Trial Outcomes & Findings for Efficacy, Safety and Tolerability of Sexelaxin When Added to Standard Therapy in AHF (NCT NCT02007720)

NCT ID: NCT02007720

Last Updated: 2019-08-02

Results Overview

The trichotomous clinical composite endpoint of treatment success, treatment failure, or no change. Treatment success defined as improvement of dyspnea by Likert scale and at least 2 points improvement by at least 2 physician assessed signs and symptoms (orthopnea, rales edema, and jugular venous pulse) at Day 2; treatment failure defined as worsening heart failure, death, or re-hospitalization due to heart failure or renal failure through Day 5; no change defined as neither the criteria for treatment success nor the criteria for treatment failure was met through Day 5.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

876 participants

Primary outcome timeframe

through day 5

Results posted on

2019-08-02

Participant Flow

* patient randomized : participants who signed ICF (876 participants) * Full analyis set: participants who received at least one dose of study drug (870 participants) * safety set (858 participtants): participants who received at least one dose of study drug and completed at least one post baseline assessment

Participant milestones

Participant milestones
Measure
Placebo
Patients who received continuous intravenous infusion of matching placebo serelaxin for 48 hours.
Serelaxin
Patients who receivedcontinuous intravenous infusion of serelaxin for 48 hours.
Overall Study
STARTED
436
440
Overall Study
Full Analysis Set
433
437
Overall Study
Safety Set
426
432
Overall Study
COMPLETED
354
368
Overall Study
NOT COMPLETED
82
72

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
Patients who received continuous intravenous infusion of matching placebo serelaxin for 48 hours.
Serelaxin
Patients who receivedcontinuous intravenous infusion of serelaxin for 48 hours.
Overall Study
Withdrawal by Subject
9
11
Overall Study
study terminated by sponsor
58
54
Overall Study
technical problem
4
2
Overall Study
patient followd less than 165 days
11
5

Baseline Characteristics

Efficacy, Safety and Tolerability of Sexelaxin When Added to Standard Therapy in AHF

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=433 Participants
Patients who received continuous intravenous infusion of matching placebo serelaxin for 48 hours.
Serelaxin
n=437 Participants
Patients who receivedcontinuous intravenous infusion of serelaxin for 48 hours.
Total
n=870 Participants
Total of all reporting groups
Age, Continuous
full analysis set 870 participants
70.2 years
STANDARD_DEVIATION 13.86 • n=5 Participants
68.9 years
STANDARD_DEVIATION 14.40 • n=7 Participants
69.6 years
STANDARD_DEVIATION 14.14 • n=5 Participants
Sex: Female, Male
Female
165 Participants
n=5 Participants
147 Participants
n=7 Participants
312 Participants
n=5 Participants
Sex: Female, Male
Male
268 Participants
n=5 Participants
290 Participants
n=7 Participants
558 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
418 Participants
n=5 Participants
420 Participants
n=7 Participants
838 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
15 Participants
n=5 Participants
17 Participants
n=7 Participants
32 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: through day 5

Population: Full analysis set (FAS) - All patients in the randomized population who were not misrandomized patients. Following the intent-to-treat (ITT) principle, patients were analyzed according to the treatment they had been assigned to at the randomization

The trichotomous clinical composite endpoint of treatment success, treatment failure, or no change. Treatment success defined as improvement of dyspnea by Likert scale and at least 2 points improvement by at least 2 physician assessed signs and symptoms (orthopnea, rales edema, and jugular venous pulse) at Day 2; treatment failure defined as worsening heart failure, death, or re-hospitalization due to heart failure or renal failure through Day 5; no change defined as neither the criteria for treatment success nor the criteria for treatment failure was met through Day 5.

