Trial Outcomes & Findings for Trial of IW-1973, A Stimulator of Soluble Guanylate Cyclase (sGC) in Patients With Stable Type 2 Diabetes and Hypertension (NCT NCT03091920)

NCT ID: NCT03091920

Last Updated: 2020-08-31

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

26 participants

Primary outcome timeframe

Study Baseline (Day 1 predose AM); Days 2-14: predose AM; Days 1, 2, 7, 8, 13: postdose AM 1 hour and 4 hour; Day 1: postdose AM 8 hour; Days 1, 2, 8, 13: predose PM; Days 1, 2: postdose PM 1 hour; Days 2, 3: postdose PM 4 hour; Days 15, 21, 42

Results posted on

2020-08-31

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo
Placebo oral tablet taken morning (AM) and night (PM) on Days 1-14.
IW-1973 40 mg Twice Dily (BID)/Once Daily (QD)
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Overall Study
STARTED
6
10
10
Overall Study
COMPLETED
6
9
10
Overall Study
NOT COMPLETED
0
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
Placebo oral tablet taken morning (AM) and night (PM) on Days 1-14.
IW-1973 40 mg Twice Dily (BID)/Once Daily (QD)
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Overall Study
Adverse Event
0
1
0

Baseline Characteristics

Trial of IW-1973, A Stimulator of Soluble Guanylate Cyclase (sGC) in Patients With Stable Type 2 Diabetes and Hypertension

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Total
n=26 Participants
Total of all reporting groups
Age, Customized
40 to < 65 years old
4 Participants
n=5 Participants
6 Participants
n=7 Participants
7 Participants
n=5 Participants
17 Participants
n=4 Participants
Age, Customized
>= 65 years old
2 Participants
n=5 Participants
4 Participants
n=7 Participants
3 Participants
n=5 Participants
9 Participants
n=4 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
4 Participants
n=7 Participants
5 Participants
n=5 Participants
13 Participants
n=4 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
6 Participants
n=7 Participants
5 Participants
n=5 Participants
13 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
10 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
1 Participants
n=5 Participants
8 Participants
n=7 Participants
7 Participants
n=5 Participants
16 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race/Ethnicity, Customized
White
6 Participants
n=5 Participants
7 Participants
n=7 Participants
7 Participants
n=5 Participants
20 Participants
n=4 Participants
Race/Ethnicity, Customized
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
3 Participants
n=4 Participants
Race/Ethnicity, Customized
Black or African American
0 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
3 Participants
n=4 Participants
Percentage of Participants With Baseline Supine BP Less Than 130/80 mmHg
33.3 percentage of participants
n=5 Participants
80.0 percentage of participants
n=7 Participants
60.0 percentage of participants
n=5 Participants
70.0 percentage of participants
n=4 Participants

PRIMARY outcome

Timeframe: Study Baseline (Day 1 predose AM); Days 2-14: predose AM; Days 1, 2, 7, 8, 13: postdose AM 1 hour and 4 hour; Day 1: postdose AM 8 hour; Days 1, 2, 8, 13: predose PM; Days 1, 2: postdose PM 1 hour; Days 2, 3: postdose PM 4 hour; Days 15, 21, 42

Population: Pharmacodynamic (PD) Population: all participants who received at least 1 dose of study drug and had at least 1 postdose PD assessment.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 2 predose AM
5.5 mmHg
Standard Error 3.5
-2.9 mmHg
Standard Error 2.8
-0.2 mmHg
Standard Error 2.7
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 8 predose AM
3.7 mmHg
Standard Error 4.6
-8.0 mmHg
Standard Error 3.7
-4.7 mmHg
Standard Error 3.6
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 8 postdose AM: 1 hour
-2.0 mmHg
Standard Error 5.3
-15.4 mmHg
Standard Error 4.3
-12.3 mmHg
Standard Error 4.1
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 8 postdose AM: 4 hour
-5.2 mmHg
Standard Error 6.1
-15.2 mmHg
Standard Error 4.9
-9.8 mmHg
Standard Error 4.7
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Study Baseline (Day 1 predose AM)
130.2 mmHg
Standard Error 11.1
120.1 mmHg
Standard Error 8.9
128.6 mmHg
Standard Error 10.1
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 1 postdose AM: 1 hour
-6.8 mmHg
Standard Error 4.8
-7.7 mmHg
Standard Error 3.9
-6.2 mmHg
Standard Error 3.7
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 1 postdose AM: 4 hour
4.4 mmHg
Standard Error 6.0
-9.5 mmHg
Standard Error 4.9
-11.1 mmHg
Standard Error 4.6
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 1 postdose AM: 8 hour
0.5 mmHg
Standard Error 5.0
-9.4 mmHg
Standard Error 4.0
-2.7 mmHg
Standard Error 3.8
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 1 predose PM
1.8 mmHg
Standard Error 6.3
-6.9 mmHg
Standard Error 5.1
-1.7 mmHg
Standard Error 4.8
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 1 postdose PM: 1 hour
-0.6 mmHg
Standard Error 5.6
-3.9 mmHg
Standard Error 4.5
-5.0 mmHg
Standard Error 4.3
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 2 postdose AM: 1 hour
2.0 mmHg
Standard Error 4.6
-13.4 mmHg
Standard Error 3.7
-7.4 mmHg
Standard Error 3.5
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 2 postdose AM: 4 hour
1.7 mmHg
Standard Error 6.1
-7.1 mmHg
Standard Error 4.9
-9.4 mmHg
Standard Error 4.7
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 2 predose PM
4.6 mmHg
Standard Error 4.5
-7.1 mmHg
Standard Error 3.6
-2.4 mmHg
Standard Error 3.4
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 2 postdose PM: 1 hour
-3.8 mmHg
Standard Error 5.3
-2.2 mmHg
Standard Error 4.3
-3.1 mmHg
Standard Error 4.1
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 2 postdose PM: 4 hour
-5.0 mmHg
Standard Error 4.2
-9.7 mmHg
Standard Error 3.4
-8.0 mmHg
Standard Error 3.3
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 3 predose AM
-0.8 mmHg
Standard Error 4.0
-5.5 mmHg
Standard Error 3.2
-6.5 mmHg
Standard Error 3.1
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 3 postdose PM: 4 hour
-5.8 mmHg
Standard Error 4.8
-6.0 mmHg
Standard Error 3.9
-8.6 mmHg
Standard Error 3.7
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 4 predose AM
-0.8 mmHg
Standard Error 3.3
-7.0 mmHg
Standard Error 2.7
-8.9 mmHg
Standard Error 2.6
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 5 predose AM
-0.2 mmHg
Standard Error 3.6
-1.9 mmHg
Standard Error 2.9
-10.3 mmHg
Standard Error 2.8
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 6 predose AM
-4.3 mmHg
Standard Error 4.1
-11.0 mmHg
Standard Error 3.3
-8.6 mmHg
Standard Error 3.2
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 7 predose AM
-4.3 mmHg
Standard Error 4.8
-3.3 mmHg
Standard Error 3.8
-8.1 mmHg
Standard Error 3.7
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 7 postdose AM: 1 hour
-5.3 mmHg
Standard Error 4.4
-8.4 mmHg
Standard Error 3.5
-11.7 mmHg
Standard Error 3.4
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 7 postdose AM: 4 hour
1.3 mmHg
Standard Error 4.8
-8.2 mmHg
Standard Error 3.9
-15.9 mmHg
Standard Error 3.7
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 8 predose PM
-4.5 mmHg
Standard Error 5.5
-8.8 mmHg
Standard Error 4.4
-5.8 mmHg
Standard Error 4.2
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 9 predose AM
3.0 mmHg
Standard Error 3.7
-9.7 mmHg
Standard Error 3.0
-2.1 mmHg
Standard Error 2.9
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 10 predose AM
-1.3 mmHg
Standard Error 4.0
-9.3 mmHg
Standard Error 3.2
-5.1 mmHg
Standard Error 3.0
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 11 predose AM
3.8 mmHg
Standard Error 5.4
-12.3 mmHg
Standard Error 4.4
-4.5 mmHg
Standard Error 4.2
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 12 predose AM
-6.5 mmHg
Standard Error 4.1
-9.8 mmHg
Standard Error 3.3
-12.0 mmHg
Standard Error 3.1
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 13 predose AM
-1.6 mmHg
Standard Error 3.7
-13.5 mmHg
Standard Error 3.0
-8.1 mmHg
Standard Error 2.8
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 13 postdose AM: 1 hour
-2.4 mmHg
Standard Error 4.0
-16.6 mmHg
Standard Error 3.2
-14.2 mmHg
Standard Error 3.1
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 13 postdose AM: 4 hour
-3.9 mmHg
Standard Error 6.3
-15.6 mmHg
Standard Error 5.1
-13.7 mmHg
Standard Error 4.8
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 13 predose PM
-1.9 mmHg
Standard Error 4.0
-13.2 mmHg
Standard Error 3.2
-11.8 mmHg
Standard Error 3.1
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 14 predose AM
-3.7 mmHg
Standard Error 5.9
-9.5 mmHg
Standard Error 4.7
-9.8 mmHg
Standard Error 4.5
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 15/Discharge
2.1 mmHg
Standard Error 4.9
-6.0 mmHg
Standard Error 4.0
-3.0 mmHg
Standard Error 3.8
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 21/Follow-Up
-3.5 mmHg
Standard Error 4.3
1.3 mmHg
Standard Error 3.5
1.7 mmHg
Standard Error 3.3
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Day 42/End of Trial
3.3 mmHg
Standard Error 6.2
8.8 mmHg
Standard Error 5.0
-1.2 mmHg
Standard Error 4.8

PRIMARY outcome

Timeframe: Study Baseline (Day 1 predose AM); Days 2-14: predose AM; Days 1, 2, 7, 8, 13: postdose AM 1 hour and 4 hour; Day 1: postdose AM 8 hour; Days 1, 2, 8, 13: predose PM; Days 1, 2: postdose PM 1 hour; Days 2, 3: postdose PM 4 hour; Days 15, 21, 42

Population: PD Population: all participants who received at least 1 dose of study drug and had at least 1 postdose PD assessment.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 1 postdose AM: 4 hour
-0.3 mmHg
Standard Error 2.4
-3.2 mmHg
Standard Error 1.8
-7.4 mmHg
Standard Error 1.8
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 1 postdose AM: 8 hour
0.9 mmHg
Standard Error 2.3
-4.6 mmHg
Standard Error 1.7
-3.7 mmHg
Standard Error 1.7
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Study Baseline (Day 1 predose AM)
80.3 mmHg
Standard Error 6.9
75.5 mmHg
Standard Error 4.4
74.8 mmHg
Standard Error 5.9
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 1 postdose AM: 1 hour
-3.1 mmHg
Standard Error 2.4
-5.7 mmHg
Standard Error 1.8
-5.1 mmHg
Standard Error 1.8
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 1 predose PM
-1.3 mmHg
Standard Error 2.2
-4.9 mmHg
Standard Error 1.6
-3.5 mmHg
Standard Error 1.6
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 1 postdose PM: 1 hour
-0.9 mmHg
Standard Error 3.4
-5.9 mmHg
Standard Error 2.5
-3.7 mmHg
Standard Error 2.5
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 2 predose AM
3.1 mmHg
Standard Error 2.0
-1.3 mmHg
Standard Error 1.5
0 mmHg
Standard Error 1.5
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 2 postdose AM: 1 hour
-1.4 mmHg
Standard Error 2.4
-8.1 mmHg
Standard Error 1.8
-6.7 mmHg
Standard Error 1.8
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 2 postdose AM: 4 hour
2.2 mmHg
Standard Error 3.4
-3.1 mmHg
Standard Error 2.5
-6.2 mmHg
Standard Error 2.5
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 2 predose PM
1.9 mmHg
Standard Error 2.3
-3.7 mmHg
Standard Error 1.7
-2.6 mmHg
Standard Error 1.7
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 2 postdose PM: 1 hour
-2.2 mmHg
Standard Error 2.6
-2.7 mmHg
Standard Error 1.9
-4.4 mmHg
Standard Error 1.9
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 2 postdose PM: 4 hour
-3.9 mmHg
Standard Error 2.7
-6.3 mmHg
Standard Error 2.0
-5.4 mmHg
Standard Error 2.0
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 3 predose AM
-0.8 mmHg
Standard Error 2.5
-0.6 mmHg
Standard Error 1.8
-0.5 mmHg
Standard Error 1.8
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 3 postdose PM: 4 hour
-5.5 mmHg
Standard Error 3.0
-4.0 mmHg
Standard Error 2.2
-6.7 mmHg
Standard Error 2.2
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 4 predose AM
0.3 mmHg
Standard Error 2.2
-4.0 mmHg
Standard Error 1.6
-4.2 mmHg
Standard Error 1.6
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 5 predose AM
1.8 mmHg
Standard Error 2.2
-0.6 mmHg
Standard Error 1.6
-5.3 mmHg
Standard Error 1.6
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 6 predose AM
-0.5 mmHg
Standard Error 1.9
-3.3 mmHg
Standard Error 1.4
-5.2 mmHg
Standard Error 1.4
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 7 predose AM
0.9 mmHg
Standard Error 2.9
-3.2 mmHg
Standard Error 2.1
-3.4 mmHg
Standard Error 2.1
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 7 postdose AM: 1 hour
-1.7 mmHg
Standard Error 2.4
-6.0 mmHg
Standard Error 1.8
-7.4 mmHg
Standard Error 1.8
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 7 postdose AM: 4 hour
-6.1 mmHg
Standard Error 3.5
-5.1 mmHg
Standard Error 2.6
-5.9 mmHg
Standard Error 2.6
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 8 predose AM
0.6 mmHg
Standard Error 2.7
-3.9 mmHg
Standard Error 1.9
-2.2 mmHg
Standard Error 2.0
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 8 postdose AM: 1 hour
0 mmHg
Standard Error 2.4
-9.3 mmHg
Standard Error 1.8
-8.3 mmHg
Standard Error 1.8
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 8 postdose AM: 4 hour
-3.6 mmHg
Standard Error 2.8
-8.9 mmHg
Standard Error 2.0
-4.9 mmHg
Standard Error 2.1
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 8 predose PM
-3.3 mmHg
Standard Error 2.9
-4.1 mmHg
Standard Error 2.1
-3.0 mmHg
Standard Error 2.1
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 9 predose AM
0.6 mmHg
Standard Error 2.1
-4.3 mmHg
Standard Error 1.5
-1.6 mmHg
Standard Error 1.5
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 10 predose AM
0.1 mmHg
Standard Error 2.4
-3.7 mmHg
Standard Error 1.7
-5.0 mmHg
Standard Error 1.8
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 11 predose AM
2.2 mmHg
Standard Error 2.5
-6.4 mmHg
Standard Error 1.8
-3.1 mmHg
Standard Error 1.9
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 12 predose AM
-1.1 mmHg
Standard Error 2.0
-3.5 mmHg
Standard Error 1.5
-5.6 mmHg
Standard Error 1.5
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 13 predose AM
0.1 mmHg
Standard Error 2.2
-4.8 mmHg
Standard Error 1.6
-4.4 mmHg
Standard Error 1.6
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 13 postdose AM: 1 hour
-2.0 mmHg
Standard Error 2.1
-11.0 mmHg
Standard Error 1.6
-10.5 mmHg
Standard Error 1.6
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 13 postdose AM: 4 hour
-2.5 mmHg
Standard Error 2.9
-8.6 mmHg
Standard Error 2.1
-9.0 mmHg
Standard Error 2.2
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 13 predose PM
0.1 mmHg
Standard Error 2.7
-7.8 mmHg
Standard Error 2.0
-7.0 mmHg
Standard Error 2.0
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 14 predose AM
-4.4 mmHg
Standard Error 3.1
-6.1 mmHg
Standard Error 2.3
-4.1 mmHg
Standard Error 2.3
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 15/Discharge
-0.9 mmHg
Standard Error 2.4
-3.5 mmHg
Standard Error 1.8
-1.6 mmHg
Standard Error 1.8
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 21/Follow-Up
0.1 mmHg
Standard Error 1.8
-0.7 mmHg
Standard Error 1.3
0.3 mmHg
Standard Error 1.3
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Day 42/End of Trial
0.7 mmHg
Standard Error 3.3
2.8 mmHg
Standard Error 2.4
1.5 mmHg
Standard Error 2.4

