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darusentan

Phase 3

Hypertension | Small molecule | Cardiovascular |Gilead Sciences, Inc.|Last Updated: Mar 18, 2014

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 Trials3
Total Enrollment1,201
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00389779DORADO-AC - Optimized Doses of Darusentan as Compared to an Active Control in Resistant HypertensionPHASE3 COMPLETED 849Sep 1, 2006Aug 1, 2009Mar 18, 2014147 United States, Argentina +8
NCT00330369DORADO - Fixed Doses of Darusentan as Compared to Placebo in Resistant HypertensionPHASE3 COMPLETED 352Jun 1, 2006Jan 1, 2009Mar 18, 2014115 United States, Argentina +9
NCT00364026A Clinical Study to Evaluate the Effects of Darusentan on Safety and Efficacy in Subjects With Resistant Systolic Hypertension Receiving Combination Therapy With Three or More Blood Pressure Lowering DrugsPHASE2 COMPLETED -Jun 1, 2004Jul 1, 2005Jan 18, 2007 -
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Study Endpoints
Primary Endpoints
Change from baseline in trough sitting systolic and diastolic blood pressure measured by sphygmomanometry
Baseline to Week 14
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
Interventions
NameTypeDescription
DarusentanDRUGDarusentan capsules administered orally once daily
GuanfacineDRUGGuanfacine capsules administered orally once daily
Darusentan PlaceboDRUGPlacebo to match darusentan administered orally once daily
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Eligibility Criteria
Age Range35 Years — 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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