AMBER-HFpEF: Assessment of CK-4021586 in a Multi-Center, Blinded Evaluation of Safety and Tolerability Results in HFpEF

NCT ID: NCT06793371

Last Updated: 2026-01-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-02-06

Study Completion Date

2026-09-30

Brief Summary

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This is a Phase 2 dose-finding study in adult participants with symptomatic HFpEF.

Detailed Description

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Conditions

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Symptomatic Heart Failure With Preserved Ejection Fraction (HFpEF)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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CK-4021586 - Cohort 1

Participants may receive 150 mg or 300 mg of CK-4021586 daily, guided by echocardiography assessments, for 12 weeks total.

Group Type EXPERIMENTAL

CK-4021586 (150 mg, 300 mg, 450 mg, and 600 mg)

Intervention Type DRUG

CK-4021586 administered orally

Placebo - Cohort 1

Participants will receive placebo daily for up to 12 weeks.

Group Type PLACEBO_COMPARATOR

Placebo to match CK-4021586

Intervention Type DRUG

Placebo administered orally

CK-4021586 - Cohort 2

Participants may receive 300 mg or 450 mg of CK-4021586 daily, guided by echocardiography assessments, for 12 weeks total.

Group Type EXPERIMENTAL

CK-4021586 (150 mg, 300 mg, 450 mg, and 600 mg)

Intervention Type DRUG

CK-4021586 administered orally

Placebo - Cohort 2

Participants will receive placebo daily for up to 12 weeks.

Group Type PLACEBO_COMPARATOR

Placebo to match CK-4021586

Intervention Type DRUG

Placebo administered orally

CK-4021586 - Cohort 3

Participants may receive 450 mg or 600 mg of CK-4021586 daily, guided by echocardiography assessments, for 12 weeks total.

Group Type EXPERIMENTAL

CK-4021586 (150 mg, 300 mg, 450 mg, and 600 mg)

Intervention Type DRUG

CK-4021586 administered orally

Placebo - Cohort 3

Participants will receive placebo daily for up to 12 weeks.

Group Type PLACEBO_COMPARATOR

Placebo to match CK-4021586

Intervention Type DRUG

Placebo administered orally

Interventions

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CK-4021586 (150 mg, 300 mg, 450 mg, and 600 mg)

CK-4021586 administered orally

Intervention Type DRUG

Placebo to match CK-4021586

Placebo administered orally

Intervention Type DRUG

Other Intervention Names

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ulacamten

Eligibility Criteria

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Inclusion Criteria

* Males and females ≥ 40 years and ≤ 85 years of age at screening.
* Diagnosed with HF with NYHA functional class II or III.
* Screening echocardiography with LVEF ≥ 60%.
* Screening NT-proBNP ≥ 300 pg/mL for participants in sinus rhythm and ≥ 900 pg/mL for participants with comorbid atrial fibrillation or flutter.
* Body mass index \< 40 kg/m2.
* Participants on beta-blockers, angiotensin-converting enzyme (ACE)/angiotensin II receptor blocker (ARB) or angiotensin receptor/neprilysin inhibitor (ARNI), must be on stable doses for more than 30 days prior to screening.
* Participants on a glucagon-like peptide-1 (GLP-1) agonist must be on a stable dose for more than 24 weeks prior to screening with no anticipated plans to change dose during this study.

Exclusion Criteria

* History or evidence of any other clinically significant disorder, malignancy, active infection, other condition, or disease that, in the opinion of the investigator or the Medical Monitor, would pose a risk to patient safety or interfere with the study evaluation, procedures, or completion.
Minimum Eligible Age

40 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cytokinetics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Cytokinetics MD

Role: STUDY_DIRECTOR

Cytokinetics

Locations

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Eastern Shore Research Institute, LLC

Fairhope, Alabama, United States

Site Status RECRUITING

University of Arizona Sarver Heart Center

Tucson, Arizona, United States

Site Status RECRUITING

John L. McClellan Memorial Veterans Hospital

Little Rock, Arkansas, United States

Site Status RECRUITING

BioSolutions Clinical Research Center

Imperial, California, United States

Site Status RECRUITING

Profound Research LLC

Pasadena, California, United States

Site Status RECRUITING

University of California, San Francisco - Heart and Vascular Center

San Francisco, California, United States

Site Status RECRUITING

FOMAT - Comprehensive Cardiovascular Care

Santa Maria, California, United States

Site Status RECRUITING

Blue Coast Research Center, LLC

Vista, California, United States

Site Status RECRUITING

New Generation of Medical Research

Hialeah, Florida, United States

Site Status RECRUITING

Cleveland Clinic Florida

Weston, Florida, United States

Site Status RECRUITING

Methodist Medical Center of Illinois

Peoria, Illinois, United States

Site Status RECRUITING

Louisiana Heart Center

Slidell, Louisiana, United States

Site Status RECRUITING

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

Mayo Clinic

Rochester, Minnesota, United States

Site Status RECRUITING

Washington University Center for Advanced Medicine

St Louis, Missouri, United States

Site Status RECRUITING

Morristown Medical Center

Morristown, New Jersey, United States

Site Status RECRUITING

NYU Langone Health

New York, New York, United States

Site Status RECRUITING

The Lindner Center for Research & Education at The Christ Hospital

Cincinnati, Ohio, United States

Site Status RECRUITING

Oregon Health and Science University

Portland, Oregon, United States

Site Status RECRUITING

University of Texas Southwestern Medical Center, Dallas

Dallas, Texas, United States

Site Status RECRUITING

Center for Advanced Heart Failure

Houston, Texas, United States

Site Status RECRUITING

DelRicht Research

Vienna, Virginia, United States

Site Status RECRUITING

Swedish Heart & Vascular Institute, Advanced Cardiac Support Program

Seattle, Washington, United States

Site Status RECRUITING

Froedtert Hospital - Center for Advanced Care

Milwaukee, Wisconsin, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Cytokinetics MD

Role: CONTACT

650-624-2929

Other Identifiers

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2024-516349-38-00

Identifier Type: CTIS

Identifier Source: secondary_id

CY 9021

Identifier Type: -

Identifier Source: org_study_id

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