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Pharmacokinetic and safety of serelaxin when added to standard of care in pediatric patients hospitalized with acute heart failure

Multicenter, open-label, dose escalation study to evaluate safety, tolerability and pharmacokinetics of RLX030 in addition to standard of care in pediatric patients from birth to <18 years of age, hospitalized with acute heart failure.

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2013-002847-28-DE
Enrollment
30
Registered
2014-04-28
Start date
2014-06-26
Completion date
Unknown
Last updated
2017-10-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

acute heart failure MedDRA version: 19.0 Level: LLT Classification code 10000803 Term: Acute heart failure System Organ Class: 100000004849

Interventions

Product Name: serelaxin Product Code: RLX030 Pharmaceutical Form: Concentrate for solution for infusion INN or Proposed INN: SERELAXIN CAS Number: Not establis Current Sponsor code: RLX030 Other descr

Sponsors

Novartis Pharma Services AG
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Written informed consent by parent(s)/legal guardian(s) for the pediatric patient must be obtained before any study-specific assessment is performed 2. Male or female, birth to =65 years) no F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: 1. Hypovolemia 2. Moderate to severe left ventricular outflow tract (including sub-valvular, valvular and supra-valvular), mitral stenosis or aortic arch obstruction 3. Patients with single ventricle physiology before their Fontan operation (However, single ventricle patients post Glenn operation before their Fontan/Total cavopulmonary connection procedure (TCPC) can be enrolled.) 4. Patients on ECMO or VAD 5. Patients with fixed pulmonary hypertension 6. Patients with blood lactate levels >5 mmol/L at screening 7. Birth 20) 12. Current or planned use of the following concomitant medications during the duration of the study drug infusion: levosimendan, nesiritide 13. History or current diagnosis of cardiac electrocardiographic abnormalities 14. Any major solid organ transplant recipient within 1 year of transplantation 15. Any major solid organ transplant recipient who presents with severe organ rejection

Design outcomes

Primary

MeasureTime frame
Main Objective: - evaluate the safety and tolerability of an iv serelaxin infusion in addition to standard of care in hospitalized pediatric patients with AHF. - investigate the effects of age on the pharmacokinetics of serelaxin given as iv infusion in addition to standard of care in hospitalized pediatric patients with AHF;Secondary Objective: To evaluate the hemodynamic effects of different doses of serelaxin given as an iv infusion in addition to standard of care in hospitalized pediatric patients with AHF [efficacy parameters: arterial blood pressure, left atrial pressure (LAP), pulmonary artery pressure (PAP – systolic and diastolic), central venous and arterial oxygen saturation, urine output, and blood lactate levels].;Primary end point(s): - safety and tolerability: rate of adverse events and routine assessment of laboratory parameters including those for renal function - PK: Css and CL;Timepoint(s) of evaluation of this end point: -safety and tolerability: during the entire duration of the study -PK: Children in age cohorts 1-3 (1 month - <18 years): baseline (0), 2, 16, 22, 32, 40, 48 hours; post infusion 0.5, 4, 8 hours and day 28 Children in age cohort 4 (birth to <1 month): 16, 22, 32, 48 hr; post infusion 0.5, 4, 8 hr and if blood volume will allow, additional samples will be taken during the infusion at baseline, 2 and 40 hr and post infusion at day 28.

Secondary

MeasureTime frame
Secondary end point(s): arterial BP and central venous pressure (CVP), left atrial pressure (LAP), pulmonary artery pressure (PAP – systolic and diastolic), central venous and arterial oxygen saturation, urine output and blood lactate levels.;Timepoint(s) of evaluation of this end point: at baseline, prior to each dose escalation and at approximately 24 hours after the end of the infusion

Countries

Germany, Switzerland, United Kingdom, United States

Contacts

Public ContactMedical Competence Center

Novartis Pharma GmbH - Medizinischer Infoservice

infoservice.novartis@novartis.com+411802232300

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026