COSMIC-HF - Chronic Oral Study of Myosin Activation to In... | NCT01786512 | Trialant
NCT01786512
Sponsor
Cytokinetics
Status
Completed
Last Update Posted
Aug 12, 2021Actual
Enrollment
544Actual
Phase
Phase 2
Conditions
Modified Release Oral Formulation
Left Ventricular Systolic Dysfunction
Chronic Heart Failure
History of Chronic Heart Failure
Left Ventricular Ejection Fraction
Pharmacokinetics
Echocardiogram
Interventions
Omecamtiv Mecarbil Matrix F1 Formulation
Omecamtiv Mecarbil Matrix F2 Formulation
Placebo
Omecamtiv Mecarbil Swellable Core Technology F2
Countries
United States
Australia
Belgium
Bulgaria
Canada
Czechia
Germany
Hungary
Italy
Lithuania
Netherlands
Poland
United Kingdom
Protocol Section
Identification Module
NCT ID
NCT01786512
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
20110151
Secondary IDs
ID
Type
Description
Link
2012-000327-40
EudraCT Number
Brief Title
COSMIC-HF - Chronic Oral Study of Myosin Activation to Increase Contractility in Heart Failure
Official Title
A Double-blind, Randomized, Placebo-controlled, Multicenter, Dose Escalation Study to Select and Evaluate an Oral Modified Release Formulation of Omecamtiv Mecarbil in Subjects With Heart Failure and Left Ventricular Systolic Dysfunction
Acronym
COSMIC-HF
Organization
CytokineticsINDUSTRY
Status Module
Record Verification Date
Jul 2021
Overall Recruitment Status or Expanded Access Status
Completed
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Not provided
Expanded Access Info
No
Start Date
Feb 26, 2013Actual
Primary Completion Date
Jul 22, 2015Actual
Completion Date
Aug 19, 2015Actual
First Submitted Date
Jan 18, 2013
First Submission Date that Met QC Criteria
Feb 6, 2013
First Posted Date
Feb 8, 2013Estimated
Results Waived
Not provided
Results First Submitted Date
Apr 23, 2021
Results First Submitted that Met QC Criteria
Apr 23, 2021
Results First Posted Date
May 17, 2021Actual
Certification/Extension (aka Delayed Results) First Submitted Date
Mar 7, 2016
Certification/Extension First Submitted that Passed QC Review
Mar 7, 2016
Certification/Extension First Posted Date
Apr 4, 2016Estimated
Last Update Submitted Date
Jul 25, 2021
Last Update Posted Date
Aug 12, 2021Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
CytokineticsINDUSTRY
Collaborators
Not provided
Oversight Module
Has Data Monitoring Committee (DMC)
Yes
Is FDA Regulated Drug
Not provided
Is FDA Regulated Device
Not provided
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
The primary objectives of this study are (i) to select an oral modified release (MR) formulation and dose of omecamtiv mecarbil for chronic twice daily (BID) dosing in adults with heart failure and left ventricular systolic dysfunction and (ii) to characterize its pharmacokinetics (PK) over 20 weeks of treatment.
Detailed Description
Omecamtiv mecarbil (AMG 423, CK-1827452) is a novel small molecule that increases cardiac contractility by selectively and directly activating the enzymatic domain of cardiac myosin heavy chain, the force-generating motor protein of the cardiac sarcomere. This is a randomized, placebo-controlled, multicenter, phase 2 study, consisting of a dose escalation phase to select 1 of 3 omecamtiv mecarbil oral formulations in 2 dose escalation cohorts, followed by an expansion phase to evaluate 20 weeks of administration of the selected omecamtiv mecarbil formulation at 2 target dose levels, compared with placebo.
This study was conducted by Amgen as the IND holder, with Cytokinetics as a collaborator. Due to the termination of the collaboration agreement between Amgen and Cytokinetics in May 2021 and subsequent transfer of the omecamtiv mecarbil IND from Amgen to Cytokinetics, Cytokinetics is now listed as the sponsor.
Conditions Module
Conditions
Modified Release Oral Formulation
Left Ventricular Systolic Dysfunction
Chronic Heart Failure
History of Chronic Heart Failure
Left Ventricular Ejection Fraction
Pharmacokinetics
Echocardiogram
Keywords
Pharmacokinetics
Omecamtiv mecarbil
AMG 423
Double-blind
Randomized
Placebo-controlled
Oral forumlation
CK-1827452
Cardiac myosin activator
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 2
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
544Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
Dose-escalation Cohort 1: Placebo
Placebo Comparator
Participants received placebo tablets twice a day (BID) for 7 days.
Dose Escalation Phase: Maximum Observed Plasma Concentration (Cmax) of Omecamtiv Mecarbil Following the Last Dose (Day 7)
Day 7 at predose and at 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 48, and 72 hours, and 7 days post-dose.
Dose Escalation Phase: Time to Maximum Observed Plasma Concentration (Tmax) of Omecamtiv Mecarbil Following the Last Dose (Day 7)
Day 7 at predose and at 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 48, and 72 hours, and 7 days post-dose.
