Not provided
| ID | Type | Description | Link |
|---|---|---|---|
| 2013-002287-11 | EudraCT Number |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Objective of the study is to find the optimal dose of the once daily oral soluble guanylate cyclase stimulator (sGC) BAY1021189 for Phase III that can be given in addition to standard therapy for heart failure with reduced ejection fraction (HFrEF).
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Vericiguat (BAY1021189) (10 mg) | Experimental | 2.5 mg orally once daily for 2 weeks, up-titration to 5 mg orally once daily for 2 weeks, up-titration to 10 mg orally once daily for 8 weeks |
|
| Vericiguat (BAY1021189) (5 mg) | Experimental | 2.5 mg orally once daily for 2 weeks, then 5 mg orally once daily for 10 weeks (with sham titration) |
|
| Vericiguat (BAY1021189) (2.5 mg) | Experimental | 2.5 mg orally once daily for 12 weeks (with sham titrations) |
|
| Vericiguat (BAY1021189) (1.25 mg) | Experimental | 1.25 mg orally once daily for 12 weeks (with sham titrations) |
|
| Placebo | Placebo Comparator | Orally once daily for 12 weeks (with sham titrations) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Vericiguat (BAY1021189) (1.25 mg) | Drug | 1.25 mg BAY1021189 tablets |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Log-Transformed N-Terminal Pro-Brain Natriuretic Peptide (NTproBNP) to Week 12 | Log-Transformed N-Terminal Pro-Brain Natriuretic Peptide (NTproBNP) is a circulating plasma biomarker of cardiovascular function and prognosis in heart failure. | Baseline, Week 12 |
Not provided
| Measure | Description | Time Frame |
|---|---|---|
| Changes in Heart Function as Measured by Echocardiography, Left Ventricular End-Diastolic Volume (LVEDV), and Left Ventricular End-Systolic Volume (LVESV) From Baseline to Week 12 | Left Ventricular End-Diastolic Volume (LVEDV) and Left ventricular end-systolic volume (LVESV) are measured echocardiography parameter. These are acquired during a non-invasive echocardiography examination. | Baseline, Week 12 |
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Bayer Study Director | Bayer | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fountain Valley | California | 92708 | United States | |||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25056511 | Result | Pieske B, Butler J, Filippatos G, Lam C, Maggioni AP, Ponikowski P, Shah S, Solomon S, Kraigher-Krainer E, Samano ET, Scalise AV, Muller K, Roessig L, Gheorghiade M; SOCRATES Investigators and Coordinators. Rationale and design of the SOluble guanylate Cyclase stimulatoR in heArT failurE Studies (SOCRATES). Eur J Heart Fail. 2014 Sep;16(9):1026-38. doi: 10.1002/ejhf.135. Epub 2014 Jul 24. | |
| 26547357 |
Not provided
Not provided
Overall 632 subjects were enrolled, of them 176 were screen failure and 456 were randomized. One subject did not receive study drug after randomization. Among the 455 subjects who received study drug 348 completed the study (that is completed both the treatment and follow-up periods) and 108 subjects did not complete the study.
The study was conducted at 144 centers in 24 countries between 29 November 2013 (first subject first visit) and 09 June 2015 (last subject last visit).
