AzTrials
AzTrials

Paroxysmal Supraventricular TachycardiaPhase 2NCT05763953

The NODE-202 Study (Study of Etripamil Nasal Spray in Pediatric Patients)

A Phase 2 study testing Etripamil NS in people with Paroxysmal Supraventricular Tachycardia, run by Milestone Pharmaceuticals Inc. at 10 sites in 4 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

NODE-202 is a Phase 2, multicenter, multinational, single dose, open-label, 2-part, sequential design study in pediatric patients with an established diagnosis of paroxysmal supraventricular tachycardia (PSVT) presenting with a symptomatic episode of PSVT. Read more about this study

Who is it for?
Ages 6 to 17 years
Conditions the study is for
Paroxysmal Supraventricular Tachycardia
What is being tested?
Etripamil NS
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
10 sitesin 4 countries
Study dates
11 Dec 2023to 30 Jun 2027
Phase
Phase 2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 6 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Patients will be eligible for study participation if they meet all of the following criteria at screening:
  • Male or female patients
  • Part 1: patients 12 to <18 years of age
  • Part 2: patients 6 to <12 years of age
  • Body mass index (BMI) between the 5th and the 85th percentiles interpreted relative sex and age
  • History of PSVT documented by ECG or other monitoring modality (e.g., Holter monitor, event recorder) showing SVT involving the Atrioventricular (AV) node (i.e., Atrioventricular nodal reentry tachycardia (AVNRT) or Atrioventricular reentrant tachycardia (AVRT)). If patient had a prior ablation for PSVT, patient must have documented evidence of PSVT post-ablation
Show all 11Show fewer
  • Signed written informed consent/assent obtained
  • Per Investigator's decision, females of childbearing potential (defined as any woman or adolescent who has begun menstruation) must additionally satisfy the following criteria:
  • Negative pregnancy test at screening
  • Adequate contraception, unless total abstinence is used
  • Willing and able to comply with study procedures.

Who cannot join

  • Patients will be excluded from the study if they meet any of the following criteria:
  • History or presence of any of the following at the screening visit:
  • Patients with a history of atrial arrhythmia that does not involve the AV node as part of the tachycardia circuit (e.g., atrial fibrillation, atrial flutter, atrial tachycardia) are not eligible
  • Permanent junctional reciprocating tachycardia
  • Ventricular pre-excitation (e.g., delta wave on ECG, Wolff Parkinson White syndrome)
  • Second- or third-degree AV block
Show all 22Show fewer
  • Sick sinus syndrome or clinically significant bradycardia (<50 bpm or equivalent in this patient population) on the resting ECG
  • Ventricular tachycardia
  • Long QT syndrome
  • Major structural heart disease (e.g., Ebstein's anomaly, corrected congenital heart disease) or symptoms of congestive heart failure (New York Heart Association class II to IV).
  • Evidence of impaired liver function (alanine aminotransferase [ALT] and/or aspartate aminotransferase [AST] >3 x upper limit of normal for age and gender) at the Screening Visit
  • Evidence of End-Stage Renal Disease as determined by an estimated glomerular filtration rate assessed at the Screening Visit of <15 mL/min/1.73m2, or requiring hemodialysis;
  • Treatment with any of the following that cannot or will not be discontinued during study participation:
  • Any investigational drug within 60 days prior to study drug administration
  • IV beta-adrenergic blocking drugs (e.g., propranolol, esmolol), calcium channel blocking drugs (e.g., verapamil, diltiazem) or amiodarone within 24 hours prior to study drug administration
  • Oral amiodarone within 30 days prior to study drug administration
  • Class I or III antiarrhythmic agents (e.g., flecainide, propafenone, sotalol) within five half-lives prior to study drug administration
  • Any other drug that has a contraindication with verapamil
  • Known hypersensitivity to verapamil or to any of the excipients of the study drug
  • Any other significant co-morbid condition that may have a negative impact on the patient's participation in the study or likely to result in non-compliance
  • History of hyperthyroidism
  • Current pregnancy or breastfeeding

Trial locations and contacts

10 sites in 4 countries. Contact the study team or a site near you to ask about taking part.

Cameron Szakacs, PhD contact

704-807-6520

cszakacs@milestonepharma.com

10 sites in 4 countries

United States6 sites, 6 recruiting
  • Cincinnati Children's Hospital Medical Center

