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Firibastat

Phase 3

Hypertension | Small molecule | Cardiovascular |Quantum Biopharma Ltd.|Last Updated: Feb 27, 2023

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment515

FDA Designations

No designations recorded

Clinical trial landscape

Firibastat · 4 trials · 5 indications

Phase 3 1Phase 2 1Phase 1 2
NCT04277884Firibastat in Treatment-resistant HypertensionHypertension
COMPLETED515 Analytics
PHASE3COMPLETED
Firibastat in Treatment-resistant Hypertension
HypertensionUnlock trial analytics

Study Endpoints

Primary Endpoints

Systolic Blood Pressure at office (mmHg)
From Day 1 to Day 84

Automatic Office Blood Pressure measurement

Left Ventricular Ejection Fraction Assessed by Cardiac Magnetic Resonance Imaging (CMRI)
84 days

Comparison of the effects of BID oral administration of 2 doses of firibastat to those of BID oral administration of ramipril on the change from Baseline in LVEF on Day 84

Firibastat and metabolites Concentrations
Day 1 to Day 3

The plasma concentration data for firibastat (QGC001), EC33 and QGC515, will be analysed at each time measurement (predose, 0, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36, 48 hours post-dose)

Pharmacokinetic (PK) profiles of Firibastat (QGC001) and active métabolites of modified release prototype tablet formulations. Assessment of the Maximum Plasma Concentration.
3 months

\[Cmax\]

Pharmacokinetic (PK) profiles of Firibastat (QGC001) and active métabolites of modified release prototype tablet formulations. Assessment of the time at which the Cmax is observed.
3 months

\[Tmax\]

Pharmacokinetic (PK) profiles of Firibastat (QGC001) and active métabolites of modified release prototype tablet formulations. Assessment of the Areas Under the Curve.
3 months

\[AUC0-24, AUC0-last and AUC0-inf\]

Secondary Endpoints

Diastolic Blood Pressure at office (mmHg)
From Day 1 to Day 84
Mean 24-hour ambulatory Systolic Blood Pressure (mmHg)
From Day 1 to Day 84
Mean 24-hour ambulatory Diastolic Blood Pressure (mmHg)
From Day 1 to Day 84
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
FiribastatEXPERIMENTALCapsules
PlaceboPLACEBO_COMPARATORMatching capsules
Group 1: firibastat 100 mgEXPERIMENTALSubjects will receive 50 mg firibastat BID for 2 weeks and then 100 mg BID for 10 weeks.
Group 2: firibastat 500 mgEXPERIMENTALSubjects will receive 250 mg firibastat BID for 2 weeks and then 500 mg BID for 10 weeks.
Group 3: ramipril 5 mgACTIVE_COMPARATORSubjects will receive 2.5 mg ramipril BID for 2 weeks and then 5 mg BID for 10 weeks.
TreatmentEXPERIMENTAL500 mg (2 capsules of 250 mg)
Firibastat prototype tablet formulationsEXPERIMENTALFiribastat (QGC001) 500 mg modified release prototype tablet formulations or immediate release capsule formulation - 1 tablet or 1 capsule administered per period

Interventions

NameTypeDescription
FiribastatDRUGOral administration 2×250 mg capsules bid
PlaceboDRUGOral administration 2 capsules bid
RamiprilDRUG1 or 2 capsules administered orally, twice daily
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites20

Inclusion Criteria: * Men and women ≥18 years of age at Screening * Diagnosis of primary HTN for at least 6 months prior to Screening Exclusion Criteria: * Known or suspected secondary HTN (eg, hyperaldosteronism, renovascular HTN, pheochromocytoma, Cushing's disease). * Automated office SBP \>18...

Countries:United StatesCzechiaFranceGermanyPolandSpainHungarySlovakiaUnited Kingdom
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Frequently asked questions about Firibastat

What is Firibastat used for?

Firibastat is an investigational small molecule being studied for use in myocardial infarction and hypertension. Clinical trials have evaluated it in patients after acute myocardial infarction for prevention of left ventricular dysfunction, and in patients with treatment-resistant hypertension. It has also been studied in healthy volunteers and healthy males for pharmacokinetic purposes.

Who makes Firibastat?

Firibastat is being developed by Quantum Biopharma Ltd., a company traded under the ticker QNTM. The drug is currently in clinical development, with trials completed across multiple phases.

What phase is Firibastat in?

Firibastat has completed clinical trials in Phase 1, Phase 2, and Phase 3. The Phase 3 trial evaluated the drug in treatment-resistant hypertension, while Phase 2 studied it after acute myocardial infarction, and Phase 1 trials assessed pharmacokinetics in healthy volunteers and patients with renal failure.

What clinical trials has Firibastat been in?

Firibastat has been studied in four completed clinical trials. NCT03714685 evaluated prototype tablet formulations in healthy males. NCT03715998 studied Firibastat or ramipril after acute myocardial infarction. NCT04277884 assessed Firibastat in treatment-resistant hypertension, and NCT04792333 examined pharmacokinetics in end stage renal disease patients.

Is Firibastat the same as ramipril?

No, Firibastat is not the same as ramipril. In one clinical trial, NCT03715998, Firibastat was compared against ramipril after acute myocardial infarction. The two drugs were studied as separate treatment arms in that trial.

Has Firibastat been studied in patients with kidney disease?

Yes, Firibastat has been studied in patients with kidney disease. A Phase 1 trial, NCT04792333, evaluated the pharmacokinetics of Firibastat in patients with end stage renal disease. This trial enrolled 28 participants and was conducted in France.