Dose Escalation Phase: Plasma Concentration of Omecamtiv Mecarbil Prior to Dosing on Day 7
Day 7 at predose
Dose Escalation Phase: Area Under the Plasma Concentration-time Curve for a Dosing Interval of 12 Hours Post Dose (AUC12) for Omecamtiv Mecarbil
Day 7 at predose and at 0.5, 1, 2, 3, 4, 6, 8, and 12 hours post-dose
Expansion Phase: Plasma Concentration of Omecamtiv Mecarbil Prior to Dosing
Predose (before morning dose) at weeks 2, 8, 12, 16, and 20
Expansion Phase: Maximum Observed Plasma Concentration of Omecamtiv Mecarbil
Weeks 2 and 12 at predose and 1, 2, 4, 6, and 8 hours post-dose.
Secondary Outcomes
Measure
Description
Time Frame
Expansion Phase: Change From Baseline in Systolic Ejection Time (SET) at Week 20
Systolic ejection time was measured using echocardiography. Least squares means are from a repeated measures model including treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates.
Baseline and week 20
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
History of chronic heart failure (HF), defined as requiring treatment for HF for a minimum of 4 weeks prior to screening
Treated with stable, optimal pharmacological therapy for ≥ 4 weeks
History of left ventricular ejection fraction (LVEF) ≤ 40%
In each of the dose-escalation cohorts participants were randomized equally to receive 1 of the 3 formulations of OM or placebo. In the expansion phase participants were randomized equally to receive 25 mg oral OM twice daily (fixed-dose group), 25 mg oral OM twice daily titrated up to 50 mg twice daily (pharmacokinetic-titration group), or oral placebo. Randomization in both phases was stratified by presence or absence of atrial fibrillation/flutter.
Recruitment Details
Participants with chronic heart failure treated with stable, optimal pharmacological therapy for ≥ 4 weeks were enrolled from February 2013 to March 2015 at 86 centers in 13 countries in Europe, Australia, and North America.
The study consisted of a dose-escalation phase to select 1 of 3 omecamtiv mecarbil (OM) oral formulations in 2 dose cohorts, and an expansion phase to evaluate 20 weeks of treatment with the selected formulation at 2 target dose levels, compared with placebo.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
FG000
Dose-escalation Cohort 1: Placebo
Participants received placebo tablets twice a day (BID) for 7 days.
Participants received placebo tablets twice a day for 20 weeks.
Drug: Placebo
Expansion Phase: Omecamtiv Mecarbil 25 mg M-F1
Experimental
Participants received 25 mg omecamtiv mecarbil M-F1 tablets twice a day for 20 weeks.
Drug: Omecamtiv Mecarbil Matrix F1 Formulation
Expansion Phase: OM M-F1 PK-based Titration
Experimental
All participants received 25 mg omecamtiv mecarbil M-F1 tablets twice a day. At week 8 the dose escalated to 50 mg twice a day if the week 2 predose plasma concentration of OM was less than the predefined cutoff of 200 ng/mL.
Expansion Phase: Change From Baseline in Stroke Volume at Week 20
Stroke volume was measured using echocardiography. Least squares means are from a repeated measures model including treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates.
Baseline and week 20
Expansion Phase: Change From Baseline in Left Ventricular End Systolic Diameter (LVESD) at Week 20
LVESD was measured using echocardiography. Least squares means are from a repeated measures model including treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates.
Baseline and week 20
Expansion Phase: Change From Baseline in Left Ventricular End Diastolic Diameter (LVEDD) at Week 20
LVEDD was measured using echocardiography. Least squares means are from a repeated measures model including treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates.
Baseline and week 20
Expansion Phase: Change From Baseline in Heart Rate at Week 20
Heart rate was measured using electrocardiography. Least squares means are from a repeated measures model including treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates.
Baseline and week 20
Expansion Phase: Change From Baseline in N-terminal Prohormone B-type Natriuretic Peptide (NT-proBNP) at Week 20
Least squares means are from a repeated measures model including treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates.
Baseline and week 20
Dose Escalation Phase: Number of Participants With Treatment-emergent Adverse Events
An adverse event (AE) is defined as any untoward medical occurrence in a clinical trial participant, including worsening of a preexisting medical condition. The event does not necessarily have a causal relationship with study treatment. Laboratory value changes that required treatment or adjustment in current therapy were considered adverse events.
Each adverse event was graded for severity according to the Common Terminology Criteria for Adverse Events (CTCAE), where Grade 1 = Mild AE, Grade 2 = Moderate AE, Grade 3 = Severe AE, and Grade 4 = life-threatening AE.
A serious adverse event is defined as an adverse event that met at least 1 of the following serious criteria:
fatal
life threatening
required in-patient hospitalization or prolongation of existing hospitalization
resulted in persistent or significant disability/incapacity
congenital anomaly/birth defect
other medically important serious event
From first dose of study drug to 4 weeks after last dose; treatment duration was 7 days in the dose escalation phase.
Expansion Phase: Number of Participants With Treatment-emergent Adverse Events
An adverse event is defined as any untoward medical occurrence in a clinical trial participant, including worsening of a preexisting medical condition. The event does not necessarily have a causal relationship with study treatment. Laboratory value changes that required treatment or adjustment in current therapy were considered adverse events.
Each adverse event was graded for severity according to the Common Terminology Criteria for Adverse Events (CTCAE), where Grade 1 = Mild AE, Grade 2 = Moderate AE, Grade 3 = Severe AE, and Grade 4 = life-threatening AE.
