ClinicalTrials.gg
TerminatedNCT03464019NODE-301Updated Jul 12, 2024Results posted

Efficacy and Safety of Etripamil for the Termination of Spontaneous Paroxysmal Supraventricular Tachycardia (PSVT).

A Phase 3 interventional study of Etripamil and Placebo in Paroxysmal Supraventricular Tachycardia, sponsored by Milestone Pharmaceuticals Inc.. Terminated at 161 sites in 9 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-07-12.

Sponsored by Milestone Pharmaceuticals Inc. · Phase 3, Interventional, and Treatment

Why this study was terminated
The closure of the event-driven study was terminated due to the total sample size was reached.
Phase
Phase 3
Study type
Interventional
Enrollment
1,097
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 154 studies in Tachycardia, Ventricular with a site in United States — 34 open to participants now, 40 under way, 2 of them phase 3. Tachycardia, Ventricular · United States.

Enrollment
5th of 107
1,097 · median 60
Started
2018
with 12 others
Phase 3
13 of 154
2 open now
Registered
81st of 154
by date
Lead sponsor
7 of 154
Milestone Pharmaceuticals Inc.

Among the 154 studies in Tachycardia, Ventricular with a site in United States, this one is the 5th largest by enrollment of the 107 interventional ones that give a count, is one of 13 that started in 2018, is one of 13 in phase 3, and was the 81st registered.

Tachycardia, Ventricular

452 studies on the registry are indexed under Tachycardia, Ventricular; 121 are open to participants now.

Browse Tachycardia, Ventricular studies →

Open to participants now

34 of the 154 studies in Tachycardia, Ventricular with a site in United States are open now. Recruiting first, the newest first:

29 more — sign in →

All 34 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 86 Tachycardia, Ventricular studies recruiting now, 67 (78%) set no upper age limit and 1 (1%) stops at 75 or younger; 7 take children under 18; 5 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 154 studies in Tachycardia, Ventricular with a site in United States, or all of them as a file.
02

Study summary

This was a three-part, multi-center, randomized, double-blind, placebo-controlled study to evaluate the efficacy and safety of etripamil nasal spray (NS) self-administered by participants who experienced an episode of paroxysmal supraventricular tachycardia (PSVT) in an at-home setting.

NODE-301 Part 1 included participants that received the randomized study drug to treat an episode of PSVT until the 150th positively adjudicated PSVT episode. Part 2 (also referred as the RAPID study) included participants that did not receive the randomized study drug in Part 1 and newly enrolled participants until the 180th positively adjudicated PSVT episode in Part 2. The study continued for approximately 6 months after the 180th positively adjudicated PSVT episode in Part 2 and this extension is referred to as Part 3 (also referred to as RAPID Extension).

Read the detailed description

NODE-301 was a three-part, multi-center, randomized, double-blind, placebo-controlled study to evaluate the efficacy and safety of etripamil NS self-administered by participants who experienced an episode of PSVT in an at-home setting. Each episode was documented by an ambulatory Cardiac Monitoring System (CMS) that was placed on the chest by the participants or caregiver when symptoms begin and recorded at least 5 hours of continuous electrocardiogram (ECG).

This was an event-driven study. The study comprised of three parts: Parts 1, 2, and 3.

NODE-301 Part 1 included participants that received the randomized study drug to treat an episode of PSVT until the 150th positively adjudicated PSVT episode (January 15th, 2020). Participants were randomized to etripamil 70 mg or placebo in a 2:1 ratio. Participants had a Test Dose Randomization Visit where they received 70 mg etripamil in sinus rhythm and a Treatment Period during which they could administer the randomized study drug during a perceived episode of PSVT.

Part 2 (also referred as the RAPID study) included participants that did not use the randomized study drug to treat a perceived episode of PSVT before the Part 1 data cutoff and newly enrolled participants. Before randomization in the RAPID study, all participants received a Test Dose of etripamil consisting of an initial dose of etripamil 70 mg followed by a second dose of etripamil 70 mg 10 minutes later to evaluate tolerability and to train participants on the study procedures. After a successful Test Dose, participants in Part 2 were randomized to etripamil or placebo in a 1:1 ratio. When experiencing a PSVT episode, participants were instructed to administer a first dose of randomized study drug (70 mg etripamil or placebo) followed 10 minutes later, if PSVT symptoms persisted, by a second dose of study drug (70 mg etripamil or placebo). After having administered the randomized study drug for a perceived episode of PSVT, participants could enter an open-label period during which they had the possibility to treat a second episode of PSVT with open-label etripamil (70 mg etripamil with optional second dose of 70 mg etripamil).

Part 2 continued until the 180th positively adjudicated PSVT episode (the data on which the primary efficacy analysis of RAPID was conducted) (July 20th 2022). The study continued for approximately 6 months after the 180th positively adjudicated PSVT episode in Part 2 and this extension is referred to as Part 3 (also referred to as RAPID Extension). The design of Parts 2 and 3 were the same and therefore their results are combined in this publication.

