Dose-ranging, PK, Safety, Efficacy Study of Osanetant in Patients With Moderate/Severe VMS Associated With Menopause
A Phase 2A Randomized, Double-Blind, Placebo-Controlled, Dose-Ranging Study to Evaluate the Efficacy, Safety and Pharmacokinetics (PK) of ACER-801 for Treatment of Moderate to Severe Vasomotor Symptoms (VMS) Associated With Menopause
In this clinical research study, subjects will be given the study drug, ACER-801 (osanetant) or placebo (looks like the study drug but contains no active ingredients). The study drug works on a receptor in the brain and the intended purpose is for the study treatment of moderate to severe Vasomotor Symptoms (VMS) also referred to as hot flashes or flushes associated with menopause. Hot flashes are a change in your temperature that occurs due to changes in your hormones.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
completed
Actual enrollment (reported)
49 participants
Study completion date
March 4, 2023
Actual (reported)
Listed locations
1 countries · 1 sites
Trial Relationships
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
maximum concentration of ACER-801 measured at Day 1
Blood sampling included predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 10, 12 hrs (prior to evening dose) and 15 hrs post morning dose. Only Cmax (mean, SD) data are available due to abbreviated data analyses.
Day 1
Peak Plasma Concentration (Cmax) of ACER-801
maximum concentration of ACER-801 measured at Day 14
Blood sampling included predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 10, 12 hrs (prior to evening dose) and 15 hrs post morning dose. Only Cmax (mean, SD) data are available due to abbreviated data analyses.
Day 14
Peak Plasma Concentration (Cmax) of ACER-801 Metabolite
peak concentration of ACER-801 metabolite measured at Day 1
Blood sampling included predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 10, 12 hrs (prior to evening dose) and 15 hrs post morning dose. Only Cmax (mean, SD) data are available due to abbreviated data analyses.
Day 1
Peak Plasma Concentration (Cmax) of ACER-801 Metabolite
peak concentration of ACER-801 metabolite measured at Day 14
Blood sampling included predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 10, 12 hrs (prior to evening dose) and 15 hrs post morning dose. Only Cmax (mean, SD) data are available due to abbreviated data analyses.
Day 14
Time to Reach Maximum Concentration (Tmax) of ACER-801
time to reach maximum concentration of ACER-801 measured at Day 1
Blood sampling included predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 10, 12 hrs (prior to evening dose) and 15 hrs post morning dose. Only Tmax (mean, SD) data are available due to abbreviated data analyses.
Day 1
Time to Reach Maximum Concentration (Tmax) of ACER-801
time to reach maximum concentration of ACER-801 at Day 14
Blood sampling included predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 10, 12 hrs (prior to evening dose) and 15 hrs post morning dose. Only Tmax (mean, SD) data are available due to abbreviated data analyses.
Day 14
Time to Reach Maximum Concentration (Tmax) of ACER-801 Metabolite
time to reach maximum concentration of ACER-801 metabolite at Day 1
Blood sampling included predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 10, 12 hrs (prior to evening dose) and 15 hrs post morning dose. Only Tmax (mean, SD) data are available due to abbreviated data analyses.
Day 1
Time to Reach Maximum Concentration (Tmax) of ACER-801 Metabolite
Time to reach maximum concentration of ACER-801 metabolite at Day 14
Blood sampling included predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 10, 12 hrs (prior to evening dose) and 15 hrs post morning dose. Only Tmax (mean, SD) data are available due to abbreviated data analyses.
Day 14
Area Under the Concentration Curve From Dosing to the Time of the Last Measured Concentration (AUClast) of ACER-801
Area under the concentration time curve (AUC) from the time of dosing (0 hour) to the time of the last quantifiable (positive) concentration (Tlast) of ACER-801, calculated by a combination of linear and logarithmic trapezoidal methods (linear up/log down method)
Blood sampling included predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 10, 12 hrs (prior to evening dose) and 15 hrs post morning dose. Only AUClast (mean, SD) data are available due to abbreviated data analyses.
Day 1
Area Under the Concentration Curve From Dosing to the Time of the Last Measured Concentration (AUClast) of ACER-801
Area under the concentration time curve (AUC) from the time of dosing (0 hour) to the time of the last quantifiable (positive) concentration (Tlast) of ACER-801, calculated by a combination of linear and logarithmic trapezoidal methods (linear up/log down method)
Blood sampling included predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 10, 12 hrs (prior to evening dose) and 15 hrs post morning dose. Only AUClast (mean, SD) data are available due to abbreviated data analyses.
