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ataciguat

Phase 2

Intermittent Claudication | Small molecule | Cardiovascular |Sanofi|Last Updated: May 17, 2018

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment553

FDA Designations

No designations recorded

Clinical trial landscape

ataciguat · 3 trials · 3 indications

Phase 2 2Phase 1 1
NCT00799656Efficacy and Safety Study of Ataciguat Versus Placebo in Patients With Neuropathic PainPain
COMPLETED62 Analytics
NCT00443287Efficacy and Safety of HMR1766 in Patients With Fontaine Stage II Peripheral Arterial DiseaseIntermittent Claudication
COMPLETED553 Analytics
PHASE2COMPLETED
Efficacy and Safety Study of Ataciguat Versus Placebo in Patients With Neuropathic Pain
PainUnlock trial analytics
PHASE2COMPLETED
Efficacy and Safety of HMR1766 in Patients With Fontaine Stage II Peripheral Arterial Disease
Intermittent ClaudicationUnlock trial analytics

Study Endpoints

Primary Endpoints

Change in average daily pain intensity
after 28-days treatment
Primary efficacy endpoint: percent change in initial claudication distance (ICD) measured at the 26-week treadmill test, compared with ICD measured at baseline
26 weeks
Number of patients experiencing orthostatic hypotension
Baseline - 14 days

The primary objective of the current study is to determine whether Ataciguat (HMR1766) is well-tolerated by patients with moderate calcific aortic valve stenosis. In this particular patient population, incidence of orthostatic intolerance/symptomatic hypotension is a potential concern.

The change in blood pressure following the transition from sitting to standing
Baseline - 14 days

The primary objective of the current study is to determine whether Ataciguat (HMR1766) is well-tolerated by patients with moderate calcific aortic valve stenosis. In this particular patient population, incidence of orthostatic intolerance/symptomatic hypotension is a potential concern. Transitioning from sitting to standing is a functional test that will allow us to examine the effects of Ataciguat on blood pressure regulation in response to a relevant orthostatic stress.

The change in blood pressure following progressive head-up tilt
Baseline - 14 days

The primary objective of the current study is to determine whether Ataciguat (HMR1766) is well-tolerated by patients with moderate calcific aortic valve stenosis. In this particular patient population, incidence of orthostatic intolerance/symptomatic hypotension is a potential concern. Tilt table testing will allow us to examine the effects of Ataciguat on blood pressure regulation in response to a tightly controlled orthostatic stress.

Subject self-reports of light-headedness/orthostatic intolerance during the standing test and the head-up tilt testing
Baseline - 14 days

The primary objective of the current study is to determine whether Ataciguat (HMR1766) is well-tolerated by patients with moderate calcific aortic valve stenosis. In this particular patient population, incidence of orthostatic intolerance/symptomatic hypotension is a potential concern. Evaluating subject perceptions of light-headedness/orthostatic intolerance will help us to understand the relationship between changes in blood pressure and changes in symptoms in this patient population before and after treatment with Ataciguat.

Secondary Endpoints

Responder rate
after 28-days treatment
Rescue medication intake
during 28-days treatment
Change in Neuropathic Pain Symptom Inventory (NPSI)
after 28-days treatment
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
1EXPERIMENTALFirst period: Ataciguat - Second period: Placebo
2EXPERIMENTALFirst period: Placebo - Second period: Ataciguat
3EXPERIMENTALdose level 2
4EXPERIMENTALdose level 3
5ACTIVE_COMPARATOR -
PlaceboPLACEBO_COMPARATORPlacebo gel capsule, dosage matches number of Ataciguat capsules for each respective dose, capsules taken once daily with breakfast for 14 consecutive days.
AtaciguatACTIVE_COMPARATORAtaciguat, orally administered gel capsule, 50, 100, or 200 mg, once per day with breakfast for 14 consecutive days

Interventions

NameTypeDescription
ataciguat (HMR1766)DRUGoral administration 200mg once daily for 28 days
placeboDRUGoral administration once daily for 28 days
cilostazolDRUGoral administration
AtaciguatDRUG -
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites3

Inclusion Criteria: * Patients with chronic neuropathic pain due to diabetic polyneuropathy or a nerve lesion following surgery. The pain must be present for more than 3 months. Exclusion Criteria: * Presence or history of cancer within the past five years * Patients with a history of HIV infecti...

Countries:AustriaCzechiaRomaniaUnited StatesCanadaFrancePolandRussiaSouth Africa
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Frequently asked questions about ataciguat

What is Ataciguat used for?

Ataciguat is an investigational small molecule being studied for cardiovascular and pain conditions, including aortic valve stenosis, intermittent claudication, and neuropathic pain. It is developed by Sanofi and is currently in clinical development, with trials completed for these indications.

What does Ataciguat target?

Ataciguat is a soluble guanylate cyclase activator that works by stimulating the enzyme to produce cyclic GMP, which promotes vasodilation and may help in conditions like intermittent claudication and aortic valve stenosis. Its mechanism is relevant to its cardiovascular applications.

Who makes Ataciguat?

Ataciguat is developed by Sanofi, a global pharmaceutical company listed on the stock exchange under the ticker SNY. Sanofi has conducted clinical trials for Ataciguat across multiple indications, including aortic valve stenosis, intermittent claudication, and pain.

What phase is Ataciguat in?

Ataciguat has completed Phase 1 and Phase 2 clinical trials. The most advanced completed trial was a Phase 2 study for intermittent claudication, while a Phase 1 trial for aortic valve stenosis has also been completed. Ataciguat is not approved and remains investigational.

What clinical trials is Ataciguat in?

Ataciguat has been studied in three completed clinical trials. NCT00443287 was a Phase 2 trial for intermittent claudication with 553 participants. NCT00799656 was a Phase 2 trial for neuropathic pain with 62 participants. NCT02049203 was a Phase 1 trial for aortic valve stenosis with 44 participants.

Is Ataciguat the same as HMR1766?

Ataciguat is also known as HMR1766. In clinical trials, it has been referred to by both names, with the Phase 2 intermittent claudication study titled as an efficacy and safety study of HMR1766. Both names refer to the same investigational drug.