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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04456998
Registration number
NCT04456998
Ethics application status
Date submitted
30/06/2020
Date registered
7/07/2020
Titles & IDs
Public title
GB002 in Adult Subjects With Pulmonary Arterial Hypertension (PAH)
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Scientific title
A Phase 2, Randomized, Double-Blind, Placebo-Controlled, Multi-Center Clinical Study to Evaluate the Efficacy and Safety of Oral Inhalation of GB002 for the Treatment of WHO Group 1 Pulmonary Arterial Hypertension (PAH)
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Secondary ID [1]
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GB002-2101
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Pulmonary Artery Hypertension
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Condition category
Condition code
Respiratory
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Other respiratory disorders / diseases
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Cardiovascular
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Hypertension
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - GB002 (seralutinib)
Treatment: Drugs - Placebo
Treatment: Devices - Generic Dry Powder Inhaler
Experimental: GB002 (seralutinib) - GB002 (seralutinib) inhaled orally twice per day (BID) for 24 weeks
Placebo comparator: Placebo - Placebo inhaled orally BID for 24 weeks
Treatment: Drugs: GB002 (seralutinib)
Capsule containing GB002 (seralutinib)
Treatment: Drugs: Placebo
Matching capsule containing placebo
Treatment: Devices: Generic Dry Powder Inhaler
Generic dry powder inhaler for GB002 (seralutinib) or placebo delivery
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Intervention code [1]
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Treatment: Drugs
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Intervention code [2]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change From Baseline to Week 24 in Pulmonary Vascular Resistance (PVR)
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Assessment method [1]
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PVR was evaluated using right heart catheterization (RHC).
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Timepoint [1]
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Baseline, Week 24
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Secondary outcome [1]
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Change From Baseline to Week 24 in Distance Achieved on the Six-Minute Walk Test (6MWT)
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Assessment method [1]
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The 6MWT measures the distance a participant is able to walk quickly on a flat, hard surface in a period of 6 minutes.
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Timepoint [1]
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Baseline, Week 24
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Eligibility
Key inclusion criteria
1. A current diagnosis of symptomatic PAH classified by one of the following:
1. Idiopathic PAH (IPAH) or heritable pulmonary arterial hypertension (HPAH).
2. PAH associated with connective tissue disease (CTD-APAH).
3. PAH associated with anorexigen or methamphetamine use.
4. Congenital heart disease with simple systemic to pulmonary shunt at least 1 year after surgical repair.
2. 6MWD = 150 meters and = 550 meters at screening.
3. WHO FC II or III symptomatology.
4. Treatment with standard of care PAH background therapies.
5. Documentation of cardiac catheterization within the screening period that is consistent with the diagnosis of PAH and meeting all the following criteria, to be confirmed by a central hemodynamic core laboratory:
1. Mean pulmonary arterial pressure (mPAP) = 25 mmHg (at rest), AND
2. PVR = 400 dyne•sec/cm5, AND
3. Pulmonary capillary wedge pressure (PCWP) or left ventricular-end diastolic pressure (LVEDP) =12 mm Hg if PVR =400 to <500 dyne·sec/cm5 OR
4. PCWP or LVEDP =15 mmHg if PVR =500 dyne·sec/cm5
6. Pulmonary function tests (PFTs) at screening with the following criteria met:
1. Forced expiratory volume in 1 second (FEV1) divided by the forced vital capacity (FVC) =70%;
2. Total lung capacity (TLC) or FVC = 70% predicted
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Minimum age
18
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Evidence of chronic thromboembolic disease or acute pulmonary embolism as assessed by ventilation-perfusion (V/Q) scan, computed tomography (CT)-angiogram, or pulmonary angiogram prior to screening.
2. Uncontrolled systemic hypertension as evidenced by sitting systolic blood pressure > 160 mm Hg or sitting diastolic blood pressure > 100 mm Hg during screening visit after a period of rest.
