Aldose Reductase Inhibition for Stabilization of Exercise Capacity in Heart Failure (ARISE-HF): A Multicenter, Randomized, Placebo-Controlled Study to Evaluate the Safety and Efficacy of AT-001 in Patients With Diabetic Cardiomyopathy

ClinicalTrials.gov processed this data on December 7, 2022. Link to the current ClinicalTrials.gov record.

Recruitment Status

ACTIVE, NOT RECRUITING (See Contacts and Locations)
Verified December 2022 by Applied Therapeutics, Inc.

Sponsor

Applied Therapeutics, Inc.

Information Provided by (Responsible Party)

Applied Therapeutics, Inc.

Clinicaltrials.gov Identifier

NCT04083339
Other Study ID Numbers: AT-001-2001
First Submitted: August 23, 2019
First Posted: September 10, 2019
Last Update Posted: December 8, 2022
Last Verified: December 2022
History of Changes

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Study Description

The study consists of two consecutive parts: Part A and Part B. Part A will evaluate the safety and efficacy of two doses of AT-001 vs placebo. The primary objective of Part A is to demonstrate that AT-001 improves or prevents the decline of functional capacity in patients with Diabetic Cardiomyopathy. Part B is an extension of at least 12 months that will evaluate the safety and efficacy of chronic administration of AT-001 vs placebo in the same patients who had previously been evaluated in Part A. Assessments in Part B will include safety endpoints and exploratory clinical efficacy endpoints, i.e. death and hospitalization due to a cardiac event.
Condition or Disease Intervention/Treatment
  • Diabetic Cardiomyopathies
  • Drug: AT-001
  • Drug: Placebo

Study Design

Study TypeInterventional
Anticipated Enrollment675 participants
Design AllocationRandomized
Interventional ModelParallel Assignment
MaskingQuadruple
Primary PurposeTreatment
Official TitleAldose Reductase Inhibition for Stabilization of Exercise Capacity in Heart Failure (ARISE-HF): A Multicenter, Randomized, Placebo-Controlled Study to Evaluate the Safety and Efficacy of AT-001 in Patients With Diabetic Cardiomyopathy
Study Start DateSeptember 20, 2019
Anticipated Primary Completion DateDecember 2023
Anticipated Study Completion DateDecember 2025

Groups and Cohorts

Group/ CohortIntervention/ Treatment
  • AT-001 High dose
    • The total daily doses will be of 3g. The dose selection and the frequency of dosing was based on the results of the phase 1/2 study demonstrating that 3g/day of AT-001 is capable of producing the maximum inhibition of the production of sorbitol (a pharmacodynamic biomarker of biological activity).
  • Drug: AT-001
    • AT-001 will be administered as 3 capsules twice daily, before breakfast and before dinner.

      At present AT001 is the sole name for the active substance. No INN/genetic name is available to date
  • AT-001 Low Dose
    • The total daily doses will be of 2g. The dose selection and the frequency of dosing was based on the results of the phase 1/2 study demonstrating that 2g/day of AT-001 is capable of producing a sufficient inhibition of the production of sorbitol (a pharmacodynamic biomarker of biological activity).
  • Drug: AT-001
    • AT-001 will be administered as 3 capsules twice daily, before breakfast and before dinner.

      At present AT001 is the sole name for the active substance. No INN/genetic name is available to date
  • Placebo Comparator
    • Placebo capsules will be used as comparator
  • Drug: Placebo

    Outcome Measures

    Primary Outcome Measures

    1. Peak VO2 during cardio-pulmonary exercise test (CPET); [15 months after randomization]]
      Changes in Peak VO2 during cardio-pulmonary exercise test (CPET) from baseline to approximately Month 15 (15-18 months). A CPET may be repeated at approximately Month 27 (27-30 months).

    Secondary Outcome Measures

    1. Progression to overt heart failure (Stage C Heart Failure) [27 months after randomization]
      Defined by the occurrence of one of the following events: cardiovascular death, hospitalization for heart failure, urgent heart failure visit, new diagnosis of heart failure
    2. Changes in NT-proBNP [27 months after randomization]
      Changes in NT-proBNP may reflect worsening of cardiomyopathy over time
    3. Changes in the modified Kansas City Cardiomyopathy Questionnaire (KCCQ) score [27 months after randomization]
      Changes in the modified KCCQ may reflect deterioration of clinical status over time

