A Phase 2 interventional study of IW-1973 and Placebo in Diabetes Mellitus, Type 2 and Hypertension, sponsored by Cyclerion Therapeutics. Completed at 1 site in United States. Open to participants aged 30 Years to 75 Years. Per ClinicalTrials.gov, last updated 2020-08-31.
Sponsored by Cyclerion Therapeutics (formerly part of Ironwood Pharmaceuticals, Inc.) · Phase 2, Interventional, and Treatment
To compare the safety, tolerability, pharmacokinetic (PK) profile, and pharmacodynamic (PD) effects of 2 treatment regimens of IW-1973 tablet (40 mg per day) administered orally for 2 weeks to patients with stable type 2 diabetes mellitus and hypertension.
10,371 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,406 are open to participants now.
This study's enrollment of 26 is below the median of 80 across 8,350 interventional studies indexed under Diabetes Mellitus, Type 2.
Browse Diabetes Mellitus, Type 2 studies →Cyclerion Therapeutics is the lead sponsor of 11 studies on the registry; none are open to participants now.
Of its 7 completed or terminated interventional studies of FDA-regulated products, 3 (43%) have results posted.
First submitted before Cyclerion Therapeutics left Ironwood Pharmaceuticals, Inc..
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Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.
What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.
Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).
Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.
Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.
Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.
Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.
The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).
BMI (body mass index)
Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.
What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Childbearing potential
Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).
Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Contraception
Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.
Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Clinically significant
Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Hemoglobin (Hb)
The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
On Days 1-14: IW-1973 40 mg taken once daily (QD) in morning (AM) and placebo taken QD at night (PM).
Drug: IW-1973 · Drug: Placebo
On Days 1-7: IW-1973 20 mg taken in AM and IW-1973 20 mg taken in PM. On Days 8-14: IW-1973 40 mg taken QD in AM and placebo taken QD in PM.
Drug: IW-1973 · Drug: Placebo
On Days 1-14: Placebo taken in AM and in PM.
Drug: Placebo
Oral Tablet
Oral Tablet
Change From Study Baseline Over Time in Supine Systolic Blood Pressure
Time frame: Study Baseline (Day 1 predose AM); Days 2-14: predose AM; Days 1, 2, 7, 8, 13: postdose AM 1 hour and 4 hour; Day 1: postdose AM 8 hour; Days 1, 2, 8, 13: predose PM; Days 1, 2: postdose PM 1 hour; Days 2, 3: postdose PM 4 hour; Days 15, 21, 42
Change From Study Baseline Over Time in Supine Diastolic Blood Pressure
Time frame: Study Baseline (Day 1 predose AM); Days 2-14: predose AM; Days 1, 2, 7, 8, 13: postdose AM 1 hour and 4 hour; Day 1: postdose AM 8 hour; Days 1, 2, 8, 13: predose PM; Days 1, 2: postdose PM 1 hour; Days 2, 3: postdose PM 4 hour; Days 15, 21, 42
Change From Study Baseline Over Time in Supine Pulse
Time frame: Study Baseline (Day 1 predose AM); Days 2-14: predose AM; Days 1, 2, 7, 8, 13: postdose AM 1 hour and 4 hour; Day 1: postdose AM 8 hour; Days 1, 2, 8, 13: predose PM; Days 1, 2: postdose PM 1 hour; Days 2, 3: postdose PM 4 hour; Days 15, 21, 42
Percentage of Participants With Postdose Supine Blood Pressure Less Than 130/80 mmHg Over Time
Time frame: Baseline, Days 1-14, Day 15, 21, 42
Orthostatic Systolic Blood Pressure Over Time
An orthostatic measurement is obtained by subtracting the supine measurement from the standing measurement.
Time frame: Days -1, 1, 2, 7, 8, 13: 1 and 4 hour AM; Days -1, 1, 2, 8, 13: 0 hour PM; Days -1, 1, 2: 1 hour PM; Days 1, 2, 7, 8, 13: 0 hour AM; Day 1: 8 hour AM; Days 1, 2: 4 hour PM
Orthostatic Diastolic Blood Pressure Over Time
An orthostatic measurement is obtained by subtracting the supine measurement from the standing measurement.
Time frame: Days -1, 1, 2, 7, 8, 13: 1 and 4 hour AM; Days -1, 1, 2, 8, 13: 0 hour PM; Days -1, 1, 2: 1 hour PM; Days 1, 2, 7, 8, 13: 0 hour AM; Day 1: 8 hour AM; Days 1, 2: 4 hour PM
Orthostatic Pulse Over Time
An orthostatic measurement is obtained by subtracting the supine measurement from the standing measurement.
Time frame: Days -1, 1, 2, 7, 8, 13: 1 and 4 hour AM; Days -1, 1, 2, 8, 13: 0 hour PM; Days -1, 1, 2: 1 hour PM; Days 1, 2, 7, 8, 13: 0 hour AM; Day 1: 8 hour AM; Days 1, 2: 4 hour PM
Change From Time-Matched Baseline Over Time in Ambulatory Blood Pressure Monitoring (ABPM) 24-hour Averages of Systolic Blood Pressure
24-hour average is the average of ABPM assessments over 24 hour intervals from the time of dosing. Time-matched baseline is the 24 hours average during Day -1.
Time frame: Time Matched Baseline (Day -1), Days 1, 7, and 14
Change From Time-Matched Baseline Over Time in ABPM Daytime (12-Hour) Averages of Systolic Blood Pressure
Daytime 12-hour average is the average of ABPM assessments over daytime 12-hour intervals from the time of dosing. Time-matched baseline is the daytime 12 hours average during Day -1.
Time frame: Time Matched Baseline (Day -1), Days 1, 7, and 14
Change From Time-Matched Baseline Over Time in ABPM Nighttime (12-Hour) Averages of Systolic Blood Pressure
Nighttime 12-hour average is the average of ABPM assessments over nighttime 12-hour intervals from the time of dosing. Time-matched baseline is the nighttime 12 hours average during Day -1.
Time frame: Time Matched Baseline (Day -1), Days 1, 7, and 14
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Systolic Blood Pressure
Postdose is the average of assessments over 4-hour intervals from the time of dosing that day. Time-matched baseline is the corresponding 4-hour average on Day -1.
Time frame: Time-matched baseline (Day -1), Days 1, 7, 14: 0-4, 4-8, 8-12, 12-16, 16-20, 20-24 hours postdose
Change From Time-Matched Baseline Over Time in ABPM 24-hour Averages of Mean Arterial Pressure
24-hour average is the average of ABPM assessments over 24 hour intervals from the time of dosing. Time-matched baseline is the 24 hours average during Day -1.
Time frame: Time Matched Baseline (Day -1), Days 1, 7, and 14
Change From Time-Matched Baseline Over Time in ABPM Daytime (12-hour) Averages of Mean Arterial Pressure
Daytime 12-hour average is the average of ABPM assessments over daytime 12-hour intervals from the time of dosing. Time-matched baseline is the daytime 12 hours average during Day -1.
Time frame: Time Matched Baseline (Day -1), Days 1, 7, and 14
Change From Time-Matched Baseline Over Time in ABPM Nighttime (12-Hour) Averages of Mean Arterial Pressure
Nighttime 12-hour average is the average of ABPM assessments over nighttime 12-hour intervals from the time of dosing. Time-matched baseline is the nighttime 12 hours average during Day -1.
Time frame: Time Matched Baseline (Day -1), Days 1, 7, and 14
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Mean Arterial Pressure
Postdose is the average of assessments over 4-hour intervals from the time of dosing that day. Time-matched baseline is the corresponding 4-hour average on Day -1.
Time frame: Time-matched baseline (Day -1), Days 1, 7, 14: 0-4, 4-8, 8-12, 12-16, 16-20, 20-24 hours postdose
Change From Time-Matched Baseline Over Time in ABPM 24-hour Averages of Diastolic Blood Pressure
24-hour average is the average of ABPM assessments over 24 hour intervals from the time of dosing. Time-matched baseline is the 24 hours average during Day -1.
Time frame: Time Matched Baseline (Day -1), Days 1, 7, and 14
Change From Time-Matched Baseline Over Time in ABPM Daytime (12-hour) Averages of Diastolic Blood Pressure
Daytime 12-hour average is the average of ABPM assessments over daytime 12-hour intervals from the time of dosing. Time-matched baseline is the daytime 12 hours average during Day -1.
Time frame: Time Matched Baseline (Day -1), Days 1, 7, and 14
Change From Time-Matched Baseline Over Time in ABPM Nighttime (12-Hour) Averages of Diastolic Blood Pressure
Nighttime 12-hour average is the average of ABPM assessments over nighttime 12-hour intervals from the time of dosing. Time-matched baseline is the nighttime 12 hours average during Day -1.
Time frame: Time Matched Baseline (Day -1), Days 1, 7, and 14
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Diastolic Blood Pressure
Postdose is the average of assessments over 4-hour intervals from the time of dosing that day. Time-matched baseline is the corresponding 4-hour average on Day -1.
Time frame: Time-matched baseline (Day -1), Days 1, 7, 14: 0-4, 4-8, 8-12, 12-16, 16-20, 20-24 hours postdose
Change From Time-Matched Baseline Over Time in ABPM 24-hour Averages of Pulse
24-hour average is the average of ABPM assessments over 24 hour intervals from the time of dosing. Time-matched baseline is the 24 hours average during Day -1.
Time frame: Time Matched Baseline (Day -1), Days 1, 7, and 14
Change From Time-Matched Baseline Over Time in ABPM Daytime (12-hour) Averages of Pulse
Daytime 12-hour average is the average of ABPM assessments over daytime 12-hour intervals from the time of dosing. Time-matched baseline is the daytime 12 hours average during Day -1.
Time frame: Time Matched Baseline (Day -1), Days 1, 7, and 14
Change From Time-Matched Baseline Over Time in ABPM Nighttime (12-Hour) Averages of Pulse
Nighttime 12-hour average is the average of ABPM assessments over nighttime 12-hour intervals from the time of dosing. Time-matched baseline is the nighttime 12 hours average during Day -1.
Time frame: Time Matched Baseline (Day -1), Days 1, 7, and 14
Change From Time-Matched Baseline Over Time in ABPM 4-hour Averages of Pulse
Postdose is the average of assessments over 4-hour intervals from the time of dosing that day. Time-matched baseline is the corresponding 4-hour average on Day -1.
Time frame: Time-matched baseline (Day -1), Days 1, 7, 14: 0-4, 4-8, 8-12, 12-16, 16-20, 20-24 hours postdose
Change From Baseline in Reactive Hyperemia Index (RHI) on Day 13
RHI is a measure of the extent of vessel dilatation and augmentation in vascular blood flow after a prespecified period of flow interruption. RHI is determined as the ratio of the post-to-pre- occlusion peripheral arterial tonometry amplitude of the tested (occluded) arm, divided by the post to-pre-occlusion ratio of the control arm. RHI values \>1.67 indicate normal endothelial function, while values ≤1.67 indicate endothelial dysfunction.
