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Study of LQT-1213 on QTc-induced Prolongation in Healthy Adult Subjects (Part1) and on Congenital Long QT in Patients Diagnosed With Type 2 or 3 Long QT Syndrome (Part 2).

A Phase 1b/2a, 2-Part Study; Part 1: Randomized, Double-Blind, Crossover, Dose-Escalation, Placebo-Controlled Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of SGK-1 Kinase Inhibition by LQT-1213 on Dofetilide-Induced QTc Prolongation in Healthy Adult Subjects. Part 2: Single-Blind, Multiple-Dose, Safety Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of LQT-1213 in Patients Diagnosed With Type 2 or 3 Long QT Syndrome

Status
Terminated
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05906732
Enrollment
42
Registered
2023-06-18
Start date
2023-03-12
Completion date
2024-05-31
Last updated
2025-07-24

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

Conditions

Long QT Syndrome

Keywords

LQT-1213, Congenital Long QT Syndrome, LQTS, Serum glucocorticoid regulated kinase-1, SGK-1 inhibitor, Drug induced long QT

Brief summary

Part 1: This is a Phase 1b, randomized, double-blind, crossover, dose escalation, placebo-controlled study to evaluate the effect of oral LQT-1213 on dofetilide-induced QTc prolongation in healthy adult subjects. This is a 2-treatment, 2-period crossover study with approximately up to 28 healthy subjects, with screening procedures within 28 days of enrolment. Part 2: This is a Phase 2a, single-blind, placebo run-in, multiple-dose safety study to evaluate the safety, tolerability, and PK of LQT-1213 in patients diagnosed with LQT2 or LQT3. Up to 12 participants with LQT2 and up to 12 participants with LQT3 will be recruited.

Detailed description

Part 1: This is a 2-treatment, 2-period crossover study. Approximately 28 healthy subjects, with the attempt to balance for sexes, will be enrolled to complete approximately up to 20 subjects in the study. In both treatment periods, all subjects will receive dofetilide on Days 1 and 2 of each period. Randomization will take place before Day 3 of Period 1. Subjects will be randomly assigned to 1 of 2 treatment sequences (AB or BA). Part 2: Up to 12 participants with LQT2 and up to 12 participants with LQT3 will be enrolled. After initial screening, which may be conducted remotely by the CRU, individual participants with LQT2 or LQT3 will undergo a 1-day, single-blind placebo run-in period followed by 3 dosing days of LQT-1213 administered TID (the last dosing day will have a single dose). Participants will be discharged from the CRU on Day 5. Approximately 7 days after discharge from the CRU, the Follow-up Visit will be conducted remotely via telephone call.

Interventions

LQT-1213 is a serum glucocorticoid regulated kinase 1 (SGK-1) inhibitor

DRUGPlacebo

Matching Placebo

DRUGDofetilide 250 μg Cap

Dofetilide is a potent, pure inward-rectifier potassium channels (IKr) blocker

Sponsors

Thryv Therapeutics, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
Yes

Inclusion criteria

Part1: 1. Male and female subjects between 18 and 60 years of age (inclusive) at Screening. 2. Not previously enrolled in a clinical study with LQT-1213. 3. Normal general health. 4. Body mass index within 18.0 to 32.0 kg/m2, inclusively at Screening. 5. Female subjects of nonchildbearing potential must be either surgically sterile (hysterectomy, bilateral tubal ligation, salpingectomy, and/or bilateral oophorectomy at least 26 weeks before Screening) or postmenopausal, defined as spontaneous amenorrhea for at least 2 years, with follicle-stimulating hormone in the postmenopausal range at Screening, based on the central laboratory's ranges. 6. Female subjects of childbearing potential (ie, ovulating, premenopausal, and not surgically sterile) must use a highly effective contraceptive regimen during their participation in the study and for 30 days after the last administration of study drug. Highly effective contraceptive methods are defined as those with \<1% failure rate per year. Acceptable methods of contraception for female subjects enrolled in the study include the following: * Combined (estrogen- and progestogen-containing) hormonal contraception associated with inhibition of ovulation: oral, intravaginal, transdermal * Progestogen-only hormonal contraception associated with inhibition of ovulation: oral, injectable, implantable * Intrauterine device * Intrauterine hormone-releasing system * Bilateral tubal occlusion * Vasectomized partner * Heterosexual abstinence 7. Male subjects and their partners must use highly effective methods of contraception (ie, condom and spermicide) for the entire duration of the study. Male subjects must continue to use contraception and refrain from fathering a child and sperm donation for 90 days after the last administration of study drug. Acceptable methods of contraception for male subjects enrolled in the study include the following: * Condoms and spermicide * Surgical sterilization (vasectomy) of the subject at least 26 weeks before Screening * Heterosexual abstinence (subject must agree to use condom and spermicide if they become sexually active) 8. Understand the requirements of the study and voluntarily consent to participate in the study. Part 2: 1. Male and female participants 18 years of age or older at Screening. 2. Body weight of at least 45 kg at Screening. 3. Female participants of nonchildbearing potential must be either surgically sterile (hysterectomy, bilateral tubal ligation, salpingectomy, and/or bilateral oophorectomy at least 26 weeks before Screening) or postmenopausal, defined as spontaneous amenorrhea for at least 2 years, with follicle-stimulating hormone in the postmenopausal range (\>40 mlU/mL) at Screening, based on the central laboratory's ranges. 4. Female participants of childbearing potential (ie, ovulating, premenopausal, and not surgically sterile) must use a highly effective contraceptive regimen during their participation in the study and for 30 days after the last administration of study drug. Highly effective contraceptive methods are defined as those with \<1% failure rate per year. Acceptable methods of contraception for female participants enrolled in the study include the following: * Combined (estrogen- and progestogen-containing) hormonal contraception associated with inhibition of ovulation: oral, intravaginal, transdermal * Progestogen-only hormonal contraception associated with inhibition of ovulation: oral, injectable, implantable * Intrauterine device * Intrauterine hormone-releasing system * Bilateral tubal occlusion * Vasectomized partner * Heterosexual abstinence 5. Male participants and their partners must use highly effective methods of contraception (ie, condom and spermicide) for the entire duration of the study. Male participants must continue to use contraception and refrain from fathering a child and sperm donation for 90 days after the last administration of study drug. Acceptable methods of contraception for male participants enrolled in the study include the following: * Condoms and spermicide * Surgical sterilization (vasectomy) of the participant at least 26 weeks before Screening * Heterosexual abstinence (participant must agree to use condom and spermicide if they become sexually active) 6. LQT2 or LQT3 mutation: * LQTS 2: Participants with potassium voltage-gated channel subfamily H member 2 (KCNH2) mutations that are dominant negative and considered to be pathologic or likely pathologic by the screening laboratory can be included after approval from the sponsor. Participants with haploinsufficiency will not be eligible for this study. * LQTS 3: Participants with a sodium voltage-gated channel alpha subunit 5 (SCN5A) gene chromosome 3 mutations that are mutations and considered to be pathologic or likely pathologic by the screening laboratory can be included after approval from the sponsor. Participants with mutations not associated with Brugada syndrome or overlap syndromes or where mutations affect the window current or the persistent 'late' Na current to exert a primary or major role in the phenotype, will be eligible for this study. 7. QTcF interval ≥480 and ≤560 ms determined at Screening and on Day -1 triplicate ECGs as assessed by a physician trained in complex ECG interpretation. 8. The first 2 participants with LQT2 require having an ICD before further participants with LQT2 are enrolled and the first 2 participants with LQT3 require having an ICD before further participants with LQT3 are enrolled. This stipulation may be altered based on agreement between the principal investigator and Sponsor based on emerging data. The ICD implantation must have been at least 2 months before Screening. Note: Subsequent participants may or may not have had an ICD. The results of the ICD interrogation within the last 6 months should be available for review unless waived by the investigator and sponsor. 9. Understand the requirements of the study and voluntarily consent to participate in the study.