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | Placebo | Subjects received placebo matched to vericiguat (Verquvo, BAY1021189) orally once daily for 12 weeks. Sham titrations included on Days 14 and 28. |
| FG001 | BAY1021189 1.25 Milligram (mg) |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Treatment Period |
|
Not provided
Not provided
Not provided
Not provided
Not provided
| Vericiguat (BAY1021189) (5 mg) | Drug | 5 mg BAY1021189 tablets |
|
| Placebo | Drug |
|
| Changes in Heart Function as Measured by Echocardiography, Left Ventricular Ejection Fraction (LVEF), From Baseline to Week 12 | The left ventricular ejection fraction work index (LVEF) is a calculated echocardiography parameter. LVEF is derived from the directly measured parameters left ventricular end-diastolic volume (LVEDV) and left ventricular end-systolic volume (LVESV). These 2 parameters are acquired during a noninvasive echocardiography examination. Formula: LVEF = 100*(LVEDV - LVESV)/LVEDV. | Baseline, Week 12 |
| Change From Baseline in Systolic and Diastolic Blood Pressure to Week 12 | Blood pressure was measured by monitor measurements after 10 minutes resting in a supine position (3 measurements taken approximately 2 minutes apart).The changes in blood pressure were recorded and the mean of the three measurements was analyzed. | Baseline, Week 12 |
| Change From Baseline in Heart Rate to Week 12 | Heart rate was measured after 10 minutes resting in a supine position (3 measurements taken approximately 2 minutes apart). The changes in heart rate were recorded and the mean of the three measurements was analyzed. | Baseline, Week 12 |
| Number of Subjects With Clinical Events (Heart Failure [HF] Hospitalization and Cardio-Vascular [CV] Mortality) | Clinical events (heart failure and mortality) were analyzed as CV death, and HF hospitalization at specified time points. | Baseline until 16 weeks |
| Number of Subjects With Implantable Cardioverter Defibrillators Cardiac Resynchronization Therapy With Defibrillation (ICD/CRT-D) Therapy | ICD / CRT with defibrillation therapy (CRT-D) included previous appropriate interventions such as shocks or anti-tachycardic pacing (ATP) when diagnostic of sustained ventricular tachycardias in pre defined rapid zone. | Baseline upto 16 weeks |
| Number of Subjects With Treatment-Emergent Adverse Events | An adverse event (AE) was any untoward medical occurrence in a subject who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; and another medically important serious event as judged by the investigator. AEs are considered to be treatment-emergent if they have started or worsened after first application of study drug up to 5 days after end of treatment with study drug. | From the start of study treatment upto 5 days after the last dose of study drug |
| Change in Biomarkers From Baseline to Week 12: Osteopontin (ng/mL) | Baseline, Week 12 |
| Change in Biomarkers From Baseline to Week 12: TIMP-4 (pg/mL) | TIMP-4: tissue inhibitor of matrix metalloproteinases 4 | Baseline, Week 12 |
| Change in Biomarkers From Baseline to Week 12: cGMP (Pmol/mL) | cGMP: cyclic guanosine monophosphate | Baseline, Week 12 |
| Change in Biomarkers From Baseline to Week 12: PIIINP (mcg/L) | PIIINP: pro-collagen III N-terminal peptide | Baseline, Week 12 |
| Change in Biomarkers From Baseline to Week 12: GDF-15 (pg/mL) | GDF-15: growth differentiation factor 15 | Baseline, Week 12 |
| Change in Biomarkers From Baseline to Week 12: ST2 (pg/mL) | ST2: suppression of tumorigenicity 2 | Baseline, Week 12 |