Time frame: Baseline, Day 13 predose AM
Post-Baseline Platelet Reactivity on Days 8 and 14: P2Y12 Reaction Units (PRU) Assay
Platelet reactivity, as measured by VerifyNow PRU assay, and presented as number of participants with \< 180 PRU or ≥ 180 PRU post-baseline (Days 8 and 14), by baseline category. The VerifyNow PRU assay measures effects on platelet activation caused by inhibition of the platelet receptor, P2Y12. This receptor is activated by adenosine 5'-diphosphate (ADP) in the cascade leading to platelet aggregation but can be blocked by P2Y12 inhibitor drugs, such as clopidogrel. Blockage of this receptor diminishes platelet activation and the ability of platelets to bind to fibrinogen. VerifyNow PRU assay values \< 180 units indicate impairment of platelet aggregation.
Time frame: Baseline, Day 8, Day 14
Post-Baseline Platelet Reactivity on Days 8 and 14: Aspirin Reaction Units (ARU) Assay
Platelet reactivity, as measured by VerifyNow ARU assay, and presented as number of participants with ≤ 549 ARU or \> 549 ARU post-baseline (Days 8 and 14), by baseline category. Aspirin irreversibly inhibits cyclooxygenase 1, which converts arachidonic acid to thromboxane A2, which in turn is involved in the activation of the glycoprotein (GP)IIb/IIIa receptor necessary to initiate platelet aggregation. Impairment of platelet aggregation of the aspirin type is defined for the VerifyNow aspirin assay as values ≤ 549 ARU.
Time frame: Baseline, Day 8, Day 14
Change From Study Baseline Over Time in Platelet Function Assessments: PRU Assay
The VerifyNow PRU assay measures effects on platelet activation caused by inhibition of the platelet receptor, P2Y12. This receptor is activated by adenosine 5'-diphosphate (ADP) in the cascade leading to platelet aggregation but can be blocked by P2Y12 inhibitor drugs, such as clopidogrel. Blockage of this receptor diminishes platelet activation and the ability of platelets to bind to fibrinogen. VerifyNow PRU assay values \<180 PRU indicate impairment of platelet aggregation.
Time frame: Study Baseline (Day 1 predose), Day 8 (predose AM), Day 14 (predose AM)
Change From Study Baseline Over Time in Platelet Function Assessments: ARU Assay
Aspirin irreversibly inhibits cyclooxygenase 1, which converts arachidonic acid to thromboxane A2, which in turn is involved in the activation of the GPIIb IIIa receptor necessary to initiate platelet aggregation. Impairment of platelet aggregation of the aspirin type is defined for the VerifyNow aspirin assay as values ≤ 549 ARU.
Time frame: Study Baseline (Day 1 predose), Day 8 (pre AM dose), Day 14 (pre AM dose)
Percent Change From Study Baseline Over Time in HOMA-IR in Participants Without Concomitant Use of Insulin
Blood samples were taken for fasting glucose and insulin levels. From these results, insulin resistance was then estimated using the updated homeostasis model assessment method for insulin resistance (HOMA-IR) computer algorithm. A higher HOMA-IR indicates a higher degree of insulin resistance. Typically a cutoff of HOMA-IR for identifying those with insulin resistance is 2.5.
Time frame: Study baseline (defined as the last non-missing assessment before the first administration of study drug), Day 8, pre-AM dose, Day 15
IW-1973 Pharmacokinetics: Area Under the Plasma Concentration Time Curve During a Dosing Interval (AUCtau) on Days 1 and 7
Equivalent to AUC from time 0 to the last measurable concentration (AUClast), with time of last measurable concentration (Tlast)=12 hours for BID dosing and Tlast=24 hours for QD dosing.
Time frame: Days 1 and 7 (AM): 1, 3, and 6 hours postdose
IW-1973 Pharmacokinetics: Maximum Observed Plasma Concentration (Cmax) on Days 1 and 7
Time frame: Days 1 and 7 (AM): 1, 3, and 6 hours postdose
IW-1973 Pharmacokinetics: Time to Cmax on Days 1 and 7
Time frame: Days 1 and 7 (AM): 1, 3, and 6 hours postdose
IW-1973 Pharmacokinetics: Trough Plasma Concentrations at the End of the Dosing Interval (Ctrough) on Days 1, 2, 6, 7
Time frame: Days 1 and 7: predose; Day 2 (BID AM): predose; Day 6 (BID PM/QD): predose
IW-1973 Pharmacokinetics: Area Under the Plasma Concentration Time Curve From Time Zero to the Last Measurable Plasma Concentration (AUClast) on Days 8 and 14
Time frame: Day 8 and 14: 1, 3, 6h (± 5 min) postdose
IW-1973 Pharmacokinetics: AUCtau on Day 14
Time frame: Day 14: 1, 3, 6h (± 5 min) postdose
IW-1973 Pharmacokinetics: Tmax on Days 8 and 14
Time frame: Day 8 and 14: 1, 3, 6h (± 5 min) postdose
IW-1973 Pharmacokinetics: Cmax on Days 8 and 14
Time frame: Day 8 and 14: 1, 3, 6h (± 5 min) postdose
IW-1973 Pharmacokinetics: Ctrough on Days 13 and 14
Time frame: Days 13 and 14: predose
IW-1973 Pharmacokinetics: Apparent Total Body Clearance (CL/F) on Day 14
Time frame: Day 14: 1, 3, 6h (± 5 min) postdose
IW-1973 Pharmacokinetics: Apparent Volume of Distribution During the Terminal Phase (Vz/F) on Day 14
Time frame: Day 14: 1, 3, 6h (± 5 min) postdose
IW-1973 Pharmacokinetics: Apparent Terminal Elimination Phase Half-Life (t1/2)
Time frame: Day 14 (final dose) time points 12 hours, 24 hours, 7 days after final dose (Day 21), and 28 days after final dose(Day 42)
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious Adverse Events (SAEs), and Discontinuations Due to TEAEs
An adverse event (AE) is any untoward medical occurrence, which does not necessarily have to have a causal relationship with study treatment. An SAE is defined as any AE occurring at any dose that results in any of the following outcomes: death; life-threatening; hospitalization or prolongation of existing hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect; important medical events. TEAEs are defined as those AEs that started or worsened in severity after the initiation of study drug administration. AEs of clinical interest (AECI) included those related to bleeding and to hypotension. Study drug causality as assessed by the Investigator who was blinded to study drug assignment.
Time frame: From first dose of study drug to End of Trial Visit (42 [± 3] days)
Number of Participants With Clinically Meaningful Postbaseline Laboratory Test Results
Time frame: From first dose of study drug to End of Trial Visit (42 [± 3] days)
Number of Participants With Notable Changes in Postbaseline Blood Pressure and Heart Rate Values
Supine systolic blood pressure (SSBP): ≥ 180 mmHg and increase (↑) from baseline (BL) ≥ 30 mmHg; ≤ 90 mmHg and decrease (↓) from BL ≥ 30 mmHg. Supine diastolic blood pressure (SDBP): ≥ 105 mmHg and ↑ from BL ≥ 20 mmHg; ≤ 50 mmHg and ↓ from BL ≥ 20 mmHg. Supine heart rate (SHR): ≥ 110 bpm and ↑ from BL ≥ 20 bpm; ≤ 50 bpm and ↓ from BL ≥ 20 bpm. Standing systolic blood pressure (StSBP): ≥ 180 mmHg and increase (↑) from baseline (BL) ≥ 30 mmHg; ≤ 90 mmHg and decrease (↓) from BL ≥ 30 mmHg. Standing Diastolic Blood Pressure (StDBP): ≥ 105 mmHg and ↑ from BL ≥ 20 mmHg; ≤ 50 mmHg and ↓ from BL ≥ 20 mmHg. Standing heart rate (StHR): ≥ 110 bpm and ↑ from BL ≥ 20 bpm; ≤ 50 bpm and ↓ from BL ≥ 20 bpm. Orthostatic systolic blood pressure (SBP): ↓ \> 20 mmHg from supine to standing. Orthostatic diastolic blood pressure (DBP): ↓ \> 15 mmHg from supine to standing. Orthostatic HR: ↓ \> 30 bpm from supine to standing.
Time frame: From first dose of study drug to End of Trial Visit (42 [± 3] days)
Number of Participants With Clinically Significant Post-Randomization Physical Examination Findings
Physical examinations included examination and assessment of the following: general appearance, lymph nodes, skin, cardiovascular system, head, eyes, ears, nose, and throat, central nervous system, respiratory system, neck, peripheral nervous system, abdomen/liver/spleen, musculoskeletal system.