Outcome measures

Outcome measures
Measure
Placebo
n=433 Participants
Patients who received continuous intravenous infusion of matching placebo serelaxin for 48 hours.
Serelaxin
n=437 Participants
Patients who receivedcontinuous intravenous infusion of serelaxin for 48 hours.
Percentage of Patients With a Clinical Composite Endpoint of Treatment Success, Treatment Failure, or no Change.
Treatment Failure
36 Participants
18 Participants
Percentage of Patients With a Clinical Composite Endpoint of Treatment Success, Treatment Failure, or no Change.
No Change
314 Participants
333 Participants
Percentage of Patients With a Clinical Composite Endpoint of Treatment Success, Treatment Failure, or no Change.
Treatment Success
83 Participants
86 Participants

SECONDARY outcome

Timeframe: Through Day 5

Population: Full analysis set (FAS) - All patients in the randomized population who were not misrandomized patients\*. Following the intent-to-treat (ITT) principle, patients were analyzed according to the treatment they had been assigned to at the randomization

Results are given in terms of number of participants with at least one worsening heart failure (WHF) event through day 5 (pre-defined timeframe).

Outcome measures

Outcome measures
Measure
Placebo
n=433 Participants
Patients who received continuous intravenous infusion of matching placebo serelaxin for 48 hours.
Serelaxin
n=437 Participants
Patients who receivedcontinuous intravenous infusion of serelaxin for 48 hours.
Time to WHF
26 Participants
11 Participants

SECONDARY outcome

Timeframe: Through Day 180

Population: Full analysis set (FAS) - All patients in the randomized population who were not misrandomized patients\*. Following the intent-to-treat (ITT) principle, patients were analyzed according to the treatment they had been assigned to at the randomization

analysis of time to CEC CV death through day 180 : results are given in terms of number of participants with CV death event through day 180 (pre-defined timeframe).

Outcome measures

Outcome measures
Measure
Placebo
n=433 Participants
Patients who received continuous intravenous infusion of matching placebo serelaxin for 48 hours.
Serelaxin
n=437 Participants
Patients who receivedcontinuous intravenous infusion of serelaxin for 48 hours.
Time to CV Death
27 Participants
27 Participants

SECONDARY outcome

Timeframe: Through Day 180

Population: Full analysis set (FAS) - All patients in the randomized population who were not misrandomized patients\*. Following the intent-to-treat (ITT) principle, patients were analyzed according to the treatment they had been assigned to at the randomization

Results are given in terms of number of participants with all cause death event through day 180 (pre-defined timeframe).

Outcome measures

Outcome measures
Measure
Placebo
n=433 Participants
Patients who received continuous intravenous infusion of matching placebo serelaxin for 48 hours.
Serelaxin
n=437 Participants
Patients who receivedcontinuous intravenous infusion of serelaxin for 48 hours.
Time to All-cause Death
41 Participants
33 Participants

SECONDARY outcome

Timeframe: Through Day 5

Population: Full analysis set (FAS)with measure

Time to event is computed as the number of days from randomization to moderate or marked improvements in dyspnea by Likert scale

Outcome measures

Outcome measures
Measure
Placebo
n=423 Participants
Patients who received continuous intravenous infusion of matching placebo serelaxin for 48 hours.
Serelaxin
n=429 Participants
Patients who receivedcontinuous intravenous infusion of serelaxin for 48 hours.
Time to Moderate or Marked Improvements in Dyspnea by Likert Scale, Expressed in Days
1.327 days
Standard Deviation 1.4418
1.352 days
Standard Deviation 1.5071

SECONDARY outcome

Timeframe: Through Day 5

Population: full analysis set with measure

Change from baseline in Dyspena by VAS-AUC through Day 5, expressed in mm-hours

Outcome measures

Outcome measures
Measure
Placebo
n=429 Participants
Patients who received continuous intravenous infusion of matching placebo serelaxin for 48 hours.
Serelaxin
n=432 Participants
Patients who receivedcontinuous intravenous infusion of serelaxin for 48 hours.
Dyspnea by VAS-AUC Changes
2284.6 mm-hours
Standard Deviation 2702.34
2358.2 mm-hours
Standard Deviation 2321.17

