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CIN-107

Phase 2

Hypertension | Small molecule | Cardiovascular |AstraZeneca PLC|Last Updated: Dec 16, 2024

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials4
Total Enrollment291
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05459688Open-Label Extension Study of Patients Previously Enrolled in Study CIN-107-124PHASE2 COMPLETED 175Apr 6, 2022Nov 7, 2023Dec 16, 202436 United States
NCT05470725Study to Evaluate the Pharmacokinetics of CIN-107 in Subjects With Varying Degrees of Renal FunctionPHASE1 COMPLETED 33Jan 12, 2021Apr 30, 2021Aug 14, 20232 United States
NCT05526690Study to Evaluate the Effect of CIN-107 on the Pharmacokinetics of the MATE Substrate, Metformin, in Healthy SubjectsPHASE1 COMPLETED 27Oct 28, 2020Dec 12, 2020Aug 14, 20231 United States
NCT05500820Study With CIN-107 Following Multiple Oral Ascending Doses in Healthy SubjectsPHASE1 COMPLETED 56Dec 19, 2019Apr 3, 2020Aug 14, 20231 United States
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Study Endpoints
Primary Endpoints
Number of Participants With Any Treatment-emergent Adverse Events (TEAEs)
52 weeks

An AE was defined as any untoward medical occurrence in a clinical investigation participants administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and/or unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of an investigational medicinal product, whether or not related to the investigational medicinal product. Any medical condition already present at enrollment should be recorded as medical history and not be reported as an AE unless the medical condition or signs or symptoms present at baseline changes in severity, frequency, or seriousness at any time during the study. In this case, it was be reported as an AE.

Number of Participants With Any Treatment-emergent Adverse Events of Special Interest (AESIs)
52 weeks

For this study, AESIs include the following: Events of hypotension that require clinical intervention; Abnormal potassium laboratory values that require clinical intervention; and Abnormal sodium laboratory values that require clinical intervention.

Number of Participants With Any Treatment-emergent Serious Adverse Events (TESAEs)
52 weeks

An AE was or adverse reaction is considered serious if, in the view of either the Investigator or Sponsor, it results in any of the following outcomes: Death, a life-threatening AE, a persistent or significant disability/incapacity or substantial disruption of the ability to conduct normal life functions, a congenital anomaly/birth defect, or an important medical event.

Change From Baseline in Serum Potassium
52 weeks

Mean change from baseline at Week 52 in serum potassium (mmol/L).

Change From Baseline in Serum Sodium
52 weeks

Mean change from baseline at Week 52 in serum sodium (mmol/L).

Change From Baseline in Body Weight
52 weeks

Change from baseline at 52 weeks in body weight (kg)

Change From Baseline in Temperature
52 weeks

Change from baseline at 52 weeks in temperature (C)

Change From Baseline in Seated Heart Rate
52 weeks

Change from baseline at 52 weeks in seated heart rate (beats/min)

Maximum plasma concentration (Cmax)
up to Day 8

This PK parameter will be determined for CIN-107, its primary metabolite (CIN-107-M), and any other measured metabolites using plasma concentration data, as the data permit.

Time to maximum plasma concentration (Tmax)
up to Day 8

This PK parameter will be determined for CIN-107, its primary metabolite (CIN-107-M), and any other measured metabolites using plasma concentration data, as the data permit.

Area under the curve from time 0 to the time of last quantifiable plasma concentration (AUC[0-last])
up to Day 8

This PK parameter will be determined for CIN-107, its primary metabolite (CIN-107-M), and any other measured metabolites using plasma concentration data, as the data permit.

Area under the curve from time 0 to infinity (AUC[0-inf])
up to Day 8

This PK parameter will be determined for CIN-107, its primary metabolite (CIN-107-M), and any other measured metabolites using plasma concentration data, as the data permit.

Percent of AUC extrapolated
up to Day 8

This PK parameter will be determined for CIN-107, its primary metabolite (CIN-107-M), and any other measured metabolites using plasma concentration data, as the data permit.