Exclusion criteria

Part 1: 1. On Day 1 at 3 hours postdose in Period 1 only, of the first cycle of dofetilide, the QTcF on the triplicate ECGs will be manually confirmed by cardiologist experienced in ECG interval measurements. The ECG measurements at baseline and at the 3-hour time points will be performed by the same technician and cardiologist. If the mean QTcF increase from baseline is \<25 ms on triplicate safety ECGs compared to the mean from baseline (all ECG QTcF measurements averaged), the subject will be disqualified from further study participation. 2. Clinically significant gastrointestinal, renal, hepatic, neurologic, hematologic, endocrine, oncologic, pulmonary, immunologic, psychiatric, or cardiovascular disease or any other condition, which, in the opinion of the investigator, would jeopardize the safety of the subject or impact the validity of the study results. No history of myocardial infarction or angina or ischemic heart disease, nonsustained or sustained ventricular tachycardia, atrial fibrillation, stroke, transient ischemic attack, syncope, congestive heart failure, family history of LQTS, Torsades de Pointes, or sudden cardiac death. 3. Female subjects must not be pregnant, lactating, or breastfeeding, and must not be planning to become pregnant. 4. Female subjects of childbearing potential must have a negative result for the serum pregnancy test at Screening and Check-in. 5. Clinically significant abnormal findings on the physical examination or medical history during Screening as deemed by the investigator. 6. Participated in a previous clinical study in the previous 3 months before dosing. 7. Donation of blood volume greater than 300 mL within 30 days before Screening and agree to avoid donation from Screening and throughout the study. 8. At Screening and on Day -2, if the 12-lead ECG demonstrates any of the following: PR \>240 ms; QRS \>110 ms, or QTcF \<400 ms and \>440 ms; second- or third-degree atrioventricular block; bundle branch block, significant ST-T wave abnormalities or flat T waves that could interfere with QT analysis. If HR \<50 or \>85 bpm, then 2 more ECGs will be recorded, and the mean values will be used. 9. Known sensitivity to kinase inhibitors. 10. Abnormal renal function with an estimated glomerular filtration rate (eGFR) of \<70 mL/min/1.73 m2, with eGFR calculated by the Chronic Kidney Disease Epidemiology Collaboration \[CKD-EPI\] formula at Screening. One retest of the exclusionary eGFR value is allowed at the discretion of the investigator. 11. Subject has abnormal liver function tests (transaminases or total bilirubin) greater than 2.5 × the upper limit of normal at Screening or baseline. One retest of exclusionary abnormal liver function tests is allowed at the discretion of the investigator. 12. Subject has a positive serology test for HIV antibodies, hepatitis B surface antigen, or hepatitis C virus antibody at Screening. 13. Subject has a hemoglobin \<11.0 g/dL, potassium \<3.8 mg/dL, magnesium \<1.9 mg/dL, or calcium \<8.5 mg/dL at Screening or baseline. One retest of exclusionary hemoglobin, potassium, magnesium, and calcium is allowed at the discretion of the investigator. Electrolyte supplementation is allowed at any time as long as it is \>4 hours before dosing. 14. Subject has a history of hypersensitivity to drugs with a clinically significant reaction or any clinically significant hypersensitivities. 15. Subject has an allergy to band aids, adhesive dressing, or medical tape. 16. Subject has a history within the past 2 months of strenuous exercise (eg, marathon running) and is unwilling to refrain from strenuous exercise from 7 days before Check-in and until the end of the study. Subject has abnormal creatine phosphokinase test greater than 3 × the upper limit of normal at Screening and baseline. One retest of exclusionary abnormal creatine phosphokinase tests is allowed at the discretion of the investigator. 17. Subject is unable to refrain from or anticipates the use of any drug, including prescription and nonprescription medications (with the exception of hormonal contraception), herbal preparations, or vitamin supplements beginning 14 days before the first dose and until the end of the study. After dosing, acetaminophen (up to 2 g per 24 hours) may be administered at the discretion of the investigator or designee. 1. Hepatic or renal clearance altering agents within 30 days before the first dose and until the end of the study. 2. Avoid vaccinations from Screening until the end of the study. 3. Has consumed cruciferous vegetables (eg, kale, broccoli, watercress, collard greens, kohlrabi, Brussels sprouts, and mustard greens) or charbroiled meats within 7 days before Check-in through the Follow-up Visit. 4. Use of any drugs known to be significant strong inducers of cytochrome P450 (CYP) 3A enzymes, including St. John's Wort, for 28 days before Day -1 or 5 half-lives (whichever is longer) and through the Follow-up Visit. 5. Has consumed Seville oranges, grapefruit and/or grapefruit juice within 14 days before Check-in and is unwilling to abstain from consuming these items until the end of the study. 18. Subject is considering or scheduled to undergo any surgical procedure during the study. 19. Subject has experienced an acute illness that has resolved in less than 14 days before the first study drug dose or has had a major illness or hospitalization within 1 month before the first study drug dose. 20. Subject is unwilling to abstain from ingestion of caffeine- or xanthine-containing products (eg, tea, coffee, chocolate, cola, etc.) beginning 96 hours before Check-in until the final PK sample of the study has been collected. 21. Subject is unwilling to abstain from alcohol beginning 48 hours before Check-in and until the final PK sample of the study has been collected. 22. Subject has a history of high alcohol consumption within 9 months before Screening, defined as an average weekly intake of \>14 units for males or \>10 units for females. One unit is equivalent to 8 g of alcohol: a half-pint (\ 240 mL) of beer, 1 glass (125 mL) of wine, or 1 measure (25 mL) of spirits. 23. Subject has a history of drug abuse in the 3 years before Screening or positive screen for drugs of abuse or alcohol at Screening or baseline. Subjects may undergo a repeat urine drug screen at the discretion of the investigator. 24. Subject uses or has used tobacco-or nicotine-containing products (eg, cigarettes, cigars, chewing tobacco, snuff, etc.) within 6 months before Screening and is unwilling to abstain from tobacco-containing products until the end of the study, based on subject self-reporting. 25. Subject, who, for any reason, is deemed by the investigator to be inappropriate for this study or has any condition which would confound or interfere with the evaluation of the safety, tolerability, or PK of the investigational drug or prevent compliance with the study protocol. Part 2: 1. Clinically significant gastrointestinal, renal, hepatic, neurologic, hematologic, endocrine, oncologic, pulmonary, immunologic, psychiatric, or significant structural cardiovascular disease or any other condition beyond LQT2 or LQT3, which, in the opinion of the investigator or sponsor, would jeopardize the safety of the participant or impact the validity of the study results. History of myocardial infarction or ongoing angina or active ischemic heart disease, atrial fibrillation, stroke, or transient ischemic attack within the past 12 months, greater than New York Heart Association Class II congestive heart failure, bundle branch block, hemodynamically significant ventricular tachycardia not due to Torsades de Pointes, or Brugada syndrome. 2. Participant has a history of an aborted cardiac arrest, ICD implantation, syncopal episode due to a ventricular arrhythmia or where confidence in the etiology cannot be established, or appropriate ICD therapy for ventricular tachycardia/ventricular fibrillation within 2 months before Screening. Participants with LQT2 or LQT3 can be enrolled after the 2-month time period has lapsed. 3. Female participants must not be pregnant, lactating, or breastfeeding, and must not be planning to become pregnant. 4. Female participants of childbearing potential must have a negative result for the serum pregnancy test at Screening and Check-in. 5. Clinically significant abnormal findings on the physical examination at Check-in or medical history during Screening as deemed by the principal investigator. 6. Currently participating in another interventional clinical study. 7. Donation of blood volume greater than 300 mL within 30 days before dosing and unwilling to avoid donation from Screening and throughout the study. 8. Screening diastolic blood pressure \<45 or \>95 mm Hg, systolic blood pressure \<90 or \>150 mm Hg, or with sponsor and investigator approval. 9. At Screening and on Day -1, if the triplicate 12-lead ECG demonstrates any of the following: mean PR \>250ms; QRS \>110 ms, or QTcF \>560 ms and \<480 ms; bundle branch block or significant ST-T wave abnormalities or flat T waves that could interfere with QT analysis. Heart rate \<45 bpm, unless receiving a beta-blocker in which case \<40 bpm, or HR \>95 bpm. If any of these exclusionary criteria are met, then a second set of triplicate ECGs may be acquired, and the mean values may be used. For participants on beta blockade, the PR interval may be higher than 250 ms with sponsor and investigator approval. 10. Atrial pacing rate set to ≥80 bpm in those with atrial pacing. 11. Participant has a pacemaker or ICD that is actively used for ventricular pacing. 12. Known sensitivity to kinase inhibitors or clinically significant drug allergies to any of the components of LQT-1213. 13. Abnormal renal function with an eGFR of \<60 mL/min/1.73 m2, with eGFR calculated by the CKD-EPI formula at Screening. One retest of the exclusionary eGFR value is allowed at Screening and Check-in at the discretion of the investigator. 14. Participant has abnormal liver function tests (transaminases greater than 2 × the upper limit of normal \[ULN\] or total bilirubin \> 1.5 × ULN. If the participant has documented Gilbert's Syndrome, participation is at the combined principal investigator and Sponsor's discretion after review of historical liver and bilirubin tests. 15. Participant has a positive serology test for HIV antibodies, hepatitis B surface antigen, or hepatitis C virus antibody at Screening. 16. Participant has a hemoglobin \<11.0 g/dL, potassium \<3.8 mg/dL, magnesium \<1.8 mg/dL, or calcium \<8.5 mg/dL at Screening or baseline. One retest of exclusionary hemoglobin, potassium, magnesium, and calcium is allowed at the discretion of the investigator. 17. Participant has a history of hypersensitivity to drugs with a clinically significant reaction or any clinically significant hypersensitivities. 18. Participant has a clinically significant allergy to band aids, adhesive dressing, ECG electrodes, or medical tape. 19. Participant has abnormal creatine phosphokinase test greater than 3 × the ULN at Screening or baseline. One retest of exclusionary abnormal creatine phosphokinase tests is allowed at the discretion of the investigator. 20. Participant is currently taking, within the last 7 days before Spaulding admission or 5 half-lives (whichever is longer), or anticipates the use of any antiarrhythmic medications (including mexilitene except beta-blockers which are allowed,) or drugs known to affect the QT interval (including ranolazine; refer to drug lists for Drugs with known, possible, or conditional risk of TdP that are known to prolong the QT interval at https://crediblemeds.org), unless approved by the sponsor and principal investigator. 21. Participant is not permitted to use/consume the following: 1. Any drugs known to be significant strong inducers of CYP 3A enzymes, including St. John's Wort, for 28 days before Day -1 or 5 half-lives (whichever is longer) and through the Follow-up Visit. 2. Seville oranges, grapefruit and/or grapefruit juice within 7 days before Check-in and is unwilling to abstain from consuming these items until the end of the study. 22. Participant is considering or scheduled to undergo any surgical procedure during the study. 23. Participant has experienced an acute illness that has resolved in less than 14 days before the first study drug dose or has had a major illness or hospitalization within 1 month before the first study drug dose. 24. Participant is unwilling to abstain from ingestion of caffeine- or xanthine-containing products (eg, tea, coffee, chocolate, cola, etc.) beginning 96 hours before Check-in until the final PK sample of the study has been collected. 25. Participant is unwilling to abstain from alcohol beginning 48 hours before Check-in and until the final PK sample of the study has been collected. 26. Participant has a history of high alcohol consumption or substance abuse that would pose a risk for the participant's safety and compliance with the study protocol. Participant must not have positive screen for drugs of abuse at Screening or baseline and alcohol at baseline, except with sponsor permission. Participants may undergo a repeat urine drug screen at the discretion of the investigator. 27. Participant, who, for any reason, is deemed by the investigator to be inappropriate for this study or has any condition which would confound or interfere with the evaluation of the safety, tolerability, or PK of the investigational drug or prevent compliance with the study protocol.

