Study of Efficacy and Safety of LTP001 in Pulmonary Arterial Hypertension

NCT ID: NCT05135000

Last Updated: 2026-01-13

Basic Information

• Recruitment Status: TERMINATED
• Clinical Phase: PHASE2
• Total Enrollment: 47 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-06-30
• Study Completion Date: 2024-04-25

Brief Summary

The purpose of this study was to explore the efficacy and safety of LTP001 in participants with pulmonary arterial hypertension (PAH) to determine if LTP001 had an adequate clinical profile to warrant further clinical development in this indication.

Detailed Description

This study was a non-confirmatory, randomized, participant- and investigator-blinded, placebo controlled trial evaluating the efficacy and safety of LTP001 on top of standard of care in participants with PAH.

The study included a screening period of up to 8 weeks, followed by a 24-week treatment phase with daily dosing and visits scheduled approximately every 4 weeks. One follow-up visit, which also served as the end-of-study visit, was conducted approximately 30 days after the conclusion of the treatment phase. The total duration of the study, from the beginning of the screening period to the end-of-study visit, was approximately 37 weeks.

A total of 44 participants were planned to be randomized in a 3:1 ratio to receive either LTP001 6 mg or placebo.

Conditions

Pulmonary Arterial Hypertension

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: QUADRUPLE

Study Groups

LTP001

Participants received LTP001, 6 mg, oral capsules, once daily in the morning for approximately 24 weeks

Group Type: EXPERIMENTAL

LTP001

Intervention Type: DRUG

LTP001, 6 mg, was administered orally once daily in the morning

Placebo

Participants received LTP001 placebo capsules matching LTP001 orally once daily in the morning for approximately 24 weeks

Group Type: PLACEBO_COMPARATOR

Placebo

Intervention Type: DRUG

Placebo to LTP001 was administered once daily in the morning

Interventions

LTP001

LTP001, 6 mg, was administered orally once daily in the morning

Intervention Type: DRUG

Placebo

Placebo to LTP001 was administered once daily in the morning

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

• History of PAH belonging to one of the following subgroups of the Clinical Classification Group 1 (WHO):

• participants with idiopathic pulmonary arterial hypertension (IPAH)
• Hereditary pulmonary arterial hypertension
• Congenital heart disease (surgically repaired at least 12 months prior to screening)
• drug or toxin induced (for example, anorexigen, or methamphetamine use).
• Resting mean pulmonary arterial pressure (mPAP) > 25 mmHg; pulmonary capillary wedge pressure (PCWP) or left ventricular end diastolic pressure < 15 mmHg, as determined by right heart catheterization within 20 days of randomization.
• Pulmonary Vascular Resistance > 6 Wood units (480 dynes s/cm-5), as determined by right heart catheterization within 20 days of randomization.
• WHO Functional Class II-III
• 6MWD must be between 150 and 550 m (inclusive). The qualifying test needs to be within 20 days of randomization. To meet the above criterion additional six minute walk test (6MWT) may be performed up to a maximum of 3 tests in total prior to dosing; the minimal time difference between two tests should be at least 4 h.

• Standard of care therapy which is stable at least 6 weeks prior to RHC and qualifying 6MWT assessment within 20 days of randomization. Standard of care includes one or more of the following treatments:
• prostacyclin analogues and receptor agonists (if I.V., dose adjustments must be within 20% of initial stable dose)
• endothelin receptor antagonists (ERAs)
• phosphodiesterase type 5 inhibitors (PDE5i)
• soluble guanylate cyclase (sGC) stimulators

Exclusion Criteria

• Participants with pulmonary hypertension (PH) in the Clinical Classification Groups 2-5 (WHO), and any PAH Group 1 subgroups not covered by Inclusion Criterion #4.
• Participants with a history of left sided heart disease, chronic left sided heart failure, congenital or acquired valvular disease compromising left ventricular function and/or pulmonary venous hypertension or symptomatic coronary disease (non-symptomatic, revascularized coronary artery disease would be acceptable).
• Participants with obstructive lung disease defined as: FEV1/FVC < 60% and FEV1 < 60% of predicted value after bronchodilator administration as well as participants with moderate or severe restrictive lung disease: Total Lung Capacity < 70% of predicted value. Testing must have occurred within 24months of screening. If historical testing is not available, then lung function testing must be conducted during the screening period.
• Acute or chronic impairment (other than dyspnea), which would limit the ability to comply with study requirements, including interference with physical activity and execution of study procedures such as 6MWT (e.g., angina pectoris, claudication, musculoskeletal disorder, multiple sclerosis, need for walking aids).

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 75 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Novartis Pharmaceuticals

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Pulmonary Associates PA

Mesa, Arizona, United States

Medical Univ of South Carolina

Charleston, South Carolina, United States

Novartis Investigative Site

Caba, Buenos Aires, Argentina

Novartis Investigative Site

Berlin, , Germany

Novartis Investigative Site

Dresden, , Germany

Novartis Investigative Site

Heidelberg, , Germany

Novartis Investigative Site

Amsterdam, , Netherlands

Novartis Investigative Site

Krakow, , Poland

Novartis Investigative Site

Lodz, , Poland

Novartis Investigative Site

Wroclaw, , Poland

Novartis Investigative Site

Málaga, Andalusia, Spain

Novartis Investigative Site

Barcelona, Catalonia, Spain

Novartis Investigative Site

Madrid, , Spain

Novartis Investigative Site

Sheffield, South Yorkshire, United Kingdom

Novartis Investigative Site

London, , United Kingdom

Countries

United States; Argentina; Germany; Netherlands; Poland; Spain; United Kingdom

Provided Documents

Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

https://www.novctrd.com/ctrdweb/patientsummary/patientsummaries?patientSummaryId=2578

A Plain Language Trial Summary is available on www.novctrd.com

Other Identifiers

CLTP001A12201

Identifier Type: -

Identifier Source: org_study_id