    Eligibility Criteria

    Ages Eligible for Study 40 Years and Older (Adult, Older Adult)
    Sexes Eligible for Study All
    Accepts Healthy Volunteers No
    Inclusion Criteria
    • Type 2 Diabetes Mellitus
    • Diabetic cardiomyopathy
    • Peak VO2 < 75% of predicted normal value based on age and gender
    Exclusion Criteria
    • Prior diagnosis or signs/symptoms of overt/symptomatic heart failure / stage C heart failure
    • Prior echocardiogrphic measurement of ejection fraction (EF) < 40%
    • Prior acute coronary syndrome (ACS), coronary artery bypass graft (CABG), percutaneous coronary intervention (PCI), coronary artery disease (CAD) or stroke
    • Severe or moderate cardiac valve disease requiring intervention
    • Clinically significant arrhythmia
    • Prior diagnosis of congenital, infective, toxic, infiltrative, post-partum, or hypertrophic cardiomyopathy
    • Blood pressure > 140 mmHg (systolic) or > 90 mmHg (diastolic) at screening
    • HbA1c >8.5% at screening
    • Severe disease that would impact the performance of a cardio-pulmonary exercise test

    Contacts and Locations

    Sponsors and Collaborators Applied Therapeutics, Inc.
    Locations
    • Westside Medical Associates of Los Angeles | Beverly Hills, California, United States, 90211
    • University of California, San Diego (UCSD) | La Jolla, California, United States, 92093
    • Clinical Trials Research | Lincoln, California, United States, 95648
    • University of California - Irvine Medical Center | Orange, California, United States, 92868
    • Metabolic Institute of America | Tarzana, California, United States, 91356
    • Lundquist Institute for Biomedical Innovation at Harbor UCLA Medical Center | Torrance, California, United States, 90509
    • ALL Medical Research, LLC | Cooper City, Florida, United States, 33024
    • New Generation of Medical Research | Hialeah, Florida, United States, 33016
    • Broward Research Center | Pembroke Pines, Florida, United States, 33024
    • Progressive Medical Research | Port Orange, Florida, United States, 32127
    • UnityPoint Health - Methodist Hospital | Peoria, Illinois, United States, 61602
    • Brigham and Women's Hospital | Boston, Massachusetts, United States, 02115
    • Universty of Mississippi Medical Center | Jackson, Mississippi, United States, 39216
    • St. Louis Heart and Vascular Cardiology | Saint Louis, Missouri, United States, 63136
    • Chear Center LLC | Bronx, New York, United States, 10455
    • Montefiore Medical Center | Bronx, New York, United States, 10467
    • Cleveland Clinic | Cleveland, Ohio, United States, 44195
    • Remington Davis, Inc. | Columbus, Ohio, United States, 43215
    • South Oklahoma Heart Research | Oklahoma City, Oklahoma, United States, 73135
    • Mountain View Clinical Research - Greer | Greer, South Carolina, United States, 29651
    • Mountain View Clinical Research | Greer, South Carolina, United States, 29651
    • Holston Medical Group | Kingsport, Tennessee, United States, 37660
    • Dallas Diabetes Research Center | Dallas, Texas, United States, 75230
    • Southwest Family Medicine Associates | Dallas, Texas, United States, 75235
    • University of Texas Southwestern | Dallas, Texas, United States, 75390
    • Juno Research, LLC - Northwest Site | Houston, Texas, United States, 77040
    • Juno Research, LLC - Southwest Houston Site | Houston, Texas, United States, 77074
    • FMC Science | Lampasas, Texas, United States, 76550
    • Prince Charles Hospital | Chermside, Queensland, Australia, 4032
    • CORE Research Group Pty. Ltd. | Milton, Queensland, Australia, 4064
    • AusTrials | Taringa, Queensland, Australia, 4068
    • University of Tasmania at Hobart | Hobart, Tasmania, Australia, 7001
    • Barwon Health-University Hospital Geelong | Geelong, Victoria, Australia, 3220
    • Austin Health | Heidelberg, Victoria, Australia, 3084
