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Nesiritide

Phase 2FDA approved

Heart Failure, Congestive | Small molecule | Cardiovascular |Johnson & Johnson|Trials Updated: Feb 3, 2014

Nesiritide development status

FDA approval on record Aug 10, 2001 as Natrecor
Approval holderScios Llc
ApplicationNDA020920
Highest phase Phase 2

Nesiritide target and mechanism

Molecular targetNPR1
Target classAgonist
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLED
Total Trials1
Total Enrollment67

FDA Designations

No designations recorded

Nesiritide clinical trials

Nesiritide · 1 trial · 1 indication

Phase 2 1
NCT00490724An Exploratory Study of Nesiritide in Participants With Acute Heart FailureHeart Failure, Congestive
COMPLETED67 Analytics
PHASE2COMPLETED
An Exploratory Study of Nesiritide in Participants With Acute Heart Failure
Heart Failure, CongestiveUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in Pulmonary Capillary Wedge Pressure (PCWP or Pulmonary Arterial Diastolic Pressure[PADP]) at 3 Hours
Baseline and 3 Hours

Change in PCWP was unmeasurable, therefore it was complemented with PADP. PCWP was measured by pulmonary artery catheterization and provided an indirect measure of left atrial pressure.

Secondary Endpoints

Change From Baseline in Mean Right Atrial Pressure (MRAP) at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 12, 15 and 24 Hour
Baseline, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 12, 15 and 24 Hour
Change From Baseline in Pulmonary Arterial Systolic Pressure (PASP) at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour
Baseline, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour
Change From Baseline in Pulmonary Arterial Diastolic Pressure (PADP) at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour
Baseline, 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 9, 12, 15 and 24 Hour
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Nesiritide (1+0.01)EXPERIMENTALIntravenous bolus treatment will be administered over 1 minute (min) at a dose of 1 microgram per kilogram (mcg/kg) followed by 24 hour intravenous infusion which is comprised of Period 1 (fixed-dose) with dose of 0.01 mcg/kg/min and Period 2 (flexible-dose) where dosage will be increased by 0.005 mcg/kg/min every 3 hours. Total dosage to be administered will be 15.4 to 35.2 mcg/kg.
Nesiritide (2+0.005)EXPERIMENTALIntravenous bolus treatment will be administered over 1 minute (min) at a dose of 2 microgram per kilogram (mcg/kg) followed by 24 hour intravenous infusion which is comprised of Period 1 (fixed-dose) with dose of 0.005 mcg/kg/min and Period 2 (flexible-dose) where dosage will be increased by 0.005 mcg/kg/min every 3 hours. Total dosage to be administered will be 9.2 to 31.7 mcg/kg.
Nesiritide (2+0.01)EXPERIMENTALIntravenous bolus treatment will be administered over 1 minute (min) at a dose of 2 microgram per kilogram (mcg/kg) followed by 24 hour intravenous infusion which is comprised of Period 1 (Fixed-dose) with dose of 0.01 mcg/kg/min and Period 2 (Flexible-dose) where dosage will be increased by 0.005 mcg/kg/min every 3 hours. Total dosage to be administered will be 16.4 to 36.2 mcg/kg.

Interventions

NameTypeDescription
Nesiritide (1+0.01)DRUGIntravenous bolus treatment will be administered over 1 minute (min) at a dose of 1 microgram per kilogram (mcg/kg) followed by 24 hour intravenous infusion which is comprised of Period 1 (fixed-dose) with dose of 0.01 mcg/kg/min and Period 2 (flexible-dose) where dosage will be increased by 0.005 mcg/kg/min every 3 hours. Total dosage to be administered will be 15.4 to 35.2 mcg/kg.
Nesiritide (2+0.005)DRUGIntravenous bolus treatment will be administered over 1 minute (min) at a dose of 2 microgram per kilogram (mcg/kg) followed by 24 hour intravenous infusion which is comprised of Period 1 (fixed-dose) with dose of 0.005 mcg/kg/min and Period 2 (flexible-dose) where dosage will be increased by 0.005 mcg/kg/min every 3 hours. Total dosage to be administered will be 9.2 to 31.7 mcg/kg.
Nesritide (2+0.01)DRUGIntravenous bolus treatment will be administered over 1 minute (min) at a dose of 2 microgram per kilogram (mcg/kg) followed by 24 hour intravenous infusion which is comprised of Period 1 (Fixed-dose) with dose of 0.01 mcg/kg/min and Period 2 (Flexible-dose) where dosage will be increased by 0.005 mcg/kg/min every 3 hours. Total dosage to be administered will be 16.4 to 36.2 mcg/kg.
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Eligibility Criteria

Age Range20 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites11

Inclusion Criteria: * Participants with acute heart failure (including acute exacerbation of chronic heart failure) requiring hospitalization whose placement of right-heart catheter (flexible, tube-like tool used to take fluids out or put fluids into the body) is judged to be possible and useful fo...

Countries:Japan
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Frequently asked questions about Nesiritide

What is Nesiritide used for?

Nesiritide is being studied for the treatment of congestive heart failure, a condition in which the heart cannot pump enough blood to meet the body's needs. It is in Phase 2 clinical development for this indication.

What does Nesiritide target?

Nesiritide targets NPR1, the natriuretic peptide receptor 1. It acts as an agonist at this receptor, meaning it activates the receptor to produce its effects. NPR1 is involved in regulating blood pressure and fluid balance.

Who is developing Nesiritide?

Nesiritide is being developed by Johnson & Johnson, which trades under the ticker symbol JNJ. The company is responsible for its clinical development program.

What phase is Nesiritide in?

Nesiritide is in Phase 2 clinical development. It is an investigational drug and has not been approved by the FDA for any indication. The Phase 2 trial has been completed.

What clinical trials is Nesiritide in?

Nesiritide has been studied in one completed Phase 2 trial, NCT00490724, titled An Exploratory Study of Nesiritide in Participants With Acute Heart Failure. The trial enrolled 67 participants in Japan and was controlled and randomized.