A serious adverse event is defined as an adverse event that met at least 1 of the following serious criteria:
fatal
life threatening
required in-patient hospitalization or prolongation of existing hospitalization
resulted in persistent or significant disability/incapacity
congenital anomaly/birth defect
other medically important serious event
From first dose of study drug until 4 weeks after last dose; treatment duration was 20 weeks in the expansion phase.
Costa Mesa
California
92626
United States
Research Site
Fresno
California
93721
United States
Research Site
Inglewood
California
90301
United States
Research Site
La Jolla
California
92037
United States
Research Site
Los Angeles
California
90033
United States
Research Site
Thousand Oaks
California
91360
United States
Research Site
Tustin
California
92780
United States
Research Site
Danbury
Connecticut
06810
United States
Research Site
Newark
Delaware
19718
United States
Research Site
Atlantis
Florida
33462
United States
Research Site
Aventura
Florida
33180
United States
Research Site
Clearwater
Florida
33756
United States
Research Site
Miami
Florida
33136
United States
Research Site
Tampa
Florida
33606
United States
Research Site
Atlanta
Georgia
30322
United States
Research Site
Macon
Georgia
31201
United States
Research Site
Chicago
Illinois
60612
United States
Research Site
Auburn
Maine
04210
United States
Research Site
Baltimore
Maryland
21201
United States
Research Site
Detroit
Michigan
48202
United States
Research Site
Petoskey
Michigan
49770
United States
Research Site
Minneapolis
Minnesota
55415
United States
Research Site
Minneapolis
Minnesota
55417
United States
Research Site
St Louis
Missouri
63110
United States
Research Site
Las Vegas
Nevada
89128
United States
Research Site
Cortlandt Manor
New York
10567
United States
Research Site
The Bronx
New York
10467
United States
Research Site
Chapel Hill
North Carolina
27599
United States
Research Site
Durham
North Carolina
27705
United States
Research Site
Oklahoma City
Oklahoma
73120
United States
Research Site
Portland
Oregon
97239
United States
Research Site
Greenville
South Carolina
29605
United States
Research Site
Nashville
Tennessee
37232-8802
United States
Research Site
Tullahoma
Tennessee
37388
United States
Research Site
Houston
Texas
77030
United States
Research Site
Seattle
Washington
98195
United States
Research Site
Madison
Wisconsin
53792
United States
Research Site
Darlinghurst
New South Wales
2010
Australia
Research Site
Nedlands
Western Australia
6009
Australia
Research Site
Antwerp
2020
Belgium
Research Site
Bonheiden
2820
Belgium
Research Site
Ghent
9000
Belgium
Research Site
Ieper
8900
Belgium
Research Site
Liège
4000
Belgium
Research Site
Kazanlak
6100
Bulgaria
Research Site
Pazardzhik
4700
Bulgaria
Research Site
Plovdiv
4002
Bulgaria
Research Site
Sandanski
2800
Bulgaria
Research Site
Sliven
8800
Bulgaria
Research Site
Smolyan
4400
Bulgaria
Research Site
Sofia
1527
Bulgaria
Research Site
Edmonton
Alberta
T6G 2B7
Canada
Research Site
Winnipeg
Manitoba
R2H 2A6
Canada
Research Site
St. John's
Newfoundland and Labrador
A1B 3V6
Canada
Research Site
Halifax
Nova Scotia
B3H 3A7
Canada
Research Site
Ottawa
Ontario
K1Y 4W7
Canada
Research Site
Montreal
Quebec
H3G 1A4
Canada
Research Site
Québec
Quebec
G1V 4G5
Canada
Research Site
Sherbrooke
Quebec
J1G 2E8
Canada
Research Site
Trois-Rivières
Quebec
G8T 7A1
Canada
Research Site
Brno
625 00
Czechia
Research Site
Brno
636 00
Czechia
Research Site
Olomouc
771 11
Czechia
Research Site
Prague
128 08
Czechia
Research Site
Prague
140 21
Czechia
Research Site
Svitavy
568 25
Czechia
Research Site
Teplice
415 29
Czechia
Research Site
Bad Krozingen
79189
Germany
Research Site
Bad Nauheim
61231
Germany
Research Site
Berlin
13353
Germany
Research Site
Dortmund
44137
Germany
Research Site
Greifswald
17475
Germany
Research Site
Budapest
1027
Hungary
Research Site
Budapest
1125
Hungary
Research Site
Budapest
1135
Hungary
Research Site
Jászberény
5100
Hungary
Research Site
Zalaegerszeg
8900
Hungary
Research Site
Brescia
25125
Italy
Research Site
Pavia
27100
Italy
Research Site
Verona
37134
Italy
Research Site
Kaunas
50009
Lithuania
Research Site
Vilnius
08661
Lithuania
Research Site
Amersfoort
3813 TZ
Netherlands
Research Site
Groningen
9713 GZ
Netherlands
Research Site
Utrecht
3584 CX
Netherlands
Research Site
Bialystok
15-276
Poland
Research Site
Krakow
31-202
Poland
Research Site
Krakow
31-501
Poland
Research Site
Kłodzko
57-300
Poland
Research Site
Lublin
20-954
Poland
Research Site
Ruda Śląska
41-703
Poland
Research Site
Warsaw
04-256
Poland
Research Site
Wroclaw
50-981
Poland
Research Site
Dudley
DY1 2HQ
United Kingdom
Research Site
Dundee
DD1 9SY
United Kingdom
Research Site
Glasgow
G11 6NT
United Kingdom
Research Site
Harrow
HA1 3UJ
United Kingdom
Research Site
Leicester
LE3 9QP
United Kingdom
Research Site
Liverpool
L14 3PE
United Kingdom
Research Site
London
EC1M 6BQ
United Kingdom
Derived
Biering-Sorensen T, Minamisawa M, Liu J, Claggett B, Papolos AI, Felker GM, McMurray JJV, Legg JC, Malik FI, Honarpour N, Kurtz CE, Teerlink JR, Solomon SD. The effect of the cardiac myosin activator, omecamtiv mecarbil, on right ventricular structure and function in chronic systolic heart failure (COSMIC-HF). Eur J Heart Fail. 2021 Jun;23(6):1052-1056. doi: 10.1002/ejhf.2181. Epub 2021 May 5. No abstract available.