    • Baker Heart and Diabetes Institute | Melbourne, Victoria, Australia, 3004
    • C-Endo - Endocrinology Centre | Calgary, Alberta, Canada, T2V 4J2
    • BC Diabetes | Vancouver, British Columbia, Canada, V5Y 3W2
    • LMC Diabetes & Endocrinology Ltd. - Brampton | Brampton, Ontario, Canada, L6S 0C6
    • LMC Diabetes & Endocrinology Ltd. - Thornhill | Concord, Ontario, Canada, L4K 4M2
    • LMC Diabetes & Endocrinology Ltd. - Etobicoke | Etobicoke, Ontario, Canada, M9R 4E1
    • Centre for Studies in Family Medicine, Western Centre for Public Health and Family Medicine, Western University | London, Ontario, Canada, N6G 2M1
    • LMC Diabetes & Endocrinology Ltd. - Toronto | Toronto, Ontario, Canada, M4G 3E8
    • Ecogene-21 | Chicoutimi, Quebec, Canada, G7H 7K9
    • Institut Universitaire de Cardiologie et de Pneumologie De Quebec | Québec, Quebec, Canada, G1V 4G5
    • Edumed s.r.o. | Jaroměř, Czechia, 55101
    • Nemocnice Pardubickeho kraje, a.s., Nemocnice Pardubice | Pardubice, Czechia, 532 03
    • Vseobecna fakultni nemocnice v Praze | Praha, Czechia, 128 08
    • Hôpital Jean-Verdier - AP-HP; Service Endocrinologie Diabétologie Nutrition | Bondy, France, 93140
    • CHU Henri Mondor | Créteil, France, 94000
    • CHU de Nantes, Clinique d'Endocrinologie | Nantes, France, 44093
    • Centre Hospitalier de Valenciennes | Valenciennes, France, 59322
    • Klinikum Frankfurt (Oder) GmbH | Frankfurt (Oder), Brandenburg, Germany, 15236
    • Herz-und Diabeteszentrum NRW Universitaetsklinik der Ruhr-Universitaet Bochum | Bad Oeynhausen, North Rhine Westphalia, Germany, 32545
    • Cardiologicum Pirna und Dresden | Dresden, Saxony, Germany, 01277
    • Klinische Forschung Berlin GbR | Berlin, Germany, 10787
    • ZKS - Zentrum Klinische Studien Sudbrandenburg GmbH | Elsterwerda, Germany, 04910
    • Erik Yee Mun George Fung | Sha Tin, Hong Kong,
    • Prince of Wales Hospital; Chinese University of Hong Kong; Dept of Medicine and Therapeutics | Sha Tin, Hong Kong,
    • Centrum Chorob Serca w USK | Wrocław, Borowska, Poland, 50-556
    • NZOZ Specjalistyczny Osrodek Internistyczno - Diabetologiczny | Białystok, Poland, 15-435
    • Topolowa MEDICENTER Mrózek & wspólnicy sp.j. | Kraków, Poland, 31-506
    • Centrum Twojego Zdrowia | Kraków, Poland, 31-526
    • Praktyka Lekarska Ewa Krzyzagorska | Poznań, Poland, 61-655
    • Prywatny Gabinet Lekarski Centrum Medyczne Diabetika | Radom, Poland, 26-600
    • Centrum Medyczne Medyk Stanislaw Mazur Sp. z o.o. SK | Rzeszów, Poland, 35-005
    • 4 Wojskowy Szpital Kliniczny z Poliklinika Samodzielny Publiczny ZOZ we Wroclawiu | Wrocław, Poland, 50-981
    • ETG Lodz | Łódź, Poland, 90-302
    • Hospital Germans Trias i Pujol | Badalona, Barcelona, Spain, 08916
    • Hospital Clinico Universitario Virgen de la Arrixaca | El Palmar, Murcia, Spain, 30120
    • Hospital Abente y Lago (Complejo Universitario de la Coruña) | A Coruña, Spain, 15001
    • Hospital de la Santa Creu i Sant Pau Barcelona | Barcelona, Spain, 08041
    • Hospital Universitario Reina Sofia | Córdoba, Spain, 14004
    • Hospital Universitario Virgen Macarena | Sevilla, Spain, 41009
    • Hospital Clinico Universitario de Valencia | Valencia, Spain, 46010
    • Ninewells Hospital & Medical School | Dundee, United Kingdom, DD1 9SY
    • CPS Research | Glasgow, United Kingdom, G20 0XA
    • Glenfield hospital | Leicester, United Kingdom, LE3 9QP
    • Barts and The London School of Medicine & Dentistry | London, United Kingdom, EC1M 6BQ
    • Wythenshawe Hospital | Manchester, United Kingdom, M23 9Lt
    Investigators

      More Information

      Additional Relevant MeSH Terms

      • Cardiomyopathies
      • Diabetic Cardiomyopathies
      • Heart Diseases
      • Cardiovascular Diseases
      • Diabetes Complications
      • Diabetes Mellitus
      • Endocrine System Diseases