New hope for heart lining pain: can CardiolRx keep flare-ups away?
NCT ID NCT06708299
First seen Jun 27, 2026 · Last updated Sep 11, 2026 · Updated 6 times
Summary
This study tests whether the drug CardiolRx can prevent another episode of pericarditis (inflammation around the heart) in people who have had repeated attacks. About 110 adults who have been stable on an IL-1 blocker for at least a year will stop that medication and receive either CardiolRx or a placebo for 24 weeks. The goal is to see if CardiolRx helps them stay free of recurrence.
Why investors are watching
Cardiol Therapeutics is testing CardiolRx, an experimental drug, in a phase 3 trial for recurrent pericarditis, a condition where the heart's lining becomes inflamed and painful. The trial enrolls 110 patients who are stopping a standard IL-1 blocker, and the goal is to see if CardiolRx keeps them free of recurrence for 24 weeks. For a micro-cap company with few products, this readout is a major event because a positive result could support a new treatment approval, while a negative one would leave the company without a clear path forward.
If it works: If the trial succeeds, Cardiol Therapeutics could have a new, oral treatment option for a chronic heart condition with limited therapies. That result would likely strengthen the company's position with regulators and potential partners.
If it fails: Phase 3 trials often fail, and this one has a small patient group, which makes the outcome less certain. A failure or delay would be a serious setback for a company of this size, potentially leaving it without a viable product candidate.
AI-written from the trial record. Speculative, and not investment advice.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 110 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2025
- Expected to finish
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Oct 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Patients 18 years of age or older 2. A history of recurrent pericarditis with stable disease and currently being treated with an IL-1 blocker, scheduled to be discontinued. Stable disease is defined as: * treatment with an IL-1 blocker for at least 12 months, * free of pericarditis recurrence for at least 6 months and this recurrence, if present, must have occurred in the setting of an interruption or tapering of an IL-1 blocker; and * treatment with an unchanged dose and regimen of on an IL-1 blocker for at least 3 months prior to randomization. 3. Pericarditis pain les or equal than 2 on the 11-point Numerical Rating Scale (NRS) for at least 7 days prior to randomization (Visit 1, Day 1) 4. C-Reactive Protein (CRP) \< 1.0 mg/dL during screening within 7 days prior to randomization (Visit 1, Day 1). 5. Patients who have had a vasectomy or who are willing to use double barrier contraception methods with partners of childbearing potential during the conduct of the trial and for 2 months after the last dose of trial therapy. 6. Patients of childbearing potential willing to use an acceptable method of contraception starting with trial therapy administration and for a minimum of 2 months after trial completion. Otherwise, these patients must be postmenopausal (at least 1 year absence of vaginal bleeding or spotting and confirmed by follicle stimulating hormone \[FSH\] ≥ 40 mIU/mL \[or ≥ 40 IU/L\] if less than 2 years postmenopausal) or be surgically sterile. Acceptable birth control methods that result in a failure rate of less than 1 % include oral, intravaginal or transdermal combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation; oral, injectable or implantable progestogen-only hormonal contraception associated with inhibition of ovulation; intrauterine device (IUD); intrauterine hormone-releasing system (IUS); using double-barrier contraception methods with their partners; bilateral tubal occlusion; vasectomised partner; sexual abstinence. Exclusion Criteria: 1. Pericarditis recurrence(s) during IL-1 blocker treatment without interruption or tapering of the IL-1 blocker 2. Diagnosis of pericarditis that is secondary to specific prohibited etiologies, including tuberculosis (TB); neoplastic, purulent, or radiation etiologies; post-thoracic blunt trauma (e.g., motor vehicle accident); systemic autoimmune disease (e.g., systemic lupus erythematosus) 3. Primary diagnosis of myocarditis (diagnosis of myopericarditis is accepted) 4. Estimated glomerular filtration rate (eGFR) \< 30 mL/min during screening within 7 days prior to randomization (Visit 1, Day 1) 5. Elevated alanine aminotransferase (ALT) or aspartate aminotransferase (AST) \> 5 times the upper limit of normal (ULN) or ALT or AST \> 3x ULN plus bilirubin \> 2x ULN during screening within 7 days prior to randomization (Visit 1, Day 1). 