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GTX-104

Phase 3

Aneurysmal Subarachnoid Hemorrhage (aSAH) | Small molecule | Neurology |Grace Therapeutics, Inc.|Last Updated: Oct 1, 2024

Target and mechanism

Molecular targetnull
Target classNull
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment100

FDA Designations

ORPHAN_DRUG

Clinical trial landscape

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
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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)
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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
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Frequently asked questions about GTX-104

What is GTX-104 used for?

GTX-104 is an investigational small molecule being developed for aneurysmal subarachnoid hemorrhage (aSAH), a type of stroke caused by bleeding in the space surrounding the brain. It is being studied as a potential treatment for patients with this condition.

Who makes GTX-104?

GTX-104 is being developed by Grace Therapeutics, Inc., a biopharmaceutical company. The company's stock is traded under the ticker symbol GRCE.

What phase is GTX-104 in?

GTX-104 is in clinical development. It has completed a Phase 1 trial and is currently in a Phase 3 trial for aneurysmal subarachnoid hemorrhage. The drug is not yet approved by the FDA and remains investigational.

What clinical trials is GTX-104 in?

GTX-104 has been studied in two clinical trials. NCT05418348 was a Phase 1 study comparing the bioavailability of intravenous GTX-104 to oral nimodipine in healthy subjects. NCT05995405 is an active Phase 3 trial evaluating the safety and tolerability of GTX-104 compared with oral nimodipine in patients with aSAH.

Does GTX-104 have FDA orphan drug designation?

Yes, GTX-104 has received orphan drug designation from the FDA for the treatment of aneurysmal subarachnoid hemorrhage. Orphan drug designation is granted to drugs intended for the treatment of rare diseases affecting fewer than 200,000 people in the United States.

Is GTX-104 the same as nimodipine?

GTX-104 is not the same as nimodipine. It is an investigational drug being compared to oral nimodipine in clinical trials. Nimodipine is an approved calcium channel blocker used to prevent vasospasm following subarachnoid hemorrhage, while GTX-104 is being developed as a potential alternative.