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YM087

Phase 4FDA approved 2007

Hyponatremia | Small molecule | Nephrology |Cumberland Pharmaceuticals Inc.|Trials Updated: May 15, 2014

YM087 development status

FDA approval Feb 28, 2007 as Vaprisol
Approval holderCumberland Pharms
ApplicationNDA022016
Highest phase Phase 4 (NCT00435591)
Phase scored for CPIXPhase 3
Registered trials 11 across 1 sponsor since Apr 2003

YM087 target and mechanism

ModalitySmall molecule

Also known as YM087 oral, conivaptan, Vaprisol, conivaptan hydrochloride

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindUNCONTROLLED
Total Trials9
Total Enrollment726

FDA Designations

No designations recorded

YM087 clinical trials

YM087 · 9 trials · 5 indications

Phase 3 4Phase 2 2Phase 1 3
NCT00478192Study of Efficacy & Safety for 3 Infusion Regimens of IV Conivaptan in Subjects With Euvolemic or Hypervolemic HyponatremiaHyponatremia
COMPLETED50 Analytics
NCT00379847An Open-Label Study of YM087 (Conivaptan) in Patients With Euvolemic or Hypervolemic HyponatremiaHyponatremia
COMPLETED251 Analytics
NCT00380575Study of IV YM087 to Assess Efficacy and Safety in Patients With Euvolemic or Hypervolemic HyponatremiaHyponatremia
COMPLETED84 Analytics
NCT00492037Study of Efficacy & Safety of Oral YM087 in Subjects With Euvolemic or Hypervolemic HyponatremiaHyponatremia
COMPLETED83 Analytics
PHASE3COMPLETED
Study of Efficacy & Safety for 3 Infusion Regimens of IV Conivaptan in Subjects With Euvolemic or Hypervolemic Hyponatremia
HyponatremiaUnlock trial analytics
PHASE3COMPLETED
An Open-Label Study of YM087 (Conivaptan) in Patients With Euvolemic or Hypervolemic Hyponatremia
HyponatremiaUnlock trial analytics
PHASE3COMPLETED
Study of IV YM087 to Assess Efficacy and Safety in Patients With Euvolemic or Hypervolemic Hyponatremia
HyponatremiaUnlock trial analytics
PHASE3COMPLETED
Study of Efficacy & Safety of Oral YM087 in Subjects With Euvolemic or Hypervolemic Hyponatremia
HyponatremiaUnlock trial analytics

Study Endpoints

Primary Endpoints

Change in Serum Sodium From Baseline to the 48 Hour Assessment or Study Drug Discontinuation.
Baseline and 48 hours

Baseline is the average of the two most recent serum sodium levels prior to start of dosing on day 1. Hour 48: Hour 48 or time that ended study participation prior to the hour 48 assessment. Change is calculated as Hour 48 - Baseline.

Baseline-adjusted change in AUC for serum sodium
96 Hours
The primary efficacy outcome will be change from baseline in serum sodium over the duration of treatment. The primary safety outcome will be safety parameters (e.g., adverse events, vital signs, EGG, laboratory measurements).
Change in serum sodium from Baseline Safety of each dosing regimen
Beginning through end of treatment
Change From Baseline in Hepatic Venous Pressure Gradient (HVPG) at 0.5, 1, and 1.5 Hours Post Dose
Baseline and 0.5, 1, and 1.5 hours post dose

Change from baseline is calculated as time point minus baseline. Baseline procedures were performed prior to study drug administration.

Change From Baseline in Hepatic Blood Flow (HBF) at 0.5, 1, and 1.5 Hours Post Dose
Baseline and 0.5, 1, and 1.5 hours post dose

Change from baseline is calculated as time point minus baseline. Baseline procedures were performed prior to study drug administration.

Change From Baseline in Hepatic Mean Arterial Pressure (MAP) at 0.5, 1, and 1.5 Hours Post Dose
Baseline and 0.5, 1, and 1.5 hours post dose

Change from baseline is calculated as time point minus baseline. Baseline procedures were performed prior to study drug administration.

Change From Baseline in Blood Pressure at 0.5, 1, 1.5, 2.5, 3.5, 4.5, 5.5, 6.5, 9, 12, and 24 Hours, and Day 8 Post Dose
Baseline and 0.5, 1, 1.5, 2.5, 3.5, 4.5, 5.5, 6.5, 9, 12, and 24 hours, and Day 8 post dose

Change from baseline is calculated as time point minus baseline. Baseline procedures were performed prior to study drug administration.

Change From Baseline in Heart Rate at 0.5, 1, 1.5, 2.5, 3.5, 4.5, 5.5, 6.5, 9, 12, and 24 Hours, and Day 8 Post Dose
Baseline and 0.5, 1, 1.5, 2.5, 3.5, 4.5, 5.5, 6.5, 9, 12, and 24 hours, and Day 8 post dose

Change from baseline is calculated as time point minus baseline. Baseline procedures were performed prior to study drug administration.