NODE-301 study comprised 6 arms:

  • 2 arms consisting of participants enrolled in Part 1 that treated a perceived episode of PSVT with randomized study drug (etripamil NS 70 mg or placebo) in a 2:1 ratio.
  • 1 arm consisting of participants that only received the Test Dose in Part 1.
  • 2 arms consisting of participants enrolled in Parts 2 and 3 that treated a perceived episode of PSVT with randomized study drug (etripamil NS 70 mg with optional second dose of 70 mg etripamil or placebo) in a 1:1 ratio and could be enrolled in the open-label period to treat an additional PSVT episode with etripamil
  • 1 arm consisting of participants that only received the Test Dose in Parts 2 and 3.
03

Conditions studied

  • Paroxysmal Supraventricular Tachycardia

Keywords

  • Paroxysmal supraventricular tachycardia
  • cardiac monitoring
  • atrioventricular nodal reentrant tachycardia
  • atrioventricular reciprocating tachycardia
  • calcium channel blocker administered at home
  • conversion rate
04

Who can participate

Ages eligible
18 Years and older
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

Participants who met all of the following criteria were eligible to participate in the study:

  1. Male or female participants at least 18 years of age;
  2. Electrographically documented history of PSVT (e.g., [ECG] obtained during an episode of PSVT, Holter monitoring, loop recorder, etc). If participant had a prior ablation for PSVT, participant had to have documented ECG evidence of PSVT post-ablation;
  3. History of sustained episodes of PSVT (i.e., typically lasting approximately 20 minutes or longer);
  4. Females of who were sexually active with a male partner who were not surgically sterile (i.e., vasectomy) had to agree to use a highly effective form of from the time of signed until 30 days after the last administration of study drug. Females of childbearing potential had to have a negative serum pregnancy test result at the Screening Visit and at the Final Study Visit, a negative urine pregnancy test at the Test Dose Randomization Visit and had to use a highly effective form of contraception between the visits.

    The following categories defined females who were NOT considered to be of childbearing potential:

    • Premenopausal females with 1 of the following:

      1. Documented hysterectomy,
      2. Documented bilateral salpingectomy or tubal ligation; or
      3. Documented bilateral oophorectomy, or
    • females, defined as having amenorrhea for at least 12 months without an alternative medical cause;
  5. Male participants, except those who were surgically sterile, had to use an approved highly effective form of contraception during the 3 days after any study drug administration; and
  6. Signed written informed consent.

Exclusion criteria

Exclusion Criteria:

Participants who met any of the following criteria were excluded from participation in the study:

  1. Systolic blood pressure \<90 mmHg after a 5-minute rest in sitting position at the Screening Visit or before the Test Dose. In participants treated with a chronic prophylactic drug for PSVT (e.g., beta-blockers, verapamil, and diltiazem), the drug could be stopped for at least the equivalent of 5 half-lives, participants could be rescreened once, and chronic use of the drug could not be restarted after randomization;
  2. History of severe symptoms of hypotension, especially syncope, during episodes of PSVT;
  3. History of atrial arrhythmia that did not involve the AV node as part of the tachycardia circuit (e.g., atrial fibrillation, atrial flutter, intra-atrial tachycardia);
  4. History of allergic reaction to verapamil;
  5. Current therapy with digoxin or any Class I or III antiarrhythmic drug, except if these drugs were stopped at least the equivalent of 5 half-lives before the Test Dose Randomization Visit;
  6. Current chronic therapy with oral amiodarone, or had taken oral amiodarone within 30 days prior to the Test Dose Randomization Visit;
  7. Evidence of ventricular pre-excitation (e.g., delta waves, short PR interval \<100 msec, Wolff-Parkinson-White syndrome) on the performed at the Screening Visit or before the Test Dose administration;
  8. Evidence of a second- or third-degree AV block on the ECG performed at the Screening Visit or before the Test Dose administration;
  9. History or evidence of severe ventricular arrhythmia (e.g., torsades de pointes, ventricular fibrillation, or ventricular tachycardia);
  10. Current congestive heart failure defined by the Class II to IV;
  11. History of Acute Coronary Syndrome or stroke within 6 months of screening;
  12. Evidence of hepatic dysfunction defined as or aspartate aminotransferase >3 × the (ULN) or total >2 × ULN at the Screening Visit, unless due to Gilbert syndrome;
  13. Evidence of End-Stage Renal Disease as determined by an estimated assessed at the Screening Visit of \<15 mL/min/1.73m2, or requiring hemodialysis;
  14. Females who were pregnant or lactating;
  15. Evidence or history of any significant physical or psychiatric condition including drug abuse, which, in the opinion of the Investigator, could jeopardize the safety of participants, or affect their participation in the study. Additionally, the Investigator had the ability to exclude a participant if for any reason the Investigator judged the participant was not a good candidate for the study or would not be able to follow study procedures;
  16. Participation in any drug or device study or the use of any investigational drug or device within 30 days of the Screening Visit; or
  17. Previously enrolled in a clinical trial for etripamil and received study drug during a perceived episode of PSVT.

