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Trial ยท NCT02705755

TD-9855 Phase 2 in Neurogenic Orthostatic Hypotension (nOH)

NCT02705755, Phase 2, Completed, Theravance Biopharma; results first posted 2022-09-26

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. TD-9855 Phase 2 in Neurogenic Orthostatic Hypotension (nOH). Trials, record NCT02705755. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02705755

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
TD-9855 Phase 2 in Neurogenic Orthostatic Hypotension (nOH)
NCT number
NCT02705755
Status
Completed
Phases
Phase 2
Enrollment
34 participants, actual
Lead sponsor
Theravance Biopharma
Conditions
Neurogenic Orthostatic Hypotension, Multiple System Atrophy (MSA) With Orthostatic Hypotension, Pure Autonomic Failure, Parkinson Disease, Hypotension, Orthostatic, Orthostatic Hypotension, Pure Autonomic Failure With Orthostatic Hypotension, Parkinson Disease With Orthostatic Hypotension
Interventions
TD-9855, Placebo
First posted
2016-03-10
Last updated
2022-09-26
Results first posted
2022-09-26
Limitations and caveats
Part B of the study was discontinued in protocol amendment 2, however details regarding Part B are still included in this summary.

Source ClinicalTrials.gov

Registered outcomes18

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPart A: Change From Time-matched Placebo in Seated Systolic Blood Pressure (SBP)7 hours post-dose on Day 1 (Placebo dosing) and on each of Days 2 to 5 (TD-9855 dosing)Placebo referred to the Day 1 visit, and the change from placebo referred to the time-matched difference from each TD-9855 dosing day (Days 2 through 5) relative to placebo dosing (Day 1).
PrimaryPart B: Change From Baseline in Seated SBPBaseline and 7 hours post-dose on Day 1Baseline was defined as the pre-dose measurement on Day 1 of Part B.
PrimaryPart C: Change From Baseline in Likert Scale Score at Week 4Baseline to Week 4
The Likert Scale is question 1 of the Orthostatic Hypotension Symptom Assessment (OHSA). The question asks participants to rate the severity of their orthostatic hypotension symptoms (dizziness, lightheadedness, feeling faint, or feeling like you might black out) on an 11-point scale from 0 to 10, with 0 indicating no symptoms/no interference and 10 indicating the worst possible symptoms/complete interference. A higher score indicates a worse outcome. Baseline was defined as the pre-lunch measurement on Day -1.
SecondaryPart A and Part B: Change From Baseline in Likert Scale Score at 6 to 8 HoursBaseline to a single time point between 6 to 8 hours post-dose
The Likert Scale is question 1 of the Orthostatic Hypotension Symptom Assessment (OHSA). The question asks participants to rate the severity of their orthostatic hypotension symptoms (dizziness, lightheadedness, feeling faint, or feeling like you might black out) on an 11-point scale from 0 to 10, with 0 indicating no symptoms/no interference and 10 indicating the worst possible symptoms/complete interference. A higher score indicates a worse outcome. Baseline was defined as the pre-dose measurement on Day 1 for Part A and Part B. Data was collected a one point between 6 and 8 hours post-dose.
SecondaryPart A and Part B: Change From Baseline in the Composite Orthostatic Hypotension Symptom Assessment (OHSA) ScoreBaseline to a single time point between 6 to 8 hours post-dose
The OHSA is made up of a 6-item symptoms assessment. All items were scored on an 11-point scale from 0 to 10, with 0 indicating no symptoms/no interference and 10 indicating the worst possible symptoms/complete interference. Activities that were marked as zero or "cannot be done for other reasons" at baseline were not included in the scoring. The composite OHSA score is the average of the response scores (for non-missing data) to the 6 questions of OHSA. A reduction in composite score indicates an improvement in symptoms. Baseline was defined as the pre-dose measurement on Day 1 for Part A and Part B. Data was collected a one point between 6 and 8 hours post-dose.
SecondaryPart A: Change From Time-matched Placebo in Standing SBP4 and 7 hours post-dose on Day 1 (Placebo dosing) and on each of Days 2 to 5 (TD-9855 dosing)
Placebo referred to the Day 1 visit, and the change from placebo referred to the time-matched difference from each TD-9855 dosing day (Days 2 through 5) relative to placebo dosing (Day 1). SBP was measured after 5 minutes of standing.
SecondaryPart B: Change From Baseline in Standing SBPBaseline, 4 and 7 hours post-dose on Day 1SBP was measured after 3 minutes of standing. Baseline was defined as the pre-dose measurement on Day 1 of Part B.
SecondaryPart A: Change From Time-matched Placebo in Seated SBP4, 7, 9, 12 hours post-dose on Day 1 (placebo) and Days 2 to 5 (TD-9855 dosing)Placebo referred to the Day 1 visit, and the change from placebo referred to the time-matched difference from each TD-9855 dosing day (Days 2 through 5) relative to placebo dosing (Day 1).
SecondaryPart B: Change From Baseline in Seated SBPBaseline and 4, 7, 9 and 12 hours post-dose on Day 1Baseline was defined as the pre-dose measurement on Day 1 of Part B.
SecondaryPart A: Change From Time-matched Placebo in Duration of Standing During the Orthostatic Standing Test (OST)4 and 7 hours post-dose on Day 1 (Placebo dosing) and on each of Days 2 to 5 (TD-9855 dosing)
Blood pressure (BP) and heart rate (HR) measurements were recorded with automated (or manual) sphygmomanometer, after being seated for 5 min and 10 min, and after standing for 1, 3, 5, and 10 min. The standing time was measured with a chronometer and the duration of standing was recorded. The total duration of standing may have occurred between 2 of the predefined time points, or the participant may have been able to stand for longer than the 10-min standing test. In either case, the total duration was recorded. Placebo referred to the Day 1 visit, and the change from placebo referred to the time-matched difference from each TD-9855 dosing day (Days 2 through 5) relative to placebo dosing (Day 1) of Part A.

