Trial Outcomes & Findings for A Study of Continuous Infusions of HNO (Nitroxyl) Donor in Patients With Heart Failure and Impaired Systolic Function (NCT NCT03357731)

NCT ID: NCT03357731

Last Updated: 2020-07-27

Results Overview

The objective is to evaluate the effects of BMS-986231 on the left ventricular (LV) systolic function by stroke volume index (SVI) assessed by echocardiography compared to placebo.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

49 participants

Primary outcome timeframe

at the end of the 5-hour infusion

Results posted on

2020-07-27

Participant Flow

49 participants assigned to treatment and 45 treated. Reasons not treated: 2 re-randomized; 1 randomized in error, screen failure; 1 no longer met study criteria. Note: Study designed for all participants to enter all 3 arms (reassignment of arms occurs every period change).

Participant milestones

Participant milestones
Measure
Sequence 1
Participants crossed-over from one therapy to the next following Day 1 treatment and a minimum 5-day washout period. 3 treatments were given via 1 of 6 different order sequences across 3 total treatment periods, 1 treatment per period. Treatments were as follows: Placebo (PBO) BMS-986231 (drug) Nitroglycerin (NTG) Sequence of treatment for this group is as follows: PBO-drug-NTG
Sequence 2
Participants crossed-over from one therapy to the next following Day 1 treatment and a minimum 5-day washout period. 3 treatments were given via 1 of 6 different order sequences across 3 total treatment periods, 1 treatment per period. Treatments were as follows: Placebo (PBO) BMS-986231 (drug) Nitroglycerin (NTG) Sequence of treatment for this group is as follows: PBO-NTG-drug
Sequence 3
Participants crossed-over from one therapy to the next following Day 1 treatment and a minimum 5-day washout period. 3 treatments were given via 1 of 6 different order sequences across 3 total treatment periods, 1 treatment per period. Treatments were as follows: Placebo (PBO) BMS-986231 (drug) Nitroglycerin (NTG) Sequence of treatment for this group is as follows: NTG-PBO-drug
Sequence 4
Participants crossed-over from one therapy to the next following Day 1 treatment and a minimum 5-day washout period. 3 treatments were given via 1 of 6 different order sequences across 3 total treatment periods, 1 treatment per period. Treatments were as follows: Placebo (PBO) BMS-986231 (drug) Nitroglycerin (NTG) Sequence of treatment for this group is as follows: NTG-drug-PBO
Sequence 5
Participants crossed-over from one therapy to the next following Day 1 treatment and a minimum 5-day washout period. 3 treatments were given via 1 of 6 different order sequences across 3 total treatment periods, 1 treatment per period. Treatments were as follows: Placebo (PBO) BMS-986231 (drug) Nitroglycerin (NTG) Sequence of treatment for this group is as follows: drug-PBO-NTG
Sequence 6