PRIMARY outcome

Timeframe: Study Baseline (Day 1 predose AM); Days 2-14: predose AM; Days 1, 2, 7, 8, 13: postdose AM 1 hour and 4 hour; Day 1: postdose AM 8 hour; Days 1, 2, 8, 13: predose PM; Days 1, 2: postdose PM 1 hour; Days 2, 3: postdose PM 4 hour; Days 15, 21, 42

Population: PD Population: all participants who received at least 1 dose of study drug and had at least 1 postdose PD assessment.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Change From Study Baseline Over Time in Supine Pulse
Study Baseline (Day 1 predose AM)
70.3 bpm
Standard Error 13.7
70.3 bpm
Standard Error 10.9
70.0 bpm
Standard Error 10.3
Change From Study Baseline Over Time in Supine Pulse
Day 1 postdose AM: 1 hour
1.0 bpm
Standard Error 4.1
7.2 bpm
Standard Error 3.1
10.2 bpm
Standard Error 3.1
Change From Study Baseline Over Time in Supine Pulse
Day 1 postdose AM: 4 hour
4.3 bpm
Standard Error 3.4
4.3 bpm
Standard Error 2.7
8.8 bpm
Standard Error 2.7
Change From Study Baseline Over Time in Supine Pulse
Day 1 postdose AM: 8 hour
2.8 bpm
Standard Error 2.8
2.6 bpm
Standard Error 2.2
4.5 bpm
Standard Error 2.2
Change From Study Baseline Over Time in Supine Pulse
Day 1 predose PM
0 bpm
Standard Error 2.7
5.1 bpm
Standard Error 2.1
5.3 bpm
Standard Error 2.1
Change From Study Baseline Over Time in Supine Pulse
Day 1 postdose PM: 1 hour
2.3 bpm
Standard Error 2.8
4.6 bpm
Standard Error 2.2
3.7 bpm
Standard Error 2.2
Change From Study Baseline Over Time in Supine Pulse
Day 2 predose AM
-2.6 bpm
Standard Error 2.3
-1.7 bpm
Standard Error 1.8
-1.9 bpm
Standard Error 1.8
Change From Study Baseline Over Time in Supine Pulse
Day 2 postdose AM: 1 hour
7.0 bpm
Standard Error 4.1
9.5 bpm
Standard Error 3.1
11.3 bpm
Standard Error 3.1
Change From Study Baseline Over Time in Supine Pulse
Day 2 postdose AM: 4 hour
3.2 bpm
Standard Error 3.0
6.5 bpm
Standard Error 2.3
10.2 bpm
Standard Error 2.3
Change From Study Baseline Over Time in Supine Pulse
Day 2 predose PM
7.9 bpm
Standard Error 2.7
6.5 bpm
Standard Error 2.1
6.6 bpm
Standard Error 2.1
Change From Study Baseline Over Time in Supine Pulse
Day 2 postdose PM: 1 hour
7.2 bpm
Standard Error 3.6
7.3 bpm
Standard Error 2.8
7.0 bpm
Standard Error 2.8
Change From Study Baseline Over Time in Supine Pulse
Day 2 postdose PM: 4 hour
1.9 bpm
Standard Error 2.4
3.0 bpm
Standard Error 1.8
4.8 bpm
Standard Error 1.8
Change From Study Baseline Over Time in Supine Pulse
Day 3 predose AM
0.2 bpm
Standard Error 2.3
-1.2 bpm
Standard Error 1.8
-0.2 bpm
Standard Error 1.8
Change From Study Baseline Over Time in Supine Pulse
Day 3 postdose PM: 4 hour
3.0 bpm
Standard Error 2.9
0.7 bpm
Standard Error 2.2
5.2 bpm
Standard Error 2.2
Change From Study Baseline Over Time in Supine Pulse
Day 4 predose AM
-4.1 bpm
Standard Error 2.6
2.8 bpm
Standard Error 2.0
0.9 bpm
Standard Error 2.0
Change From Study Baseline Over Time in Supine Pulse
Day 5 predose AM
-3.3 bpm
Standard Error 2.3
-0.4 bpm
Standard Error 1.8
-0.6 bpm
Standard Error 1.8
Change From Study Baseline Over Time in Supine Pulse
Day 6 predose AM
-0.8 bpm
Standard Error 2.9
1.5 bpm
Standard Error 2.3
-1.5 bpm
Standard Error 2.3
Change From Study Baseline Over Time in Supine Pulse
Day 7 predose AM
-4.0 bpm
Standard Error 2.5
1.1 bpm
Standard Error 2.0
1.0 bpm
Standard Error 2.0
Change From Study Baseline Over Time in Supine Pulse
Day 7 postdose AM: 1 hour
0.2 bpm
Standard Error 4.2
9.5 bpm
Standard Error 3.2
13.2 bpm
Standard Error 3.2
Change From Study Baseline Over Time in Supine Pulse
Day 7 postdose AM: 4 hour
-2.6 bpm
Standard Error 2.6
4.4 bpm
Standard Error 2.0
8.8 bpm
Standard Error 2.0
Change From Study Baseline Over Time in Supine Pulse
Day 8 predose AM
-2.8 bpm
Standard Error 2.6
-0.9 bpm
Standard Error 2.0
1.3 bpm
Standard Error 2.0
Change From Study Baseline Over Time in Supine Pulse
Day 8 postdose AM: 1 hour
2.7 bpm
Standard Error 3.8
12.4 bpm
Standard Error 2.9
12.3 bpm
Standard Error 2.9
Change From Study Baseline Over Time in Supine Pulse
Day 8 postdose AM: 4 hour
-0.6 bpm
Standard Error 3.0
7.1 bpm
Standard Error 2.3
7.7 bpm
Standard Error 2.3
Change From Study Baseline Over Time in Supine Pulse
Day 8 predose PM
2.7 bpm
Standard Error 3.2
6.0 bpm
Standard Error 2.5
5.7 bpm
Standard Error 2.5
Change From Study Baseline Over Time in Supine Pulse
Day 9 predose AM
-1.8 bpm
Standard Error 2.9
-0.3 bpm
Standard Error 2.3
0.5 bpm
Standard Error 2.3
Change From Study Baseline Over Time in Supine Pulse
Day 10 predose AM
-3.0 bpm
Standard Error 3.2
1.3 bpm
Standard Error 2.4
2.1 bpm
Standard Error 2.4
Change From Study Baseline Over Time in Supine Pulse
Day 11 predose AM
2.2 bpm
Standard Error 3.6
0.7 bpm
Standard Error 2.8
1.4 bpm
Standard Error 2.8
Change From Study Baseline Over Time in Supine Pulse
Day 12 predose AM
-0.6 bpm
Standard Error 4.0
2.3 bpm
Standard Error 3.1
0.6 bpm
Standard Error 3.1
Change From Study Baseline Over Time in Supine Pulse
Day 13 predose AM
-0.2 bpm
Standard Error 3.6
0.8 bpm
Standard Error 2.8
-0.1 bpm
Standard Error 2.8
Change From Study Baseline Over Time in Supine Pulse
Day 13 postdose AM: 1 hour
0.3 bpm
Standard Error 3.2
7.3 bpm
Standard Error 2.5
10.2 bpm
Standard Error 2.5
Change From Study Baseline Over Time in Supine Pulse
Day 13 postdose AM: 4 hour
-0.8 bpm
Standard Error 2.5
4.8 bpm
Standard Error 2.0
6.4 bpm
Standard Error 2.0
Change From Study Baseline Over Time in Supine Pulse
Day 13 predose PM
5.0 bpm
Standard Error 3.0
4.5 bpm
Standard Error 2.3
7.0 bpm
Standard Error 2.3
Change From Study Baseline Over Time in Supine Pulse
Day 14 predose AM
-3.1 bpm
Standard Error 3.0
0.7 bpm
Standard Error 2.3
0.1 bpm
Standard Error 2.3
Change From Study Baseline Over Time in Supine Pulse
Day 15/Discharge
1.1 bpm
Standard Error 2.9
0.7 bpm
Standard Error 2.3
1.5 bpm
Standard Error 2.3
Change From Study Baseline Over Time in Supine Pulse
Day 21/Follow-Up
-1.3 bpm
Standard Error 4.1
-2.0 bpm
Standard Error 3.2
5.4 bpm
Standard Error 3.2
Change From Study Baseline Over Time in Supine Pulse
Day 42/End of Trial
0.4 bpm
Standard Error 3.6
0.6 bpm
Standard Error 2.8
1.2 bpm
Standard Error 2.8

PRIMARY outcome

Timeframe: Baseline, Days 1-14, Day 15, 21, 42

Population: PD Population: all participants who received at least 1 dose of study drug and had at least 1 postdose PD assessment.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Percentage of Participants With Postdose Supine Blood Pressure Less Than 130/80 mmHg Over Time
Baseline
33.3 percentage of participants
80.0 percentage of participants
60.0 percentage of participants
Percentage of Participants With Postdose Supine Blood Pressure Less Than 130/80 mmHg Over Time
Day 1
100 percentage of participants
100 percentage of participants
100 percentage of participants
Percentage of Participants With Postdose Supine Blood Pressure Less Than 130/80 mmHg Over Time
Day 2
66.7 percentage of participants
100 percentage of participants
100 percentage of participants
Percentage of Participants With Postdose Supine Blood Pressure Less Than 130/80 mmHg Over Time
Day 3
66.7 percentage of participants
100 percentage of participants
90.0 percentage of participants
Percentage of Participants With Postdose Supine Blood Pressure Less Than 130/80 mmHg Over Time
Day 4
50.0 percentage of participants
100 percentage of participants
90.0 percentage of participants
Percentage of Participants With Postdose Supine Blood Pressure Less Than 130/80 mmHg Over Time
Day 5
50.0 percentage of participants
70.0 percentage of participants
90.0 percentage of participants
Percentage of Participants With Postdose Supine Blood Pressure Less Than 130/80 mmHg Over Time
Day 6
66.7 percentage of participants
90.0 percentage of participants
90.0 percentage of participants
Percentage of Participants With Postdose Supine Blood Pressure Less Than 130/80 mmHg Over Time
Day 7
50.0 percentage of participants
90.0 percentage of participants
90.0 percentage of participants
Percentage of Participants With Postdose Supine Blood Pressure Less Than 130/80 mmHg Over Time
Day 8
83.3 percentage of participants
90.0 percentage of participants
100 percentage of participants
Percentage of Participants With Postdose Supine Blood Pressure Less Than 130/80 mmHg Over Time
Day 9
33.3 percentage of participants
100 percentage of participants
70.0 percentage of participants
Percentage of Participants With Postdose Supine Blood Pressure Less Than 130/80 mmHg Over Time
Day 10
33.3 percentage of participants
100 percentage of participants
70.0 percentage of participants
Percentage of Participants With Postdose Supine Blood Pressure Less Than 130/80 mmHg Over Time
Day 11
50.0 percentage of participants
100 percentage of participants
70.0 percentage of participants
Percentage of Participants With Postdose Supine Blood Pressure Less Than 130/80 mmHg Over Time
Day 12
50.0 percentage of participants
90.0 percentage of participants
80.0 percentage of participants
Percentage of Participants With Postdose Supine Blood Pressure Less Than 130/80 mmHg Over Time
Day 13
66.7 percentage of participants
100 percentage of participants
100 percentage of participants
Percentage of Participants With Postdose Supine Blood Pressure Less Than 130/80 mmHg Over Time
Day 14
50.0 percentage of participants
90.0 percentage of participants
80.0 percentage of participants
Percentage of Participants With Postdose Supine Blood Pressure Less Than 130/80 mmHg Over Time
Day 15 / Discharge
33.3 percentage of participants
100 percentage of participants
70.0 percentage of participants
Percentage of Participants With Postdose Supine Blood Pressure Less Than 130/80 mmHg Over Time
Day 21 / Follow-Up
50.0 percentage of participants
80.0 percentage of participants
50.0 percentage of participants
Percentage of Participants With Postdose Supine Blood Pressure Less Than 130/80 mmHg Over Time
Day 42 / End of Trial
33.3 percentage of participants
40.0 percentage of participants
60.0 percentage of participants

PRIMARY outcome

Timeframe: Days -1, 1, 2, 7, 8, 13: 1 and 4 hour AM; Days -1, 1, 2, 8, 13: 0 hour PM; Days -1, 1, 2: 1 hour PM; Days 1, 2, 7, 8, 13: 0 hour AM; Day 1: 8 hour AM; Days 1, 2: 4 hour PM

Population: Safety Population: participants who received at least 1 dose of study drug.