Time frame: Post-randomization to End of Trial Visit (42 [± 3] days)
Number of Participants With Clinically Significant Postbaseline 12-Lead Electrocardiogram (ECG) Results
Time frame: From first dose of study drug to End of Trial Visit (42 [± 3] days)
Change From Study Baseline Over Time in Estimated Glomerular Filtration Rate (eGFR)
Time frame: Study Baseline, Day 15/Discharge, Day 42/End of Trial
| Milestone | Placebo | IW-1973 40 mg Twice Dily (BID)/Once Daily (QD) | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Started | 6 | 10 | 10 |
| Completed | 6 | 9 | 10 |
| Not completed | 0 | 1 | 0 |
| Withdrew: Adverse event | 0 | 1 | 0 |
| mmHg | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Study Baseline (Day 1 predose AM) | 130.2 ± 11.1 | 120.1 ± 8.9 | 128.6 ± 10.1 |
| Day 1 postdose AM: 1 hour | -6.8 ± 4.8 | -7.7 ± 3.9 | -6.2 ± 3.7 |
| Day 1 postdose AM: 4 hour | 4.4 ± 6.0 | -9.5 ± 4.9 | -11.1 ± 4.6 |
| Day 1 postdose AM: 8 hour | 0.5 ± 5.0 | -9.4 ± 4.0 | -2.7 ± 3.8 |
| Day 1 predose PM | 1.8 ± 6.3 | -6.9 ± 5.1 | -1.7 ± 4.8 |
| Day 1 postdose PM: 1 hour | -0.6 ± 5.6 | -3.9 ± 4.5 | -5.0 ± 4.3 |
| Day 2 predose AM | 5.5 ± 3.5 | -2.9 ± 2.8 | -0.2 ± 2.7 |
| Day 2 postdose AM: 1 hour | 2.0 ± 4.6 | -13.4 ± 3.7 | -7.4 ± 3.5 |
| Day 2 postdose AM: 4 hour | 1.7 ± 6.1 | -7.1 ± 4.9 | -9.4 ± 4.7 |
| Day 2 predose PM | 4.6 ± 4.5 | -7.1 ± 3.6 | -2.4 ± 3.4 |
| Day 2 postdose PM: 1 hour | -3.8 ± 5.3 | -2.2 ± 4.3 | -3.1 ± 4.1 |
| Day 2 postdose PM: 4 hour | -5.0 ± 4.2 | -9.7 ± 3.4 | -8.0 ± 3.3 |
| Day 3 predose AM | -0.8 ± 4.0 | -5.5 ± 3.2 | -6.5 ± 3.1 |
| Day 3 postdose PM: 4 hour | -5.8 ± 4.8 | -6.0 ± 3.9 | -8.6 ± 3.7 |
| Day 4 predose AM | -0.8 ± 3.3 | -7.0 ± 2.7 | -8.9 ± 2.6 |
| Day 5 predose AM | -0.2 ± 3.6 | -1.9 ± 2.9 | -10.3 ± 2.8 |
| Day 6 predose AM | -4.3 ± 4.1 | -11.0 ± 3.3 | -8.6 ± 3.2 |
| Day 7 predose AM | -4.3 ± 4.8 | -3.3 ± 3.8 | -8.1 ± 3.7 |
| Day 7 postdose AM: 1 hour | -5.3 ± 4.4 | -8.4 ± 3.5 | -11.7 ± 3.4 |
| Day 7 postdose AM: 4 hour | 1.3 ± 4.8 | -8.2 ± 3.9 | -15.9 ± 3.7 |
| Day 8 predose AM | 3.7 ± 4.6 | -8.0 ± 3.7 | -4.7 ± 3.6 |
| Day 8 postdose AM: 1 hour | -2.0 ± 5.3 | -15.4 ± 4.3 | -12.3 ± 4.1 |
| Day 8 postdose AM: 4 hour | -5.2 ± 6.1 | -15.2 ± 4.9 | -9.8 ± 4.7 |
| Day 8 predose PM | -4.5 ± 5.5 | -8.8 ± 4.4 | -5.8 ± 4.2 |
| Day 9 predose AM | 3.0 ± 3.7 | -9.7 ± 3.0 | -2.1 ± 2.9 |
| Day 10 predose AM | -1.3 ± 4.0 | -9.3 ± 3.2 | -5.1 ± 3.0 |
| Day 11 predose AM | 3.8 ± 5.4 | -12.3 ± 4.4 | -4.5 ± 4.2 |
| Day 12 predose AM | -6.5 ± 4.1 | -9.8 ± 3.3 | -12.0 ± 3.1 |
| Day 13 predose AM | -1.6 ± 3.7 | -13.5 ± 3.0 | -8.1 ± 2.8 |
| Day 13 postdose AM: 1 hour | -2.4 ± 4.0 | -16.6 ± 3.2 | -14.2 ± 3.1 |
| Day 13 postdose AM: 4 hour | -3.9 ± 6.3 | -15.6 ± 5.1 | -13.7 ± 4.8 |
| Day 13 predose PM | -1.9 ± 4.0 | -13.2 ± 3.2 | -11.8 ± 3.1 |
| Day 14 predose AM | -3.7 ± 5.9 | -9.5 ± 4.7 | -9.8 ± 4.5 |
| Day 15/Discharge | 2.1 ± 4.9 | -6.0 ± 4.0 | -3.0 ± 3.8 |
| Day 21/Follow-Up | -3.5 ± 4.3 | 1.3 ± 3.5 | 1.7 ± 3.3 |
| Day 42/End of Trial | 3.3 ± 6.2 | 8.8 ± 5.0 | -1.2 ± 4.8 |
| mmHg | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Study Baseline (Day 1 predose AM) | 80.3 ± 6.9 | 75.5 ± 4.4 | 74.8 ± 5.9 |
| Day 1 postdose AM: 1 hour | -3.1 ± 2.4 | -5.7 ± 1.8 | -5.1 ± 1.8 |
| Day 1 postdose AM: 4 hour | -0.3 ± 2.4 | -3.2 ± 1.8 | -7.4 ± 1.8 |
| Day 1 postdose AM: 8 hour | 0.9 ± 2.3 | -4.6 ± 1.7 | -3.7 ± 1.7 |
| Day 1 predose PM | -1.3 ± 2.2 | -4.9 ± 1.6 | -3.5 ± 1.6 |
| Day 1 postdose PM: 1 hour | -0.9 ± 3.4 | -5.9 ± 2.5 | -3.7 ± 2.5 |
| Day 2 predose AM | 3.1 ± 2.0 | -1.3 ± 1.5 | 0 ± 1.5 |
| Day 2 postdose AM: 1 hour | -1.4 ± 2.4 | -8.1 ± 1.8 | -6.7 ± 1.8 |
| Day 2 postdose AM: 4 hour | 2.2 ± 3.4 | -3.1 ± 2.5 | -6.2 ± 2.5 |
| Day 2 predose PM | 1.9 ± 2.3 | -3.7 ± 1.7 | -2.6 ± 1.7 |
| Day 2 postdose PM: 1 hour | -2.2 ± 2.6 | -2.7 ± 1.9 | -4.4 ± 1.9 |
| Day 2 postdose PM: 4 hour | -3.9 ± 2.7 | -6.3 ± 2.0 | -5.4 ± 2.0 |
| Day 3 predose AM | -0.8 ± 2.5 | -0.6 ± 1.8 | -0.5 ± 1.8 |
| Day 3 postdose PM: 4 hour | -5.5 ± 3.0 | -4.0 ± 2.2 | -6.7 ± 2.2 |
| Day 4 predose AM | 0.3 ± 2.2 | -4.0 ± 1.6 | -4.2 ± 1.6 |
| Day 5 predose AM | 1.8 ± 2.2 | -0.6 ± 1.6 | -5.3 ± 1.6 |
| Day 6 predose AM | -0.5 ± 1.9 | -3.3 ± 1.4 | -5.2 ± 1.4 |
| Day 7 predose AM | 0.9 ± 2.9 | -3.2 ± 2.1 | -3.4 ± 2.1 |
| Day 7 postdose AM: 1 hour | -1.7 ± 2.4 | -6.0 ± 1.8 | -7.4 ± 1.8 |
| Day 7 postdose AM: 4 hour | -6.1 ± 3.5 | -5.1 ± 2.6 | -5.9 ± 2.6 |
| Day 8 predose AM | 0.6 ± 2.7 | -3.9 ± 1.9 | -2.2 ± 2.0 |
| Day 8 postdose AM: 1 hour | 0 ± 2.4 | -9.3 ± 1.8 | -8.3 ± 1.8 |
| Day 8 postdose AM: 4 hour | -3.6 ± 2.8 | -8.9 ± 2.0 | -4.9 ± 2.1 |
| Day 8 predose PM | -3.3 ± 2.9 | -4.1 ± 2.1 | -3.0 ± 2.1 |
| Day 9 predose AM | 0.6 ± 2.1 | -4.3 ± 1.5 | -1.6 ± 1.5 |
| Day 10 predose AM | 0.1 ± 2.4 | -3.7 ± 1.7 | -5.0 ± 1.8 |
| Day 11 predose AM | 2.2 ± 2.5 | -6.4 ± 1.8 | -3.1 ± 1.9 |
| Day 12 predose AM | -1.1 ± 2.0 | -3.5 ± 1.5 | -5.6 ± 1.5 |
| Day 13 predose AM | 0.1 ± 2.2 | -4.8 ± 1.6 | -4.4 ± 1.6 |
| Day 13 postdose AM: 1 hour | -2.0 ± 2.1 | -11.0 ± 1.6 | -10.5 ± 1.6 |
| Day 13 postdose AM: 4 hour | -2.5 ± 2.9 | -8.6 ± 2.1 | -9.0 ± 2.2 |
| Day 13 predose PM | 0.1 ± 2.7 | -7.8 ± 2.0 | -7.0 ± 2.0 |
| Day 14 predose AM | -4.4 ± 3.1 | -6.1 ± 2.3 | -4.1 ± 2.3 |
| Day 15/Discharge | -0.9 ± 2.4 | -3.5 ± 1.8 | -1.6 ± 1.8 |
| Day 21/Follow-Up | 0.1 ± 1.8 | -0.7 ± 1.3 | 0.3 ± 1.3 |
| Day 42/End of Trial | 0.7 ± 3.3 | 2.8 ± 2.4 | 1.5 ± 2.4 |
| bpm | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Study Baseline (Day 1 predose AM) | 70.3 ± 13.7 | 70.3 ± 10.9 | 70.0 ± 10.3 |
| Day 1 postdose AM: 1 hour | 1.0 ± 4.1 | 7.2 ± 3.1 | 10.2 ± 3.1 |
| Day 1 postdose AM: 4 hour | 4.3 ± 3.4 | 4.3 ± 2.7 | 8.8 ± 2.7 |
| Day 1 postdose AM: 8 hour | 2.8 ± 2.8 | 2.6 ± 2.2 | 4.5 ± 2.2 |
| Day 1 predose PM | 0 ± 2.7 | 5.1 ± 2.1 | 5.3 ± 2.1 |
| Day 1 postdose PM: 1 hour | 2.3 ± 2.8 | 4.6 ± 2.2 | 3.7 ± 2.2 |
| Day 2 predose AM | -2.6 ± 2.3 | -1.7 ± 1.8 | -1.9 ± 1.8 |
| Day 2 postdose AM: 1 hour | 7.0 ± 4.1 | 9.5 ± 3.1 | 11.3 ± 3.1 |
| Day 2 postdose AM: 4 hour | 3.2 ± 3.0 | 6.5 ± 2.3 | 10.2 ± 2.3 |
| Day 2 predose PM | 7.9 ± 2.7 | 6.5 ± 2.1 | 6.6 ± 2.1 |
| Day 2 postdose PM: 1 hour | 7.2 ± 3.6 | 7.3 ± 2.8 | 7.0 ± 2.8 |
| Day 2 postdose PM: 4 hour | 1.9 ± 2.4 | 3.0 ± 1.8 | 4.8 ± 1.8 |
| Day 3 predose AM | 0.2 ± 2.3 | -1.2 ± 1.8 | -0.2 ± 1.8 |
| Day 3 postdose PM: 4 hour | 3.0 ± 2.9 | 0.7 ± 2.2 | 5.2 ± 2.2 |
| Day 4 predose AM | -4.1 ± 2.6 | 2.8 ± 2.0 | 0.9 ± 2.0 |
| Day 5 predose AM | -3.3 ± 2.3 | -0.4 ± 1.8 | -0.6 ± 1.8 |
| Day 6 predose AM | -0.8 ± 2.9 | 1.5 ± 2.3 | -1.5 ± 2.3 |
| Day 7 predose AM | -4.0 ± 2.5 | 1.1 ± 2.0 | 1.0 ± 2.0 |
| Day 7 postdose AM: 1 hour | 0.2 ± 4.2 | 9.5 ± 3.2 | 13.2 ± 3.2 |
| Day 7 postdose AM: 4 hour | -2.6 ± 2.6 | 4.4 ± 2.0 | 8.8 ± 2.0 |
| Day 8 predose AM | -2.8 ± 2.6 | -0.9 ± 2.0 | 1.3 ± 2.0 |
| Day 8 postdose AM: 1 hour | 2.7 ± 3.8 | 12.4 ± 2.9 | 12.3 ± 2.9 |
| Day 8 postdose AM: 4 hour | -0.6 ± 3.0 | 7.1 ± 2.3 | 7.7 ± 2.3 |
| Day 8 predose PM | 2.7 ± 3.2 | 6.0 ± 2.5 | 5.7 ± 2.5 |
| Day 9 predose AM | -1.8 ± 2.9 | -0.3 ± 2.3 | 0.5 ± 2.3 |
| Day 10 predose AM | -3.0 ± 3.2 | 1.3 ± 2.4 | 2.1 ± 2.4 |
| Day 11 predose AM | 2.2 ± 3.6 | 0.7 ± 2.8 | 1.4 ± 2.8 |
| Day 12 predose AM | -0.6 ± 4.0 | 2.3 ± 3.1 | 0.6 ± 3.1 |
| Day 13 predose AM | -0.2 ± 3.6 | 0.8 ± 2.8 | -0.1 ± 2.8 |
| Day 13 postdose AM: 1 hour | 0.3 ± 3.2 | 7.3 ± 2.5 | 10.2 ± 2.5 |
| Day 13 postdose AM: 4 hour | -0.8 ± 2.5 | 4.8 ± 2.0 | 6.4 ± 2.0 |
| Day 13 predose PM | 5.0 ± 3.0 | 4.5 ± 2.3 | 7.0 ± 2.3 |
| Day 14 predose AM | -3.1 ± 3.0 | 0.7 ± 2.3 | 0.1 ± 2.3 |
| Day 15/Discharge | 1.1 ± 2.9 | 0.7 ± 2.3 | 1.5 ± 2.3 |
| Day 21/Follow-Up | -1.3 ± 4.1 | -2.0 ± 3.2 | 5.4 ± 3.2 |
| Day 42/End of Trial | 0.4 ± 3.6 | 0.6 ± 2.8 | 1.2 ± 2.8 |
| percentage of participants | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Baseline | 33.3 | 80.0 | 60.0 |
| Day 1 | 100 | 100 | 100 |
| Day 2 | 66.7 | 100 | 100 |
| Day 3 | 66.7 | 100 | 90.0 |
| Day 4 | 50.0 | 100 | 90.0 |
| Day 5 | 50.0 | 70.0 | 90.0 |
| Day 6 | 66.7 | 90.0 | 90.0 |
| Day 7 | 50.0 | 90.0 | 90.0 |
| Day 8 | 83.3 | 90.0 | 100 |
| Day 9 | 33.3 | 100 | 70.0 |
| Day 10 | 33.3 | 100 | 70.0 |
| Day 11 | 50.0 | 100 | 70.0 |
| Day 12 | 50.0 | 90.0 | 80.0 |
| Day 13 | 66.7 | 100 | 100 |
| Day 14 | 50.0 | 90.0 | 80.0 |
| Day 15 / Discharge | 33.3 | 100 | 70.0 |
| Day 21 / Follow-Up | 50.0 | 80.0 | 50.0 |
| Day 42 / End of Trial | 33.3 | 40.0 | 60.0 |
An orthostatic measurement is obtained by subtracting the supine measurement from the standing measurement.
