Inhaled Imatinib Pulmonary Arterial Hypertension Clinical Trial – Follow Up Long Term Extension (IMPAHCT-FUL)

2023-508735-31-00 Protocol AV-101-003 Therapeutic confirmatory (Phase III) Ended

Start 5 May 2023 · End 8 Aug 2024 · Status Ended · 14 EU/EEA countries · 46 sites · Protocol AV-101-003

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ended
Participants planned 462
Countries 14
Sites 46

Pulmonary Arterial Hypertension (PAH)

The primary objective of the study is to establish the long-term safety of AV-101. The long-term effects of AV-101 on efficacy measures (e.g., 6MWD, NT-proBNP, cardiac echo) will also be assessed.

Key facts

Sponsor
Aerovate Therapeutics Inc.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Cardiovascular Diseases [C14]
Trial duration
5 May 2023 → 8 Aug 2024
Decision date (initial)
2024-04-08
Transition trial
Yes
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
Yes
Funding sources
Aerovate Therapeutics Inc

External identifiers

EU CT number
2023-508735-31-00
EudraCT number
2021-006864-25
ClinicalTrials.gov
NCT05557942

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Efficacy

The primary objective of the study is to establish the long-term safety of AV-101. The long-term effects of AV-101 on efficacy measures (e.g., 6MWD, NT-proBNP, cardiac echo) will also be assessed.

Conditions and MedDRA coding

Pulmonary Arterial Hypertension (PAH)

VersionLevelCodeTermSystem organ class
20.0 LLT 10077740 Pulmonary arterial hypertension WHO functional class II 10038738
20.0 LLT 10077730 Pulmonary arterial hypertension WHO functional class IV 10038738
21.1 PT 10064911 Pulmonary arterial hypertension 100000004855
20.0 LLT 10077729 Pulmonary arterial hypertension WHO functional class III 10038738

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 Long Term Extension
Long-term safety
Randomised Controlled Double [{"id":46366,"code":1,"name":"Subject"},{"id":46367,"code":5,"name":"Carer"},{"id":46368,"code":2,"name":"Investigator"}] Long Term Extension: Participants will receive the same active doses received on the parent study (AV-101-002) until the optimal dose is selected.

Regulatory references

Scientific advice from competent authorities
European Medicines Agency
EU CT numberTitleSponsor
2023-508734-34-00 IMPAHCT: A Phase 2b/3, Randomized, Double-Blind, Placebo-Controlled, 24-Week Dose Ranging and Confirmatory Study to Evaluate the Safety and Efficacy of AV-101 in Patients with Pulmonary Arterial Hypertension (PAH) Aerovate Therapeutics Inc.

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 2

  1. Consented to participate in the LTE and has successfully completed the placebo-controlled 24-week Study AV-101-002.
  2. Female subjects of childbearing potential who have agreed to continue to use a highly effective form of contraception during the LTE and for at least 30 days after completing or discontinuing study treatment.

Exclusion criteria 2

  1. The Investigator believes that it would not be in the best interest of the subject to be included in the LTE e.g., for clinical or social reasons.
  2. Subjects who were not compliant with study medication in AV-101-002 as assessed by the Investigator.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 5

  1. Safety and tolerability of AV-101
  2. Change from baseline in the 6MWD
  3. Change from baseline in NT-proBNP
  4. Time to Clinical Worsening events
  5. Change from baseline in Transthoracic Echo parameters of right ventricular (RV) function

Investigational products

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

Test 3

AV-101 (imatinib)

PRD10968960 · Product

Active substance
Imatinib
Pharmaceutical form
CAPSULE
Route of administration
INHALATION
Max daily dose
70 mg milligram(s)
Max total dose
80850 mg milligram(s)
Max treatment duration
165 Week(s)
Authorisation status
Not Authorised
MA holder
AEROVATE THERAPEUTICS, INC.
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/21/2449

AV-101 (imatinib)

PRD10968961 · Product

Active substance
Imatinib
Pharmaceutical form
CAPSULE
Route of administration
INHALATION
Max daily dose
140 mg milligram(s)
Max total dose
161700 mg milligram(s)
Max treatment duration
165 Week(s)
Authorisation status
Not Authorised
MA holder
AEROVATE THERAPEUTICS, INC.
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/21/2449

AV-101 (imatinib)

PRD10968959 · Product

Active substance
Imatinib
Pharmaceutical form
CAPSULE
Route of administration
INHALATION
Max daily dose
20 mg milligram(s)
Max total dose
23100 mg milligram(s)
Max treatment duration
165 Week(s)
Authorisation status
Not Authorised
MA holder
AEROVATE THERAPEUTICS, INC.
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/21/2449

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Aerovate Therapeutics Inc.

