Stopped: Terminated: Study drug resupply delayed (Covid-19)
This is a multi-center, randomized, double-blind, controlled, Phase 2 study to assess the safety, tolerability, and efficacy of pemziviptadil (PB1046) at the optimally titrated dose after 16 weeks of treatment. Subjects will be randomized in a 2:1 ratio to one of two parallel dose groups: a) high-dose group where PB1046 will be up-titrated from a 0.2 mg/kg minimally effective starting dose to a target high dose level of at least 1.2 mg/kg or higher to a maximally tolerated dose (MTD), or b) a low-dose group that will start at 0.2 mg/kg and remain at this minimally effective dose (MED) level with sham up-titration. The total treatment period will be comprised of 2 phases: 1) an initial 10 week dose titration phase in which weekly doses of PB1046 will be titrated (or sham titrated) up to a target dose level of at least 1.2 mg/kg or higher to the MTD, and 2) a maintenance of treatment phase that begins when subjects reach week 11 and continues for 6 weeks during which no further up-titration should occur.
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Incidence and severity of AEs
Timeframe: 172 days - Starting up to 30 days prior to first dose and completing 28 days after last dose.
Incidence of Clinical Laboratory Abnormalities
Timeframe: 172 days - Starting up to 30 days prior to first dose and completing 28 days after last dose.
Changes in Diastolic Blood Pressure
Timeframe: 172 days - Starting up to 30 days prior to first dose and completing 28 days after last dose.
Changes in Systolic Blood Pressure
Timeframe: 172 days - Starting up to 30 days prior to first dose and completing 28 days after last dose.
Changes in Oral Body Temperature
Timeframe: 172 days - Starting up to 30 days prior to first dose and completing 28 days after last dose.
Changes in Respiratory Rate
Timeframe: 172 days - Starting up to 30 days prior to first dose and completing 28 days after last dose.
Changes in Heart Rate
Timeframe: 172 days - Starting up to 30 days prior to first dose and completing 28 days after last dose.
12-Lead ECG - Incidence of clinically significant findings
Timeframe: 172 days - Starting up to 30 days prior to first dose and completing 28 days after last dose.
Immunogenicity
Timeframe: 172 days - Starting up to 30 days prior to first dose and completing 8 weeks after last dose. May be extended in the event that result does not return to baseline in time allotted.
Change in baseline in pulmonary vascular resistance (PVR)
Timeframe: 142 days - Pre-dose (up to 30 days prior to first dose) and post-dose 16.