SECONDARY outcome

Timeframe: Up to day 30

Population: full analysis set with measure

Length of stay will be defined as the hospitalization discharge date and the time minus the baseline date and time plus 1 day

Outcome measures

Outcome measures
Measure
Placebo
n=432 Participants
Patients who received continuous intravenous infusion of matching placebo serelaxin for 48 hours.
Serelaxin
n=437 Participants
Patients who receivedcontinuous intravenous infusion of serelaxin for 48 hours.
Length of Intensive Care Unit (ICU) and/or Coronary Care Unit (CCU) Stay for the Index AHF Hospitalization
3.2 days
Standard Deviation 5.13
2.5 days
Standard Deviation 4.26

SECONDARY outcome

Timeframe: Through Day 5

Population: Full analysis set with measure

number of participants with renal dysfunction or in-hospital worsening of renal function through Day 5

Outcome measures

Outcome measures
Measure
Placebo
n=418 Participants
Patients who received continuous intravenous infusion of matching placebo serelaxin for 48 hours.
Serelaxin
n=416 Participants
Patients who receivedcontinuous intravenous infusion of serelaxin for 48 hours.
Renal Dysfunction and Prevention of Worsening of Renal Function
120 participants
59 participants

SECONDARY outcome

Timeframe: Through Day 180

Time to event is computed as the number of days from randomization to re-hospitalization due to Heart Failure and renal impairment

Outcome measures

Outcome measures
Measure
Placebo
n=433 Participants
Patients who received continuous intravenous infusion of matching placebo serelaxin for 48 hours.
Serelaxin
n=82 Participants
Patients who receivedcontinuous intravenous infusion of serelaxin for 48 hours.
Time to Re-hospitalization Due to Heart Failure and Renal Impairment
87 days
82 days

SECONDARY outcome

Timeframe: Through Day 180

Population: Full analysis set (FAS) - All patients in the randomized population who were not misrandomized patients\*. Following the intent-to-treat (ITT) principle, patients were analyzed according to the treatment they had been assigned to at the randomization

Results are given in terms of number of participants with CV death or at least one re-hospitalization due to Heart Failure through day 180 (pre-defined timeframe).

Outcome measures

Outcome measures
Measure
Placebo
n=433 Participants
Patients who received continuous intravenous infusion of matching placebo serelaxin for 48 hours.
Serelaxin
n=437 Participants
Patients who receivedcontinuous intravenous infusion of serelaxin for 48 hours.
Time to CV Death or Re-hospitalization Due to Heart Failure/ Renal Failure
87 Participants
82 Participants

SECONDARY outcome

Timeframe: Through Day 5

Population: Full analysis set with measure

Results are given in terms of number of participants with at least one in-hospital worsening heart failure through day 5 (pre-defined timeframe). In-hospital worsening heart failure is defined by symptoms only, signs only, and both symptoms and signs.

Outcome measures

Outcome measures
Measure
Placebo
n=433 Participants
Patients who received continuous intravenous infusion of matching placebo serelaxin for 48 hours.
Serelaxin
n=437 Participants
Patients who receivedcontinuous intravenous infusion of serelaxin for 48 hours.
Time to In-hospital Worsening Heart Failure Through Day 5
death through day 5
1 Participants
1 Participants
Time to In-hospital Worsening Heart Failure Through Day 5
WHF through day 5 by both
20 Participants
9 Participants
Time to In-hospital Worsening Heart Failure Through Day 5
WHF through day 5 by symptoms
2 Participants
1 Participants
Time to In-hospital Worsening Heart Failure Through Day 5
WHF through day 5 by signs
3 Participants
0 Participants

SECONDARY outcome

Timeframe: Through Day 5

Population: full analysis set with measure

Number of patients reported with use of loop diuretic and vasoactive agents from randomization through Day 5

Outcome measures

Outcome measures
Measure
Placebo
n=432 Participants
Patients who received continuous intravenous infusion of matching placebo serelaxin for 48 hours.
Serelaxin
n=437 Participants
Patients who receivedcontinuous intravenous infusion of serelaxin for 48 hours.
Use of Loop Diuretic and Vasoactive Agents
58 participants
49 participants

SECONDARY outcome

Timeframe: Day 2 and Day 5

Population: The data was not collected, and analysis not performed, as the trial was terminated prematurely

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: For the safety evaluation, all adverse events will be collected from signing of the informed consent form through Day 5 for non-serious AEs and through Day 14 for serious AEs.

