Dichloroacetate (DCA) for the Treatment of Pulmonary Arterial Hypertension
NCT01083524 · Status: COMPLETED · Phase: PHASE1 · Type: INTERVENTIONAL · Enrollment: 30
Last updated 2014-06-03
Summary
Hypothesis: The small molecule and metabolic modulator Dichloroacetate (DCA) is safe, tolerated as a potential therapy in patients with moderate or severe Pulmonary Arterial Hypertension (PAH).
This is a Phase I, two centre study in subjects with PAH WHO functional class III-IV whose symptoms have been clinically stable on their prescribed medical treatment (which includes endothelin and/or phosphodiesterase type 5 inhibitors) for 8 weeks prior to enrollment. Such patients will be given either DCA 3.0 mg/kg BID (group I), 6.25 mg/kg BID (group II) or 12.5 mg/kg BID (group III) as an additional treatment for 16 weeks. The design is open-label with the subjects acting as their own controls.
Primary endpoint is the safety and tolerability of DCA. Secondary end points include: a) functional capacity including a change in the 6 minute walk form baseline, b) change in pulmonary vascular resistance (measured by right heart catheterization), c) right ventricular volumes and mass (measured by MRI), d) NT-proBNP levels changed from baseline, e) change in FDG-glucose uptake in the lung and right ventricle (measured by PET) and f) change in quality of life indices.
15 evaluable patients in each site are expected to be included.
Conditions
- Pulmonary Hypertension (Idiopathic, Familial or Anorexigen-associated)
Interventions
- DRUG
-
Dichloroacetate Sodium
3 mg po bid for 28 weeks
- DRUG
-
Dichloroacetate Sodium
6.25 mg po bid
- DRUG
-
Dichloroacetate Sodium
12.5 mg po bid
Sponsors & Collaborators
-
Imperial College London
collaborator OTHER -
University of Alberta
lead OTHER
Principal Investigators
-
Evangelos D. Michelakis, MD · University of Alberta
-
Martin R Wilkins, MD · Imperial College London
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2010-03-31
- Primary Completion
- 2013-09-30
- Completion
- 2013-09-30
Countries
- Canada
- United Kingdom
Study Locations
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