Participants crossed-over from one therapy to the next following Day 1 treatment and a minimum 5-day washout period. 3 treatments were given via 1 of 6 different order sequences across 3 total treatment periods, 1 treatment per period. Treatments were as follows: Placebo (PBO) BMS-986231 (drug) Nitroglycerin (NTG) Sequence of treatment for this group is as follows: drug-NTG-PBO
Overall Study
STARTED
8
7
7
7
8
8
Overall Study
Completed Period 1 (P1)
8
7
7
6
7
8
Overall Study
Completed Period 2 (P2)
8
7
7
4
7
7
Overall Study
COMPLETED
8
7
6
4
7
7
Overall Study
NOT COMPLETED
0
0
1
3
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Sequence 1
Participants crossed-over from one therapy to the next following Day 1 treatment and a minimum 5-day washout period. 3 treatments were given via 1 of 6 different order sequences across 3 total treatment periods, 1 treatment per period. Treatments were as follows: Placebo (PBO) BMS-986231 (drug) Nitroglycerin (NTG) Sequence of treatment for this group is as follows: PBO-drug-NTG
Sequence 2
Participants crossed-over from one therapy to the next following Day 1 treatment and a minimum 5-day washout period. 3 treatments were given via 1 of 6 different order sequences across 3 total treatment periods, 1 treatment per period. Treatments were as follows: Placebo (PBO) BMS-986231 (drug) Nitroglycerin (NTG) Sequence of treatment for this group is as follows: PBO-NTG-drug
Sequence 3
Participants crossed-over from one therapy to the next following Day 1 treatment and a minimum 5-day washout period. 3 treatments were given via 1 of 6 different order sequences across 3 total treatment periods, 1 treatment per period. Treatments were as follows: Placebo (PBO) BMS-986231 (drug) Nitroglycerin (NTG) Sequence of treatment for this group is as follows: NTG-PBO-drug
Sequence 4
Participants crossed-over from one therapy to the next following Day 1 treatment and a minimum 5-day washout period. 3 treatments were given via 1 of 6 different order sequences across 3 total treatment periods, 1 treatment per period. Treatments were as follows: Placebo (PBO) BMS-986231 (drug) Nitroglycerin (NTG) Sequence of treatment for this group is as follows: NTG-drug-PBO
Sequence 5
Participants crossed-over from one therapy to the next following Day 1 treatment and a minimum 5-day washout period. 3 treatments were given via 1 of 6 different order sequences across 3 total treatment periods, 1 treatment per period. Treatments were as follows: Placebo (PBO) BMS-986231 (drug) Nitroglycerin (NTG) Sequence of treatment for this group is as follows: drug-PBO-NTG
Sequence 6
Participants crossed-over from one therapy to the next following Day 1 treatment and a minimum 5-day washout period. 3 treatments were given via 1 of 6 different order sequences across 3 total treatment periods, 1 treatment per period. Treatments were as follows: Placebo (PBO) BMS-986231 (drug) Nitroglycerin (NTG) Sequence of treatment for this group is as follows: drug-NTG-PBO
Overall Study
Withdrew consent due to personal reasons
0
0
0
0
1
0
Overall Study
Acute bradycardia and hypotension
0
0
0
1
0
0
Overall Study
Adverse Event
0
0
0
0
0
1
Overall Study
Hypotension
0
0
1
1
0
0
Overall Study
Lost to Follow-up
0
0
0
1
0
0

