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RPT193: A Promising New Treatment for Moderate-to-Severe Asthma

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In short

This article explores the ongoing clinical trials of RPT193, a promising new drug for treating moderate-to-severe T2-high asthma in adults. The study aims to assess the efficacy and safety of RPT193 in patients whose asthma is partially controlled by standard inhaled corticosteroids and long-acting beta-2 agonists. We'll delve into the trial's objectives, eligibility criteria, and potential impact on asthma management.

At a glance

Drug Name
RPT193
Condition
Moderate-to-severe T2-high asthma
Study Phase
Phase 2
Main Objective
Evaluate effect on loss of asthma control compared to placebo
Treatment Duration
14 weeks
Dosage
400 mg daily, oral tablets
Key Eligibility Criteria
Adults 18-75, asthma diagnosis ≥6 months, partially controlled on ICS/LABA
Primary Endpoint
Proportion of subjects experiencing loss of asthma control
Key Secondary Endpoints
Safety, time to loss of control, changes in lung function and asthma control

What is RPT193?

RPT193 is a new medication being studied for the treatment of moderate-to-severe asthma. It is currently in Phase 2 clinical trials, which means it is being tested to determine its effectiveness and safety in patients. The full name of this drug is quite complex: 3-[(3R)-3-[1-[5-CHLORO-4-[[(1R)-1-(2,4-DICHLOROPHENYL)ETHYL]AMINO]-6-METHYLPYRIMIDIN-2-YL]AZETIDIN-3-YL]PIPERIDIN-1-YL]-1-METHYLCYCLOBUTANE-1-CARBOXYLIC ACID. However, for simplicity, it's referred to as RPT193.

How Does RPT193 Work?

RPT193 is designed to help patients with a specific type of asthma called T2-high asthma. This type of asthma involves inflammation in the airways driven by a particular group of immune cells. While the exact mechanism isn't fully explained in the trial information, RPT193 is likely targeting this inflammatory process to help control asthma symptoms.

Target Patient Group

This medication is being studied for adults aged 18 to 75 who have: Moderate-to-severe asthma: This means their asthma is not well-controlled despite using current treatments. T2-high asthma: This is determined by having either a high level of certain white blood cells (eosinophils) or high levels of nitric oxide in exhaled breath. Asthma that is only partially controlled by their current medications, which include inhaled corticosteroids (ICS) and long-acting beta-2 agonists (LABA).

Clinical Trial Details

The ongoing clinical trial is designed to evaluate how well RPT193 works compared to a placebo (a dummy treatment with no active ingredients). Here are some key points about the trial: It lasts for 14 weeks of treatment, followed by 6 weeks of follow-up. Participants take either 400 mg of RPT193 or a placebo daily as oral tablets. The main goal is to see if RPT193 can prevent loss of asthma control better than the placebo.

Potential Benefits

The researchers are hoping to see several improvements in patients taking RPT193: Better lung function, measured by a test called FEV1 (forced expiratory volume in 1 second). Improved asthma control, measured by questionnaires. Less need for rescue inhalers. Reduced inflammation in the airways, measured by a test called FeNO (fractional exhaled nitric oxide).

Safety Considerations

As with any new medication, safety is a top priority. The trial is carefully monitoring for any side effects. Some important safety considerations include: Women who are pregnant, breastfeeding, or planning to become pregnant cannot participate in the trial. People with certain other medical conditions, such as severe heart or kidney problems, are not eligible for the trial. Participants need to meet specific criteria for lung function and overall health to be included in the study.

Conclusion

RPT193 represents a potential new treatment option for people with moderate-to-severe asthma that isn't well-controlled by current medications. If successful, it could offer a new way to manage this challenging condition. However, it's important to remember that the drug is still in the testing phase, and more research is needed to fully understand its effectiveness and safety.

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