Design outcomes

Primary

MeasureTime frameDescription
Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo2.0 hours after administration of study treatment on Day 4.The primary outcome is time-based comparison in the change from baseline (baseline defined as Day 1 of Period 1 and Day 1 of Period 2 mean predose QTc) ΔΔQTc by Fridericia's formula (QTcF) during peak dofetilide exposure between dofetilide and placebo treatment, and the dofetilide and LQT-1213 treatment.
Part 2: Safety and Tolerability of Oral LQT-1213 in Participants With LQT-2 or LQT-3up to day 12The primary outcome is to measure the incidence of treatment emergent adverse events (TEAEs).

Secondary

MeasureTime frameDescription
Part 2: Pharmacokinetic LQT-1213 TmaxDay 2 and Day 4Time to the maximum observed plasma concentration
Part 1: Pharmacokinetic LQT-1213 AUC0-t0 to 24 hours post-dose on Day 8Area under the concentration-time curve (AUC) from time 0 to the time of the last measurable concentration
Part 1: Pharmacokinetic Dofetilide AUC0-t0 to 24 hours post-dose on Day 8Area under the concentration-time curve (AUC) from time 0 to the time of the last measurable concentration
Part 1: Pharmacokinetic LQT-1213 AUCtauDay 4,6, 8AUCtau = Area under the curve from time 0 to 8.0 hours
Part 1: Pharmacokinetic Dofetilide AUCtauDay 4,6,8AUCtau = Area under the curve from time 0 to 12 hours
Part 1: Pharmacokinetic LQT-1213 CmaxDay 4,6,8Maximum observed plasma drug concentration
Part 1: Pharmacokinetic Dofetilide CmaxDay 4,6, 8Maximum observed plasma drug concentration
Part 2: Pharmacokinetic LQT-1213 t1/2Day 4Part 2: Pharmacokinetic LQT-1213 terminal half-life t1/2
Part 1: Pharmacokinetic Dofetilide TmaxDay 4,6,8Time to the maximum observed plasma concentration
Part 1: Pharmacokinetic LQT-1213 t1/2Day 8Terminal half-life
Part 1: Pharmacokinetic Dofetilide t1/2Day 8Terminal half-life
Part 1: Number of Treatment Emerging Adverse Events (TEAEs)Period 1 from Day 1 to Day 10 and Period 2 from Day 1 up to Day 17.Part 1: Number of Treatment Emerging Adverse Events (TEAEs) that occurred following administration of dofetilide Day1 up to Day 10 period 1 and in period 2 from Day 1 to up to the follow-up visit at Day 17.
Part 2: Pharmacokinetic LQT-1213 AUC0-tDay 4 Pre-dose up to 29 hours post-dose administrationArea under the concentration-time curve (AUC) from time 0 to the time of the last measurable concentration
Part 2: Pharmacokinetic LQT-1213 AUCtauday 2 and day 4Pharmacokinetic LQT-1213 AUCtau (time 0 to 8 hours)
Part 1: Pharmacokinetic LQT-1213 TmaxDay 4,6,8Time to the maximum observed plasma concentration
Part 2: Pharmacokinetic LQT-1213 Cmaxday 2 and day 4Maximum observed plasma drug concentration

Other

MeasureTime frameDescription
Part 2: ΔAUC0-8 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo)Day 4QTcF area under the curve on Day 4 (0 to 8 hours; LQT-1213) was compared to QTcF AUC on Day 1 (0 to 8 hours; placebo).
Part 2: ΔAUC0-12 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo)Day 4QTcF area under the curve on Day 4 (0 to 12 hours; LQT-1213) was compared to QTcF AUC on Day 1 (0 to 12 hours; placebo).
Part 2: ΔAUC2-6 Hours QTcF Values on Day 4 (LQT-1213 7 mg TID) Compared to the Time-matched on Day 1 (Placebo)Day 4QTcF area under the curve on Day 4 (2 to 6 hours; LQT-1213) was compared to QTcF AUC on Day 1 (2 to 6 hours; placebo).
Part 2: ΔAUC3-6 Hours QTcF Values on Day 4 (LQT-1213 7 mg TID) Compared to the Time-matched on Day 1 (Placebo)Day 4QTcF area under the curve on Day 4 (3 to 6 hours; LQT-1213) was compared to QTcF AUC on Day 1 (3 to 6 hours; placebo).
Part 2: ΔAUC0-8 Hours QTcF Values on Day 4 (LQT-1213 7 mg TID) Compared to the Time-matched on Day 1 (Placebo)Day 4QTcF area under the curve on Day 4 (0 to 8 hours; LQT-1213) was compared to QTcF AUC on Day 1 (0 to 8 hours; placebo).
Part 2: Time-matched Placebo-corrected QTcF - 1 Hour Post Dose1 hour after administration of study treatment on Day 4.QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test.
Part 2: ΔAUC2-6 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo) Subgroup Analysis (≥ 500ms)Day 4QTcF area under the curve on Day 4 (2 to 6 hours; LQT-1213) was compared to QTcF AUC on Day 1 (2 to 6 hours; placebo) for subjects with a Day 1 Pre-Dose (Baseline 1) QTcF \>= 500 ms
Part 2: ΔAUC3-6 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo) Subgroup Analysis (≥ 500ms)Day 4QTcF area under the curve on Day 4 (3 to 6 hours; LQT-1213) was compared to QTcF AUC on Day 1 (3 to 6 hours; placebo) for subjects with a Day 1 Pre-Dose (Baseline 1) QTcF \>= 500 ms
Part 2: ΔAUC0-8 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo) Subgroup Analysis (≥ 500ms)Day 4QTcF area under the curve on Day 4 (0 to 8 hours; LQT-1213) was compared to QTcF AUC on Day 1 (0 to 8 hours; placebo) for subjects with a Day 1 Pre-Dose (Baseline 1) QTcF \>= 500 ms
Part 2: ΔAUC0-12 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo) Subgroup Analysis (≥ 500ms)Day 4QTcF area under the curve on Day 4 (0 to 12 hours; LQT-1213) was compared to QTcF AUC on Day 1 (0 to 12 hours; placebo) for subjects with a Day 1 Pre-Dose (Baseline 1) QTcF \>= 500 ms
Part 2: ΔAUC0-12 Hours QTcF Values on Day 4 (LQT-1213 7 mg TID) Compared to the Time-matched on Day 1 (Placebo)Day 4QTcF area under the curve on Day 4 (0 to 12 hours; LQT-1213) was compared to QTcF AUC on Day 1 (0 to 12 hours; placebo).
Part 2: Time-matched Placebo-corrected QTcF at 2 Hours Post-dose2 hours after administration of study treatment on Day 4.QTcF values at each timepoint on Day 4 were compared to the time-matched QTcF value on Day 1 (placebo) using the paired t-test.
Part 2: Time-matched Placebo-corrected QTcF at 3 Hours Post-dose3 hours after administration of study treatment on Day 4.QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test.
Part 2: Time-matched Placebo-corrected QTcF at 4 Hours Post-dose4 hours after administration of study treatment on Day 4.QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test.
Part 2: Time-matched Placebo-corrected QTcF at 6 Hours Post-dose6 hours after administration of study treatment on Day 4.QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test.
Part 2: Time-matched Placebo-corrected QTcF at 8 Hours Post-dose8 hours after administration of study treatment on Day 4.QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test.
Part 2: Time-matched Placebo-corrected QTcF at 10 Hours Post-dose10 hours after administration of study treatment on Day 4.QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test.
Part 2: Time-matched Placebo-corrected QTcF at 12 Hours Post-dose12 hours after administration of study treatment on Day 4.QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test.
Part 2: Time-matched Placebo-corrected QTcF at 1 Hour Post-dose (Low Dose)1 hours after administration of study treatment on Day 4.QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test.
Part 2: Time-matched Placebo-corrected QTcF at 2 Hours Post-dose (Low Dose)2 hours after administration of study treatment on Day 4.QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test.
Part 2: Time-matched Placebo-corrected QTcF at 3 Hours Post-dose (Low Dose)3 hours after administration of study treatment on Day 4.QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test, which was the same as analyzing the difference of the time-matched QTcF values using one-sample t test.
Part 2: Time-matched Placebo-corrected QTcF at 4 Hours Post-dose (Low Dose)4 hours after administration of study treatment on Day 4.QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test.
Part 2: Time-matched Placebo-corrected QTcF at 6 Hours Post-dose (Low Dose)6 hours after administration of study treatment on Day 4.QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test.
Part 2: Time-matched Placebo-corrected QTcF at 8 Hours Post-dose (Low Dose)8 hours after administration of study treatment on Day 4.QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test.
Part 2: Time-matched Placebo-corrected QTcF at 10 Hours Post-dose (Low Dose)10 hours after administration of study treatment on Day 4.QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test.
Part 2: Time-matched Placebo-corrected QTcF at 12 Hours Post-dose (Low Dose)12 hours after administration of study treatment on Day 4.QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test.
Part 2: ΔAUC2-6 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo)Day 4QTcF area under the curve on Day 4 (2 to 6 hours; LQT-1213) was compared to QTcF AUC on Day 1 (2 to 6 hours; placebo).
Part 2: ΔAUC3-6 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo)Day 4QTcF area under the curve on Day 4 (3 to 6 hours; LQT-1213) was compared to QTcF AUC on Day 1 (3 to 6 hours; placebo).