Before randomization in the study, all participants received a Test Dose of an etripamil NS dosing regimen (etripamil 70 NS mg in Part 1 and in Parts 2 and 3 an initial dose of etripamil NS 70 mg followed by a second dose of etripamil NS 70 mg not earlier than 10 minutes and not later than 15 minutes after the first dose) to evaluate tolerability and to train participants on the study procedures. Participants who passed the Test Dose were randomized in the NODE-301 (2:1) or RAPID and RAPID Extension (2:1) study. A failure of the Test Dose was considered if participants met any of the following criteria occurring after administration of the either the first or second dose of etripamil NS 70 mg:

  1. Any symptoms consistent with clinically severe hypotension such as pre-syncope, medically significant lightheadedness, syncope, nausea, or vomiting;
  2. For participants with a pre-Test Dose Systolic Blood Pressure above 100 mmHg:

    1. Decrease in SBP ≥40 mmHg after Test Dose; or
    2. Post-Test Dose SBP \<80 mmHg;
  3. For participants with a pre-Test Dose SBP between 90 mmHg and 100 mmHg (inclusive):

    a) Post-Test Dose SBP \<75 mmHg;

  4. Third-degree AV block, Mobitz II second-degree AV block, or Wenckebach with bradycardia ≤40 bpm;
  5. New, significant sinus bradycardia Heart Rate ≤40 bpm or sinus pauses (≤3 seconds), if considered by the Investigator to put the participant's safety at risk if either were to occur while not under medical supervision;
  6. Any new ventricular arrhythmia considered significant by the Investigator; or
  7. Atrial fibrillation, atrial flutter or atrial tachycardia (event lasting longer than 30 seconds);
  8. Refusal of second dose of etripamil Test Dose regimen.

Participants who failed the Test Dose proceeded in the study as follows:

  • If the Investigator identified a possible reversible cause of the initial Test Dose failure (e.g., concomitant medication such as beta-blocker), a re-challenge with a new Test Dose of etripamil dose regimen was possible after elimination of the reversible cause (e.g., withdrawal of concomitant therapy with the appropriate ). Participants could be randomized if they passed the second Test Dose and the cause of the Test Dose failure was eliminated for the duration of the study; or
  • If the Investigator could not identify a reversible cause of the initial Test Dose failure, or if the potential cause could not be modified (e.g., necessary antihypertensive drug to control blood pressure), participants could not be randomized and completed a Final Study Visit. Participants who failed the Test Dose are part of the Test Dose Only Population.
Terms in these criteria, in plain language(12)

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.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

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.

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

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.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
1,097 participants (actual)

Study arms

  • Experimental
    Part 1: Etripamil 70 mg Single Dose

    Self-administration of a single dose etripamil 70 mg for a perceived episode of PSVT.

    Drug: Etripamil

  • Placebo comparator
    Part 1: Placebo Single Dose

    Self-administration of a single dose of placebo for a perceived episode of PSVT.

    Drug: Placebo

  • Other
    Part 1: Test dose only (etripamil 70 mg)

    Single test dose of etripamil 70 mg in sinus rhythm

    Drug: Etripamil Test Dose

  • Experimental
    Part 2 & Part 3: Etripamil 70 mg with Optional Second Dose

    Self-administration of 70 mg etripamil for a perceived episode of PSVT followed 10 minutes later by an optional second dose of 70 mg etripamil, if symptoms persisted. Participants could be enrolled in the open-label period to treat an additional PSVT episode with etripamil.

    Drug: Etripamil

  • Placebo comparator
    Part 2 & Part 3: Placebo with Optional Second Dose

    Self-administration of placebo for a perceived episode of PSVT followed 10 minutes later by an optional second dose of placebo, if symptoms persisted. Participants could be enrolled in the open-label period to treat an additional PSVT episode with etripamil.

    Drug: Placebo

  • Other
    Part 2 & Part 3: Test dose only (etripamil 70 mg + 70 mg)

    Repeat Test Dose of etripamil 70 mg (2X 70mg) 10 minutes apart in sinus rhythm

    Drug: Etripamil Test Dose

Interventions

  • Etripamil administered via the Aptar Pharma Nasal Spray Bidose System, supplied as prefilled devices packaged into child-resistant boxes with instructions for use provided in the study drug box.

    Also known as: MSP-2017

  • DrugPlacebo

    Placebo administered via the Aptar Pharma Nasal Spray Bidose System, supplied as prefilled devices packaged into child-resistant boxes with instructions for use provided in the study drug box.

  • DrugEtripamil Test Dose

    During the Test Dose, etripamil administered via the Aptar Pharma Nasal Spray Bidose System, supplied as prefilled devices packaged into child-resistant boxes with instructions for use provided in the study drug box.

