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Phase II Study of the Effect of CK-1827452 Injection on Myocardial Efficiency

Primary Purpose

Heart Failure

Status
Terminated
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
CK-1827452
CK-1827452
Sponsored by
Cytokinetics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Heart Failure

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Clinical indication for left and right heart catheterization
  • Willing and able to provide informed consent
  • Male or female 18 years of age or greater
  • Symptomatic heart failure (≥ NYHA Class II)
  • Ejection fraction ≤ 35%
  • Patient is in sinus rhythm
  • Patient is considered to be in suitable health in the opinion of the investigator, as determined by:

    o A pre-study physical examination with no clinical abnormalities which in the opinion of the investigator would preclude participation in the study other than physical symptoms or signs consistent with stable heart failure

  • For female patients only: Post-menopausal or sterilized, or if she is of childbearing potential, she is not breastfeeding, her pregnancy test is negative, she has no intention to become pregnant for up to 90 days following the study, and she is using contraceptive drugs or devices

Exclusion Criteria:

  • Acute myocarditis
  • Hypertrophic, restrictive, or constrictive cardiomyopathy
  • Congenital heart disease
  • Known left ventricular thrombus
  • Significant stenotic valvular disease (severe aortic stenosis, mitral stenosis)
  • Poorly controlled hypertension (SBP > 180 mmHg)
  • Pacemaker dependent ventricular rhythm
  • Detectable troponin or CK-MB > ULN at any timepoint within 14 days of enrollment
  • Acute coronary syndrome or revascularization procedure within 30 days of enrollment
  • ≥ 50% stenosis of the left main coronary artery
  • Plan for immediate revascularization procedure (PCI or CABG)
  • GFR ≤ 35 ml/min/1.73 m2 by Modification of Diet in Renal Disease (MDRD) Equation or need for renal replacement therapy
  • Known hepatic impairment (total bilirubin > 3 mg/dL, or ALT and AST > 2 times the upper limit of normal)
  • Has received an investigational drug or device within 30 days before enrollment
  • Has had any prior treatment with CK-1827452

Sites / Locations

  • Johns Hopkins Medical Institutions
  • UUHSC / Division of Cardiology
  • Mount Sinai Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Cohort 1

Cohort 2

Arm Description

0.5 hour loading dose followed by 1.0 hour maintenance dose of CK-1827452

≤ 1.0 hour loading dose followed by 1.0 hour maintenance dose of CK-1827452

Outcomes

Primary Outcome Measures

Effect of CK-1827452 on Myocardial Efficiency, Defined as the Ratio of Ventricular Performance to Myocardial Oxygen Consumption.
Measure the effect CK-1827452 on hemodynamics and energetic measures of ventricular performance, myocardial oxygen consumption, and myocardial efficiency (the ratio of ventricular performance to myocardial oxygen consumption), in patients with clinical heart failure.

Secondary Outcome Measures

Effects of CK-1827452 on Ventricular Performance
Measure the effect of CK-1824752 on ventricular performance
Effects of CK-1827452 on Myocardial Oxygen Consumption
Measure the effect of CK-1824752 on myocardial oxygen consumption
Effects of CK-1827452 on Pressure-volume Relationships
Measure the effect of CK-1824752 on pressure-volume relationships
Effects of CK-1827452 on Systolic Ejection Time
Measure the effect of CK-1824752 on systolic ejection time
Effects of CK-1827452 on Invasively Measured Hemodynamics, Including Filling Pressure and Cardiac Output
Measure the effect of CK-1824752 on invasively measured hemodynamics, including filling pressure and cardiac output

Full Information

First Posted
April 21, 2008
Last Updated
January 10, 2020
Sponsor
Cytokinetics
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1. Study Identification

Unique Protocol Identification Number
NCT00748579
Brief Title
Phase II Study of the Effect of CK-1827452 Injection on Myocardial Efficiency
Official Title
A Phase II Open-Label Study to Investigate the Effects of CK-1827452 Injection on Ventricular Performance, Myocardial Oxygen Consumption, and Myocardial Efficiency in Patients With Heart Failure and Left Ventricular Systolic Dysfunction
Study Type
Interventional

2. Study Status

Record Verification Date
January 2020
Overall Recruitment Status
Terminated
Why Stopped
Decision to discontinue due to challenges of trial design and constraints on enrolling eligible and consenting patients.
Study Start Date
September 2008 (undefined)
Primary Completion Date
November 2008 (Actual)
Study Completion Date
July 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Cytokinetics