Countries

United States

Participant flow

Participants by arm

ArmCount
Part 1: Arm A: Dofetilide With Dose-escalating LQT-1213 TID Followed by Dofetilide With Placebo
Dofetilide 500 μg BID (Days 1-8) and LQT-1213 TID 0.25 mg/kg (Days 3 and 4), 0.50 mg/kg (Days 5 and 6), and 0.70 mg/kg on Days 7 and 8. After adequate washout, Dofetilide 500 μg BID (Days 1-8) and placebo (Days 3-8). LQT-1213: LQT-1213 is a serum glucocorticoid regulated kinase 1 (SGK-1) inhibitor Placebo: Matching Placebo Dofetilide 250 μg Cap: Dofetilide is a potent, pure inward-rectifier potassium channels (IKr) blocker
15
Part 1: Arm B: Dofetilide With Placebo Followed by Dofetilide With LQT-1213 TID
Dofetilide 500 μg BID, orally (Days 1-8) and placebo matched to LQT-1213 TID (Days 3-8). After adequate washout, Dofetilide 500 μg BID, orally (Days 1-8) and LQT-1213 3 times a day (TID) 0.25 mg/kg (Days 3 and 4), 0.50 mg/kg (Days 5 and 6), and 0.70 mg/kg on Days 7 and 8. LQT-1213: LQT-1213 is a serum glucocorticoid regulated kinase 1 (SGK-1) inhibitor Placebo: Matching Placebo Dofetilide 250 μg Cap: Dofetilide is a potent, pure inward-rectifier potassium channels (IKr) blocker
15
Part 2: TID Dosing of LQT-1213 16 mg
LQT-1213 16 mg TID (at time 0, 8 and 16 hours) on Days 2-4, with a final single morning dose on Day 4. Day 1 was placebo. LQT-1213: LQT-1213 is a serum glucocorticoid regulated kinase 1 (SGK-1) inhibitor Placebo: Matching Placebo
6
Part 2: TID Dosing of LQT-1213 7mg
LQT-1213 7 mg TID (at time 0, 8 and 16 hours) on Days 2-4, with a final single morning dose on Day 4. Day 1 was placebo. LQT-1213: LQT-1213 is a serum glucocorticoid regulated kinase 1 (SGK-1) inhibitor Placebo: Matching Placebo
6
Total42

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyPhysician Decision2400
Overall StudyWithdrawal by Subject1000

Baseline characteristics

CharacteristicPart 1: Arm A: Dofetilide With Dose-escalating LQT-1213 TID Followed by Dofetilide With PlaceboTotalPart 2: TID Dosing of LQT-1213 7mgPart 2: TID Dosing of LQT-1213 16 mgPart 1: Arm B: Dofetilide With Placebo Followed by Dofetilide With LQT-1213 TID
Age, Continuous43.3 years
STANDARD_DEVIATION 12.4
42 years
STANDARD_DEVIATION 10.84
40.3 years
STANDARD_DEVIATION 8.33
42.0 years
STANDARD_DEVIATION 13.71
42.2 years
STANDARD_DEVIATION 9.13
body mass index27.35 kg/m2
STANDARD_DEVIATION 3.365
28.57 kg/m2
STANDARD_DEVIATION 4.33
33.33 kg/m2
STANDARD_DEVIATION 7.56
30.82 kg/m2
STANDARD_DEVIATION 6.971
26.99 kg/m2
STANDARD_DEVIATION 2.942
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
1 Participants3 Participants0 Participants0 Participants2 Participants
Race (NIH/OMB)
Black or African American
8 Participants14 Participants0 Participants0 Participants6 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
6 Participants25 Participants6 Participants6 Participants7 Participants
Sex: Female, Male
Female
5 Participants18 Participants5 Participants4 Participants4 Participants
Sex: Female, Male
Male
10 Participants24 Participants1 Participants2 Participants11 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
deaths
Total, all-cause mortality
0 / 300 / 290 / 290 / 250 / 250 / 60 / 60 / 60 / 6
other
Total, other adverse events
0 / 300 / 292 / 290 / 254 / 293 / 61 / 61 / 62 / 6
serious
Total, serious adverse events
0 / 300 / 290 / 290 / 250 / 290 / 60 / 60 / 60 / 6

Outcome results

Primary

Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo

The primary outcome is time-based comparison in the change from baseline (baseline defined as Day 1 of Period 1 and Day 1 of Period 2 mean predose QTc) ΔΔQTc by Fridericia's formula (QTcF) during peak dofetilide exposure between dofetilide and placebo treatment, and the dofetilide and LQT-1213 treatment.

Time frame: 3.5 hours after administration of study treatment on Day 8

Population: All subjects who received at least 1 dose of any study treatment (dofetilide, LQT-1213, or placebo) and had measurements at baseline as well as on-treatment with at least 1 post-baseline time point with a ΔQTc value.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo44.4 msecStandard Error 13.84
Dofetilide + Placebo (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo48.3 msecStandard Error 12.34
p-value: 0.2042Mixed Models Analysis
Primary

Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo

The primary outcome is time-based comparison in the change from baseline (baseline defined as Day 1 of Period 1 and Day 1 of Period 2 mean predose QTc) ΔΔQTc by Fridericia's formula (QTcF) during peak dofetilide exposure between dofetilide and placebo treatment, and the dofetilide and LQT-1213 treatment.

Time frame: 2.5 hours after administration of study treatment on Day 8

Population: All subjects who received at least 1 dose of any study treatment (dofetilide, LQT-1213, or placebo) and had measurements at baseline as well as on-treatment with at least 1 post-baseline time point with a ΔQTc value.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo46.6 msecStandard Error 14.23
Dofetilide + Placebo (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo46.8 msecStandard Error 11.45
p-value: 0.4229Mixed Models Analysis
Primary

Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo

The primary outcome is time-based comparison in the change from baseline (baseline defined as Day 1 of Period 1 and Day 1 of Period 2 mean predose QTc) ΔΔQTc by Fridericia's formula (QTcF) during peak dofetilide exposure between dofetilide and placebo treatment, and the dofetilide and LQT-1213 treatment.

Time frame: 3.0 hours after administration of study treatment on Day 8

Population: All subjects who received at least 1 dose of any study treatment (dofetilide, LQT-1213, or placebo) and had measurements at baseline as well as on-treatment with at least 1 post-baseline time point with a ΔQTc value.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo46.4 msecStandard Error 15.18
Dofetilide + Placebo (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo48.0 msecStandard Error 13.24
p-value: 0.4887Mixed Models Analysis
Primary

Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo

The primary outcome is time-based comparison in the change from baseline (baseline defined as Day 1 of Period 1 and Day 1 of Period 2 mean predose QTc) ΔΔQTc by Fridericia's formula (QTcF) during peak dofetilide exposure between dofetilide and placebo treatment, and the dofetilide and LQT-1213 treatment.

Time frame: 4.0 hours after administration of study treatment on Day 8

Population: All subjects who received at least 1 dose of any study treatment (dofetilide, LQT-1213, or placebo) and had measurements at baseline as well as on-treatment with at least 1 post-baseline time point with a ΔQTc value.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo41.4 msecStandard Error 12.25
Dofetilide + Placebo (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo45.7 msecStandard Error 11.75
p-value: 0.2644Mixed Models Analysis
Primary

Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo

The primary outcome is time-based comparison in the change from baseline (baseline defined as Day 1 of Period 1 and Day 1 of Period 2 mean predose QTc) ΔΔQTc by Fridericia's formula (QTcF) during peak dofetilide exposure between dofetilide and placebo treatment, and the dofetilide and LQT-1213 treatment.

Time frame: 2.0 hours after administration of study treatment on Day 4.

