A Study of Continuous Infusions of HNO (Nitroxyl) Donor in Patients With Heart Failure and Impaired Systolic Function

NCT ID: NCT03357731

Last Updated: 2020-07-27

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

49 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-11-30

Study Completion Date

2019-05-10

Brief Summary

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The purpose of this study is to evaluate the effects of BMS-986231 on systolic and diastolic parameters in patients with heart failure and low ejection fraction.

Detailed Description

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Conditions

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Heart Failure Cardiac Failure Reduced Ventricular Ejection Fraction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Placebo/BMS-986231/NTG

administered in a cross over design with 5-hour infusions and 5-28 day wash-out periods

Group Type EXPERIMENTAL

HNO Donor

Intervention Type DRUG

Infusion

Nitroglycerin (NTG)

Intervention Type DRUG

Infusion

Placebo

Intervention Type OTHER

Infusion

Placebo/NTG/BMS-986231

administered in a cross over design with 5-hour infusions and 5-28 day wash-out periods

Group Type EXPERIMENTAL

HNO Donor

Intervention Type DRUG

Infusion

Nitroglycerin (NTG)

Intervention Type DRUG

Infusion

Placebo

Intervention Type OTHER

Infusion

NTG/Placebo/BMS-986231

administered in a cross over design with 5-hour infusions and 5-28 day wash-out periods

Group Type EXPERIMENTAL

HNO Donor

Intervention Type DRUG

Infusion

Nitroglycerin (NTG)

Intervention Type DRUG

Infusion

Placebo

Intervention Type OTHER

Infusion

NTG/BMS-986231/Placebo

administered in a cross over design with 5-hour infusions and 5-28 day wash-out periods

Group Type EXPERIMENTAL

HNO Donor

Intervention Type DRUG

Infusion

Nitroglycerin (NTG)

Intervention Type DRUG

Infusion

Placebo

Intervention Type OTHER

Infusion

BMS-986231/Placebo/NTG

administered in a cross over design with 5-hour infusions and 5-28 day wash-out periods

Group Type EXPERIMENTAL

HNO Donor

Intervention Type DRUG

Infusion

Nitroglycerin (NTG)

Intervention Type DRUG

Infusion

Placebo

Intervention Type OTHER

Infusion

BMS-986231/NTG/Placebo

administered in a cross over design with 5-hour infusions and 5-28 day wash-out periods

Group Type EXPERIMENTAL

HNO Donor

Intervention Type DRUG

Infusion

Nitroglycerin (NTG)

Intervention Type DRUG

Infusion

Placebo

Intervention Type OTHER

Infusion

Interventions

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HNO Donor

Infusion

Intervention Type DRUG

Nitroglycerin (NTG)

Infusion

Intervention Type DRUG

Placebo

Infusion

Intervention Type OTHER

Other Intervention Names

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BMS-986231

Eligibility Criteria

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Inclusion Criteria

* Heart failure with reduced ejection fraction (LVEF on echocardiogram of 40% or less)
* Stable guideline directed therapy for heart failure including oral diuretics, ACEi, ARBs, ARNi, MRAs, and β blockers as tolerated, with no dose changes of these medications in the past 2 weeks
* Have screening values of NT pro-BNP ≥ 125 pg/mL (15 pmol/L) or BNP ≥ 35 pg/mL (10 pmol/L)

Exclusion Criteria

* Systolic blood pressure (SBP) \< 110 mm Hg at screening or pre-randomization
* Heart rate \< 50 beats per minute (bpm) or \> 90 bpm at screening or pre-randomization
* Permanent Atrial Fibrillation, Atrial Flutter or having Atrial Fibrillation, Atrial Flutter
* Estimated glomerular filtration rate (eGFR) \< 15 ml/min/1.73 m2
* Ventricular assist device or prior heart transplant
* Prior solid organ transplant
* Body weight \< 45 kg or ≥ 140 kg
* Low quality echocardiographic visualization windows and image acquisition
* Permanent paced rhythm (VVI, DDD or BiV pacing)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bristol-Myers Squibb

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Orange County Research Center

Tustin, California, United States

Site Status

Northwestern Medicine

Chicago, Illinois, United States

Site Status

Indiana University School of Medicine-Indianapolis

Indianapolis, Indiana, United States

Site Status

Brigham and Womens Hospital

Boston, Massachusetts, United States

Site Status

Duke Advanced Heart and Lung Failure Clinic

Durham, North Carolina, United States

Site Status

Inova Heart and Vascular Institute

Falls Church, Virginia, United States

Site Status

Local Institution

Nagoya, Aichi-ken, Japan

Site Status

Local Institution

Kawasaki, Kanagawa, Japan

Site Status

Local Institution

Suita-shi, Osaka, Japan

Site Status

Local Institution

Groiningen, , Netherlands

Site Status

Local Institution

Edinburgh, , United Kingdom

Site Status

Local Institution

Glasgow, , United Kingdom

Site Status

Local Institution

Glasgow, , United Kingdom

Site Status

Local Institution

Glasgow, , United Kingdom

Site Status

Local Institution

Harrow, , United Kingdom

Site Status

Local Institution

London, , United Kingdom

Site Status

Local Institution

London, , United Kingdom

Site Status

Local Institution

London, , United Kingdom

Site Status

Countries

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United States Japan Netherlands United Kingdom

References

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Felker GM, Borentain M, Cleland JG, DeSouza MM, Kessler PD, O'Connor CM, Seiffert D, Teerlink JR, Voors AA, McMurray JJV. Rationale and design for the development of a novel nitroxyl donor in patients with acute heart failure. Eur J Heart Fail. 2019 Aug;21(8):1022-1031. doi: 10.1002/ejhf.1504. Epub 2019 Jun 6.

Reference Type DERIVED
PMID: 31168885 (View on PubMed)

Provided Documents

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Document Type: Statistical Analysis Plan

View Document

Document Type: Study Protocol

View Document

Related Links

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Other Identifiers

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2016-003586-26

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CV013-020

Identifier Type: -

Identifier Source: org_study_id

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