Baseline Characteristics

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

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Overall Participants
n=45 Participants
Inclusive of all treatments, all periods. Note: Participants crossed-over from either placebo, drug or NTG arm to the next (in various sequence) following Day 1 treatment and a minimum 5-day washout period, per arm.
Age, Categorical
<=18 years
0 Participants
n=93 Participants
Age, Categorical
Between 18 and 65 years
20 Participants
n=93 Participants
Age, Categorical
>=65 years
25 Participants
n=93 Participants
Age, Continuous
63.7 Years
STANDARD_DEVIATION 12.35 • n=93 Participants
Sex: Female, Male
Female
8 Participants
n=93 Participants
Sex: Female, Male
Male
37 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
2 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
43 Participants
n=93 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
Race (NIH/OMB)
Asian
3 Participants
n=93 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=93 Participants
Race (NIH/OMB)
White
40 Participants
n=93 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=93 Participants

PRIMARY outcome

Timeframe: at the end of the 5-hour infusion

Population: Intent to Treat (ITT) population: All randomized participants who started study drug infusion in at least one treatment period.

The objective is to evaluate the effects of BMS-986231 on the left ventricular (LV) systolic function by stroke volume index (SVI) assessed by echocardiography compared to placebo.

Outcome measures

Outcome measures
Measure
Placebo (PBO)
n=39 Participants
Placebo-matching treatment. Note: Participants crossed-over from one arm to the next following Day 1 treatment and a minimum 5-day washout period, per arm. Treatment was given via 1 of 6 different order sequences across 3 total treatment periods. Participant therapy sequence assignment varies as follows: PBO-drug-NTG, PBO-NTG-drug, NTG-PBO-drug, NTG-drug-PBO, drug-PBO-NTG, drug-NTG-PBO
BMS-986231
n=37 Participants
BMS-986231: 3 μg/kg/min for 10 min, followed by 6 μg/kg/min for 10 min, followed by 12 μg/kg/min for the rest of the 5-hour infusion. Note: Participants crossed-over from one arm to the next following Day 1 treatment and a minimum 5-day washout period, per arm. Treatment was given via 1 of 6 different order sequences across 3 total treatment periods. Participant therapy sequence assignment varies as follows: PBO-drug-NTG, PBO-NTG-drug, NTG-PBO-drug, NTG-drug-PBO, drug-PBO-NTG, drug-NTG-PBO
Nitroglycerin (NTG)
NTG: 20 μg/min for 10 min, followed by 40 μg/min for 10 min, followed by 80 μg/min for the rest of the 5-hour infusion Note: Participants crossed-over from one arm to the next following Day 1 treatment and a minimum 5-day washout period, per arm. Treatment was given via 1 of 6 different order sequences across 3 total treatment periods. Participant therapy sequence assignment varies as follows: PBO-drug-NTG, PBO-NTG-drug, NTG-PBO-drug, NTG-drug-PBO, drug-PBO-NTG, drug-NTG-PBO
Mean Stroke Volume Index (SVI) Derived From the Velocity Time Integral at the Left Ventricular Outflow Tract (LVOT VTI) at the End of the 5-hour Infusion of BMS-986231, Versus Placebo
29.545 mL/m^2
Standard Deviation 7.0243
28.721 mL/m^2
Standard Deviation 9.0174

SECONDARY outcome

Timeframe: at the end of the 5-hour infusion

Population: Intent to Treat (ITT) population: All randomized participants who started study drug infusion in at least one treatment period.

The objective is to evaluate the effects of BMS-986231 on the left ventricular (LV) systolic function by stroke volume index (SVI) assessed by echocardiography compared to NTG.

Outcome measures

Outcome measures
Measure
Placebo (PBO)
Placebo-matching treatment. Note: Participants crossed-over from one arm to the next following Day 1 treatment and a minimum 5-day washout period, per arm. Treatment was given via 1 of 6 different order sequences across 3 total treatment periods. Participant therapy sequence assignment varies as follows: PBO-drug-NTG, PBO-NTG-drug, NTG-PBO-drug, NTG-drug-PBO, drug-PBO-NTG, drug-NTG-PBO
BMS-986231
n=37 Participants
BMS-986231: 3 μg/kg/min for 10 min, followed by 6 μg/kg/min for 10 min, followed by 12 μg/kg/min for the rest of the 5-hour infusion. Note: Participants crossed-over from one arm to the next following Day 1 treatment and a minimum 5-day washout period, per arm. Treatment was given via 1 of 6 different order sequences across 3 total treatment periods. Participant therapy sequence assignment varies as follows: PBO-drug-NTG, PBO-NTG-drug, NTG-PBO-drug, NTG-drug-PBO, drug-PBO-NTG, drug-NTG-PBO
Nitroglycerin (NTG)
n=41 Participants
NTG: 20 μg/min for 10 min, followed by 40 μg/min for 10 min, followed by 80 μg/min for the rest of the 5-hour infusion Note: Participants crossed-over from one arm to the next following Day 1 treatment and a minimum 5-day washout period, per arm. Treatment was given via 1 of 6 different order sequences across 3 total treatment periods. Participant therapy sequence assignment varies as follows: PBO-drug-NTG, PBO-NTG-drug, NTG-PBO-drug, NTG-drug-PBO, drug-PBO-NTG, drug-NTG-PBO
Mean SVI Derived From LVOT VTI at the End of the 5-hour Infusion of BMS-986231, Versus NTG
28.721 mL/m^2
Standard Deviation 9.0174
27.811 mL/m^2
Standard Deviation 7.9712

SECONDARY outcome

Timeframe: at the end of the 5-hour infusion

Population: Intent to Treat (ITT) population: All randomized participants who started study drug infusion in at least one treatment period.