Felker GM, Solomon SD, McMurray JJV, Cleland JGF, Abbasi SA, Malik FI, Zhang H, Globe G, Teerlink JR; COSMIC-HF Investigators. Effects of Omecamtiv Mecarbil on Symptoms and Health-Related Quality of Life in Patients With Chronic Heart Failure: Results From the COSMIC-HF Study. Circ Heart Fail. 2020 Dec;13(12):e007814. doi: 10.1161/CIRCHEARTFAILURE.120.007814. Epub 2020 Nov 12.
Participants received 50 mg omecamtiv mecarbil SCT-F2 tablets twice a day for 7 days.
FG008
Expansion Phase: Placebo
Participants received placebo tablets twice a day for 20 weeks.
FG009
Expansion Phase: Omecamtiv Mecarbil 25 mg
Participants received 25 mg omecamtiv mecarbil M-F1 tablets twice a day for 20 weeks.
FG010
Expansion Phase: OM PK-based Titration
Participants received 25 mg omecamtiv mecarbil M-F1 tablets twice a day. At week 8 the dose escalated to 50 mg twice a day if the week 2 predose plasma concentration of OM was less than the predefined cutoff of 200 ng/mL.
FG00011 subjects
FG00111 subjects
FG00214 subjects
FG00313 subjects
FG00410 subjects
FG00511 subjects
FG00612 subjects
FG00714 subjects
FG008149 subjects
FG009150 subjects
FG010149 subjects
Received Study Treatment
FG00011 subjects
FG00110 subjects
FG00214 subjects
FG00313 subjects
FG00410 subjects
FG00511 subjects
FG00611 subjects
FG00714 subjects
FG008149 subjects
FG009150 subjects
FG010146 subjects
COMPLETED
FG00011 subjects
FG00110 subjects
FG00214 subjects
FG00313 subjects
FG00410 subjects
FG00511 subjects
FG00611 subjects
FG00714 subjects
FG008145 subjects
FG009145 subjects
FG010137 subjects
NOT COMPLETED
FG0000 subjects
FG0011 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0061 subjects
FG0070 subjects
FG0084 subjects
FG0095 subjects
FG01012 subjects
Type
Comment
Reasons
Lost to Follow-up
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG0040 subjects
FG0050 subjects
FG0060 subjects
FG0070 subjects
FG0080 subjects
FG0091 subjects
FG0100 subjects
Decision by sponsor
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Withdrawal by Subject
FG0000 subjects
FG0011 subjects
FG0020 subjects
FG0030 subjects
FG004
Death
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
FG004
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Dose-escalation Cohort 1: Placebo
Participants received placebo tablets twice a day (BID) for 7 days.
Participants received 50 mg omecamtiv mecarbil SCT-F2 tablets twice a day for 7 days.
BG008
Expansion Phase: Placebo
Participants received placebo tablets twice a day for 20 weeks.
BG009
Expansion Phase: Omecamtiv Mecarbil 25 mg
Participants received 25 mg omecamtiv mecarbil M-F1 tablets twice a day for 20 weeks.
BG010
Expansion Phase: OM PK-based Titration
Participants received 25 mg omecamtiv mecarbil M-F1 tablets twice a day. At week 8 the dose escalated to 50 mg twice a day if the week 2 predose plasma concentration of OM was less than the predefined cutoff of 200 ng/mL.
BG011
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG00011
BG00111
BG00214
BG00313
BG00410
BG00511
BG00612
BG00714
BG008149
BG009150
BG010149
BG011544
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Continuous
Mean
Standard Deviation
years
Title
Denominators
Categories
Title
Measurements
BG00066.5± 4.6
BG00167.7± 11.4
BG00265.3± 8.8
BG003
Age, Customized
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
18 - 64 years
BG0003
BG0014
BG002
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Female
BG0002
BG0012
BG002
Ethnicity (NIH/OMB)
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Hispanic or Latino
BG0000
BG0011
BG002
Race/Ethnicity, Customized
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
American Indian or Alaska Native
BG0000
BG0010
BG002
Stratification Factor - Atrial Fibrillation/Flutter at Randomization
Count of Participants
Participants
Title
Denominators
Categories
Title
Measurements
Yes
BG0000
BG0010
BG002
Type
Title
Description
Population Description
Reporting Status
Anticipated Posting Date
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Time Frame
Units Analyzed
Denominator Units Selected
Arm/Group Information
Denominators
Classes
Analyses
Primary
Dose Escalation Phase: Maximum Observed Plasma Concentration (Cmax) of Omecamtiv Mecarbil Following the Last Dose (Day 7)
The pharmacokinetic analysis set (PKAS) included all randomized participants who received at least 1 dose of OM and had at least 1 evaluable OM PK parameter.
