Trial Outcomes & Findings for A Study to Evaluate RMC-035 in Subjects Undergoing Cardiac Surgery (NCT NCT04829916)

NCT ID: NCT04829916

Last Updated: 2024-04-23

Results Overview

* number (%) of subjects with at least one AE * number (%) of subjects with at least one SAE * number (%) of subjects with at least one Treatment-Emergent AE (TEAE) * number (%) of subjects with at least one serious TEAE * number (%) of subjects with at least one non-serious TEAE * number (%) of subjects with at least one TEAE of special interest * number (%) of subjects with at least one TEAEs reported as related (possible/probable) to IMP * number (%) of subjects with at least one TEAEs leading to withdrawal of IMP

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

13 participants

Primary outcome timeframe

Baseline through day 30

Results posted on

2024-04-23

Participant Flow

In this study, 13 subjects were enrolled, ie agreed to participate in the study following completion of the informed consent process. However, 1 subject did not fulfill all eligibility criteria and was not randomization. Hence, 12 subjects started the study, ie were assigned to one of the treatment arms.

Participant milestones

Participant milestones
Measure
RMC-035
Participants received RMC-035 intravenously RMC-035: Multiple dosing during 48 hours following cardiac surgery
Placebo
Participants received matching placebo solution intravenously Placebo: Multiple dosing during 48 hours following cardiac surgery
Overall Study
STARTED
8
4
Overall Study
COMPLETED
7
4
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
RMC-035
Participants received RMC-035 intravenously RMC-035: Multiple dosing during 48 hours following cardiac surgery
Placebo
Participants received matching placebo solution intravenously Placebo: Multiple dosing during 48 hours following cardiac surgery
Overall Study
Withdrawal by Subject
1
0

Baseline Characteristics

A Study to Evaluate RMC-035 in Subjects Undergoing Cardiac Surgery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
RMC-035
n=8 Participants
Participants received RMC-035 intravenously RMC-035: Multiple dosing during 48 hours following cardiac surgery
Placebo
n=4 Participants
Participants received matching placebo solution intravenously Placebo: Multiple dosing during 48 hours following cardiac surgery
Total
n=12 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Age, Categorical
>=65 years
7 Participants
n=5 Participants
2 Participants
n=7 Participants
9 Participants
n=5 Participants
Age, Continuous
74.6 years
STANDARD_DEVIATION 8.7 • n=5 Participants
70.4 years
STANDARD_DEVIATION 14.1 • n=7 Participants
73.3 years
STANDARD_DEVIATION 10.3 • n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
4 Participants
n=7 Participants
10 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=5 Participants
3 Participants
n=7 Participants
11 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
8 Participants
n=5 Participants
4 Participants
n=7 Participants
12 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
Germany
8 participants
n=5 Participants
4 participants
n=7 Participants
12 participants
n=5 Participants
Weight
89.75 kilogram
STANDARD_DEVIATION 14.84 • n=5 Participants
78.75 kilogram
STANDARD_DEVIATION 2.99 • n=7 Participants
86.08 kilogram
STANDARD_DEVIATION 13.11 • n=5 Participants
BMI
29.04 kg/m^2
STANDARD_DEVIATION 3.42 • n=5 Participants
24.99 kg/m^2
STANDARD_DEVIATION 0.71 • n=7 Participants
27.69 kg/m^2
STANDARD_DEVIATION 3.40 • n=5 Participants
eGFR
52.6 mL/min/1.73m^2
STANDARD_DEVIATION 16.5 • n=5 Participants
76.0 mL/min/1.73m^2
STANDARD_DEVIATION 6.3 • n=7 Participants
60.4 mL/min/1.73m^2
STANDARD_DEVIATION 17.8 • n=5 Participants

PRIMARY outcome

Timeframe: Baseline through day 30

Population: All subject who received any dose of study drug.