An orthostatic measurement is obtained by subtracting the supine measurement from the standing measurement.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Orthostatic Systolic Blood Pressure Over Time
Day 1, 1 hour PM
5.7 mmHg
Standard Deviation 10.2
0.7 mmHg
Standard Deviation 18.0
4.1 mmHg
Standard Deviation 11.4
Orthostatic Systolic Blood Pressure Over Time
Day 1, 4 hour PM
4.3 mmHg
Standard Deviation 14.4
0.4 mmHg
Standard Deviation 14.8
6.4 mmHg
Standard Deviation 5.3
Orthostatic Systolic Blood Pressure Over Time
Day 8, 1 hour AM
-2.5 mmHg
Standard Deviation 8.5
5.9 mmHg
Standard Deviation 14.7
1.7 mmHg
Standard Deviation 12.6
Orthostatic Systolic Blood Pressure Over Time
Day 8, 4 hour AM
1.0 mmHg
Standard Deviation 12.3
2.9 mmHg
Standard Deviation 10.3
-1.7 mmHg
Standard Deviation 16.0
Orthostatic Systolic Blood Pressure Over Time
Day 13, 1 hour AM
-1.5 mmHg
Standard Deviation 12.8
8.3 mmHg
Standard Deviation 13.7
1.4 mmHg
Standard Deviation 12.1
Orthostatic Systolic Blood Pressure Over Time
Day 13, 4 hour AM
0.8 mmHg
Standard Deviation 7.4
4.1 mmHg
Standard Deviation 10.9
2.2 mmHg
Standard Deviation 11.7
Orthostatic Systolic Blood Pressure Over Time
Day 13, 0 hour PM
3.8 mmHg
Standard Deviation 9.1
4.8 mmHg
Standard Deviation 14.2
3.2 mmHg
Standard Deviation 10.3
Orthostatic Systolic Blood Pressure Over Time
Day -1, 1 hour AM
-0.8 mmHg
Standard Deviation 11.9
2.0 mmHg
Standard Deviation 12.1
5.6 mmHg
Standard Deviation 11.5
Orthostatic Systolic Blood Pressure Over Time
Day -1, 4 hour AM
0.3 mmHg
Standard Deviation 6.4
2.9 mmHg
Standard Deviation 9.9
2.3 mmHg
Standard Deviation 11.5
Orthostatic Systolic Blood Pressure Over Time
Day -1, 0 hour PM
3.0 mmHg
Standard Deviation 10.5
1.7 mmHg
Standard Deviation 12.4
-0.1 mmHg
Standard Deviation 7.3
Orthostatic Systolic Blood Pressure Over Time
Day -1, 1 hour PM
3.8 mmHg
Standard Deviation 9.0
5.3 mmHg
Standard Deviation 13.8
3.1 mmHg
Standard Deviation 11.5
Orthostatic Systolic Blood Pressure Over Time
Day 1, 0 hour AM
1.3 mmHg
Standard Deviation 9.6
5.2 mmHg
Standard Deviation 11.8
3.7 mmHg
Standard Deviation 12.7
Orthostatic Systolic Blood Pressure Over Time
Day 1, 1 hour AM
9.7 mmHg
Standard Deviation 7.9
3.7 mmHg
Standard Deviation 15.8
2.5 mmHg
Standard Deviation 11.5
Orthostatic Systolic Blood Pressure Over Time
Day 1, 4 hour AM
3.0 mmHg
Standard Deviation 14.6
12.1 mmHg
Standard Deviation 11.3
5.8 mmHg
Standard Deviation 8.3
Orthostatic Systolic Blood Pressure Over Time
Day 1, 8 hour AM
5.3 mmHg
Standard Deviation 6.4
4.7 mmHg
Standard Deviation 12.4
5.1 mmHg
Standard Deviation 11.5
Orthostatic Systolic Blood Pressure Over Time
Day 1, 0 hour PM
10.2 mmHg
Standard Deviation 10.5
4.1 mmHg
Standard Deviation 17.0
0.2 mmHg
Standard Deviation 10.3
Orthostatic Systolic Blood Pressure Over Time
Day 2, 0 hour AM
-2.7 mmHg
Standard Deviation 11.0
2.5 mmHg
Standard Deviation 13.5
1.1 mmHg
Standard Deviation 10.3
Orthostatic Systolic Blood Pressure Over Time
Day 2, 1 hour AM
-4.7 mmHg
Standard Deviation 15.0
2.9 mmHg
Standard Deviation 8.5
2.2 mmHg
Standard Deviation 8.6
Orthostatic Systolic Blood Pressure Over Time
Day 2, 4 hour AM
-1.7 mmHg
Standard Deviation 11.4
5.8 mmHg
Standard Deviation 6.8
4.6 mmHg
Standard Deviation 10.6
Orthostatic Systolic Blood Pressure Over Time
Day 2, 0 Hour PM
-6.0 mmHg
Standard Deviation 14.9
6.6 mmHg
Standard Deviation 11.9
2.3 mmHg
Standard Deviation 10.4
Orthostatic Systolic Blood Pressure Over Time
Day 2, 1 hour PM
2.7 mmHg
Standard Deviation 14.4
5.0 mmHg
Standard Deviation 14.3
0.5 mmHg
Standard Deviation 14.0
Orthostatic Systolic Blood Pressure Over Time
Day 2, 4 hour PM
0.8 mmHg
Standard Deviation 6.8
-0.7 mmHg
Standard Deviation 18.9
7.1 mmHg
Standard Deviation 13.1
Orthostatic Systolic Blood Pressure Over Time
Day 7, 0 hour AM
1.0 mmHg
Standard Deviation 7.6
2.5 mmHg
Standard Deviation 19.1
4.9 mmHg
Standard Deviation 10.7
Orthostatic Systolic Blood Pressure Over Time
Day 7, 1 hour AM
-2.0 mmHg
Standard Deviation 6.8
6.3 mmHg
Standard Deviation 11.7
-2.5 mmHg
Standard Deviation 8.0
Orthostatic Systolic Blood Pressure Over Time
Day 7, 4 hour AM
-1.2 mmHg
Standard Deviation 10.8
4.7 mmHg
Standard Deviation 11.3
4.7 mmHg
Standard Deviation 14.1
Orthostatic Systolic Blood Pressure Over Time
Day 8, 0 hour AM
-4.0 mmHg
Standard Deviation 13.7
6.5 mmHg
Standard Deviation 11.9
-1.1 mmHg
Standard Deviation 5.7
Orthostatic Systolic Blood Pressure Over Time
Day 8, 0 hour PM
1.0 mmHg
Standard Deviation 8.4
5.0 mmHg
Standard Deviation 9.7
4.2 mmHg
Standard Deviation 8.8
Orthostatic Systolic Blood Pressure Over Time
Day 13, 0 hour AM
-2.0 mmHg
Standard Deviation 5.2
6.2 mmHg
Standard Deviation 13.7
1.3 mmHg
Standard Deviation 7.4

PRIMARY outcome

Timeframe: Days -1, 1, 2, 7, 8, 13: 1 and 4 hour AM; Days -1, 1, 2, 8, 13: 0 hour PM; Days -1, 1, 2: 1 hour PM; Days 1, 2, 7, 8, 13: 0 hour AM; Day 1: 8 hour AM; Days 1, 2: 4 hour PM

Population: Safety Population: participants who received at least 1 dose of study drug.

An orthostatic measurement is obtained by subtracting the supine measurement from the standing measurement.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Orthostatic Diastolic Blood Pressure Over Time
Day -1, 1 hour AM
1.8 mmHg
Standard Deviation 3.0
3.3 mmHg
Standard Deviation 6.8
6.3 mmHg
Standard Deviation 5.9
Orthostatic Diastolic Blood Pressure Over Time
Day -1, 0 hour PM
8.2 mmHg
Standard Deviation 4.6
4.2 mmHg
Standard Deviation 5.6
3.4 mmHg
Standard Deviation 4.4
Orthostatic Diastolic Blood Pressure Over Time
Day -1, 1 hour PM
5.7 mmHg
Standard Deviation 4.6
4.0 mmHg
Standard Deviation 6.8
4.5 mmHg
Standard Deviation 4.3
Orthostatic Diastolic Blood Pressure Over Time
Day 1, 0 hour AM
3.3 mmHg
Standard Deviation 5.2
4.2 mmHg
Standard Deviation 4.4
5.4 mmHg
Standard Deviation 4.6
Orthostatic Diastolic Blood Pressure Over Time
Day 1, 1 hour AM
5.3 mmHg
Standard Deviation 8.9
2.9 mmHg
Standard Deviation 5.1
3.4 mmHg
Standard Deviation 5.9
Orthostatic Diastolic Blood Pressure Over Time
Day 1, 4 hour AM
4.2 mmHg
Standard Deviation 4.1
6.1 mmHg
Standard Deviation 5.8
7.0 mmHg
Standard Deviation 5.0
Orthostatic Diastolic Blood Pressure Over Time
Day 1, 8 hour AM
5.3 mmHg
Standard Deviation 1.9
3.6 mmHg
Standard Deviation 4.5
4.9 mmHg
Standard Deviation 6.0
Orthostatic Diastolic Blood Pressure Over Time
Day 1, 0 hour PM
10.0 mmHg
Standard Deviation 6.8
2.8 mmHg
Standard Deviation 6.3
5.1 mmHg
Standard Deviation 6.2
Orthostatic Diastolic Blood Pressure Over Time
Day 13, 0 hour AM
2.7 mmHg
Standard Deviation 5.1
4.0 mmHg
Standard Deviation 6.8
3.9 mmHg
Standard Deviation 4.1
Orthostatic Diastolic Blood Pressure Over Time
Day 13, 1 hour AM
3.3 mmHg
Standard Deviation 4.3
5.8 mmHg
Standard Deviation 4.7
5.0 mmHg
Standard Deviation 7.1
Orthostatic Diastolic Blood Pressure Over Time
Day 13, 4 hour AM
0.7 mmHg
Standard Deviation 4.5
3.7 mmHg
Standard Deviation 4.3
5.4 mmHg
Standard Deviation 7.7
Orthostatic Diastolic Blood Pressure Over Time
Day 13, 0 hour PM
4.0 mmHg
Standard Deviation 3.2
5.1 mmHg
Standard Deviation 6.3
3.9 mmHg
Standard Deviation 3.8
Orthostatic Diastolic Blood Pressure Over Time
Day -1, 4 hour AM
-0.5 mmHg
Standard Deviation 5.1
3.6 mmHg
Standard Deviation 8.2
5.5 mmHg
Standard Deviation 6.4
Orthostatic Diastolic Blood Pressure Over Time
Day 1, 1 hour PM
3.0 mmHg
Standard Deviation 4.3
5.2 mmHg
Standard Deviation 9.2
5.1 mmHg
Standard Deviation 4.3
Orthostatic Diastolic Blood Pressure Over Time
Day 1, 4 hour PM
6.8 mmHg
Standard Deviation 4.2
3.4 mmHg
Standard Deviation 7.3
7.7 mmHg
Standard Deviation 4.9
Orthostatic Diastolic Blood Pressure Over Time
Day 2, 0 hour AM
2.7 mmHg
Standard Deviation 2.0
3.3 mmHg
Standard Deviation 5.2
3.3 mmHg
Standard Deviation 6.0
Orthostatic Diastolic Blood Pressure Over Time
Day 2, 1 hour AM
3.0 mmHg
Standard Deviation 4.1
1.8 mmHg
Standard Deviation 5.8
5.2 mmHg
Standard Deviation 3.2
Orthostatic Diastolic Blood Pressure Over Time
Day 2, 4 hour AM
0.5 mmHg
Standard Deviation 2.4
3.8 mmHg
Standard Deviation 3.5
5.7 mmHg
Standard Deviation 5.3
Orthostatic Diastolic Blood Pressure Over Time
Day 2, 0 Hour PM
-2.7 mmHg
Standard Deviation 10.2
3.2 mmHg
Standard Deviation 7.4
4.7 mmHg
Standard Deviation 5.2
Orthostatic Diastolic Blood Pressure Over Time
Day 2, 1 hour PM
2.3 mmHg
Standard Deviation 5.6
0.9 mmHg
Standard Deviation 6.1
5.3 mmHg
Standard Deviation 5.1
Orthostatic Diastolic Blood Pressure Over Time
Day 2, 4 hour PM
5.8 mmHg
Standard Deviation 4.3
1.3 mmHg
Standard Deviation 10.0
8.7 mmHg
Standard Deviation 7.5
Orthostatic Diastolic Blood Pressure Over Time
Day 7, 0 hour AM
2.3 mmHg
Standard Deviation 3.4
2.9 mmHg
Standard Deviation 7.9
5.6 mmHg
Standard Deviation 6.2
Orthostatic Diastolic Blood Pressure Over Time
Day 7, 1 hour AM
1.8 mmHg
Standard Deviation 2.9
3.7 mmHg
Standard Deviation 5.5
2.4 mmHg
Standard Deviation 3.5
Orthostatic Diastolic Blood Pressure Over Time
Day 7, 4 hour AM
7.3 mmHg
Standard Deviation 9.0
4.8 mmHg
Standard Deviation 7.4
3.2 mmHg
Standard Deviation 6.5
Orthostatic Diastolic Blood Pressure Over Time
Day 8, 0 hour AM
3.3 mmHg
Standard Deviation 6.1
6.2 mmHg
Standard Deviation 7.1
4.8 mmHg
Standard Deviation 5.5
Orthostatic Diastolic Blood Pressure Over Time
Day 8, 1 hour AM
-1.3 mmHg
Standard Deviation 8.9
2.2 mmHg
Standard Deviation 8.4
3.8 mmHg
Standard Deviation 6.7
Orthostatic Diastolic Blood Pressure Over Time
Day 8, 4 hour AM
4.0 mmHg
Standard Deviation 2.6
1.9 mmHg
Standard Deviation 7.3
1.2 mmHg
Standard Deviation 7.3
Orthostatic Diastolic Blood Pressure Over Time
Day 8, 0 hour PM
5.0 mmHg
Standard Deviation 2.6
3.8 mmHg
Standard Deviation 4.5
4.2 mmHg
Standard Deviation 4.0

PRIMARY outcome

Timeframe: Days -1, 1, 2, 7, 8, 13: 1 and 4 hour AM; Days -1, 1, 2, 8, 13: 0 hour PM; Days -1, 1, 2: 1 hour PM; Days 1, 2, 7, 8, 13: 0 hour AM; Day 1: 8 hour AM; Days 1, 2: 4 hour PM

Population: Safety Population: participants who received at least 1 dose of study drug.