6. Sepsis, defined as documented bacteremia during screening within 7 days prior to randomization (Visit 1, Day 1) or other untreated or uncontrolled bacterial infection\* 7. Prior history of sustained ventricular arrhythmia(s) 8. History of diagnosed long QT syndrome 9. QTc interval \> 480 msec (biologically female) or \> 470 msec (biologically male) (please refer to Section 9.2.3 for bundle branch block, bifascicular block and paced rhythm correction) or second or third degree atrioventricular (AV) block in a patient without an implanted functioning pacemaker device during screening within 7 days prior to randomization (Visit 1, Day 1) 10. Showing suicidal tendency during the last 12 months, as defined by answering "yes" to question 4 or 5 of the Columbia Suicide Severity Rating Scale (C-SSRS), administered during screening within 7 days prior to randomization (Visit 1, Day 1) 11. Participation in a clinical trial in which an investigational drug or device was administered within 30 days of screening or within 5 half-lives of the previous study drug, whichever is longer 12. Inability or unwillingness to give informed consent 13. Ongoing drug or alcohol abuse in the opinion of the investigator 14. On any cannabinoid during the past month or unwilling to stay abstinent from all cannabis products for the duration of the trial 15. Pregnant or breastfeeding 16. Current diagnosis of active cancer, with the exception of non-melanoma skin cancer 17. Any factor, which would make it unlikely that the patient can comply with the trial procedures 18. Moderate (Child-Pugh B) or severe (Child-Pugh C) hepatic impairment 19. Has received systemic immunomodulatory agents as below prior to randomization: 1. Methotrexate (within 2 weeks) 2. Azathioprine, mycophenolate mofetil, cyclosporine, tacrolimus, sirolimus, or mercaptopurine (within 24 weeks) 3. Canakinumab, TNF inhibitors, IL-6 inhibitors, or janus-activating kinase inhibitors (within 12 weeks) 4. Intravenous immune globulin (IVIG) (within 8 weeks) 5. Corticosteroids (within 4 weeks) 20. Known hypersensitivity to the active substance or any of the excipients of the trial
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
27 sites in 4 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Altman Clinical and Translational Research Institute
RECRUITINGLa Jolla, California, 92037, United States
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Cedars-Sinai Medical Center
RECRUITINGLos Angeles, California, 90048, United States
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Cleveland Clinic
RECRUITINGCleveland, Ohio, 44195, United States
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Columbia University - New York Presbyterian
RECRUITINGNew York, New York, 10032, United States
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Fatebenefratelli Hospital Milano
NOT_YET_RECRUITINGMilan, Italy
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Hippokration General Hospital
RECRUITINGAthens, Greece
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Houston Methodist Hospital
RECRUITINGHouston, Texas, 77030, United States
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Jewish General Hospital
RECRUITINGMontreal, Canada
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Johns Hopkins University
RECRUITINGBaltimore, Maryland, 21205, United States
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Lenox Hill Hospital
RECRUITINGNew York, New York, 11030, United States
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Massachusetts General Hospital
RECRUITINGBoston, Massachusetts, 02114, United States
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Mayo Clinic
RECRUITINGRochester, Minnesota, 55905, United States
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Mayo Clinic Florida
RECRUITINGJacksonville, Florida, 32224, United States
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Mayo Clionic Arizona
RECRUITINGPhoenix, Arizona, 85054, United States
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MedStar Health Institute
RECRUITINGColumbia, Maryland, 21044, United States
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Minneapolis Heart Institute
RECRUITINGMinneapolis, Minnesota, 55407, United States
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NYU Langone Health
RECRUITINGNew York, New York, 10016, United States
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Northwestern University
RECRUITINGChicago, Illinois, 60208, United States
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Pacific Heart Institute at Cedars-Sinai
RECRUITINGSanta Monica, California, 90404, United States
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UCI Health
RECRUITINGIrvine, California, 92697, United States
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University Hospital
NOT_YET_RECRUITINGTorino, Italy
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University Hospital Udine
NOT_YET_RECRUITINGUdine, Italy
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University of Padua
NOT_YET_RECRUITINGPadua, Italy
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University of Utah Hospital
RECRUITINGSalt Lake City, Utah, 84112, United States
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University of Vermont
RECRUITINGBurlington, Vermont, 05401, United States
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University of Virginia
RECRUITINGCharlottesville, Virginia, 22903, United States
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Virginia Commonwealth University
RECRUITINGRichmond, Virginia, 23219, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- New hope for heart inflammation sufferers: experimental drug VTX2735 enters Mid-Stage trial