Status:

NOT_YET_RECRUITING

ALP-1 Continuous Intravenous Infusion to Maintain Clinical Stability in Advanced Heart Failure

Lead Sponsor:

Biopeutics Co., Ltd

Conditions:

End Stage Cardiac Failure

HFrEF - Heart Failure With Reduced Ejection Fraction

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

This is a global multicenter, doubleblind, placebo-controlled, randomized, parallel-group study that compares ALP-1 given in a continuous infusion ( compared to placebo), 250mcg/day on majore outcomes...

Detailed Description

We anticipate needing to screen ca. 600 patients in order to ransomize our target sample size of 400 participants. Participants will be randomozed 1:1to receive either alprostadil or placebo. Based on...

Eligibility Criteria

Inclusion

  • Patients older than 18 years of age, of any gender/sex and race/ethnicity
  • Patients with a diagnosis of advanced HFrEF as evidenced by (all must apply):
  • most recent LVEF( by conventional imaging method\<30% which was mwasured within 3 months prior randomization.
  • Nt-proBNP \>1500 ng/L or BNP \>300 ng/L at prior randomization
  • New York Heart Association (NYHA) functional class IIIb or IV, i.e., chronic dyspnoea or fatigue at rest or with minimal exertion for at least one month prior to consent.
  • Renal dysfunction reflected by a glomerular filtration rate (GFR) \<60 mL/min approximated by the Modification of Diet in Renal Disease formula.
  • A total symptom score of KCCQ of \<70measure within 24 hours of randomization
  • Patients on all appropriate recommended HF therapy.
  • Patient should not be receiving continuous or planned intermittent intravenous infusions with a positive inotropic or vasodilator drug in a non-hospitalized setting
  • Patients should not be considered as candidates for heart transplantation or LVAD for at least 6 months from randomization according to the opinion of the treating physician.
  • Women of childbearing potential (i.e., who have not undergone a hysterectomy or who have not been postmenopausal for at least 24 consecutive months) must commit either to abstain continuously from heterosexual sexual contact or to use at least one "highly effective" method of birth control (e.g., intrauterine device \[IUD\], hormonal contraception, tubal ligation, or partner's vasectomy) or two "effective" methods (e.g., latex condom, diaphragm, or cervical cap), beginning 4 weeks prior to screening and throughout study participation.
  • Note: As alprostadil is not genotoxic and female sexual partners of male study participants are not likely to have substantial exposure via semen, there are no contraception requirements for men.
  • Patients must be willing and able to give written informed consent, including local data privacy consents, as required

Exclusion

    Key Trial Info

    Start Date :

    October 1 2026

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    December 1 2030

    Estimated Enrollment :

    600 Patients enrolled

    Trial Details

    Trial ID

    NCT00610051

    Start Date

    October 1 2026

    End Date

    December 1 2030

    Last Update

    December 15 2025

    Active Locations (1)

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    Page 1 of 1 (1 locations)

    1

    Medical university Vienna

    Vienna, Austria