Population: All subjects who received at least 1 dose of any study treatment (dofetilide, LQT-1213, or placebo) and had measurements at baseline as well as on-treatment with at least 1 post-baseline time point with a ΔQTc value.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo40.8 msecStandard Error 11.08
Dofetilide + Placebo (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo50.3 msecStandard Error 14.77
p-value: 0.003Mixed Models Analysis
Primary

Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo

The primary outcome is time-based comparison in the change from baseline (baseline defined as Day 1 of Period 1 and Day 1 of Period 2 mean predose QTc) ΔΔQTc by Fridericia's formula (QTcF) during peak dofetilide exposure between dofetilide and placebo treatment, and the dofetilide and LQT-1213 treatment.

Time frame: 2.5 hours after administration of study treatment on Day 4

Population: All subjects who received at least 1 dose of any study treatment (dofetilide, LQT-1213, or placebo) and had measurements at baseline as well as on-treatment with at least 1 post-baseline time point with a ΔQTc value.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo43.3 msecStandard Error 11.76
Dofetilide + Placebo (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo48.0 msecStandard Error 11.42
p-value: 0.0266Mixed Models Analysis
Primary

Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo

The primary outcome is time-based comparison in the change from baseline (baseline defined as Day 1 of Period 1 and Day 1 of Period 2 mean predose QTc) ΔΔQTc by Fridericia's formula (QTcF) during peak dofetilide exposure between dofetilide and placebo treatment, and the dofetilide and LQT-1213 treatment.

Time frame: 3.0 hours after administration of study treatment on Day 4

Population: All subjects who received at least 1 dose of any study treatment (dofetilide, LQT-1213, or placebo) and had measurements at baseline as well as on-treatment with at least 1 post-baseline time point with a ΔQTc value.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo40.9 msecStandard Error 11.05
Dofetilide + Placebo (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo48.6 msecStandard Error 12.93
p-value: 0.0067Mixed Models Analysis
Primary

Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo

The primary outcome is time-based comparison in the change from baseline (baseline defined as Day 1 of Period 1 and Day 1 of Period 2 mean predose QTc) ΔΔQTc by Fridericia's formula (QTcF) during peak dofetilide exposure between dofetilide and placebo treatment, and the dofetilide and LQT-1213 treatment.

Time frame: 3.5 hours after administration of study treatment on Day 4

Population: All subjects who received at least 1 dose of any study treatment (dofetilide, LQT-1213, or placebo) and had measurements at baseline as well as on-treatment with at least 1 post-baseline time point with a ΔQTc value.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo43.4 msecStandard Error 13.01
Dofetilide + Placebo (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo46.4 msecStandard Error 11.33
p-value: 0.1106Mixed Models Analysis
Primary

Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo

The primary outcome is time-based comparison in the change from baseline (baseline defined as Day 1 of Period 1 and Day 1 of Period 2 mean predose QTc) ΔΔQTc by Fridericia's formula (QTcF) during peak dofetilide exposure between dofetilide and placebo treatment, and the dofetilide and LQT-1213 treatment.

Time frame: 4.0 hours after administration of study treatment on Day 4

Population: All subjects who received at least 1 dose of any study treatment (dofetilide, LQT-1213, or placebo) and had measurements at baseline as well as on-treatment with at least 1 post-baseline time point with a ΔQTc value.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo39.2 msecStandard Error 10.85
Dofetilide + Placebo (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo43.3 msecStandard Error 13.83
p-value: 0.0908Mixed Models Analysis
Primary

Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo

The primary outcome is time-based comparison in the change from baseline (baseline defined as Day 1 of Period 1 and Day 1 of Period 2 mean predose QTc) ΔΔQTc by Fridericia's formula (QTcF) during peak dofetilide exposure between dofetilide and placebo treatment, and the dofetilide and LQT-1213 treatment.

Time frame: 2.0 hours after administration of study treatment on Day 6

Population: All subjects who received at least 1 dose of any study treatment (dofetilide, LQT-1213, or placebo) and had measurements at baseline as well as on-treatment with at least 1 post-baseline time point with a ΔQTc value.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo42.4 msecStandard Error 15.89
Dofetilide + Placebo (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo43.9 msecStandard Error 16.41
p-value: 0.4038Mixed Models Analysis
Primary

Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo

The primary outcome is time-based comparison in the change from baseline (baseline defined as Day 1 of Period 1 and Day 1 of Period 2 mean predose QTc) ΔΔQTc by Fridericia's formula (QTcF) during peak dofetilide exposure between dofetilide and placebo treatment, and the dofetilide and LQT-1213 treatment.

Time frame: 2.5 hours after administration of study treatment on Day 6

Population: All subjects who received at least 1 dose of any study treatment (dofetilide, LQT-1213, or placebo) and had measurements at baseline as well as on-treatment with at least 1 post-baseline time point with a ΔQTc value.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo43.7 msecStandard Error 14.74
Dofetilide + Placebo (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo42.5 msecStandard Error 16.93
p-value: 0.6255Mixed Models Analysis
Primary

Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo

The primary outcome is time-based comparison in the change from baseline (baseline defined as Day 1 of Period 1 and Day 1 of Period 2 mean predose QTc) ΔΔQTc by Fridericia's formula (QTcF) during peak dofetilide exposure between dofetilide and placebo treatment, and the dofetilide and LQT-1213 treatment.

Time frame: 3.0 hours after administration of study treatment on Day 6

Population: All subjects who received at least 1 dose of any study treatment (dofetilide, LQT-1213, or placebo) and had measurements at baseline as well as on-treatment with at least 1 post-baseline time point with a ΔQTc value.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo42.3 msecStandard Error 12.57
Dofetilide + Placebo (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo40.4 msecStandard Error 16.7
p-value: 0.514Mixed Models Analysis
Primary

Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo

The primary outcome is time-based comparison in the change from baseline (baseline defined as Day 1 of Period 1 and Day 1 of Period 2 mean predose QTc) ΔΔQTc by Fridericia's formula (QTcF) during peak dofetilide exposure between dofetilide and placebo treatment, and the dofetilide and LQT-1213 treatment.

Time frame: 3.5 hours after administration of study treatment on Day 6

Population: All subjects who received at least 1 dose of any study treatment (dofetilide, LQT-1213, or placebo) and had measurements at baseline as well as on-treatment with at least 1 post-baseline time point with a ΔQTc value.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo42.0 msecStandard Error 13.4
Dofetilide + Placebo (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo40.7 msecStandard Error 15.45
p-value: 0.5675Mixed Models Analysis
Primary

Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo

The primary outcome is time-based comparison in the change from baseline (baseline defined as Day 1 of Period 1 and Day 1 of Period 2 mean predose QTc) ΔΔQTc by Fridericia's formula (QTcF) during peak dofetilide exposure between dofetilide and placebo treatment, and the dofetilide and LQT-1213 treatment.

Time frame: 4.0 hours after administration of study treatment on Day 6

Population: All subjects who received at least 1 dose of any study treatment (dofetilide, LQT-1213, or placebo) and had measurements at baseline as well as on-treatment with at least 1 post-baseline time point with a ΔQTc value.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo38.5 msecStandard Error 14.64
Dofetilide + Placebo (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo35.3 msecStandard Error 17.14
p-value: 0.764Mixed Models Analysis
Primary

Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo

The primary outcome is time-based comparison in the change from baseline (baseline defined as Day 1 of Period 1 and Day 1 of Period 2 mean predose QTc) ΔΔQTc by Fridericia's formula (QTcF) during peak dofetilide exposure between dofetilide and placebo treatment, and the dofetilide and LQT-1213 treatment.

Time frame: 2.0 hours after administration of study treatment on Day 8

Population: All subjects who received at least 1 dose of any study treatment (dofetilide, LQT-1213, or placebo) and had measurements at baseline as well as on-treatment with at least 1 post-baseline time point with a ΔQTc value.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo45.0 msecStandard Error 14.31
Dofetilide + Placebo (Day 4)Part 1: Pharmacodynamics: By-time Point Analysis for QTc on LQT-1213 Versus Placebo48.9 msecStandard Error 13.94
p-value: 0.2437Mixed Models Analysis
Primary

Part 2: Safety and Tolerability of Oral LQT-1213 in Participants With LQT-2 or LQT-3

The primary outcome is to measure the incidence of treatment emergent adverse events (TEAEs).

Time frame: up to day 12

Population: all participants with LQT2, or LQT3 who received at least 1 dose of study drug (placebo or LQT-1213) and provide at least 1 postdose safety assessment.

ArmMeasureValue (NUMBER)
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: Safety and Tolerability of Oral LQT-1213 in Participants With LQT-2 or LQT-34 TEAE
Dofetilide + Placebo (Day 4)Part 2: Safety and Tolerability of Oral LQT-1213 in Participants With LQT-2 or LQT-33 TEAE
Placebo in LQT-1213 16 mg TID (48 mg)Part 2: Safety and Tolerability of Oral LQT-1213 in Participants With LQT-2 or LQT-31 TEAE
Placebo in LQT-1213 7 mg TID (21 mg)Part 2: Safety and Tolerability of Oral LQT-1213 in Participants With LQT-2 or LQT-32 TEAE
Secondary

Part 1: Number of Treatment Emerging Adverse Events (TEAEs)

Part 1: Number of Treatment Emerging Adverse Events (TEAEs) that occurred following administration of dofetilide Day1 up to Day 10 period 1 and in period 2 from Day 1 to up to the follow-up visit at Day 17.

Time frame: Period 1 from Day 1 to Day 10 and Period 2 from Day 1 up to Day 17.