Posted
Mean
Standard Deviation
ng/mL
Day 7 at predose and at 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 48, and 72 hours, and 7 days post-dose.
Participants received 50 mg omecamtiv mecarbil M-F1 tablets twice a day for 7 days.
Primary
Expansion Phase: Plasma Concentration of Omecamtiv Mecarbil Prior to Dosing
Pharmacokinetic analysis set with available data at each time point.
Posted
Mean
Standard Deviation
ng/mL
Predose (before morning dose) at weeks 2, 8, 12, 16, and 20
ID
Title
Description
OG000
Expansion Phase: Omecamtiv Mecarbil 25 mg
Participants received 25 mg omecamtiv mecarbil M-F1 tablets twice a day for 20 weeks.
OG001
Expansion Phase: OM PK-based Titration
Participants received 25 mg omecamtiv mecarbil M-F1 tablets twice a day. At week 8 the dose escalated to 50 mg twice a day if the week 2 predose plasma concentration of OM was less than the predefined cutoff of 200 ng/mL.
Units
Counts
Participants
OG000
Primary
Expansion Phase: Maximum Observed Plasma Concentration of Omecamtiv Mecarbil
Pharmacokinetic analysis set with available data at each time point.
Posted
Mean
Standard Deviation
ng/mL
Weeks 2 and 12 at predose and 1, 2, 4, 6, and 8 hours post-dose.
ID
Title
Description
OG000
Expansion Phase: Omecamtiv Mecarbil 25 mg
Participants received 25 mg omecamtiv mecarbil M-F1 tablets twice a day for 20 weeks.
OG001
Expansion Phase: OM PK-based Titration
Participants received 25 mg omecamtiv mecarbil M-F1 tablets twice a day. At week 8 the dose escalated to 50 mg twice a day if the week 2 predose plasma concentration of OM was less than the predefined cutoff of 200 ng/mL.
Units
Counts
Participants
OG000
Secondary
Expansion Phase: Change From Baseline in Systolic Ejection Time (SET) at Week 20
Systolic ejection time was measured using echocardiography. Least squares means are from a repeated measures model including treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates.
The full analysis set (FAS) included all randomized participants who received at least 1 dose of study drug. The repeated-measures model included all observed values.
Posted
Least Squares Mean
Standard Error
seconds
Baseline and week 20
ID
Title
Description
OG000
Expansion Phase: Placebo
Participants received placebo tablets twice a day for 20 weeks.
OG001
Expansion Phase: Omecamtiv Mecarbil 25 mg
Participants received 25 mg omecamtiv mecarbil M-F1 tablets twice a day for 20 weeks.
OG002
Expansion Phase: OM PK-based Titration
Participants received 25 mg omecamtiv mecarbil M-F1 tablets twice a day. At week 8 the dose escalated to 50 mg twice a day if the week 2 predose plasma concentration of OM was less than the predefined cutoff of 200 ng/mL.
Secondary
Expansion Phase: Change From Baseline in Stroke Volume at Week 20
Stroke volume was measured using echocardiography. Least squares means are from a repeated measures model including treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates.
The full analysis set included all randomized participants who received at least 1 dose of study drug. The repeated-measures model included all observed values.
Posted
Least Squares Mean
Standard Error
mL
Baseline and week 20
ID
Title
Description
OG000
Expansion Phase: Placebo
Participants received placebo tablets twice a day for 20 weeks.
OG001
Expansion Phase: Omecamtiv Mecarbil 25 mg
Participants received 25 mg omecamtiv mecarbil M-F1 tablets twice a day for 20 weeks.
OG002
Expansion Phase: OM PK-based Titration
Participants received 25 mg omecamtiv mecarbil M-F1 tablets twice a day. At week 8 the dose escalated to 50 mg twice a day if the week 2 predose plasma concentration of OM was less than the predefined cutoff of 200 ng/mL.
Secondary
Expansion Phase: Change From Baseline in Left Ventricular End Systolic Diameter (LVESD) at Week 20
LVESD was measured using echocardiography. Least squares means are from a repeated measures model including treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates.
The full analysis set included all randomized participants who received at least 1 dose of study drug. The repeated-measures model included all observed values.
Posted
Least Squares Mean
Standard Error
cm
Baseline and week 20
ID
Title
Description
OG000
Expansion Phase: Placebo
Participants received placebo tablets twice a day for 20 weeks.
OG001
Expansion Phase: Omecamtiv Mecarbil 25 mg
Participants received 25 mg omecamtiv mecarbil M-F1 tablets twice a day for 20 weeks.
OG002
Expansion Phase: OM PK-based Titration
Participants received 25 mg omecamtiv mecarbil M-F1 tablets twice a day. At week 8 the dose escalated to 50 mg twice a day if the week 2 predose plasma concentration of OM was less than the predefined cutoff of 200 ng/mL.
Secondary
Expansion Phase: Change From Baseline in Left Ventricular End Diastolic Diameter (LVEDD) at Week 20
LVEDD was measured using echocardiography. Least squares means are from a repeated measures model including treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates.
The full analysis set included all randomized participants who received at least 1 dose of study drug. The repeated-measures model included all observed values.