* number (%) of subjects with at least one AE * number (%) of subjects with at least one SAE * number (%) of subjects with at least one Treatment-Emergent AE (TEAE) * number (%) of subjects with at least one serious TEAE * number (%) of subjects with at least one non-serious TEAE * number (%) of subjects with at least one TEAE of special interest * number (%) of subjects with at least one TEAEs reported as related (possible/probable) to IMP * number (%) of subjects with at least one TEAEs leading to withdrawal of IMP

Outcome measures

Outcome measures
Measure
RMC-035
n=8 Participants
Participants received RMC-035 intravenously RMC-035: Multiple dosing during 48 hours following cardiac surgery
Placebo
n=4 Participants
Participants received matching placebo solution intravenously Placebo: Multiple dosing during 48 hours following cardiac surgery
Frequency of Adverse Events (AEs)
Subject with at least one AE
6 Participants
1 Participants
Frequency of Adverse Events (AEs)
Subject with at least one SAE
3 Participants
1 Participants
Frequency of Adverse Events (AEs)
Subjects with at least one TEAE
5 Participants
1 Participants
Frequency of Adverse Events (AEs)
Subjects with at least one non-serious TEAE
5 Participants
1 Participants
Frequency of Adverse Events (AEs)
Subjects with at least one serious TEAE
2 Participants
1 Participants
Frequency of Adverse Events (AEs)
Subjects with at least one TEAE of special interest
0 Participants
0 Participants
Frequency of Adverse Events (AEs)
Subjects with at least one TEAE reported as related (possible/probable)
0 Participants
0 Participants
Frequency of Adverse Events (AEs)
Subjects with at least one TEAE leading to withdrawal of IMP
0 Participants
0 Participants

PRIMARY outcome

Timeframe: Within 4 days from first dose of IMP

Population: Number of TEAEs occurring in 5 subjects on RMC-035 (N=8) and the # of TEAEs occurring in 1 subjects on placebo (N=4)

\- Number of TEAEs per category (mild, moderate, severe life-threatening, death)

Outcome measures

Outcome measures
Measure
RMC-035
n=8 Participants
Participants received RMC-035 intravenously RMC-035: Multiple dosing during 48 hours following cardiac surgery
Placebo
n=4 Participants
Participants received matching placebo solution intravenously Placebo: Multiple dosing during 48 hours following cardiac surgery
Severity of AEs
Mild
3 TEAEs
1 TEAEs
Severity of AEs
Moderate
5 TEAEs
2 TEAEs
Severity of AEs
Severe
3 TEAEs
2 TEAEs
Severity of AEs
Life-threatening
1 TEAEs
0 TEAEs
Severity of AEs
Death
1 TEAEs
0 TEAEs

SECONDARY outcome

Timeframe: Blood samples taken from pre-dose and up to two hours after start of Dose 5

Population: All subjects receiving any study drug.

Analysis of RMC-035 concentration in plasma (AUC + t1/2) after fourth infusion.

Outcome measures

Outcome measures
Measure
RMC-035
n=8 Participants
Participants received RMC-035 intravenously RMC-035: Multiple dosing during 48 hours following cardiac surgery
Placebo
Participants received matching placebo solution intravenously Placebo: Multiple dosing during 48 hours following cardiac surgery
Maximum Observed Concentration (Cmax)
12.3 mikrogram / milliliter
Standard Deviation 4.4

SECONDARY outcome

Timeframe: Blood samples taken from pre-dose and up to two hours after start of Dose 5

Population: All subjects receiving RMC-035

Analysis of RMC-035 concentrations in plasma following the fourth infusion.

Outcome measures

Outcome measures
Measure
RMC-035
n=8 Participants
Participants received RMC-035 intravenously RMC-035: Multiple dosing during 48 hours following cardiac surgery
Placebo
Participants received matching placebo solution intravenously Placebo: Multiple dosing during 48 hours following cardiac surgery
Area Under the Curve (AUC) 0-24h
38.3 hours * microgram / milliliter
Standard Deviation 37.7

SECONDARY outcome

Timeframe: Blood samples taken from pre-dose and up to two hours after start of Dose 5

Population: All subjects receiving any RMC-035

Analysis of RMC-035 concentration in plasma following the fourth infusion

Outcome measures

Outcome measures
Measure
RMC-035
n=8 Participants
Participants received RMC-035 intravenously RMC-035: Multiple dosing during 48 hours following cardiac surgery
Placebo
Participants received matching placebo solution intravenously Placebo: Multiple dosing during 48 hours following cardiac surgery
Elimination Half-life (T1/2)
4.5 hours
Standard Deviation 1.6