Evaluate the effects of BMS-986231 on selected other left ventricular systolic and diastolic indices compared to placebo and NTG: LV ejection fraction

Outcome measures

Outcome measures
Measure
Placebo (PBO)
n=38 Participants
Placebo-matching treatment. Note: Participants crossed-over from one arm to the next following Day 1 treatment and a minimum 5-day washout period, per arm. Treatment was given via 1 of 6 different order sequences across 3 total treatment periods. Participant therapy sequence assignment varies as follows: PBO-drug-NTG, PBO-NTG-drug, NTG-PBO-drug, NTG-drug-PBO, drug-PBO-NTG, drug-NTG-PBO
BMS-986231
n=36 Participants
BMS-986231: 3 μg/kg/min for 10 min, followed by 6 μg/kg/min for 10 min, followed by 12 μg/kg/min for the rest of the 5-hour infusion. Note: Participants crossed-over from one arm to the next following Day 1 treatment and a minimum 5-day washout period, per arm. Treatment was given via 1 of 6 different order sequences across 3 total treatment periods. Participant therapy sequence assignment varies as follows: PBO-drug-NTG, PBO-NTG-drug, NTG-PBO-drug, NTG-drug-PBO, drug-PBO-NTG, drug-NTG-PBO
Nitroglycerin (NTG)
n=42 Participants
NTG: 20 μg/min for 10 min, followed by 40 μg/min for 10 min, followed by 80 μg/min for the rest of the 5-hour infusion Note: Participants crossed-over from one arm to the next following Day 1 treatment and a minimum 5-day washout period, per arm. Treatment was given via 1 of 6 different order sequences across 3 total treatment periods. Participant therapy sequence assignment varies as follows: PBO-drug-NTG, PBO-NTG-drug, NTG-PBO-drug, NTG-drug-PBO, drug-PBO-NTG, drug-NTG-PBO
Mean LVEF, Computed by Simpson's Method at the End of the 5-hour Infusion of BMS-986231, Versus Placebo and NTG
31.9 Percentage of blood pumped from the LV
Standard Deviation 7.15
32.8 Percentage of blood pumped from the LV
Standard Deviation 8.24
33.5 Percentage of blood pumped from the LV
Standard Deviation 7.33

SECONDARY outcome

Timeframe: at the end of the 5-hour infusion

Population: Intent to Treat (ITT) population: All randomized participants who started study drug infusion in at least one treatment period.

Evaluate the effects of BMS-986231 on selected other left ventricular systolic and diastolic indices compared to placebo and NTG: Mean LV power index

Outcome measures

Outcome measures
Measure
Placebo (PBO)
n=35 Participants
Placebo-matching treatment. Note: Participants crossed-over from one arm to the next following Day 1 treatment and a minimum 5-day washout period, per arm. Treatment was given via 1 of 6 different order sequences across 3 total treatment periods. Participant therapy sequence assignment varies as follows: PBO-drug-NTG, PBO-NTG-drug, NTG-PBO-drug, NTG-drug-PBO, drug-PBO-NTG, drug-NTG-PBO
BMS-986231
n=36 Participants
BMS-986231: 3 μg/kg/min for 10 min, followed by 6 μg/kg/min for 10 min, followed by 12 μg/kg/min for the rest of the 5-hour infusion. Note: Participants crossed-over from one arm to the next following Day 1 treatment and a minimum 5-day washout period, per arm. Treatment was given via 1 of 6 different order sequences across 3 total treatment periods. Participant therapy sequence assignment varies as follows: PBO-drug-NTG, PBO-NTG-drug, NTG-PBO-drug, NTG-drug-PBO, drug-PBO-NTG, drug-NTG-PBO
Nitroglycerin (NTG)
n=39 Participants
NTG: 20 μg/min for 10 min, followed by 40 μg/min for 10 min, followed by 80 μg/min for the rest of the 5-hour infusion Note: Participants crossed-over from one arm to the next following Day 1 treatment and a minimum 5-day washout period, per arm. Treatment was given via 1 of 6 different order sequences across 3 total treatment periods. Participant therapy sequence assignment varies as follows: PBO-drug-NTG, PBO-NTG-drug, NTG-PBO-drug, NTG-drug-PBO, drug-PBO-NTG, drug-NTG-PBO
Mean Cardiac Power Index at the End of the 5-hour Infusion of BMS-986231, Versus Placebo and NTG
0.4122 watts per square meter (W/m^2)
Standard Deviation 0.14404
0.3427 watts per square meter (W/m^2)
Standard Deviation 0.10463
0.3568 watts per square meter (W/m^2)
Standard Deviation 0.09184

SECONDARY outcome

Timeframe: at the end of the 5-hour infusion

Population: Intent to Treat (ITT) population: All randomized participants who started study drug infusion in at least one treatment period.