Posted
Least Squares Mean
Standard Error
cm
Baseline and week 20
ID
Title
Description
OG000
Expansion Phase: Placebo
Participants received placebo tablets twice a day for 20 weeks.
OG001
Expansion Phase: Omecamtiv Mecarbil 25 mg
Participants received 25 mg omecamtiv mecarbil M-F1 tablets twice a day for 20 weeks.
OG002
Expansion Phase: OM PK-based Titration
Participants received 25 mg omecamtiv mecarbil M-F1 tablets twice a day. At week 8 the dose escalated to 50 mg twice a day if the week 2 predose plasma concentration of OM was less than the predefined cutoff of 200 ng/mL.
Secondary
Expansion Phase: Change From Baseline in Heart Rate at Week 20
Heart rate was measured using electrocardiography. Least squares means are from a repeated measures model including treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates.
The full analysis set included all randomized participants who received at least 1 dose of study drug. The repeated-measures model included all observed values.
Posted
Least Squares Mean
Standard Error
bpm
Baseline and week 20
ID
Title
Description
OG000
Expansion Phase: Placebo
Participants received placebo tablets twice a day for 20 weeks.
OG001
Expansion Phase: Omecamtiv Mecarbil 25 mg
Participants received 25 mg omecamtiv mecarbil M-F1 tablets twice a day for 20 weeks.
OG002
Expansion Phase: OM PK-based Titration
Participants received 25 mg omecamtiv mecarbil M-F1 tablets twice a day. At week 8 the dose escalated to 50 mg twice a day if the week 2 predose plasma concentration of OM was less than the predefined cutoff of 200 ng/mL.
Secondary
Expansion Phase: Change From Baseline in N-terminal Prohormone B-type Natriuretic Peptide (NT-proBNP) at Week 20
Least squares means are from a repeated measures model including treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates.
The full analysis set included all randomized participants who received at least 1 dose of study drug. The repeated-measures model included all observed values.
Posted
Least Squares Mean
Standard Error
pg/mL
Baseline and week 20
ID
Title
Description
OG000
Expansion Phase: Placebo
Participants received placebo tablets twice a day for 20 weeks.
OG001
Expansion Phase: Omecamtiv Mecarbil 25 mg
Participants received 25 mg omecamtiv mecarbil M-F1 tablets twice a day for 20 weeks.
OG002
Expansion Phase: OM PK-based Titration
Participants received 25 mg omecamtiv mecarbil M-F1 tablets twice a day. At week 8 the dose escalated to 50 mg twice a day if the week 2 predose plasma concentration of OM was less than the predefined cutoff of 200 ng/mL.
Secondary
Dose Escalation Phase: Number of Participants With Treatment-emergent Adverse Events
An adverse event (AE) is defined as any untoward medical occurrence in a clinical trial participant, including worsening of a preexisting medical condition. The event does not necessarily have a causal relationship with study treatment. Laboratory value changes that required treatment or adjustment in current therapy were considered adverse events.
Each adverse event was graded for severity according to the Common Terminology Criteria for Adverse Events (CTCAE), where Grade 1 = Mild AE, Grade 2 = Moderate AE, Grade 3 = Severe AE, and Grade 4 = life-threatening AE.
A serious adverse event is defined as an adverse event that met at least 1 of the following serious criteria:
fatal
life threatening
required in-patient hospitalization or prolongation of existing hospitalization
resulted in persistent or significant disability/incapacity
congenital anomaly/birth defect
other medically important serious event
Participants randomized in the dose-escalation phase who received at least 1 dose of study drug.
Posted
Count of Participants
Participants
From first dose of study drug to 4 weeks after last dose; treatment duration was 7 days in the dose escalation phase.
ID
Title
Description
OG000
Dose-escalation Cohort 1: Placebo
Participants received placebo tablets twice a day (BID) for 7 days.
Expansion Phase: Number of Participants With Treatment-emergent Adverse Events
An adverse event is defined as any untoward medical occurrence in a clinical trial participant, including worsening of a preexisting medical condition. The event does not necessarily have a causal relationship with study treatment. Laboratory value changes that required treatment or adjustment in current therapy were considered adverse events.
Each adverse event was graded for severity according to the Common Terminology Criteria for Adverse Events (CTCAE), where Grade 1 = Mild AE, Grade 2 = Moderate AE, Grade 3 = Severe AE, and Grade 4 = life-threatening AE.
A serious adverse event is defined as an adverse event that met at least 1 of the following serious criteria:
fatal
life threatening
required in-patient hospitalization or prolongation of existing hospitalization
resulted in persistent or significant disability/incapacity
congenital anomaly/birth defect
other medically important serious event
All participants randomized in the expansion phase who received at least 1 dose of study drug.
Posted
Count of Participants
Participants
From first dose of study drug until 4 weeks after last dose; treatment duration was 20 weeks in the expansion phase.
ID
Title
Description
OG000
Expansion Phase: Placebo
Participants received placebo tablets twice a day for 20 weeks.
OG001
Expansion Phase: Omecamtiv Mecarbil 25 mg
Participants received 25 mg omecamtiv mecarbil M-F1 tablets twice a day for 20 weeks.
Time Frame
From first dose of study drug to 4 weeks after last dose; treatment duration was 7 days in the dose escalation phase and 20 weeks in the expansion phase.