    Also known as: MSP-2017 Test Dose

06

What researchers measure

Primary outcomes

  1. The Time to Conversion of an Episode of PSVT to Sinus Rhythm (SR) After Study Drug Administration.

    The primary efficacy endpoint is defined as an adjudicated termination of a positively adjudicated episode of PSVT (AV nodal reentrant tachycardia or AV reentrant tachycardia determination if possible) and conversion to sinus rhythm (SR) for at least 30 seconds within 5 hours (NODE-301 Part 1), or 30 minutes (NODE-301 Parts 2 and 3) of start of study drug dosing.

    Time frame: NODE-301 Part 1: Within 5 hours of start of study drug dosing. NODE-301 Parts 2 and 3: Within 30 minutes of start of study drug dosing.

07

Results

Posted Jul 12, 2024

Participant flow

431 participants enrolled in Part 1 until the 150th positively adjudicated PSVT episode (15-Jan-2020). After the Part 1 cutoff, 82 participants enrolled in Part 1 transitioned to Part 2 in addition to 624 newly enrolled participants until the 180th positively adjudicated PSVT in Part 2 (20-Jul-2022). The study continued for about 6 months (Part 3) after the Part 2 cutoff with participants waiting for a PSVT episode to arise and 42 newly enrolled participants (27-Feb-2023).

NODE-301 Part 1
Participant flow — NODE-301 Part 1
MilestonePlaceboEtripamilTest Dose Only
Started60138233
Participants randomized60138233
Participants in efficacy population491070
Completed601380
Not completed00233
Withdrew: Withdrawal by subject0018
Withdrew: Ablation0016
Withdrew: Test dose failure008
Withdrew: Adverse event005
Withdrew: Physician decision004
Withdrew: Lost to follow-up003
Withdrew: Protocol violation002
Withdrew: Reason was not provided by the participant0015
Withdrew: Transitioned to part 2 (rapid)0082
Withdrew: Participants did not experienced psvt before cutoff and did not enroll in part 20080
NODE-301 Part 2 and Part 3
Participant flow — NODE-301 Part 2 and Part 3
MilestonePlaceboEtripamilTest Dose Only
Started143160445
Participants randomized143160445
Participants in efficacy population1001140
Completed76810
Not completed6779445
Withdrew: Withdrawal by subject5132
Withdrew: Ablation81146
Withdrew: Test dose failure008
Withdrew: Adverse event1314
Withdrew: Physician decision002
Withdrew: Lost to follow-up107
Withdrew: Protocol violation012
Withdrew: Pregnancy001
Withdrew: Prohibited medication114
Withdrew: Study terminated by sponsor4661314
Withdrew: Reason was not provided by the participant5115

Outcome measures

PrimaryThe Time to Conversion of an Episode of PSVT to Sinus Rhythm (SR) After Study Drug Administration.

The primary efficacy endpoint is defined as an adjudicated termination of a positively adjudicated episode of PSVT (AV nodal reentrant tachycardia or AV reentrant tachycardia determination if possible) and conversion to sinus rhythm (SR) for at least 30 seconds within 5 hours (NODE-301 Part 1), or 30 minutes (NODE-301 Parts 2 and 3) of start of study drug dosing.

Time frame:
NODE-301 Part 1: Within 5 hours of start of study drug dosing. NODE-301 Parts 2 and 3: Within 30 minutes of start of study drug dosing.
Reported as:
Count of participants · Participants
The Time to Conversion of an Episode of PSVT to Sinus Rhythm (SR) After Study Drug Administration.
ParticipantsPart 1 - Placebo Single DosePart 1 - Etripamil 70 mgParts 2 and 3 - Placebo With Optional Second Dose of PlaceboParts 2 and 3 - Etripamil 70 mg With Optional Second Dose of Etripamil 70 mg
Part 1: Participants converted to sinus rhythm within 5 hours3680——
Part 1: Participants censored1327——
Parts 2 and 3: Participants converted to sinus rhythm within 30 minutes——3075
Parts 2 and 3: Participants censored——7039
Statistical analysis
  • Part 1 - Placebo Single Dose vs Part 1 - Etripamil 70 mg · Peto-Peto test · p = 0.1212 · Hazard ratio (hr): 1.086 · 95% CI 0.726 to 1.623
  • Parts 2 and 3 - Placebo With Optional Second Dose of Placebo vs Parts 2 and 3 - Etripamil 70 mg With Optional Second Dose of Etripamil 70 mg · Wilcoxon · p = <0.001 (The threshold for statistical significance was p \< 0.05.) · Hazard ratio (hr): 2.857 · 95% CI 1.868 to 4.371