An orthostatic measurement is obtained by subtracting the supine measurement from the standing measurement.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Orthostatic Pulse Over Time
Day 1, 1 hour AM
8.7 bpm
Standard Deviation 6.6
9.7 bpm
Standard Deviation 5.9
12.9 bpm
Standard Deviation 6.9
Orthostatic Pulse Over Time
Day 1, 4 hour AM
7.7 bpm
Standard Deviation 7.4
11.0 bpm
Standard Deviation 6.1
10.1 bpm
Standard Deviation 8.4
Orthostatic Pulse Over Time
Day 1, 8 hour AM
10.0 bpm
Standard Deviation 4.7
9.9 bpm
Standard Deviation 6.3
10.5 bpm
Standard Deviation 4.6
Orthostatic Pulse Over Time
Day 1, 0 hour PM
14.8 bpm
Standard Deviation 9.9
9.1 bpm
Standard Deviation 6.6
7.7 bpm
Standard Deviation 4.1
Orthostatic Pulse Over Time
Day 1, 1 hour PM
9.3 bpm
Standard Deviation 6.2
10.8 bpm
Standard Deviation 7.2
11.1 bpm
Standard Deviation 6.6
Orthostatic Pulse Over Time
Day 1, 4 hour PM
16.5 bpm
Standard Deviation 12.7
14.5 bpm
Standard Deviation 7.2
16.5 bpm
Standard Deviation 10.0
Orthostatic Pulse Over Time
Day 2, 0 hour AM
9.0 bpm
Standard Deviation 3.0
10.4 bpm
Standard Deviation 7.0
10.5 bpm
Standard Deviation 4.7
Orthostatic Pulse Over Time
Day -1, 0 hour PM
15.3 bpm
Standard Deviation 15.0
10.1 bpm
Standard Deviation 4.7
9.8 bpm
Standard Deviation 4.9
Orthostatic Pulse Over Time
Day 2, 4 hour AM
11.2 bpm
Standard Deviation 9.2
8.4 bpm
Standard Deviation 6.5
8.8 bpm
Standard Deviation 6.2
Orthostatic Pulse Over Time
Day 2, 0 Hour PM
6.0 bpm
Standard Deviation 8.6
8.6 bpm
Standard Deviation 5.8
9.0 bpm
Standard Deviation 4.2
Orthostatic Pulse Over Time
Day 13, 4 hour AM
14.5 bpm
Standard Deviation 8.1
9.1 bpm
Standard Deviation 6.0
11.5 bpm
Standard Deviation 5.9
Orthostatic Pulse Over Time
Day 13, 0 hour PM
9.3 bpm
Standard Deviation 3.4
9.3 bpm
Standard Deviation 4.6
11.2 bpm
Standard Deviation 4.3
Orthostatic Pulse Over Time
Day -1, 1 hour AM
9.2 bpm
Standard Deviation 6.4
9.2 bpm
Standard Deviation 4.3
10.2 bpm
Standard Deviation 8.8
Orthostatic Pulse Over Time
Day -1, 4 hour AM
4.7 bpm
Standard Deviation 9.8
10.9 bpm
Standard Deviation 5.8
9.5 bpm
Standard Deviation 8.3
Orthostatic Pulse Over Time
Day -1, 1 hour PM
11.3 bpm
Standard Deviation 3.9
11.0 bpm
Standard Deviation 4.3
11.4 bpm
Standard Deviation 6.0
Orthostatic Pulse Over Time
Day 1, 0 hour AM
4.8 bpm
Standard Deviation 10.4
8.8 bpm
Standard Deviation 4.3
10.3 bpm
Standard Deviation 7.7
Orthostatic Pulse Over Time
Day 2, 1 hour AM
6.5 bpm
Standard Deviation 6.0
11.2 bpm
Standard Deviation 8.7
10.7 bpm
Standard Deviation 5.8
Orthostatic Pulse Over Time
Day 2, 1 hour PM
10.0 bpm
Standard Deviation 5.4
9.4 bpm
Standard Deviation 6.8
7.9 bpm
Standard Deviation 4.6
Orthostatic Pulse Over Time
Day 2, 4 hour PM
10.8 bpm
Standard Deviation 6.3
15.9 bpm
Standard Deviation 8.6
13.6 bpm
Standard Deviation 7.1
Orthostatic Pulse Over Time
Day 7, 0 hour AM
10.8 bpm
Standard Deviation 5.2
7.1 bpm
Standard Deviation 8.5
9.7 bpm
Standard Deviation 4.6
Orthostatic Pulse Over Time
Day 7, 1 hour AM
11.5 bpm
Standard Deviation 6.3
9.5 bpm
Standard Deviation 6.6
10.1 bpm
Standard Deviation 7.9
Orthostatic Pulse Over Time
Day 7, 4 hour AM
10.8 bpm
Standard Deviation 3.3
8.7 bpm
Standard Deviation 2.6
9.6 bpm
Standard Deviation 4.7
Orthostatic Pulse Over Time
Day 8, 0 hour AM
10.3 bpm
Standard Deviation 8.3
8.6 bpm
Standard Deviation 8.6
9.5 bpm
Standard Deviation 7.8
Orthostatic Pulse Over Time
Day 8, 1 hour AM
5.3 bpm
Standard Deviation 9.3
9.5 bpm
Standard Deviation 8.7
10.5 bpm
Standard Deviation 3.3
Orthostatic Pulse Over Time
Day 8, 4 hour AM
10.7 bpm
Standard Deviation 7.4
8.1 bpm
Standard Deviation 7.8
7.3 bpm
Standard Deviation 6.1
Orthostatic Pulse Over Time
Day 8, 0 hour PM
9.3 bpm
Standard Deviation 3.6
9.6 bpm
Standard Deviation 5.6
8.9 bpm
Standard Deviation 4.7
Orthostatic Pulse Over Time
Day 13, 0 hour AM
7.8 bpm
Standard Deviation 14.9
9.1 bpm
Standard Deviation 8.6
10.9 bpm
Standard Deviation 5.9
Orthostatic Pulse Over Time
Day 13, 1 hour AM
11.0 bpm
Standard Deviation 4.6
7.9 bpm
Standard Deviation 6.0
11.2 bpm
Standard Deviation 7.5

PRIMARY outcome

Timeframe: Time Matched Baseline (Day -1), Days 1, 7, and 14

Population: PD Population: all participants who received at least 1 dose of study drug and had at least 1 postdose PD assessment.

24-hour average is the average of ABPM assessments over 24 hour intervals from the time of dosing. Time-matched baseline is the 24 hours average during Day -1.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
n=20 Participants
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Change From Time-Matched Baseline Over Time in Ambulatory Blood Pressure Monitoring (ABPM) 24-hour Averages of Systolic Blood Pressure
Change at Day 7
-3.54 mmHg
Standard Error 2.68
-6.77 mmHg
Standard Error 2.07
-3.03 mmHg
Standard Error 2.04
-4.90 mmHg
Standard Error 1.45
Change From Time-Matched Baseline Over Time in Ambulatory Blood Pressure Monitoring (ABPM) 24-hour Averages of Systolic Blood Pressure
Change at Day 14
-4.87 mmHg
Standard Error 3.17
-7.58 mmHg
Standard Error 2.59
-6.74 mmHg
Standard Error 2.39
-7.16 mmHg
Standard Error 1.75
Change From Time-Matched Baseline Over Time in Ambulatory Blood Pressure Monitoring (ABPM) 24-hour Averages of Systolic Blood Pressure
Time Matched Baseline (Day -1)
132.34 mmHg
Standard Error 8.22
126.40 mmHg
Standard Error 11.07
129.00 mmHg
Standard Error 6.48
127.70 mmHg
Standard Error 8.93
Change From Time-Matched Baseline Over Time in Ambulatory Blood Pressure Monitoring (ABPM) 24-hour Averages of Systolic Blood Pressure
Change at Day 1
-0.60 mmHg
Standard Error 2.39
-3.92 mmHg
Standard Error 1.84
-3.15 mmHg
Standard Error 1.81
-3.53 mmHg
Standard Error 1.29

PRIMARY outcome

Timeframe: Time Matched Baseline (Day -1), Days 1, 7, and 14

Population: PD Population: all participants who received at least 1 dose of study drug and had at least 1 postdose PD assessment.

Daytime 12-hour average is the average of ABPM assessments over daytime 12-hour intervals from the time of dosing. Time-matched baseline is the daytime 12 hours average during Day -1.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Change From Time-Matched Baseline Over Time in ABPM Daytime (12-Hour) Averages of Systolic Blood Pressure
Time Matched Baseline (Day -1)
136.99 mmHg
Standard Error 8.42
130.64 mmHg
Standard Error 10.82
132.28 mmHg
Standard Error 7.07
Change From Time-Matched Baseline Over Time in ABPM Daytime (12-Hour) Averages of Systolic Blood Pressure
Change at Day 1
-0.74 mmHg
Standard Error 2.81
-7.80 mmHg
Standard Error 2.14
-4.93 mmHg
Standard Error 2.12
Change From Time-Matched Baseline Over Time in ABPM Daytime (12-Hour) Averages of Systolic Blood Pressure
Change at Day 7
-5.27 mmHg
Standard Error 2.89
-9.09 mmHg
Standard Error 2.20
-3.85 mmHg
Standard Error 2.17
Change From Time-Matched Baseline Over Time in ABPM Daytime (12-Hour) Averages of Systolic Blood Pressure
Change at Day 14
-6.37 mmHg
Standard Error 3.62
-12.81 mmHg
Standard Error 2.92
-7.40 mmHg
Standard Error 2.71

PRIMARY outcome

Timeframe: Time Matched Baseline (Day -1), Days 1, 7, and 14

Population: PD Population: all participants who received at least 1 dose of study drug and had at least 1 postdose PD assessment.

Nighttime 12-hour average is the average of ABPM assessments over nighttime 12-hour intervals from the time of dosing. Time-matched baseline is the nighttime 12 hours average during Day -1.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Change From Time-Matched Baseline Over Time in ABPM Nighttime (12-Hour) Averages of Systolic Blood Pressure
Change at Day 7
-1.42 mmHg
Standard Error 2.93
-4.54 mmHg
Standard Error 2.28
-2.25 mmHg
Standard Error 2.25
Change From Time-Matched Baseline Over Time in ABPM Nighttime (12-Hour) Averages of Systolic Blood Pressure
Time Matched Baseline (Day -1)
126.76 mmHg
Standard Error 9.36
121.77 mmHg
Standard Error 12.26
125.26 mmHg
Standard Error 7.24
Change From Time-Matched Baseline Over Time in ABPM Nighttime (12-Hour) Averages of Systolic Blood Pressure
Change at Day 1
0.11 mmHg
Standard Error 2.55
-0.11 mmHg
Standard Error 1.98
-1.50 mmHg
Standard Error 1.96
Change From Time-Matched Baseline Over Time in ABPM Nighttime (12-Hour) Averages of Systolic Blood Pressure
Change at Day 14
-3.25 mmHg
Standard Error 3.17
-2.38 mmHg
Standard Error 2.63
-6.23 mmHg
Standard Error 2.44

PRIMARY outcome

Timeframe: Time-matched baseline (Day -1), Days 1, 7, 14: 0-4, 4-8, 8-12, 12-16, 16-20, 20-24 hours postdose

Population: PD Population: all participants who received at least 1 dose of study drug and had at least 1 postdose PD assessment.

Postdose is the average of assessments over 4-hour intervals from the time of dosing that day. Time-matched baseline is the corresponding 4-hour average on Day -1.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Systolic Blood Pressure
Time-matched baseline (Day -1): 0-4 hours
134.45 mmHg
Standard Error 8.01
128.18 mmHg
Standard Error 9.90
128.38 mmHg
Standard Error 7.33
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Systolic Blood Pressure
Time-matched baseline (Day -1): 8-12 hours
140.46 mmHg
Standard Error 9.12
133.67 mmHg
Standard Error 11.90
135.93 mmHg
Standard Error 8.51
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Systolic Blood Pressure
Time-matched baseline (Day -1): 12-16 hours
130.31 mmHg
Standard Error 9.75
124.00 mmHg
Standard Error 11.93
128.44 mmHg
Standard Error 11.32
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Systolic Blood Pressure
Day 1, 0-4 hours
-1.61 mmHg
Standard Error 3.02
-7.15 mmHg
Standard Error 2.27
-4.08 mmHg
Standard Error 2.27
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Systolic Blood Pressure
Day 1, 4-8 hours
-0.62 mmHg
Standard Error 3.51
-8.67 mmHg
Standard Error 2.70
-8.89 mmHg
Standard Error 2.67
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Systolic Blood Pressure
Day 1, 12-16 hours
-4.83 mmHg
Standard Error 3.04
-1.46 mmHg
Standard Error 2.37
-2.00 mmHg
Standard Error 2.34
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Systolic Blood Pressure
Day 1, 20-24 hours
2.08 mmHg
Standard Error 3.04
1.27 mmHg
Standard Error 2.37
-0.55 mmHg
Standard Error 2.27
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Systolic Blood Pressure
Day 7, 4-8 hours
-6.24 mmHg
Standard Error 3.44
-9.13 mmHg
Standard Error 2.65
-4.07 mmHg
Standard Error 2.62
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Systolic Blood Pressure
Day 7, 8-12 hours
-3.70 mmHg
Standard Error 3.65
-7.93 mmHg
Standard Error 2.80
-2.33 mmHg
Standard Error 2.76
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Systolic Blood Pressure
Day 7, 20-24 hours
-1.10 mmHg
Standard Error 3.74
-4.94 mmHg
Standard Error 2.91
-0.33 mmHg
Standard Error 2.80
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Systolic Blood Pressure
Day 14, 0-4 hours
-6.67 mmHg
Standard Error 3.92
-13.80 mmHg
Standard Error 3.10
-5.01 mmHg
Standard Error 2.90
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Systolic Blood Pressure
Day 14, 4-8 hours
-7.36 mmHg
Standard Error 3.62
-13.67 mmHg
Standard Error 2.95
-8.53 mmHg
Standard Error 2.75
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Systolic Blood Pressure
Day 14, 16-20 hours
-1.06 mmHg
Standard Error 3.53
-2.79 mmHg
Standard Error 2.89
-6.61 mmHg
Standard Error 2.74
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Systolic Blood Pressure
Day 14, 20-24 hours
-2.98 mmHg
Standard Error 3.82
-1.00 mmHg
Standard Error 3.17
-1.91 mmHg
Standard Error 2.84
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Systolic Blood Pressure
Time-matched baseline (Day -1): 4-8 hours
136.10 mmHg
Standard Error 9.69
130.04 mmHg
Standard Error 13.15
132.53 mmHg
Standard Error 6.83
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Systolic Blood Pressure
Time-matched baseline (Day -1): 16-20 hours
120.34 mmHg
Standard Error 8.79
119.75 mmHg
Standard Error 14.51
120.41 mmHg
Standard Error 11.00
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Systolic Blood Pressure
Time-matched baseline (Day -1): 20-24 hours
132.10 mmHg
Standard Error 11.62
122.77 mmHg
Standard Error 9.60
128.13 mmHg
Standard Error 7.19
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Systolic Blood Pressure
Day 1, 8-12 hours
1.21 mmHg
Standard Error 3.80
-8.14 mmHg
Standard Error 2.91
-1.84 mmHg
Standard Error 2.88
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Systolic Blood Pressure
Day 1, 16-20 hours
3.77 mmHg
Standard Error 4.12
-0.66 mmHg
Standard Error 3.19
-1.08 mmHg
Standard Error 3.19
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Systolic Blood Pressure
Day 7, 0-4 hours
-5.14 mmHg
Standard Error 3.14
-10.68 mmHg
Standard Error 2.35
-5.15 mmHg
Standard Error 2.35
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Systolic Blood Pressure
Day 7, 12-16 hours
-4.46 mmHg
Standard Error 3.66
-5.03 mmHg
Standard Error 2.86
-1.97 mmHg
Standard Error 2.82
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Systolic Blood Pressure
Day 7, 16-20 hours
2.75 mmHg
Standard Error 3.98
-5.14 mmHg
Standard Error 3.08
-3.74 mmHg
Standard Error 3.08
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Systolic Blood Pressure
Day 14, 8-12 hours
-4.42 mmHg
Standard Error 4.41
-11.43 mmHg
Standard Error 3.58
-8.53 mmHg
Standard Error 3.31
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Systolic Blood Pressure
Day 14, 12-16 hours
-5.28 mmHg
Standard Error 4.14
-3.52 mmHg
Standard Error 3.43
-8.75 mmHg
Standard Error 3.18

PRIMARY outcome

Timeframe: Time Matched Baseline (Day -1), Days 1, 7, and 14

Population: PD Population: all participants who received at least 1 dose of study drug and had at least 1 postdose PD assessment.

24-hour average is the average of ABPM assessments over 24 hour intervals from the time of dosing. Time-matched baseline is the 24 hours average during Day -1.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
n=20 Participants
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Change From Time-Matched Baseline Over Time in ABPM 24-hour Averages of Mean Arterial Pressure
Change at Day 1
-0.68 mmHg
Standard Error 1.61
-2.80 mmHg
Standard Error 1.20
-3.07 mmHg
Standard Error 1.19
-2.94 mmHg
Standard Error 0.85
Change From Time-Matched Baseline Over Time in ABPM 24-hour Averages of Mean Arterial Pressure
Change at Day 7
-1.84 mmHg
Standard Error 1.83
-5.24 mmHg
Standard Error 1.37
-3.46 mmHg
Standard Error 1.35
-4.35 mmHg
Standard Error 0.97
Change From Time-Matched Baseline Over Time in ABPM 24-hour Averages of Mean Arterial Pressure
Time Matched Baseline (Day -1)
96.44 mmHg
Standard Error 8.38
90.27 mmHg
Standard Error 6.89
91.14 mmHg
Standard Error 5.54
90.71 mmHg
Standard Error 6.10
Change From Time-Matched Baseline Over Time in ABPM 24-hour Averages of Mean Arterial Pressure
Change at Day 14
-1.55 mmHg
Standard Error 2.28
-6.50 mmHg
Standard Error 1.79
-6.05 mmHg
Standard Error 1.65
-6.28 mmHg
Standard Error 1.23

PRIMARY outcome

Timeframe: Time Matched Baseline (Day -1), Days 1, 7, and 14

Population: PD Population: all participants who received at least 1 dose of study drug and had at least 1 postdose PD assessment.

