Overview
Sponsor-declared trial summary
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
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 21.0 | PT | 10078078 | Cardiovascular somatic symptom disorder | 100000004873 |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 6
- Patients of all sexes ≥ 18 to ≤ 80 years
- Presence of FCD with/without sleeping disorders
- Medium FCD severity (VAS ≥ 4 (out of 10))
- Female patients of childbearing potential using highly efficient contraceptive methods
- Willing and able to follow the trial assessments and trial procedure for the entire trial duration
- Signed informed consent prior to any trial-related procedure
Exclusion criteria 15
- Known organic cause of complaints (FCD with/without sleeping disorders)
- Pathological finding in current ECG
- 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)
- Administration of not permitted therapy
- Known active hepatitis B or C infection
- Known existing relevant somatic condition (e.g. severe impaired renal function, severe liver disease, severe pulmonary disease, severe long/post COVID)
- History of or known existing relevant psychiatric disorder (e.g. schizophrenia, psychosis, manic disorders, suicidal ideations, severe depressive disorders)
- 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
- Known allergic reactions to the active ingredients or constituents of the IMP
- Any condition that interferes with the participation in the clinical trial at the discretion of the investigator (e.g. known drug or alcohol abuse)
- Pregnant or lactating women
- Patients in custody by judicial or official order
- Patients who are unable to understand the written and verbal instructions (provided in German)
- Patients who are staff of the trial site, staff of the Sponsor or CRO or of the trial team
- 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
- Baseline adjusted difference in (mean) change from baseline in FCD severity measured by VAS at V3 and V4 (verum compared to placebo)
- 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)
- Baseline adjusted difference in (mean) change from baseline in (sum) score (GBB-24) at V3 and V4 (verum compared to placebo)
- 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
- Proportion of patients with optimal blood pressure, normotony, high normal blood pressure, hypotension, hypertension (grade 1 3) at V2, V3 and V4
- 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
- Proportion of patients who discontinue the trial due to lack of efficacy
- Baseline adjusted difference in (mean) change from baseline in Pittsburgh Sleep Quality Index (PSQI) at V3 and V4
- Proportion of patients who are very satisfied, satisfied, unsatisfied, very unsatisfied with the efficacy of the IMP
- Proportion of patients for whom investigator is very satisfied, satisfied, unsatisfied, very unsatisfied with the efficacy of the IMP
- Number, nature (term), causality, severity and seriousness of adverse events
- Clinically relevant change in laboratory parameters (blood) at V4 vs. baseline
- Proportion of patients who discontinue the trial due to an adverse event
- Proportion of patients who are very satisfied, satisfied, unsatisfied, very unsatisfied with the tolerability of the IMP
- 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
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
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
| Organisation | City, country | Duties |
|---|---|---|
| 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
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Germany | Ended | 125 | 1 |
| Rest of world | — | 0 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment 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.
| Type | Title | Version |
|---|---|---|
| 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
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision 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 |