| mmHg | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Day -1, 1 hour AM | -0.8 ± 11.9 | 2.0 ± 12.1 | 5.6 ± 11.5 |
| Day -1, 4 hour AM | 0.3 ± 6.4 | 2.9 ± 9.9 | 2.3 ± 11.5 |
| Day -1, 0 hour PM | 3.0 ± 10.5 | 1.7 ± 12.4 | -0.1 ± 7.3 |
| Day -1, 1 hour PM | 3.8 ± 9.0 | 5.3 ± 13.8 | 3.1 ± 11.5 |
| Day 1, 0 hour AM | 1.3 ± 9.6 | 5.2 ± 11.8 | 3.7 ± 12.7 |
| Day 1, 1 hour AM | 9.7 ± 7.9 | 3.7 ± 15.8 | 2.5 ± 11.5 |
| Day 1, 4 hour AM | 3.0 ± 14.6 | 12.1 ± 11.3 | 5.8 ± 8.3 |
| Day 1, 8 hour AM | 5.3 ± 6.4 | 4.7 ± 12.4 | 5.1 ± 11.5 |
| Day 1, 0 hour PM | 10.2 ± 10.5 | 4.1 ± 17.0 | 0.2 ± 10.3 |
| Day 1, 1 hour PM | 5.7 ± 10.2 | 0.7 ± 18.0 | 4.1 ± 11.4 |
| Day 1, 4 hour PM | 4.3 ± 14.4 | 0.4 ± 14.8 | 6.4 ± 5.3 |
| Day 2, 0 hour AM | -2.7 ± 11.0 | 2.5 ± 13.5 | 1.1 ± 10.3 |
| Day 2, 1 hour AM | -4.7 ± 15.0 | 2.9 ± 8.5 | 2.2 ± 8.6 |
| Day 2, 4 hour AM | -1.7 ± 11.4 | 5.8 ± 6.8 | 4.6 ± 10.6 |
| Day 2, 0 Hour PM | -6.0 ± 14.9 | 6.6 ± 11.9 | 2.3 ± 10.4 |
| Day 2, 1 hour PM | 2.7 ± 14.4 | 5.0 ± 14.3 | 0.5 ± 14.0 |
| Day 2, 4 hour PM | 0.8 ± 6.8 | -0.7 ± 18.9 | 7.1 ± 13.1 |
| Day 7, 0 hour AM | 1.0 ± 7.6 | 2.5 ± 19.1 | 4.9 ± 10.7 |
| Day 7, 1 hour AM | -2.0 ± 6.8 | 6.3 ± 11.7 | -2.5 ± 8.0 |
| Day 7, 4 hour AM | -1.2 ± 10.8 | 4.7 ± 11.3 | 4.7 ± 14.1 |
| Day 8, 0 hour AM | -4.0 ± 13.7 | 6.5 ± 11.9 | -1.1 ± 5.7 |
| Day 8, 1 hour AM | -2.5 ± 8.5 | 5.9 ± 14.7 | 1.7 ± 12.6 |
| Day 8, 4 hour AM | 1.0 ± 12.3 | 2.9 ± 10.3 | -1.7 ± 16.0 |
| Day 8, 0 hour PM | 1.0 ± 8.4 | 5.0 ± 9.7 | 4.2 ± 8.8 |
| Day 13, 0 hour AM | -2.0 ± 5.2 | 6.2 ± 13.7 | 1.3 ± 7.4 |
| Day 13, 1 hour AM | -1.5 ± 12.8 | 8.3 ± 13.7 | 1.4 ± 12.1 |
| Day 13, 4 hour AM | 0.8 ± 7.4 | 4.1 ± 10.9 | 2.2 ± 11.7 |
| Day 13, 0 hour PM | 3.8 ± 9.1 | 4.8 ± 14.2 | 3.2 ± 10.3 |
An orthostatic measurement is obtained by subtracting the supine measurement from the standing measurement.
| mmHg | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Day -1, 1 hour AM | 1.8 ± 3.0 | 3.3 ± 6.8 | 6.3 ± 5.9 |
| Day -1, 4 hour AM | -0.5 ± 5.1 | 3.6 ± 8.2 | 5.5 ± 6.4 |
| Day -1, 0 hour PM | 8.2 ± 4.6 | 4.2 ± 5.6 | 3.4 ± 4.4 |
| Day -1, 1 hour PM | 5.7 ± 4.6 | 4.0 ± 6.8 | 4.5 ± 4.3 |
| Day 1, 0 hour AM | 3.3 ± 5.2 | 4.2 ± 4.4 | 5.4 ± 4.6 |
| Day 1, 1 hour AM | 5.3 ± 8.9 | 2.9 ± 5.1 | 3.4 ± 5.9 |
| Day 1, 4 hour AM | 4.2 ± 4.1 | 6.1 ± 5.8 | 7.0 ± 5.0 |
| Day 1, 8 hour AM | 5.3 ± 1.9 | 3.6 ± 4.5 | 4.9 ± 6.0 |
| Day 1, 0 hour PM | 10.0 ± 6.8 | 2.8 ± 6.3 | 5.1 ± 6.2 |
| Day 1, 1 hour PM | 3.0 ± 4.3 | 5.2 ± 9.2 | 5.1 ± 4.3 |
| Day 1, 4 hour PM | 6.8 ± 4.2 | 3.4 ± 7.3 | 7.7 ± 4.9 |
| Day 2, 0 hour AM | 2.7 ± 2.0 | 3.3 ± 5.2 | 3.3 ± 6.0 |
| Day 2, 1 hour AM | 3.0 ± 4.1 | 1.8 ± 5.8 | 5.2 ± 3.2 |
| Day 2, 4 hour AM | 0.5 ± 2.4 | 3.8 ± 3.5 | 5.7 ± 5.3 |
| Day 2, 0 Hour PM | -2.7 ± 10.2 | 3.2 ± 7.4 | 4.7 ± 5.2 |
| Day 2, 1 hour PM | 2.3 ± 5.6 | 0.9 ± 6.1 | 5.3 ± 5.1 |
| Day 2, 4 hour PM | 5.8 ± 4.3 | 1.3 ± 10.0 | 8.7 ± 7.5 |
| Day 7, 0 hour AM | 2.3 ± 3.4 | 2.9 ± 7.9 | 5.6 ± 6.2 |
| Day 7, 1 hour AM | 1.8 ± 2.9 | 3.7 ± 5.5 | 2.4 ± 3.5 |
| Day 7, 4 hour AM | 7.3 ± 9.0 | 4.8 ± 7.4 | 3.2 ± 6.5 |
| Day 8, 0 hour AM | 3.3 ± 6.1 | 6.2 ± 7.1 | 4.8 ± 5.5 |
| Day 8, 1 hour AM | -1.3 ± 8.9 | 2.2 ± 8.4 | 3.8 ± 6.7 |
| Day 8, 4 hour AM | 4.0 ± 2.6 | 1.9 ± 7.3 | 1.2 ± 7.3 |
| Day 8, 0 hour PM | 5.0 ± 2.6 | 3.8 ± 4.5 | 4.2 ± 4.0 |
| Day 13, 0 hour AM | 2.7 ± 5.1 | 4.0 ± 6.8 | 3.9 ± 4.1 |
| Day 13, 1 hour AM | 3.3 ± 4.3 | 5.8 ± 4.7 | 5.0 ± 7.1 |
| Day 13, 4 hour AM | 0.7 ± 4.5 | 3.7 ± 4.3 | 5.4 ± 7.7 |
| Day 13, 0 hour PM | 4.0 ± 3.2 | 5.1 ± 6.3 | 3.9 ± 3.8 |
An orthostatic measurement is obtained by subtracting the supine measurement from the standing measurement.