Terminal phase elimination half-life
up to Day 8

This PK parameter will be determined for CIN-107, its primary metabolite (CIN-107-M), and any other measured metabolites using plasma concentration data, as the data permit.

Apparent plasma clearance (CL/F)
up to Day 8

This PK parameter will be determined for CIN-107 using plasma concentration data.

Apparent volume of distribution
up to Day 8

This PK parameter will be determined for CIN-107 using plasma concentration data.

The cumulative amount of CIN-107 and CIN-107-M excreted in the urine (Ae)
up to Day 8

This PK parameter will be calculated using the urine concentrations of CIN-107 and its primary metabolite (CIN-107-M)

Renal clearance (CLR) of CIN-107 and CIN-107-M of CIN-107 and CIN-107-M
up to Day 8

Calculated as Ae/AUC. This PK parameter will be calculated using the urine concentrations of CIN-107 and its primary metabolite (CIN-107-M)

The fraction of the dose excreted renally
up to Day 8

This PK parameter will be calculated using the urine concentrations of CIN-107

Number of patients experiencing adverse events (AEs)
up to Day 11
Number of patients experiencing adverse drug reactions
up to Day 11
Number of patients experiencing serious adverse events (SAEs)
up to Day 11
Time to Cmax (Tmax)
Up to day 3

This plasma PK parameter will be determined for CIN-107, its primary metabolite (CIN-107-M), and any other measured metabolites.

Area under the concentration-time curve (AUC) from time 0 to 72 hours
Up to day 3

This plasma PK parameter will be determined for CIN-107, its primary metabolite (CIN-107-M), and any other measured metabolites.

Maximum plasma concentration (Cmax) of metformin
Up to day 3

This plasma PK parameter will be determined for metformin.

Time to Cmax (Tmax) of metformin
Up to day 3

This plasma PK parameter will be determined for metformin.

AUC from time 0 to the time of last quantifiable plasma concentration of metformin
Up to day 3

This plasma PK parameter will be determined for metformin.

AUC from time 0 to infinity of metformin
Up to day 3

This plasma PK parameter will be determined for metformin.

Percent of AUC extrapolated of metformin
Up to day 3

This plasma PK parameter will be determined for metformin.

Terminal phase elimination half-life of metformin
Up to day 3

This plasma PK parameter will be determined for metformin.

Cumulative amount of metformin excreted in the urine (Ae) of metformin
Up to day 3

This urine PK parameter will be determined for metformin.

Renal clearance (calculated as Ae/AUC) of metformin
Up to day 3

This urine PK parameter will be determined for metformin.

Fraction of the dose excreted renally of metformin
Up to day 3

This urine PK parameter will be determined for metformin.

Area under the curve from time 0 to infinity
up to Day 15

This PK parameter will be determined for CIN-107, its primary metabolite (CIN-107-M), and any other measured metabolites using plasma concentration data following the final dose of CIN-107, as the data permit.

Area under the curve over a dosing interval (tau)
up to Day 15

This PK parameter will be determined for CIN-107, its primary metabolite (CIN-107-M), and any other measured metabolites using plasma concentration data following the final dose of CIN-107, as the data permit.

Area under the plasma concentration-time curve (AUC) from time 0 to 24 hours
up to Day 2

This PK parameter will be determined for CIN-107, its primary metabolite (CIN-107-M), and any other measured metabolites using plasma concentration data and following the first dose of CIN-107, as the data permit.

Apparent plasma clearance
up to Day 15

This PK parameter will be determined for CIN-107 using plasma concentration data.

