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Apabetalone for Pulmonary Arterial Hypertension (APPROACH-2 Trial)

Phase 2
Waitlist Available
Led By Steeve Provencher, MD, MSc
Research Sponsored by Institut universitaire de cardiologie et de pneumologie de Québec, University Laval
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
PAH of idiopathic/hereditary/drug or toxin-induced origin; or associated with connective tissue diseases or simple congenital heart disease (atrial septal defect, ventricular septal defect, patent ductus arteriosus) corrected for >1 year
WHO functional class II or III
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline, week 8 and week 24
Awards & highlights

APPROACH-2 Trial Summary

This trial is a Phase 2, multicenter, randomized, double-blind, placebo-controlled, parallel-group study in subjects with PAH.

Who is the study for?
Adults aged 18-75 with Pulmonary Arterial Hypertension (PAH) who are stable on current PAH medication for at least 3 months can join. They must be able to walk at least 150 meters and have a life expectancy of more than 28 weeks. Participants need normal organ function, not be pregnant or breastfeeding, and agree to use contraception if necessary.Check my eligibility
What is being tested?
The trial is testing the effectiveness of Apabetalone as an additional treatment for PAH over a period of 24 weeks. It will compare changes in pulmonary vascular resistance (PVR) between those taking Apabetalone and those given a placebo while continuing their usual PAH therapy.See study design
What are the potential side effects?
While specific side effects for this trial aren't listed, common ones from similar medications include headache, dizziness, nausea, diarrhea, rash or swelling where the drug enters the body. More serious risks could involve liver problems or blood cell count changes.

APPROACH-2 Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My pulmonary arterial hypertension is due to genetics, drugs, toxins, or related to a heart defect that was corrected over a year ago.
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My heart or lung condition mildly or moderately affects my daily activities.
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My blood, liver, and kidney functions are within normal ranges.
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I can walk 150 meters or more without stopping.

APPROACH-2 Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline, week 8 and week 24
This trial's timeline: 3 weeks for screening, Varies for treatment, and baseline, week 8 and week 24 for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Placebo-corrected change from baseline in PVR at week 24
Secondary outcome measures
Change at week 24 in HRQoL assessed using the EmPHasis-10 questionnaire
Change at week 24 in mean Pulmonary Artery Pressure (mPAP), mmHg obtained from right heart catheterization
Change in cardiac output (L/min)
+6 more
Other outcome measures
Change in PBMC expression of BMPR2
Change in clinical worsening events
Circulating levels change in whole blood markers of DNA damage
+3 more

APPROACH-2 Trial Design

2Treatment groups
Active Control
Placebo Group
Group I: ApabetaloneActive Control1 Intervention
100mg BID, 24-week (168±3 days) Treatment Period.
Group II: PlaceboPlacebo Group1 Intervention
24-week (168±3 days) period.

Find a Location

Who is running the clinical trial?

Resverlogix CorpIndustry Sponsor
11 Previous Clinical Trials
3,381 Total Patients Enrolled
1 Trials studying Pulmonary Arterial Hypertension
7 Patients Enrolled for Pulmonary Arterial Hypertension
Institut universitaire de cardiologie et de pneumologie de Québec, University LavalLead Sponsor
18 Previous Clinical Trials
3,411 Total Patients Enrolled
Laval UniversityLead Sponsor
417 Previous Clinical Trials
172,200 Total Patients Enrolled
6 Trials studying Pulmonary Arterial Hypertension
108 Patients Enrolled for Pulmonary Arterial Hypertension

Media Library

Apabetalone Clinical Trial Eligibility Overview. Trial Name: NCT04915300 — Phase 2
Pulmonary Arterial Hypertension Research Study Groups: Apabetalone, Placebo
Pulmonary Arterial Hypertension Clinical Trial 2023: Apabetalone Highlights & Side Effects. Trial Name: NCT04915300 — Phase 2
Apabetalone 2023 Treatment Timeline for Medical Study. Trial Name: NCT04915300 — Phase 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Is the enrollment period ongoing for this investigation?

"Presently, this clinical trial is no longer seeking patients. The research was initially made available on October 1st 2022 and last updated April 22nd 2022. For those exploring alternative studies, there are currently 750 trials searching for participants suffering from pulmonary arterial hypertension, alongside one study looking to recruit Apabetalone users."

Answered by AI

Has Apabetalone been given regulatory approval by the FDA?

"Given the available evidence, our team at Power has assigned Apabetalone a rating of 2 on its safety scale. This is because Phase 2 trials have yet to provide any data regarding efficacy; however there are preliminary indications that it can be taken safely."

Answered by AI

What is the enrollment quota for this research study?

"This trial is no longer seeking participants. It first surfaced on October 1st 2022, with its last update taking place on April 22nd 2022. Meanwhile, those pursuing alternative studies can explore the 750 trials recruiting patients suffering from pulmonary arterial hypertension or the single study concerning Apabetalone currently enrolling individuals."

Answered by AI

Are there any restrictions for individuals who wish to participate in this medical experiment?

"This pulmonary arterial hypertension study seeks 72 participants aged 18-75. Those wishing to participate must meet the following standards: PAH of idiopathic/hereditary/drug or toxin-induced origin; associated with connective tissue diseases or simple congenital heart disease (atrial septal defect, ventricular septal defect, patent ductus arteriosus) corrected for >1 year; WHO functional class II or III; Two 6MWD of ≥ 150m (the latter being used as baseline value); Patients must have a life expectancy ≥ 28 weeks.."

Answered by AI

Is there an age restriction for participation in this trial, and if so, does it permit those aged 65 or more?

"Based on the trial's inclusion criteria, participants must be aged 18 or above and not exceed 75 years of age."

Answered by AI

Is this new research pioneering in its field?

"Currently, the only ongoing trial for Apabetalone is found in a single country. This investigation was initiated by Resverlogix Corp in 2022 and has gone through its Phase 2 drug approval process with 72 patients. Since then, 18328 studies on this subject have already been conducted."

Answered by AI
~42 spots leftby Mar 2025