Daytime 12-hour average is the average of ABPM assessments over daytime 12-hour intervals from the time of dosing. Time-matched baseline is the daytime 12 hours average during Day -1.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Change From Time-Matched Baseline Over Time in ABPM Daytime (12-hour) Averages of Mean Arterial Pressure
Time Matched Baseline (Day -1)
100.09 mmHg
Standard Error 7.14
93.31 mmHg
Standard Error 7.36
94.00 mmHg
Standard Error 5.54
Change From Time-Matched Baseline Over Time in ABPM Daytime (12-hour) Averages of Mean Arterial Pressure
Change at Day 1
-0.20 mmHg
Standard Error 2.24
-5.07 mmHg
Standard Error 1.65
-5.22 mmHg
Standard Error 1.63
Change From Time-Matched Baseline Over Time in ABPM Daytime (12-hour) Averages of Mean Arterial Pressure
Change at Day 7
-2.60 mmHg
Standard Error 2.01
-6.82 mmHg
Standard Error 1.48
-4.75 mmHg
Standard Error 1.46
Change From Time-Matched Baseline Over Time in ABPM Daytime (12-hour) Averages of Mean Arterial Pressure
Change at Day 14
-1.97 mmHg
Standard Error 2.50
-10.71 mmHg
Standard Error 1.94
-7.31 mmHg
Standard Error 1.79

PRIMARY outcome

Timeframe: Time Matched Baseline (Day -1), Days 1, 7, and 14

Population: PD Population: all participants who received at least 1 dose of study drug and had at least 1 postdose PD assessment.

Nighttime 12-hour average is the average of ABPM assessments over nighttime 12-hour intervals from the time of dosing. Time-matched baseline is the nighttime 12 hours average during Day -1.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Change From Time-Matched Baseline Over Time in ABPM Nighttime (12-Hour) Averages of Mean Arterial Pressure
Time Matched Baseline (Day -1)
91.93 mmHg
Standard Error 10.03
86.85 mmHg
Standard Error 7.57
87.77 mmHg
Standard Error 6.37
Change From Time-Matched Baseline Over Time in ABPM Nighttime (12-Hour) Averages of Mean Arterial Pressure
Change at Day 1
-0.39 mmHg
Standard Error 1.67
-0.84 mmHg
Standard Error 1.27
-1.10 mmHg
Standard Error 1.26
Change From Time-Matched Baseline Over Time in ABPM Nighttime (12-Hour) Averages of Mean Arterial Pressure
Change at Day 7
-0.47 mmHg
Standard Error 2.07
-3.79 mmHg
Standard Error 1.57
-2.20 mmHg
Standard Error 1.56
Change From Time-Matched Baseline Over Time in ABPM Nighttime (12-Hour) Averages of Mean Arterial Pressure
Change at Day 14
-0.54 mmHg
Standard Error 2.46
-2.42 mmHg
Standard Error 1.97
-4.83 mmHg
Standard Error 1.84

PRIMARY outcome

Timeframe: Time-matched baseline (Day -1), Days 1, 7, 14: 0-4, 4-8, 8-12, 12-16, 16-20, 20-24 hours postdose

Population: PD Population: all participants who received at least 1 dose of study drug and had at least 1 postdose PD assessment.

Postdose is the average of assessments over 4-hour intervals from the time of dosing that day. Time-matched baseline is the corresponding 4-hour average on Day -1.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Mean Arterial Pressure
Day 1, 12-16 hours
-2.21 mmHg
Standard Error 1.90
-1.84 mmHg
Standard Error 1.47
-2.23 mmHg
Standard Error 1.44
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Mean Arterial Pressure
Time-matched baseline (Day -1): 4-8 hours
98.92 mmHg
Standard Error 8.64
92.27 mmHg
Standard Error 7.73
93.98 mmHg
Standard Error 4.94
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Mean Arterial Pressure
Time-matched baseline (Day -1): 8-12 hours
103.25 mmHg
Standard Error 8.66
96.20 mmHg
Standard Error 9.50
96.76 mmHg
Standard Error 8.22
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Mean Arterial Pressure
Time-matched baseline (Day -1): 12-16 hours
93.31 mmHg
Standard Error 9.82
87.07 mmHg
Standard Error 6.75
90.02 mmHg
Standard Error 8.80
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Mean Arterial Pressure
Time-matched baseline (Day -1): 16-20 hours
87.48 mmHg
Standard Error 10.42
85.54 mmHg
Standard Error 9.68
83.70 mmHg
Standard Error 9.24
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Mean Arterial Pressure
Day 1, 0-4 hours
-0.40 mmHg
Standard Error 2.61
-4.84 mmHg
Standard Error 1.86
-5.57 mmHg
Standard Error 1.88
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Mean Arterial Pressure
Day 1, 4-8 hours
0.24 mmHg
Standard Error 2.86
-4.98 mmHg
Standard Error 2.15
-7.97 mmHg
Standard Error 2.11
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Mean Arterial Pressure
Day 1, 8-12 hours
0.84 mmHg
Standard Error 2.87
-5.87 mmHg
Standard Error 2.15
-2.30 mmHg
Standard Error 2.14
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Mean Arterial Pressure
Day 1, 20-24 hours
0.99 mmHg
Standard Error 2.20
0.25 mmHg
Standard Error 1.63
-0.13 mmHg
Standard Error 1.60
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Mean Arterial Pressure
Day 7, 8-12 hours
-1.71 mmHg
Standard Error 2.33
-6.47 mmHg
Standard Error 1.74
-2.96 mmHg
Standard Error 1.73
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Mean Arterial Pressure
Day 7, 12-16 hours
-2.35 mmHg
Standard Error 2.42
-4.46 mmHg
Standard Error 1.86
-2.30 mmHg
Standard Error 1.83
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Mean Arterial Pressure
Day 7, 16-20 hours
2.93 mmHg
Standard Error 2.89
-3.73 mmHg
Standard Error 2.23
-3.45 mmHg
Standard Error 2.24
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Mean Arterial Pressure
Day 14, 0-4 hours
-2.65 mmHg
Standard Error 2.67
-10.39 mmHg
Standard Error 1.99
-6.51 mmHg
Standard Error 1.86
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Mean Arterial Pressure
Day 14, 4-8 hours
-2.26 mmHg
Standard Error 2.38
-11.78 mmHg
Standard Error 1.89
-7.91 mmHg
Standard Error 1.74
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Mean Arterial Pressure
Day 14, 12-16 hours
-1.55 mmHg
Standard Error 3.31
-2.91 mmHg
Standard Error 2.71
-6.50 mmHg
Standard Error 2.49
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Mean Arterial Pressure
Day 14, 16-20 hours
0.05 mmHg
Standard Error 2.75
-3.38 mmHg
Standard Error 2.23
-5.33 mmHg
Standard Error 2.12
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Mean Arterial Pressure
Day 14, 20-24 hours
-0.49 mmHg
Standard Error 2.70
-0.57 mmHg
Standard Error 2.12
-2.38 mmHg
Standard Error 1.95
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Mean Arterial Pressure
Time-matched baseline (Day -1): 0-4 hours
98.10 mmHg
Standard Error 5.10
91.52 mmHg
Standard Error 7.00
91.16 mmHg
Standard Error 4.64
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Mean Arterial Pressure
Time-matched baseline (Day -1): 20-24 hours
97.62 mmHg
Standard Error 11.48
89.30 mmHg
Standard Error 6.40
90.96 mmHg
Standard Error 6.46
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Mean Arterial Pressure
Day 1, 16-20 hours
1.47 mmHg
Standard Error 2.96
-0.86 mmHg
Standard Error 2.28
-0.97 mmHg
Standard Error 2.29
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Mean Arterial Pressure
Day 7, 0-4 hours
-2.77 mmHg
Standard Error 2.13
-7.90 mmHg
Standard Error 1.52
-6.41 mmHg
Standard Error 1.53
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Mean Arterial Pressure
Day 7, 4-8 hours
-2.54 mmHg
Standard Error 2.73
-6.46 mmHg
Standard Error 2.06
-4.99 mmHg
Standard Error 2.02
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Mean Arterial Pressure
Day 7, 20-24 hours
-1.18 mmHg
Standard Error 2.62
-3.47 mmHg
Standard Error 1.94
-1.35 mmHg
Standard Error 1.91
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Mean Arterial Pressure
Day 14, 8-12 hours
-1.27 mmHg
Standard Error 3.35
-9.89 mmHg
Standard Error 2.65
-7.32 mmHg
Standard Error 2.46

PRIMARY outcome

Timeframe: Time Matched Baseline (Day -1), Days 1, 7, and 14

Population: PD Population: all participants who received at least 1 dose of study drug and had at least 1 postdose PD assessment.

24-hour average is the average of ABPM assessments over 24 hour intervals from the time of dosing. Time-matched baseline is the 24 hours average during Day -1.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
n=20 Participants
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Change From Time-Matched Baseline Over Time in ABPM 24-hour Averages of Diastolic Blood Pressure
Time Matched Baseline (Day -1)
77.37 mmHg
Standard Error 9.26
71.57 mmHg
Standard Error 8.58
71.50 mmHg
Standard Error 6.33
71.53 mmHg
Standard Error 7.34
Change From Time-Matched Baseline Over Time in ABPM 24-hour Averages of Diastolic Blood Pressure
Change at Day 1
-1.73 mmHg
Standard Error 1.29
-2.53 mmHg
Standard Error 0.96
-2.82 mmHg
Standard Error 0.96
-2.67 mmHg
Standard Error 0.69
Change From Time-Matched Baseline Over Time in ABPM 24-hour Averages of Diastolic Blood Pressure
Change at Day 14
-1.36 mmHg
Standard Error 2.04
-5.33 mmHg
Standard Error 1.61
-5.53 mmHg
Standard Error 1.51
-5.43 mmHg
Standard Error 1.11
Change From Time-Matched Baseline Over Time in ABPM 24-hour Averages of Diastolic Blood Pressure
Change at Day 7
-1.60 mmHg
Standard Error 1.49
-4.27 mmHg
Standard Error 1.12
-3.44 mmHg
Standard Error 1.12
-3.86 mmHg
Standard Error 0.80

PRIMARY outcome

Timeframe: Time Matched Baseline (Day -1), Days 1, 7, and 14

Population: PD Population: all participants who received at least 1 dose of study drug and had at least 1 postdose PD assessment.

Daytime 12-hour average is the average of ABPM assessments over daytime 12-hour intervals from the time of dosing. Time-matched baseline is the daytime 12 hours average during Day -1.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Change From Time-Matched Baseline Over Time in ABPM Daytime (12-hour) Averages of Diastolic Blood Pressure
Time Matched Baseline (Day -1)
80.71 mmHg
Standard Error 8.65
74.31 mmHg
Standard Error 9.19
74.20 mmHg
Standard Error 6.45
Change From Time-Matched Baseline Over Time in ABPM Daytime (12-hour) Averages of Diastolic Blood Pressure
Change at Day 1
-0.88 mmHg
Standard Error 1.76
-4.28 mmHg
Standard Error 1.31
-4.47 mmHg
Standard Error 1.31
Change From Time-Matched Baseline Over Time in ABPM Daytime (12-hour) Averages of Diastolic Blood Pressure
Change at Day 7
-2.36 mmHg
Standard Error 1.61
-5.66 mmHg
Standard Error 1.20
-4.36 mmHg
Standard Error 1.20
Change From Time-Matched Baseline Over Time in ABPM Daytime (12-hour) Averages of Diastolic Blood Pressure
Change at Day 14
-1.59 mmHg
Standard Error 2.03
-8.88 mmHg
Standard Error 1.59
-6.69 mmHg
Standard Error 1.50

PRIMARY outcome

Timeframe: Time Matched Baseline (Day -1), Days 1, 7, and 14

Population: PD Population: all participants who received at least 1 dose of study drug and had at least 1 postdose PD assessment.

Nighttime 12-hour average is the average of ABPM assessments over nighttime 12-hour intervals from the time of dosing. Time-matched baseline is the nighttime 12 hours average during Day -1.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Change From Time-Matched Baseline Over Time in ABPM Nighttime (12-Hour) Averages of Diastolic Blood Pressure
Time Matched Baseline (Day -1)
73.42 mmHg
Standard Error 10.04
68.44 mmHg
Standard Error 8.60
68.36 mmHg
Standard Error 6.80
Change From Time-Matched Baseline Over Time in ABPM Nighttime (12-Hour) Averages of Diastolic Blood Pressure
Change at Day 1
-2.02 mmHg
Standard Error 1.51
-1.03 mmHg
Standard Error 1.14
-1.46 mmHg
Standard Error 1.14
Change From Time-Matched Baseline Over Time in ABPM Nighttime (12-Hour) Averages of Diastolic Blood Pressure
Change at Day 7
-0.42 mmHg
Standard Error 1.94
-2.96 mmHg
Standard Error 1.47
-2.68 mmHg
Standard Error 1.47
Change From Time-Matched Baseline Over Time in ABPM Nighttime (12-Hour) Averages of Diastolic Blood Pressure
Change at Day 14
-0.81 mmHg
Standard Error 2.41
-1.84 mmHg
Standard Error 1.92
-4.48 mmHg
Standard Error 1.81

PRIMARY outcome

Timeframe: Time-matched baseline (Day -1), Days 1, 7, 14: 0-4, 4-8, 8-12, 12-16, 16-20, 20-24 hours postdose

Population: PD Population: all participants who received at least 1 dose of study drug and had at least 1 postdose PD assessment.

