Recent Updates
Recently added Catalysts

N-acetylcysteine, NAC, and calcitriol

Phase 1

HIE - Perinatal Hypoxic - Ischemic Encephalopathy | Small molecule | Other |United Therapeutics Corporation|Last Updated: Dec 4, 2020

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
CONTROLLED
Total Trials1
Total Enrollment30
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04643821NVD in Hypothermic HIE NeonatesEARLY_PHASE1 COMPLETED 30Jan 1, 2015Mar 1, 2020Dec 4, 2020 -
Unlock Drug Trial Details
Study Endpoints
Primary Endpoints
Change in pharmacokinetic half life of NAC
first week of life

PK parameters of plasma half life around first dose on day of life 1 during hypothermia, and day of life 5 during normothermia

pharmacokinetic half life of calcitriol
first week of life

PK parameters of serum half life around first dose on day of life 1 during hypothermia, and day of life 5 during normothermia

Change in Glutathione concentration in Basal ganglia
day of life 5

GSH by MRS before, immediately after and up to 6h after NVD infusion on day of life 5

Secondary Endpoints
Change in plasma oxidative stress markers
day 1 and 5
Unlock Study Endpoints
Study Design & Arms
AllocationNON_RANDOMIZED
MaskingSINGLE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
NAC 25mg/kg, calcitriol 0.05mcg/kgEXPERIMENTALN-acetylcysteine 25mg/kg iv q 12h, calcitriol 0.05mcg/kg iv q 12h, for 10 days, starting within 6h of birth
NAC 25mg/kg, calcitriol 0.03mcg/kgEXPERIMENTALN-acetylcysteine 25mg/kg iv q 12h, calcitriol 0.03mcg/kg iv q 24h, for 10 days, starting within 6h of birth
NAC 40mg/kg, calcitriol 0.03mcg/kgEXPERIMENTALN-acetylcysteine 40mg/kg iv q 12h, calcitriol 0.03mcg/kg iv q 24h, for 10 days, starting within 6h of birth
Interventions
NameTypeDescription
N-acetylcysteine, NAC, and calcitriolDRUGiv administration of antioxidant and active vitamin D
Unlock Study Design Details
Eligibility Criteria
Age RangeN/A — 6 Hours
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Neonates \> 34 weeks, \> 2000 grams, within 6h of birth with moderate to severe HIE receiving therapeutic hypothermia Exclusion Criteria: * Evidence of a congenital CNS malformation if known prior to enrollment * Evidence of neuromuscular disorder by family history * More th...

Unlock Eligibility Criteria