ArmMeasureValue (NUMBER)
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 1: Number of Treatment Emerging Adverse Events (TEAEs)12 TEAE
Dofetilide + Placebo (Day 4)Part 1: Number of Treatment Emerging Adverse Events (TEAEs)6 TEAE
Placebo in LQT-1213 16 mg TID (48 mg)Part 1: Number of Treatment Emerging Adverse Events (TEAEs)12 TEAE
Placebo in LQT-1213 7 mg TID (21 mg)Part 1: Number of Treatment Emerging Adverse Events (TEAEs)1 TEAE
Dofetilide + LQT-1213 (Day 6)Part 1: Number of Treatment Emerging Adverse Events (TEAEs)25 TEAE
Secondary

Part 1: Pharmacokinetic Dofetilide AUC0-t

Area under the concentration-time curve (AUC) from time 0 to the time of the last measurable concentration

Time frame: 0 to 24 hours post-dose on Day 8

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 1: Pharmacokinetic Dofetilide AUC0-t50.160 h*ng/mlGeometric Coefficient of Variation 18.6
Dofetilide + Placebo (Day 4)Part 1: Pharmacokinetic Dofetilide AUC0-t51.863 h*ng/mlGeometric Coefficient of Variation 17.1
Secondary

Part 1: Pharmacokinetic Dofetilide AUCtau

AUCtau = Area under the curve from time 0 to 12 hours

Time frame: Day 4,6,8

Population: The overall number of participants analyzed for PK parameters includes all individuals who had available the PK parameter, regardless of whether this data was collected in Period 1 or Period 2 of the two sequences described in the participant Flow.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 1: Pharmacokinetic Dofetilide AUCtau36.350 h*ng/mlGeometric Coefficient of Variation 17.3
Dofetilide + Placebo (Day 4)Part 1: Pharmacokinetic Dofetilide AUCtau35.916 h*ng/mlGeometric Coefficient of Variation 15.3
Placebo in LQT-1213 16 mg TID (48 mg)Part 1: Pharmacokinetic Dofetilide AUCtau37.075 h*ng/mlGeometric Coefficient of Variation 16
Placebo in LQT-1213 7 mg TID (21 mg)Part 1: Pharmacokinetic Dofetilide AUCtau35.142 h*ng/mlGeometric Coefficient of Variation 18.4
Dofetilide + LQT-1213 (Day 6)Part 1: Pharmacokinetic Dofetilide AUCtau36.390 h*ng/mlGeometric Coefficient of Variation 16.6
Dofetilide + LQT-1213 (Day 8)Part 1: Pharmacokinetic Dofetilide AUCtau38.227 h*ng/mlGeometric Coefficient of Variation 15.3
Secondary

Part 1: Pharmacokinetic Dofetilide Cmax

Maximum observed plasma drug concentration

Time frame: Day 4,6, 8

Population: The overall number of participants analyzed for PK parameters includes all individuals who had available the PK parameter, regardless of whether this data was collected in Period 1 or Period 2 of the two sequences described in the participant Flow.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 1: Pharmacokinetic Dofetilide Cmax4.367 ng/mlGeometric Coefficient of Variation 18.7
Dofetilide + Placebo (Day 4)Part 1: Pharmacokinetic Dofetilide Cmax4.394 ng/mlGeometric Coefficient of Variation 16.9
Placebo in LQT-1213 16 mg TID (48 mg)Part 1: Pharmacokinetic Dofetilide Cmax4.580 ng/mlGeometric Coefficient of Variation 16.8
Placebo in LQT-1213 7 mg TID (21 mg)Part 1: Pharmacokinetic Dofetilide Cmax4.184 ng/mlGeometric Coefficient of Variation 19
Dofetilide + LQT-1213 (Day 6)Part 1: Pharmacokinetic Dofetilide Cmax4.438 ng/mlGeometric Coefficient of Variation 19.6
Dofetilide + LQT-1213 (Day 8)Part 1: Pharmacokinetic Dofetilide Cmax4.727 ng/mlGeometric Coefficient of Variation 20.6
Secondary

Part 1: Pharmacokinetic Dofetilide t1/2

Terminal half-life

Time frame: Day 8

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 1: Pharmacokinetic Dofetilide t1/27.139 hoursGeometric Coefficient of Variation 16.2
Dofetilide + Placebo (Day 4)Part 1: Pharmacokinetic Dofetilide t1/27.341 hoursGeometric Coefficient of Variation 14.6
Secondary

Part 1: Pharmacokinetic Dofetilide Tmax

Time to the maximum observed plasma concentration

Time frame: Day 4,6,8

Population: The overall number of participants analyzed for PK parameters includes all individuals who had available the PK parameter, regardless of whether this data was collected in Period 1 or Period 2 of the two sequences described in the participant Flow.

ArmMeasureValue (MEDIAN)
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 1: Pharmacokinetic Dofetilide Tmax2.012 hours
Dofetilide + Placebo (Day 4)Part 1: Pharmacokinetic Dofetilide Tmax2.003 hours
Placebo in LQT-1213 16 mg TID (48 mg)Part 1: Pharmacokinetic Dofetilide Tmax2.017 hours
Placebo in LQT-1213 7 mg TID (21 mg)Part 1: Pharmacokinetic Dofetilide Tmax2.015 hours
Dofetilide + LQT-1213 (Day 6)Part 1: Pharmacokinetic Dofetilide Tmax2.008 hours
Dofetilide + LQT-1213 (Day 8)Part 1: Pharmacokinetic Dofetilide Tmax2.504 hours
Secondary

Part 1: Pharmacokinetic LQT-1213 AUC0-t

Area under the concentration-time curve (AUC) from time 0 to the time of the last measurable concentration

Time frame: 0 to 24 hours post-dose on Day 8

Population: The overall number of participants analyzed for PK parameters includes all individuals who had available the PK parameter, regardless of whether this data was collected in Period 1 or Period 2 of the two sequences described in the participant Flow.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 1: Pharmacokinetic LQT-1213 AUC0-t13221.182 h*ng/mlGeometric Coefficient of Variation 47.6
Secondary

Part 1: Pharmacokinetic LQT-1213 AUCtau

AUCtau = Area under the curve from time 0 to 8.0 hours

Time frame: Day 4,6, 8

Population: pk population= at least 1 evaluable PK concentration for dofetilide or LQT-1213

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 1: Pharmacokinetic LQT-1213 AUCtau2735.793 h*ng/mlGeometric Coefficient of Variation 47.9
Dofetilide + Placebo (Day 4)Part 1: Pharmacokinetic LQT-1213 AUCtau5433.729 h*ng/mlGeometric Coefficient of Variation 49.6
Placebo in LQT-1213 16 mg TID (48 mg)Part 1: Pharmacokinetic LQT-1213 AUCtau8763.318 h*ng/mlGeometric Coefficient of Variation 48
Secondary

Part 1: Pharmacokinetic LQT-1213 Cmax

Maximum observed plasma drug concentration

Time frame: Day 4,6,8

ArmMeasureValue (GEOMETRIC_LEAST_SQUARES_MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 1: Pharmacokinetic LQT-1213 Cmax501.739 ng/mlGeometric Coefficient of Variation 48
Dofetilide + Placebo (Day 4)Part 1: Pharmacokinetic LQT-1213 Cmax1013.942 ng/mlGeometric Coefficient of Variation 52.1
Placebo in LQT-1213 16 mg TID (48 mg)Part 1: Pharmacokinetic LQT-1213 Cmax1612.274 ng/mlGeometric Coefficient of Variation 48.5
Secondary

Part 1: Pharmacokinetic LQT-1213 t1/2

Terminal half-life

Time frame: Day 8

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 1: Pharmacokinetic LQT-1213 t1/28.374 hoursGeometric Coefficient of Variation 22
Secondary

Part 1: Pharmacokinetic LQT-1213 Tmax

Time to the maximum observed plasma concentration

Time frame: Day 4,6,8

ArmMeasureValue (MEDIAN)
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 1: Pharmacokinetic LQT-1213 Tmax1.012 hours
Dofetilide + Placebo (Day 4)Part 1: Pharmacokinetic LQT-1213 Tmax1.114 hours
Placebo in LQT-1213 16 mg TID (48 mg)Part 1: Pharmacokinetic LQT-1213 Tmax1.999 hours
Secondary

Part 2: Pharmacokinetic LQT-1213 AUC0-t

Area under the concentration-time curve (AUC) from time 0 to the time of the last measurable concentration

Time frame: Day 4 Pre-dose up to 29 hours post-dose administration

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: Pharmacokinetic LQT-1213 AUC0-t5968 h*ng/mlGeometric Coefficient of Variation 30.9
Dofetilide + Placebo (Day 4)Part 2: Pharmacokinetic LQT-1213 AUC0-t2109 h*ng/mlGeometric Coefficient of Variation 19.5
Secondary

Part 2: Pharmacokinetic LQT-1213 AUCtau

Pharmacokinetic LQT-1213 AUCtau (time 0 to 8 hours)

Time frame: day 2 and day 4

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: Pharmacokinetic LQT-1213 AUCtauDay 22214 h*ng/mlGeometric Coefficient of Variation 41.7
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: Pharmacokinetic LQT-1213 AUCtauDay 43314 h*ng/mlGeometric Coefficient of Variation 32.3
Dofetilide + Placebo (Day 4)Part 2: Pharmacokinetic LQT-1213 AUCtauDay 2635.3 h*ng/mlGeometric Coefficient of Variation 22.8
Dofetilide + Placebo (Day 4)Part 2: Pharmacokinetic LQT-1213 AUCtauDay 41153 h*ng/mlGeometric Coefficient of Variation 28
Secondary

