Recent Updates
Recently added Catalysts

conivaptan

Phase 4FDA approved 2007

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

conivaptan 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 7 across 1 sponsor since Apr 2003

conivaptan target and mechanism

Molecular targetAVPR1A, AVPR2
Target classAntagonist
ModalitySmall molecule

Also known as conivaptan hydrochloride, Vaprisol, YM087

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials9
Total Enrollment726

FDA Designations

No designations recorded

conivaptan clinical trials

conivaptan · 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
Unlock Study Endpoints

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
Unlock Study Design Details

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
Unlock Eligibility Criteria

Frequently asked questions about conivaptan

What is conivaptan used for?

Conivaptan is an investigational small molecule studied in chronic heart failure, hyponatremia, kidney diseases, liver cirrhosis, and liver disease. It is being developed by Cumberland Pharmaceuticals Inc. under the ticker CPIX. The program is in Phase 2 development, and the compound is a dual antagonist of the AVPR1A and AVPR2 receptors.

What does conivaptan target?

Conivaptan targets AVPR1A and AVPR2, two vasopressin receptors, and acts as an antagonist at both. By blocking these receptors, the small molecule interferes with vasopressin signaling. This dual AVPR1A and AVPR2 antagonism is the basis for its study in cardiovascular and fluid balance related conditions such as hyponatremia and chronic heart failure.

Who makes conivaptan?

Cumberland Pharmaceuticals Inc., which trades under the ticker CPIX, is developing conivaptan. The company sponsors the clinical program for the drug, including the completed trials in liver and kidney impairment and in cirrhotic patients.

What phase is conivaptan in?

Conivaptan is in Phase 2 development and is investigational. It has not been established as approved for any indication. The program includes completed Phase 1 pharmacokinetic studies and a completed Phase 2 study, with no trials currently active.

What clinical trials is conivaptan in?

Completed conivaptan trials include NCT01370148, a Phase 1 study of intravenous conivaptan in severe hepatic impairment, NCT00887627, a Phase 1 pharmacokinetic comparison in mild and moderate kidney impairment, NCT00851227, a Phase 1 comparison in mild and moderate liver impairment, and NCT00592475, a Phase 2 study of intravenous conivaptan in cirrhotic patients in Spain.

Is conivaptan the same as conivaptan hydrochloride?

Yes, conivaptan hydrochloride is another name for conivaptan. Both names refer to the same small molecule developed by Cumberland Pharmaceuticals Inc. for conditions including hyponatremia, chronic heart failure, kidney diseases, and liver disease.