Phase IIb Safety and Efficacy Study of Four Dose Regimens of BAY1021189 in Patients With Heart Failure With Reduced Ejection Fraction Suffering From Worsening Chronic Heart Failure (SOCRATES-REDUCED)

NCT ID: NCT01951625

Last Updated: 2021-03-25

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

456 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-11-29

Study Completion Date

2015-06-09

Brief Summary

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Objective of the study is to find the optimal dose of the once daily oral soluble guanylate cyclase stimulator (sGC) BAY1021189 for Phase III that can be given in addition to standard therapy for heart failure with reduced ejection fraction (HFrEF).

Detailed Description

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Conditions

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Heart Failure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Vericiguat (BAY1021189) (10 mg)

2.5 mg orally once daily for 2 weeks, up-titration to 5 mg orally once daily for 2 weeks, up-titration to 10 mg orally once daily for 8 weeks

Group Type EXPERIMENTAL

Vericiguat (BAY1021189) (1.25 mg)

Intervention Type DRUG

1.25 mg BAY1021189 tablets

Vericiguat (BAY1021189) (5 mg)

Intervention Type DRUG

5 mg BAY1021189 tablets

Vericiguat (BAY1021189) (5 mg)

2.5 mg orally once daily for 2 weeks, then 5 mg orally once daily for 10 weeks (with sham titration)

Group Type EXPERIMENTAL

Vericiguat (BAY1021189) (1.25 mg)

Intervention Type DRUG

1.25 mg BAY1021189 tablets

Vericiguat (BAY1021189) (5 mg)

Intervention Type DRUG

5 mg BAY1021189 tablets

Vericiguat (BAY1021189) (2.5 mg)

2.5 mg orally once daily for 12 weeks (with sham titrations)

Group Type EXPERIMENTAL

Vericiguat (BAY1021189) (1.25 mg)

Intervention Type DRUG

1.25 mg BAY1021189 tablets

Vericiguat (BAY1021189) (1.25 mg)

1.25 mg orally once daily for 12 weeks (with sham titrations)

Group Type EXPERIMENTAL

Vericiguat (BAY1021189) (1.25 mg)

Intervention Type DRUG

1.25 mg BAY1021189 tablets

Placebo

Orally once daily for 12 weeks (with sham titrations)

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Interventions

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Vericiguat (BAY1021189) (1.25 mg)

1.25 mg BAY1021189 tablets

Intervention Type DRUG

Vericiguat (BAY1021189) (5 mg)

5 mg BAY1021189 tablets

Intervention Type DRUG

Placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Worsening chronic heart failure (WCHF) requiring hospitalization (or intravenous diuretic treatment for HF without hospitalization) with initiation of study treatment after clinical stabilization
* Left ventricular ejection fraction (LVEF) \<45% by echocardiography at randomization

Exclusion Criteria

* Intravenous inotropes at any time after hospitalization
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bayer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bayer Study Director

Role: STUDY_DIRECTOR

Bayer

Locations

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Fountain Valley, California, United States

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Wilmington, Delaware, United States

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Fort Lauderdale, Florida, United States

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Jacksonville, Florida, United States

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Naples, Florida, United States

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Atlanta, Georgia, United States

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Macon, Georgia, United States

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New Orleans, Louisiana, United States

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Detroit, Michigan, United States

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Minneapolis, Minnesota, United States

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Jackson, Mississippi, United States

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Buffalo, New York, United States

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Columbus, Ohio, United States

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Fairfield, Ohio, United States

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Charleston, South Carolina, United States

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Germantown, Tennessee, United States

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Nashville, Tennessee, United States

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Milwaukee, Wisconsin, United States

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Darlinghurst, New South Wales, Australia

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Hobart, Tasmania, Australia

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Prahran, Victoria, Australia

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Sankt Pölten, Lower Austria, Austria

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Graz, Styria, Austria

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Linz, Upper Austria, Austria

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Salzburg, , Austria

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Vienna, , Austria

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Bruges, , Belgium

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Bruxelles - Brussel, , Belgium

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Ghent, , Belgium

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Gilly, , Belgium

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Huy, , Belgium

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Mechelen, , Belgium

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Mol, , Belgium

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Roeselare, , Belgium

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Sofia, , Bulgaria

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Sofia, , Bulgaria

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Sofia, , Bulgaria

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Sofia, , Bulgaria

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Stara Zagora, , Bulgaria

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Toronto, Ontario, Canada

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Montreal, Quebec, Canada

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Montreal, Quebec, Canada

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Saint-Jean-sur-Richelieu, Quebec, Canada

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Sherbrooke, Quebec, Canada

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Québec, , Canada

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Hradec Králové, , Czechia

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Kroměříž, , Czechia

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Fakultni nemocnice Ostrava

Ostrava, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Slaný, , Czechia

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Aalborg, , Denmark

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Aarhus N, , Denmark

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Hellerup, , Denmark

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Viborg, , Denmark

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Bron, , France

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La Tronche, , France

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Lille, , France

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Paris, , France

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Pessac, , France

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Rouen, , France

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München, Bavaria, Germany

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Bad Homburg, Hesse, Germany

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Frankfurt am Main, Hesse, Germany

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Hanover, Lower Saxony, Germany

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Greifswald, Mecklenburg-Vorpommern, Germany

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Cologne, North Rhine-Westphalia, Germany

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Münster, North Rhine-Westphalia, Germany

