersons summary of results (for publication) CXXB750A12201_PatientSummary_HaitianCreole-US 1
Laypersons summary of results (for publication) CXXB750A12201_PatientSummary_Hungarian 1
Laypersons summary of results (for publication) CXXB750A12201_PatientSummary_Italian 1
Laypersons summary of results (for publication) CXXB750A12201_PatientSummary_Japanese 1
Laypersons summary of results (for publication) CXXB750A12201_PatientSummary_Portuguese 1
Laypersons summary of results (for publication) CXXB750A12201_PatientSummary_Slovak 1
Laypersons summary of results (for publication) CXXB750A12201_PatientSummary_Spanish-Spain 1
Laypersons summary of results (for publication) CXXB750A12201_PatientSummary_Spanish-US 1
Recruitment arrangements (for publication) K1_Recruitment Arrangements - Country_1_BG_Bulgarian_NonRed 1.0
Recruitment arrangements (for publication) K1_Recruitment Arrangements - Country_1_ES_Spanish_NonRed 18Dec2023
Recruitment arrangements (for publication) K2_Advertisements - Country_1_ES_Spanish_NonRed v01
Recruitment arrangements (for publication) K2_Advertisements - Country_2_ES_Spanish_NonRed v01
Recruitment arrangements (for publication) K2_Advertisements - Country_3_ES_Spanish_NonRed v01
Subject information and informed consent form (for publication) L1_ICF - Follow up for pregnant participant_1_BG_Bulgarian_NonRed 00.00.01
Subject information and informed consent form (for publication) L1_ICF - Follow up for pregnant participant_1_BG_English_NonRed 00.00.01
Subject information and informed consent form (for publication) L1_ICF - Follow up for pregnant participant_1_ES_Spanish_NonRed v00.00.00
Subject information and informed consent form (for publication) L1_ICF - Genetics_1_BG_Bulgarian_NonRed 00.00.02
Subject information and informed consent form (for publication) L1_ICF - Genetics_1_BG_English_NonRed 00.00.02
Subject information and informed consent form (for publication) L1_ICF - Genetics_1_ES_Spanish_NonRed v00.00.00
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_1_BG_Bulgarian_Red 00.00.02
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_1_BG_English_Red 00.00.02
Subject information and informed consent form (for publication) L1_ICF - Main ICF - Adult_1_ES_Spanish_NonRed v00.00.01
Subject information and informed consent form (for publication) L1_ICF - Separate Data Protection Consent_1_ES_Spanish_NonRed v03
Subject information and informed consent form (for publication) L1_ICF - Separate Data Protection Consent_2_ES_Spanish_NonRed v03
Subject information and informed consent form (for publication) L2_ICF Procedure_1_ES_Spanish_NonRed 5Oct2023
Summary of results (for publication) 2023-504678-39-00_CXXB750A12201_Summary of Results 1
Summary of results (for publication) 2023-504678-39-00_CXXB750A12201_Summary of Results_ updated 1

Application history

11 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-10-31 Italy Acceptable
2024-03-04
2024-03-04
2 NON SUBSTANTIAL MODIFICATION NSM-1 2024-04-05 Italy Acceptable
2024-03-04
2024-04-05
3 SUBSEQUENT ADDITION OF MSC APP-3 2024-04-19 2024-06-13
4 SUBSEQUENT ADDITION OF MSC APP-4 2024-04-19 Acceptable
2024-03-04
2024-07-10
5 SUBSTANTIAL MODIFICATION SM-1 2024-04-26 Acceptable 2024-05-31
6 SUBSTANTIAL MODIFICATION SM-3 2024-06-14 Acceptable 2024-07-03
7 SUBSTANTIAL MODIFICATION SM-4 2024-06-14 Acceptable 2024-07-03
8 SUBSTANTIAL MODIFICATION SM-5 2024-06-14 Acceptable 2024-07-17
9 NON SUBSTANTIAL MODIFICATION NSM-2 2024-07-17 2024-07-17
10 NON SUBSTANTIAL MODIFICATION NSM-3 2024-07-17 2024-07-17
11 NON SUBSTANTIAL MODIFICATION NSM-4 2024-11-08 2024-11-08