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose for this study (CY 1124) is to evaluate the effects of CK-1827452, a cardiac myosin activator, on myocardial systolic performance, myocardial oxygen consumption, and myocardial efficiency in patients with heart failure and to confirm that the unique preclinical pharmacological profile of CK- 1827452 is substantially the same in patients with heart failure.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Heart Failure

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
2 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1
Arm Type
Experimental
Arm Description
0.5 hour loading dose followed by 1.0 hour maintenance dose of CK-1827452
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
≤ 1.0 hour loading dose followed by 1.0 hour maintenance dose of CK-1827452
Intervention Type
Drug
Intervention Name(s)
CK-1827452
Intervention Description
I.V. infusion for 0.5 hour at 54mg/hr followed by 1 hour at 21mg/hr
Intervention Type
Drug
Intervention Name(s)
CK-1827452
Intervention Description
I.V. infusion for ≤ 1 hour at 72mg/hr followed by 1 hour at 36mg/hr
Primary Outcome Measure Information:
Title
Effect of CK-1827452 on Myocardial Efficiency, Defined as the Ratio of Ventricular Performance to Myocardial Oxygen Consumption.
Description
Measure the effect CK-1827452 on hemodynamics and energetic measures of ventricular performance, myocardial oxygen consumption, and myocardial efficiency (the ratio of ventricular performance to myocardial oxygen consumption), in patients with clinical heart failure.
Time Frame
1 day
Secondary Outcome Measure Information:
Title
Effects of CK-1827452 on Ventricular Performance
Description
Measure the effect of CK-1824752 on ventricular performance
Time Frame
1 day
Title
Effects of CK-1827452 on Myocardial Oxygen Consumption
Description
Measure the effect of CK-1824752 on myocardial oxygen consumption
Time Frame
1 day
Title
Effects of CK-1827452 on Pressure-volume Relationships
Description
Measure the effect of CK-1824752 on pressure-volume relationships
Time Frame
1 day
Title
Effects of CK-1827452 on Systolic Ejection Time
Description
Measure the effect of CK-1824752 on systolic ejection time
Time Frame
1 day
Title
Effects of CK-1827452 on Invasively Measured Hemodynamics, Including Filling Pressure and Cardiac Output
Description
Measure the effect of CK-1824752 on invasively measured hemodynamics, including filling pressure and cardiac output
Time Frame
1 day

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Clinical indication for left and right heart catheterization Willing and able to provide informed consent Male or female 18 years of age or greater Symptomatic heart failure (≥ NYHA Class II) Ejection fraction ≤ 35% Patient is in sinus rhythm Patient is considered to be in suitable health in the opinion of the investigator, as determined by: o A pre-study physical examination with no clinical abnormalities which in the opinion of the investigator would preclude participation in the study other than physical symptoms or signs consistent with stable heart failure For female patients only: Post-menopausal or sterilized, or if she is of childbearing potential, she is not breastfeeding, her pregnancy test is negative, she has no intention to become pregnant for up to 90 days following the study, and she is using contraceptive drugs or devices Exclusion Criteria: Acute myocarditis Hypertrophic, restrictive, or constrictive cardiomyopathy Congenital heart disease Known left ventricular thrombus Significant stenotic valvular disease (severe aortic stenosis, mitral stenosis) Poorly controlled hypertension (SBP > 180 mmHg) Pacemaker dependent ventricular rhythm Detectable troponin or CK-MB > ULN at any timepoint within 14 days of enrollment Acute coronary syndrome or revascularization procedure within 30 days of enrollment ≥ 50% stenosis of the left main coronary artery Plan for immediate revascularization procedure (PCI or CABG) GFR ≤ 35 ml/min/1.73 m2 by Modification of Diet in Renal Disease (MDRD) Equation or need for renal replacement therapy Known hepatic impairment (total bilirubin > 3 mg/dL, or ALT and AST > 2 times the upper limit of normal) Has received an investigational drug or device within 30 days before enrollment Has had any prior treatment with CK-1827452
Facility Information:
Facility Name
Johns Hopkins Medical Institutions
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21205
Country
United States
Facility Name
UUHSC / Division of Cardiology
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84132
Country
United States
Facility Name
Mount Sinai Hospital
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G 1X5
Country
Canada

12. IPD Sharing Statement

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Phase II Study of the Effect of CK-1827452 Injection on Myocardial Efficiency

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