A Study of Continuous Infusions of HNO (Nitroxyl) Donor in Patients With Heart Failure and Impaired Systolic Function
A Multicenter, Randomized, Double-Blind, Placebo- and Active-Controlled, Cross-over Phase 2 Study of Continuous 5-Hour Intravenous Infusions of BMS-986231 in Patients With Heart Failure and Impaired Systolic Function
2 other identifiers
interventional
49
4 countries
18
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2 heart-failure
Started Nov 2017
18 active sites
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
CompletedFirst Posted
Study publicly available on registry
November 30, 2017
CompletedStudy Start
First participant enrolled
November 30, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 10, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
May 10, 2019
CompletedResults Posted
Study results publicly available
July 27, 2020
CompletedJuly 27, 2020
July 1, 2020
1.4 years
October 31, 2017
May 6, 2020
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
EXPERIMENTALadministered in a cross over design with 5-hour infusions and 5-28 day wash-out periods
Placebo/NTG/BMS-986231
EXPERIMENTALadministered in a cross over design with 5-hour infusions and 5-28 day wash-out periods
NTG/Placebo/BMS-986231
EXPERIMENTALadministered in a cross over design with 5-hour infusions and 5-28 day wash-out periods
NTG/BMS-986231/Placebo
EXPERIMENTALadministered in a cross over design with 5-hour infusions and 5-28 day wash-out periods
BMS-986231/Placebo/NTG
EXPERIMENTALadministered in a cross over design with 5-hour infusions and 5-28 day wash-out periods
BMS-986231/NTG/Placebo
EXPERIMENTALadministered in a cross over design with 5-hour infusions and 5-28 day wash-out periods
Interventions
Infusion
Infusion
Infusion
Eligibility Criteria
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
Northwestern Medicine
Chicago, Illinois, 60611, United States
Indiana University School of Medicine-Indianapolis
Indianapolis, Indiana, 46202-1218, United States
Brigham and Womens Hospital
Boston, Massachusetts, 02115, United States
Duke Advanced Heart and Lung Failure Clinic
Durham, North Carolina, 27710, United States
Inova Heart and Vascular Institute
Falls Church, Virginia, 22042, United States
Local Institution
Nagoya, Aichi-ken, 466-8560, Japan
Local Institution
Kawasaki, Kanagawa, 211-8533, Japan
Local Institution
Suita-shi, Osaka, 5650871, Japan
Local Institution
Groiningen, 9713GZ, Netherlands
Local Institution
Edinburgh, EH16 4SA, United Kingdom
Local Institution
Glasgow, G4 0SF, United Kingdom
Local Institution
Glasgow, G429LF, United Kingdom
Local Institution
Glasgow, G51 4TF, United Kingdom
Local Institution
Harrow, HA1 3UJ, United Kingdom
Local Institution
London, SE1 1YR, United Kingdom
Local Institution
London, sw17 0re, United Kingdom
Local Institution
London, SW3 6NP, United Kingdom
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.
PMID: 31168885DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
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