Adverse events

Collected over Average of 9.4 months, adverse events were monitored from the time of test dose administration (i.e.,Test Dose Randomization Visit) until study participation was completed (i.e., after the Final Study Visit).. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Part 1 - Placebo Single Dose0/60 (0%)1/60 (1.7%)39/60 (65%)
Part 1 - Etripamil 70 mg0/138 (0%)1/138 (0.7%)98/138 (71%)
Part 1 - Test Dose Only0/233 (0%)4/233 (1.7%)151/233 (64.8%)
Parts 2 and 3 - Placebo With Optional Second Dose of Placebo + Open-label Etripamil0/143 (0%)3/143 (2.1%)114/143 (79.7%)
Parts 2 and 3 - Etripamil 70 mg With Optional Second Dose of Etripamil 70 mg + Open-label Etripamil0/160 (0%)2/160 (1.3%)127/160 (79.4%)
Parts 2 and 3 - Test Dose Only (2X70 mg)1/445 (0.2%)18/445 (4%)324/445 (72.8%)
Most frequent serious events
Showing 10 of 23
Most frequent serious events
EventPart 1 - Placebo Single DosePart 1 - Etripamil 70 mgPart 1 - Test Dose OnlyParts 2 and 3 - Placebo With Optional Second Dose of Placebo + Open-label EtripamilParts 2 and 3 - Etripamil 70 mg With Optional Second Dose of Etripamil 70 mg + Open-label EtripamilParts 2 and 3 - Test Dose Only (2X70 mg)
Non-cardiac chest painGeneral disorders1/600/1380/2330/1430/1601/445
Intestinal obstructionGastrointestinal disorders0/601/1380/2330/1430/1600/445
Acute myocardial infarctionCardiac disorders0/600/1380/2331/1430/1601/445
Invasive ductal breast carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/600/1380/2331/1430/1600/445
Acute kidney injuryRenal and urinary disorders0/600/1380/2331/1430/1600/445
OsteoarthritisMusculoskeletal and connective tissue disorders0/600/1380/2330/1430/1603/445
Supraventricular tachycardiaCardiac disorders0/600/1380/2330/1431/1600/445
Corona virus infectionInfections and infestations0/600/1380/2330/1431/1601/445
FaecalomaGastrointestinal disorders0/600/1380/2330/1430/1602/445
CellulitisInfections and infestations0/600/1381/2330/1430/1602/445
Most frequent other events
Showing 10 of 15
Most frequent other events
EventPart 1 - Placebo Single DosePart 1 - Etripamil 70 mgPart 1 - Test Dose OnlyParts 2 and 3 - Placebo With Optional Second Dose of Placebo + Open-label EtripamilParts 2 and 3 - Etripamil 70 mg With Optional Second Dose of Etripamil 70 mg + Open-label EtripamilParts 2 and 3 - Test Dose Only (2X70 mg)
Nasal discomfortRespiratory, thoracic and mediastinal disorders15/6055/13898/23358/14370/160139/445
RhinorrhoeaRespiratory, thoracic and mediastinal disorders8/6024/13826/23331/14342/16077/445
Nasal congestionRespiratory, thoracic and mediastinal disorders8/6023/13829/23330/14342/16059/445
Lacrimation increasedEye disorders9/608/13824/23328/14330/16074/445
Throat irritationRespiratory, thoracic and mediastinal disorders3/6023/13820/23321/14331/16054/445
SneezingRespiratory, thoracic and mediastinal disorders4/6011/13810/23314/14319/16038/445
EpistaxisRespiratory, thoracic and mediastinal disorders1/6016/13813/23314/14318/16027/445
HeadacheNervous system disorders1/6011/13811/2339/14313/16038/445
Corona virus infectionInfections and infestations0/600/1380/2336/14311/16035/445
Supraventricular tachycardiaCardiac disorders0/600/1380/23311/1435/1608/445

Baseline characteristics

Data presented for the overall safety population including participants that received at least one dose of study drug.

