A Study of Ponsegromab in People With Heart Failure (GARDEN TIMI 74)
Heart Failure
About this trial
This is an interventional supportive care trial for Heart Failure focused on measuring Heart Failure, N-terminal pro-B type natriuretic peptide, Kansas City Cardiomyopathy Questionnaire, Patient's Global Impression of Severity, Patient's Global Impression of Change, Patient Reported Outcome Measurement Information System, Growth differentiation factor 15, New York Heart Association
Eligibility Criteria
Inclusion Criteria:
Male and female participants aged 18 years or older
-. Clinical evidence of HF with each of the following criteria:
- LVEF <50% on most recent measurement (within the last 12 months).
- NYHA class II-IV at screening.
- NT-proBNP ≥400 pg/mL at screening.
- Serum GDF-15 concentration ≥2000 pg/mL at screening.
- KCCQ-23 CSS <75 at screening.
Evidence of cachexia or fatigue or functional impairment, as demonstrated by at least one of the following:
- Non-edematous unintentional weight loss ≥5% in the last 6 months or current BMI <20 kg/m2, associated with subjective fatigue or anorexia; or
- Fatigue at least 3 times per week AND at least moderately bothersome fatigue in the past 2 weeks; or
- A score of <60 on the Physical Limitations Domain of the KCCQ 23 administered at screening.
Exclusion Criteria:
- Acute decompensated HF within 1 month prior to randomization.
- Implantation of a cardiac resynchronization therapy device or valve repair or replacement within 3 months prior to randomization or intent to do so during the trial.
- History of heart transplantation, currently listed for heart transplant, or planned mechanical circulatory support.
- Acute coronary syndrome within 1 month prior to randomization.
- Coronary revascularization (percutaneous coronary intervention or coronary artery bypass grafting) within 3 months prior to randomization or intent to undergo coronary revascularization during the trial.
- Untreated indication for an implantable cardiac defibrillator or pacemaker to treat a cardiac rhythm abnormality (ie, tachyarrhythmia or bradyarrhythmia).
- Previous administration with an investigational product (drug or vaccine) within 30 days (or as determined by the local requirement) or 5 half lives (whichever is longer) preceding the first dose of study intervention used in this study. Treatment with an investigational biologic agent within 6 months or 5 half-lives (whichever is longer) of Day 1
- Renal disease requiring dialysis.
- Cirrhosis with evidence of portal hypertension not due to HF
Sites / Locations
- Eastern shore Research Institute LLCRecruiting
- Keck Medical Center of USCRecruiting
- MedStar Washington Hospital CenterRecruiting
- Cardiology Associates of Fort LauderdaleRecruiting
- Holy Cross Hospital/Jim Moran Heart & Vascular Research InstituteRecruiting
- Holy Cross HospitalRecruiting
- Emory University School of Medicine-Grady CampusRecruiting
- Chicago Medical ResearchRecruiting
- Reid Physician AssociatesRecruiting
- Brigham and Women's HospitalRecruiting
- Henry Ford HospitalRecruiting
- Traverse Heart & VascularRecruiting
- M Health Fairview Clinics and Surgery Center
- M Health Fairview University of Minnesota Investigational Drug Services
- M Health Fairview University of Minnesota Medical Center-East Bank
- University of Minnesota/Lillehei Clinical Research Unit
- Saint Luke's Hospital of Kansas CityRecruiting
- Washington University in St. Louis Center for Outpatient Health (COH)Recruiting
- Washington University in St. Louis Center for Advanced Medicine (CAM)Recruiting
- Washington University School of MedicineRecruiting
- Holy Name Medical CenterRecruiting
- University of North Carolina Medical CenterRecruiting
- Clinical and Translational Research CenterRecruiting
- South Oklahoma Heart Research, LLCRecruiting
- Texas Health Physicians GroupRecruiting
- Concord Repatriation General HospitalRecruiting
- Core Research GroupRecruiting
- The Prince Charles HospitalRecruiting
- Gold Coast University HospitalRecruiting
- Lyell McEwin Hospital
- The Alfred HospitalRecruiting
- Fraser Clinical Trials IncRecruiting
- QEII Health Sciences Centre - Victoria General SiteRecruiting
- Saul Vizel Professional Medicine Corporation dba Vizel Cardiac ResearchRecruiting
- University Hospital - London Health Sciences CentreRecruiting
- North York Diagnostic and Cardiac CentreRecruiting
- Private Practice - Dr. James ChaRecruiting
- Kawartha Cardiology Clinical TrialsRecruiting
- CorcareRecruiting
- Winchester District Memorial HospitalRecruiting
- Centre Hospitalier de l'Université de MontréalRecruiting