| Change in Biomarkers From Baseline to Week 12: Gal-3 (μg/mL) | Gal-3: Galectin-3 | Baseline, Week 12 |
| Wilmington |
| Delaware |
| 19803 |
| United States |
| Fort Lauderdale | Florida | 33308 | United States |
| Jacksonville | Florida | 32209 | United States |
| Naples | Florida | 34102 | United States |
| Atlanta | Georgia | 30342 | United States |
| Macon | Georgia | 31201 | United States |
| New Orleans | Louisiana | 70112-1396 | United States |
| Detroit | Michigan | 48202 | United States |
| Minneapolis | Minnesota | 55422 | United States |
| Jackson | Mississippi | 39216-4505 | United States |
| Buffalo | New York | 14215 | United States |
| Columbus | Ohio | 43210 | United States |
| Fairfield | Ohio | 45014 | United States |
| Charleston | South Carolina | 29425 | United States |
| Germantown | Tennessee | 38138 | United States |
| Nashville | Tennessee | 37232-8802 | United States |
| Milwaukee | Wisconsin | 53215 | United States |
| Darlinghurst | New South Wales | 2010 | Australia |
| Hobart | Tasmania | 7000 | Australia |
| Prahran | Victoria | 3181 | Australia |
| Sankt Pölten | Lower Austria | 3100 | Austria |
| Graz | Styria | 8036 | Austria |
| Linz | Upper Austria | 4020 | Austria |
| Salzburg | 5020 | Austria |
| Vienna | 1220 | Austria |
| Bruges | 8000 | Belgium |
| Bruxelles - Brussel | 1200 | Belgium |
| Ghent | 9000 | Belgium |
| Gilly | 6060 | Belgium |
| Huy | 4500 | Belgium |
| Mechelen | 2800 | Belgium |
| Mol | 2400 | Belgium |
| Roeselare | 8800 | Belgium |
| Sofia | 1202 | Bulgaria |
| Sofia | 1233 | Bulgaria |
| Sofia | 1309 | Bulgaria |
| Sofia | 1527 | Bulgaria |
| Stara Zagora | 6000 | Bulgaria |
| Toronto | Ontario | M5B 1W8 | Canada |
| Montreal | Quebec | H1T 1C8 | Canada |
| Montreal | Quebec | H2W 1T8 | Canada |
| Saint-Jean-sur-Richelieu | Quebec | J3A 1C3 | Canada |
| Sherbrooke | Quebec | J1G 2E8 | Canada |
| Québec | G1V 4G5 | Canada |
| Hradec Králové | 500 05 | Czechia |
| Kroměříž | 767 01 | Czechia |
| Fakultni nemocnice Ostrava | Ostrava | 708 52 | Czechia |
| Prague | 10034 | Czechia |
| Prague | 12808 | Czechia |
| Prague | 140 21 | Czechia |
| Prague | 169 02 | Czechia |
| Slaný | 274 01 | Czechia |
| Aalborg | 9000 | Denmark |
| Aarhus N | 8200 | Denmark |
| Hellerup | DK-2900 | Denmark |
| Viborg | 8800 | Denmark |
| Bron | 69677 | France |
| La Tronche | 38700 | France |
| Lille | 59037 | France |
| Paris | 75908 | France |
| Pessac | 33604 | France |
| Rouen | 76031 | France |
| München | Bavaria | 80331 | Germany |
| Bad Homburg | Hesse | 61348 | Germany |
| Frankfurt am Main | Hesse | 60596 | Germany |
| Hanover | Lower Saxony | 30625 | Germany |
| Greifswald | Mecklenburg-Vorpommern | 17475 | Germany |
| Cologne | North Rhine-Westphalia | 50924 | Germany |
| Münster | North Rhine-Westphalia | 48149 | Germany |
| Homburg | Saarland | 66424 | Germany |
| Erfurt | Thuringia | 99089 | Germany |
| Hamburg | 20246 | Germany |
| Athens | 11527 | Greece |
| Nea Ionia | 14233 | Greece |
| Budapest | 1032 | Hungary |
| Kistarcsa | H-2143 | Hungary |
| Székesfehérvár | 8000 | Hungary |
| Afula | 1834111 | Israel |
| Ashkelon | 7830604 | Israel |
| Hadera | 3810101 | Israel |
| Jerusalem | 9103102 | Israel |
| Petah Tikva | 4941492 | Israel |
| Rehovot | 7610001 | Israel |
| Tel Aviv | 6423906 | Israel |
| Tiberias | 1528001 | Israel |
| Zrifin | 7030000 | Israel |
| Bergamo | Lombardy | 24127 | Italy |
| Brescia | Lombardy | 25123 | Italy |
| Como | Lombardy | 22020 | Italy |
| Milan | Lombardy | 20017 | Italy |
| Milan | Lombardy | 20138 | Italy |
| Milan | Lombardy | 20149 | Italy |
| Pavia | Lombardy | 27100 | Italy |