Age, Continuous
Age, Continuous(years)Part 1 - Placebo Single DosePart 1 - Etripamil 70 mgPart 1 - Test Dose OnlyParts 2 and 3 - Placebo With Optional Second Dose of PlaceboParts 2 and 3 - Etripamil 70 mg With Optional Second Dose of Etripamil 70 mgParts 2 and 3 - Test Dose Only (2X70 mg)Total
Part 155.0 ± 14.9657.2 ± 13.5854.1 ± 15.59———55.2 ± 14.92
Parts 2 and 3———55.9 ± 12.552.2 ± 13.953.9 ± 14.953.9 ± 14.1
Age, Customized
Age, Customized(years)Part 1 - Placebo Single DosePart 1 - Etripamil 70 mgPart 1 - Test Dose OnlyParts 2 and 3 - Placebo With Optional Second Dose of PlaceboParts 2 and 3 - Etripamil 70 mg With Optional Second Dose of Etripamil 70 mgParts 2 and 3 - Test Dose Only (2X70 mg)Total
Part 1: Age at confirmation of PSVT (years)53.8 ± 15.0356.3 ± 13.6953.2 ± 15.72———54.3 ± 15.03
Parts 2 and 3: Age at confirmation of PSVT (years)———54.9 ± 12.950.4 ± 14.552.5 ± 14.652.5 ± 14.3
Sex: Female, Male
Sex: Female, Male(Participants)Part 1 - Placebo Single DosePart 1 - Etripamil 70 mgPart 1 - Test Dose OnlyParts 2 and 3 - Placebo With Optional Second Dose of PlaceboParts 2 and 3 - Etripamil 70 mg With Optional Second Dose of Etripamil 70 mgParts 2 and 3 - Test Dose Only (2X70 mg)Total
Part 1 — Female3992142———273
Part 1 — Male214691———158
Parts 2 and 3 — Female———100112268480
Parts 2 and 3 — Male———4348177268
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Part 1 - Placebo Single DosePart 1 - Etripamil 70 mgPart 1 - Test Dose OnlyParts 2 and 3 - Placebo With Optional Second Dose of PlaceboParts 2 and 3 - Etripamil 70 mg With Optional Second Dose of Etripamil 70 mgParts 2 and 3 - Test Dose Only (2X70 mg)Total
Part 1 — Hispanic or Latino055———10
Part 1 — Not Hispanic or Latino56129220———405
Part 1 — Unknown or Not Reported448———16
Parts 2 and 3 — Hispanic or Latino———12115073
Parts 2 and 3 — Not Hispanic or Latino———129147384660
Parts 2 and 3 — Unknown or Not Reported———221115
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Part 1 - Placebo Single DosePart 1 - Etripamil 70 mgPart 1 - Test Dose OnlyParts 2 and 3 - Placebo With Optional Second Dose of PlaceboParts 2 and 3 - Etripamil 70 mg With Optional Second Dose of Etripamil 70 mgParts 2 and 3 - Test Dose Only (2X70 mg)Total
Part 1 — American Indian or Alaska Native100———1
Part 1 — Asian2514———21
Part 1 — Native Hawaiian or Other Pacific Islander022———4
Part 1 — Black or African American4617———27
Part 1 — White51120194———365
Part 1 — More than one race000———0
Part 1 — Unknown or Not Reported256———13
Parts 2 and 3 — American Indian or Alaska Native———0101
Parts 2 and 3 — Asian———52815
Parts 2 and 3 — Native Hawaiian or Other Pacific Islander———0011
Parts 2 and 3 — Black or African American———351725
Parts 2 and 3 — White———131149408688
Parts 2 and 3 — More than one race———0000
Parts 2 and 3 — Unknown or Not Reported———431118
PSVT confirmation duration (years)
PSVT confirmation duration (years)(years)Part 1 - Placebo Single DosePart 1 - Etripamil 70 mgPart 1 - Test Dose OnlyParts 2 and 3 - Placebo With Optional Second Dose of PlaceboParts 2 and 3 - Etripamil 70 mg With Optional Second Dose of Etripamil 70 mgParts 2 and 3 - Test Dose Only (2X70 mg)Total
Part 11.7 ± 4.451.4 ± 2.391.4 ± 2.39———1.4 ± 2.76
Parts 2 and 3———1.6 ± 3.62.3 ± 5.21.9 ± 4.21.9 ± 4.3
Number of participant reported PSVT episodes in the past year
Number of participant reported PSVT episodes in the past year(episodes)Part 1 - Placebo Single DosePart 1 - Etripamil 70 mgPart 1 - Test Dose OnlyParts 2 and 3 - Placebo With Optional Second Dose of PlaceboParts 2 and 3 - Etripamil 70 mg With Optional Second Dose of Etripamil 70 mgParts 2 and 3 - Test Dose Only (2X70 mg)Total
Part 112.5 ± 17.917.8 ± 7.656.6 ± 13.11———7.8 ± 12.60
Parts 2 and 3———10.0 ± 21.16.8 ± 15.15.7 ± 11.36.7 ± 14.5
Number of participant reported emergency department visits for PSVT in lifetime
Number of participant reported emergency department visits for PSVT in lifetime(emergency department visits)Part 1 - Placebo Single DosePart 1 - Etripamil 70 mgPart 1 - Test Dose OnlyParts 2 and 3 - Placebo With Optional Second Dose of PlaceboParts 2 and 3 - Etripamil 70 mg With Optional Second Dose of Etripamil 70 mgParts 2 and 3 - Test Dose Only (2X70 mg)Total
Part 15.0 ± 13.172.7 ± 3.692.4 ± 3.20———2.8 ± 5.87
Parts 2 and 3———3.6 ± 10.34.3 ± 14.22.3 ± 5.33.0 ± 9.0

3 further baseline measures are reported on the registry.

