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rolofylline

Phase 3

Heart Failure, Congestive | Small molecule | Cardiovascular |Merck & Company, Inc.|Trials Updated: Oct 20, 2015

rolofylline development status

Highest phase Phase 3
Registered trials 6 across 2 sponsors since Sep 2005

rolofylline target and mechanism

Molecular targetADORA1
Target classAntagonist
ModalitySmall molecule

Also known as KW-3902IV, MK7418

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials6
Total Enrollment2,656

FDA Designations

No designations recorded

rolofylline clinical trials

rolofylline · 6 trials · 3 indications

Phase 3 3Phase 2 3
NCT00443690Placebo-Controlled Randomized Study of KW-3902 for Subjects Hospitalized With Worsening Renal Function and Heart Failure Requiring IV TherapyHeart Failure, Congestive
COMPLETED480 Analytics
NCT00354458PROTECT-2: A Study of the Selective A1 Adenosine Receptor Antagonist KW-3902 for Patients Hospitalized With Acute HF and Volume Overload to Assess Treatment Effect on Congestion and Renal FunctionHeart Failure, Congestive
COMPLETED1,102 Analytics
NCT00328692PROTECT-1: A Study of the Selective A1 Adenosine Receptor Antagonist KW-3902 for Patients Hospitalized With Acute HF and Volume Overload to Assess Treatment Effect on Congestion and Renal FunctionHeart Failure, Congestive
COMPLETED932 Analytics
PHASE3COMPLETED
Placebo-Controlled Randomized Study of KW-3902 for Subjects Hospitalized With Worsening Renal Function and Heart Failure Requiring IV Therapy
Heart Failure, CongestiveUnlock trial analytics
PHASE3COMPLETED
PROTECT-2: A Study of the Selective A1 Adenosine Receptor Antagonist KW-3902 for Patients Hospitalized With Acute HF and Volume Overload to Assess Treatment Effect on Congestion and Renal Function
Heart Failure, CongestiveUnlock trial analytics
PHASE3COMPLETED
PROTECT-1: A Study of the Selective A1 Adenosine Receptor Antagonist KW-3902 for Patients Hospitalized With Acute HF and Volume Overload to Assess Treatment Effect on Congestion and Renal Function
Heart Failure, CongestiveUnlock trial analytics

Study Endpoints

Primary Endpoints

Effect on heart failure signs and symptoms
through day 7
Effect on renal function
through Day 7
change in pulmonary capillary wedge pressure
from baseline to 4 and 8 hours
Comparison of KW-3902IV alone or with loop diuretic on renal function.
Change in urine volume from baseline

Secondary Endpoints

safety
3 Days
within trial medical costs compared to placebo
3 Days
Change in cardiac output, systemic vascular resistance, pulmonary vascular resistance, pulmonary pressure and right atrial pressure
from baseline to 4 and 8 hours
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
2PLACEBO_COMPARATORplacebo control
1EXPERIMENTALKW-3902IV

Interventions

NameTypeDescription
rolofyllineDRUGrolofylline 30 mg IV QD; 3 days
Comparator: Placebo (unspecified)DRUGrolofylline Pbo 30 mg IV QD; 3 days
Comparator: PlaceboDRUGrolofylline placebo IV infusion over 4 hours.
KW-3902IVDRUG -
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Dyspnea at rest or with minimal exertion at randomization * Fluid overload * Estimated creatinine clearance (CrCl) between 20-60 mL/min * Worsening renal function * Anticipated need for IV diuretic treatment for at least 48 hours after the start of study drug * BNP \>500 pg/mL...

Countries:United States
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Frequently asked questions about rolofylline

What is rolofylline?

Rolofylline is an investigational small molecule developed by Merck & Company, Inc. (ticker MRK) for heart failure and congestive heart failure. It was studied in hospitalized patients with acute heart failure and volume overload, and in patients with worsening renal function. It is not an approved therapy and remains in clinical development.

What does rolofylline target?

Rolofylline targets ADORA1, the adenosine A1 receptor, and acts as an antagonist. By blocking this receptor, the drug was designed to influence hemodynamics and renal function in patients with heart failure. This mechanism was the basis for its study in acute heart failure with volume overload.

Who makes rolofylline?

Rolofylline was developed by Merck & Company, Inc., which trades under the ticker MRK. The compound is also known by the code KW-3902, which appears in several of its clinical trial titles. Merck sponsored the clinical program evaluating the drug in heart failure.

What phase is rolofylline in?

Rolofylline is investigational and has been studied in Phase 2 and Phase 3 clinical trials. The program includes a completed Phase 2 hemodynamic study and three completed Phase 3 trials in heart failure. There are no active trials, and the drug is not approved for any indication.

What clinical trials is rolofylline in?

Rolofylline has been evaluated in completed trials including NCT00729222, a Phase 2 hemodynamic study in heart failure; NCT00443690, a Phase 3 placebo-controlled study in worsening renal function and heart failure; and the Phase 3 PROTECT-1 (NCT00328692) and PROTECT-2 (NCT00354458) trials in acute heart failure with volume overload.

Is rolofylline the same as KW-3902?

Yes, rolofylline is also known as KW-3902. The code KW-3902 appears in the titles of its clinical trials, including the PROTECT-1 and PROTECT-2 Phase 3 studies and the Phase 3 study in worsening renal function. Both names refer to the same adenosine A1 receptor antagonist developed by Merck.