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RLX030

Phase 3

Acute Heart Failure | Small molecule | Cardiovascular |Novartis AG|Trials Updated: Dec 19, 2020

RLX030 development status

Highest phase Phase 3
Registered trials 5 across 1 sponsor since Mar 2012

RLX030 target and mechanism

ModalitySmall molecule

Also known as RLX030 (serelaxin), serelaxin*, *International Nonproprietary Name, Recombinant human relaxin-2

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials4
Total Enrollment7,110

FDA Designations

No designations recorded

RLX030 clinical trials

RLX030 · 4 trials · 3 indications

Phase 3 1Phase 2 3
NCT01870778Efficacy, Safety and Tolerability of Serelaxin When Added to Standard Therapy in AHFAcute Heart Failure
COMPLETED6,600 Analytics
PHASE3COMPLETED
Efficacy, Safety and Tolerability of Serelaxin When Added to Standard Therapy in AHF
Acute Heart FailureUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With Confirmed Cardiovascular (CV) Death Through Day 180
180 days

The percentage of participants with an adjudicated CV death through day 180 was assessed.

Percentage of Participants With Worsening of Heart Failure (WHF) Through Day 5
Day 5

The percentage of participants with WHF through day 5 was assessed.

Percentage of Participants With Chronic Heart Failure (CHF) Who Develop Anti-serelaxin Antibodies at Any Time Following Repeat Administration of IV Continuous Infusions of Serelaxin Administered for up to 48 Hours in 16 Weeks
16 weeks

A patient is considered antibody positive during the study if he/she had at least two infusions and had at least one evaluable measurement to test for anti-serelaxin antibodies after each infusion and all evaluable antibody test results were positive. A patient is considered antibody negative during the study if he/she had at least two infusions and had at least one evaluable measurement to test for anti-serelaxin antibodies after each infusion and all evaluable antibody test results were negative. A patient's antibody status is considered to be undetermined during the study if it is not defined as positive or negative.

Peak change from baseline of PCWP (pulmonary capillary wedge pressure)
baseline, after 8 and 20 hrs treatment

Measurements will be made using a Swan-Ganz indwelling catheter

Peak change from baseline of CI (cardiac index)
baseline, after 8 and 20 hrs treatment

Measurements will be made using a Swan-Ganz indwelling catheter

Change from baseline in renal plasma flow (RPF) measured by Para-aminohippuric acid (PAH) clearance in subjects with CHF after 24 hours intravenous (i.v) infusion of RLX030
Baseline, during and after the end of 24 hours infusion

Serial blood and urine collections over time for determination of PAH and its clearance respectively

Change from baseline in glomerular filtration rate (GFR) as measured by Iothalamate (IOTH) clearance in subjects with CHF after 24 hours i.v. infusion of RLX030
Baseline, during and after the end of 24 hours infusion

Serial blood and urine collections over time for determination of IOTH and its clearance respectively

Secondary Endpoints

Percentage of Participants With All-cause Death Through Day 180
180 days
Length of Total Hospital Stay (LOS) During the Index Acute Heart Failure (AHF) Hospitalization
180 days (Participants still in the hospital at Day 60 were censored at Day 60)
Percentage of Participants With First Occurrence of Adjudicated CV Death or Adjudicated Re-hospitalization
180 days
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Serelaxin (RLX030)EXPERIMENTALParticipants received continuous intravenous infusion of serelaxin 30 ug/kg/day for 48 hours.
PlaceboPLACEBO_COMPARATORParticipants received continuous intravenous infusion of matching placebo to serelaxin for 48 hours.
RLX030 (serelaxin)EXPERIMENTALRandomized patients received an IV infusion of 30 μg/kg/day of serelaxin for 48 hours at randomization and at Weeks 4 and 8
RLX030EXPERIMENTALRLX030 as intravenous infusion for 20 hours

Interventions

NameTypeDescription
RLX030DRUG1 mg/mL solution in 6 mL vials
PlaceboDRUGMatching placebo solution to serelaxin
RLX030 (serelaxin)DRUGRLX030 (serelaxin) was administered according to a weight-range adjusted dosing regimen at a nominal dose of 30 μg/kg/day as a continuous IV infusion for 48 hours.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites540

Key Inclusion Criteria: * Male or female 18 years of age, with body weight ≤160 kg * Hospitalized for AHF with anticipated requirement of IV therapy for at least 48 hours; AHF is defined as including all of the following measured at any time between presentation (including the emergency department)...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilBulgariaCanadaChileColombiaCzechiaDenmarkFranceGermanyGreeceHungaryIrelandIsraelItalyMexicoNetherlandsNorwayPeruPolandPortugalPuerto RicoRomaniaRussiaSlovakiaSouth AfricaSpainSwedenSwitzerlandTurkey (Türkiye)United KingdomFinland
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Frequently asked questions about RLX030

What is RLX030 used for?

RLX030 is being developed for the treatment of acute heart failure and chronic heart failure. It has been studied both as a treatment added to standard therapy in acute heart failure and as repeat intravenous dosing in chronic heart failure. It remains an investigational therapy rather than an approved product.

Who is developing RLX030?

RLX030 is being developed by Novartis AG, which trades under the ticker NVS. Novartis sponsored the clinical trial program evaluating the drug in heart failure, including the large Phase 3 study in acute heart failure and the Phase 2 studies in chronic heart failure.

What phase is RLX030 in?

RLX030 has reached Phase 3 clinical development. The Phase 3 study NCT01870778 evaluated its efficacy, safety and tolerability when added to standard therapy in acute heart failure and enrolled 6,600 participants. Additional Phase 2 studies have also been completed in acute and chronic heart failure.

What clinical trials is RLX030 in?

RLX030 has been studied in completed trials including NCT01870778, a Phase 3 trial of serelaxin added to standard therapy in acute heart failure, and NCT01982292, a Phase 2 trial of repeat intravenous doses in chronic heart failure. Phase 2 trials NCT01546532 and NCT01543854 examined hemodynamic and renal effects.

Is RLX030 the same as serelaxin?

Yes, RLX030 is also known as serelaxin. The two names refer to the same investigational drug, and the clinical trial records use both, with some studies listed under RLX030 and others under serelaxin, including the Phase 3 acute heart failure trial NCT01870778.