Evaluate the effects of BMS-986231 on selected other left ventricular systolic and diastolic indices compared to placebo and NTG: Diastolic function

Outcome measures

Outcome measures
Measure
Placebo (PBO)
n=37 Participants
Placebo-matching treatment. Note: Participants crossed-over from one arm to the next following Day 1 treatment and a minimum 5-day washout period, per arm. Treatment was given via 1 of 6 different order sequences across 3 total treatment periods. Participant therapy sequence assignment varies as follows: PBO-drug-NTG, PBO-NTG-drug, NTG-PBO-drug, NTG-drug-PBO, drug-PBO-NTG, drug-NTG-PBO
BMS-986231
n=34 Participants
BMS-986231: 3 μg/kg/min for 10 min, followed by 6 μg/kg/min for 10 min, followed by 12 μg/kg/min for the rest of the 5-hour infusion. Note: Participants crossed-over from one arm to the next following Day 1 treatment and a minimum 5-day washout period, per arm. Treatment was given via 1 of 6 different order sequences across 3 total treatment periods. Participant therapy sequence assignment varies as follows: PBO-drug-NTG, PBO-NTG-drug, NTG-PBO-drug, NTG-drug-PBO, drug-PBO-NTG, drug-NTG-PBO
Nitroglycerin (NTG)
n=40 Participants
NTG: 20 μg/min for 10 min, followed by 40 μg/min for 10 min, followed by 80 μg/min for the rest of the 5-hour infusion Note: Participants crossed-over from one arm to the next following Day 1 treatment and a minimum 5-day washout period, per arm. Treatment was given via 1 of 6 different order sequences across 3 total treatment periods. Participant therapy sequence assignment varies as follows: PBO-drug-NTG, PBO-NTG-drug, NTG-PBO-drug, NTG-drug-PBO, drug-PBO-NTG, drug-NTG-PBO
Mean Diastolic Indices: E/A and E/e' Ratio at the End of the 5-hour Infusion of BMS-986231, Versus Placebo and NTG
E/A ratio
0.80 Ratio
Standard Deviation 0.278
0.73 Ratio
Standard Deviation 0.270
0.71 Ratio
Standard Deviation 0.310
Mean Diastolic Indices: E/A and E/e' Ratio at the End of the 5-hour Infusion of BMS-986231, Versus Placebo and NTG
E/e' ratio
9.42 Ratio
Standard Deviation 4.102
7.00 Ratio
Standard Deviation 2.464
7.81 Ratio
Standard Deviation 2.652

SECONDARY outcome

Timeframe: at the end of the 5-hour infusion

Population: Intent to Treat (ITT) population: All randomized participants who started study drug infusion in at least one treatment period.

Evaluate the effects of BMS-986231 on selected other left ventricular systolic and diastolic indices compared to placebo and NTG: Diastolic function

Outcome measures

Outcome measures
Measure
Placebo (PBO)
n=37 Participants
Placebo-matching treatment. Note: Participants crossed-over from one arm to the next following Day 1 treatment and a minimum 5-day washout period, per arm. Treatment was given via 1 of 6 different order sequences across 3 total treatment periods. Participant therapy sequence assignment varies as follows: PBO-drug-NTG, PBO-NTG-drug, NTG-PBO-drug, NTG-drug-PBO, drug-PBO-NTG, drug-NTG-PBO
BMS-986231
n=34 Participants
BMS-986231: 3 μg/kg/min for 10 min, followed by 6 μg/kg/min for 10 min, followed by 12 μg/kg/min for the rest of the 5-hour infusion. Note: Participants crossed-over from one arm to the next following Day 1 treatment and a minimum 5-day washout period, per arm. Treatment was given via 1 of 6 different order sequences across 3 total treatment periods. Participant therapy sequence assignment varies as follows: PBO-drug-NTG, PBO-NTG-drug, NTG-PBO-drug, NTG-drug-PBO, drug-PBO-NTG, drug-NTG-PBO
Nitroglycerin (NTG)
n=40 Participants
NTG: 20 μg/min for 10 min, followed by 40 μg/min for 10 min, followed by 80 μg/min for the rest of the 5-hour infusion Note: Participants crossed-over from one arm to the next following Day 1 treatment and a minimum 5-day washout period, per arm. Treatment was given via 1 of 6 different order sequences across 3 total treatment periods. Participant therapy sequence assignment varies as follows: PBO-drug-NTG, PBO-NTG-drug, NTG-PBO-drug, NTG-drug-PBO, drug-PBO-NTG, drug-NTG-PBO
Mean Diastolic Indices: Annular e' Velocity at the End of the 5-hour Infusion of BMS-986231, Versus Placebo and NTG
7.18 cm/sec
Standard Deviation 2.467
8.07 cm/sec
Standard Deviation 2.333
7.18 cm/sec
Standard Deviation 2.143

