Cardiodoron® vs. placebo for functional cardiovascular disorders (FCD)

2024-511210-21-00 Protocol DR-CR-CAR01S01 Therapeutic use (Phase IV) Ended

Start 23 Jul 2024 · End 19 Jan 2026 · Status Ended · 1 EU/EEA countries · 1 sites · Protocol DR-CR-CAR01S01

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ended
Participants planned 125
Countries 1
Sites 1

functional cardiovascular disorders

Identification of suitable endpoints to show superiority of Cardiodoron® vs. placebo; identification of effect size of Cardiodoron® vs. placebo; evaluation of safety of Cardiodoron®

Key facts

Sponsor
Weleda AG
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Cardiovascular Diseases [C14]
Trial duration
23 Jul 2024 → 19 Jan 2026
Decision date (initial)
2024-07-22
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Efficacy, Others

Identification of suitable endpoints to show superiority of Cardiodoron® vs. placebo; identification of effect size of Cardiodoron® vs. placebo; evaluation of safety of Cardiodoron®

Conditions and MedDRA coding

functional cardiovascular disorders

VersionLevelCodeTermSystem organ class
21.0 PT 10078078 Cardiovascular somatic symptom disorder 100000004873

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. Patients of all sexes ≥ 18 to ≤ 80 years
  2. Presence of FCD with/without sleeping disorders
  3. Medium FCD severity (VAS ≥ 4 (out of 10))
  4. Female patients of childbearing potential using highly efficient contraceptive methods
  5. Willing and able to follow the trial assessments and trial procedure for the entire trial duration
  6. Signed informed consent prior to any trial-related procedure

Exclusion criteria 15

  1. Known organic cause of complaints (FCD with/without sleeping disorders)
  2. Pathological finding in current ECG
  3. Known existing cardiac diseases: a. heart insufficiency NYHA I-IV b. known existing cardiac valve vitium requiring treatment c. any unstable cardiac disease d. any other cardiac disease which is not treated according to medical guidelines or medical practice (in the absence of a guideline)
  4. Administration of not permitted therapy
  5. Known active hepatitis B or C infection
  6. Known existing relevant somatic condition (e.g. severe impaired renal function, severe liver disease, severe pulmonary disease, severe long/post COVID)
  7. History of or known existing relevant psychiatric disorder (e.g. schizophrenia, psychosis, manic disorders, suicidal ideations, severe depressive disorders)
  8. History of or known existing malignancy during the past 5 years before screening visit 1 except for history of basal cell carcinoma and melanoma in situ
  9. Known allergic reactions to the active ingredients or constituents of the IMP
  10. Any condition that interferes with the participation in the clinical trial at the discretion of the investigator (e.g. known drug or alcohol abuse)
  11. Pregnant or lactating women
  12. Patients in custody by judicial or official order
  13. Patients who are unable to understand the written and verbal instructions (provided in German)
  14. Patients who are staff of the trial site, staff of the Sponsor or CRO or of the trial team
  15. Concurrent participation in another clinical trial or administration of an IMP in another clinical trial within 3 months prior to screening visit 1 or within five half-lives, whichever is longer