Day 14
Area Under the Concentration Curve From Dosing to the Time of the Last Measured Concentration (AUClast) of ACER-801 Metabolite
Area under the concentration time curve (AUC) from the time of dosing (0 hour) to the time of the last quantifiable (positive) concentration (Tlast) of ACER-801 metabolite, calculated by a combination of linear and logarithmic trapezoidal methods (linear up/log down method)
Blood sampling included predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 10, 12 hrs (prior to evening dose) and 15 hrs post morning dose. Only AUClast (mean, SD) data are available due to abbreviated data analyses.
Day 1
Area Under the Concentration Curve From Dosing to the Time of the Last Measured Concentration (AUClast) of ACER-801 Metabolite
Area under the concentration time curve (AUC) from the time of dosing (0 hour) to the time of the last quantifiable (positive) concentration (Tlast) of ACER-801 metabolite, calculated by a combination of linear and logarithmic trapezoidal methods (linear up/log down method)
Blood sampling included predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 10, 12 hrs (prior to evening dose) and 15 hrs post morning dose. Only AUClast (mean, SD) data are available due to abbreviated data analyses.
Day 14
Half-life (T1/2) of ACER-801
Terminal elimination half-life of ACER-801
Day 1
Half-life (T1/2) of ACER-801
Terminal elimination half-life of ACER-801
Day 14
Half-life (T1/2) of ACER-801 Metabolite
Terminal elimination half-life of ACER-801 metabolite
Day 1
Half-life (T1/2) of ACER-801 Metabolite
Terminal elimination half-life of ACER-801 metabolite
Day 14
Number and Percentage of Adverse Events ≥ 5%
An Adverse Event (AE) is defined as any untoward medical occurrence associated with the use of the investigational product in humans, whether or not considered related to investigational product. An AE can be any unfavorable and unintended sign (e.g., an abnormal laboratory finding), symptom, or disease temporally associated with any use of the investigational product, without any judgment about causality and irrespective of route of administration, formulation, or dose, including an overdose.
2 weeks
Number and Percentage of Serious Adverse Events (SAE)
An AE is considered "serious" if, in the view of either the investigator or Acer, it results in any of the following outcomes: Death, Is immediately life threatening; Requires in-patient hospitalization or prolongation of existing hospitalization; Results in persistent or significant disability or incapacity; Results in a congenital abnormality or birth defect; Is an important medical event that may jeopardize the subject or may require medical intervention to prevent one of the outcomes listed above.
2 weeks
Number and Percentage of Subjects Who Discontinued From the Study
Discontinuation or withdrawal from the study.
Over 2 weeks
Number of Patients With a Clinically Significant Change From Baseline in Abnormalities Detected During Physical Examination
A physician or appropriately qualified delegate conducted a full physical examination at baseline and at Day 14. The investigator decides if findings are considered abnormal at baseline and at Day 14 and whether the change is clinically significant. Only clinically significant changes will be reported.
At Day 14 relative to Baseline
Accumulation Ratio for Cmax (ARcmax) of ACER-801
Cmax (maximum concentration) Accumulation Ratio calculated as Cmax,Day14/ Cmax,Day1 and AUCt,Day14/ AUCt,Day1, where the dosing interval t is 12h.
Day 14
Accumulation Ratio for AUC (ARauc) of ACER-801
AUC (area under the curve) Accumulation Ratio calculated as Cmax,Day14/ Cmax,Day1 and AUCt,Day14/ AUCt,Day1, where the dosing interval t is 12h.
Day 14
Accumulation Ratio for Cmax (ARcmax) of ACER-801 Metabolite
Cmax (maximum concentration) Accumulation Ratio calculated as Cmax,Day14/ Cmax,Day1 and AUCt,Day14/ AUCt,Day1, where the dosing interval t is 12h.
Day 14
Accumulation Ratio for AUC (ARauc) of ACER-801 Metabolite
AUC (area under the curve) Accumulation Ratio calculated as Cmax,Day14/ Cmax,Day1 and AUCt,Day14/ AUCt,Day1, where the dosing interval t is 12h.
Day 14
Metabolite: Parent Ratio of AUC (MRauc)
MR = Metabolite:Parent Ratio calculated as Cm,day14/ Cp,day1 and AUCt,m,day14/ AUCt,p,day1, where m and p are the metabolite and parent drug, respectively, and t is the dosing interval (12 h).