SECONDARY outcome

Timeframe: at the end of the 5-hour infusion

Population: Intent to Treat (ITT) population: All randomized participants who started study drug infusion in at least one treatment period.

Evaluate the effects of BMS-986231 on selected other left ventricular systolic and diastolic indices compared to placebo and NTG: LV global longitudinal strain

Outcome measures

Outcome measures
Measure
Placebo (PBO)
n=38 Participants
Placebo-matching treatment. Note: Participants crossed-over from one arm to the next following Day 1 treatment and a minimum 5-day washout period, per arm. Treatment was given via 1 of 6 different order sequences across 3 total treatment periods. Participant therapy sequence assignment varies as follows: PBO-drug-NTG, PBO-NTG-drug, NTG-PBO-drug, NTG-drug-PBO, drug-PBO-NTG, drug-NTG-PBO
BMS-986231
n=36 Participants
BMS-986231: 3 μg/kg/min for 10 min, followed by 6 μg/kg/min for 10 min, followed by 12 μg/kg/min for the rest of the 5-hour infusion. Note: Participants crossed-over from one arm to the next following Day 1 treatment and a minimum 5-day washout period, per arm. Treatment was given via 1 of 6 different order sequences across 3 total treatment periods. Participant therapy sequence assignment varies as follows: PBO-drug-NTG, PBO-NTG-drug, NTG-PBO-drug, NTG-drug-PBO, drug-PBO-NTG, drug-NTG-PBO
Nitroglycerin (NTG)
n=43 Participants
NTG: 20 μg/min for 10 min, followed by 40 μg/min for 10 min, followed by 80 μg/min for the rest of the 5-hour infusion Note: Participants crossed-over from one arm to the next following Day 1 treatment and a minimum 5-day washout period, per arm. Treatment was given via 1 of 6 different order sequences across 3 total treatment periods. Participant therapy sequence assignment varies as follows: PBO-drug-NTG, PBO-NTG-drug, NTG-PBO-drug, NTG-drug-PBO, drug-PBO-NTG, drug-NTG-PBO
Mean LV Global Longitudinal Strain, Computed Using STE at the End of the 5-hour Infusion of BMS-986231, Versus Placebo and NTG
-11.98 Percentage of blood pumped from the LV
Standard Deviation 2.860
-11.94 Percentage of blood pumped from the LV
Standard Deviation 3.458
-11.36 Percentage of blood pumped from the LV
Standard Deviation 3.067

Adverse Events

Placebo (PBO)

Serious events: 1 serious events
Other events: 2 other events
Deaths: 0 deaths

BMS-986231

Serious events: 0 serious events
Other events: 12 other events
Deaths: 0 deaths

Nitroglycerin (NTG)

