check_circleStudy Completed

Heart Failure

Study to assess the safety of BAY1067197 in stable heart failure patients on standard therapy including ß-blocker

Trial purpose

This is a study to investigate the safety and tolerability of the partial A1 agonist BAY1067197 in patients with chronic heart failure. BAY1067197 will be applied as a single dose of 30 mg in addition to standard therapy including a beta-blocker. The aim of the study is to assess if a single oral dose of 30 mg BAY1067197 is well tolerated when given on top of standard therapy for heart failure, particularly ß-blocker treatment.

Key Participants Requirements

Sex

Both

Age

18 - 75 Years
  • - Stable systolic heart failure (heart failure with reduced ejection fraction, heart failure with reduced ejection fraction [HFrEF]; New York Heart Association [NYHA] I-III) in sinus rhythm with a documented ejection fraction (EF) ≤45% within the last 3 months
    - Stable standard heart failure (HF) therapy including intermediate to high dose β-blocker with either ≥ 95 mg metoprolol succinate (controlled release tablet), ≥ 5mg Bisoprolol (immediate release [IR] -tablet) or ≥5mg Nebivolol (IR tablet) for at least 4 weeks. Additional intake of angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers and optional aldosterone-receptor antagonists, diuretics or digitalis is allowed
    - Men or confirmed postmenopausal women (defined as being amenorrheic for longer than 2 years with an appropriate clinical profile, e.g. age appropriate and a history of vasomotor symptoms) or women without childbearing potential based on surgical treatment such as bilateral tubal ligation, bilateral ovarectomy, or hysterectomy (documented by medical report verification). Men enrolled in this study must agree to use adequate barrier birth control measures during the treatment period of the study and for 12 weeks after receiving the investigational medicinal product (IMP)
    - Male patients must agree not to act as sperm donor for 12 weeks after dosing
    - Ethnicity: White
    - Body mass index (BMI): above/equal 18.0 and below/equal 29.9 kg/m²
    - Age: 18 to 75 years (inclusive) at the first screening visit
  • - Biventricular pacing/active cardiac resynchronization therapy (CRT) device
    - Dependency on pacemaker or implantable cardioverter-defibrillator (ICD) device with pacemaker dependency (a paced ventricular rhythm > 5% of heart activity)
    - A history of relevant diseases of vital organs other than the heart, of the central nervous system or other organs
    - Known hypersensitivity to the study preparations (active substances or excipients of the preparations) or to any other β-blocker
    - Current or history of AV-Block > I°
    - Unstable condition, indicated by requirement of IV drug (diuretic, inotrope, etc.) or NYHA IV
    - Acute Coronary Syndrome (defined as unstable angina [UA], non-ST elevation myocardial infarction [NSTEMI], ST elevation myocardial infarction [STEMI]) within 3 months prior to first study drug administration
    - History of asthma or chronic obstructive pulmonary disease (COPD) ≥ global initiative for chronic obstructive lung disease (GOLD) II and/or allergic asthma
    - Women of childbearing potential, pregnancy or breastfeeding

Trial summary

Enrollment Goal
11
Trial Dates
November 2013 - March 2015
Phase
Phase 2
Could I Receive a placebo
Yes
Products
Neladenoson Bialanate (BAY1067197)
Accepts Healthy Volunteer
No

Where to participate

StatusInstitutionLocation
Completed
GRONINGEN, 9700 RB, Netherlands

Primary Outcome

  • Number of patients with occurrence of AV-Block > I°
    date_rangeTime Frame:
    up to 48 hours
    enhanced_encryption
    Safety Issue:
    Yes

Secondary Outcome

  • Pharmacokinetic profile determined by tmax
    date_rangeTime Frame:
    up to 24 hours
    enhanced_encryption
    Safety Issue:
    No
  • Pharmacokinetic profile determined by t1/2
    date_rangeTime Frame:
    up to 22 days
    enhanced_encryption
    Safety Issue:
    No
  • Heart rate
    date_rangeTime Frame:
    multiple time points up to 24 hours
    enhanced_encryption
    Safety Issue:
    No
  • Blood pressure
    date_rangeTime Frame:
    multiple time points up to 24 hours
    enhanced_encryption
    Safety Issue:
    No
  • Number of participants with adverse events as a measure of safety and tolerability
    date_rangeTime Frame:
    up to 48 hours
    enhanced_encryption
    Safety Issue:
    Yes

Trial design

A single blind, placebo controlled pilot study to explore the safety and tolerability of a single oral dose of 30 mg BAY1067197 in patients with chronic heart failure on the background of preexisting beta-blocker therapy
Trial Type
Interventional
Intervention Type
Drug
Trial Purpose
Treatment
Allocation
N/A
Blinding
Single Blind
Assignment
Single Group Assignment
Trial Arms
1