Impact of CardiolRxTM on Recurrent Pericarditis (MAvERIC-Pilot)
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ClinicalTrials.gov Identifier: NCT05494788 |
Recruitment Status :
Active, not recruiting
First Posted : August 10, 2022
Last Update Posted : April 9, 2024
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Recurrent Pericarditis | Drug: CardiolRx | Phase 2 |
Multi-center, open label Pilot Study. Patients who present with recurrent pericarditis will be screened and informed consent obtained.
Baseline assessments include the following: Clinical assessment, including vital signs, highest NRS pain score within the past 7 days of Day 1, 12-lead ECG; C-SSRS as well as hematology and blood chemistry and a pregnancy test for women with child-bearing potential.
Concomitant medications are recorded and any (S)AEs after informed consent has been obtained.
Study treatment will be initiated in the evening of Day 1, after all baseline assessments are completed.
Oral administration is as follows:
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Initial starting dose (Day 1 p.m. dose to Day 3 a.m. dose):
5 mg/kg of body weight CardiolRxTM
- Day 3 p.m. dose to Day 10 a.m. dose: 7.5 mg/kg of body weight CardiolRxTM b.i.d.
- Day 10 p.m. dose to end of treatment period: 10.0 mg/kg of body weight CardiolRxTM b.i.d.
If the next higher dose after each study drug increase is not tolerated, the dose will be reduced to the previous tolerated dose.
Unless contraindicated in the opinion of the investigator, after 8 weeks of treatment, patients will enter an 18-week extension period (EP), in which they continue study treatment while their concomitant medications will be weaned.
Follow-up Procedures Every visit (before the next dose increase) the patient will be re-evaluated. This includes ECG monitoring at approximately 5 hours post-morning dose (Tmax) to surveil for deleterious effects on ECG intervals (particularly the QTc interval) and rhythm.
Drug titration will be dependent on investigator or designate interrogation of the ECGs and the absence of new, clinically significant abnormalities on those ECGs.
Vital signs, concurrent medication and (S)AEs will be recorded at all visits. Blood chemistry including liver function tests, hematology as well as INR assessments will be carried out at selected visits.
Final efficacy assessments will take place after 26 weeks of study treatment and include a clinical assessment, vital signs, pain score NRS, a 12-lead ECG, the C-SSRS, as well as laboratory assessments.
For patients who do not enter the EP, Final assessments will be done after 8 weeks.
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 25 participants |
Allocation: | N/A |
Intervention Model: | Single Group Assignment |
Intervention Model Description: | Open label |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | Impact of CardiolRxTM on Recurrent Pericarditis An Open Label Pilot Study (MAvERIC-Pilot Study) |
Actual Study Start Date : | November 30, 2022 |
Estimated Primary Completion Date : | June 15, 2024 |
Estimated Study Completion Date : | September 15, 2024 |
Arm | Intervention/treatment |
---|---|
Experimental: CardiolRx
pharmaceutically produced Cannabidiol
|
Drug: CardiolRx
Pharmaceutically produced Cannabidiol |
- 11-point NRS pain score [ Time Frame: 8 weeks ]change in patient-reported pericarditis pain using an 11-point NRS from baseline to 8 weeks
- 11-point NRS pain score [ Time Frame: 26 weeks ]Pain score using 11-point NRS after 26 weeks of treatment
- Normalized CRP levels [ Time Frame: 26 weeks ]Percentage of patients with normalized CRP levels at 26 weeks (for patients with CRP ≥1.0 mg/dL at baseline)
- Normalized CRP levels [ Time Frame: Over 26 weeks ]Time to CRP normalization for patients with CRP ≥1.0 mg/dL at baseline
- CRP change from baseline [ Time Frame: 26 weeks ]CRP change from baseline
- pericarditis recurrence during the extension period (EP) [ Time Frame: 26 weeks ]Percentage of patients with pericarditis recurrence during the extension period (EP)
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Male or female 18 years of age or older
- Diagnosis of at least two episodes of recurrent pericarditis*,
- At least 1 day with pericarditis pain ≥4 on the 11-point Numerical Rating Scale (NRS) within prior 7 days
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One of;
- C-Reactive Protein** (CRP) level ≥1.0 mg/dL within prior 7 days OR
- Evidence of pericardial inflammation assessed by delayed pericardial hyperenhancement on cardiac magnetic resonance imaging (CMR)
- Currently receiving non-steroidal anti-inflammatory drugs (NSAIDs) and/or colchicine and/or corticosteroids (in any combination) for treatment of pericarditis in stable doses
- Male patients with partners of childbearing potential who have had a vasectomy or are willing to use double barrier contraception methods during the conduct of the study and for 2 months after the last dose of study drug.
