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Furoscix Infusor

Phase 3

Heart Failure | Small molecule | Cardiovascular |MannKind Corporation|Last Updated: Aug 1, 2023

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
RandomizedNO_TREATMENT_CONTROLLEDBiomarker
Total Trials2
Total Enrollment90
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03458325Furoscix Real-World Evaluation for Decreasing Hospital Admissions in Heart FailurePHASE3 COMPLETED 27Nov 12, 2020Jun 24, 2021Feb 24, 20238 United States
NCT04593823Avoiding Treatment in the Hospital With Furoscix for the Management of Congestion in Heart Failure - A Pilot StudyPHASE2 COMPLETED 63May 3, 2021Apr 18, 2022Aug 1, 202318 United States
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Study Endpoints
Primary Endpoints
Healthcare Utilization Costs
Day 0 - Day 30

The difference in the overall and heart failure related healthcare costs between subjects treated with the Furoscix Infusor through 30 days post discharge from the emergency department compared to matched controls treated in the hospital for ≤ 72 hours through 30 days post discharge.

Win Ratio of Composite Endpoint
Day 7, Day 30

Win Ratio calculated as number of pairs of Furoscix On-Body Infusor subject "wins" divided by number of pairs of Furoscix On-Body Infusor subject "losses" when compared to Continued Medical Therapy subjects. Components of Endpoint composite outcome: CV death, HF hospitalization, Urgent ED/Clinic visit at 30 days and percent change in NT-proBNP from baseline at Day 7. See Statistical Analysis Plan for detailed explanation of this statistical method.

Number of Cardiovascular Deaths
Baseline, 30 Days

Total number of CV deaths between two groups

Number of Heart Failure Hospitalizations
30 Days

Heart Failure hospitalizations compared between two groups

Number of Urgent ED/Clinic Visits for Worsening Heart Failure
30 Days

Urgent ED/Clinic visits for worsening heart failure compared between two groups. Statistical analysis was not performed due to no ED/Clinic visits

NT-proBNP Change From Baseline
30 Days

Percentage change in NT-proBNP from baseline at Day 7 compared between two groups

Secondary Endpoints
Heart-Failure Related Hospital Admissions
Day 0 - Day 30
All-Cause Hospital Admissions
Day 0 - Day 30
Heart-Failure Related Emergency Department Visits
Day 0 - Day 30
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Furoscix Infusor Prospective TreatmentEXPERIMENTALFuroscix (furosemide injection, 8 mg/mL) administered subcutaneously over 5 hours via the Furoscix Infusor outside the hospital.
Propensity-Matched Historical ControlNO_INTERVENTIONThe control arm will be populated with claims data for patients with HF and fluid overload who presented to the emergency department and were admitted to the hospital for ≤ 72 hours for the treatment of HF with intravenous diuretics. Patients admitted for diuresis-only will be identified by using diagnostic codes for admittance from a claims database.
Furoscix InfusorEXPERIMENTALFuroscix (furosemide injection, 8 mg/mL) administered subcutaneously over 5 hours via the Furoscix Infusor. The Infusor is applied to the abdomen via a medical grade adhesive and delivers a subcutaneous infusion of Furoscix through a pre-programmed, biphasic delivery profile with 30 mg (3.75 mL) administered over the first hour, followed by 12.5 mg (1.56 mL) per hour for the subsequent 4 hours (Total dose is 80 mg (10 mL) over 5 hours).
Continued Medical TherapyNO_INTERVENTIONThe subjects enrolled in this arm will receive treatment as usual
Interventions
NameTypeDescription
Furoscix InfusorCOMBINATION_PRODUCTFuroscix Infusor, a drug-device combination product for subcutaneous delivery of Furoscix, buffered furosemide injection, 8 mg/mL (total dose = 80 mg dose) administered subcutaneously for 5 hours.
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Eligibility Criteria
Age Range18 Years — 80 Years
SexALL
Healthy VolunteersNo
Study Sites8

Inclusion Criteria: 1. Age 18-80 years 2. NYHA Class II-III HF presenting to the emergency department for worsening HF at baseline 3. On background therapy includes those receiving 40-160 mg of oral furosemide equivalents daily (20-80 mg Torsemide or 1-4 mg Bumetanide). 4. Signs of extracellular vo...

Countries:United States
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