    Cincinnati, Ohio, 45229

    Shankar Baskar, shankar.baskar@cchmc.org

    Shankar Baskar

    Not yet recruiting
  • Baylor College of Medicine

    Houston, Texas, 77030

    Santiago Valdes, sovaldes@texaschildrens.org

    Santiago Valdes

    Not yet recruiting
  • Le Bonheur Children's Hospital

    Memphis, Tennessee, 38103

    Karine Guerrier, kguerrie@uthsc.edu

    Karine Guerrier

    Not yet recruiting
  • Advocate Children's Hospital

    Oak Lawn, Illinois, 60453

    Frank Zimmerman, Frank.Zimmerman@aah.org

    Frank Zimmerman

    Not yet recruiting
  • Phoenix Children's Hospital

    Phoenix, Arizona, 85016

    Andrew Papez, apapez@phoenixchildrens.com

    Andrew Papez

    Recruiting
  • Oregon Health and Science University

    Portland, Oregon, 97239

    Seshadri Balaji, balajis@ohsu.edu

    Seshadri Balaji

    Recruiting

Other trials in United States

Spain2 sites, 2 recruiting
  • Hospital Sant Joan de Déu

    Barcelona, 08950

    Georgia Brugada

    Georgia Brugada

    Not yet recruiting
  • Hospital Infantil Universitario La Paz

    Madrid, 28046

    Jose Merino

    Jose Merino

    Recruiting

Other trials in Spain

Canada1 site, 1 recruiting
  • The University of British Columbia

    Vancouver, V6H3V4

    Shubhayan Sanatani

    Shubhayan Sanatani

    Not yet recruiting

Other trials in Canada

Germany1 site, 1 recruiting
  • Universitätsmedizin Göttingen, Klinik für Pädiatrische Kardiologie, Intensivmedizin und Neonatologie

    Göttingen, 37075

    Thomas Paul

    Thomas Paul

    Not yet recruiting

Other trials in Germany

About this study

Official title: The NODE-202 Study Multi-Center, Multi-National, Open-Label, Efficacy and Safety Study of Etripamil Nasal Spray in Pediatric Patients With Paroxysmal Supraventricular Tachycardia

NODE-202 is a Phase 2, multicenter, multinational, single dose, open-label, 2-part, sequential design study in pediatric patients with an established diagnosis of paroxysmal supraventricular tachycardia (PSVT) presenting with a symptomatic episode of PSVT.

In Part 1, at least 30 patients aged 12 to <18 years will be enrolled and treated with etripamil nasal spray (NS). Efficacy, safety, tolerability and PK (for at least 12 patients) will be assessed after administration of 70 mg etripamil NS (Part 1A). At least 18 subsequent patients will be enrolled and treated with the etripamil NS with the dose determined by the Pharmacokinetic (PK) analysis and will undergo efficacy and safety/tolerability assessments (Part 1B).

Read more

In Part 2, at least 30 patients aged 6 to <12 years will be enrolled and treated with etripamil NS at a dose selected based on appropriate body size-based modeling, as well as efficacy, safety/tolerability, and PK data collected in Part 1. Efficacy, safety, tolerability and PK (for at least 12 patients) will be assessed after administration of etripamil NS (Part 2A). At least 18 subsequent patients will be enrolled and treated with the etripamil NS with the dose determined by the PK analysis and will undergo efficacy and safety/tolerability assessments (Part 2B).

The study will include the following visits: A Screening Visit, A Treatment Visit, , and A Follow-Up/End of Study Visit.

Read the detailed description

NODE-202 is a Phase 2, multicenter, multinational, single-dose, open-label, 2-part, sequential design study of pediatric patients with an established diagnosis of PSVT presenting with a sustained, symptomatic episode of PSVT.

At least 60 evaluable patients administered etripamil NS are estimated as an adequate population to inform on the efficacy and safety of etripamil NS in pediatric patients (aged 6 to <18 years) with PSVT. Patients will be enrolled according to the following sequential design:

Part 1: At least 30 patients aged 12 to <18 years will be treated with 70 mg etripamil NS for a PSVT episode. Efficacy, safety, tolerability and PK (at least for 12 patients) will be assessed after administration of etripamil.

Part 1A: at least 12 patients will undergo efficacy, safety/tolerability, and PK assessments. The data safety monitoring committee (DSMC) will complete an interim assessment of safety, tolerability; if the Sponsor decides to increase the dose above 70 mg for the remaining 18 patients, the Pediatric Committee (PDCO) and the Food and Drug Administration (FDA) will complete an interim assessment of efficacy, safety, tolerability, and PK data before additional patients in this age group can be treated with etripamil at the same or a modified dose level.

Part 1B: at least 18 subsequent patients will be treated with etripamil NS with the dose determined based on Part 1A data analysis and will undergo efficacy and safety/tolerability assessments.

Part 2: Clinical assessments in at least 30 patients aged 6 to <12 years will only be undertaken if, after a comprehensive review of safety, tolerability, efficacy, and PK data collected in patients aged 12 to <18 years, confirms a positive benefit-risk ratio in that age group, sufficient to permit administration of etripamil NS in the younger age group. The initial dose for Part 2 will be selected based on appropriate body size-based modelling, as well as safety/tolerability, and efficacy data collected in Part 1.

Part 2A: at least 12 patients will undergo efficacy, safety/tolerability, and PK assessments. The DSMC will complete an interim assessment of safety, tolerability; the PDCO and FDA will complete an interim assessment of safety, tolerability, and PK data before additional patients in this age group can be treated with etripamil at the same or a modified dose level.

