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rNAPc2

Phase 2

Coronary Disease | Small molecule | Cardiovascular |Oruka Therapeutics, Inc.|Last Updated: Feb 21, 2023

Success Probability

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Trial Design

RandomizedUNCONTROLLED
Total Trials1
Total Enrollment300

FDA Designations

No designations recorded

Clinical trial landscape

rNAPc2 · 2 trials · 2 indications

Phase 2 2
NCT04655586Assessing Safety, Hospitalization and Efficacy of rNAPc2 in COVID-19Covid19
COMPLETED160 Analytics
NCT00116012Anticoagulation With rNAPc2 to Eliminate MACE/TIMI 32Coronary Disease
COMPLETED300 Analytics
PHASE2COMPLETED
Assessing Safety, Hospitalization and Efficacy of rNAPc2 in COVID-19
Covid19Unlock trial analytics
PHASE2COMPLETED
Anticoagulation With rNAPc2 to Eliminate MACE/TIMI 32
Coronary DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Proportional Change in D-dimer Level From Baseline to Day 8, or Day of Discharge if Prior to Day 8 (Phase 2b)
8 days

Proportional change is represented as percent change, and is defined as: 100 × (D-Dimer level at Day 8 or early discharge - D-Dimer level at baseline) / D-Dimer level at baseline. Baseline and post-baseline D-Dimer results are tested in the same laboratory, i.e. both from central laboratory, or local laboratory paired samples if the central laboratory values are not available.

Evaluation of the effects of a range of doses of rNAPc2 in subjects with non-STE acute coronary syndrome on safety and laboratory parameters from randomization until 7 days after the last dose of study drug

Secondary Endpoints

Proportional Change in D-dimer Level From Baseline to 24 Hours Post-dose (Day 2) and Day 3 (Phase 2b)
2 days and 3 days
Number of Major or Non-major Clinically Relevant Bleeding Events Within Eight (8) Days of Randomization as Compared to Heparin (Phase 2b)
8 days
Number of Major or Non-major Clinically Relevant Bleeding Events With rNAPc2 vs. Heparin Through Day 30 (Phase 2b)
30 days
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
rNAPc2 Higher DoseEXPERIMENTALloading dose of 7.5 μg/kg SC on Day 1 followed by 5 μg/kg SC on Days 3 and 5
rNAPc2 Lower DoseEXPERIMENTALloading dose of 5 ug/kg SC on Day 1 followed by 3 ug/kg SC on Days 3 and 5
HeparinACTIVE_COMPARATORheparin at either prophylactic or therapeutic doses per Standard of Care at Institution

Interventions

NameTypeDescription
rNAPc2DRUGtwo dose levels of rNAPc2
HeparinDRUGstandard of care heparin per institution (therapeutic or prophylactic regimen)
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Eligibility Criteria

Age Range18 Years to 90 Years
SexALL
Healthy VolunteersNo
Study Sites24

Inclusion Criteria: 1. Age ≥ 18 years and ≤ 90 years at the Screening assessment 2. Weight ≥ 50 kg at randomization 3. Hospitalized with a diagnosis of COVID-19 and in need of inpatient medical care 4. Positive for SARS-CoV-2 on nasopharyngeal, oropharyngeal or other tissue/body fluid samples by PC...

Countries:United StatesArgentinaBrazil
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Frequently asked questions about rNAPc2

What is rNAPc2 used for?

rNAPc2 is an investigational small molecule being studied for coronary disease and COVID-19. In coronary disease, it was evaluated in a Phase 2 trial to eliminate major adverse cardiac events. In COVID-19, a separate Phase 2 trial assessed its safety, hospitalization rates, and efficacy. Both trials are completed.

What does rNAPc2 target?

rNAPc2 is a small molecule that targets the coagulation pathway. It is being developed as an anticoagulant to reduce thrombotic events in conditions like coronary disease and COVID-19. The specific molecular target is not disclosed in the available information.

Who makes rNAPc2?

rNAPc2 is being developed by Oruka Therapeutics, Inc., a biopharmaceutical company traded under the ticker ORKA. The company is conducting clinical trials to evaluate the drug's safety and efficacy in coronary disease and COVID-19.

What phase is rNAPc2 in?

rNAPc2 is in Phase 2 clinical development. It has completed two Phase 2 trials, one in coronary disease and one in COVID-19. The drug is investigational and has not been approved by regulatory authorities.

What clinical trials is rNAPc2 in?

rNAPc2 has completed two Phase 2 trials. NCT00116012, titled 'Anticoagulation With rNAPc2 to Eliminate MACE/TIMI 32,' enrolled 300 participants with coronary disease in the United States. NCT04655586, titled 'Assessing Safety, Hospitalization and Efficacy of rNAPc2 in COVID-19,' enrolled 160 participants in the United States, Argentina, and Brazil.

Is rNAPc2 the same as any other drug?

No alternative names for rNAPc2 have been reported. The drug is identified solely by its code name rNAPc2 in clinical trial registrations and development programs.