Outcomes18

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPart A: Change From Time-matched Placebo in Seated Systolic Blood Pressure (SBP)7 hours post-dose on Day 1 (Placebo dosing) and on each of Days 2 to 5 (TD-9855 dosing)Intent-to-treat (ITT) analysis set - All analyzable participants who received placebo on Day 1 of Part A.millimeter of mercury (mmHg)MEAN
PRIMARYPart B: Change From Baseline in Seated SBPBaseline and 7 hours post-dose on Day 1ITT analysis set - All analyzable participants who received any amount of placebo or TD-9855.mmHgMEAN
PRIMARYPart C: Change From Baseline in Likert Scale Score at Week 4Baseline to Week 4ITT analysis set - All analyzable participants who received at least 1 dose of TD-9855.score on a scaleMEAN
SECONDARYPart A and Part B: Change From Baseline in Likert Scale Score at 6 to 8 HoursBaseline to a single time point between 6 to 8 hours post-doseITT analysis set - All analyzable participants who received placebo on Day 1 of Part A. All analyzable participants who received any amount of placebo or TD-9855 in Part B.score on a scaleMEAN
SECONDARYPart A and Part B: Change From Baseline in the Composite Orthostatic Hypotension Symptom Assessment (OHSA) ScoreBaseline to a single time point between 6 to 8 hours post-doseITT analysis set - All analyzable participants who received placebo on Day 1 of Part A. All analyzable participants who received any amount of placebo or TD-9855 in Part B.score on a scaleMEAN
SECONDARYPart A: Change From Time-matched Placebo in Standing SBP4 and 7 hours post-dose on Day 1 (Placebo dosing) and on each of Days 2 to 5 (TD-9855 dosing)ITT analysis set - All analyzable participants who received placebo on Day 1 of Part A.mmHgMEAN
SECONDARYPart B: Change From Baseline in Standing SBPBaseline, 4 and 7 hours post-dose on Day 1ITT analysis set - All analyzable participants who received any amount of placebo or TD-9855.mmHgMEAN
SECONDARYPart A: Change From Time-matched Placebo in Seated SBP4, 7, 9, 12 hours post-dose on Day 1 (placebo) and Days 2 to 5 (TD-9855 dosing)ITT analysis set - All analyzable participants who received placebo on Day 1 of Part A.mmHgMEAN
SECONDARYPart B: Change From Baseline in Seated SBPBaseline and 4, 7, 9 and 12 hours post-dose on Day 1ITT analysis set - All analyzable participants who received any amount of placebo or TD-9855.mmHgMEAN
SECONDARYPart A: Change From Time-matched Placebo in Duration of Standing During the Orthostatic Standing Test (OST)4 and 7 hours post-dose on Day 1 (Placebo dosing) and on each of Days 2 to 5 (TD-9855 dosing)ITT analysis set - All analyzable participants who received placebo on Day 1 of Part A.minutesMEAN