Part 2B: at least 18 subsequent patients will be enrolled and treated with etripamil NS with the dose determined based on Part 2A data analysis and will undergo efficacy and safety/tolerability assessments.

The study will include:

A Screening Visit during which the Investigator will verify that the patient currently meets the eligibility criteria of the NODE-202 study, will obtain the Informed Consent/Assent, will evaluate the patient's medical status and concomitant medications, will perform a 12-Lead ECG using provided study-specific equipment, will take blood and urine for clinical laboratory evaluations (local laboratory) and will assess the patient's eligibility according to the inclusion/exclusion criteria. Also, qualified patients will be instructed that as soon as they have identified symptoms they consider being consistent with PSVT, they must attend the Study Medical Facility assigned by their Investigator for a treatment visit.

A Treatment Visit during which patients will arrive at the Study Medical Facility with symptoms consistent with PSVT, and the following actions will be performed: confirmation of eligibility, evaluation of vital signs and initiation of a 12-lead Electrocardiogram (ECG) using the provided ECG equipment. If after ECG assessment diagnosis of PSVT is not confirmed, the patient must not be administered etripamil NS and will receive standard of care treatment based on the diagnosis. If ECG assessment confirms the presence of PSVT, a vagal maneuver (VM) will be performed by the patient or physician, based on the Investigator's judgement. If the VM is not successful in terminating the confirmed PSVT episode, etripamil NS will then be administered intranasally by study site personnel, under medical supervision and ECG monitoring for 1 hour.

A Follow-Up/End of Study Visit (1 to 5 days after an episode) during which any Adverse Events (AEs) and ECG will be recorded, and vital signs will be measured.

Being tested
Etripamil NS
Keywords
PSVT
Medical subject headings
Tachycardia, Ventricular

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Etripamil NSDrug

    Part 1A: At least 12 patients will be administered with Etripamil NS (35 mg/100 μL per nostril) at a dose of 70 mg.

    Part 1B: At least 18 following patients will be administered with Etripamil NS at a dose determined by analysis of data generated from Part 1A.

    Part 2A: At least 12 patients will be administered with Etripamil NS at a dose selected based on appropriate body size-based modeling using PK assessments, as well as safety/tolerability, and efficacy data collected in Part 1.

    Part 2B: At least 18 following patients will be administered with Etripamil NS at a dose determined by analysis of data generated from Part 2A.

Study groups in NCT05763953
Study groupRoleWhat they receive
Etripamil NS 70mgExperimentalPatients will be administered by study site personnel
Receives: Drug: Etripamil NS

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Efficacy: The percentage of patients converting to sinus rhythm (SR) in the first 15 minutes after administration of etripamil NS.

    A successful conversion is defined as conversion of PSVT to SR that is maintained for at least 30 seconds

    Measured: 15 minutes after administration of etripamil NS

Secondary outcomes (6)
  1. Efficacy: Time to termination of the PSVT episode and conversion to SR

    Time measured from time of dosing to time of conversion of PSVT to SR that is maintained for at least 30 seconds

    Measured: 60 minutes after administration of etripamil NS

  2. Efficacy: Percentage of patients requiring additional medical intervention treatment for the PSVT episode in the first 15 minutes after study drug administration.

    Medical intervention is defined as an administered drug or procedure to treat PSVT

    Measured: 15 minutes after administration of etripamil NS

  3. Safety: Frequency of AEs

    Adverse Events (AEs) defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug-related

    Measured: Until 5 days after administration of etripamil NS

  4. Safety: Local (administration site) tolerability

    Local tolerability defined as frequency of adverse events related to nasal spray site administration

    Measured: Until 5 days after administration of etripamil NS

  5. Safety: Post-dose changes in vital signs (Hearth rate (HR))

    HR changes as measured by increase/decrease in beats per minute

    Measured: Until 5 days after administration of etripamil NS

  6. Safety: Post dose changes in vital sign (Blood Pressure (BP))

    BP changes (systolic blood pressure (SBP) and diastolic blood pressure (DBP)) as measured in increase/decrease in mmHg

    Measured: Until 5 days after administration of etripamil NS

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Mar 2023
  2. Study start11 Dec 2023
  3. Primary completion1 Jun 2027 (estimated)
  4. Study completion30 Jun 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05763953
Sponsor's protocol ID
MSP-2017-1265
Status last verified
Jul 2026
First submitted
3 Feb 2023
Last updated
21 Jul 2026
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Etripamil NS in people with Paroxysmal Supraventricular Tachycardia, run by Milestone Pharmaceuticals Inc. at 10 sites in 4 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 11 inclusion and 22 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 21 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in United States, Spain, Canada, Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Cameron Szakacs, PhD (704-807-6520, cszakacs@milestonepharma.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Efficacy: The percentage of patients converting to sinus rhythm (SR) in the first 15 minutes after administration of etripamil NS. (time frame: 15 minutes after administration of etripamil NS). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Jul 2026.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in