08

Study locations

161 sites
  • Arizona Arrhythmia Research Center
    Phoenix, Arizona 85016, United States
  • Arkansas Cardiology
    Little Rock, Arkansas 72205, United States
  • University of Arkansas for Medical Sciences
    Little Rock, Arkansas 72205, United States
  • Medvin Clinical Research
    Cerritos, California 91722, United States
  • North Coast Cardiolog
    Encinitas, California 92024, United States
  • Titan Medical Research - Oceanside
    Encinitas, California 92024, United States
  • Los Alamitos Cardiovascular
    Los Alamitos, California 90720, United States
  • Amicis Research Center - Northridge
    Northridge, California 91324, United States
  • RESPIRE Research
    Palm Springs, California 92262, United States
  • South Denver Cardiology Associates, P.C
    Littleton, Colorado 80120, United States
  • Cardiology Associates of Fairfield County
    Norwalk, Connecticut 06905, United States
  • FWD Clinical Research
    Boca Raton, Florida 33486, United States
  • Baptist Health Ambulatory Services d/b/a
    Jacksonville, Florida 32207, United States
  • United Health Research, LLC
    Miami, Florida 33144, United States
  • IACT Health
    Columbus, Georgia 31904, United States
  • Piedmont Heart Institute- Fayetteville
    Fayetteville, Georgia 30214, United States
  • Piedmont Heart Institute-Fayetteville
    Fayetteville, Georgia 30309, United States
  • Georgia Arrythmia Consultants&Research Institute
    Macon, Georgia 31201, United States
  • St. Luke's Idaho Cardiology Associates
    Boise, Idaho 83702, United States
  • Idaho Catalyst Clinical Research
    Idaho Falls, Idaho 83404, United States
  • AMITA Health Medical Group Heart & Vascular Elk Grpve Village
    Elk Grove Village, Illinois 60007, United States
  • Parkview Physicians Group - Cardiology
    Fort Wayne, Indiana 46845, United States
  • Mercy One Iowa Heart Center
    West Des Moines, Iowa 50266, United States
  • Clinical Trials of America, LLC - Monroe, LA
    West Monroe, Louisiana 71291, United States
  • MedStar Health Research Institute - Chesapeake Cardiovascular Associates
    Baltimore, Maryland 21237, United States
  • Sparrow Clinical Research Institute
    Lansing, Michigan 48912, United States
  • Revival Research Institute, LLC - Southgate, MI
    Southgate, Michigan 48195, United States
  • Mercy Research
    Saint Louis, Missouri 65804, United States
  • Cardiovascular Associates of the Delaware Valley - Elmer
    Elmer, New Jersey 08318, United States
  • Cardiovascular Associates of the Delaware Valley
    Haddon Heights, New Jersey 08035, United States
  • Atlantic Health System - Morristown Medical Center
    Morristown, New Jersey 07962, United States
  • Montefiore Medical Center
    Bronx, New York 10467, United States
  • Columbia University
    New York, New York 10032, United States
  • New York Presbyterian Hospital/Weill Cornell Medical Center
    New York, New York 10065, United States
  • Cary Research Group, LLC
    Cary, North Carolina 27518, United States
  • Sanger Heart and Vascular Institute
    Charlotte, North Carolina 28204, United States
  • The Presbyterian Hospital DBA Novant Health Heart and Vascular Institute
    Charlotte, North Carolina 28204, United States
  • Hatton Institute for Research & Education, Trihealth, Inc. - Cardiology
    Cincinnati, Ohio 45242, United States
  • The Ohio State University (OSU) Wexner Medical Center
    Columbus, Ohio 43210, United States
  • Rama Research LLC
    Marion, Ohio 43302, United States
  • Heart House Research Foundation, LLC
    Springfield, Ohio 45505, United States
  • ProMedica Toledo Hospital
    Toledo, Ohio 43615, United States
  • Medical University of South Carolina (MUSC)
    Charleston, South Carolina 29425, United States
  • Prisma Health Midlands
    Columbia, South Carolina 29203, United States
  • Monument Health Clinical Research, a department of Monument Health Rapid City Hospital, Inc
    Rapid City, South Dakota 57701, United States
  • North Texas Research Associates
    Allen, Texas 75013, United States
  • Cardiovascular Clinic of North Texas
    Denton, Texas 76201, United States
  • Revival Research Institute, LLC
    Denton, Texas 76201, United States
  • Apex Trials Group
    Fort Worth, Texas 76104, United States
  • Angiocardiac Care of Texas
    Houston, Texas 77025, United States
  • Baylor College of Medicine
    Houston, Texas 77030, United States
  • Scott & White Memorial Hospital: Baylor Scott & White Research Institute
    Temple, Texas 76508, United States
  • Bay Area Heart
    Webster, Texas 77598, United States
  • Intermountain Medical Center
    Murray, Utah 84157-7000, United States
  • Clinique Du Sud- Luxembourg
    Arlon, 6700, Belgium
  • Imelda Hospital