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 15

  1. Baseline adjusted difference in (mean) change from baseline in FCD severity measured by VAS at V3 and V4 (verum compared to placebo)
  2. Baseline adjusted difference in (mean) change from baseline in Symptom Score (von Zerssen List B-LR and B-LR’ (sum score of both lists)) at V3 and V4 (verum compared to placebo)
  3. Baseline adjusted difference in (mean) change from baseline in (sum) score (GBB-24) at V3 and V4 (verum compared to placebo)
  4. Baseline adjusted difference in (mean) change from baseline in quality of life (SF-36; physical health and mental health summary measures) at V3 and V4
  5. Proportion of patients with optimal blood pressure, normotony, high normal blood pressure, hypotension, hypertension (grade 1 3) at V2, V3 and V4
  6. Proportion of patients showing improvements in symptoms (von Zerssen List B-LR and B-LR’ (sum score of both lists)) of 15% or more at treatment end/V4
  7. Proportion of patients who discontinue the trial due to lack of efficacy
  8. Baseline adjusted difference in (mean) change from baseline in Pittsburgh Sleep Quality Index (PSQI) at V3 and V4
  9. Proportion of patients who are very satisfied, satisfied, unsatisfied, very unsatisfied with the efficacy of the IMP
  10. Proportion of patients for whom investigator is very satisfied, satisfied, unsatisfied, very unsatisfied with the efficacy of the IMP
  11. Number, nature (term), causality, severity and seriousness of adverse events
  12. Clinically relevant change in laboratory parameters (blood) at V4 vs. baseline
  13. Proportion of patients who discontinue the trial due to an adverse event
  14. Proportion of patients who are very satisfied, satisfied, unsatisfied, very unsatisfied with the tolerability of the IMP
  15. Proportion of patients for whom investigator is very satisfied, satisfied, unsatisfied, very unsatisfied with the tolerability of the IMP

Investigational products

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

Test 1

Cardiodoron® Dilution Wirkstoffe: Ethanol. Digestio aus Onopordum acanthium mit Hyoscyamus niger Ø, Ethanol. Digestio aus Primula veris mit Hyoscyamus niger Ø

PRD919643 · Product

Active substance
Onopordum Acanthium, Flos Rec., Ethanol. Digestio 1:3,1 Cum 1 % Hyoscyamus Ø
Pharmaceutical form
ORAL DROPS, SOLUTION
Route of administration
ORAL
Max daily dose
60 Gtt drop(s)
Max total dose
5340 Gtt drop(s)
Max treatment duration
89 Day(s)
Authorisation status
Authorised
ATC code
NOTAPPLIC — -
Marketing authorisation
6645263.01.00
MA holder
WELEDA AG
MA country
Germany
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
The label (see "content labeling" below) and the secondary package have been changed (see simplified IMPD Quality "Test" product, Appendix 2.1.A.1). The quality of the product has not been influenced by these modifications.

Placebo 1

Placebo

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

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Weleda AG

Sponsor organisation
Weleda AG
Address
Dychweg 14
City
Arlesheim
Postcode
4144
Country
Switzerland

Scientific contact point

Organisation
Weleda AG
Contact name
Telephone switchboard

Public contact point

Organisation
Weleda AG
Contact name
central contact for clinical trials

Third parties 1

OrganisationCity, countryDuties
Arbeitskreis Klinische Pruefungen PD Dr. med. Seiler GmbH
ORG-100041691
Freiburg Im Breisgau, Germany On site monitoring, Code 10, Code 11, Data management, E-data capture

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Germany Ended 125 1
Rest of world 0

Investigational sites

Germany

1 site · Ended
Emovis GmbH
n.a., Bezirk Charlottenburg Wilmersdorf, Wilmersdorfer Strasse 79, Berlin

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Germany 2024-07-23 2026-01-19 2024-08-21 2025-10-24

Results and documents

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

Documents 9 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol_2024-511210-21-00 2.0
Protocol (for publication) D4_Patient facing documents_justification 1
Protocol (for publication) D4_Patient facing documents_note to ePROs 1
Protocol (for publication) D4_Patient facing documents_VAS 1
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Recruitment arrangements (for publication) K2_Recruitment material_advertisement 1.4
Recruitment arrangements (for publication) K2_Recruitment material_advertisement_SM1_additional_digital 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_DE 2.0
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_CAR 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-05-17 Germany Acceptable
2024-07-15
2024-07-22
2 NON SUBSTANTIAL MODIFICATION NSM-1 2024-10-23 Acceptable
2024-07-15
3 SUBSTANTIAL MODIFICATION SM-1 2024-11-13 Germany Acceptable 2024-12-10
4 NON SUBSTANTIAL MODIFICATION NSM-4 2025-09-23 Germany Acceptable 2025-09-23