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Homburg, Saarland, Germany

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Erfurt, Thuringia, Germany

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Hamburg, , Germany

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Athens, , Greece

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Nea Ionia, , Greece

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Budapest, , Hungary

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Kistarcsa, , Hungary

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Székesfehérvár, , Hungary

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Afula, , Israel

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Ashkelon, , Israel

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Hadera, , Israel

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Jerusalem, , Israel

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Petah Tikva, , Israel

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Rehovot, , Israel

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Tel Aviv, , Israel

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Tiberias, , Israel

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Zrifin, , Israel

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Bergamo, Lombardy, Italy

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Brescia, Lombardy, Italy

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Como, Lombardy, Italy

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Milan, Lombardy, Italy

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Milan, Lombardy, Italy

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Milan, Lombardy, Italy

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Pavia, Lombardy, Italy

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Ancona, The Marches, Italy

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Arezzo, Tuscany, Italy

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Verona, Veneto, Italy

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Iizuka, Fukuoka, Japan

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Himeji, Hyōgo, Japan

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Kanazawa, Ishikawa-ken, Japan

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Sagamihara, Kanagawa, Japan

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Yokohama, Kanagawa, Japan

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Yokosuka, Kanagawa, Japan

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Sendai, Miyagi, Japan

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Naha, Okinawa, Japan

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Takatsuki, Osaka, Japan

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Yao, Osaka, Japan

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Ureshino, Saga-ken, Japan

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Komatsushimachō, Tokushima, Japan

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Meguro-ku, Tokyo, Japan

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Minato-ku, Tokyo, Japan

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Fukui, , Japan

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Hiroshima, , Japan

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Kumamoto, , Japan

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Nagasaki, , Japan

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Tokushima, , Japan

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Toyama, , Japan

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Amsterdam, , Netherlands

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Deventer, , Netherlands

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Heerenveen, , Netherlands

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Leeuwarden, , Netherlands

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Veldhoven, , Netherlands

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Bialystok, , Poland

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Krakow, , Poland

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Legnica, , Poland

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Lodz, , Poland

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Olsztyn, , Poland

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Poznan, , Poland

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Warsaw, , Poland

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Singapore, , Singapore

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Singapore, , Singapore

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Singapore, , Singapore

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Singapore, , Singapore

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Seoul, , South Korea

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L'Hospitalet de Llobregat, Barcelona, Spain

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Santander, Cantabria, Spain

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Majadahonda, Madrid, Spain

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Barcelona, , Spain

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Barcelona, , Spain

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Valencia, , Spain

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Valencia, , Spain

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Helsingborg, , Sweden

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Karlstad, , Sweden

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Linköping, , Sweden

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Malmo, , Sweden

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Örebro, , Sweden

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Stockholm, , Sweden

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Liestal, Basel-Landschaft, Switzerland

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Bruderholz, , Switzerland

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Lugano, , Switzerland

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Zurich, , Switzerland

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Kaohsiung City, , Taiwan

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New Taipei City, , Taiwan

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Taipei, , Taiwan

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Taipei, , Taiwan

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Chesterfield, Derbyshire, United Kingdom

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Stevenage, Hertfordshire, United Kingdom

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Countries

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United States Australia Austria Belgium Bulgaria Canada Czechia Denmark France Germany Greece Hungary Israel Italy Japan Netherlands Poland Singapore South Korea Spain Sweden Switzerland Taiwan United Kingdom

References

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Pieske B, Butler J, Filippatos G, Lam C, Maggioni AP, Ponikowski P, Shah S, Solomon S, Kraigher-Krainer E, Samano ET, Scalise AV, Muller K, Roessig L, Gheorghiade M; SOCRATES Investigators and Coordinators. Rationale and design of the SOluble guanylate Cyclase stimulatoR in heArT failurE Studies (SOCRATES). Eur J Heart Fail. 2014 Sep;16(9):1026-38. doi: 10.1002/ejhf.135. Epub 2014 Jul 24.

Reference Type RESULT
PMID: 25056511 (View on PubMed)

Gheorghiade M, Greene SJ, Butler J, Filippatos G, Lam CS, Maggioni AP, Ponikowski P, Shah SJ, Solomon SD, Kraigher-Krainer E, Samano ET, Muller K, Roessig L, Pieske B; SOCRATES-REDUCED Investigators and Coordinators. Effect of Vericiguat, a Soluble Guanylate Cyclase Stimulator, on Natriuretic Peptide Levels in Patients With Worsening Chronic Heart Failure and Reduced Ejection Fraction: The SOCRATES-REDUCED Randomized Trial. JAMA. 2015 Dec 1;314(21):2251-62. doi: 10.1001/jama.2015.15734.

Reference Type RESULT
PMID: 26547357 (View on PubMed)

Ruehs H, Klein D, Frei M, Grevel J, Austin R, Becker C, Roessig L, Pieske B, Garmann D, Meyer M. Population Pharmacokinetics and Pharmacodynamics of Vericiguat in Patients with Heart Failure and Reduced Ejection Fraction. Clin Pharmacokinet. 2021 Nov;60(11):1407-1421. doi: 10.1007/s40262-021-01024-y. Epub 2021 Jun 4.

Reference Type DERIVED
PMID: 34086190 (View on PubMed)

Kramer F, Voss S, Roessig L, Igl BW, Butler J, Lam CSP, Maggioni AP, Shah SJ, Pieske B. Evaluation of high-sensitivity C-reactive protein and uric acid in vericiguat-treated patients with heart failure with reduced ejection fraction. Eur J Heart Fail. 2020 Sep;22(9):1675-1683. doi: 10.1002/ejhf.1787. Epub 2020 Mar 25.

Reference Type DERIVED
PMID: 32216011 (View on PubMed)

Related Links

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https://clinicaltrials.bayer.com/

Click here to find results for studies related to Bayer Healthcare products.

Other Identifiers

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2013-002287-11

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

15371

Identifier Type: -

Identifier Source: org_study_id

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