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Balovaptan

Phase 3

Stress Disorders, Post-Traumatic | Small molecule | Psychiatry |Roche Holding AG|Trials Updated: Apr 18, 2024

Balovaptan development status

Highest phase Phase 3 (NCT03504917)
Phase scored for RHHBYPhase 2
Registered trials 8 across 1 sponsor since Apr 2018

Balovaptan target and mechanism

Molecular targetAVPR1A
Target classAntagonist
ModalitySmall molecule

Also known as Oral Balovaptan

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment45

FDA Designations

No designations recorded

Balovaptan clinical trials

Balovaptan · 2 trials · 2 indications

Phase 2 1Phase 1 1
NCT05401565Study To Evaluate The Efficacy And Safety Of Balovaptan In Adults With Post-Traumatic Stress Disorder (PTSD)Stress Disorders, Post-Traumatic
COMPLETED29 Analytics
PHASE2COMPLETED
Study To Evaluate The Efficacy And Safety Of Balovaptan In Adults With Post-Traumatic Stress Disorder (PTSD)
Stress Disorders, Post-TraumaticUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in the Clinician-Administered PTSD Total Symptom Severity Score
From Baseline up to Week 12

The Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) measures the severity of PTSD where smaller scores indicate less severe PTSD and higher scores suggest more severe PTSD. Possible scores for this 30 item version range from 0 to 120. Measured 3 times over 12 weeks.

Maximum Plasma Concentration (Cmax) of Balovaptan
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Maximum plasma concentration of Balovaptan is estimated using non-compartmental methods. Observed peak analyte concentration obtained directly from the experimental data without interpolation, expressed in concentration units

Mean Area Under the Concentration-Time Curve From Time Extrapolated to Infinity (AUC (0-inf)) of Balovaptan
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Area under the plasma concentration-time curve (time 0 to infinity) of Balovaptan is estimated using non-compartmental methods from the concentration-time profiles. Percent extrapolation less than or equal to 20% is required to obtain a reliable AUC0-inf.

Area Under the Concentration-Time Curve From Time 0 to 24 Hours (AUC(0-24h)) of Balovaptan
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16 and 24 hours post dose

Area under the plasma concentration-time curve of Balovaptan from time 0 to 24 hours post-dose is estimated using non-compartmental methods from the concentration-time profiles.

Area Under the Concentration-Time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of Balovaptan
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Area under the concentration-time curve (time 0 to time of last quantifiable concentration) of Balovaptan is estimated using non-compartmental methods from the concentration-time profiles.

Time to Reach Cmax in Plasma (Tmax) of Balovaptan
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Time to maximum plasma concentration of Balovaptan is defined as first observed time to reach peak analyte concentration obtained directly from the experimental data without interpolation, expressed in time units and estimated using non-compartmental methods from the concentration-time profiles.

Last Quantifiable Concentration (Clast) of Balovaptan
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Last quantifiable concentration is estimated using non-compartmental methods from the concentration-time profiles.

Time To the Last Quantifiable Concentration (Tlast) of Balovaptan
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Time to last quantifiable concentration is based on last detectable concentration in the time curve.

Time Between Dosing and Time of First Balovaptan Plasma Concentration (Tlag)
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Time between dosing and time of first balovaptan plasma concentration is estimated using non-compartmental methods from the concentration-time profiles.

Apparent Clearance (Cl/F) of Balovaptan
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Apparent clearance is estimated using non-compartmental methods from the concentration-time profiles.

Apparent Volume of Distribution (Vd/F) of Balovaptan
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Apparent volume of distribution is estimated using non-compartmental methods from the concentration-time profiles.

Terminal Elimination Phase Half-Life (T1/2) of Balovaptan
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Terminal phase half-life expressed in time units is estimated using non-compartmental methods from the concentration-time profiles.

Terminal Phase Rate Constant (λz) of Balovaptan
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Terminal phase rate constant is estimated using non-compartmental methods from the concentration-time profiles.

Plasma Concentrations of Balovaptan
Samples at predose, and at 0.25, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16, 24, 36, 48, 72, 96, 144, and 192 hours post dose

Amount of Balovaptan in a given volume of plasma.