| bpm | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Day -1, 1 hour AM | 9.2 ± 6.4 | 9.2 ± 4.3 | 10.2 ± 8.8 |
| Day -1, 4 hour AM | 4.7 ± 9.8 | 10.9 ± 5.8 | 9.5 ± 8.3 |
| Day -1, 0 hour PM | 15.3 ± 15.0 | 10.1 ± 4.7 | 9.8 ± 4.9 |
| Day -1, 1 hour PM | 11.3 ± 3.9 | 11.0 ± 4.3 | 11.4 ± 6.0 |
| Day 1, 0 hour AM | 4.8 ± 10.4 | 8.8 ± 4.3 | 10.3 ± 7.7 |
| Day 1, 1 hour AM | 8.7 ± 6.6 | 9.7 ± 5.9 | 12.9 ± 6.9 |
| Day 1, 4 hour AM | 7.7 ± 7.4 | 11.0 ± 6.1 | 10.1 ± 8.4 |
| Day 1, 8 hour AM | 10.0 ± 4.7 | 9.9 ± 6.3 | 10.5 ± 4.6 |
| Day 1, 0 hour PM | 14.8 ± 9.9 | 9.1 ± 6.6 | 7.7 ± 4.1 |
| Day 1, 1 hour PM | 9.3 ± 6.2 | 10.8 ± 7.2 | 11.1 ± 6.6 |
| Day 1, 4 hour PM | 16.5 ± 12.7 | 14.5 ± 7.2 | 16.5 ± 10.0 |
| Day 2, 0 hour AM | 9.0 ± 3.0 | 10.4 ± 7.0 | 10.5 ± 4.7 |
| Day 2, 1 hour AM | 6.5 ± 6.0 | 11.2 ± 8.7 | 10.7 ± 5.8 |
| Day 2, 4 hour AM | 11.2 ± 9.2 | 8.4 ± 6.5 | 8.8 ± 6.2 |
| Day 2, 0 Hour PM | 6.0 ± 8.6 | 8.6 ± 5.8 | 9.0 ± 4.2 |
| Day 2, 1 hour PM | 10.0 ± 5.4 | 9.4 ± 6.8 | 7.9 ± 4.6 |
| Day 2, 4 hour PM | 10.8 ± 6.3 | 15.9 ± 8.6 | 13.6 ± 7.1 |
| Day 7, 0 hour AM | 10.8 ± 5.2 | 7.1 ± 8.5 | 9.7 ± 4.6 |
| Day 7, 1 hour AM | 11.5 ± 6.3 | 9.5 ± 6.6 | 10.1 ± 7.9 |
| Day 7, 4 hour AM | 10.8 ± 3.3 | 8.7 ± 2.6 | 9.6 ± 4.7 |
| Day 8, 0 hour AM | 10.3 ± 8.3 | 8.6 ± 8.6 | 9.5 ± 7.8 |
| Day 8, 1 hour AM | 5.3 ± 9.3 | 9.5 ± 8.7 | 10.5 ± 3.3 |
| Day 8, 4 hour AM | 10.7 ± 7.4 | 8.1 ± 7.8 | 7.3 ± 6.1 |
| Day 8, 0 hour PM | 9.3 ± 3.6 | 9.6 ± 5.6 | 8.9 ± 4.7 |
| Day 13, 0 hour AM | 7.8 ± 14.9 | 9.1 ± 8.6 | 10.9 ± 5.9 |
| Day 13, 1 hour AM | 11.0 ± 4.6 | 7.9 ± 6.0 | 11.2 ± 7.5 |
| Day 13, 4 hour AM | 14.5 ± 8.1 | 9.1 ± 6.0 | 11.5 ± 5.9 |
| Day 13, 0 hour PM | 9.3 ± 3.4 | 9.3 ± 4.6 | 11.2 ± 4.3 |
24-hour average is the average of ABPM assessments over 24 hour intervals from the time of dosing. Time-matched baseline is the 24 hours average during Day -1.
| mmHg | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD | IW-1973 40 mg Total Daily Dose (Overall) |
|---|---|---|---|---|
| Time Matched Baseline (Day -1) | 132.34 ± 8.22 | 126.40 ± 11.07 | 129.00 ± 6.48 | 127.70 ± 8.93 |
| Change at Day 1 | -0.60 ± 2.39 | -3.92 ± 1.84 | -3.15 ± 1.81 | -3.53 ± 1.29 |
| Change at Day 7 | -3.54 ± 2.68 | -6.77 ± 2.07 | -3.03 ± 2.04 | -4.90 ± 1.45 |
| Change at Day 14 | -4.87 ± 3.17 | -7.58 ± 2.59 | -6.74 ± 2.39 | -7.16 ± 1.75 |
Daytime 12-hour average is the average of ABPM assessments over daytime 12-hour intervals from the time of dosing. Time-matched baseline is the daytime 12 hours average during Day -1.
| mmHg | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Time Matched Baseline (Day -1) | 136.99 ± 8.42 | 130.64 ± 10.82 | 132.28 ± 7.07 |
| Change at Day 1 | -0.74 ± 2.81 | -7.80 ± 2.14 | -4.93 ± 2.12 |
| Change at Day 7 | -5.27 ± 2.89 | -9.09 ± 2.20 | -3.85 ± 2.17 |
| Change at Day 14 | -6.37 ± 3.62 | -12.81 ± 2.92 | -7.40 ± 2.71 |
Nighttime 12-hour average is the average of ABPM assessments over nighttime 12-hour intervals from the time of dosing. Time-matched baseline is the nighttime 12 hours average during Day -1.
| mmHg | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Time Matched Baseline (Day -1) | 126.76 ± 9.36 | 121.77 ± 12.26 | 125.26 ± 7.24 |
| Change at Day 1 | 0.11 ± 2.55 | -0.11 ± 1.98 | -1.50 ± 1.96 |
| Change at Day 7 | -1.42 ± 2.93 | -4.54 ± 2.28 | -2.25 ± 2.25 |
| Change at Day 14 | -3.25 ± 3.17 | -2.38 ± 2.63 | -6.23 ± 2.44 |
Postdose is the average of assessments over 4-hour intervals from the time of dosing that day. Time-matched baseline is the corresponding 4-hour average on Day -1.
| mmHg | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Time-matched baseline (Day -1): 0-4 hours | 134.45 ± 8.01 | 128.18 ± 9.90 | 128.38 ± 7.33 |
| Time-matched baseline (Day -1): 4-8 hours | 136.10 ± 9.69 | 130.04 ± 13.15 | 132.53 ± 6.83 |
| Time-matched baseline (Day -1): 8-12 hours | 140.46 ± 9.12 | 133.67 ± 11.90 | 135.93 ± 8.51 |
| Time-matched baseline (Day -1): 12-16 hours | 130.31 ± 9.75 | 124.00 ± 11.93 | 128.44 ± 11.32 |
| Time-matched baseline (Day -1): 16-20 hours | 120.34 ± 8.79 | 119.75 ± 14.51 | 120.41 ± 11.00 |
| Time-matched baseline (Day -1): 20-24 hours | 132.10 ± 11.62 | 122.77 ± 9.60 | 128.13 ± 7.19 |
| Day 1, 0-4 hours | -1.61 ± 3.02 | -7.15 ± 2.27 | -4.08 ± 2.27 |
| Day 1, 4-8 hours | -0.62 ± 3.51 | -8.67 ± 2.70 | -8.89 ± 2.67 |
| Day 1, 8-12 hours | 1.21 ± 3.80 | -8.14 ± 2.91 | -1.84 ± 2.88 |
| Day 1, 12-16 hours | -4.83 ± 3.04 | -1.46 ± 2.37 | -2.00 ± 2.34 |
| Day 1, 16-20 hours | 3.77 ± 4.12 | -0.66 ± 3.19 | -1.08 ± 3.19 |
| Day 1, 20-24 hours | 2.08 ± 3.04 | 1.27 ± 2.37 | -0.55 ± 2.27 |
| Day 7, 0-4 hours | -5.14 ± 3.14 | -10.68 ± 2.35 | -5.15 ± 2.35 |
| Day 7, 4-8 hours | -6.24 ± 3.44 | -9.13 ± 2.65 | -4.07 ± 2.62 |
| Day 7, 8-12 hours | -3.70 ± 3.65 | -7.93 ± 2.80 | -2.33 ± 2.76 |
| Day 7, 12-16 hours | -4.46 ± 3.66 | -5.03 ± 2.86 | -1.97 ± 2.82 |
| Day 7, 16-20 hours | 2.75 ± 3.98 | -5.14 ± 3.08 | -3.74 ± 3.08 |
| Day 7, 20-24 hours | -1.10 ± 3.74 | -4.94 ± 2.91 | -0.33 ± 2.80 |
| Day 14, 0-4 hours | -6.67 ± 3.92 | -13.80 ± 3.10 | -5.01 ± 2.90 |
| Day 14, 4-8 hours | -7.36 ± 3.62 | -13.67 ± 2.95 | -8.53 ± 2.75 |
| Day 14, 8-12 hours | -4.42 ± 4.41 | -11.43 ± 3.58 | -8.53 ± 3.31 |
| Day 14, 12-16 hours | -5.28 ± 4.14 | -3.52 ± 3.43 | -8.75 ± 3.18 |
| Day 14, 16-20 hours | -1.06 ± 3.53 | -2.79 ± 2.89 | -6.61 ± 2.74 |
| Day 14, 20-24 hours | -2.98 ± 3.82 | -1.00 ± 3.17 | -1.91 ± 2.84 |
24-hour average is the average of ABPM assessments over 24 hour intervals from the time of dosing. Time-matched baseline is the 24 hours average during Day -1.
| mmHg | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD | IW-1973 40 mg Total Daily Dose (Overall) |
|---|---|---|---|---|
| Time Matched Baseline (Day -1) | 96.44 ± 8.38 | 90.27 ± 6.89 | 91.14 ± 5.54 | 90.71 ± 6.10 |
| Change at Day 1 | -0.68 ± 1.61 | -2.80 ± 1.20 | -3.07 ± 1.19 | -2.94 ± 0.85 |
| Change at Day 7 | -1.84 ± 1.83 | -5.24 ± 1.37 | -3.46 ± 1.35 | -4.35 ± 0.97 |
| Change at Day 14 | -1.55 ± 2.28 | -6.50 ± 1.79 | -6.05 ± 1.65 | -6.28 ± 1.23 |
Daytime 12-hour average is the average of ABPM assessments over daytime 12-hour intervals from the time of dosing. Time-matched baseline is the daytime 12 hours average during Day -1.
| mmHg | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Time Matched Baseline (Day -1) | 100.09 ± 7.14 | 93.31 ± 7.36 | 94.00 ± 5.54 |
| Change at Day 1 | -0.20 ± 2.24 | -5.07 ± 1.65 | -5.22 ± 1.63 |
| Change at Day 7 | -2.60 ± 2.01 | -6.82 ± 1.48 | -4.75 ± 1.46 |
| Change at Day 14 | -1.97 ± 2.50 | -10.71 ± 1.94 | -7.31 ± 1.79 |
Nighttime 12-hour average is the average of ABPM assessments over nighttime 12-hour intervals from the time of dosing. Time-matched baseline is the nighttime 12 hours average during Day -1.
| mmHg | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Time Matched Baseline (Day -1) | 91.93 ± 10.03 | 86.85 ± 7.57 | 87.77 ± 6.37 |
| Change at Day 1 | -0.39 ± 1.67 | -0.84 ± 1.27 | -1.10 ± 1.26 |
| Change at Day 7 | -0.47 ± 2.07 | -3.79 ± 1.57 | -2.20 ± 1.56 |
| Change at Day 14 | -0.54 ± 2.46 | -2.42 ± 1.97 | -4.83 ± 1.84 |
Postdose is the average of assessments over 4-hour intervals from the time of dosing that day. Time-matched baseline is the corresponding 4-hour average on Day -1.