To evaluate the safety and tolerability of intravenous serelaxin in AHF patients, number of patients with total adverse events, serious adverse events and death will be analyzed.

Outcome measures

Outcome measures
Measure
Placebo
n=433 Participants
Patients who received continuous intravenous infusion of matching placebo serelaxin for 48 hours.
Serelaxin
n=437 Participants
Patients who receivedcontinuous intravenous infusion of serelaxin for 48 hours.
Number of Patients Reported With Total Adverse Events, Serious Adverse Events and Death.
number of participants with AE
253 Participants
219 Participants
Number of Patients Reported With Total Adverse Events, Serious Adverse Events and Death.
number of participants with SAE
50 Participants
37 Participants
Number of Patients Reported With Total Adverse Events, Serious Adverse Events and Death.
number of patients with death
41 Participants
34 Participants

Adverse Events

RLX030

Serious events: 37 serious events
Other events: 65 other events
Deaths: 34 deaths

Placebo

Serious events: 50 serious events
Other events: 82 other events
Deaths: 41 deaths

Total

Serious events: 87 serious events
Other events: 147 other events
Deaths: 75 deaths

Serious adverse events

Serious adverse events
Measure
RLX030
n=432 participants at risk
RLX030
Placebo
n=426 participants at risk
Patients who received continuous intravenous infusion of matching placebo serelaxin for 48 hours.
Total
n=858 participants at risk
Total
Blood and lymphatic system disorders
Iron deficiency anaemia
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Blood and lymphatic system disorders
Splenic infarction
0.23%
1/432 • Through study completion, an average of 3 years
AE additional description
0.00%
0/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Cardiac disorders
Acute myocardial infarction
0.23%
1/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.23%
2/858 • Through study completion, an average of 3 years
AE additional description
Cardiac disorders
Angina pectoris
0.23%
1/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.23%
2/858 • Through study completion, an average of 3 years
AE additional description
Cardiac disorders
Aortic valve incompetence
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Cardiac disorders
Atrial fibrillation
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.47%
2/426 • Through study completion, an average of 3 years
AE additional description
0.23%
2/858 • Through study completion, an average of 3 years
AE additional description
Cardiac disorders
Cardiac arrest
0.23%
1/432 • Through study completion, an average of 3 years
AE additional description
0.00%
0/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Cardiac disorders
Cardiac failure
0.69%
3/432 • Through study completion, an average of 3 years
AE additional description
1.4%
6/426 • Through study completion, an average of 3 years
AE additional description
1.0%
9/858 • Through study completion, an average of 3 years
AE additional description
Cardiac disorders
Cardiac failure acute
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.47%
2/426 • Through study completion, an average of 3 years
AE additional description
0.23%
2/858 • Through study completion, an average of 3 years
AE additional description
Cardiac disorders
Cardiac failure congestive
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Cardiac disorders
Cardio-respiratory arrest
0.23%
1/432 • Through study completion, an average of 3 years
AE additional description
0.47%
2/426 • Through study completion, an average of 3 years
AE additional description
0.35%
3/858 • Through study completion, an average of 3 years
AE additional description
Cardiac disorders
Cardiogenic shock
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Cardiac disorders
Coronary artery disease
0.23%
1/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.23%
2/858 • Through study completion, an average of 3 years
AE additional description
Cardiac disorders
Coronary artery stenosis
0.23%
1/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.23%
2/858 • Through study completion, an average of 3 years
AE additional description
Cardiac disorders
Myocardial infarction
0.23%
1/432 • Through study completion, an average of 3 years
AE additional description
0.00%
0/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Cardiac disorders
Myocardial ischaemia
0.23%
1/432 • Through study completion, an average of 3 years
AE additional description
0.00%
0/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Cardiac disorders
Ventricular fibrillation
0.23%
1/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.23%
2/858 • Through study completion, an average of 3 years
AE additional description
Cardiac disorders
Ventricular tachycardia
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.47%
2/426 • Through study completion, an average of 3 years
AE additional description
0.23%
2/858 • Through study completion, an average of 3 years
AE additional description
Eye disorders
Vitreous haemorrhage
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Gastrointestinal disorders
Gastric haemorrhage
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
General disorders
Death
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
General disorders
Infusion site thrombosis
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
General disorders
Multiple organ dysfunction syndrome
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
General disorders
Non-cardiac chest pain
0.23%
1/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.23%
2/858 • Through study completion, an average of 3 years
AE additional description
General disorders
Sudden cardiac death
0.23%
1/432 • Through study completion, an average of 3 years
AE additional description
0.00%
0/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Infections and infestations
Acinetobacter infection
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Infections and infestations
Bronchitis
0.46%
2/432 • Through study completion, an average of 3 years
AE additional description
0.00%
0/426 • Through study completion, an average of 3 years
AE additional description
0.23%
2/858 • Through study completion, an average of 3 years
AE additional description
Infections and infestations
Cellulitis
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Infections and infestations
Influenza
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Infections and infestations
Medical device site infection
0.23%
1/432 • Through study completion, an average of 3 years
AE additional description
0.00%
0/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Infections and infestations
Pneumonia
1.4%
6/432 • Through study completion, an average of 3 years
AE additional description
1.6%