AUC = area under the curve
Day 1
Metabolite: Parent Ratio of AUC (MRauc)
AUC (area under the curve) MR = Metabolite:Parent Ratio calculated as Cm,day14/ Cp,day1 and AUCt,m,day14/ AUCt,p,day1, where m and p are the metabolite and parent drug, respectively, and t is the dosing interval (12 h).
Day 14
Metabolite:Parent Ratio of Cmax (MRcmax)
MR = Metabolite:Parent Ratio calculated as Cm,day14/ Cp,day1 and AUCt,m,day14/ AUCt,p,day1, where m and p are the metabolite and parent drug, respectively, and t is the dosing interval (12 h).
ACER-801 (parent); Cmax (maximum concentration)
Day 1
Metabolite:Parent Ratio of Cmax (MRcmax)
MR = Metabolite:Parent Ratio calculated as Cm,day14/ Cp,day1 and AUCt,m,day14/ AUCt,p,day1, where m and p are the metabolite and parent drug, respectively, and t is the dosing interval (12 h).
ACER-801 (parent); Cmax (maximum concentration)
Day 14
Area Under the Concentration Curve From t0 to Infinite Time (AUCinf) of ACER-801
AUC from the time of dosing (0 hour) extrapolated to infinity, calculated as AUClast + Clast/λz, where Clast was the last quantifiable concentration, and λz was the terminal elimination rate constant Reliability of AUCinf values was contingent upon AUCext and λz Profiles with AUCext ≤20% and a λz which met reporting criteria were considered reliable and AUCinf was reported. For profiles that did not meet these criteria, AUCinf and any parameter requiring AUCinf for computation were not reported.
Day 1
Area Under the Concentration Curve From t0 to Infinite Time (AUCinf) of ACER-801
AUC from the time of dosing (0 hour) extrapolated to infinity, calculated as AUClast + Clast/λz, where Clast was the last quantifiable concentration, and λz was the terminal elimination rate constant Reliability of AUCinf values was contingent upon AUCext and λz Profiles with AUCext ≤20% and a λz which met reporting criteria were considered reliable and AUCinf was reported. For profiles that did not meet these criteria, AUCinf and any parameter requiring AUCinf for computation were not reported.
Day 14
Area Under the Concentration Curve From t0 to Infinite Time (AUCinf) of ACER-801 Metabolite
AUC from the time of dosing (0 hour) extrapolated to infinity, calculated as AUClast + Clast/λz, where Clast was the last quantifiable concentration, and λz was the terminal elimination rate constant Reliability of AUCinf values was contingent upon AUCext and λz Profiles with AUCext ≤20% and a λz which met reporting criteria were considered reliable and AUCinf was reported. For profiles that did not meet these criteria, AUCinf and any parameter requiring AUCinf for computation were not reported.
Day 1
Area Under the Concentration Curve From t0 to Infinite Time (AUCinf) of ACER-801 Metabolite
AUC from the time of dosing (0 hour) extrapolated to infinity, calculated as AUClast + Clast/λz, where Clast was the last quantifiable concentration, and λz was the terminal elimination rate constant Reliability of AUCinf values was contingent upon AUCext and λz Profiles with AUCext ≤20% and a λz which met reporting criteria were considered reliable and AUCinf was reported. For profiles that did not meet these criteria, AUCinf and any parameter requiring AUCinf for computation were not reported.
Day 14
Number of Subjects With a Clinically Significant Change From Baseline for Clinical Laboratory Evaluations: HEMATOLOGY
Blood samples will be measured for hemoglobin, hematocrit, white blood count with differential (neutrophils, lymphocytes, monocytes, eosinophils, basophils), platelet count, red blood cell count (including mean corpuscular volume, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration). Only clinically significant changes will be reported.
Over 2 weeks
Number of Subjects With a Clinically Significant Change From Baseline for Clinical Laboratory Evaluations: SERUM CHEMISTRY
Blood samples will be measured for albumin, alkaline phosphatase, total bilirubin, alanine aminotransferase (ALT), aspartate aminotransferase (AST), blood urea nitrogen, calcium, carbon dioxide, chloride, potassium, sodium, total cholesterol, creatinine, gamma glutamyl transferase, glucose, lactate dehydrogenase, phosphorus, total protein, uric acid. Only clinically significant changes will be reported.
2 weeks
Number of Subjects With a Clinically Significant Change From Baseline for Clinical Laboratory Evaluations: COAGULATION
Blood samples will be measured for prothrombin time, partial thromboplastin time, international normalized ratio. Only clinically significant changes will be reported.
2 weeks
Number of Subjects With a Clinically Significant Change From Baseline for Clinical Laboratory Evaluations: URINALYSIS
Urine samples will be measured for pH, specific gravity, protein, glucose, ketones, bilirubin. Only clinically significant changes will be reported.