| mmHg | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Time-matched baseline (Day -1): 0-4 hours | 98.10 ± 5.10 | 91.52 ± 7.00 | 91.16 ± 4.64 |
| Time-matched baseline (Day -1): 4-8 hours | 98.92 ± 8.64 | 92.27 ± 7.73 | 93.98 ± 4.94 |
| Time-matched baseline (Day -1): 8-12 hours | 103.25 ± 8.66 | 96.20 ± 9.50 | 96.76 ± 8.22 |
| Time-matched baseline (Day -1): 12-16 hours | 93.31 ± 9.82 | 87.07 ± 6.75 | 90.02 ± 8.80 |
| Time-matched baseline (Day -1): 16-20 hours | 87.48 ± 10.42 | 85.54 ± 9.68 | 83.70 ± 9.24 |
| Time-matched baseline (Day -1): 20-24 hours | 97.62 ± 11.48 | 89.30 ± 6.40 | 90.96 ± 6.46 |
| Day 1, 0-4 hours | -0.40 ± 2.61 | -4.84 ± 1.86 | -5.57 ± 1.88 |
| Day 1, 4-8 hours | 0.24 ± 2.86 | -4.98 ± 2.15 | -7.97 ± 2.11 |
| Day 1, 8-12 hours | 0.84 ± 2.87 | -5.87 ± 2.15 | -2.30 ± 2.14 |
| Day 1, 12-16 hours | -2.21 ± 1.90 | -1.84 ± 1.47 | -2.23 ± 1.44 |
| Day 1, 16-20 hours | 1.47 ± 2.96 | -0.86 ± 2.28 | -0.97 ± 2.29 |
| Day 1, 20-24 hours | 0.99 ± 2.20 | 0.25 ± 1.63 | -0.13 ± 1.60 |
| Day 7, 0-4 hours | -2.77 ± 2.13 | -7.90 ± 1.52 | -6.41 ± 1.53 |
| Day 7, 4-8 hours | -2.54 ± 2.73 | -6.46 ± 2.06 | -4.99 ± 2.02 |
| Day 7, 8-12 hours | -1.71 ± 2.33 | -6.47 ± 1.74 | -2.96 ± 1.73 |
| Day 7, 12-16 hours | -2.35 ± 2.42 | -4.46 ± 1.86 | -2.30 ± 1.83 |
| Day 7, 16-20 hours | 2.93 ± 2.89 | -3.73 ± 2.23 | -3.45 ± 2.24 |
| Day 7, 20-24 hours | -1.18 ± 2.62 | -3.47 ± 1.94 | -1.35 ± 1.91 |
| Day 14, 0-4 hours | -2.65 ± 2.67 | -10.39 ± 1.99 | -6.51 ± 1.86 |
| Day 14, 4-8 hours | -2.26 ± 2.38 | -11.78 ± 1.89 | -7.91 ± 1.74 |
| Day 14, 8-12 hours | -1.27 ± 3.35 | -9.89 ± 2.65 | -7.32 ± 2.46 |
| Day 14, 12-16 hours | -1.55 ± 3.31 | -2.91 ± 2.71 | -6.50 ± 2.49 |
| Day 14, 16-20 hours | 0.05 ± 2.75 | -3.38 ± 2.23 | -5.33 ± 2.12 |
| Day 14, 20-24 hours | -0.49 ± 2.70 | -0.57 ± 2.12 | -2.38 ± 1.95 |
24-hour average is the average of ABPM assessments over 24 hour intervals from the time of dosing. Time-matched baseline is the 24 hours average during Day -1.
| mmHg | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD | IW-1973 40 mg Total Daily Dose (Overall) |
|---|---|---|---|---|
| Time Matched Baseline (Day -1) | 77.37 ± 9.26 | 71.57 ± 8.58 | 71.50 ± 6.33 | 71.53 ± 7.34 |
| Change at Day 1 | -1.73 ± 1.29 | -2.53 ± 0.96 | -2.82 ± 0.96 | -2.67 ± 0.69 |
| Change at Day 7 | -1.60 ± 1.49 | -4.27 ± 1.12 | -3.44 ± 1.12 | -3.86 ± 0.80 |
| Change at Day 14 | -1.36 ± 2.04 | -5.33 ± 1.61 | -5.53 ± 1.51 | -5.43 ± 1.11 |
Daytime 12-hour average is the average of ABPM assessments over daytime 12-hour intervals from the time of dosing. Time-matched baseline is the daytime 12 hours average during Day -1.
| mmHg | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Time Matched Baseline (Day -1) | 80.71 ± 8.65 | 74.31 ± 9.19 | 74.20 ± 6.45 |
| Change at Day 1 | -0.88 ± 1.76 | -4.28 ± 1.31 | -4.47 ± 1.31 |
| Change at Day 7 | -2.36 ± 1.61 | -5.66 ± 1.20 | -4.36 ± 1.20 |
| Change at Day 14 | -1.59 ± 2.03 | -8.88 ± 1.59 | -6.69 ± 1.50 |
Nighttime 12-hour average is the average of ABPM assessments over nighttime 12-hour intervals from the time of dosing. Time-matched baseline is the nighttime 12 hours average during Day -1.
| mmHg | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Time Matched Baseline (Day -1) | 73.42 ± 10.04 | 68.44 ± 8.60 | 68.36 ± 6.80 |
| Change at Day 1 | -2.02 ± 1.51 | -1.03 ± 1.14 | -1.46 ± 1.14 |
| Change at Day 7 | -0.42 ± 1.94 | -2.96 ± 1.47 | -2.68 ± 1.47 |
| Change at Day 14 | -0.81 ± 2.41 | -1.84 ± 1.92 | -4.48 ± 1.81 |
Postdose is the average of assessments over 4-hour intervals from the time of dosing that day. Time-matched baseline is the corresponding 4-hour average on Day -1.
| mmHg | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Time Matched Baseline (Day -1): 0-4 hours | 78.96 ± 8.70 | 72.48 ± 8.58 | 71.58 ± 5.46 |
| Time Matched Baseline (Day -1): 4-8 hours | 79.85 ± 9.34 | 73.96 ± 8.85 | 73.79 ± 6.71 |
| Time Matched Baseline (Day -1): 8-12 hours | 83.31 ± 8.49 | 76.47 ± 11.76 | 77.13 ± 8.49 |
| Time Matched Baseline (Day -1): 12-16 hours | 74.27 ± 10.88 | 68.10 ± 7.92 | 70.29 ± 8.87 |
| Time Matched Baseline (Day -1): 16-20 hours | 70.07 ± 9.16 | 67.89 ± 10.04 | 64.87 ± 8.26 |
| Time Matched Baseline (Day -1): 20-24 hours | 77.61 ± 10.95 | 70.57 ± 8.35 | 71.04 ± 7.34 |
| Day 1, 0-4 hours | -0.57 ± 1.98 | -3.15 ± 1.45 | -4.63 ± 1.47 |
| Day 1, 4-8 hours | -1.02 ± 2.15 | -4.88 ± 1.61 | -5.75 ± 1.61 |
| Day 1, 8-12 hours | -0.08 ± 2.64 | -5.18 ± 1.99 | -3.04 ± 1.99 |
| Day 1, 12-16 hours | -2.99 ± 2.10 | -2.12 ± 1.61 | -2.44 ± 1.59 |
| Day 1, 16-20 hours | -1.41 ± 2.56 | -1.97 ± 1.96 | -1.87 ± 1.99 |
| Day 1, 20-24 hours | -0.13 ± 1.89 | 1.59 ± 1.41 | 0.12 ± 1.40 |
| Day 7, 0-4 hours | -1.88 ± 1.56 | -6.31 ± 1.14 | -6.05 ± 1.15 |
| Day 7, 4-8 hours | -2.55 ± 2.45 | -5.94 ± 1.83 | -3.61 ± 1.84 |
| Day 7, 8-12 hours | -2.16 ± 2.01 | -4.98 ± 1.52 | -3.52 ± 1.51 |
| Day 7, 12-16 hours | -2.18 ± 2.32 | -3.37 ± 1.78 | -3.45 ± 1.75 |
| Day 7, 16-20 hours | 2.29 ± 2.62 | -3.57 ± 2.01 | -3.91 ± 2.03 |
| Day 7, 20-24 hours | -0.13 ± 2.37 | -1.74 ± 1.77 | -0.76 ± 1.76 |
| Day 14, 0-4 hours | -2.02 ± 2.16 | -8.92 ± 1.66 | -6.06 ± 1.57 |
| Day 14, 4-8 hours | -1.52 ± 1.98 | -9.77 ± 1.56 | -7.07 ± 1.47 |
| Day 14, 8-12 hours | -0.98 ± 2.99 | -8.06 ± 2.39 | -6.83 ± 2.24 |
| Day 14, 12-16 hours | -0.91 ± 3.19 | -2.32 ± 2.59 | -6.07 ± 2.40 |
| Day 14, 16-20 hours | -0.94 ± 2.91 | -3.30 ± 2.34 | -5.44 ± 2.24 |
| Day 14, 20-24 hours | 0.50 ± 2.64 | 0.06 ± 2.08 | -1.48 ± 1.95 |
24-hour average is the average of ABPM assessments over 24 hour intervals from the time of dosing. Time-matched baseline is the 24 hours average during Day -1.
| bpm | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD | IW-1973 40 mg Total Daily Dose (Overall) |
|---|---|---|---|---|
| Time Matched Baseline (Day -1) | 75.08 ± 14.09 | 72.81 ± 10.79 | 75.40 ± 10.84 | 74.10 ± 10.61 |
| Change at Day 1 | -0.90 ± 1.25 | 2.29 ± 0.97 | 2.64 ± 0.97 | 2.47 ± 0.69 |
| Change at Day 7 | -1.92 ± 1.38 | 2.67 ± 1.08 | 2.57 ± 1.07 | 2.62 ± 0.76 |
| Change at Day 14 | -0.45 ± 1.50 | 2.12 ± 1.23 | 2.71 ± 1.16 | 2.42 ± 0.84 |
Daytime 12-hour average is the average of ABPM assessments over daytime 12-hour intervals from the time of dosing. Time-matched baseline is the daytime 12 hours average during Day -1.
| bpm | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Time Matched Baseline (Day -1) | 76.81 ± 15.00 | 75.98 ± 12.84 | 78.18 ± 11.47 |
| Change at Day 1 | 0.14 ± 1.84 | 2.30 ± 1.42 | 4.23 ± 1.43 |
| Change at Day 7 | -1.80 ± 1.51 | 2.75 ± 1.17 | 2.22 ± 1.17 |
| Change at Day 14 | -0.46 ± 1.59 | 2.66 ± 1.30 | 3.28 ± 1.23 |
Nighttime 12-hour average is the average of ABPM assessments over nighttime 12-hour intervals from the time of dosing. Time-matched baseline is the nighttime 12 hours average during Day -1.
| bpm | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Time Matched Baseline (Day -1) | 73.43 ± 13.39 | 69.62 ± 8.91 | 72.54 ± 10.46 |
| Change at Day 1 | -2.01 ± 1.21 | 2.29 ± 0.94 | 0.93 ± 0.94 |
| Change at Day 7 | -2.24 ± 1.63 | 2.57 ± 1.27 | 2.86 ± 1.26 |
| Change at Day 14 | -0.40 ± 1.79 | 1.48 ± 1.46 | 2.15 ± 1.38 |
Postdose is the average of assessments over 4-hour intervals from the time of dosing that day. Time-matched baseline is the corresponding 4-hour average on Day -1.
| bpm | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Time Matched Baseline (Day -1): 0-4 hours | 73.52 ± 14.02 | 73.89 ± 12.23 | 76.46 ± 9.48 |
| Time Matched Baseline (Day -1): 4-8 hours | 77.65 ± 15.57 | 76.88 ± 15.09 | 79.91 ± 14.33 |
| Time Matched Baseline (Day -1): 8-12 hours | 79.00 ± 15.50 | 77.34 ± 11.42 | 78.21 ± 11.67 |
| Time Matched Baseline (Day -1): 12-16 hours | 78.60 ± 15.22 | 72.93 ± 9.38 | 75.36 ± 11.89 |
| Time Matched Baseline (Day -1): 16-20 hours | 72.08 ± 13.37 | 67.79 ± 8.80 | 70.51 ± 10.23 |
| Time Matched Baseline (Day -1): 20-24 hours | 68.05 ± 11.26 | 67.97 ± 8.75 | 71.45 ± 10.35 |
| Day 1, 0-4 hours | 0.87 ± 2.07 | 7.68 ± 1.60 | 7.42 ± 1.60 |
| Day 1, 4-8 hours | 1.18 ± 2.76 | 0.23 ± 2.14 | 3.02 ± 2.14 |
| Day 1, 8-12 hours | -0.96 ± 2.14 | -1.33 ± 1.65 | 2.15 ± 1.65 |
| Day 1, 12-16 hours | -4.33 ± 1.68 | 2.13 ± 1.30 | 1.24 ± 1.29 |
| Day 1, 16-20 hours | -1.67 ± 1.24 | 1.95 ± 0.97 | 0.73 ± 0.96 |
| Day 1, 20-24 hours | 0.76 ± 1.77 | 2.50 ± 1.37 | 1.09 ± 1.38 |
| Day 7, 0-4 hours | -0.09 ± 2.11 | 4.27 ± 1.63 | 5.32 ± 1.64 |
| Day 7, 4-8 hours | -2.94 ± 1.72 | 1.95 ± 1.34 | 1.36 ± 1.34 |
| Day 7, 8-12 hours | -2.25 ± 1.78 | 1.79 ± 1.38 | 0.01 ± 1.38 |
| Day 7, 12-16 hours | -4.05 ± 1.89 | 2.85 ± 1.46 | 2.10 ± 1.45 |
| Day 7, 16-20 hours | -2.56 ± 1.87 | 2.44 ± 1.45 | 2.78 ± 1.44 |
| Day 7, 20-24 hours | 0.23 ± 1.85 | 1.91 ± 1.44 | 4.26 ± 1.44 |
| Day 14, 0-4 hours | 0.77 ± 1.95 | 4.82 ± 1.59 | 4.53 ± 1.51 |
| Day 14, 4-8 hours | -2.85 ± 2.56 | 2.33 ± 2.09 | 2.76 ± 1.99 |
| Day 14, 8-12 hours | 0.89 ± 1.91 | 0.68 ± 1.56 | 2.50 ± 1.48 |
| Day 14, 12-16 hours | -3.74 ± 2.33 | 1.35 ± 1.89 | 1.56 ± 1.79 |
| Day 14, 16-20 hours | -0.88 ± 1.98 | 0.43 ± 1.61 | 2.06 ± 1.53 |
| Day 14, 20-24 hours | 4.14 ± 2.31 | 2.80 ± 1.88 | 3.00 ± 1.80 |
RHI is a measure of the extent of vessel dilatation and augmentation in vascular blood flow after a prespecified period of flow interruption. RHI is determined as the ratio of the post-to-pre- occlusion peripheral arterial tonometry amplitude of the tested (occluded) arm, divided by the post to-pre-occlusion ratio of the control arm. RHI values \>1.67 indicate normal endothelial function, while values ≤1.67 indicate endothelial dysfunction.
| ratio | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD | IW-1973 40 mg Total Daily Dose (Overall) |
|---|---|---|---|---|
| Baseline | 2.327 ± 1.118 | 1.918 ± 0.587 | 1.683 ± 0.379 | 1.807 ± 0.501 |
| Day 13 predose AM | 0.282 ± 0.219 | -0.006 ± 0.163 | 0.177 ± 0.176 | 0.086 ± 0.120 |
Platelet reactivity, as measured by VerifyNow PRU assay, and presented as number of participants with \< 180 PRU or ≥ 180 PRU post-baseline (Days 8 and 14), by baseline category. The VerifyNow PRU assay measures effects on platelet activation caused by inhibition of the platelet receptor, P2Y12. This receptor is activated by adenosine 5'-diphosphate (ADP) in the cascade leading to platelet aggregation but can be blocked by P2Y12 inhibitor drugs, such as clopidogrel. Blockage of this receptor diminishes platelet activation and the ability of platelets to bind to fibrinogen. VerifyNow PRU assay values \< 180 units indicate impairment of platelet aggregation.
| Participants | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Baseline: <180 PRU | 0 | 0 | 0 |
| Baseline: ≥180 PRU | 5 | 10 | 10 |
| PRU Day 8: ≥180 BL, <180 PBL | 0 | 0 | 0 |
| PRU Day 8: ≥180 BL, ≥180 PBL | 5 | 10 | 10 |
| PRU Day 14: ≥180 BL, <180 PBL | 0 | 0 | 0 |
| PRU Day 14: ≥180 BL, ≥180 PBL | 5 | 10 | 10 |
Platelet reactivity, as measured by VerifyNow ARU assay, and presented as number of participants with ≤ 549 ARU or \> 549 ARU post-baseline (Days 8 and 14), by baseline category. Aspirin irreversibly inhibits cyclooxygenase 1, which converts arachidonic acid to thromboxane A2, which in turn is involved in the activation of the glycoprotein (GP)IIb/IIIa receptor necessary to initiate platelet aggregation. Impairment of platelet aggregation of the aspirin type is defined for the VerifyNow aspirin assay as values ≤ 549 ARU.
| Participants | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Baseline: ≤ 549 ARU | 2 | 5 | 6 |
| Baseline: > 549 ARU | 3 | 5 | 4 |
| Day 8: ≤ 549 BL, ≤ 549 PBL | 2 | 5 | 6 |
| Day 8: ≤ 549 BL, > 549 PBL | 0 | 0 | 0 |
| Day 8: > 549 BL, ≤ 549 PBL | 1 | 2 | 0 |
| Day 8: > 549 BL, > 549 PBL | 2 | 3 | 4 |
| Day 14: ≤ 549 BL, ≤ 549 PBL | 2 | 2 | 6 |
| Day 14: ≤ 549 BL, > 549 PBL | 0 | 3 | 0 |
| Day 14: > 549 BL, ≤ 549 PBL | 0 | 0 | 1 |
| Day 14: > 549 BL, > 549 PBL | 3 | 5 | 3 |
The VerifyNow PRU assay measures effects on platelet activation caused by inhibition of the platelet receptor, P2Y12. This receptor is activated by adenosine 5'-diphosphate (ADP) in the cascade leading to platelet aggregation but can be blocked by P2Y12 inhibitor drugs, such as clopidogrel. Blockage of this receptor diminishes platelet activation and the ability of platelets to bind to fibrinogen. VerifyNow PRU assay values \<180 PRU indicate impairment of platelet aggregation.
| PRU | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Study Baseline (Day 1 predose) | 304.0 ± 48.8 | 283.6 ± 43.1 | 294.4 ± 36.9 |
| Change at Day 8 | -9.4 ± 47.8 | 8.2 ± 31.4 | -0.7 ± 36.4 |
| Change at Day 14 | -4.4 ± 38.1 | 24.4 ± 38.2 | 8.5 ± 24.5 |
Aspirin irreversibly inhibits cyclooxygenase 1, which converts arachidonic acid to thromboxane A2, which in turn is involved in the activation of the GPIIb IIIa receptor necessary to initiate platelet aggregation. Impairment of platelet aggregation of the aspirin type is defined for the VerifyNow aspirin assay as values ≤ 549 ARU.
| ARU | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Study Baseline (Day 1 predose) | 571.4 ± 82.5 | 557.4 ± 76.3 | 524.6 ± 89.5 |
| Change at Day 8 | -8.0 ± 58.5 | -16.2 ± 50.9 | 18.7 ± 29.4 |
| Change at Day 14 | 10.2 ± 19.8 | 30.2 ± 34.9 | -11.7 ± 34.9 |
Blood samples were taken for fasting glucose and insulin levels. From these results, insulin resistance was then estimated using the updated homeostasis model assessment method for insulin resistance (HOMA-IR) computer algorithm. A higher HOMA-IR indicates a higher degree of insulin resistance. Typically a cutoff of HOMA-IR for identifying those with insulin resistance is 2.5.
| percent change | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD | IW-1973 40 mg Total Daily Dose (Overall) |
|---|---|---|---|---|
| Study Baseline (Day 1 predose) | 7.350 ± 5.236 | 6.646 ± 3.403 | 7.187 ± 5.684 | 6.962 ± 4.681 |
| Day 8 | -4.284 ± 20.823 | -27.473 ± 18.639 | -18.318 ± 15.735 | -22.895 ± 12.191 |
| Day 15 | -12.839 ± 12.565 | -38.228 ± 11.263 | -34.015 ± 10.270 | -36.121 ± 7.609 |
Equivalent to AUC from time 0 to the last measurable concentration (AUClast), with time of last measurable concentration (Tlast)=12 hours for BID dosing and Tlast=24 hours for QD dosing.