| Ancona | The Marches | 60126 | Italy |
| Arezzo | Tuscany | 52040 | Italy |
| Verona | Veneto | 37045 | Italy |
| Iizuka | Fukuoka | 820-8505 | Japan |
| Himeji | Hyōgo | 670-0981 | Japan |
| Kanazawa | Ishikawa-ken | 920-8650 | Japan |
| Sagamihara | Kanagawa | 252-5188 | Japan |
| Yokohama | Kanagawa | 236-0051 | Japan |
| Yokosuka | Kanagawa | 238-8567 | Japan |
| Sendai | Miyagi | 981-3133 | Japan |
| Naha | Okinawa | 902-8511 | Japan |
| Takatsuki | Osaka | 569-1096 | Japan |
| Yao | Osaka | 581-0011 | Japan |
| Ureshino | Saga-ken | 843-0393 | Japan |
| Komatsushimachō | Tokushima | 773-8502 | Japan |
| Meguro-ku | Tokyo | 152-8902 | Japan |
| Minato-ku | Tokyo | 106-0031 | Japan |
| Fukui | 910-8526 | Japan |
| Hiroshima | 734-8530 | Japan |
| Kumamoto | 862-8505 | Japan |
| Nagasaki | 850-8555 | Japan |
| Tokushima | 770-8539 | Japan |
| Toyama | 930-8550 | Japan |
| Amsterdam | 1105 AZ | Netherlands |
| Deventer | 7416 SE | Netherlands |
| Heerenveen | 8441 PW | Netherlands |
| Leeuwarden | 8901 BR | Netherlands |
| Veldhoven | 5504 DB | Netherlands |
| Bialystok | 15-276 | Poland |
| Krakow | 31-202 | Poland |
| Legnica | 59-220 | Poland |
| Lodz | 92-213 | Poland |
| Olsztyn | 10-010 | Poland |
| Poznan | 61-848 | Poland |
| Warsaw | 02-507 | Poland |
| Singapore | 119228 | Singapore |
| Singapore | 169609 | Singapore |
| Singapore | 308433 | Singapore |
| Singapore | 768828 | Singapore |
| Seoul | 138-736 | South Korea |
| L'Hospitalet de Llobregat | Barcelona | 08907 | Spain |
| Santander | Cantabria | 39008 | Spain |
| Majadahonda | Madrid | 28222 | Spain |
| Barcelona | 08003 | Spain |
| Barcelona | 08023 | Spain |
| Valencia | 46010 | Spain |
| Valencia | 46026 | Spain |
| Helsingborg | 251 87 | Sweden |
| Karlstad | 651 85 | Sweden |
| Linköping | 581 85 | Sweden |
| Malmö | 205 02 | Sweden |
| Örebro | 701 85 | Sweden |
| Stockholm | 118 83 | Sweden |
| Liestal | Basel-Landschaft | 4410 | Switzerland |
| Bruderholz | 4101 | Switzerland |
| Lugano | 6900 | Switzerland |
| Zurich | 8091 | Switzerland |
| Kaohsiung City | 813 | Taiwan |
| New Taipei City | 220 | Taiwan |
| Taipei | 10016 | Taiwan |
| Taipei | 11217 | Taiwan |
| Chesterfield | Derbyshire | S44 5DX | United Kingdom |
| Stevenage | Hertfordshire | SG1 4AB | United Kingdom |
| Result |
| Gheorghiade M, Greene SJ, Butler J, Filippatos G, Lam CS, Maggioni AP, Ponikowski P, Shah SJ, Solomon SD, Kraigher-Krainer E, Samano ET, Muller K, Roessig L, Pieske B; SOCRATES-REDUCED Investigators and Coordinators. Effect of Vericiguat, a Soluble Guanylate Cyclase Stimulator, on Natriuretic Peptide Levels in Patients With Worsening Chronic Heart Failure and Reduced Ejection Fraction: The SOCRATES-REDUCED Randomized Trial. JAMA. 2015 Dec 1;314(21):2251-62. doi: 10.1001/jama.2015.15734. |
| 34086190 | Derived | Ruehs H, Klein D, Frei M, Grevel J, Austin R, Becker C, Roessig L, Pieske B, Garmann D, Meyer M. Population Pharmacokinetics and Pharmacodynamics of Vericiguat in Patients with Heart Failure and Reduced Ejection Fraction. Clin Pharmacokinet. 2021 Nov;60(11):1407-1421. doi: 10.1007/s40262-021-01024-y. Epub 2021 Jun 4. |
| 32216011 | Derived | Kramer F, Voss S, Roessig L, Igl BW, Butler J, Lam CSP, Maggioni AP, Shah SJ, Pieske B. Evaluation of high-sensitivity C-reactive protein and uric acid in vericiguat-treated patients with heart failure with reduced ejection fraction. Eur J Heart Fail. 2020 Sep;22(9):1675-1683. doi: 10.1002/ejhf.1787. Epub 2020 Mar 25. |
Subjects received vericiguat (Verquvo, BAY1021189) 1.25 mg orally once daily for 12 weeks. Sham titrations included on Days 14 and 28.