Secondary Endpoints

Symptom Severity as Measured by Clinician-Global Impression of Severity (CGI-S) Scale Score
From Baseline up to Week 12
Change From Baseline at Week 12 in the Patient Health Questionnaire-9 (PHQ-9) Total Score
From Baseline up to Week 12
Percentage of Participants With Adverse Events
From Baseline up to Week 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
BalovaptanEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
Treatment sequence ABCEXPERIMENTALIn Period 1 participants will receive 1 tablet of balovaptan after high-fat, high-calorie meal. In Period 2, after 12 to 21 days wash-out, participants will receive 1 tablet of balovaptan after 10-hour fast. In Period 3 participants will receive esomeprazole administered once daily for 6 days and with a single oral dose of balovaptan in the fasted state 1 hour after the fifth esomeprazole dose
Treatment sequence BACEXPERIMENTALIn Period 1 participants will receive 1 tablet of balovaptan after 10-hour fast. In Period 2, after 12 to 21 days wash-out, participants will receive 1 tablet of balovaptan after high-fat, high-calorie meal. In Period 3 participants will receive esomeprazole administered once daily for 6 days and with a single oral dose of balovaptan in the fasted state 1 hour after the fifth esomeprazole dose

Interventions

NameTypeDescription
BalovaptanDRUGIntervention of oral administration of 10mg balovaptan QD for 12 weeks followed by two weeks of follow-up period
PlaceboDRUGMatching placebo
EsomeprazoleDRUGEsomeprazole will be administered once daily for 6 days and with a single dose of balovaptan 1 hour after the fifth esomeprazole dose
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Eligibility Criteria

Age Range18 Years to 60 Years
SexALL
Healthy VolunteersNo
Study Sites15

Inclusion Criteria: * Participants who have a current diagnosis of PTSD as per DSM-5 criteria, with a score of \>/=33 on the PCL-5 at screening * The index trauma event must have occurred in adulthood, i.e., when the participant was \>/=18 years old * The index trauma event must have occurred at le...

Countries:United States
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Frequently asked questions about Balovaptan

What is Balovaptan?

Balovaptan is an oral small molecule drug developed by Roche Holding AG (ticker RHHBY) for psychiatric conditions. It has been studied in autism spectrum disorder and in post-traumatic stress disorder. It is investigational and has not been approved by the FDA. Balovaptan is also known as oral Balovaptan.

What is Balovaptan used for?

Balovaptan has been studied for autism spectrum disorder and for post-traumatic stress disorder. Its clinical program includes a completed Phase 2 trial in adults with PTSD and a completed Phase 1 pharmacokinetic study in healthy volunteers conducted in the context of autism spectrum disorder. It is investigational and not approved for any use.

What does Balovaptan target?

Balovaptan targets AVPR1A, the arginine vasopressin receptor 1A. It acts as an antagonist at this receptor, meaning it blocks signaling through it. AVPR1A is a G protein-coupled receptor, and balovaptan is an orally administered small molecule directed against it.

Who makes Balovaptan?

Balovaptan is developed by Roche Holding AG, which trades under the ticker RHHBY. Roche sponsored the clinical studies of the drug, including the Phase 2 trial in adults with post-traumatic stress disorder and the Phase 1 pharmacokinetic study in healthy volunteers.

What phase is Balovaptan in?

Balovaptan is in clinical development and is investigational. Its listed development stage is Phase 1, and its clinical program includes a completed Phase 2 trial in adults with post-traumatic stress disorder and a completed Phase 1 pharmacokinetic study. It has not been approved by the FDA for any indication.

What clinical trials is Balovaptan in?

Balovaptan has been evaluated in two completed trials. NCT05401565 was a Phase 2 study of balovaptan in adults with post-traumatic stress disorder, enrolling 29 participants in the United States. NCT04156646 was a Phase 1 study of esomeprazole and food effects on balovaptan pharmacokinetics in 16 healthy volunteers.

Is Balovaptan the same as oral Balovaptan?

Yes. Oral Balovaptan is another name for balovaptan, the small molecule AVPR1A antagonist developed by Roche Holding AG. Both names refer to the same investigational drug, which has been studied in autism spectrum disorder and post-traumatic stress disorder.