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Women of childbearing potential willing to use an acceptable method of contraception starting with study drug administration and for a minimum of 2 months after study completion. Otherwise, women must be postmenopausal (at least 1 y absence of vaginal bleeding or spotting and confirmed by follicle stimulating hormone [FSH] ≥40 mIU/mL [or ≥ 40 IU/L] if less than 2 y postmenopausal) or be surgically sterile.
- Diagnosis of pericarditis according to the 2015 European Society of Cardiology (ESC) Guidelines for the Diagnosis and Management of Pericardial Diseases (Adler et al. 2015):
At least two of:
- Pericarditic chest pain
- Pericardial rub
- New widespread ST-segment elevation or PR-segment depression according to electrocardiogram (ECG) findings
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Pericardial effusion (new or worsening)
- Conversion: 1 mg/dL CRP = 10 mg/L hs-CRP
Exclusion Criteria:
- Diagnosis of pericarditis that is secondary to specific prohibited etiologies, including tuberculosis (TB); neoplastic, purulent, or radiation etiologies; post-thoracic blunt trauma (e.g., motor vehicle accident); myocarditis
- Estimated glomerular filtration rate (eGFR) <30 mL/min at screening
- Elevated alanine aminotransferase (ALT) or aspartate aminotransferase (AST) > 5 times the upper limit of normal (ULN) or ALT or AST >3x ULN plus bilirubin >2x ULN
- Sepsis, defined as documented bacteremia at the time of screening or other documented active infection
- Prior history of sustained ventricular arrhythmia
- History of QT interval prolongation
- QTc interval > 500 msec
- Current participation in any research study involving investigational drugs or device
- Inability or unwillingness to give informed consent
- Ongoing drug or alcohol abuse
- On any cannabinoid during the past month
- Women who are pregnant or breastfeeding
- Current diagnosis of cancer, with the exception of non-melanoma skin cancer
- Any factor, which would make it unlikely that the patient can comply with the study procedures
- Showing suicidal tendency as per the Columbia Suicide Severity Rating Scale (C-SSRS), administered at screening
- On digoxin and/or type 1 or 3 antiarrhythmics
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On immunosuppressive therapy with any of the following:
- Rilonacept
- Anakinra
- Canakinumab
- Methotrexate
- Azathioprine
- Cyclosporine
- Intravenous immune globulin (IVIG)
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05494788
United States, Arizona | |
Pima Heart and Vascular Clinical Research | |
Tucson, Arizona, United States, 85719 | |
United States, District of Columbia | |
MedStar Health Research Institute | |
Washington, District of Columbia, United States, 20010 | |
United States, Massachusetts | |
Massachusetts General Hospital | |
Boston, Massachusetts, United States, 02114 | |
United States, Minnesota | |
Minneapolis Heart Institute Foundation | |
Minneapolis, Minnesota, United States, 55407 | |
Mayo Clinic | |
Rochester, Minnesota, United States, 55905 | |
United States, Ohio | |
Cleveland Clinic | |
Cleveland, Ohio, United States, 44195 | |
United States, Vermont | |
University of Vermont Medical Center | |
Burlington, Vermont, United States, 05401 | |
United States, Virginia | |
Virginia Commonwealth University Health | |
Richmond, Virginia, United States, 23298 |
Study Chair: | Allen Klein, MD | The Cleveland Clinic |
Responsible Party: | Cardiol Therapeutics Inc. |
ClinicalTrials.gov Identifier: | NCT05494788 |
Other Study ID Numbers: |
Cardiol 100-004 |
First Posted: | August 10, 2022 Key Record Dates |
Last Update Posted: | April 9, 2024 |
Last Verified: | February 2024 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | Undecided |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
Pericarditis Recurrence Disease Attributes |
Pathologic Processes Heart Diseases Cardiovascular Diseases |