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Beraprost modified release

Phase 2

Pulmonary Arterial Hypertension | Small molecule | Cardiovascular |United Therapeutics Corporation|Last Updated: Sep 30, 2020

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-BlindCONTROLLEDBiomarker
Total Trials4
Total Enrollment104
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00989963Dose-response Study of the Safety and Efficacy of Beraprost Sodium Modified Release (BPS-MR) in Patients With Pulmonary Arterial Hypertension (PAH)PHASE2 COMPLETED 36Feb 1, 2010Sep 13, 2011Sep 30, 202017 United States, Belgium +4
NCT00990314Extension of BPS-MR-PAH-203 in Pulmonary Arterial Hypertension (PAH) PatientsPHASE2 COMPLETED 31Nov 30, 2009Nov 30, 2013Sep 16, 201917 United States, Belgium +4
NCT00792571An Open-Label Extension of BPS-MR-PAH-201 in Pulmonary Arterial Hypertension (PAH) PatientsPHASE2 COMPLETED 18Feb 28, 2009Nov 30, 2013Dec 26, 20196 United States, Belgium +1
NCT00781885A Multi-Center, Open-Label, Multiple Dose, Dose Finding Study Exploring the Safety and Tolerability of Beraprost Sodium Modified Release in PAH PatientsPHASE2 COMPLETED 19Jan 31, 2009Sep 30, 2010Jun 9, 20206 United States, Belgium +1
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Study Endpoints
Primary Endpoints
Change From Baseline in Pulmonary Vascular Resistance at Week 12
Week 12

The change in Pulmonary Vascular Resistance (PVR) was evaluated from Baseline to Week 12. PVR is expressed in Wood Units or millimeters of Mercury per Liter per minute (mmHG/L/min)

Change From Baseline in Cardiac Output (CO) at Week 12
Week 12

The change in Cardiac Output was evaluated from Baseline to Week 12.

Change From Baseline in Pulmonary Arterial Pressure at Week 12
12 weeks

The change in mean Pulmonary Arterial Pressure (mPAP) was evaluated from Baseline to Week 12.

Number of Subjects Reporting at Least One Treatment-Emergent Adverse Event (TEAE)
Up to 42 months

A treatment-emergent adverse event (TEAE) is defined as an event not present prior to the initiation of the treatment or any event already present that worsens in either intensity or frequency following exposure to the treatment. AEs occurring more than 3 days after the last day study drug was taken in the study was not included in the statistical analyses or summaries (except for subjects with adverse events leading to study drug withdrawn). Only TEAEs that occurred during the treatment period of the BPS-MR-PAH-204 study were summarized. Any adverse event starting prior to the first dose of study drug was excluded from the summary analyses and only presented in the data listings. All efficacy results are descriptive; no statistical analysis was conducted

Number of Reported Treatment-Emergent Adverse Events
Up to 42 months

A treatment-emergent adverse event (TEAE) is defined as an event not present prior to the initiation of the treatment or any event already present that worsens in either intensity or frequency following exposure to the treatment. AEs occurring more than 3 days after the last day study drug was taken in the study was not included in the statistical analyses or summaries (except for subjects with adverse events leading to study drug withdrawn). Only TEAEs that occurred during the treatment period of the BPS-MR-PAH-204 study were summarized. Any adverse event starting prior to the first dose of study drug was excluded from the summary analyses and only presented in the data listings. All efficacy results are descriptive; no statistical analysis was conducted.

Number of Participants Reporting at Least One Treatment-Emergent Adverse Event (TEAE)
Up to 56 months

A treatment-emergent adverse event (TEAEs) is defined as an event not present prior to the initiation of the treatments or any event already present that worsens in either intensity or frequency following exposure to the treatments. AEs occurring more than 3 days after the last day study drug is taken in the study will not be included in the statistical analyses or summaries (except for subjects with adverse events leading to study drug withdrawn). Only treatment-emergent adverse events occurring during the treatment period of the BPS-MR-PAH-202 study will be summarized. Any adverse event starting prior to the first dose of study drug will be excluded from the summary analyses and only presented in the data listings. A summary of serious and all other non-serious adverse events regardless of causality is located in the Reported Adverse Events module.

Number of Treatment Emergent Adverse Events Reported During The Study
Up to 56 months

A treatment-emergent adverse event (TEAE) is defined as an event not present prior to the initiation of the treatment or any event already present that worsens in either intensity or frequency following exposure to the treatment. AEs occurring more than 3 days after the last day study drug was taken in the study was not included in the statistical analyses or summaries (except for participants with adverse events leading to study drug withdrawn). Only TEAEs that occurred during the treatment period of the BPS-MR-PAH-202 study were summarized. Any adverse event starting prior to the first dose of study drug was excluded from the summary analyses and only presented in the data listings. All efficacy results are descriptive; no statistical analysis was conducted. A summary of serious and all other non-serious adverse events regardless of causality is located in the Reported Adverse Events module.

Maximum Tolerated Dose (MTD) of BPS-MR in Pulmonary Arterial Hypertension (PAH) Patients, Following Chronic, Twice-daily Administration.
10 Weeks
Secondary Endpoints
Change in Six Minute Walk Distance From Baseline to Week 6 and Week 12
Baseline, Week 6 and 12
Number of Participants in Each World Health Organization (WHO) Functional Class for Pulmonary Arterial Hypertension (PAH) at Week 6 and 12
Week 6 and Week 12
Number of Participants With at Least One Post-baseline Clinically Significant Laboratory Value
Up to Week 12
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Maximum Tolerated Dose (MTD)EXPERIMENTALPatients in the MTD treatment group will dose escalate weekly by 60µg b.i.d. until they reach the maximum dose of 600µg b.i.d. or they reach an intolerable dose which requires them to down-titrate by 60µg b.i.d. In these instances and at the Investigator's discretion, further attempts at dose escalation may be made.
Low Fixed DoseEXPERIMENTALThe low dose group will receive 60µg twice a day(b.i.d.)
High Fixed DoseEXPERIMENTALPatients in the high dose group will dose escalate weekly by 60µg twice a day (b.i.d.) until they reach the fixed dose of 240µg b.i.d. Once patients in these treatment groups have reached their assigned maximum dose of active drug,
B.I.DEXPERIMENTALBeraprost Sodium Modified Release Tablet, 60mcg, B.I.D (twice a day dosing)
Q.I.DEXPERIMENTALBeraprost Sodium Modified Release Tablet, 60mcg, q.i.d (four times a day dosing)
Interventions
NameTypeDescription
Beraprost Sodium Modified ReleaseDRUG60µg Tablets, twice a day for 12 weeks
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Eligibility Criteria
Age Range18 Years — 75 Years
SexALL
Healthy VolunteersNo
Study Sites17

Inclusion Criteria: 1. IRB approved written informed consent has been obtained. 2. Male or female, age 18 to 75 years (inclusive). 3. Established diagnosis of pulmonary arterial hypertension that is either idiopathic or familial PAH, collagen vascular disease associated PAH, PAH induced by anorexig...

Countries:United StatesBelgiumCzechiaGermanyIrelandRomania
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