Recent Updates
Recently added Catalysts

GTX-104

Phase 3

Aneurysmal Subarachnoid Hemorrhage | Small molecule | Neurology |Grace Therapeutics, Inc.|Trials Updated: Oct 1, 2024

GTX-104 development status

Highest phase Phase 3
Registered trials 2 across 1 sponsor since Jun 2022

GTX-104 target and mechanism

Molecular targetnull
Target classNull
ModalitySmall molecule

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials2
Total Enrollment158

FDA Designations

ORPHAN_DRUG

GTX-104 clinical trials

GTX-104 · 2 trials · 2 indications

Phase 3 1Phase 1 1
NCT05995405Safety and Tolerability of GTX-104 Compared with Oral Nimodipine in Patients with ASAHAneurysmal Subarachnoid Hemorrhage (aSAH)
ACTIVE NOT_RECRUITING100 Analytics
PHASE3ACTIVE NOT_RECRUITING
Safety and Tolerability of GTX-104 Compared with Oral Nimodipine in Patients with ASAH
Aneurysmal Subarachnoid Hemorrhage (aSAH)Unlock trial analytics

Study Endpoints

Primary Endpoints

Incidence (% or proportion) of subjects with at least one episode of clinically significant hypotension with a reasonable possibility that GTX-104/oral nimodipine caused the event, according to the Endpoint Adjudication Committee.
90 days

Hypotension events requiring medical treatment

Cmax Day 1
Day 1 for the first dose (8:00 AM dose)

Maximum concentration

AUC (AUCDay 3, 0-24hr)
Day 3 from 8:00 AM to 8:00 AM from 0 to 24 hr

Area under the concentration-time curve

Secondary Endpoints

Total number of episodes of clinically significant hypotension
Day 1 - Day 90
Duration of episodes of clinically significant hypotension
Day 1 - Day 90
Incidence and severity of Adverse Events (AEs) based on the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE, Version 5.0).
Day 1 - Day 90
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
GTX-104EXPERIMENTALGTX-104 is a sterile concentrate of 10 mg nimodipine/5 mL (2 mg/mL), to be diluted in normal saline to obtain a dosing solution composed of dispersed micelles containing nimodipine for IV infusion. It will be administered as a continuous IV infusion of 0.15 mg/hour and a 30-minute IV bolus of 4 mg every 4 hours for up to 21 days
Oral nimodipineACTIVE_COMPARATOROral nimodipine is a soft gelatin capsule. The dose is 60 mg (two 30 mg capsules) every 4 hours for up to 21 consecutive days.
Treatment A (GTX-104 IV, Test):EXPERIMENTALNimodipine was administered by infusion over 72 hours.
Treatment B (NIMOTOP, RLD):EXPERIMENTALNimodipine capsules (RS) administered orally with 240 mL of water at a dose level of 60 mg (two 30 mg capsules) q4h for 72 hours.

Interventions

NameTypeDescription
GTX-104DRUGNimodipine IV infusion
Nimotop 30 MG Oral CapsuleDRUGOral nimodipine capsules
Nimodipine CapsulesDRUGNimodipine capsules (reference formulation)
Unlock Study Design Details

Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites22

Inclusion Criteria: 1. Male or female ≥18 years of age. 2. Diagnosis of aneurysmal subarachnoid hemorrhage (aSAH) based on CT scan and angiography (computed tomography angiography \[CTA\], magnetic resonance angiography \[MRA\], or digital subtraction angiography \[DSA\]). 3. Hunt and Hess score fr...

Countries:United StatesCanada
Unlock Eligibility Criteria

Frequently asked questions about GTX-104

What is GTX-104 used for?

GTX-104 is being developed for aneurysmal subarachnoid hemorrhage, a type of bleeding around the brain. It is an investigational small molecule therapy in Phase 3 development. Grace Therapeutics holds an orphan drug designation from the FDA for this program.

Who makes GTX-104?

GTX-104 is developed by Grace Therapeutics, Inc., which trades under the ticker GRCE. The company is running the clinical program for the drug in aneurysmal subarachnoid hemorrhage, including a Phase 3 trial in the United States and a completed Phase 1 study in Canada.

What phase is GTX-104 in?

GTX-104 is in Phase 3 clinical development. Its Phase 3 trial, NCT05995405, is active and not currently recruiting, while an earlier Phase 1 bioavailability study, NCT05418348, has been completed. The drug is investigational and has not been approved by the FDA.

What clinical trials is GTX-104 in?

GTX-104 has been studied in two clinical trials. NCT05995405 is a Phase 3 safety and tolerability study comparing GTX-104 with oral nimodipine in patients with aneurysmal subarachnoid hemorrhage, with 100 patients enrolled in the United States. NCT05418348 was a completed Phase 1 relative bioavailability study in 58 healthy subjects in Canada.

Is GTX-104 FDA approved?

GTX-104 is not approved; it remains an investigational drug in Phase 3 clinical development for aneurysmal subarachnoid hemorrhage. The FDA has granted it orphan drug designation, which supports development for this rare condition. Grace Therapeutics is the sponsor of the ongoing program.

How is GTX-104 administered compared with oral nimodipine?

GTX-104 is an intravenous formulation studied against oral nimodipine capsules. The Phase 3 trial NCT05995405 compares GTX-104 with oral nimodipine in patients with aneurysmal subarachnoid hemorrhage, and the completed Phase 1 trial NCT05418348 evaluated the relative bioavailability of intravenous GTX-104 versus oral nimodipine in healthy subjects.