[Translation] A single-center, randomized, double-blind, placebo-controlled, dose-escalation Phase I study to evaluate the safety, tolerability, pharmacokinetics, and preliminary efficacy of BC003 in patients with acute decompensated heart failure (ADHF) who experience dyspnea at rest or with minimal activity
主要目的:
1)评估BC003在休息或轻微活动时呼吸困难的急性失代偿性心力衰竭(ADHF)患者中的安全性和耐受性;
2)探索BC003治疗在休息或轻微活动时呼吸困难的急性失代偿性心力衰竭(ADHF)患者的最大耐受剂量(MTD)。
次要目的:
1)评价BC003在患有休息或轻微活动时呼吸困难的急性失代偿性心力衰竭(ADHF)患者中的药代动力学(PK)特征;
2)探索BC003在患有休息或轻微活动时呼吸困难的急性失代偿性心力衰竭(ADHF)患者中的初步疗效。
探索性目的:
1)评价BC003在患有休息或轻微活动时呼吸困难的急性失代偿性心力衰竭(ADHF)患者血药浓度与心率校正的QT间期(QTc)和心电图(ECG)参数的相关性; 2)通过定量药理学建模获得药物浓度-效应范围,确定有效的药物浓度范围,探索PK、疗效、安全性之间的相关性。
[Translation] Primary objectives:
1) To evaluate the safety and tolerability of BC003 in patients with acute decompensated heart failure (ADHF) with dyspnea at rest or with minimal activity;
2) To explore the maximum tolerated dose (MTD) of BC003 in patients with acute decompensated heart failure (ADHF) with dyspnea at rest or with minimal activity.
Secondary objectives:
1) To evaluate the pharmacokinetic (PK) characteristics of BC003 in patients with acute decompensated heart failure (ADHF) with dyspnea at rest or with minimal activity;
2) To explore the preliminary efficacy of BC003 in patients with acute decompensated heart failure (ADHF) with dyspnea at rest or with minimal activity.
Exploratory objectives:
1) To evaluate the correlation between BC003 blood concentration and heart rate-corrected QT interval (QTc) and electrocardiogram (ECG) parameters in patients with acute decompensated heart failure (ADHF) who have dyspnea at rest or during mild activity; 2) To obtain the drug concentration-effect range through quantitative pharmacology modeling, determine the effective drug concentration range, and explore the correlation between PK, efficacy, and safety.