Adverse Events

RMC-035

Serious events: 3 serious events
Other events: 6 other events
Deaths: 1 deaths

Placebo

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

Serious adverse events

Serious adverse events
Measure
RMC-035
n=8 participants at risk
Participants received RMC-035 intravenously RMC-035: Multiple dosing during 48 hours following cardiac surgery
Placebo
n=4 participants at risk
Participants received matching placebo solution intravenously Placebo: Multiple dosing during 48 hours following cardiac surgery
Cardiac disorders
Cardiac tamponade
12.5%
1/8 • Full study period, ie baseline through day 30.
0.00%
0/4 • Full study period, ie baseline through day 30.
Cardiac disorders
Pericardial effusion
0.00%
0/8 • Full study period, ie baseline through day 30.
25.0%
1/4 • Full study period, ie baseline through day 30.
Gastrointestinal disorders
Large intestine perforation
12.5%
1/8 • Full study period, ie baseline through day 30.
0.00%
0/4 • Full study period, ie baseline through day 30.
Infections and infestations
Anaphylactoid reaction
12.5%
1/8 • Full study period, ie baseline through day 30.
0.00%
0/4 • Full study period, ie baseline through day 30.
Renal and urinary disorders
Acute kidney injury
25.0%
2/8 • Full study period, ie baseline through day 30.
0.00%
0/4 • Full study period, ie baseline through day 30.
Infections and infestations
Pneumonia
0.00%
0/8 • Full study period, ie baseline through day 30.
25.0%
1/4 • Full study period, ie baseline through day 30.

Other adverse events

Other adverse events
Measure
RMC-035
n=8 participants at risk
Participants received RMC-035 intravenously RMC-035: Multiple dosing during 48 hours following cardiac surgery
Placebo
n=4 participants at risk
Participants received matching placebo solution intravenously Placebo: Multiple dosing during 48 hours following cardiac surgery
Blood and lymphatic system disorders
Thrombocytopenia
12.5%
1/8 • Full study period, ie baseline through day 30.
0.00%
0/4 • Full study period, ie baseline through day 30.
Cardiac disorders
Arrhythmia supraventricular
0.00%
0/8 • Full study period, ie baseline through day 30.
25.0%
1/4 • Full study period, ie baseline through day 30.
Cardiac disorders
Pericardial effusion
12.5%
1/8 • Full study period, ie baseline through day 30.
0.00%
0/4 • Full study period, ie baseline through day 30.
Gastrointestinal disorders
Small intestinal haemorrhage
12.5%
1/8 • Full study period, ie baseline through day 30.
0.00%
0/4 • Full study period, ie baseline through day 30.
General disorders
Impaired healing
12.5%
1/8 • Full study period, ie baseline through day 30.
0.00%
0/4 • Full study period, ie baseline through day 30.
Infections and infestations
Postoperative wound infection
12.5%
1/8 • Full study period, ie baseline through day 30.
25.0%
1/4 • Full study period, ie baseline through day 30.
Infections and infestations
Urinary tract infection
12.5%
1/8 • Full study period, ie baseline through day 30.
0.00%
0/4 • Full study period, ie baseline through day 30.
Metabolism and nutrition disorders
Hypothyroidism
12.5%
1/8 • Full study period, ie baseline through day 30.
0.00%
0/4 • Full study period, ie baseline through day 30.
Metabolism and nutrition disorders
Respiratory failure
0.00%
0/8 • Full study period, ie baseline through day 30.
25.0%
1/4 • Full study period, ie baseline through day 30.
Musculoskeletal and connective tissue disorders
Rib fracture
12.5%
1/8 • Full study period, ie baseline through day 30.
0.00%
0/4 • Full study period, ie baseline through day 30.
Renal and urinary disorders
Acute kidney injury
25.0%
2/8 • Full study period, ie baseline through day 30.
25.0%
1/4 • Full study period, ie baseline through day 30.
Respiratory, thoracic and mediastinal disorders
Pleural effusion
37.5%
3/8 • Full study period, ie baseline through day 30.
0.00%
0/4 • Full study period, ie baseline through day 30.

Additional Information

Head of Clinical Operations

Guard Therapeutics

Phone: +46733319438

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place