Part 2: Pharmacokinetic LQT-1213 Cmax

Maximum observed plasma drug concentration

Time frame: day 2 and day 4

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: Pharmacokinetic LQT-1213 CmaxDay 2470.9 ng/mlGeometric Coefficient of Variation 46.5
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: Pharmacokinetic LQT-1213 CmaxDay 4562.9 ng/mlGeometric Coefficient of Variation 44.4
Dofetilide + Placebo (Day 4)Part 2: Pharmacokinetic LQT-1213 CmaxDay 2116.4 ng/mlGeometric Coefficient of Variation 23.8
Dofetilide + Placebo (Day 4)Part 2: Pharmacokinetic LQT-1213 CmaxDay 4195.1 ng/mlGeometric Coefficient of Variation 33.9
Secondary

Part 2: Pharmacokinetic LQT-1213 t1/2

Part 2: Pharmacokinetic LQT-1213 terminal half-life t1/2

Time frame: Day 4

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: Pharmacokinetic LQT-1213 t1/211.97 hoursGeometric Coefficient of Variation 11.8
Dofetilide + Placebo (Day 4)Part 2: Pharmacokinetic LQT-1213 t1/29.982 hoursGeometric Coefficient of Variation 9.8
Secondary

Part 2: Pharmacokinetic LQT-1213 Tmax

Time to the maximum observed plasma concentration

Time frame: Day 2 and Day 4

ArmMeasureGroupValue (MEDIAN)
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: Pharmacokinetic LQT-1213 TmaxDay 21.523 ng/ml
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: Pharmacokinetic LQT-1213 TmaxDay 41.534 ng/ml
Dofetilide + Placebo (Day 4)Part 2: Pharmacokinetic LQT-1213 TmaxDay 21.268 ng/ml
Dofetilide + Placebo (Day 4)Part 2: Pharmacokinetic LQT-1213 TmaxDay 41.781 ng/ml
Other Pre-specified

Part 2: Time-matched Placebo-corrected QTcF - 1 Hour Post Dose

QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test.

Time frame: 1 hour after administration of study treatment on Day 4.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: Time-matched Placebo-corrected QTcF - 1 Hour Post Dose519.17 msecStandard Deviation 32.344
Dofetilide + Placebo (Day 4)Part 2: Time-matched Placebo-corrected QTcF - 1 Hour Post Dose514.89 msecStandard Deviation 29.569
p-value: 0.3169t-test, 2 sided
Other Pre-specified

Part 2: Time-matched Placebo-corrected QTcF at 10 Hours Post-dose

QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test.

Time frame: 10 hours after administration of study treatment on Day 4.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 10 Hours Post-dose521.00 msecStandard Deviation 9.78
Dofetilide + Placebo (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 10 Hours Post-dose511.22 msecStandard Deviation 22.872
p-value: 0.1377t-test, 2 sided
Other Pre-specified

Part 2: Time-matched Placebo-corrected QTcF at 10 Hours Post-dose (Low Dose)

QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test.

Time frame: 10 hours after administration of study treatment on Day 4.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 10 Hours Post-dose (Low Dose)530.39 msecStandard Deviation 40.667
Dofetilide + Placebo (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 10 Hours Post-dose (Low Dose)514.78 msecStandard Deviation 38.749
p-value: 0.0482t-test, 2 sided
Other Pre-specified

Part 2: Time-matched Placebo-corrected QTcF at 12 Hours Post-dose

QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test.

Time frame: 12 hours after administration of study treatment on Day 4.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 12 Hours Post-dose519.42 msecStandard Deviation 26.753
Dofetilide + Placebo (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 12 Hours Post-dose522.11 msecStandard Deviation 23.167
p-value: 0.6184t-test, 2 sided
Other Pre-specified

Part 2: Time-matched Placebo-corrected QTcF at 12 Hours Post-dose (Low Dose)

QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test.

Time frame: 12 hours after administration of study treatment on Day 4.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 12 Hours Post-dose (Low Dose)536.11 msecStandard Deviation 44.465
Dofetilide + Placebo (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 12 Hours Post-dose (Low Dose)518.89 msecStandard Deviation 39.724
p-value: 0.0667t-test, 2 sided
Other Pre-specified

Part 2: Time-matched Placebo-corrected QTcF at 1 Hour Post-dose (Low Dose)

QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test.

Time frame: 1 hours after administration of study treatment on Day 4.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 1 Hour Post-dose (Low Dose)524.39 msecStandard Deviation 29.611
Dofetilide + Placebo (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 1 Hour Post-dose (Low Dose)521.22 msecStandard Deviation 33.791
p-value: 0.6627t-test, 2 sided
Other Pre-specified

Part 2: Time-matched Placebo-corrected QTcF at 2 Hours Post-dose

QTcF values at each timepoint on Day 4 were compared to the time-matched QTcF value on Day 1 (placebo) using the paired t-test.

Time frame: 2 hours after administration of study treatment on Day 4.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 2 Hours Post-dose520.06 msecStandard Deviation 31.231
Dofetilide + Placebo (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 2 Hours Post-dose513.28 msecStandard Deviation 23.733
p-value: 0.1066t-test, 2 sided
Other Pre-specified

Part 2: Time-matched Placebo-corrected QTcF at 2 Hours Post-dose (Low Dose)

QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test.

Time frame: 2 hours after administration of study treatment on Day 4.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 2 Hours Post-dose (Low Dose)531.72 msecStandard Deviation 38.88
Dofetilide + Placebo (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 2 Hours Post-dose (Low Dose)525.94 msecStandard Deviation 29.837
p-value: 0.5276t-test, 2 sided
Other Pre-specified

Part 2: Time-matched Placebo-corrected QTcF at 3 Hours Post-dose

QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test.

Time frame: 3 hours after administration of study treatment on Day 4.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 3 Hours Post-dose513.94 msecStandard Deviation 26.41
Dofetilide + Placebo (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 3 Hours Post-dose530.00 msecStandard Deviation 39.838
p-value: 0.0443t-test, 2 sided
Other Pre-specified

Part 2: Time-matched Placebo-corrected QTcF at 3 Hours Post-dose (Low Dose)

QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test, which was the same as analyzing the difference of the time-matched QTcF values using one-sample t test.

Time frame: 3 hours after administration of study treatment on Day 4.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 3 Hours Post-dose (Low Dose)538.22 msecStandard Deviation 38.584
Dofetilide + Placebo (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 3 Hours Post-dose (Low Dose)523.06 msecStandard Deviation 33.857
p-value: 0.0399t-test, 2 sided
Other Pre-specified

Part 2: Time-matched Placebo-corrected QTcF at 4 Hours Post-dose

QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test.

Time frame: 4 hours after administration of study treatment on Day 4.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 4 Hours Post-dose514.61 msecStandard Deviation 28.45
Dofetilide + Placebo (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 4 Hours Post-dose523.67 msecStandard Deviation 32.158
p-value: 0.0815t-test, 2 sided
Other Pre-specified

Part 2: Time-matched Placebo-corrected QTcF at 4 Hours Post-dose (Low Dose)

QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test.

Time frame: 4 hours after administration of study treatment on Day 4.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 4 Hours Post-dose (Low Dose)535.72 msecStandard Deviation 34.812
Dofetilide + Placebo (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 4 Hours Post-dose (Low Dose)522.17 msecStandard Deviation 35.036
p-value: 0.0747t-test, 2 sided
Other Pre-specified

Part 2: Time-matched Placebo-corrected QTcF at 6 Hours Post-dose

QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test.

Time frame: 6 hours after administration of study treatment on Day 4.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 6 Hours Post-dose520.89 msecStandard Deviation 26.741
Dofetilide + Placebo (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 6 Hours Post-dose531.56 msecStandard Deviation 32.897
p-value: 0.0137t-test, 2 sided
Other Pre-specified

Part 2: Time-matched Placebo-corrected QTcF at 6 Hours Post-dose (Low Dose)

QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test.

Time frame: 6 hours after administration of study treatment on Day 4.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 6 Hours Post-dose (Low Dose)530.67 msecStandard Deviation 43.213
Dofetilide + Placebo (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 6 Hours Post-dose (Low Dose)530.17 msecStandard Deviation 32.59
p-value: 0.9584t-test, 2 sided
Other Pre-specified

Part 2: Time-matched Placebo-corrected QTcF at 8 Hours Post-dose

QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test.

Time frame: 8 hours after administration of study treatment on Day 4.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 8 Hours Post-dose503.61 msecStandard Deviation 22.106
Dofetilide + Placebo (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 8 Hours Post-dose507.61 msecStandard Deviation 23.64
p-value: 0.3539t-test, 2 sided
Other Pre-specified

Part 2: Time-matched Placebo-corrected QTcF at 8 Hours Post-dose (Low Dose)

QTcF values at each timepoint on Days 4 were compared to the time-matched QTcF values on Day 1 (placebo) using the paired t-test.

Time frame: 8 hours after administration of study treatment on Day 4.