Results by group132

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Part A: Change From Time-matched Placebo in Seated Systolic Blood Pressure (SBP)Part A: TD-9855 1 mg0.2Standard Deviation 18.58millimeter of mercury (mmHg)
Part A: Change From Time-matched Placebo in Seated Systolic Blood Pressure (SBP)Part A: TD-9855 2.5 mg-1.8Standard Deviation 20.27millimeter of mercury (mmHg)
Part A: Change From Time-matched Placebo in Seated Systolic Blood Pressure (SBP)Part A: TD-9855 5 mg-3.4Standard Deviation 16.50millimeter of mercury (mmHg)
Part A: Change From Time-matched Placebo in Seated Systolic Blood Pressure (SBP)Part A: TD-9855 10 mg-2.9Standard Deviation 21.53millimeter of mercury (mmHg)
Part A: Change From Time-matched Placebo in Seated Systolic Blood Pressure (SBP)Part A: TD-9855 20 mg-7.3Standard Deviation 18.86millimeter of mercury (mmHg)
Part B: Change From Baseline in Seated SBPPart B: Randomized - Placebo0.30Standard Deviation 27.655mmHg
Part B: Change From Baseline in Seated SBPPart B: Randomized- TD-98559.00Standard Deviation 13.139mmHg
Part C: Change From Baseline in Likert Scale Score at Week 4Part C: Dose Extension-2.4Standard Deviation 4.54score on a scale
Part A and Part B: Change From Baseline in Likert Scale Score at 6 to 8 HoursPart A: Placebo-0.6Standard Deviation 2.46score on a scale
Part A and Part B: Change From Baseline in Likert Scale Score at 6 to 8 HoursPart A: TD-9855 1 mg-0.9Standard Deviation 4.08score on a scale

Participant flow76

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Part A (6 Days)STARTEDPart A: Dose Escalation (Within Group)34
Part A (6 Days)STARTEDPart B: Randomized - Placebo0
Part A (6 Days)STARTEDPart B: Randomized- TD-98550
Part A (6 Days)STARTEDPart C: Dose Extension0
Part A (6 Days)Participants Who Received PlaceboPart A: Dose Escalation (Within Group)34
Part A (6 Days)Participants Who Received PlaceboPart B: Randomized - Placebo0
Part A (6 Days)Participants Who Received PlaceboPart B: Randomized- TD-98550
Part A (6 Days)Participants Who Received PlaceboPart C: Dose Extension0
Part A (6 Days)Participants Who Received 1 mg Study DrugPart A: Dose Escalation (Within Group)17
Part A (6 Days)Participants Who Received 1 mg Study DrugPart B: Randomized - Placebo0

Adverse events549

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAtrial fibrillationCardiac disordersPart A: Placebo034
otherAtrial fibrillationCardiac disordersPart A: TD-9855 1 mg017
otherAtrial fibrillationCardiac disordersPart A: TD-9855 2.5 mg031
otherAtrial fibrillationCardiac disordersPart A: TD-9855 5 mg029
otherAtrial fibrillationCardiac disordersPart A: TD-9855 10 mg128
otherAtrial fibrillationCardiac disordersPart A: TD-9855 20 mg013
otherAtrial fibrillationCardiac disordersPart B: Randomized - Placebo05
otherAtrial fibrillationCardiac disordersPart B: Randomized - TD-985505
otherAtrial fibrillationCardiac disordersPart C: Dose Extension021
otherPalpitationsCardiac disordersPart A: Placebo034

Adverse event totals27

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPart A: Placebo034
Total, all-cause mortalityPart A: TD-9855 1 mg017
Total, all-cause mortalityPart A: TD-9855 2.5 mg031
Total, all-cause mortalityPart A: TD-9855 5 mg029
Total, all-cause mortalityPart A: TD-9855 10 mg028
Total, all-cause mortalityPart A: TD-9855 20 mg013
Total, all-cause mortalityPart B: Randomized - Placebo05
Total, all-cause mortalityPart B: Randomized - TD-985505
Total, all-cause mortalityPart C: Dose Extension021
Total, other adverse eventsPart A: Placebo734

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
33782836DERIVEDPubMed
34657222DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02705755

GET https://conductscience.org/api/trials/v1/NCT02705755/results?page=2