Description
Serious adverse events and other adverse events are reported for all participants who received at least one dose of study drug.
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
Dose-escalation Cohort 1: Placebo
Participants received placebo tablets BID for 7 days.
Participants received 50 mg omecamtiv mecarbil SCT-F2 tablets twice a day for 7 days.
1
14
4
14
EG008
Expansion Phase: Placebo
Participants received placebo tablets twice a day for 20 weeks.
30
149
48
149
EG009
Expansion Phase: Omecamtiv Mecarbil 25 mg
Participants received 25 mg omecamtiv mecarbil M-F1 tablets twice a day for 20 weeks.
36
150
51
150
EG010
Expansion Phase: OM PK-based Titration
Participants received 25 mg omecamtiv mecarbil M-F1 tablets twice a day. At week 8 the dose escalated to 50 mg twice a day if the week 2 predose plasma concentration of OM was less than the predefined cutoff of 200 ng/mL.
32
146
48
146
Serious Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Anaemia
Blood and lymphatic system disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG0030 affected13 at risk
EG0040 affected10 at risk
EG0050 affected11 at risk
EG0060 affected11 at risk
EG0070 affected14 at risk
EG0080 affected149 at risk
EG0090 affected150 at risk
EG0101 affected146 at risk
Acute myocardial infarction
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Angina pectoris
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Angina unstable
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Atrial fibrillation
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Atrial flutter
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Cardiac arrest
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Cardiac asthma
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Cardiac failure
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Cardiac failure acute
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Cardiac failure chronic
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Cardiac failure congestive
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Cardio-respiratory distress
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Coronary artery disease
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Ischaemic cardiomyopathy
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Left ventricular dysfunction
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Myocardial infarction
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Myocardial ischaemia
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Palpitations
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Pericardial effusion
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Supraventricular tachycardia
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Ventricular fibrillation
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Ventricular tachycardia
Cardiac disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Vertigo positional
Ear and labyrinth disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Gastrointestinal haemorrhage
Gastrointestinal disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Inguinal hernia
Gastrointestinal disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Pancreatitis acute
Gastrointestinal disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Cardiac complication associated with device
General disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Chest discomfort
General disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Death
General disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Impaired healing
General disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Non-cardiac chest pain
General disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Cholecystitis acute
Hepatobiliary disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Hepatic congestion
Hepatobiliary disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Hepatic failure
Hepatobiliary disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Abscess limb
Infections and infestations
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Appendicitis
Infections and infestations
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Arthritis bacterial
Infections and infestations
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Bronchitis
Infections and infestations
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Bronchopneumonia
Infections and infestations
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Cellulitis
Infections and infestations
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0021 affected14 at risk
EG003
Gangrene
Infections and infestations
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Klebsiella sepsis
Infections and infestations
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Pneumonia
Infections and infestations
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Pneumonia bacterial
Infections and infestations
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Prostate infection
Infections and infestations
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Respiratory tract infection
Infections and infestations
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Upper respiratory tract infection
Infections and infestations
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Urinary tract infection bacterial
Infections and infestations
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Laceration
Injury, poisoning and procedural complications
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Ulnar nerve injury
Injury, poisoning and procedural complications
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Vascular pseudoaneurysm
Injury, poisoning and procedural complications
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Alanine aminotransferase increased
Investigations
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Aspartate aminotransferase increased
Investigations
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Blood creatinine increased
Investigations
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Troponin I increased
Investigations
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Troponin increased
Investigations
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Diabetes mellitus inadequate control
Metabolism and nutrition disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Hypoglycaemia
Metabolism and nutrition disorders
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Bladder cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Carcinoma in situ of skin
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Lung neoplasm malignant
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Metastases to central nervous system
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Metastatic carcinoma of the bladder
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA 18.0
Systematic Assessment
EG0000 affected11 at risk
EG0010 affected10 at risk
EG0020 affected14 at risk
EG003
Tonsil cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
The Clinical Trial Agreement generally does not restrict an investigator's discussion of trial results after completion. The Agreement permits Amgen a limited period of time to review material discussing trial results (typically up to 45 days and possible extension). Amgen may remove confidential information, but authors have final control and approval of publication content. For multicenter studies, the investigator agrees not to publish any results before the first multi-center publication.
Participants received 50 mg omecamtiv mecarbil SCT-F2 tablets twice a day for 7 days.
Units
Counts
Participants
OG00010
OG00114
OG00213
OG00310
OG00411
OG00514
Title
Denominators
Categories
Title
Measurements
OG0002030± 658
OG0012000± 1020
OG0021740± 586
OG0035070± 1060
OG0045010± 1160
OG0056550± 2340
147
OG001141
Title
Denominators
Categories
Week 2
ParticipantsOG000142
ParticipantsOG001136
Title
Measurements
OG000174± 62.2
OG001179± 68.8
Week 8
ParticipantsOG000134
ParticipantsOG001130
Title
Measurements
OG000156± 69.1
OG001
Week 12
ParticipantsOG000135
ParticipantsOG001126
Title
Measurements
OG000165± 67.9
OG001
Week 16
ParticipantsOG000124
ParticipantsOG001119
Title
Measurements
OG000155± 69.0
OG001
Week 20
ParticipantsOG000131
ParticipantsOG001121
Title
Measurements
OG000149± 71.2
OG001
147
OG001141
Title
Denominators
Categories
Week 2
ParticipantsOG000146
ParticipantsOG001141
Title
Measurements
OG000212± 70.4
OG001212± 81.0
Week 12
ParticipantsOG000137
ParticipantsOG001127
Title
Measurements
OG000200± 71.1
OG001
Units
Counts
Participants
OG000149
OG001150
OG002146
Title
Denominators
Categories
Title
Measurements
OG0000.0000± 0.0025
OG0010.0112± 0.0024
OG0020.0250± 0.0026
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Repeated Measures
0.0007
Treatment difference
0.0112
Standard Error of the Mean
0.0033
2-Sided
95
0.0047
0.0176
Repeated measures model includes treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates.