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 8 Hours Post-dose (Low Dose)522.67 msecStandard Deviation 33.363
Dofetilide + Placebo (Day 4)Part 2: Time-matched Placebo-corrected QTcF at 8 Hours Post-dose (Low Dose)516.94 msecStandard Deviation 51.848
p-value: 0.6531t-test, 2 sided
Other Pre-specified

Part 2: ΔAUC0-12 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo)

QTcF area under the curve on Day 4 (0 to 12 hours; LQT-1213) was compared to QTcF AUC on Day 1 (0 to 12 hours; placebo).

Time frame: Day 4

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: ΔAUC0-12 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo)6225.35 msec*hourStandard Deviation 323.651
Dofetilide + Placebo (Day 4)Part 2: ΔAUC0-12 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo)6193.67 msec*hourStandard Deviation 314.325
p-value: 0.1108t-test, 2 sided
Other Pre-specified

Part 2: ΔAUC0-12 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo) Subgroup Analysis (≥ 500ms)

QTcF area under the curve on Day 4 (0 to 12 hours; LQT-1213) was compared to QTcF AUC on Day 1 (0 to 12 hours; placebo) for subjects with a Day 1 Pre-Dose (Baseline 1) QTcF \>= 500 ms

Time frame: Day 4

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: ΔAUC0-12 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo) Subgroup Analysis (≥ 500ms)6413.29 msec*hourStandard Deviation 175.189
Dofetilide + Placebo (Day 4)Part 2: ΔAUC0-12 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo) Subgroup Analysis (≥ 500ms)6369.04 msec*hourStandard Deviation 200.818
p-value: 0.1378t-test, 2 sided
Other Pre-specified

Part 2: ΔAUC0-12 Hours QTcF Values on Day 4 (LQT-1213 7 mg TID) Compared to the Time-matched on Day 1 (Placebo)

QTcF area under the curve on Day 4 (0 to 12 hours; LQT-1213) was compared to QTcF AUC on Day 1 (0 to 12 hours; placebo).

Time frame: Day 4

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: ΔAUC0-12 Hours QTcF Values on Day 4 (LQT-1213 7 mg TID) Compared to the Time-matched on Day 1 (Placebo)6257.86 msec*hourStandard Deviation 445.699
Dofetilide + Placebo (Day 4)Part 2: ΔAUC0-12 Hours QTcF Values on Day 4 (LQT-1213 7 mg TID) Compared to the Time-matched on Day 1 (Placebo)6368.25 msec*hourStandard Deviation 444.031
p-value: 0.1644t-test, 2 sided
Other Pre-specified

Part 2: ΔAUC0-8 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo)

QTcF area under the curve on Day 4 (0 to 8 hours; LQT-1213) was compared to QTcF AUC on Day 1 (0 to 8 hours; placebo).

Time frame: Day 4

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: ΔAUC0-8 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo)4173.19 msec*hourStandard Deviation 236.787
Dofetilide + Placebo (Day 4)Part 2: ΔAUC0-8 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo)4128.64 msec*hourStandard Deviation 224.746
p-value: 0.0019t-test, 2 sided
Other Pre-specified

Part 2: ΔAUC0-8 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo) Subgroup Analysis (≥ 500ms)

QTcF area under the curve on Day 4 (0 to 8 hours; LQT-1213) was compared to QTcF AUC on Day 1 (0 to 8 hours; placebo) for subjects with a Day 1 Pre-Dose (Baseline 1) QTcF \>= 500 ms

Time frame: Day 4

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: ΔAUC0-8 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo) Subgroup Analysis (≥ 500ms)4308.79 msec*hourStandard Deviation 135.627
Dofetilide + Placebo (Day 4)Part 2: ΔAUC0-8 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo) Subgroup Analysis (≥ 500ms)4255.38 msec*hourStandard Deviation 138.707
p-value: 0.0016t-test, 2 sided
Other Pre-specified

Part 2: ΔAUC0-8 Hours QTcF Values on Day 4 (LQT-1213 7 mg TID) Compared to the Time-matched on Day 1 (Placebo)

QTcF area under the curve on Day 4 (0 to 8 hours; LQT-1213) was compared to QTcF AUC on Day 1 (0 to 8 hours; placebo).

Time frame: Day 4

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: ΔAUC0-8 Hours QTcF Values on Day 4 (LQT-1213 7 mg TID) Compared to the Time-matched on Day 1 (Placebo)4192.47 msec*hourStandard Deviation 279.304
Dofetilide + Placebo (Day 4)Part 2: ΔAUC0-8 Hours QTcF Values on Day 4 (LQT-1213 7 mg TID) Compared to the Time-matched on Day 1 (Placebo)4248.69 msec*hourStandard Deviation 290.144
p-value: 0.2808t-test, 2 sided
Other Pre-specified

Part 2: ΔAUC2-6 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo)

QTcF area under the curve on Day 4 (2 to 6 hours; LQT-1213) was compared to QTcF AUC on Day 1 (2 to 6 hours; placebo).

Time frame: Day 4

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: ΔAUC2-6 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo)2103.69 msec*hourStandard Deviation 130.872
Dofetilide + Placebo (Day 4)Part 2: ΔAUC2-6 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo)2066.69 msec*hourStandard Deviation 113.85
p-value: 0.0131t-test, 2 sided
Other Pre-specified

Part 2: ΔAUC2-6 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo) Subgroup Analysis (≥ 500ms)

QTcF area under the curve on Day 4 (2 to 6 hours; LQT-1213) was compared to QTcF AUC on Day 1 (2 to 6 hours; placebo) for subjects with a Day 1 Pre-Dose (Baseline 1) QTcF \>= 500 ms

Time frame: Day 4

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: ΔAUC2-6 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo) Subgroup Analysis (≥ 500ms)2175.83 msec*hourStandard Deviation 85.532
Dofetilide + Placebo (Day 4)Part 2: ΔAUC2-6 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo) Subgroup Analysis (≥ 500ms)2131.54 msec*hourStandard Deviation 69.025
p-value: 0.0282t-test, 2 sided
Other Pre-specified

Part 2: ΔAUC2-6 Hours QTcF Values on Day 4 (LQT-1213 7 mg TID) Compared to the Time-matched on Day 1 (Placebo)

QTcF area under the curve on Day 4 (2 to 6 hours; LQT-1213) was compared to QTcF AUC on Day 1 (2 to 6 hours; placebo).

Time frame: Day 4

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: ΔAUC2-6 Hours QTcF Values on Day 4 (LQT-1213 7 mg TID) Compared to the Time-matched on Day 1 (Placebo)2099.44 msec*hourStandard Deviation 132.566
Dofetilide + Placebo (Day 4)Part 2: ΔAUC2-6 Hours QTcF Values on Day 4 (LQT-1213 7 mg TID) Compared to the Time-matched on Day 1 (Placebo)2137.25 msec*hourStandard Deviation 150.766
p-value: 0.184t-test, 2 sided
Other Pre-specified

Part 2: ΔAUC3-6 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo)

QTcF area under the curve on Day 4 (3 to 6 hours; LQT-1213) was compared to QTcF AUC on Day 1 (3 to 6 hours; placebo).

Time frame: Day 4

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: ΔAUC3-6 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo)1582.06 msec*hourStandard Deviation 100.213
Dofetilide + Placebo (Day 4)Part 2: ΔAUC3-6 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo)1549.69 msec*hourStandard Deviation 85.553
p-value: 0.0141t-test, 2 sided
Other Pre-specified

Part 2: ΔAUC3-6 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo) Subgroup Analysis (≥ 500ms)

QTcF area under the curve on Day 4 (3 to 6 hours; LQT-1213) was compared to QTcF AUC on Day 1 (3 to 6 hours; placebo) for subjects with a Day 1 Pre-Dose (Baseline 1) QTcF \>= 500 ms

Time frame: Day 4

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: ΔAUC3-6 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo) Subgroup Analysis (≥ 500ms)1636.33 msec*hourStandard Deviation 68.013
Dofetilide + Placebo (Day 4)Part 2: ΔAUC3-6 Hours QTcF Values on Day 4 (LQT-1213 16 mg TID) Compared to the Time-matched on Day 1 (Placebo) Subgroup Analysis (≥ 500ms)1598.46 msec*hourStandard Deviation 51.804
p-value: 0.0306t-test, 2 sided
Other Pre-specified

Part 2: ΔAUC3-6 Hours QTcF Values on Day 4 (LQT-1213 7 mg TID) Compared to the Time-matched on Day 1 (Placebo)

QTcF area under the curve on Day 4 (3 to 6 hours; LQT-1213) was compared to QTcF AUC on Day 1 (3 to 6 hours; placebo).

Time frame: Day 4

ArmMeasureValue (MEAN)Dispersion
Dofetilide + LQT-1213 0.25 mg/kg (Day 4)Part 2: ΔAUC3-6 Hours QTcF Values on Day 4 (LQT-1213 7 mg TID) Compared to the Time-matched on Day 1 (Placebo)1574.94 msec*hourStandard Deviation 101.583
Dofetilide + Placebo (Day 4)Part 2: ΔAUC3-6 Hours QTcF Values on Day 4 (LQT-1213 7 mg TID) Compared to the Time-matched on Day 1 (Placebo)1602.28 msec*hourStandard Deviation 112.284
p-value: 0.2019t-test, 2 sided

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026