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Eleclazine

Phase 2

Ventricular Arrhythmia | Small molecule | Cardiovascular |Gilead Sciences, Inc.|Last Updated: Dec 30, 2020

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment313

FDA Designations

No designations recorded

Clinical trial landscape

Eleclazine · 4 trials · 3 indications

Phase 2 1Phase 1 3
NCT02104583Evaluating Ventricular Arrhythmia in Subjects With Implantable Cardioverter Defibrillator or Cardiac Resynchronization Therapy-DefibrillatorVentricular Arrhythmia
COMPLETED313 Analytics
PHASE2COMPLETED
Evaluating Ventricular Arrhythmia in Subjects With Implantable Cardioverter Defibrillator or Cardiac Resynchronization Therapy-Defibrillator
Ventricular ArrhythmiaUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall Occurrence (Total Number) of Appropriate Implantable Cardioverter-Defibrillator Device (ICD) Interventions (Anti-Tachycardia Pacing or Shock) Through Week 24
Randomization up to 24 weeks
Change From Baseline in Standard 12-Lead Electrocardiogram (ECG) Daytime QT Interval Corrected For Heart Rate Using The Fridericia Formula (QTcF) (AUC0-8)/8 at Day 3: Lead V5
Baseline (Day 1), Day 3

Daytime (AUC0-8)/8 was defined as the area under the QTc curve during the 8 hours postdose, where 0 was defined as the time of dosing (i.e., T = 0) on a given day. Daytime (AUC0-8)/8 was computed by dividing AUC0-8 by the time from dosing to the 8 hour postdose time point. QTcF is corrected QT interval using Fridericia's formula.

Change From Baseline in Standard 12-Lead ECG Daytime QTcF (AUC0-8)/8 at Day 3: Lead II
Baseline (Day 1), Day 3

Daytime (AUC0-8)/8 was defined as the area under the QTc curve during the 8 hours postdose, where 0 was defined as the time of dosing (i.e.,T = 0) on a given day. Daytime (AUC0-8)/8 was computed by dividing AUC0-8 by the time from dosing to the 8 hour postdose time point. QTcF is corrected QT interval using Fridericia's formula.

Change From Baseline in Standard 12-Lead ECG Daytime QTcF (AUC0-8)/8 at Day 3: Global Lead
Baseline (Day 1), Day 3

Daytime (AUC0-8)/8 was defined as the area under the QTc curve during the 8 hours postdose, where 0 was defined as the time of dosing (i.e., T = 0) on a given day. Daytime (AUC0-8)/8 was computed by dividing AUC0-8 by the time from dosing to the 8 hour postdose time point. QTcF is corrected QT interval using Fridericia's formula.

Plasma pharmacokinetics (PK) profiles of eleclazine and its metabolite GS-623134: AUC_0-inf and Cmax
Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, 14, 24, 36, 48, 72, 96, 120 hours, 15, 29, 43, and 57 days postdose on Day 1

This endpoint will measure the plasma PK profiles of eleclazine and GS-623134. PK parameters that will be measured include AUC\_0-inf and Cmax.

PK (Pharmacokinetic) Parameter: AUCinf of Eleclazine
Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, 14, 24, 36, 48, 72, 96, 120 hours on Day 1 and approximately the same time in the morning as predose of Day 1 on Days 15, 29, 43, and 57

AUCinf was defined as the concentration of drug extrapolated to infinite time (area under the plasma concentration versus time curve extrapolated to infinite time).

PK Parameter: AUCinf of GS-623134 (Metabolite of Eleclazine)
Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, 14, 24, 36, 48, 72, 96, 120 hours on Day 1 and approximately the same time in the morning as predose of Day 1 on Days 15, 29, 43, and 57

AUCinf was defined as the concentration of drug extrapolated to infinite time (area under the plasma concentration versus time curve extrapolated to infinite time).

PK Parameter: Cmax of Eleclazine
Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, 14, 24, 36, 48, 72, 96, 120 hours on Day 1 and approximately the same time in the morning as predose of Day 1 on Days 15, 29, 43, and 57

Cmax was defined as the maximum observed concentration of drug in plasma.

PK Parameter: Cmax of GS-623134 (Metabolite of Eleclazine)
Predose and 0.5, 1, 2, 3, 4, 6, 8, 10, 14, 24, 36, 48, 72, 96, 120 hours on Day 1 and approximately the same time in the morning as predose of Day 1 on Days 15, 29, 43, and 57

Cmax was defined as the maximum observed concentration of drug in plasma.