7/426 • Through study completion, an average of 3 years
AE additional description
1.5%
13/858 • Through study completion, an average of 3 years
AE additional description
Infections and infestations
Sepsis
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Infections and infestations
Septic shock
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Infections and infestations
Serratia sepsis
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Infections and infestations
Staphylococcal sepsis
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Infections and infestations
Urinary tract infection
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.47%
2/426 • Through study completion, an average of 3 years
AE additional description
0.23%
2/858 • Through study completion, an average of 3 years
AE additional description
Injury, poisoning and procedural complications
Femur fracture
0.23%
1/432 • Through study completion, an average of 3 years
AE additional description
0.00%
0/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Injury, poisoning and procedural complications
Subdural haemorrhage
0.23%
1/432 • Through study completion, an average of 3 years
AE additional description
0.00%
0/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Investigations
Blood pressure decreased
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Investigations
Hepatic enzyme increased
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Metabolism and nutrition disorders
Gout
0.23%
1/432 • Through study completion, an average of 3 years
AE additional description
0.00%
0/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Metabolism and nutrition disorders
Hyperkalaemia
0.23%
1/432 • Through study completion, an average of 3 years
AE additional description
0.00%
0/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Metabolism and nutrition disorders
Hypoglycaemia
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.47%
2/426 • Through study completion, an average of 3 years
AE additional description
0.23%
2/858 • Through study completion, an average of 3 years
AE additional description
Metabolism and nutrition disorders
Hyponatraemia
0.23%
1/432 • Through study completion, an average of 3 years
AE additional description
0.47%
2/426 • Through study completion, an average of 3 years
AE additional description
0.35%
3/858 • Through study completion, an average of 3 years
AE additional description
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancer
0.23%
1/432 • Through study completion, an average of 3 years
AE additional description
0.00%
0/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Rectal cancer
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Nervous system disorders
Cerebral infarction
0.46%
2/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.35%
3/858 • Through study completion, an average of 3 years
AE additional description
Nervous system disorders
Embolic cerebral infarction
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Nervous system disorders
Encephalopathy
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Nervous system disorders
Ischaemic stroke
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.47%
2/426 • Through study completion, an average of 3 years
AE additional description
0.23%
2/858 • Through study completion, an average of 3 years
AE additional description
Nervous system disorders
Partial seizures
0.23%
1/432 • Through study completion, an average of 3 years
AE additional description
0.00%
0/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Nervous system disorders
Presyncope
0.23%
1/432 • Through study completion, an average of 3 years
AE additional description
0.00%
0/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Renal and urinary disorders
Acute kidney injury
0.69%
3/432 • Through study completion, an average of 3 years
AE additional description
0.70%
3/426 • Through study completion, an average of 3 years
AE additional description
0.70%
6/858 • Through study completion, an average of 3 years
AE additional description
Renal and urinary disorders
Azotaemia
0.23%
1/432 • Through study completion, an average of 3 years
AE additional description
0.00%
0/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Renal and urinary disorders
Polyuria
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Renal and urinary disorders
Renal impairment
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.70%
3/426 • Through study completion, an average of 3 years
AE additional description
0.35%
3/858 • Through study completion, an average of 3 years
AE additional description
Renal and urinary disorders
Urinary retention
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.47%
2/426 • Through study completion, an average of 3 years
AE additional description
0.23%
2/858 • Through study completion, an average of 3 years
AE additional description
Respiratory, thoracic and mediastinal disorders
Asthma
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.23%
1/432 • Through study completion, an average of 3 years
AE additional description
0.00%
0/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.23%
1/432 • Through study completion, an average of 3 years
AE additional description
0.00%
0/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Respiratory, thoracic and mediastinal disorders
Hypercapnia
0.46%
2/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.35%
3/858 • Through study completion, an average of 3 years
AE additional description
Respiratory, thoracic and mediastinal disorders
Pneumonia aspiration
0.46%
2/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.35%
3/858 • Through study completion, an average of 3 years
AE additional description
Respiratory, thoracic and mediastinal disorders
Sleep apnoea syndrome
0.23%
1/432 • Through study completion, an average of 3 years
AE additional description
0.00%
0/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Vascular disorders
Aortic dissection
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Vascular disorders
Hypotension
0.23%
1/432 • Through study completion, an average of 3 years
AE additional description
0.47%
2/426 • Through study completion, an average of 3 years
AE additional description
0.35%
3/858 • Through study completion, an average of 3 years
AE additional description
Vascular disorders
Hypovolaemic shock
0.23%
1/432 • Through study completion, an average of 3 years
AE additional description
0.00%
0/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description
Vascular disorders
Peripheral ischaemia
0.00%
0/432 • Through study completion, an average of 3 years
AE additional description
0.23%
1/426 • Through study completion, an average of 3 years
AE additional description
0.12%
1/858 • Through study completion, an average of 3 years
AE additional description