Renal clearance (CLR Calculated as Ae/AUC) of CIN-107 and CIN-107-M
up to Day 15

This PK parameter will be calculated using the urine concentrations of CIN-107 and its primary metabolite (CIN-107-M)

Fraction of the dose excreted renally (fe)
up to Day 15

This PK parameter will be calculated using the urine concentrations of CIN-107

Plasma concentration of aldosterone
up to Day 15
Plasma renin activity
up to Day 15
Plasma concentration of cortisol (free and total)
up to Day 15
Plasma concentration of ACTH (Adrenocorticotropic hormone)
up to Day 15
Secondary Endpoints
Change From Baseline in Mean Seated Systolic Blood Pressure
52 weeks
Change From Baseline in Mean Seated Diastolic Blood Pressure
52 weeks
Achieving Mean Seated Systolic Blood Pressure <130 mmHg
52 weeks
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Experimental 2 mg CIN-107 tablets QDEXPERIMENTALTreatment with 2 mg CIN-107 tablets, by mouth, once per day. Starting at Visit 1 and concluding at EOT (Visit 7).
Control (normal renal function or mild renal impairment)EXPERIMENTALEstimated glomerular filtration rate (eGFR) ≥60 mL/min
Moderate to severe renal impairmentEXPERIMENTALeGFR 15 to 59 mL/min
Kidney failureEXPERIMENTALeGFR \<15 mL/min, including: * Subjects not on dialysis; and * Subjects on dialysis, with study drug administration on a non-dialysis day
Treatment A: Immediate-release metforminACTIVE_COMPARATORTreatment A: single 1000 mg dose of immediate-release metformin Subjects will be randomly assigned to 1 of 2 sequences: AB or BA. * Treatment A: a single 1000 mg dose of immediate-release metformin; and * Treatment B: a single 1000 mg dose of immediate-release metformin coadministered with a 10 mg dose of CIN-107. All study medication will be administered at 8:00 AM (±2 hours). There will be a minimum 10-day washout between administration of study drug in each treatment period.
Treatment B: Immediate-release metformin coadministered with a CIN-107EXPERIMENTALTreatment B: a single 1000 mg dose of immediate-release metformin coadministered with a 10 mg dose of CIN-107 Subjects will be randomly assigned to 1 of 2 sequences: AB or BA. * Treatment A: a single 1000 mg dose of immediate-release metformin; and * Treatment B: a single 1000 mg dose of immediate-release metformin coadministered with a 10 mg dose of CIN-107. All study medication will be administered at 8:00 AM (±2 hours). For Treatment B, the dose of CIN-107 will be administered 2 hours prior to the dose of metformin. There will be a minimum 10-day washout between administration of study drug in each treatment period.
Cohort 1: 2.5 mg CIN-107EXPERIMENTALSubjects on a low salt diet
Cohort 2: 5.0 mg CIN-107EXPERIMENTALSubjects on a low salt diet
Cohort 3: 1.5 mg CIN-107EXPERIMENTALSubjects on a normal salt diet
Cohort 4: 2.5 mg CIN-107EXPERIMENTALSubjects on a normal salt diet
Cohort 5: 0.5 mg CIN-107EXPERIMENTALSubjects on a normal salt diet
Cohort 1: 2.5 mg matching placeboPLACEBO_COMPARATORSubjects on a low salt diet
Cohort 2: 5.0 mg matching placeboPLACEBO_COMPARATORSubjects on a low salt diet
Cohort 3: 1.5 mg matching placeboPLACEBO_COMPARATORSubjects on a normal salt diet
Cohort 4: 2.5 mg matching placeboPLACEBO_COMPARATORSubjects on a normal salt diet
Cohort 5: 0.5 mg matching placeboPLACEBO_COMPARATORSubjects on a normal salt diet
Interventions
NameTypeDescription
CIN-107DRUG2 mg of CIN-107, once a day for 52 weeks
MetforminDRUG1000 mg dose of immediate-release metformin
Matching PlaceboDRUGA repeat oral dose of matching placebo once daily for 10 days.
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Eligibility Criteria
Age Range18 Years — 100 Years
SexALL
Healthy VolunteersNo
Study Sites36

Inclusion Criteria: 1. Have completed Part 1 or Part 2 of Study CIN-107-124; 2. Have had acceptable safety and tolerability during Study CIN-107-124 as determined by the Investigator or Medical Monitor; 3. Have demonstrated ≥70% and ≤120% adherence to their single background antihypertensive agent ...

Countries:United States
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