- Centre intégré de santé et de services sociaux du Bas Saint-Laurent- Hôpital régional de RimousRecruiting
- CardioVasc HR IncRecruiting
- Centre intégré de santé et de services sociaux de Lanaudière - Hopital Pierre-Le Gardeur.Recruiting
- Diex Recherche Trois-RivieresRecruiting
- Peking University First HospitalRecruiting
- Guangdong Provincial People's Hospital
- Guangdong Provincial People's HospitalRecruiting
- The First Affiliated Hospital, Sun Yat-sen UniversityRecruiting
- The Second Xiangya Hospital of Central South University
- The Second Xiangya Hospital of Central South UniversityRecruiting
- The First Affiliated Hospital of University of South ChinaRecruiting
- China-Japan Union HospitalRecruiting
- The First Affiliated Hospital of Xi'an Jiaotong UniversityRecruiting
- Qilu Hospital of Shandong UniversityRecruiting
- Zhongshan Hospital,Fudan UniversityRecruiting
- Tianjin People' s HospitalRecruiting
- Tianjin People' s Hospital
- Peking University First HospitalRecruiting
- Fakultni Nemocnice u sv. Anny v BrneRecruiting
- EDUMED - JaroměřRecruiting
- Institut Klinicke a Experimentalni MedicinyRecruiting
- Fakultni nemocnice Kralovske VinohradyRecruiting
- Ustredni vojenska nemocniceRecruiting
- Pécsi Tudományegyetem Klinikai KözpontRecruiting
- Bacs-Kiskun Varmegyei Oktatokorhaz
- Private Practice - Dr. Lakatos FerencRecruiting
- TaNa Med
- Medifarma 98 KftRecruiting
- Somogy Megyei Kaposi Mór Oktató KórházRecruiting
- Budai Irgalmasrendi Korhaz
- Dél-Pesti Centrumkórház Orszagos Hematologiai es Infektologiai Intezet
- Semmelweis Egyetem
- Kanizsai Dorottya Korhaz
- Hyogo Prefectural Amagasaki General Medical CenterRecruiting
- Hyogo Prefectural Harima-Himeji General Medical CenterRecruiting
- Higashi Takarazuka Satoh HospitalRecruiting
- Iwate Prefectural Central HospitalRecruiting
- National Hospital Organization Sendai Medical CenterRecruiting
- Kishiwada Tokushukai HospitalRecruiting
- Sakurabashi Watanabe HospitalRecruiting
- National Cerebral and Cardiovascular CenterRecruiting
- National Cerebral and Cardiovascular Center
- Osaka General Medical CenterRecruiting
- National Hospital Organization Saitama HospitalRecruiting
- Keio University HospitalRecruiting
- Saiseikai Kumamoto HospitalRecruiting
- Osaka General Medical CenterRecruiting
- Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego we Wrocławiu
- Gabinet Kardiologiczno Internistyczny
- Uniwersytecki Szpital Kliniczny w PoznaniuRecruiting
- Polsko Amerykanskie Kliniki SercaRecruiting
- Uniwersyteckie Centrum Kliniczne Warszawskiego Uniwersytetu Medycznego Centralny Szpital KlinicznyRecruiting
- Uniwersyteckie Centrum Kliniczne Warszawskiego Uniwersytetu Medycznego Centralny Szpital Kliniczny
- Kardio Brynow
- CHUS - Hospital Clinico UniversitarioRecruiting
- Hospital Universitari Vall d'HebronRecruiting
- Hospital Universitari de BellvitgeRecruiting
- Hospital de la Santa Creu i Sant PauRecruiting
- Hospital Universitario Ramón y CajalRecruiting
- Hospital Universitario Puerta de Hierro MajadahondaRecruiting
- Hospital Clínico Universitario Virgen de la ArrixacaRecruiting
- Hospital Clinico de ValenciaRecruiting
- Hospital Unviersitario Virgen NievesRecruiting
- Hospital Universitario La PazRecruiting
- Hospital Universitario Virgen de la VictoriaRecruiting
- Hospital Universitario Central de AsturiasRecruiting
- Hospital General Universitario de ValenciaRecruiting
- Hospital Universitari i Politecnic La FeRecruiting
- Wycombe General HospitalRecruiting
- Ninewells Hospital and Medical SchoolRecruiting
- St. George's HospitalRecruiting
- Northwick Park HospitalRecruiting
- Glasgow Royal InfirmaryRecruiting
- Barnet HospitalRecruiting
- Royal Papworth Hospital NHS Foundation Trust
- Golden Jubilee National Hospital
- Lincoln County HospitalRecruiting
- Liverpool University Hospitals NHS Foundation TrustRecruiting
- Northern General Hospital
- University Hospital of North TeesRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Experimental
Experimental
Experimental
Placebo Comparator
Experimental
Experimental
Experimental
Main cohort: ponsegromab low dose
Main cohort: ponsegromab medium dose
Main cohort: ponsegromab high dose
Main cohort: placebo
Open-label, PK Cohort: ponsegromab low dose
Open-label, PK Cohort: ponsegromab medium dose
Open-label, PK Cohort: ponsegromab high dose
Participants will receive a low dose Q4W SC
Participants will receive a medium dose Q4W SC
Participants will receive a high dose Q4W SC
matched placebo
Participants will receive a low dose Q4W SC
Participants will receive a medium dose Q4W SC
Participants will receive a high dose Q4W SC