NCT06474208

Brief Summary

Heart failure is a condition in which the heart does not pump blood as well as it should. It can happen in both adults and children. The study treatment, vericiguat, also called BAY1021189, is already approved for doctors to give to adults who have heart failure, particularly those with an ejection fraction (EF) reduced to less than 45%. An EF is a measurement, expressed as a percentage, of how much blood is pumped with each heartbeat. An EF of less than 45% indicates a reduced ability of the heart to pump blood effectively. This results in a reduced supply of the oxygen that the body requires to function properly. Vericiguat works by increasing the activity of a protein called soluble guanylate cyclase (sGC). sGC helps widen blood vessels, which in turn improves the heart function. Vericiguat is currently only available as a treatment for adults. Researchers think vericiguat could help treat children with heart failure and it will be easier for them to take a liquid treatment. The main purpose of this study is to find out how the taste of the liquid form of vericiguat for children changes when different amounts of flavor improvers are added. During the study, participants will take 5 different study drugs in different orders. They will take:

  • Vericiguat: 4 different formulations of vericiguat which are flavored differently.
  • Placebo: A placebo that looks like vericiguat but does not have any medicine in it. Participants will taste these formulations or placebo but will not swallow them. During the study, the doctors and their study team will:
  • check participants' health by performing tests such as blood and urine tests.
  • measure vital signs, including blood pressure and heart rate.
  • check heart health using an electrocardiogram (ECG). An ECG is a test that records the electrical activity of the heart.
  • ask the participants open questions about how they are feeling and what adverse events they are having. An adverse event is any medical problem that a participant has during a study. Doctors keep track of all adverse events, irrespective if they think it is related or not to the study treatment.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
19

participants targeted

Target at P25-P50 for phase_1 heart-failure

Timeline
Completed

Started Jul 2024

Shorter than P25 for phase_1 heart-failure

Geographic Reach
1 country

1 active site

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

June 20, 2024

Completed
5 days until next milestone

First Posted

Study publicly available on registry

June 25, 2024

Completed
6 days until next milestone

Study Start

First participant enrolled

July 1, 2024

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 30, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 30, 2024

Completed
Last Updated

October 8, 2024

Status Verified

October 1, 2024

Enrollment Period

3 months

First QC Date

June 20, 2024

Last Update Submit

October 3, 2024

Conditions

Keywords

Children

Outcome Measures

Primary Outcomes (1)

  • Taste questionnaire by means of descriptive statistics

    The sensory data will be collected on an ordinale scale, with higher scores indicating greater intensity of that sensory characteristic. The scores will be analyzed to determine the taste profile of each oral suspension for the key sensory characteristics and how the taste profiles of the suspensions compare to one another.

    Directly after study intervention administration

Study Arms (5)

Intervention sequence 1

EXPERIMENTAL

Subjects will receive 5 different formulations in sequence No. 1. The intervention administrations will be separated by a washout phase of 24 h.

Drug: Formulation 1Drug: Formulation 2Drug: Formulation 3Drug: Formulation 4Drug: Formulation 5 (placebo)

Intervention sequence 2

EXPERIMENTAL

Subjects will receive 5 different formulations in sequence No. 2. The intervention administrations will be separated by a washout phase of 24 h.

Drug: Formulation 1Drug: Formulation 2Drug: Formulation 3Drug: Formulation 4Drug: Formulation 5 (placebo)

Intervention sequence 3

EXPERIMENTAL

Subjects will receive 5 different formulations in sequence No. 3. The intervention administrations will be separated by a washout phase of 24 h.

Drug: Formulation 1Drug: Formulation 2Drug: Formulation 3Drug: Formulation 4Drug: Formulation 5 (placebo)

Intervention sequence 4

EXPERIMENTAL

Subjects will receive 5 different formulations in sequence No. 4. The intervention administrations will be separated by a washout phase of 24 h.

Drug: Formulation 1Drug: Formulation 2Drug: Formulation 3Drug: Formulation 4Drug: Formulation 5 (placebo)

Intervention sequence 5

EXPERIMENTAL

Subjects will receive 5 different formulations in sequence No. 5. The intervention administrations will be separated by a washout phase of 24 h.