Sponsor organisation
Aerovate Therapeutics Inc.
Address
200 Berkeley Street Fl 18
City
Boston
Postcode
02116-5035
Country
United States

Scientific contact point

Organisation
Aerovate Therapeutics Inc.
Contact name
Medical Monitor

Public contact point

Organisation
Aerovate Therapeutics Inc.
Contact name
Medical Monitor

Third parties 2

OrganisationCity, countryDuties
IQVIA RDS Hellas Single Member S.A.
ORG-100048380
Chalandri, Greece On site monitoring, Other, Code 8
Iqvia Biotech LLC
ORG-100008704
Durham, United States Code 5

Locations

14 EU/EEA countries · 46 investigational sites

By country

CountryMS statusPlanned subjectsSites
Austria Ended 9 1
Belgium Ended 9 2
Czechia Ended 9 1
France Ended 29 5
Germany Ended 15 5
Greece Ended 18 3
Ireland Ended 5 1
Italy Ended 24 7
Latvia Ended 12 1
Netherlands Ended 2 1
Poland Ended 13 4
Portugal Ended 13 4
Spain Ended 34 10
Sweden Ended 13 1
Rest of world
Turkey, China, Mexico, Puerto Rico, Australia, Argentina, Israel, Singapore, United Kingdom, Chile, South Africa, United States, Canada, Colombia, Brazil
257

Investigational sites

Austria

1 site · Ended
Medical University Of Vienna
Department Internal Medicine II, Cardiology, Waehringer Guertel 18-20, Alsergrund, Vienna

Belgium

2 sites · Ended
UZ Leuven
Pulmonology, Herestraat 49, 3000, Leuven
Hopital Erasme
Cardiology, Lennikse Baan 808, 1070, Anderlecht

Czechia

1 site · Ended
Vseobecna Fakultni Nemocnice V Praze
II. interní klinika kardiologie a angiologie, Centrum pro plicní hypertenzi, U Nemocnice 499/2, Nove Mesto, Prague

France

5 sites · Ended
Assistance Publique Hopitaux De Paris
Pneumology, 78 Rue Du General Leclerc, 94270, Le Kremlin-Bicetre
Hospices Civils De Lyon
Pneumology, 59 Boulevard Pinel, 69500, Bron
Centre Hospitalier Regional De Marseille
Pneumology, 265 Chemin Des Bourrely, 13015, Marseille
Les Hopitaux Universitaires De Strasbourg
Pneumology, 1 Place De L Hopital, Cs 80426, Strasbourg Cedex
Centre Hospitalier Universitaire De Montpellier
Pneumology, 191 Avenue Du Doyen Gaston Giraud, 34295, Montpellier Cedex 5

Germany

5 sites · Ended
Muenchen Klinik gGmbH
Klinik für Pneumologie und Pneumologische Onkologie, Englschalkinger Strasse 77, Bogenhausen, Munich
Justus-Liebig-Universitaet Giessen
Standort Gießen, Klinikstrasse 33, 35392, Giessen
Technische Universitaet Dresden
Medizinische Klinik und Poliklinik I, Fetscherstrasse 74, Johannstadt-Nord, Dresden
University Hospital Cologne AöR
Pneumologie, Angiologie und internistische Intensivmedizin, Kerpener Strasse 62, Lindenthal, Cologne
Thoraxklinik Heidelberg gGmbH
Thoraxklinik Heidelberg gGmbH, Roentgenstrasse 1, Rohrbach, Heidelberg

Greece

3 sites · Ended
University General Hospital Of Thessaloniki Ahepa
1st Cardiology Clinic, 1st St Kiriakidis Str, 546 36, Thessaloniki
Evangelismos S.A.
1st Intensive Care Clinic, Ipsiladou 45-47, 106 76, Athens
Onassis Cardiac Surgery Center
Hemodynamic Studies and Invasive Cardiology, Leoforos Andrea Siggrou 356, 176 74, Kallithea

Ireland

1 site · Ended
Mater Misericordiae University Hospital
Respiratory Department, Eccles Street, D07 R2WY, Dublin 7

Italy

7 sites · Ended
Istituto Mediterraneo Per I Trapianti E Terapie Ad Alta Specializzazione S.r.l. I.S.M.E.T.T. S.r.L
Centro per la Cura dell'lpertensione Polmonare, U.O. di Pneumologia, Via Ernesto Tricomi 5, 90127, Palermo
Multimedica S.p.A.
U.O. di Pneumologia, Via San Vittore 12, 20123, Milan
Fondazione IRCCS San Gerardo Dei Tintori
U.O. Pneumologia, Via Giovanni Battista Pergolesi 33, 20900, Monza
Azienda Ospedaliero-Universitaria Policlinico Umberto I
U.O.D. Malattie Circolo Polmonare, Viale Del Policlinico 155, 00161, Rome
Fondazione IRCCS Policlinico San Matteo
Divisione di Cardiologia, Viale Camillo Golgi 19, 27100, Pavia
Azienda Ospedaliero Universitaria Ospedali Riuniti
Cardiologia Universitaria - UTIC -Riabilitazione Cardiologica, Viale Luigi Pinto 1, 71122, Foggia
Azienda Ospedaliera Dei Colli
U.O.C. Cardiologia “Vanvitelli”, Via Leonardo Bianchi, 80131, Naples

