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darusentan

Phase 3

Hypertension | Small molecule | Cardiovascular |Gilead Sciences, Inc.|Last Updated: Aug 15, 2014

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials3
Total Enrollment1,201

FDA Designations

No designations recorded

Clinical trial landscape

darusentan · 4 trials · 3 indications

Phase 3 2Phase 2 2
NCT00389779DORADO-AC - Optimized Doses of Darusentan as Compared to an Active Control in Resistant HypertensionHypertension
COMPLETED849 Analytics
NCT00330369DORADO - Fixed Doses of Darusentan as Compared to Placebo in Resistant HypertensionHypertension
COMPLETED352 Analytics
PHASE3COMPLETED
DORADO-AC - Optimized Doses of Darusentan as Compared to an Active Control in Resistant Hypertension
HypertensionUnlock trial analytics
PHASE3COMPLETED
DORADO - Fixed Doses of Darusentan as Compared to Placebo in Resistant Hypertension
HypertensionUnlock trial analytics

Study Endpoints

Primary Endpoints

Change from baseline in trough sitting systolic and diastolic blood pressure measured by sphygmomanometry
Baseline to Week 14
Change During Darusentan Treatment in the Markovian Homogeneity Number, a Value That Quantitates Myocardial Perfusion Heterogeneity
0, 2, 4, and 6 weeks

Markovian homogeneity analysis characterizes an image produced by a PET scan by examining the probability that a pixel with a given intensity will have a neighbor with a different intensity. The homogeneity index ranges from \>0 to 1, where a value near 0 represents an image with a high probability that neighboring pixels have intensity values that differ greatly, and a value near 1 represents an image with a high probability that neighboring pixels have similar intensity values.

Co-primary efficacy measures are changes in trough sitting systolic BP from baseline through Weeks 8 and 10.

Secondary Endpoints

Percentage of subjects reaching systolic blood pressure goal after 14 weeks of treatment
Week 14
Change from baseline in mean 24-hour systolic and diastolic blood pressure measured by ambulatory blood pressure monitoring (ABPM)
Baseline to Week 14
Change from baseline in estimated glomerular filtration rate (eGFR)
Baseline to Week 14
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
DarusentanEXPERIMENTALPlacebo to match darusentan for 2-week placebo run-in period, followed by darusentan capsules titrated to an optimal dose of 50 mg, 100 mg, or 300 mg administered orally once daily for 14 weeks
GuanfacineACTIVE_COMPARATORPlacebo to match darusentan for 2-week placebo run-in period, followed by guanfacine 1 mg capsules administered orally once daily for 14 weeks
Darusentan PlaceboPLACEBO_COMPARATORPlacebo to match darusentan for 2-week placebo run-in period, followed by placebo to match darusentan administered orally once daily for 14 weeks
Darusentan 50 mgEXPERIMENTALPlacebo to match darusentan for 2-week placebo run-in period, followed by darusentan 50 mg administered orally once daily for 14 weeks
Darusentan 100 mgEXPERIMENTALPlacebo to match darusentan for 2-week placebo run-in period, followed by darusentan 100 mg administered orally once daily for 14 weeks
Darusentan 300 mgEXPERIMENTALPlacebo to match darusentan for 2-week placebo run-in period, followed by darusentan 300 mg administered orally once daily for 14 weeks
Group 1ACTIVE_COMPARATORGroup 1 will receive oral darusentan 100mg for 2 weeks during Phase 1 then placebo for 2 weeks during Phase 2.
Group 2ACTIVE_COMPARATORGroup 2 will receive placebo for 2 weeks during Phase 1 then oral darusentan 100 mg for two weeks during Phase 2

Interventions

NameTypeDescription
DarusentanDRUGDarusentan capsules administered orally once daily
GuanfacineDRUGGuanfacine capsules administered orally once daily
Darusentan PlaceboDRUGPlacebo to match darusentan administered orally once daily
darusentan 100 mgDRUGAll subjects will receive oral darusentan 100 mg for a total of 2 weeks and placebo for 2 weeks.
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Eligibility Criteria

Age Range35 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites147

SELECTED INCLUSION CRITERIA: 1. Subjects who are competent to provide written consent; 2. Aged 35 to 80 years; 3. Subjects with diabetes and/or chronic kidney disease must have an average sitting systolic blood pressure greater than or equal to 130 mmHg; 4. All other subjects must have an average s...

Countries:United StatesArgentinaAustraliaBelgiumBrazilDenmarkFranceGermanyNew ZealandSpainCanadaItalySwedenUnited Kingdom
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Frequently asked questions about darusentan

What is darusentan used for?

Darusentan is an investigational small molecule being developed for cardiovascular conditions, specifically hypertension and coronary artery disease. In clinical trials, it has been studied for resistant hypertension, including resistant systolic hypertension, and for effects on endothelial dysfunction in coronary artery disease. It is not approved and remains in clinical development.

Who makes darusentan?

Darusentan is being developed by Gilead Sciences, Inc., a biopharmaceutical company traded on NASDAQ under the ticker GILD. Gilead is conducting clinical trials to evaluate the drug's safety and efficacy in hypertension and coronary artery disease.

What phase is darusentan in?

Darusentan is in Phase 2 clinical development. While some completed trials were Phase 3, the drug's current development stage is Phase 2. It is investigational and not FDA approved. All three completed trials have finished, and no active trials are currently ongoing.

What clinical trials has darusentan been in?

Darusentan has been studied in three completed trials. NCT00330369 (DORADO) was a Phase 3 placebo-controlled trial in 352 patients with resistant hypertension. NCT00364026 was a Phase 2 trial in resistant systolic hypertension. NCT00389779 (DORADO-AC) was a Phase 3 active-controlled trial in 849 patients. NCT00738049 was a Phase 2 trial in 40 patients with coronary artery disease.

How does darusentan work?

Darusentan is a small molecule developed for cardiovascular conditions. Its specific molecular target has not been disclosed in the available trial information. Clinical studies have evaluated its effects on blood pressure in resistant hypertension and on endothelial dysfunction in coronary artery disease.

Is darusentan the same as any other drug?

No alternative names for darusentan have been identified in the available information. The drug is referred to solely as darusentan in clinical trial records and development documentation from Gilead Sciences.