Other
OG000
OG002
Repeated Measures
<0.0001
Treatment difference
0.0250
Standard Error of the Mean
0.0033
2-Sided
95
0.0184
0.0315
Repeated measures model includes treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates.
Other
Units
Counts
Participants
OG000149
OG001150
OG002146
Title
Denominators
Categories
Title
Measurements
OG000-1.05± 1.18
OG0013.53± 1.16
OG0022.58± 1.19
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Repeated Measures
0.0036
Treatment difference
4.58
Standard Error of the Mean
1.56
2-Sided
95
1.50
7.65
Repeated measures model includes treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates.
Other
OG000
OG002
Repeated Measures
0.0217
Treatment difference
3.63
Standard Error of the Mean
1.57
2-Sided
95
0.53
6.72
Repeated measures model includes treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates.
Other
Units
Counts
Participants
OG000149
OG001150
OG002146
Title
Denominators
Categories
Title
Measurements
OG000-0.242± 0.043
OG001-0.322± 0.044
OG002-0.421± 0.045
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Repeated Measures
0.1732
Treatment difference
-0.079
Standard Error of the Mean
0.058
2-Sided
95
-0.194
0.035
Repeated measures model includes treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates.
Other
OG000
OG002
Repeated Measures
0.0027
Treatment difference
-0.179
Standard Error of the Mean
0.059
2-Sided
95
-0.295
-0.062
Repeated measures model includes treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates.
Other
Units
Counts
Participants
OG000149
OG001150
OG002146
Title
Denominators
Categories
Title
Measurements
OG0000.089± 0.038
OG0010.023± 0.038
OG002-0.040± 0.040
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Repeated Measures
0.1899
Treatment difference
-0.067
Standard Error of the Mean
0.051
2-Sided
95
-0.166
0.033
Repeated measures model includes treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates.
Other
OG000
OG002
Repeated Measures
0.0128
Treatment difference
-0.129
Standard Error of the Mean
0.052
2-Sided
95
-0.231
-0.028
Repeated measures model includes treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates.
Other
Units
Counts
Participants
OG000149
OG001150
OG002146
Title
Denominators
Categories
Title
Measurements
OG0000.57± 0.79
OG001-0.77± 0.79
OG002-2.40± 0.81
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Repeated Measures
0.2177
Treatment difference
-1.34
Standard Error of the Mean
1.09
2-Sided
95
-3.47
0.79
Repeated measures model includes treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates.
Other
OG000
OG002
Repeated Measures
0.0070
Treatment difference
-2.97
Standard Error of the Mean
1.09
2-Sided
95
-5.12
-0.81
Repeated measures model includes treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates.
Other
Units
Counts
Participants
OG000149
OG001150
OG002146
Title
Denominators
Categories
Title
Measurements
OG000502± 257
OG001-319± 257
OG002-468± 262
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG001
Repeated Measures
0.0205
Treatment difference
-822
Standard Error of the Mean
353
2-Sided
95
-1516
-127
Repeated measures model includes treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates.
Other
OG000
OG002
Repeated Measures
0.0069
Treatment difference
-970
Standard Error of the Mean
357
2-Sided
95
-1672
-268
Repeated measures model includes treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates.
Other
Participants received 25 mg omecamtiv mecarbil (OM) Matrix F1 (M-F1) tablets twice a day for 7 days.
Participants received 50 mg omecamtiv mecarbil SCT-F2 tablets twice a day for 7 days.
Units
Counts
Participants
OG00011
OG00110
OG00214
OG00313
OG00410
OG00511
OG00611
OG00714
Title
Denominators
Categories
Any treatment-emergent adverse event (TEAE)
Title
Measurements
OG0004
OG0012
OG0026
OG0036
OG0041
OG0059
OG0063
OG0075
TEAE Grade ≥ 2
Title
Measurements
OG0000
OG0011
OG0021
OG003
TEAE Grade ≥ 3
Title
Measurements
OG0000
OG0010
OG0021
OG003
TEAE Grade ≥ 4
Title
Measurements
OG0000
OG0010
OG0020
OG003
Serious adverse events
Title
Measurements
OG0000
OG0010
OG0021
OG003
TEAE leading to discontinuation of study drug
Title
Measurements
OG0000
OG0010
OG0020
OG003
Fatal adverse events
Title
Measurements
OG0000
OG0010
OG0020
OG003
OG002
Expansion Phase: OM PK-based Titration
Participants received 25 mg omecamtiv mecarbil M-F1 tablets twice a day. At week 8 the dose escalated to 50 mg twice a day if the week 2 predose plasma concentration of OM was less than the predefined cutoff of 200 ng/mL.