Postdose is the average of assessments over 4-hour intervals from the time of dosing that day. Time-matched baseline is the corresponding 4-hour average on Day -1.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Diastolic Blood Pressure
Day 1, 0-4 hours
-0.57 mmHg
Standard Error 1.98
-3.15 mmHg
Standard Error 1.45
-4.63 mmHg
Standard Error 1.47
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Diastolic Blood Pressure
Day 1, 4-8 hours
-1.02 mmHg
Standard Error 2.15
-4.88 mmHg
Standard Error 1.61
-5.75 mmHg
Standard Error 1.61
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Diastolic Blood Pressure
Day 7, 4-8 hours
-2.55 mmHg
Standard Error 2.45
-5.94 mmHg
Standard Error 1.83
-3.61 mmHg
Standard Error 1.84
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Diastolic Blood Pressure
Day 7, 8-12 hours
-2.16 mmHg
Standard Error 2.01
-4.98 mmHg
Standard Error 1.52
-3.52 mmHg
Standard Error 1.51
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Diastolic Blood Pressure
Day 7, 16-20 hours
2.29 mmHg
Standard Error 2.62
-3.57 mmHg
Standard Error 2.01
-3.91 mmHg
Standard Error 2.03
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Diastolic Blood Pressure
Day 14, 0-4 hours
-2.02 mmHg
Standard Error 2.16
-8.92 mmHg
Standard Error 1.66
-6.06 mmHg
Standard Error 1.57
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Diastolic Blood Pressure
Day 14, 20-24 hours
0.50 mmHg
Standard Error 2.64
0.06 mmHg
Standard Error 2.08
-1.48 mmHg
Standard Error 1.95
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Diastolic Blood Pressure
Time Matched Baseline (Day -1): 0-4 hours
78.96 mmHg
Standard Error 8.70
72.48 mmHg
Standard Error 8.58
71.58 mmHg
Standard Error 5.46
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Diastolic Blood Pressure
Time Matched Baseline (Day -1): 4-8 hours
79.85 mmHg
Standard Error 9.34
73.96 mmHg
Standard Error 8.85
73.79 mmHg
Standard Error 6.71
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Diastolic Blood Pressure
Time Matched Baseline (Day -1): 8-12 hours
83.31 mmHg
Standard Error 8.49
76.47 mmHg
Standard Error 11.76
77.13 mmHg
Standard Error 8.49
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Diastolic Blood Pressure
Time Matched Baseline (Day -1): 12-16 hours
74.27 mmHg
Standard Error 10.88
68.10 mmHg
Standard Error 7.92
70.29 mmHg
Standard Error 8.87
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Diastolic Blood Pressure
Time Matched Baseline (Day -1): 16-20 hours
70.07 mmHg
Standard Error 9.16
67.89 mmHg
Standard Error 10.04
64.87 mmHg
Standard Error 8.26
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Diastolic Blood Pressure
Time Matched Baseline (Day -1): 20-24 hours
77.61 mmHg
Standard Error 10.95
70.57 mmHg
Standard Error 8.35
71.04 mmHg
Standard Error 7.34
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Diastolic Blood Pressure
Day 1, 8-12 hours
-0.08 mmHg
Standard Error 2.64
-5.18 mmHg
Standard Error 1.99
-3.04 mmHg
Standard Error 1.99
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Diastolic Blood Pressure
Day 1, 12-16 hours
-2.99 mmHg
Standard Error 2.10
-2.12 mmHg
Standard Error 1.61
-2.44 mmHg
Standard Error 1.59
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Diastolic Blood Pressure
Day 1, 16-20 hours
-1.41 mmHg
Standard Error 2.56
-1.97 mmHg
Standard Error 1.96
-1.87 mmHg
Standard Error 1.99
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Diastolic Blood Pressure
Day 1, 20-24 hours
-0.13 mmHg
Standard Error 1.89
1.59 mmHg
Standard Error 1.41
0.12 mmHg
Standard Error 1.40
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Diastolic Blood Pressure
Day 7, 0-4 hours
-1.88 mmHg
Standard Error 1.56
-6.31 mmHg
Standard Error 1.14
-6.05 mmHg
Standard Error 1.15
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Diastolic Blood Pressure
Day 7, 12-16 hours
-2.18 mmHg
Standard Error 2.32
-3.37 mmHg
Standard Error 1.78
-3.45 mmHg
Standard Error 1.75
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Diastolic Blood Pressure
Day 7, 20-24 hours
-0.13 mmHg
Standard Error 2.37
-1.74 mmHg
Standard Error 1.77
-0.76 mmHg
Standard Error 1.76
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Diastolic Blood Pressure
Day 14, 4-8 hours
-1.52 mmHg
Standard Error 1.98
-9.77 mmHg
Standard Error 1.56
-7.07 mmHg
Standard Error 1.47
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Diastolic Blood Pressure
Day 14, 8-12 hours
-0.98 mmHg
Standard Error 2.99
-8.06 mmHg
Standard Error 2.39
-6.83 mmHg
Standard Error 2.24
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Diastolic Blood Pressure
Day 14, 12-16 hours
-0.91 mmHg
Standard Error 3.19
-2.32 mmHg
Standard Error 2.59
-6.07 mmHg
Standard Error 2.40
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Diastolic Blood Pressure
Day 14, 16-20 hours
-0.94 mmHg
Standard Error 2.91
-3.30 mmHg
Standard Error 2.34
-5.44 mmHg
Standard Error 2.24

PRIMARY outcome

Timeframe: Time Matched Baseline (Day -1), Days 1, 7, and 14

Population: PD Population: all participants who received at least 1 dose of study drug and had at least 1 postdose PD assessment.

24-hour average is the average of ABPM assessments over 24 hour intervals from the time of dosing. Time-matched baseline is the 24 hours average during Day -1.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
n=20 Participants
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Change From Time-Matched Baseline Over Time in ABPM 24-hour Averages of Pulse
Time Matched Baseline (Day -1)
75.08 bpm
Standard Error 14.09
72.81 bpm
Standard Error 10.79
75.40 bpm
Standard Error 10.84
74.10 bpm
Standard Error 10.61
Change From Time-Matched Baseline Over Time in ABPM 24-hour Averages of Pulse
Change at Day 1
-0.90 bpm
Standard Error 1.25
2.29 bpm
Standard Error 0.97
2.64 bpm
Standard Error 0.97
2.47 bpm
Standard Error 0.69
Change From Time-Matched Baseline Over Time in ABPM 24-hour Averages of Pulse
Change at Day 7
-1.92 bpm
Standard Error 1.38
2.67 bpm
Standard Error 1.08
2.57 bpm
Standard Error 1.07
2.62 bpm
Standard Error 0.76
Change From Time-Matched Baseline Over Time in ABPM 24-hour Averages of Pulse
Change at Day 14
-0.45 bpm
Standard Error 1.50
2.12 bpm
Standard Error 1.23
2.71 bpm
Standard Error 1.16
2.42 bpm
Standard Error 0.84

PRIMARY outcome

Timeframe: Time Matched Baseline (Day -1), Days 1, 7, and 14

Population: PD Population: all participants who received at least 1 dose of study drug and had at least 1 postdose PD assessment.

Daytime 12-hour average is the average of ABPM assessments over daytime 12-hour intervals from the time of dosing. Time-matched baseline is the daytime 12 hours average during Day -1.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Change From Time-Matched Baseline Over Time in ABPM Daytime (12-hour) Averages of Pulse
Time Matched Baseline (Day -1)
76.81 bpm
Standard Error 15.00
75.98 bpm
Standard Error 12.84
78.18 bpm
Standard Error 11.47
Change From Time-Matched Baseline Over Time in ABPM Daytime (12-hour) Averages of Pulse
Change at Day 1
0.14 bpm
Standard Error 1.84
2.30 bpm
Standard Error 1.42
4.23 bpm
Standard Error 1.43
Change From Time-Matched Baseline Over Time in ABPM Daytime (12-hour) Averages of Pulse
Change at Day 7
-1.80 bpm
Standard Error 1.51
2.75 bpm
Standard Error 1.17
2.22 bpm
Standard Error 1.17
Change From Time-Matched Baseline Over Time in ABPM Daytime (12-hour) Averages of Pulse
Change at Day 14
-0.46 bpm
Standard Error 1.59
2.66 bpm
Standard Error 1.30
3.28 bpm
Standard Error 1.23

PRIMARY outcome

Timeframe: Time Matched Baseline (Day -1), Days 1, 7, and 14

Population: PD Population: all participants who received at least 1 dose of study drug and had at least 1 postdose PD assessment.

Nighttime 12-hour average is the average of ABPM assessments over nighttime 12-hour intervals from the time of dosing. Time-matched baseline is the nighttime 12 hours average during Day -1.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Change From Time-Matched Baseline Over Time in ABPM Nighttime (12-Hour) Averages of Pulse
Change at Day 1
-2.01 bpm
Standard Error 1.21
2.29 bpm
Standard Error 0.94
0.93 bpm
Standard Error 0.94
Change From Time-Matched Baseline Over Time in ABPM Nighttime (12-Hour) Averages of Pulse
Change at Day 7
-2.24 bpm
Standard Error 1.63
2.57 bpm
Standard Error 1.27
2.86 bpm
Standard Error 1.26
Change From Time-Matched Baseline Over Time in ABPM Nighttime (12-Hour) Averages of Pulse
Time Matched Baseline (Day -1)
73.43 bpm
Standard Error 13.39
69.62 bpm
Standard Error 8.91
72.54 bpm
Standard Error 10.46
Change From Time-Matched Baseline Over Time in ABPM Nighttime (12-Hour) Averages of Pulse
Change at Day 14
-0.40 bpm
Standard Error 1.79
1.48 bpm
Standard Error 1.46
2.15 bpm
Standard Error 1.38

PRIMARY outcome

Timeframe: Time-matched baseline (Day -1), Days 1, 7, 14: 0-4, 4-8, 8-12, 12-16, 16-20, 20-24 hours postdose

Population: PD Population: all participants who received at least 1 dose of study drug and had at least 1 postdose PD assessment.

Postdose is the average of assessments over 4-hour intervals from the time of dosing that day. Time-matched baseline is the corresponding 4-hour average on Day -1.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Pulse
Day 7, 20-24 hours
0.23 bpm
Standard Error 1.85
1.91 bpm
Standard Error 1.44
4.26 bpm
Standard Error 1.44
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Pulse
Day 14, 0-4 hours
0.77 bpm
Standard Error 1.95
4.82 bpm
Standard Error 1.59
4.53 bpm
Standard Error 1.51
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Pulse
Day 14, 4-8 hours
-2.85 bpm
Standard Error 2.56
2.33 bpm
Standard Error 2.09
2.76 bpm
Standard Error 1.99
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Pulse
Day 14, 8-12 hours
0.89 bpm
Standard Error 1.91
0.68 bpm
Standard Error 1.56
2.50 bpm
Standard Error 1.48
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Pulse
Time Matched Baseline (Day -1): 0-4 hours
73.52 bpm
Standard Error 14.02
73.89 bpm
Standard Error 12.23
76.46 bpm
Standard Error 9.48
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Pulse
Time Matched Baseline (Day -1): 4-8 hours
77.65 bpm
Standard Error 15.57
76.88 bpm
Standard Error 15.09
79.91 bpm
Standard Error 14.33
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Pulse
Time Matched Baseline (Day -1): 8-12 hours
79.00 bpm
Standard Error 15.50
77.34 bpm
Standard Error 11.42
78.21 bpm
Standard Error 11.67
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Pulse
Time Matched Baseline (Day -1): 12-16 hours
78.60 bpm
Standard Error 15.22
72.93 bpm
Standard Error 9.38
75.36 bpm
Standard Error 11.89
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Pulse
Time Matched Baseline (Day -1): 16-20 hours
72.08 bpm
Standard Error 13.37
67.79 bpm
Standard Error 8.80
70.51 bpm
Standard Error 10.23
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Pulse
Time Matched Baseline (Day -1): 20-24 hours
68.05 bpm
Standard Error 11.26
67.97 bpm
Standard Error 8.75
71.45 bpm
Standard Error 10.35
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Pulse
Day 1, 0-4 hours
0.87 bpm
Standard Error 2.07
7.68 bpm
Standard Error 1.60
7.42 bpm
Standard Error 1.60
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Pulse
Day 1, 4-8 hours
1.18 bpm
Standard Error 2.76
0.23 bpm
Standard Error 2.14
3.02 bpm
Standard Error 2.14
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Pulse
Day 1, 8-12 hours
-0.96 bpm
Standard Error 2.14
-1.33 bpm
Standard Error 1.65
2.15 bpm
Standard Error 1.65
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Pulse
Day 1, 12-16 hours
-4.33 bpm
Standard Error 1.68
2.13 bpm
Standard Error 1.30
1.24 bpm
Standard Error 1.29
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Pulse
Day 1, 16-20 hours
-1.67 bpm
Standard Error 1.24
1.95 bpm
Standard Error 0.97
0.73 bpm
Standard Error 0.96
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Pulse
Day 1, 20-24 hours
0.76 bpm
Standard Error 1.77
2.50 bpm
Standard Error 1.37
1.09 bpm
Standard Error 1.38
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Pulse
Day 7, 0-4 hours
-0.09 bpm
Standard Error 2.11
4.27 bpm
Standard Error 1.63
5.32 bpm
Standard Error 1.64
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Pulse
Day 7, 4-8 hours
-2.94 bpm
Standard Error 1.72
1.95 bpm
Standard Error 1.34
1.36 bpm
Standard Error 1.34
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Pulse
Day 7, 8-12 hours
-2.25 bpm
Standard Error 1.78
1.79 bpm
Standard Error 1.38
0.01 bpm
Standard Error 1.38
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Pulse
Day 7, 12-16 hours
-4.05 bpm
Standard Error 1.89
2.85 bpm
Standard Error 1.46
2.10 bpm
Standard Error 1.45
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Pulse
Day 7, 16-20 hours
-2.56 bpm
Standard Error 1.87
2.44 bpm
Standard Error 1.45
2.78 bpm
Standard Error 1.44
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Pulse
Day 14, 12-16 hours
-3.74 bpm
Standard Error 2.33
1.35 bpm
Standard Error 1.89
1.56 bpm
Standard Error 1.79
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Pulse
Day 14, 16-20 hours
-0.88 bpm
Standard Error 1.98
0.43 bpm
Standard Error 1.61
2.06 bpm
Standard Error 1.53
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Pulse
Day 14, 20-24 hours
4.14 bpm
Standard Error 2.31
2.80 bpm
Standard Error 1.88
3.00 bpm
Standard Error 1.80

PRIMARY outcome

Timeframe: Baseline, Day 13 predose AM

Population: PD Population: all participants who received at least 1 dose of study drug and had at least 1 postdose PD assessment. Participants with an assessment.

RHI is a measure of the extent of vessel dilatation and augmentation in vascular blood flow after a prespecified period of flow interruption. RHI is determined as the ratio of the post-to-pre- occlusion peripheral arterial tonometry amplitude of the tested (occluded) arm, divided by the post to-pre-occlusion ratio of the control arm. RHI values \>1.67 indicate normal endothelial function, while values ≤1.67 indicate endothelial dysfunction.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=9 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
n=19 Participants
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Change From Baseline in Reactive Hyperemia Index (RHI) on Day 13
Baseline
2.327 ratio
Standard Error 1.118
1.918 ratio
Standard Error 0.587
1.683 ratio
Standard Error 0.379
1.807 ratio
Standard Error 0.501
Change From Baseline in Reactive Hyperemia Index (RHI) on Day 13
Day 13 predose AM
0.282 ratio
Standard Error 0.219
-0.006 ratio
Standard Error 0.163
0.177 ratio
Standard Error 0.176
0.086 ratio
Standard Error 0.120

PRIMARY outcome

Timeframe: Baseline, Day 8, Day 14

Population: PD Population: all participants who received at least 1 dose of study drug and had at least 1 postdose PD assessment. Participants with a baseline (BL) and postbaseline (PBL) assessment at given time point, by specific BL category \< 180 or ≥ 180 PRU.

Platelet reactivity, as measured by VerifyNow PRU assay, and presented as number of participants with \< 180 PRU or ≥ 180 PRU post-baseline (Days 8 and 14), by baseline category. The VerifyNow PRU assay measures effects on platelet activation caused by inhibition of the platelet receptor, P2Y12. This receptor is activated by adenosine 5'-diphosphate (ADP) in the cascade leading to platelet aggregation but can be blocked by P2Y12 inhibitor drugs, such as clopidogrel. Blockage of this receptor diminishes platelet activation and the ability of platelets to bind to fibrinogen. VerifyNow PRU assay values \< 180 units indicate impairment of platelet aggregation.