3. Systolic blood pressure < 90 mm Hg during screening and baseline visits.
4. WHO Pulmonary Hypertension Group 2-5.
5. Human immunodeficiency virus (HIV)-associated PAH.
6. History of left-sided heart disease and/or clinically significant cardiac disease.
7. Untreated severe obstructive sleep apnea.
8. History of atrial septostomy within 180 days prior to screening.
9. Pulmonary venous occlusive disease (PVOD).
10. Subjects with a history of portopulmonary hypertension or portal hypertension due to cirrhosis classified as Child-Pugh Class A or higher; or baseline ALT or AST > 2 x ULN or Total Bilirubin = 2 x ULN.
11. History of malignancy within 5 years prior to screening.
12. History of a potentially life-threatening cardiac arrhythmia with an ongoing risk.
13. Severe acute or chronic medical or laboratory abnormality that may increase the risk associated with study participation or IP administration (eg; history intracranial hemorrhage).
14. Chronic renal insufficiency as defined by an estimated glomerular filtration rate (eGFR) < 45 mL/min/1.73m2 via Chronic Kidney Disease Epidemiology Collaboration (CKD-epi) at screening or requires dialytic therapy or hemofiltration.
15. Hemoglobin (Hgb) concentration < 8.5 g/dL at screening.
16. Evidence of active HIV, Hepatitis B or Hepatitis C, or tuberculosis (TB) infections.
17. Inhaled prostanoids; these drugs may be withdrawn = 4 weeks prior to or at screening, if clinically indicated.
18. Use of oral anticoagulants (ie, warfarin or NOAC) at randomization.
19. Requirement of intravenous (IV) inotropes (ie, levosimendan, dopamine, dobutamine, milrinone, norepinephrine) other than an IV prostanoid within 4 weeks of screening.
20. Prior participation in GB002 studies and/or prior treatment with GB002.
21. Currently participating in or has participated in a study of an investigational agent or has used an investigational device for the treatment of PAH within 4 weeks prior to screening.
22. Current use of inhaled tobacco and/or inhaled marijuana.
23. Current alcohol use disorder as defined by DSM-5 and/or positive test for drugs of abuse (amphetamines, methamphetamines, cocaine, phencyclidine [PCP]).
24. Subjects with a history of severe milk protein allergy. In addition, subjects with known intolerance or hypersensitivity to lactose who, in the opinion of the investigator, may experience severe symptoms following the ingestion of lactose.
25. QTcF of > 480 msec recorded on a screening or baseline ECG or receiving concurrent treatment with medications that prolong QT interval.
26. Have any other condition or reason that, in the opinion of the Investigator or Medical Monitor, would prohibit the subject from participating in the study.
NOTE: Additional inclusion/exclusion criteria may apply, per protocol.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
12/11/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/11/2022
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Sample size
Target
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Accrual to date
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Final
86
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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St Vincent's Hospital - Darlinghurst
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St Vincent's Hospital Melbourne - Fitzroy
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Royal Hobart Hospital - Hobart
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Westmead Hospital - Westmead
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Recruitment postcode(s) [1]
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2010 - Darlinghurst
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Recruitment postcode(s) [2]
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3065 - Fitzroy
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Recruitment postcode(s) [3]
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TAS 7000 - Hobart
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Recruitment postcode(s) [4]
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NSW 2145 - Westmead
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Recruitment outside Australia
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United States of America
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Arizona
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California
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Austria
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Graz
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Austria
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Bruxelles
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Leuven
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Calgary
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London
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Czechia
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Praha
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Montpellier
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Germany
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Berlin
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Gießen
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Hannover
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Heidelberg
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Germany
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Regensburg
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Serbia
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Belgrade
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Serbia
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Sremska Kamenica
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Barcelona
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Madrid
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Santander
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Cambridge
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
GB002, Inc., a wholly owned subsidiary of Gossamer Bio, Inc.
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
The primary objective for this trial is to determine the effect of GB002 (seralutinib) on improving pulmonary hemodynamics in subjects with World Health Organization (WHO) Group 1 PAH who are Functional Class (FC) II and III. The secondary objective for this trial is to determine the effect of GB002 (seralutinib) on improving exercise capacity in this population.
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Trial website
https://clinicaltrials.gov/study/NCT04456998
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Richard Aranda
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Address
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Gossamer Bio Inc.
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/98/NCT04456998/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/98/NCT04456998/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04456998