Clinical Trials

Apabetalone (RVX-208) has been evaluated in several clinical trials spanning Early Phase 1 through Phase 3, with recruitment statuses encompassing completed, terminated, withdrawn, and not yet recruiting stages. Primarily sponsored by Resverlogix Corp alongside academic and clinical partners such as Laval University and The Cleveland Clinic, these investigations targeted cardiovascular and metabolic conditions—including coronary artery disease, dyslipidemia, and type 2 diabetes mellitus—as well as secondary indications like chronic kidney failure, Fabry disease, pulmonary arterial hypertension, and COVID-19 infection.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT03160430 NOT_YET_RECRUITING
Kidney Failure, Chronic
Resverlogix Corp
2024-11-22 PHASE1; PHASE2
NCT06590324 RECRUITING
Post-Acute COVID-19 Syndrome
Resverlogix Corp
2025-04-15 PHASE2; PHASE3
NCT04915300 UNKNOWN
Pulmonary Arterial Hypertension
Laval University
2023-10 PHASE2
NCT03160430 Not yet recruiting
Kidney Failure Chronic
Resverlogix Corp
2024-11-22 Phase 1|Phase 2
NCT03228940 Withdrawn
Fabry Disease
Resverlogix Corp
2022-11-22 Phase 1|Phase 2
NCT04894266 TERMINATED
COVID-19 Infection
Resverlogix Corp
2022-01-14 PHASE2; PHASE3
NCT03655704 COMPLETED
Pulmonary Arterial Hypertension
Steeve Provencher
2019-08-22 EARLY_PHASE1
NCT02586155 COMPLETED
Diabetes Mellitus, Type 2; Coronary Artery Disease
Resverlogix Corp
2015-11 PHASE3
NCT01863225 Terminated
Dyslipidemia|Coronary Artery Disease
Resverlogix Corp|South Australian Health and Medical Research Institute
2013-05 Phase 2
NCT01728467 Completed
Diabetes
Resverlogix Corp|Baker Heart and Diabetes Institute|Nucleus Network Ltd
2012-11 Phase 2
NCT01067820 Completed
Coronary Artery Disease
Resverlogix Corp|The Cleveland Clinic
2011-09 Phase 2
NCT01423188 Completed
Coronary Artery Disease|Dyslipidemia
Resverlogix Corp|The Cleveland Clinic
2011-08 Phase 2

(data from https://clinicaltrials.gov, updated on 2023-11-15)

Check the Apabetalone (RVX-208) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Apabetalone acts as a selective inhibitor of bromodomain and extra-terminal (BET) family proteins, binding preferentially to the second bromodomain (BD2) to suppress epigenetic transcriptional activation of pro-inflammatory and pro-atherogenic genes. This selective transcriptional modulation attenuates vascular inflammation and systemic endothelial dysfunction, offering therapeutic utility for conditions evaluated in clinical trials such as coronary artery disease, dyslipidemia, and chronic kidney failure.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.