Outcome measures

Outcome measures
Measure
Placebo
n=5 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Post-Baseline Platelet Reactivity on Days 8 and 14: P2Y12 Reaction Units (PRU) Assay
PRU Day 8: ≥180 BL, ≥180 PBL
5 Participants
10 Participants
10 Participants
Post-Baseline Platelet Reactivity on Days 8 and 14: P2Y12 Reaction Units (PRU) Assay
PRU Day 14: ≥180 BL, ≥180 PBL
5 Participants
10 Participants
10 Participants
Post-Baseline Platelet Reactivity on Days 8 and 14: P2Y12 Reaction Units (PRU) Assay
Baseline: <180 PRU
0 Participants
0 Participants
0 Participants
Post-Baseline Platelet Reactivity on Days 8 and 14: P2Y12 Reaction Units (PRU) Assay
Baseline: ≥180 PRU
5 Participants
10 Participants
10 Participants
Post-Baseline Platelet Reactivity on Days 8 and 14: P2Y12 Reaction Units (PRU) Assay
PRU Day 8: ≥180 BL, <180 PBL
0 Participants
0 Participants
0 Participants
Post-Baseline Platelet Reactivity on Days 8 and 14: P2Y12 Reaction Units (PRU) Assay
PRU Day 14: ≥180 BL, <180 PBL
0 Participants
0 Participants
0 Participants

PRIMARY outcome

Timeframe: Baseline, Day 8, Day 14

Population: PD Population: all participants who received at least 1 dose of study drug and had at least 1 postdose PD assessment. Participants with a baseline (BL) and postbaseline (PBL) assessment at given time point, by specific BL category (≤ 549 or \> 549 ARU).

Platelet reactivity, as measured by VerifyNow ARU assay, and presented as number of participants with ≤ 549 ARU or \> 549 ARU post-baseline (Days 8 and 14), by baseline category. Aspirin irreversibly inhibits cyclooxygenase 1, which converts arachidonic acid to thromboxane A2, which in turn is involved in the activation of the glycoprotein (GP)IIb/IIIa receptor necessary to initiate platelet aggregation. Impairment of platelet aggregation of the aspirin type is defined for the VerifyNow aspirin assay as values ≤ 549 ARU.

Outcome measures

Outcome measures
Measure
Placebo
n=5 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Post-Baseline Platelet Reactivity on Days 8 and 14: Aspirin Reaction Units (ARU) Assay
Baseline: ≤ 549 ARU
2 Participants
5 Participants
6 Participants
Post-Baseline Platelet Reactivity on Days 8 and 14: Aspirin Reaction Units (ARU) Assay
Baseline: > 549 ARU
3 Participants
5 Participants
4 Participants
Post-Baseline Platelet Reactivity on Days 8 and 14: Aspirin Reaction Units (ARU) Assay
Day 8: ≤ 549 BL, ≤ 549 PBL
2 Participants
5 Participants
6 Participants
Post-Baseline Platelet Reactivity on Days 8 and 14: Aspirin Reaction Units (ARU) Assay
Day 8: ≤ 549 BL, > 549 PBL
0 Participants
0 Participants
0 Participants
Post-Baseline Platelet Reactivity on Days 8 and 14: Aspirin Reaction Units (ARU) Assay
Day 8: > 549 BL, ≤ 549 PBL
1 Participants
2 Participants
0 Participants
Post-Baseline Platelet Reactivity on Days 8 and 14: Aspirin Reaction Units (ARU) Assay
Day 8: > 549 BL, > 549 PBL
2 Participants
3 Participants
4 Participants
Post-Baseline Platelet Reactivity on Days 8 and 14: Aspirin Reaction Units (ARU) Assay
Day 14: ≤ 549 BL, ≤ 549 PBL
2 Participants
2 Participants
6 Participants
Post-Baseline Platelet Reactivity on Days 8 and 14: Aspirin Reaction Units (ARU) Assay
Day 14: ≤ 549 BL, > 549 PBL
0 Participants
3 Participants
0 Participants
Post-Baseline Platelet Reactivity on Days 8 and 14: Aspirin Reaction Units (ARU) Assay
Day 14: > 549 BL, ≤ 549 PBL
0 Participants
0 Participants
1 Participants
Post-Baseline Platelet Reactivity on Days 8 and 14: Aspirin Reaction Units (ARU) Assay
Day 14: > 549 BL, > 549 PBL
3 Participants
5 Participants
3 Participants

PRIMARY outcome

Timeframe: Study Baseline (Day 1 predose), Day 8 (predose AM), Day 14 (predose AM)

Population: PD Population: all participants who received at least 1 dose of study drug and had at least 1 postdose PD assessment. Participants with a baseline (BL) and postbaseline (PBL) assessment at given time point.

The VerifyNow PRU assay measures effects on platelet activation caused by inhibition of the platelet receptor, P2Y12. This receptor is activated by adenosine 5'-diphosphate (ADP) in the cascade leading to platelet aggregation but can be blocked by P2Y12 inhibitor drugs, such as clopidogrel. Blockage of this receptor diminishes platelet activation and the ability of platelets to bind to fibrinogen. VerifyNow PRU assay values \<180 PRU indicate impairment of platelet aggregation.

Outcome measures

Outcome measures
Measure
Placebo
n=5 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Change From Study Baseline Over Time in Platelet Function Assessments: PRU Assay
Study Baseline (Day 1 predose)
304.0 PRU
Standard Deviation 48.8
283.6 PRU
Standard Deviation 43.1
294.4 PRU
Standard Deviation 36.9
Change From Study Baseline Over Time in Platelet Function Assessments: PRU Assay
Change at Day 8
-9.4 PRU
Standard Deviation 47.8
8.2 PRU
Standard Deviation 31.4
-0.7 PRU
Standard Deviation 36.4
Change From Study Baseline Over Time in Platelet Function Assessments: PRU Assay
Change at Day 14
-4.4 PRU
Standard Deviation 38.1
24.4 PRU
Standard Deviation 38.2
8.5 PRU
Standard Deviation 24.5

PRIMARY outcome

Timeframe: Study Baseline (Day 1 predose), Day 8 (pre AM dose), Day 14 (pre AM dose)

Population: PD Population: all participants who received at least 1 dose of study drug and had at least 1 postdose PD assessment. Participants with a baseline (BL) and postbaseline (PBL) assessment at given time point.

Aspirin irreversibly inhibits cyclooxygenase 1, which converts arachidonic acid to thromboxane A2, which in turn is involved in the activation of the GPIIb IIIa receptor necessary to initiate platelet aggregation. Impairment of platelet aggregation of the aspirin type is defined for the VerifyNow aspirin assay as values ≤ 549 ARU.

Outcome measures

Outcome measures
Measure
Placebo
n=5 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Change From Study Baseline Over Time in Platelet Function Assessments: ARU Assay
Study Baseline (Day 1 predose)
571.4 ARU
Standard Deviation 82.5
557.4 ARU
Standard Deviation 76.3
524.6 ARU
Standard Deviation 89.5
Change From Study Baseline Over Time in Platelet Function Assessments: ARU Assay
Change at Day 8
-8.0 ARU
Standard Deviation 58.5
-16.2 ARU
Standard Deviation 50.9
18.7 ARU
Standard Deviation 29.4
Change From Study Baseline Over Time in Platelet Function Assessments: ARU Assay
Change at Day 14
10.2 ARU
Standard Deviation 19.8
30.2 ARU
Standard Deviation 34.9
-11.7 ARU
Standard Deviation 34.9

PRIMARY outcome

Timeframe: Study baseline (defined as the last non-missing assessment before the first administration of study drug), Day 8, pre-AM dose, Day 15

Population: PD Population: all participants who received at least 1 dose of study drug and had at least 1 postdose PD assessment. Participants with a baseline (BL) and postbaseline (PBL) assessment at given time point who did not use concomitant insulin.

Blood samples were taken for fasting glucose and insulin levels. From these results, insulin resistance was then estimated using the updated homeostasis model assessment method for insulin resistance (HOMA-IR) computer algorithm. A higher HOMA-IR indicates a higher degree of insulin resistance. Typically a cutoff of HOMA-IR for identifying those with insulin resistance is 2.5.

Outcome measures

Outcome measures
Measure
Placebo
n=4 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=5 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=7 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
n=12 Participants
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Percent Change From Study Baseline Over Time in HOMA-IR in Participants Without Concomitant Use of Insulin
Study Baseline (Day 1 predose)
7.350 percent change
Standard Error 5.236
6.646 percent change
Standard Error 3.403
7.187 percent change
Standard Error 5.684
6.962 percent change
Standard Error 4.681
Percent Change From Study Baseline Over Time in HOMA-IR in Participants Without Concomitant Use of Insulin
Day 8
-4.284 percent change
Standard Error 20.823
-27.473 percent change
Standard Error 18.639
-18.318 percent change
Standard Error 15.735
-22.895 percent change
Standard Error 12.191
Percent Change From Study Baseline Over Time in HOMA-IR in Participants Without Concomitant Use of Insulin
Day 15
-12.839 percent change
Standard Error 12.565
-38.228 percent change
Standard Error 11.263
-34.015 percent change
Standard Error 10.270
-36.121 percent change
Standard Error 7.609

PRIMARY outcome

Timeframe: Days 1 and 7 (AM): 1, 3, and 6 hours postdose

Population: Pharmacokinetic (PK) Population: all participants who received ≥1 dose of IW-1973 and had ≥1 postdose PK parameter assessment without events or deviations affecting the PK results.

Equivalent to AUC from time 0 to the last measurable concentration (AUClast), with time of last measurable concentration (Tlast)=12 hours for BID dosing and Tlast=24 hours for QD dosing.

Outcome measures

Outcome measures
Measure
Placebo
n=10 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 Pharmacokinetics: Area Under the Plasma Concentration Time Curve During a Dosing Interval (AUCtau) on Days 1 and 7
Day 1
362 h*ng/mL
Standard Deviation 88
339 h*ng/mL
Standard Deviation 134
1190 h*ng/mL
Standard Deviation 499
IW-1973 Pharmacokinetics: Area Under the Plasma Concentration Time Curve During a Dosing Interval (AUCtau) on Days 1 and 7
Day 7
795 h*ng/mL
Standard Deviation 186
2200 h*ng/mL
Standard Deviation 591

PRIMARY outcome

Timeframe: Days 1 and 7 (AM): 1, 3, and 6 hours postdose

Population: PK Population: all participants who received ≥1 dose of IW-1973 and had ≥1 postdose PK parameter assessment without events or deviations affecting the PK results.

Outcome measures

Outcome measures
Measure
Placebo
n=10 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 Pharmacokinetics: Maximum Observed Plasma Concentration (Cmax) on Days 1 and 7
Day 1
73.8 ng/mL
Standard Deviation 18.9
47.8 ng/mL
Standard Deviation 22.2
181 ng/mL
Standard Deviation 107
IW-1973 Pharmacokinetics: Maximum Observed Plasma Concentration (Cmax) on Days 1 and 7
Day 7
117 ng/mL
Standard Deviation 32.6
242 ng/mL
Standard Deviation 80.0

PRIMARY outcome

Timeframe: Days 1 and 7 (AM): 1, 3, and 6 hours postdose

Population: PK Population: all participants who received ≥1 dose of IW-1973 and had ≥1 postdose PK parameter assessment without events or deviations affecting the PK results.

Outcome measures

Outcome measures
Measure
Placebo
n=10 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 Pharmacokinetics: Time to Cmax on Days 1 and 7
Day 1
1.0 hours
Interval 1.0 to 3.0
3.0 hours
Interval 3.0 to 11.9
2.0 hours
Interval 1.0 to 6.0
IW-1973 Pharmacokinetics: Time to Cmax on Days 1 and 7
Day 7
1.0 hours
Interval 1.0 to 3.0
1.0 hours
Interval 1.0 to 6.0

PRIMARY outcome

Timeframe: Days 1 and 7: predose; Day 2 (BID AM): predose; Day 6 (BID PM/QD): predose

Population: PK Population: all participants who received ≥1 dose of IW-1973 and had ≥1 postdose PK parameter assessment without events or deviations affecting the PK results.

Outcome measures

Outcome measures
Measure
Placebo
n=10 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 Pharmacokinetics: Trough Plasma Concentrations at the End of the Dosing Interval (Ctrough) on Days 1, 2, 6, 7
Day 1
11.6 ng/mL
Standard Deviation 4.29
19.6 ng/mL
Standard Deviation 5.04
15.6 ng/mL
Standard Deviation 5.24
IW-1973 Pharmacokinetics: Trough Plasma Concentrations at the End of the Dosing Interval (Ctrough) on Days 1, 2, 6, 7
Day 2
21.0 ng/mL
Standard Deviation 5.97
IW-1973 Pharmacokinetics: Trough Plasma Concentrations at the End of the Dosing Interval (Ctrough) on Days 1, 2, 6, 7
Day 6
48.4 ng/mL
Standard Deviation 10.1
53.7 ng/mL
Standard Deviation 14.5
IW-1973 Pharmacokinetics: Trough Plasma Concentrations at the End of the Dosing Interval (Ctrough) on Days 1, 2, 6, 7
Day 7
45.6 ng/mL
Standard Deviation 14.5
52.4 ng/mL
Standard Deviation 12.8
57.2 ng/mL
Standard Deviation 14.9

PRIMARY outcome

Timeframe: Day 8 and 14: 1, 3, 6h (± 5 min) postdose

Population: PK Population: all participants who received ≥1 dose of IW-1973 and had ≥1 postdose PK parameter assessment without events or deviations affecting the PK results.

Outcome measures

Outcome measures
Measure
Placebo
n=10 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 Pharmacokinetics: Area Under the Plasma Concentration Time Curve From Time Zero to the Last Measurable Plasma Concentration (AUClast) on Days 8 and 14
Day 8
1210 h*mg/mL
Standard Deviation 264
1540 h*mg/mL
Standard Deviation 482
IW-1973 Pharmacokinetics: Area Under the Plasma Concentration Time Curve From Time Zero to the Last Measurable Plasma Concentration (AUClast) on Days 8 and 14
Day 14
17100 h*mg/mL
Standard Deviation 6980
23600 h*mg/mL
Standard Deviation 8950

PRIMARY outcome

Timeframe: Day 14: 1, 3, 6h (± 5 min) postdose

Population: PK Population: all participants who received ≥1 dose of IW-1973 and had ≥1 postdose PK parameter assessment without events or deviations affecting the PK results.

Outcome measures

Outcome measures
Measure
Placebo
n=10 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 Pharmacokinetics: AUCtau on Day 14
2080 ng/mL
Standard Deviation 442
2910 ng/mL
Standard Deviation 770

PRIMARY outcome

Timeframe: Day 8 and 14: 1, 3, 6h (± 5 min) postdose

Population: PK Population: all participants who received ≥1 dose of IW-1973 and had ≥1 postdose PK parameter assessment without events or deviations affecting the PK results.

Outcome measures

Outcome measures
Measure
Placebo
n=10 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 Pharmacokinetics: Tmax on Days 8 and 14
Day 8
1.0 hours
Interval 1.0 to 3.0
1.0 hours
Interval 1.0 to 6.2
IW-1973 Pharmacokinetics: Tmax on Days 8 and 14
Day 14
1.0 hours
Interval 1.0 to 3.0
3.0 hours
Interval 1.0 to 6.0

PRIMARY outcome

Timeframe: Day 8 and 14: 1, 3, 6h (± 5 min) postdose

Population: PK Population: all participants who received ≥1 dose of IW-1973 and had ≥1 postdose PK parameter assessment without events or deviations affecting the PK results.

Outcome measures

Outcome measures
Measure
Placebo
n=10 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 Pharmacokinetics: Cmax on Days 8 and 14
Day 8
198 ng/mL
Standard Deviation 56.8
229 ng/mL
Standard Deviation 90.6
IW-1973 Pharmacokinetics: Cmax on Days 8 and 14
Day 14
181 ng/mL
Standard Deviation 46.8
250 ng/mL
Standard Deviation 139

PRIMARY outcome

Timeframe: Days 13 and 14: predose

Population: PK Population: all participants who received ≥1 dose of IW-1973 and had ≥1 postdose PK parameter assessment without events or deviations affecting the PK results.