Secondary Endpoints

Overall Occurrence (Total Number) of Appropriate ICD Interventions (ATP or Shock) Through End of Study
Randomization up to 22 months
Change From Baseline in Premature Ventricular Complex (PVC) Count as Assessed by Continuous Electrocardiogram (cECG) Monitoring
Baseline to Week 12
Change From Baseline in Nonsustained Ventricular Tachycardia (nsVT) Count as Assessed by Continuous cECG Monitoring
Baseline to Week 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Eleclazine 3 mgEXPERIMENTALParticipants will receive a single loading dose of eleclazine 30 mg on Day 1, followed by eleclazine 3 mg daily as maintenance for up to approximately 20 months.
Eleclazine 6 mgEXPERIMENTALParticipants will receive a single loading dose of eleclazine 30 mg on Day 1, followed by eleclazine 6 mg daily as maintenance for up to approximately 20 months.
PlaceboPLACEBO_COMPARATORParticipants will receive a single loading dose of placebo to match eleclazine on Day 1, followed by placebo to match eleclazine once daily for up to approximately 20 months.
Eleclazine 24 mg + Eleclazine 48 mg + PlaceboEXPERIMENTALParticipants will receive placebo to match eleclazine on Days 1 and 4, eleclazine 24 mg on Day 2 and eleclazine 48 mg on Day 3.
Eleclazine 48 mg + PlaceboEXPERIMENTALParticipants will receive placebo to match eleclazine on Days 1, 2 and 4, and eleclazine 48 mg on Day 3.
Mild Renal Impairment (CLcr 60-89 mL/min)EXPERIMENTALParticipants with mild renal impairment and matched control participants with normal renal function will receive a single dose of eleclazine 30 mg (5 x 6 mg tablets).
Moderate Renal Impairment (CLcr 30-59 mL/min)EXPERIMENTALParticipants with moderate impairment and matched control participants with normal renal function will receive a single dose of eleclazine 30 mg (5 x 6 mg tablets).
Severe Renal Impairment (CLcr 15-29 mL/min)EXPERIMENTALParticipants with severe renal impairment and matched control participants with normal renal function will receive a single dose of eleclazine 30 mg (5 x 6 mg tablets).
Moderate Hepatic Impairment (Cohort 1)EXPERIMENTALParticipants with moderate hepatic impairment and matched healthy controls will receive a single dose of eleclazine 30 mg (5 x 6 mg tablets).
Severe Hepatic Impairment (Cohort 2)EXPERIMENTALParticipants with severe hepatic impairment and matched healthy controls will receive a single dose of eleclazine 30 mg (5 x 6 mg tablets).
Mild Hepatic Impairment (Cohort 3)EXPERIMENTALParticipants with mild hepatic impairment and matched healthy controls will receive a single dose of eleclazine 30 mg (5 x 6 mg tablets).

Interventions

NameTypeDescription
EleclazineDRUGEleclazine tablets administered orally
Placebo to match eleclazineDRUGPlacebo to match eleclazine tablets administered orally
PlaceboDRUGPlacebo to match tablets administered orally in a single dose
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Eligibility Criteria

Age Range18 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites84

Key Inclusion Criteria: * Have an ICD or CRT-D implanted for primary or secondary prevention and at least one ICD intervention for ventricular tachycardia/ventricular fibrillation (VT/VF) \[shock or ATP\] within 60 days prior to screening or a documented VT/VF episode (prior to implantation) within...

Countries:United StatesCanadaCzechiaDenmarkGermanyHungaryIsraelNetherlandsPolandMoldovaRomaniaNew Zealand
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Frequently asked questions about Eleclazine

What is Eleclazine used for?

Eleclazine is an investigational small molecule being developed for cardiovascular conditions, specifically ventricular arrhythmia, LQT2 syndrome, and long QT syndrome. It is being studied in patients with implantable cardioverter defibrillators or cardiac resynchronization therapy-defibrillators, as well as in participants with LQT2 syndrome.

Who makes Eleclazine?

Eleclazine is being developed by Gilead Sciences, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol GILD. Gilead is conducting clinical trials to evaluate the drug's safety and efficacy in cardiovascular indications.

What phase is Eleclazine in?

Eleclazine is in Phase 1 clinical development. While one trial listed as Phase 2 has been completed, the most advanced ongoing development stage is Phase 1. Eleclazine is investigational and has not been approved by regulatory authorities.

What clinical trials is Eleclazine in?

Eleclazine has been studied in four completed clinical trials. These include NCT02104583, a Phase 2 trial in ventricular arrhythmia with 313 participants; NCT02365506, a Phase 1 trial in LQT2 syndrome with 13 participants; and two Phase 1 pharmacokinetic trials, NCT02412098 and NCT02441829, in long QT syndrome with 49 and 55 participants respectively.

Is Eleclazine the same as GS-6615?

Eleclazine is also known as GS-6615, its developmental code name. Both names refer to the same investigational drug being developed by Gilead Sciences for the treatment of ventricular arrhythmia and long QT syndrome.