Latvia

1 site · Ended
Pauls Stradins Clinical University Hospital
Centre of Cardiology, Pilsonu Iela 13, 1002, Riga

Netherlands

1 site · Ended
Amsterdam UMC Stichting
Oncology / pneumology, De Boelelaan 1117, 1081 HV, Amsterdam

Poland

4 sites · Ended
Wojewodzki Specjalistyczny Szpital Im Dr Wl Bieganskiego
Cardiology, Ul. Gen. Karola Kniaziewicza 1/5, 91-347, Lodz
Uniwersytecki Szpital Kliniczny W Poznaniu
Cardiology, Ul. Dluga 1/2, 61-848, Poznan
Krakowski Szpital Specjalistyczny Im. Sw. Jana Pawla II
Cardiology, Ul. Pradnicka 80, 31-202, Cracow
Uniwersytecki Szpital Kliniczny Im. Jana Mikulicza-Radeckiego We Wroclawiu
Cardiology, Ul. Borowska 213, 50-556, Wroclaw

Portugal

4 sites · Ended
Centro Hospitalar Universitario De Santo Antonio E.P.E.
Cardiology, Largo Professor Abel Salazar, 4050-011, Porto
Hospital Garcia De Orta E.P.E.
Cardiology, Avenida Torrado Da Silva, 2801-951, Almada
Unidade Local De Saude De Coimbra E.P.E.
Cardiology, Praceta Professor Mota Pinto, 3004-561, Coimbra
Centro Hospitalar Universitario De Lisboa Norte E.P.E.
Cardiology, Alameda Das Linhas De Torres No 117, 1769-001, Lisbon

Spain

10 sites · Ended
Hospital Clinic De Barcelona
Pulmonology, Calle Villarroel 170, 08036, Barcelona
Hospital Universitario La Paz
Pulmonology Service, Paseo Castellana 261, 28046, Madrid
Hospital Universitario De Toledo
Pulmorany Arterial Hypertension Unit, Avenue Del Rio Guadiana Sn, 45007, Toledo
Hospital Universitario Ramon Y Cajal
Pediatric Cardiology and Congenital heart Disease department, Carretera Del Colmenar Viejo Km 9 100, Por El Pardo, Madrid
El Hospital Universitario De Gran Canaria Dr. Negrin
Respiratoy Medicine, Barranco De La Ballena S N, 35010, Las Palmas De Gran Canaria
Hospital Universitario 12 De Octubre
Cardiology, Bloque D, Avenida De Cordoba Sn, Madrid
Hospital Universitario Virgen De La Victoria
Cardiology, Calle Del Arroyo Teatinos Sn, 29010, Malaga
Hospital Universitari Vall D Hebron
Respiratory Department, Edificio Materno-Infantil, Passeig De La Vall D'hebron 119-129, Barcelona
Hospital Universitario Marques De Valdecilla
Pneumology, Avenida Valdecilla Sn, 39008, Santander
Hospital Universitario De Salamanca
Pulmonology, Paseo De San Vicente 58-182, 37007, Salamanca

Sweden

1 site · Ended
Region Vaesterbotten
Heart Centre, Alidhem, Forsorjningsvagen 1 C, Umea

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Belgium 2023-06-02 2023-06-06 2024-06-18
Czechia 2024-04-10 2024-04-17 2024-06-18
France 2023-05-17 2023-05-17 2024-06-18
Germany 2024-02-28 2024-03-06 2024-06-18
Greece 2024-05-13 2024-05-16 2024-06-18
Italy 2023-05-05 2023-05-24 2024-06-18
Latvia 2023-12-15 2023-12-28 2024-06-18
Poland 2023-07-04 2023-07-04 2024-06-18
Portugal 2024-01-18 2024-01-22 2024-06-18
Spain 2023-08-18 2023-08-23 2024-06-18

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
AV-101-003_Summary of Results_2023-508735-31-00
SUM-46233
2024-09-13T23:54:53 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
AV-101-003_Layperson Summary of Results_2023-508735-31-00 2024-09-13T23:56:55 Submitted Laypersons Summary of Results

Documents 2 files

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

TypeTitleVersion
Laypersons summary of results (for publication) AV-101-003_Layperson Summary of Results_2023-508735-31-00 1
Summary of results (for publication) AV-101-003_Summary of Results_2023-508735-31-00 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-02-10 Latvia Acceptable
2024-03-12
2024-03-12