2 weeks
Number of Subjects With a Clinically Significant Change From Baseline for Clinical Laboratory Evaluations: BONE DENSITY MARKERS
Blood samples not available/collected for testing. Blood samples will be measured for Bone Specific Alkaline Phosphatase (BSAP), osteocalcin, amino terminal propeptide of type 1 collagen (P1NP) and Collagen Type- C-Telopeptide (CTX). Only clinically significant changes will be reported.
2 weeks
Number of Subjects With a Clinically Significant Change From Baseline for Clinical Laboratory Evaluations: HORMONES
Blood samples not available/collected for testing. Blood samples will be measured for catecholamines, vasopressin, gonadotropins, estradiol, testosterone, follicle stimulating hormone (FSH), luteinizing hormone (LH), adrenocorticotropic hormone (ACTH), cortisol, thyroid-stimulating hormone (TSH), T3 (Total and Free), T4 (Total and Free), prolactin, sex hormone binding globulin (SHBG), and insulin. Only clinically significant changes will be reported.
2 weeks
Secondary Outcomes (6)
Change in Frequency of Vasomotor Symptoms (Hot Flashes) From Baseline
At Week 1 relative to Baseline
Change in Frequency Vasomotor Symptoms (Hot Flashes) From Baseline
At Week 2 relative to Baseline
Change in Severity of Vasomotor Symptoms (Hot Flashes) From Baseline
At Week 1 relative to Baseline
Change in Severity of Vasomotor Symptoms (Hot Flashes) From Baseline
At Week 2 relative to Baseline
Change in Hot Flash Severity Score Vasomotor Symptoms From Baseline
At Week 1 relative to Baseline
+1 more secondary outcomes
Study Arms (4)
ACER-801 50 mg BID
EXPERIMENTAL
ACER-801 (osanetant) 50 mg BID (1 x 50 mg and 3 x placebo, twice daily)
Drug: ACER-801 50 mg BID
ACER-801 100 mg BID
EXPERIMENTAL
ACER-801 (osanetant) 100 mg BID (2 x 50 mg and 2 x placebo, twice daily)
Drug: ACER-801 100 mg BID
ACER-801 200 mg BID
EXPERIMENTAL
ACER-801 (osanetant) 200 mg BID (4 x 50 mg and 0 x placebo, twice daily)
49 participants (actual enrollment reported by the registry).
Study Design
Study Type
interventional
Phase
phase 1 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
The patient, the Investigator, and other members of the staff involved with the study will remain blinded to study treatment.
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Subjects will be randomized in a 1:1:1:1 ratio to ACER-801 per one of the following dosing schedules prior to dosing:
* 50 mg BID,
* 100 mg BID,
* 200 mg BID, or
* Placebo BID
Each arm is administered orally for 14 consecutive days (28 doses).
At least 12 months of spontaneous, continuous amenorrhea, or
At least 6 months of spontaneous, continuous amenorrhea with serum follicle stimulating hormone (FSH) levels \> 40 mIU/mL at screening, or
At least 6 weeks postsurgical bilateral oophorectomy with or without hysterectomy.
At baseline women:
With an average number of moderate to severe hot flashes/day for 2 weeks prior to randomization (per continuous hot flash diary).
That have a change of \< 50% in average 24-hour hot flash frequency 2 weeks prior to randomization.
Moderate: defined as sensation of heat with sweating, able to continue activity.
Severe: defined as sensation of heat with sweating, causing cessation of activity.
You may not qualify if:
Any active comorbid disease deemed by the investigator to be clinically significant, which could impact safety during study conduct including renal or hepatic impairment.
Use of any prohibited medications.
Body mass index (BMI) \>35 kg/m2.
Any active ongoing condition that could cause difficulty in interpreting vasomotor symptoms.
Inability to complete questionnaires and continuous hot flash diary for any reason.
Subjects who, in the opinion of the investigator, should not participate in the study for any other reason.
Contact the study team to confirm eligibility.
Study Start
March 30, 2022
Actual (reported)
Primary Completion
March 4, 2023
Actual (reported)
Study Completion
March 4, 2023
Actual (reported)
Last Updated
August 7, 2024
Results First Posted
August 7, 2024
Record last verified: 2024-06
Data Sharing
IPD Sharing
Will not share
Source record
Download the complete ClinicalTrials.gov record imported by Syfrah, including fields not shown in this page. The registry may contain a newer revision.
Source: ClinicalTrials.gov.
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