    Bonheiden, 2820, Belgium
  • UVC Brugmann University Hospital - Centre Hospitalier Universitaire (CHU)
    Bruxelles, 1020, Belgium
  • Universite Libre de Bruxelles (ULB) - Hopital Erasme
    Bruxelles, 1070, Belgium
  • Antwerp University Hospital (UZA)
    Edegem, 2650, Belgium
  • Grand Hopital de Charleroi (GHdC) - Site Saint-Joseph
    Gilly, 6060, Belgium
  • Pharmacy Campus Virga Jesse (losplaats 7)
    Hasselt, 3500, Belgium
  • University Hospital (UZ) Leuven
    Leuven, 3000, Belgium
  • Regional Hospital Centre Citadelle
    Liège, 3000, Belgium
  • CHU Ambroise Pare
    Mons, 7000, Belgium
  • CHU UCL Namur - Site Godinne
    Yvoir, 5530, Belgium
  • Libin Cardiovascular Institute of Alberta - University of Calgary
    Calgary, Alberta T2N 4Z6, Canada
  • Royal Alexandra Hospital
    Edmonton, Alberta T5H 3V9, Canada
  • Medical Arts Health Research Group - North Vancouver
    North Vancouver, British Columbia V5Z 0A9, Canada
  • Vancouver Coastal Health Research
    Vancouver, British Columbia V5Z 1M9, Canada
  • Victoria Cardiac Arrhythmia Trials, Inc.
    Victoria, British Columbia V8T 1Z4, Canada
  • University of Manitoba, St Boniface General Hospital
    Winnipeg, Manitoba R2H 2A6, Canada
  • Dalhousie University - QEII Health Sciences Centre
    Halifax, Nova Scotia B3H 3A7, Canada
  • Cambridge Cardiac Care Centre
    Cambridge, Ontario N1R 6V6, Canada
  • Dawson Road Medical Centre
    Guelph, Ontario N1H 1B1, Canada
  • Hamilton Health Sciences
    Hamilton, Ontario L8L 0A6, Canada
  • London Health Sciences Centre
    London, Ontario N6A 5A5, Canada
  • Partners in Advanced Cardiac Evaluation (PACE) Cardiology Clinic
    Newmarket, Ontario L3Y 2P6, Canada
  • St. Michael's Hospital
    Toronto, Ontario M5B 1W8, Canada
  • The Montreal Heart Institute
    Montreal, Quebec H1T 1C8, Canada
  • CHUM Recherche Cardiologie
    Montreal, Quebec H2X 0A9, Canada
  • McGill University Health Center - Research Institute
    Montréal, Quebec H3G 1A4, Canada
  • Institut Universitaire de Cardiologie et de Pneumologie De Quebec
    Québec, Quebec G1V 4G5, Canada
  • CardioVasc HR
    Saint-Jean-sur-Richelieu, Quebec J3A 1J2, Canada
  • CIUSSS de l'Estrie - CHUS
    Sherbrooke, Quebec J1H 5N4, Canada
  • CSSS du Sud de Lanaudiere - Hopital Pierre Le Gardeur
    Terrebonne, Quebec J6V 2H2, Canada
  • CHRU Besancon - Hopital Jean Minjoz
    Besançon, Besancon 25030, France
  • CHU Grenoble-Alpes - Hopital Michallon
    La Tronche, Grenoble 38043, France
  • CHRU de Brest - Hopital de la Cavale Blanche
    Brest, 29609, France
  • HCL Hopital Louis Pradel
    Bron, 69677, France
  • Hopital Saint-Louis de La Rochelle
    La Rochelle, 17000, France
  • CHU de Lille - Institut Cœur Poumon
    Lille, 59037, France
  • Centre Hospitalier de Pau
    Pau, 64000, France
  • Maerkische Gesundheitsholding GmbH - Klinikum Luedenscheid
    Lüdenscheid, Ludenscheid 58515, Germany
  • Peter Osypka Herzzentrum Munchen
    München, Munchen 81379, Germany
  • Vivantes Klinikum Neukoelln
    Berlin, 12351, Germany
  • FAZ Dresden-Neustadt GbR
    Dresden, 01099, Germany
  • Kardiologische Praxis
    Dresden, 04779, Germany
  • Kardiologische Gemeinschaftspraxis Papenburg
    Papenburg, 26871, Germany
  • Zentrum fuer Praevention und Rehabilitation
    Siegen, 57072, Germany
  • Dr Lakatos Ferenc Belgyogyaszati-Kardiologiai Maganrendelo
    Bekescsaba, Bekescaba 5600, Hungary

Showing the first 100 of 161 sites across 9 countries. Choose a country and city above to see the rest.

09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jun 2018 to primary completion in Jan 2023, 55 months.

Results were first posted in Jul 2024, 1 year 5 months after primary completion. A results delay was requested in Jan 2024.

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

Registered
Mar 7, 2018
First posted
Mar 13, 2018
StartActual
Jun 18, 2018
Primary completionActual
Jan 20, 2023
CompletionActual
Jan 20, 2023
Results delay requested
Jan 18, 2024
Results first posted
Jul 12, 2024
Last update
Jul 12, 2024
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 Jul 12, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03464019
Lead sponsor
Milestone Pharmaceuticals Inc.
Collaborators
Medpace, Inc., IQVIA Biotech
Responsible party
Sponsor
First posted
Mar 13, 2018
Start date
Jun 18, 2018
Primary completion
Jan 20, 2023
Completion
Jan 20, 2023
Results posted
Jul 12, 2024
Last update
Jul 12, 2024

Study contacts

David Bharucha, MD
study director · Milestone Pharmaceuticals

Oversight

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

Not currently enrolling

This study is terminated, as verified in May 2024. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Etripamil

Start the discussion