Change from baseline in respiratory Visual analog Scale (VAS)
48 hours
Assess the effect of severe hepatic impairment on the plasma drug concentration of conivaptan through analysis of blood samples
5 days
Measure PK and protein binding of conivaptan
5 days

Secondary Endpoints

Change From Baseline in Serum Sodium Level at Each Time Point Through the 48 Hour Assessment
Baseline, Hour 4, Hour 12, Hour 16, Hour 24, Hour 28, Hour 36, Hour 40 and Hour 48
Time From the First Dose of Study Medication to a Confirmed >4 mEq/L Increase From Baseline in Serum Sodium
48 Hours
Number of Patients With Confirmed Serum Sodium Level > 4 mEq/L Increase From Baseline Over 0 to 48 Hours
48 Hours
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Regimen 1 Conivaptan QDEXPERIMENTAL20 mg conivaptan once a day
Regimen 2 Conivaptan BIDEXPERIMENTAL20 mg conivaptan two times a day
Regimen 3 PlaceboPLACEBO_COMPARATOR -
1EXPERIMENTALLower dose
2EXPERIMENTALHigher dose
Regimen 1 Conivaptan 12.5 mgEXPERIMENTALConivaptan intravenous loading dose (10 mg) + 2.5 mg continuous infusion over 6.5 hours
Regimen 2 Conivaptan 25 mgEXPERIMENTALConivaptan intravenous loading dose (20 mg) + 5 mg continuous infusion over 6.5 hours
3EXPERIMENTALMiddle dose
4EXPERIMENTALHigh dose
Subjects with severe hepatic impairmentEXPERIMENTAL -
Subjects with normal hepatic functionACTIVE_COMPARATOR -
1. Mild Renal Function Impaired SubjectsEXPERIMENTAL -
2. Moderate Renal Function Impaired SubjectsEXPERIMENTAL -
3. Subjects with Normal Renal FunctionEXPERIMENTAL -
1. Mildly Hepatic Impaired SubjectsEXPERIMENTAL -
2. Moderately Hepatic Impaired SubjectsEXPERIMENTAL -
3. Subjects with Normal Hepatic FunctionEXPERIMENTAL -

Interventions

NameTypeDescription
ConivaptanDRUGpremix bag
PlaceboDRUGpremix bag
YM087DRUG -
YM087 oralDRUG -
conivaptan hydrochlorideDRUGIntravenous
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites26

Inclusion Criteria: * Euvolemic or hypervolemic (edematous) based on clinical presentation * Serum sodium between 115 and 130mEq/L at baseline Exclusion Criteria: * Clinical presentation of volume depletion or dehydration

Countries:United StatesIndiaIsraelSouth AfricaCanadaBelgiumFinlandFranceGermanyItalyNetherlandsPolandSpainUnited Kingdom
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Frequently asked questions about YM087

What is YM087 used for?

YM087 is being developed for the treatment of hyponatremia, a condition in which blood sodium levels are abnormally low. The clinical program has focused on patients with euvolemic or hypervolemic hyponatremia, meaning low sodium without volume depletion. YM087 is an investigational small molecule and has not been approved for commercial use.

Who is developing YM087?

YM087 is being developed by Cumberland Pharmaceuticals Inc., a specialty pharmaceutical company that trades on the Nasdaq under the ticker CPIX. Cumberland is the sponsor of the YM087 clinical program in hyponatremia. The drug remains investigational, and no marketing approval has been granted for it.

What phase is YM087 in?

YM087 has completed Phase 3 clinical development for hyponatremia. Two Phase 3 trials have been conducted, and both are now listed as completed. Because the program is still investigational, YM087 is not approved by the FDA or any other regulatory agency for hyponatremia or any other indication.

What clinical trials has YM087 been studied in?

YM087 has been evaluated in two completed Phase 3 trials in hyponatremia. NCT00492037 tested oral YM087 in patients with euvolemic or hypervolemic hyponatremia across nine European countries, enrolling 83 participants. NCT00380575 tested intravenous YM087 in the same patient population across the United States, Canada, Israel, and South Africa, enrolling 84 participants.

Is YM087 the same as YM087 oral?

Yes, YM087 oral is an alternative name for YM087, referring to the orally administered formulation studied in the hyponatremia program. The same compound has also been tested in an intravenous formulation. Both formulations were evaluated in separate completed Phase 3 trials, and neither is approved for use.

How many patients were enrolled in YM087 trials?

The YM087 clinical program enrolled a total of 167 patients across its two completed Phase 3 trials in hyponatremia. NCT00492037 enrolled 83 participants and NCT00380575 enrolled 84 participants. Both studies were randomized, double-blind, and included adults aged 18 years and older.