Outcome measures

Outcome measures
Measure
Placebo
n=10 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 Pharmacokinetics: Ctrough on Days 13 and 14
Day 14
65.7 ng/mL
Standard Deviation 23.0
90.7 ng/mL
Standard Deviation 26.2
IW-1973 Pharmacokinetics: Ctrough on Days 13 and 14
Day 13
56.8 ng/mL
Standard Deviation 19.5
82.4 ng/mL
Standard Deviation 22.7

PRIMARY outcome

Timeframe: Day 14: 1, 3, 6h (± 5 min) postdose

Population: PK Population: all participants who received ≥1 dose of IW-1973 and had ≥1 postdose PK parameter assessment without events or deviations affecting the PK results.

Outcome measures

Outcome measures
Measure
Placebo
n=10 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 Pharmacokinetics: Apparent Total Body Clearance (CL/F) on Day 14
20.0 L/h
Standard Deviation 4.34
14.7 L/h
Standard Deviation 3.89

PRIMARY outcome

Timeframe: Day 14: 1, 3, 6h (± 5 min) postdose

Population: PK Population: all participants who received ≥1 dose of IW-1973 and had ≥1 postdose PK parameter assessment without events or deviations affecting the PK results.

Outcome measures

Outcome measures
Measure
Placebo
n=10 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 Pharmacokinetics: Apparent Volume of Distribution During the Terminal Phase (Vz/F) on Day 14
5570 L
Standard Deviation 1530
3880 L
Standard Deviation 1370

PRIMARY outcome

Timeframe: Day 14 (final dose) time points 12 hours, 24 hours, 7 days after final dose (Day 21), and 28 days after final dose(Day 42)

Population: PK Population: all participants who received ≥1 dose of IW-1973 and had ≥1 postdose PK parameter assessment without events or deviations affecting the PK results.

Outcome measures

Outcome measures
Measure
Placebo
n=10 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 Pharmacokinetics: Apparent Terminal Elimination Phase Half-Life (t1/2)
197 hours
Standard Deviation 57.4
183 hours
Standard Deviation 43.4

PRIMARY outcome

Timeframe: From first dose of study drug to End of Trial Visit (42 [± 3] days)

Population: Safety Population: participants who received at least 1 dose of study drug.

An adverse event (AE) is any untoward medical occurrence, which does not necessarily have to have a causal relationship with study treatment. An SAE is defined as any AE occurring at any dose that results in any of the following outcomes: death; life-threatening; hospitalization or prolongation of existing hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect; important medical events. TEAEs are defined as those AEs that started or worsened in severity after the initiation of study drug administration. AEs of clinical interest (AECI) included those related to bleeding and to hypotension. Study drug causality as assessed by the Investigator who was blinded to study drug assignment.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), and Discontinuations Due to TEAEs
TEAE
5 participants
6 participants
8 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), and Discontinuations Due to TEAEs
SAE
0 participants
1 participants
0 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), and Discontinuations Due to TEAEs
Severe TEAE
0 participants
1 participants
0 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), and Discontinuations Due to TEAEs
Moderate TEAE
0 participants
0 participants
0 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), and Discontinuations Due to TEAEs
Mild TEAE
5 participants
6 participants
8 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), and Discontinuations Due to TEAEs
TEAE Considered Study Drug Related
1 participants
3 participants
6 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), and Discontinuations Due to TEAEs
TEAE Considered Not Study Drug Related
4 participants
6 participants
7 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), and Discontinuations Due to TEAEs
TEAE Resulting in Study Discontinuation
0 participants
1 participants
0 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), and Discontinuations Due to TEAEs
TEAE Resulting in Death
0 participants
0 participants
0 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), and Discontinuations Due to TEAEs
AECI Related to Bleeding
0 participants
1 participants
0 participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), and Discontinuations Due to TEAEs
AECI Related to Hypotension
1 participants
1 participants
0 participants

PRIMARY outcome

Timeframe: From first dose of study drug to End of Trial Visit (42 [± 3] days)

Population: Safety Population: participants who received at least 1 dose of study drug.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Number of Participants With Clinically Meaningful Postbaseline Laboratory Test Results
0 participants
1 participants
1 participants

PRIMARY outcome

Timeframe: From first dose of study drug to End of Trial Visit (42 [± 3] days)

Population: Safety Population: participants who received at least 1 dose of study drug.

Supine systolic blood pressure (SSBP): ≥ 180 mmHg and increase (↑) from baseline (BL) ≥ 30 mmHg; ≤ 90 mmHg and decrease (↓) from BL ≥ 30 mmHg. Supine diastolic blood pressure (SDBP): ≥ 105 mmHg and ↑ from BL ≥ 20 mmHg; ≤ 50 mmHg and ↓ from BL ≥ 20 mmHg. Supine heart rate (SHR): ≥ 110 bpm and ↑ from BL ≥ 20 bpm; ≤ 50 bpm and ↓ from BL ≥ 20 bpm. Standing systolic blood pressure (StSBP): ≥ 180 mmHg and increase (↑) from baseline (BL) ≥ 30 mmHg; ≤ 90 mmHg and decrease (↓) from BL ≥ 30 mmHg. Standing Diastolic Blood Pressure (StDBP): ≥ 105 mmHg and ↑ from BL ≥ 20 mmHg; ≤ 50 mmHg and ↓ from BL ≥ 20 mmHg. Standing heart rate (StHR): ≥ 110 bpm and ↑ from BL ≥ 20 bpm; ≤ 50 bpm and ↓ from BL ≥ 20 bpm. Orthostatic systolic blood pressure (SBP): ↓ \> 20 mmHg from supine to standing. Orthostatic diastolic blood pressure (DBP): ↓ \> 15 mmHg from supine to standing. Orthostatic HR: ↓ \> 30 bpm from supine to standing.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Number of Participants With Notable Changes in Postbaseline Blood Pressure and Heart Rate Values
SSBP: ≥ 180 mmHg and ↑ from BL ≥ 30 mmHg
0 participants
0 participants
0 participants
Number of Participants With Notable Changes in Postbaseline Blood Pressure and Heart Rate Values
SSBP: ≤ 90 mmHg and ↓ from BL ≥ 30 mmHg
0 participants
1 participants
0 participants
Number of Participants With Notable Changes in Postbaseline Blood Pressure and Heart Rate Values
SDBP: ≥ 105 mmHg and ↑ from BL ≥ 20 mmHg
0 participants
0 participants
0 participants
Number of Participants With Notable Changes in Postbaseline Blood Pressure and Heart Rate Values
SDBP: ≤ 50 mmHg and ↓ from BL ≥ 20 mmHg
0 participants
2 participants
0 participants
Number of Participants With Notable Changes in Postbaseline Blood Pressure and Heart Rate Values
SHR: ≥ 110 bpm and ↑ from BL ≥ 20 bpm
1 participants
2 participants
0 participants
Number of Participants With Notable Changes in Postbaseline Blood Pressure and Heart Rate Values
SHR: ≤ 50 bpm and ↓ from BL ≥ 20 bpm
1 participants
0 participants
0 participants
Number of Participants With Notable Changes in Postbaseline Blood Pressure and Heart Rate Values
StSBP: ≥ 180 mmHg and ↑ from BL ≥ 30 mmHg
0 participants
0 participants
0 participants
Number of Participants With Notable Changes in Postbaseline Blood Pressure and Heart Rate Values
StSBP: ≤ 90 mmHg and ↓ from BL ≥ 30 mmHg
0 participants
2 participants
0 participants
Number of Participants With Notable Changes in Postbaseline Blood Pressure and Heart Rate Values
StDBP: ≤ 50 mmHg and ↓ from BL ≥ 20 mmHg
0 participants
1 participants
0 participants
Number of Participants With Notable Changes in Postbaseline Blood Pressure and Heart Rate Values
StHR: ≥ 120 bpm and ↑ from BL ≥ 25 bpm
0 participants
1 participants
1 participants
Number of Participants With Notable Changes in Postbaseline Blood Pressure and Heart Rate Values
Orthostatic SBP: ↓ > 20 mmHg, Supine to Standing
2 participants
4 participants
3 participants
Number of Participants With Notable Changes in Postbaseline Blood Pressure and Heart Rate Values
Orthostatic DBP: ↓ > 15 mmHg, Supine to Standing
1 participants
1 participants
0 participants
Number of Participants With Notable Changes in Postbaseline Blood Pressure and Heart Rate Values
StDBP: ≥ 105 mmHg and ↑ from BL ≥ 20 mmHg
0 participants
0 participants
0 participants
Number of Participants With Notable Changes in Postbaseline Blood Pressure and Heart Rate Values
StHR: ≤ 50 bpm and ↓ from BL ≥ 20 bpm
0 participants
0 participants
0 participants
Number of Participants With Notable Changes in Postbaseline Blood Pressure and Heart Rate Values
Orthostatic HR: ↑ > 30 bpm, Supine to Standing
2 participants
2 participants
1 participants

PRIMARY outcome

Timeframe: Post-randomization to End of Trial Visit (42 [± 3] days)

Population: Safety Population: participants who received at least 1 dose of study drug.

Physical examinations included examination and assessment of the following: general appearance, lymph nodes, skin, cardiovascular system, head, eyes, ears, nose, and throat, central nervous system, respiratory system, neck, peripheral nervous system, abdomen/liver/spleen, musculoskeletal system.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Number of Participants With Clinically Significant Post-Randomization Physical Examination Findings
0 participants
0 participants
0 participants

PRIMARY outcome

Timeframe: From first dose of study drug to End of Trial Visit (42 [± 3] days)

Population: Safety Population: participants who received at least 1 dose of study drug.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Number of Participants With Clinically Significant Postbaseline 12-Lead Electrocardiogram (ECG) Results
0 participants
0 participants
0 participants

PRIMARY outcome

Timeframe: Study Baseline, Day 15/Discharge, Day 42/End of Trial

Population: Safety Population: participants who received at least 1 dose of study drug.

Outcome measures

Outcome measures
Measure
Placebo
n=6 Participants
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 Participants
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 Participants
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
IW-1973 40 mg Total Daily Dose (Overall)
IW-1973 40 mg BID/QD: IW-973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14. IW-1973 40 mg QD/QD: IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Change From Study Baseline Over Time in Estimated Glomerular Filtration Rate (eGFR)
Study Baseline
103.045 mL/min/1.73m^2
Standard Deviation 7.542
89.014 mL/min/1.73m^2
Standard Deviation 19.729
80.373 mL/min/1.73m^2
Standard Deviation 19.716
Change From Study Baseline Over Time in Estimated Glomerular Filtration Rate (eGFR)
Day 15/Discharge
0.158 mL/min/1.73m^2
Standard Deviation 4.050
-2.232 mL/min/1.73m^2
Standard Deviation 7.275
1.663 mL/min/1.73m^2
Standard Deviation 5.803
Change From Study Baseline Over Time in Estimated Glomerular Filtration Rate (eGFR)
Day 42/End of Trial
-3.727 mL/min/1.73m^2
Standard Deviation 10.262
-8.905 mL/min/1.73m^2
Standard Deviation 4.293
-5.587 mL/min/1.73m^2
Standard Deviation 6.196

Adverse Events

Placebo

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

IW-1973 40 mg BID/QD

Serious events: 1 serious events
Other events: 6 other events
Deaths: 0 deaths

IW-1973 40 mg QD/QD

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=6 participants at risk
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 participants at risk
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 participants at risk
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Gastrointestinal disorders
Upper gastrointestinal haemorrhage
0.00%
0/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
10.0%
1/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)

Other adverse events

Other adverse events
Measure
Placebo
n=6 participants at risk
Placebo oral tablet taken in AM and in PM on Days 1-14.
IW-1973 40 mg BID/QD
n=10 participants at risk
IW-1973 20 mg oral tablet taken in AM and 20 mg oral tablet taken in PM on Days 1-7. IW-1973 40 mg oral tablet taken QD in AM and placebo oral tablet taken QD in PM on Days 8-14.
IW-1973 40 mg QD/QD
n=10 participants at risk
IW-1973 40 mg oral tablet taken QD in AM and placebo taken QD in PM on Days 1-14.
Blood and lymphatic system disorders
Anaemia
0.00%
0/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
10.0%
1/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Eye disorders
Eye irritation
0.00%
0/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
10.0%
1/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Gastrointestinal disorders
Nausea
0.00%
0/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
20.0%
2/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
30.0%
3/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Gastrointestinal disorders
Diarrhoea
16.7%
1/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
30.0%
3/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Gastrointestinal disorders
Abdominal pain
0.00%
0/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
20.0%
2/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Gastrointestinal disorders
Dyspepsia
0.00%
0/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
10.0%
1/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
10.0%
1/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Gastrointestinal disorders
Dry mouth
0.00%
0/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
10.0%
1/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Gastrointestinal disorders
Eructation
0.00%
0/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
10.0%
1/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Gastrointestinal disorders
Gastrointestinal sounds abnormal
0.00%
0/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
10.0%
1/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Gastrointestinal disorders
Gastrooesophageal reflux disease
0.00%
0/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
10.0%
1/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Gastrointestinal disorders
Oesophagitis
0.00%
0/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
10.0%
1/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Gastrointestinal disorders
Upper gastrointestinal haemorrhage
0.00%
0/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
10.0%
1/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Gastrointestinal disorders
Vomiting
0.00%
0/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
10.0%
1/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
General disorders
Injection site haemorrhage
50.0%
3/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
10.0%
1/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
General disorders
Injection site injury
0.00%
0/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
10.0%
1/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Infections and infestations
Paronychia
0.00%
0/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
10.0%
1/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Metabolism and nutrition disorders
Hypoglycaemia
33.3%
2/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
20.0%
2/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
30.0%
3/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Metabolism and nutrition disorders
Pseudohypoglycaemia
16.7%
1/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Musculoskeletal and connective tissue disorders
Costochondritis
0.00%
0/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
10.0%
1/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Musculoskeletal and connective tissue disorders
Muscle spasms
0.00%
0/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
10.0%
1/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
10.0%
1/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Musculoskeletal and connective tissue disorders
Limb discomfort
16.7%
1/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Nervous system disorders
Headache
33.3%
2/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
20.0%
2/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
30.0%
3/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Nervous system disorders
Dizziness
16.7%
1/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
10.0%
1/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Nervous system disorders
Tremor
16.7%
1/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Renal and urinary disorders
Nephrolithiasis
16.7%
1/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Renal and urinary disorders
Nocturia
16.7%
1/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
10.0%
1/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Respiratory, thoracic and mediastinal disorders
Dry throat
0.00%
0/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
10.0%
1/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
0.00%
0/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
10.0%
1/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Skin and subcutaneous tissue disorders
Alopecia
0.00%
0/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
10.0%
1/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
Skin and subcutaneous tissue disorders
Dermatitis contact
0.00%
0/6 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
10.0%
1/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)
0.00%
0/10 • From first dose of study drug to End of Trial Visit (42 [± 3] days)

Additional Information

Senior Medical Director

Cyclerion Therapeutics, Inc.

Phone: 1-857-327-8778

Results disclosure agreements

  • Principal investigator is a sponsor employee PI may publish or disclose the results of the study 24 months after final data lock provided that sponsor can review the publication prior to public release, sponsor can request removal of confidential information of sponsor (not including results of trial), and sponsor can request a publication delay in order to protect potentially patentable information. Furthermore, if a publication committee is developing an initial publication, PI is to delay disclosure until that publication is published.
  • Publication restrictions are in place

Restriction type: OTHER