Study to Evaluate the QT / QTc Interval Prolongation Potential of Vericiguat
Study to Clinically Evaluate the QT/QTc Interval Prolongation Potential of Vericiguat in Patients With Stable Coronary Artery Disease in a 2-arm, Placebo-controlled, Randomized, Double-blind, Double-dummy Design Including a Vericiguat Multiple-dose Part With Fixed up Titration Periods and Moxifloxacin as Positive Control (for Assay Sensitivity Testing, Nested Into the Placebo Treatment)
2 other identifiers
interventional
74
3 countries
8
Brief Summary
The primary objective of this study was to investigate whether there is a clinically meaningful effect on QTc change from baseline relative to placebo after administration of 10 mg at steady state in patients with stable CAD (coronary artery disease).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1 coronary-artery-disease
Started May 2018
Shorter than P25 for phase_1 coronary-artery-disease
8 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 13, 2018
CompletedFirst Posted
Study publicly available on registry
April 20, 2018
CompletedStudy Start
First participant enrolled
May 17, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 29, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
February 26, 2019
CompletedApril 17, 2020
April 1, 2020
7 months
April 13, 2018
April 16, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Time-matched placebo-corrected change from baseline of the QT interval corrected according to Fridericia (QTcF) after 10 mg vericiguat at steady state.
Baseline, day 56 (steady state 10 mg) of vericiguat treatment
Secondary Outcomes (13)
Time-matched placebo-corrected change from baseline of QTcF after 1st dose of 2.5 mg vericiguat
Baseline and day 1 of vericiguat treatment
Time-matched placebo-corrected change from baseline of QTcF after 1st dose of 5 mg vericiguat
Baseline and day 15 (+/- 3 days) of vericiguat treatment
Time-matched placebo-corrected change from baseline of QTcF after 1st dose of 10 mg vericiguat
Baseline and day 29 (+/- 3 days) of vericiguat treatment
Time-matched placebo-corrected change from baseline of QTcF after 2.5 mg vericiguat at steady state
Baseline and day 14 (+/- 3 days) of vericiguat treatment (steady state 2.5 mg)
Time-matched placebo-corrected change from baseline of QTcF after 5 mg vericiguat at steady state
Baseline and day 28 (+/- 3 days) of vericiguat treatment (steady state 5 mg)
- +8 more secondary outcomes
Study Arms (2)
Treatment 1
EXPERIMENTALTreatment sequences: A\*-B-C-D
Treatment 2
EXPERIMENTALTreatment sequences: D-A-B-C\*
Interventions
A : 2.5 mg vericiguat A\*: 2.5 mg vericiguat B : 5 mg vericiguat C : 10 mg vericiguat C\*: 10 mg vericiguat
A : vericiguat placebo 10 mg A\*: vericiguat placebo 10 mg + moxifloxacin placebo B : vericiguat placebo 10 mg C : vericiguat placebo 2.5 mg C\*: vericiguat placebo 2.5 mg + moxifloxacin placebo D : vericiguat placebo 2.5 mg + vericiguat placebo 10 mg
Eligibility Criteria
You may qualify if:
- Patients with stable CAD (coronary artery disease) defined by:
- clinically stable for at least 3 months
- coronary artery stenosis in any of the 3 main coronary vessels
- or history of myocardial infarction
- Sinus rhythm at screening
- Interpretable echocardiographic images
- Age: 30 to 80 years
- Body mass index (BMI): above/equal 18.0 and below/equal 36.0 kg/m²
You may not qualify if:
- Ejection fraction (EF) below 30% at screening
- Progressive angina with symptoms of worsening of angina within the \<3 month
- History of recent myocardial infarction or unstable Angina
- Documented current relevant coronary stenosis ≥90% in any of the main 3 coronary vessels without bypass graft
- Symptomatic carotid stenosis, or transient ischemic attack or stroke within 3 months or patients with stroke at more than 3 months
- Insulin dependent diabetes mellitus
- Clinically significant and persisting cardiac ischemia
- Atrial fibrillation, pacemaker, defibrillator, second and third degree atrial-ventricular (AV) block
- Known clinically relevant ventricular arrhythmias
- Clinically relevant heart failure with reduced left ventricular ejection fraction
- Significant valvular heart disease with moderate or severe aortic stenosis or any other significant stenosis; any other moderate or severe valvular failures
- Valve replacement
- Hypertrophic obstructive cardiomyopathy (HOCM)
- Previous or imminent cardiac transplantation
- Known long QT syndrome or prolongation of the QT interval with ongoing proarrhythmic conditions
- +12 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Bayerlead
- Merck Sharp & Dohme LLCcollaborator
Study Sites (8)
Universitätsherzzentrum Freiburg - Bad Krozingen
Bad Krozingen, Baden-Wurttemberg, 79189, Germany
Universitätsklinikum Heidelberg
Heidelberg, Baden-Wurttemberg, 69120, Germany
Medizinische Einrichtungen der Universität Bonn
Bonn, North Rhine-Westphalia, 53105, Germany
SocraTec R&D Clinical Ward
Erfurt, Thuringia, 99084, Germany
Charité Campus Virchow-Klinikum (CVK)
Berlin, 13353, Germany
PAREXEL GmbH
Berlin, 14050, Germany
IMSP Republican Clinical Hospital
Chisinau, MD2025, Moldova
Center for Human Drug Research
Leiden, 2333 CL, Netherlands
Related Publications (2)
Ruehs H, Solms A, Frei M, Becker C, Trujillo ME, Garmann D, Meyer M. Assessing QTc Effects of Vericiguat Using Two Different Concentration-QTc Modeling Approaches. Clin Pharmacokinet. 2023 Nov;62(11):1639-1648. doi: 10.1007/s40262-023-01282-y. Epub 2023 Sep 6.
PMID: 37672197DERIVEDBottcher M, Dungen HD, Corcea V, Donath F, Fuhr R, Gal P, Mikus G, Trenk D, Coenen M, Pires PV, Maschke C, Aliprantis AO, Besche N, Becker C. Vericiguat: A Randomized, Phase Ib, Placebo-Controlled, Double-Blind, QTc Interval Study in Patients with Chronic Coronary Syndromes. Am J Cardiovasc Drugs. 2023 Mar;23(2):145-155. doi: 10.1007/s40256-022-00557-2. Epub 2023 Jan 12.
PMID: 36633816DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- BASIC SCIENCE
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 13, 2018
First Posted
April 20, 2018
Study Start
May 17, 2018
Primary Completion
November 29, 2018
Study Completion
February 26, 2019
Last Updated
April 17, 2020
Record last verified: 2020-04