Drug: Formulation 1Drug: Formulation 2Drug: Formulation 3Drug: Formulation 4Drug: Formulation 5 (placebo)

Interventions

Oral suspension of Vericiguat (BAY1021189) in single dose (SD).

Intervention sequence 1Intervention sequence 2Intervention sequence 3Intervention sequence 4Intervention sequence 5

Oral suspension of Vericiguat (BAY1021189) with increased level of sucralose in SD.

Intervention sequence 1Intervention sequence 2Intervention sequence 3Intervention sequence 4Intervention sequence 5

Oral suspension of Vericiguat (BAY1021189) with increased level of flavor in SD.

Intervention sequence 1Intervention sequence 2Intervention sequence 3Intervention sequence 4Intervention sequence 5

Oral suspension of Vericiguat (BAY1021189) with increased level of sucralose and flavor in SD.

Intervention sequence 1Intervention sequence 2Intervention sequence 3Intervention sequence 4Intervention sequence 5

Matching placebo of formulation 1 in SD.

Intervention sequence 1Intervention sequence 2Intervention sequence 3Intervention sequence 4Intervention sequence 5

Eligibility Criteria

Age18 Years - 45 Years
Sexmale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Participant must be 18 to 45 years of age inclusive, at the time of signing the informed consent.
  • Participants who are overtly healthy as determined by medical evaluation including medical history, physical examination, laboratory tests, and cardiac monitoring.
  • Body Mass Index (BMI) within the range \[18.5 - 29.9\] kg/m\^2 (inclusive).
  • Male.
  • Ability to assess the required taste profile investigated in this study based on test assessments.

You may not qualify if:

  • Incompletely cured pre-existing diseases for which it can be assumed that the absorption, distribution, metabolism, elimination and effects of the study drugs will not be normal.
  • Known hypersensitivity to the study drugs (active substances or excipients of the preparations).
  • A history of relevant diseases of vital organs, of the central nervous system or other organs.
  • A history of relevant smell and / or taste disorders.
  • Regular use of therapeutic or recreational drugs (e.g. carnitine products, anabolics, high-dose vitamins).
  • Clinically relevant findings in the electrocardiogram (ECG) such as a second- or third-degree atrio-ventricular (AV) block, prolongation of the QRS complex over 120 msec or of the QTcF (QT interval corrected using Fridericia's formula)-interval over 450 msec.
  • Systolic blood pressure below 100 or above 140 mmHg.
  • Diastolic blood pressure below 60 or above 90 mmHg.
  • Heart rate below 50 or above 90 beats / min.
  • Clinically relevant findings in the physical examination.
  • Smoking (including vaping) within the last 21 days before screening.
  • Unable to abstain from alcohol from 48 h prior to study intervention administration until discharge from the study ward.
  • Unable to abstain from xanthine-containing beverages or food (coffee, tea, cola, chocolate, "power drinks") from 12 h prior to study intervention administration until 4 h after administration.
  • History of COVID-19 (coronavirus disease 2019) within 3 months before screening.
  • Long-COVID-19 syndrome or other clinically relevant COVID-19-related symptoms or sequels.
  • +1 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Clinical Research Services | Clinical Research Services Mannheim - Phase one unit

Mannheim, Baden-Wurttemberg, 68167, Germany

Location

Related Links

MeSH Terms

Conditions

Heart Failure

Interventions

Akacid-medical-formulation

Condition Hierarchy (Ancestors)

Heart DiseasesCardiovascular Diseases

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
OTHER
Intervention Model
CROSSOVER
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 20, 2024

First Posted

June 25, 2024

Study Start

July 1, 2024

Primary Completion

September 30, 2024

Study Completion

September 30, 2024

Last Updated

October 8, 2024

Record last verified: 2024-10

Data Sharing

IPD Sharing
Will not share

Availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Interested researchers can use www.vivli.org to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the member section of the portal.

Locations