Serious events: 1 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo (PBO)
n=40 participants at risk
Placebo-matching treatment. Note: Participants crossed-over from one arm to the next following Day 1 treatment and a minimum 5-day washout period, per arm. Treatment was given via 1 of 6 different order sequences across 3 total treatment periods. Participant therapy sequence assignment varies as follows: PBO-drug-NTG, PBO-NTG-drug, NTG-PBO-drug, NTG-drug-PBO, drug-PBO-NTG, drug-NTG-PBO
BMS-986231
n=42 participants at risk
BMS-986231: 3 μg/kg/min for 10 min, followed by 6 μg/kg/min for 10 min, followed by 12 μg/kg/min for the rest of the 5-hour infusion. Note: Participants crossed-over from one arm to the next following Day 1 treatment and a minimum 5-day washout period, per arm. Treatment was given via 1 of 6 different order sequences across 3 total treatment periods. Participant therapy sequence assignment varies as follows: PBO-drug-NTG, PBO-NTG-drug, NTG-PBO-drug, NTG-drug-PBO, drug-PBO-NTG, drug-NTG-PBO
Nitroglycerin (NTG)
n=44 participants at risk
NTG: 20 μg/min for 10 min, followed by 40 μg/min for 10 min, followed by 80 μg/min for the rest of the 5-hour infusion Note: Participants crossed-over from one arm to the next following Day 1 treatment and a minimum 5-day washout period, per arm. Treatment was given via 1 of 6 different order sequences across 3 total treatment periods. Participant therapy sequence assignment varies as follows: PBO-drug-NTG, PBO-NTG-drug, NTG-PBO-drug, NTG-drug-PBO, drug-PBO-NTG, drug-NTG-PBO
Hepatobiliary disorders
Cholecystitis acute
2.5%
1/40 • From first dose to 30 days post last dose (approximately 3 months)
0.00%
0/42 • From first dose to 30 days post last dose (approximately 3 months)
0.00%
0/44 • From first dose to 30 days post last dose (approximately 3 months)
Nervous system disorders
Syncope
0.00%
0/40 • From first dose to 30 days post last dose (approximately 3 months)
0.00%
0/42 • From first dose to 30 days post last dose (approximately 3 months)
2.3%
1/44 • From first dose to 30 days post last dose (approximately 3 months)

Other adverse events

Other adverse events
Measure
Placebo (PBO)
n=40 participants at risk
Placebo-matching treatment. Note: Participants crossed-over from one arm to the next following Day 1 treatment and a minimum 5-day washout period, per arm. Treatment was given via 1 of 6 different order sequences across 3 total treatment periods. Participant therapy sequence assignment varies as follows: PBO-drug-NTG, PBO-NTG-drug, NTG-PBO-drug, NTG-drug-PBO, drug-PBO-NTG, drug-NTG-PBO
BMS-986231
n=42 participants at risk
BMS-986231: 3 μg/kg/min for 10 min, followed by 6 μg/kg/min for 10 min, followed by 12 μg/kg/min for the rest of the 5-hour infusion. Note: Participants crossed-over from one arm to the next following Day 1 treatment and a minimum 5-day washout period, per arm. Treatment was given via 1 of 6 different order sequences across 3 total treatment periods. Participant therapy sequence assignment varies as follows: PBO-drug-NTG, PBO-NTG-drug, NTG-PBO-drug, NTG-drug-PBO, drug-PBO-NTG, drug-NTG-PBO
Nitroglycerin (NTG)
n=44 participants at risk
NTG: 20 μg/min for 10 min, followed by 40 μg/min for 10 min, followed by 80 μg/min for the rest of the 5-hour infusion Note: Participants crossed-over from one arm to the next following Day 1 treatment and a minimum 5-day washout period, per arm. Treatment was given via 1 of 6 different order sequences across 3 total treatment periods. Participant therapy sequence assignment varies as follows: PBO-drug-NTG, PBO-NTG-drug, NTG-PBO-drug, NTG-drug-PBO, drug-PBO-NTG, drug-NTG-PBO
Nervous system disorders
Headache
5.0%
2/40 • From first dose to 30 days post last dose (approximately 3 months)
23.8%
10/42 • From first dose to 30 days post last dose (approximately 3 months)
15.9%
7/44 • From first dose to 30 days post last dose (approximately 3 months)
Vascular disorders
Hypotension
0.00%
0/40 • From first dose to 30 days post last dose (approximately 3 months)
11.9%
5/42 • From first dose to 30 days post last dose (approximately 3 months)
6.8%
3/44 • From first dose to 30 days post last dose (approximately 3 months)

Additional Information

Bristol-Myers Squibb Study Director

Bristol-Myers Squibb

Phone: Please email:

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60