NCT03357731

Brief Summary

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.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
49

participants targeted

Target at P25-P50 for phase_2 heart-failure

Timeline
Completed

Started Nov 2017

Geographic Reach
4 countries

18 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

October 31, 2017

Completed
1 month until next milestone

First Posted

Study publicly available on registry

November 30, 2017

Completed
Same day until next milestone

Study Start

First participant enrolled

November 30, 2017

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 10, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 10, 2019

Completed
1.2 years until next milestone

Results Posted

Study results publicly available

July 27, 2020

Completed
Last Updated

July 27, 2020

Status Verified

July 1, 2020

Enrollment Period

1.4 years

First QC Date

October 31, 2017

Results QC Date

May 6, 2020

Last Update Submit

July 24, 2020

Conditions

Outcome Measures

Primary Outcomes (1)

  • 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

    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.

    at the end of the 5-hour infusion

Secondary Outcomes (6)

  • Mean SVI Derived From LVOT VTI at the End of the 5-hour Infusion of BMS-986231, Versus NTG

    at the end of the 5-hour infusion

  • Mean LVEF, Computed by Simpson's Method at the End of the 5-hour Infusion of BMS-986231, Versus Placebo and NTG

    at the end of the 5-hour infusion

  • Mean Cardiac Power Index at the End of the 5-hour Infusion of BMS-986231, Versus Placebo and NTG

    at the end of the 5-hour infusion

  • Mean Diastolic Indices: E/A and E/e' Ratio at the End of the 5-hour Infusion of BMS-986231, Versus Placebo and NTG

    at the end of the 5-hour infusion

  • Mean Diastolic Indices: Annular e' Velocity at the End of the 5-hour Infusion of BMS-986231, Versus Placebo and NTG

    at the end of the 5-hour infusion

  • +1 more secondary outcomes

Study Arms (6)

Placebo/BMS-986231/NTG

EXPERIMENTAL

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

Drug: HNO DonorDrug: Nitroglycerin (NTG)Other: Placebo

Placebo/NTG/BMS-986231

EXPERIMENTAL

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

Drug: HNO DonorDrug: Nitroglycerin (NTG)Other: Placebo

NTG/Placebo/BMS-986231

EXPERIMENTAL

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

Drug: HNO DonorDrug: Nitroglycerin (NTG)Other: Placebo

NTG/BMS-986231/Placebo

EXPERIMENTAL

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

Drug: HNO DonorDrug: Nitroglycerin (NTG)Other: Placebo

BMS-986231/Placebo/NTG

EXPERIMENTAL

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

Drug: HNO DonorDrug: Nitroglycerin (NTG)Other: Placebo

BMS-986231/NTG/Placebo

EXPERIMENTAL

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

Drug: HNO DonorDrug: Nitroglycerin (NTG)Other: Placebo

Interventions

Infusion

Also known as: BMS-986231
BMS-986231/NTG/PlaceboBMS-986231/Placebo/NTGNTG/BMS-986231/PlaceboNTG/Placebo/BMS-986231Placebo/BMS-986231/NTGPlacebo/NTG/BMS-986231

Infusion

BMS-986231/NTG/PlaceboBMS-986231/Placebo/NTGNTG/BMS-986231/PlaceboNTG/Placebo/BMS-986231Placebo/BMS-986231/NTGPlacebo/NTG/BMS-986231
PlaceboOTHER

Infusion

BMS-986231/NTG/PlaceboBMS-986231/Placebo/NTGNTG/BMS-986231/PlaceboNTG/Placebo/BMS-986231Placebo/BMS-986231/NTGPlacebo/NTG/BMS-986231

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • 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)

You may not qualify if:

  • 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)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (18)

Orange County Research Center

Tustin, California, 92780, United States

Location

Northwestern Medicine

Chicago, Illinois, 60611, United States

Location

Indiana University School of Medicine-Indianapolis

Indianapolis, Indiana, 46202-1218, United States

Location

Brigham and Womens Hospital

Boston, Massachusetts, 02115, United States

Location

Duke Advanced Heart and Lung Failure Clinic

Durham, North Carolina, 27710, United States

Location

Inova Heart and Vascular Institute

Falls Church, Virginia, 22042, United States

Location

Local Institution

Nagoya, Aichi-ken, 466-8560, Japan

Location

Local Institution

Kawasaki, Kanagawa, 211-8533, Japan

Location

Local Institution

Suita-shi, Osaka, 5650871, Japan

Location

Local Institution

Groiningen, 9713GZ, Netherlands

Location

Local Institution

Edinburgh, EH16 4SA, United Kingdom

Location

Local Institution

Glasgow, G4 0SF, United Kingdom

Location

Local Institution

Glasgow, G429LF, United Kingdom

Location

Local Institution

Glasgow, G51 4TF, United Kingdom

Location

Local Institution

Harrow, HA1 3UJ, United Kingdom

Location

Local Institution

London, SE1 1YR, United Kingdom

Location

Local Institution

London, sw17 0re, United Kingdom

Location

Local Institution

London, SW3 6NP, United Kingdom

Location

Related Publications (1)

  • 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.

Related Links

MeSH Terms

Conditions

Heart Failure

Interventions

Nitroglycerin

Condition Hierarchy (Ancestors)

Heart DiseasesCardiovascular Diseases

Intervention Hierarchy (Ancestors)

Nitro CompoundsOrganic Chemicals

Results Point of Contact

Title
Bristol-Myers Squibb Study Director
Organization
Bristol-Myers Squibb

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
LTE60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
CROSSOVER
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 31, 2017

First Posted

November 30, 2017

Study Start

November 30, 2017

Primary Completion

May 10, 2019

Study Completion

May 10, 2019

Last Updated

July 27, 2020

Results First Posted

July 27, 2020

Record last verified: 2020-07

Locations