Other adverse events

Other adverse events
Measure
RLX030
n=432 participants at risk
RLX030
Placebo
n=426 participants at risk
Patients who received continuous intravenous infusion of matching placebo serelaxin for 48 hours.
Total
n=858 participants at risk
Total
Cardiac disorders
Cardiac failure
3.2%
14/432 • Through study completion, an average of 3 years
AE additional description
5.2%
22/426 • Through study completion, an average of 3 years
AE additional description
4.2%
36/858 • Through study completion, an average of 3 years
AE additional description
Gastrointestinal disorders
Constipation
5.3%
23/432 • Through study completion, an average of 3 years
AE additional description
7.0%
30/426 • Through study completion, an average of 3 years
AE additional description
6.2%
53/858 • Through study completion, an average of 3 years
AE additional description
Metabolism and nutrition disorders
Hypokalaemia
8.1%
35/432 • Through study completion, an average of 3 years
AE additional description
9.2%
39/426 • Through study completion, an average of 3 years
AE additional description
8.6%
74/858 • Through study completion, an average of 3 years
AE additional description

Additional Information

Study Director

Novartis Pharma AG

Phone: +41613241111

Results disclosure agreements

  • Principal investigator is a sponsor employee The terms and conditions of Novartis' agreements with its investigators may vary. However Novartis does not prohibit any inverstigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (ie, data from all sites) in the clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER