ClinicalTrials.gg
TerminatedNCT03449524PAHUpdated Aug 10, 2020

PRIMEx - A Study of 2 Doses of Oral CXA-10 in Pulmonary Arterial Hypertension (PAH)

A Phase 2 interventional study of 75mg CXA-10 and 150mg CXA-10 in PAH, sponsored by Complexa, Inc.. Terminated at 46 sites in 2 countries. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2020-08-10.

Sponsored by Complexa, Inc. · Phase 2, Interventional, and Treatment

Why this study was terminated
LOE

From the registry’s dates

  • Primary completion was Aug 2020, 6 years 3 months ago, and no results have been posted to the registry.
Phase
Phase 2
Study type
Interventional
Enrollment
69
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 311 studies in Pulmonary Arterial Hypertension with a site in United States — 37 open to participants now, 55 under way, 12 of them phase 3. Pulmonary Arterial Hypertension · United States.

Enrollment
89th of 252
69 · median 40
Started
2018
with 12 others
Phase 2
82 of 311
11 open now
Registered
191st of 311
by date

Among the 311 studies in Pulmonary Arterial Hypertension with a site in United States, this one is the 89th largest by enrollment of the 252 interventional ones, is one of 13 that started in 2018, is one of 82 in phase 2, and was the 191st registered.

By phase

311 studies; the count open now beside each. This study's row is marked.

Phase 2this study82 · 11 open
Phase 368 · 7 open
Observational59 · 10 open
Phase 132 · 2 open
Phase 432 · 1 open
No phase26 · 4 open
Phase 1/27 · 2 open
Phase 2/35 · 0 open

By the year they started

First in 2002; this study’s year is marked. 13 started in 2018.

Size and results

Median enrollment 40 across the 252 interventional studies, 67 across the 59 observational. Of the 235 that completed or were terminated, 133 (57%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 311 studies in Pulmonary Arterial Hypertension with a site in United States, or all of them as a file.
02

Study summary

This is a multicenter double-blind, placebo-controlled study to evaluate the safety, efficacy and pharmacokinetics of 2 doses of CXA-10 on stable background therapy in 96 subjects 18 to 80 years of age with PAH.

Read the detailed description

This is a multicenter double-blind, placebo-controlled study to evaluate the safety, efficacy and pharmacokinetics of 2 doses of CXA-10 on stable background therapy in 96 subjects 18 to 80 years of age with PAH.

The study will be performed in approximately 50 study centers across the United States of America and Europe. The recruitment period is anticipated to be approximately 24 months. Approximately 115 subjects will be enrolled to ensure at least 96 subjects complete the study.

Study participation for each subject will last approximately 8 months. The study will consist of a screening period (within 30 days prior to dosing), 180 days (approximately 6 months) treatment period and approximately 14 days follow-up period after the end of treatment visit.

03

Conditions studied

  • PAH

Keywords

  • Pulmonary Arterial Hypertension
  • Pulmonary Hypertension
  • PAH
  • Connective Tissue Disease-Associated
  • 6 Minute Walk Test
  • 6 Minute Walk Distance
  • Pulmonary Vascular Resistance
  • Cardiac MRI
  • Right Ventricular Function
  • Hypertension
  • Familial Primary Pulmonary Hypertension
  • Connective Tissue Diseases
  • Vascular Diseases
  • Cardiovascular Diseases
  • Hypertension, Pulmonary
  • Lung Diseases
04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

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.

Inclusion criteria

  • Males and females between 18 to 80 years of age inclusive at Screening
  • Weight ≥40 kg
  • Must have a diagnosis of WHO Group 1 PH
  • Have a World Health Organization (WHO) Classification of Functional Status Class II or III of patients with PH
  • Must meet hemodynamic criteria by means of a right heart catheterization
  • Meet pulmonary function test parameters
  • A 6 MWD test of ≥125m and ≤550m at the visit
  • Subjects must have a resting arterial oxygen saturation (SaO2) ≥90%, with or without supplemental oxygen, as measured by pulse oximetry at Screening
  • Subjects enrolled in a prescribed exercise program for pulmonary rehabilitation must be in a stable program for 3 months prior to Screening (Visit 1) and must agree to maintain their current level of rehabilitation throughout the study. If subjects are not enrolled in a prescribed exercise training program for pulmonary rehabilitation, they cannot enroll during the Screening/Baseline Period or throughout the study
  • If receiving simvastatin-containing products: dose should not exceed 20 mg/day
  • Subjects must be receiving no more than three of the following previously approved PAH therapies: phosphodiesterase type 5 (PDE-5) inhibitors, endothelin receptor antagonist (ERA), soluble guanylate cyclase (sGC) stimulator, prostanoids, prostacyclin receptor agonists and must be on stable doses (≥3 months) at Screening (Visit 1)

Exclusion criteria

Exclusion Criteria:

  • for CMRI imaging
  • WHO Groups 2, 3, 4 and 5 Pulmonary Hypertension
  • Unrepaired congenital heart defects and significant congenital heart defects (i.e., atrial septal defects, ventricular septal defects, and patent ductus arteriosus) repaired less than 1 year prior to Screening (Visit 1) (Group 1 classification of Pulmonary Hypertension)
  • > 500 msec
  • Acute myocardial infarction or acute coronary syndrome within the last 90 days
  • Cerebrovascular accident/ (CVA/TIA) within the last 90 days
  • Hospitalization for left heart failure within the last 90 days
  • aortic or mitral valve disease defined as greater than mild regurgitation or mild stenosis; pericardial constriction; restrictive or constrictive cardiomyopathy; left ventricular dysfunction ( \< 50%); left ventricular outflow obstruction; symptomatic coronary artery disease; autonomic hypotension; or fluid depletion
  • Chronic atrial fibrillation and life-threatening cardiac arrhythmias
  • Personal or family history of congenital prolonged QTc syndrome or sudden or sudden unexpected death due to a cardiac reason
  • Clinically significant anemia
  • Severe hepatic impairment or active chronic hepatitis
  • Receiving intravenous inotropes within 2 weeks prior to Screening
  • History of angina pectoris or other condition that was treated with long or short acting nitrates \<12 weeks of Screening
  • Received prednisone doses >15mg/day or changes in medications \< 12 weeks prior to Screening (Visit 1)
  • Recent (within 1 year) history of abusing alcohol or illicit drugs.
  • History of any primary , with no evidence of disease for at least 5 years
  • Treatment with any drug or device within 30 days or 5 half-lives
Terms in these criteria, in plain language(8)

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

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.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
69 participants (actual)

Study arms

  • Active comparator
    75mg CXA-10

    Once daily dosing of 75mg CXA-10 in the morning

    Drug: 75mg CXA-10

  • Active comparator
    150mg CXA-10

    Once daily dosing of 150mg CXA-10 in the morning

    Drug: 150mg CXA-10

  • Placebo comparator
    Placebo

    Once daily dosing in the morning

    Other: Placebo

Interventions

  • CXA-10 (10-nitro-9(E)-octadec-9-enoic acid) is a specific isomer of nitro-oleic acid (OA-NO2)

  • CXA-10 (10-nitro-9(E)-octadec-9-enoic acid) is a specific isomer of nitro-oleic acid (OA-NO2)

  • OtherPlacebo

    Placebo

06

What researchers measure

Primary outcomes

  1. Right Ventricular Ejection Fraction (RVEF)

    • To determine the efficacy of oral doses of CXA-10 on stable background therapy administered for 6 months in subjects with PAH assessed by right ventricular ejection fraction (RVEF) as measured by Cardiac MRI

    Time frame: 6 months

  2. Pulmonary Vascular Resistance (PVR)

    • To determine the efficacy of oral doses of CXA-10 on stable background therapy administered for 6 months in subjects with PAH assessed by pulmonary vascular resistance (PVR) as measured by right heart catheterization (RHC)

    Time frame: 6 months

Secondary outcomes

  1. 6 Minute Walk Distance (6MWD)

    To determine the efficacy of oral doses of CXA-10 on stable background therapy administered for 6 months in subjects with PAH assessed by 6 minute walk distance (6MWD)