| h*ng/mL | IW-1973 40 mg BID/QD: 20 mg AM | IW-1973 40 mg BID/QD: 20 mg PM | IW-1973 40 mg QD/QD: 40 mg AM |
|---|---|---|---|
| Day 1 | 362 ± 88 | 339 ± 134 | 1190 ± 499 |
| Day 7 | 795 ± 186 | — | 2200 ± 591 |
| ng/mL | IW-1973 40 mg BID/QD: 20 mg AM | IW-1973 40 mg BID/QD: 20 mg PM | IW-1973 40 mg QD/QD: 40 mg AM |
|---|---|---|---|
| Day 1 | 73.8 ± 18.9 | 47.8 ± 22.2 | 181 ± 107 |
| Day 7 | 117 ± 32.6 | — | 242 ± 80.0 |
| hours | IW-1973 40 mg BID/QD: 20 mg AM | IW-1973 40 mg BID/QD: 20 mg PM | IW-1973 40 mg QD/QD: 40 mg AM |
|---|---|---|---|
| Day 1 | 1.0 (1.0 to 3.0) | 3.0 (3.0 to 11.9) | 2.0 (1.0 to 6.0) |
| Day 7 | 1.0 (1.0 to 3.0) | — | 1.0 (1.0 to 6.0) |
| ng/mL | IW-1973 40 mg BID/QD: 20 mg AM | IW-1973 40 mg BID/QD: 20 mg PM | IW-1973 40 mg QD/QD: 40 mg AM |
|---|---|---|---|
| Day 1 | 11.6 ± 4.29 | 19.6 ± 5.04 | 15.6 ± 5.24 |
| Day 2 | 21.0 ± 5.97 | — | — |
| Day 6 | — | 48.4 ± 10.1 | 53.7 ± 14.5 |
| Day 7 | 45.6 ± 14.5 | 52.4 ± 12.8 | 57.2 ± 14.9 |
| h*mg/mL | IW-1973 40 mg BID/QD: 40 mg AM | IW-1973 40 mg QD/QD: 40 mg AM |
|---|---|---|
| Day 8 | 1210 ± 264 | 1540 ± 482 |
| Day 14 | 17100 ± 6980 | 23600 ± 8950 |
| ng/mL | IW-1973 40 mg BID/QD: 40 mg AM | IW-1973 40 mg QD/QD: 40 mg AM |
|---|---|---|
| IW-1973 Pharmacokinetics: AUCtau on Day 14 | 2080 ± 442 | 2910 ± 770 |
| hours | IW-1973 40 mg BID/QD: 40 mg AM | IW-1973 40 mg QD/QD: 40 mg AM |
|---|---|---|
| Day 8 | 1.0 (1.0 to 3.0) | 1.0 (1.0 to 6.2) |
| Day 14 | 1.0 (1.0 to 3.0) | 3.0 (1.0 to 6.0) |
| ng/mL | IW-1973 40 mg BID/QD: 40 mg AM | IW-1973 40 mg QD/QD: 40 mg AM |
|---|---|---|
| Day 8 | 198 ± 56.8 | 229 ± 90.6 |
| Day 14 | 181 ± 46.8 | 250 ± 139 |
| ng/mL | IW-1973 40 mg BID/QD: 40 mg AM | IW-1973 40 mg QD/QD: 40 mg AM |
|---|---|---|
| Day 13 | 56.8 ± 19.5 | 82.4 ± 22.7 |
| Day 14 | 65.7 ± 23.0 | 90.7 ± 26.2 |
| L/h | IW-1973 40 mg BID/QD: 40 mg AM | IW-1973 40 mg QD/QD: 40 mg AM |
|---|---|---|
| IW-1973 Pharmacokinetics: Apparent Total Body Clearance (CL/F) on Day 14 | 20.0 ± 4.34 | 14.7 ± 3.89 |
| L | IW-1973 40 mg BID/QD: 40 mg AM | IW-1973 40 mg QD/QD: 40 mg AM |
|---|---|---|
| IW-1973 Pharmacokinetics: Apparent Volume of Distribution During the Terminal Phase (Vz/F) on Day 14 | 5570 ± 1530 | 3880 ± 1370 |
| hours | IW-1973 40 mg BID/QD: 40 mg AM | IW-1973 40 mg QD/QD: 40 mg AM |
|---|---|---|
| IW-1973 Pharmacokinetics: Apparent Terminal Elimination Phase Half-Life (t1/2) | 197 ± 57.4 | 183 ± 43.4 |
An adverse event (AE) is any untoward medical occurrence, which does not necessarily have to have a causal relationship with study treatment. An SAE is defined as any AE occurring at any dose that results in any of the following outcomes: death; life-threatening; hospitalization or prolongation of existing hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect; important medical events. TEAEs are defined as those AEs that started or worsened in severity after the initiation of study drug administration. AEs of clinical interest (AECI) included those related to bleeding and to hypotension. Study drug causality as assessed by the Investigator who was blinded to study drug assignment.
| participants | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| TEAE | 5 | 6 | 8 |
| SAE | 0 | 1 | 0 |
| Severe TEAE | 0 | 1 | 0 |
| Moderate TEAE | 0 | 0 | 0 |
| Mild TEAE | 5 | 6 | 8 |
| TEAE Considered Study Drug Related | 1 | 3 | 6 |
| TEAE Considered Not Study Drug Related | 4 | 6 | 7 |
| TEAE Resulting in Study Discontinuation | 0 | 1 | 0 |
| TEAE Resulting in Death | 0 | 0 | 0 |
| AECI Related to Bleeding | 0 | 1 | 0 |
| AECI Related to Hypotension | 1 | 1 | 0 |
| participants | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Number of Participants With Clinically Meaningful Postbaseline Laboratory Test Results | 0 | 1 | 1 |
Supine systolic blood pressure (SSBP): ≥ 180 mmHg and increase (↑) from baseline (BL) ≥ 30 mmHg; ≤ 90 mmHg and decrease (↓) from BL ≥ 30 mmHg. Supine diastolic blood pressure (SDBP): ≥ 105 mmHg and ↑ from BL ≥ 20 mmHg; ≤ 50 mmHg and ↓ from BL ≥ 20 mmHg. Supine heart rate (SHR): ≥ 110 bpm and ↑ from BL ≥ 20 bpm; ≤ 50 bpm and ↓ from BL ≥ 20 bpm. Standing systolic blood pressure (StSBP): ≥ 180 mmHg and increase (↑) from baseline (BL) ≥ 30 mmHg; ≤ 90 mmHg and decrease (↓) from BL ≥ 30 mmHg. Standing Diastolic Blood Pressure (StDBP): ≥ 105 mmHg and ↑ from BL ≥ 20 mmHg; ≤ 50 mmHg and ↓ from BL ≥ 20 mmHg. Standing heart rate (StHR): ≥ 110 bpm and ↑ from BL ≥ 20 bpm; ≤ 50 bpm and ↓ from BL ≥ 20 bpm. Orthostatic systolic blood pressure (SBP): ↓ \> 20 mmHg from supine to standing. Orthostatic diastolic blood pressure (DBP): ↓ \> 15 mmHg from supine to standing. Orthostatic HR: ↓ \> 30 bpm from supine to standing.
| participants | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| SSBP: ≥ 180 mmHg and ↑ from BL ≥ 30 mmHg | 0 | 0 | 0 |
| SSBP: ≤ 90 mmHg and ↓ from BL ≥ 30 mmHg | 0 | 1 | 0 |
| SDBP: ≥ 105 mmHg and ↑ from BL ≥ 20 mmHg | 0 | 0 | 0 |
| SDBP: ≤ 50 mmHg and ↓ from BL ≥ 20 mmHg | 0 | 2 | 0 |
| SHR: ≥ 110 bpm and ↑ from BL ≥ 20 bpm | 1 | 2 | 0 |
| SHR: ≤ 50 bpm and ↓ from BL ≥ 20 bpm | 1 | 0 | 0 |
| StSBP: ≥ 180 mmHg and ↑ from BL ≥ 30 mmHg | 0 | 0 | 0 |
| StSBP: ≤ 90 mmHg and ↓ from BL ≥ 30 mmHg | 0 | 2 | 0 |
| StDBP: ≥ 105 mmHg and ↑ from BL ≥ 20 mmHg | 0 | 0 | 0 |
| StDBP: ≤ 50 mmHg and ↓ from BL ≥ 20 mmHg | 0 | 1 | 0 |
| StHR: ≥ 120 bpm and ↑ from BL ≥ 25 bpm | 0 | 1 | 1 |
| StHR: ≤ 50 bpm and ↓ from BL ≥ 20 bpm | 0 | 0 | 0 |
| Orthostatic SBP: ↓ > 20 mmHg, Supine to Standing | 2 | 4 | 3 |
| Orthostatic DBP: ↓ > 15 mmHg, Supine to Standing | 1 | 1 | 0 |
| Orthostatic HR: ↑ > 30 bpm, Supine to Standing | 2 | 2 | 1 |
Physical examinations included examination and assessment of the following: general appearance, lymph nodes, skin, cardiovascular system, head, eyes, ears, nose, and throat, central nervous system, respiratory system, neck, peripheral nervous system, abdomen/liver/spleen, musculoskeletal system.
| participants | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Number of Participants With Clinically Significant Post-Randomization Physical Examination Findings | 0 | 0 | 0 |
| participants | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Number of Participants With Clinically Significant Postbaseline 12-Lead Electrocardiogram (ECG) Results | 0 | 0 | 0 |
| mL/min/1.73m^2 | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Study Baseline | 103.045 ± 7.542 | 89.014 ± 19.729 | 80.373 ± 19.716 |
| Day 15/Discharge | 0.158 ± 4.050 | -2.232 ± 7.275 | 1.663 ± 5.803 |
| Day 42/End of Trial | -3.727 ± 10.262 | -8.905 ± 4.293 | -5.587 ± 6.196 |
Collected over From first dose of study drug to End of Trial Visit (42 [± 3] days). Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo | 0/6 (0%) | 0/6 (0%) | 5/6 (83.3%) |
| IW-1973 40 mg BID/QD | 0/10 (0%) | 1/10 (10%) | 6/10 (60%) |
| IW-1973 40 mg QD/QD | 0/10 (0%) | 0/10 (0%) | 8/10 (80%) |
| Event | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Upper gastrointestinal haemorrhageGastrointestinal disorders | 0/6 | 1/10 | 0/10 |
| Event | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD |
|---|---|---|---|
| Injection site haemorrhageGeneral disorders | 3/6 | 0/10 | 1/10 |
| HypoglycaemiaMetabolism and nutrition disorders | 2/6 | 2/10 | 3/10 |
| HeadacheNervous system disorders | 2/6 | 2/10 | 3/10 |
| NauseaGastrointestinal disorders | 0/6 | 2/10 | 3/10 |
| DiarrhoeaGastrointestinal disorders | 1/6 | 0/10 | 3/10 |
| Abdominal painGastrointestinal disorders | 0/6 | 0/10 | 2/10 |
| PseudohypoglycaemiaMetabolism and nutrition disorders | 1/6 | 0/10 | 0/10 |
| Limb discomfortMusculoskeletal and connective tissue disorders | 1/6 | 0/10 | 0/10 |
| DizzinessNervous system disorders | 1/6 | 1/10 | 0/10 |
| TremorNervous system disorders | 1/6 | 0/10 | 0/10 |
| Age, Customized(Participants) | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD | Total |
|---|---|---|---|---|
| 40 to < 65 years old | 4 | 6 | 7 | 17 |
| >= 65 years old | 2 | 4 | 3 | 9 |
| Sex: Female, Male(Participants) | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD | Total |
|---|---|---|---|---|
| Female | 4 | 4 | 5 | 13 |
| Male | 2 | 6 | 5 | 13 |
| Ethnicity (NIH/OMB)(Participants) | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD | Total |
|---|---|---|---|---|
| Hispanic or Latino | 5 | 2 | 3 | 10 |
| Not Hispanic or Latino | 1 | 8 | 7 | 16 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 |
| Race/Ethnicity, Customized(Participants) | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD | Total |
|---|---|---|---|---|
| White | 6 | 7 | 7 | 20 |
| Asian | 0 | 1 | 2 | 3 |
| Black or African American | 0 | 2 | 1 | 3 |
| Percentage of Participants With Baseline Supine BP Less Than 130/80 mmHg(percentage of participants) | Placebo | IW-1973 40 mg BID/QD | IW-1973 40 mg QD/QD | Total |
|---|---|---|---|---|
| Number | 33.3 | 80.0 | 60.0 | 70.0 |
PDFs hosted by the registry, ClinicalTrials.gov.
Plan to share: Undecided
Ran from Feb 2017 to primary completion in Aug 2017, 5 months.
Results were first posted in Aug 2020, 3 years after primary completion. A results delay was requested in Jul 2018.
Of 194 industry-sponsored phase 2 interventional studies under Diabetes Mellitus, Type 2, half reached primary completion within 13 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 18. This study's 5 months is below that.
Counting every sponsor, half of 293 studies reached it within 15 months; a quarter within 11 and three quarters within 27.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Aug 2020. You cannot join it, but the record below documents what was studied.
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Studies of the drug tested here: Praliciguat