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RLX030

Phase 3

Acute Heart Failure | Small molecule | Cardiovascular |Novartis AG|Last Updated: Mar 30, 2018

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
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment6,671
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01870778Efficacy, Safety and Tolerability of Serelaxin When Added to Standard Therapy in AHFPHASE3 COMPLETED 6,600Oct 2, 2013Feb 1, 2017Mar 30, 2018540 United States, Argentina +33
NCT01543854Hemodynamic Responses to RLX030 Infusion in Subjects With Acute Heart FailurePHASE2 COMPLETED 71Mar 1, 2012Jan 1, 2013Aug 5, 201420 Argentina, Germany +4
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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.

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

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.
RLX030EXPERIMENTALRLX030 as intravenous infusion for 20 hours
Interventions
NameTypeDescription
RLX030DRUG1 mg/mL solution in 6 mL vials
PlaceboDRUGMatching placebo solution to serelaxin
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Eligibility Criteria
Age Range18 Years — 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 Kingdom
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