    Time frame: 6 months

07

Study locations

46 sites
  • University of Alabama
    Birmingham, Alabama 35233, United States
  • Arizona Pulmonary Specialists
    Phoenix, Arizona 85012, United States
  • University of Arizona
    Tucson, Arizona 85724, United States
  • University of California San Francisco
    San Francisco, California 94143-2202, United States
  • University of Colorado Health
    Aurora, Colorado 80045, United States
  • National Jewish Health
    Denver, Colorado 80206, United States
  • Washington Hospital (Medstar)
    Washington, District of Columbia 20010, United States
  • George Washington Medical Faculty Associates
    Washington, District of Columbia 20037, United States
  • University of Florida Health
    Gainesville, Florida 32608, United States
  • Mayo Clinic
    Jacksonville, Florida 32224, United States
  • University of Miami
    Miami, Florida 33136, United States
  • AdventHealth
    Orlando, Florida 32803, United States
  • University of Chicago
    Chicago, Illinois 60637, United States
  • Loyola University
    Maywood, Illinois 60153-3328, United States
  • Indiana University
    Indianapolis, Indiana 46202, United States
  • University of Iowa
    Iowa City, Iowa 52242, United States
  • University of Kansas
    Kansas City, Kansas 66160, United States
  • Tufts Medical Center
    Boston, Massachusetts 02111, United States
  • Brigham and Women's Hospital
    Boston, Massachusetts 02115-6110, United States
  • University of Minnesotta
    Minneapolis, Minnesota 55455, United States
  • Washington University and Barnes Jewish Hospital
    Saint Louis, Missouri 63110, United States
  • University of New Mexico Health Sciences Center
    Albuquerque, New Mexico 87131, United States
  • NYU Langone Medical Center
    New York, New York 10279, United States
  • Duke University
    Durham, North Carolina 27710, United States
  • Christ Hospital-Lindner Research Center
    Cincinnati, Ohio 45219, United States
  • University of Cincinnati
    Cincinnati, Ohio 45267, United States
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
  • The Ohio State University
    Columbus, Ohio 43210, United States
  • INTEGRIS Baptist Medical Center
    Oklahoma City, Oklahoma 73112, United States
  • Penn State M.S. Hershey Medical Center
    Hershey, Pennsylvania 17033, United States
  • University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
  • Allegheny General Hospital
    Pittsburgh, Pennsylvania 15212, United States
  • Vanderbuilt University
    Nashville, Tennessee 37232, United States
  • UT Southwestern
    Dallas, Texas 75390, United States
  • Texas Tech
    El Paso, Texas 79905, United States
  • Houston Methodist
    Houston, Texas 77030, United States
  • University of Virginia School of Medicine
    Charlottesville, Virginia 22908, United States
  • Inova Medical Campus
    Falls Church, Virginia 22042, United States
  • Sentara Medical Group
    Norfolk, Virginia 23507, United States
  • Froedert Medical College of Wisconsin
    Milwaukee, Wisconsin 53226, United States
  • Golden Jubilee National Hospital
    Glasgow, G81 4DY, United Kingdom
  • Royal Free
    London, NW3 2QG, United Kingdom
  • Royal Brompton
    London, SW3 6HP, United Kingdom
  • Hammersmith Hospital
    London, W12 0HS, United Kingdom
  • Freeman Hospital
    Newcastle Upon Tyne, NE7 7DN, United Kingdom
  • Royal Hallamshire Hospital
    Sheffield, S10 2JF, United Kingdom
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Aug 2018 to primary completion in Aug 2020, 24 months.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 14, 2018
First posted
Feb 28, 2018
StartActual
Aug 1, 2018
Primary completionActual
Aug 5, 2020
CompletionActual
Aug 5, 2020
Last update
Aug 10, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 10, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03449524
Lead sponsor
Complexa, Inc.
Collaborators
Medpace, Inc., Philips Healthcare, Cardiovascular Clinical Sciences Inc, MicroConstants, Innovative Analytics, Allegheny Singer Research Institute (also known as Allegheny Health Network Research Institute)
Responsible party
Sponsor
First posted
Feb 28, 2018
Start date
Aug 1, 2018
Primary completion
Aug 5, 2020
Completion
Aug 5, 2020
Last update
Aug 10, 2020

Study contacts

Theo Danoff, MD
study director · Complexa, Inc.

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Aug 2020. You cannot join it, but the record below documents what was studied.

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