| FG002 | BAY1021189 2.5 mg | Subjects received vericiguat (Verquvo, BAY1021189) 2.5 mg orally once daily for 12 weeks. Sham titrations included on Days 14 and 28. |
| FG003 | BAY1021189 From 2.5 to 5 mg | Subjects received vericiguat (Verquvo, BAY1021189) for 12 weeks, starting on 2.5 mg once daily with potential up-titration to 5 mg once daily after 14 or 28 days. Sham titration included on Day 28. |
| FG004 | BAY1021189 From 2.5 to 10 mg | Subjects received vericiguat (Verquvo, BAY1021189) for 12 weeks, starting on 2.5 mg once daily with potential up-titration to 5 mg once daily after 14 days, and up-titration to 10 mg once daily after 28 days. |
| COMPLETED |
|
| NOT COMPLETED |
|
|
| Follow Up Period |
|
|
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | Subjects received placebo matched to vericiguat (Verquvo, BAY1021189) orally once daily for 12 weeks. Sham titrations included on Days 14 and 28. |
| BG001 | BAY1021189 1.25 Milligram (mg) | Subjects received vericiguat (Verquvo, BAY1021189) 1.25 mg orally once daily for 12 weeks. Sham titrations included on Days 14 and 28. |
| BG002 | BAY1021189 2.5 mg | Subjects received vericiguat (Verquvo, BAY1021189) 2.5 mg orally once daily for 12 weeks. Sham titrations included on Days 14 and 28. |
| BG003 | BAY1021189 From 2.5 to 5 mg | Subjects received vericiguat (Verquvo, BAY1021189) for 12 weeks, starting on 2.5 mg once daily with potential up-titration to 5 mg once daily after 14 or 28 days. Sham titration included on Day 28. |
| BG004 | BAY1021189 From 2.5 to 10 mg | Subjects received vericiguat (Verquvo, BAY1021189) for 12 weeks, starting on 2.5 mg once daily with potential up-titration to 5 mg once daily after 14 days, and up-titration to 10 mg once daily after 28 days. |
| BG005 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Age, Customized | Count of Participants | Participants |
| ||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
|
| 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 | Change From Baseline in Log-Transformed N-Terminal Pro-Brain Natriuretic Peptide (NTproBNP) to Week 12 | Log-Transformed N-Terminal Pro-Brain Natriuretic Peptide (NTproBNP) is a circulating plasma biomarker of cardiovascular function and prognosis in heart failure. | Per Protocol Set (PPS) | Posted | Mean | Standard Deviation | log-transformed picograms per milliliter | Baseline, Week 12 |
|
|
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Changes in Heart Function as Measured by Echocardiography, Left Ventricular End-Diastolic Volume (LVEDV), and Left Ventricular End-Systolic Volume (LVESV) From Baseline to Week 12 | Left Ventricular End-Diastolic Volume (LVEDV) and Left ventricular end-systolic volume (LVESV) are measured echocardiography parameter. These are acquired during a non-invasive echocardiography examination. | Evaluable subjects in full analysis set (FAS). | Posted | Mean | Standard Deviation | milliliter | Baseline, Week 12 |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Changes in Heart Function as Measured by Echocardiography, Left Ventricular Ejection Fraction (LVEF), From Baseline to Week 12 | The left ventricular ejection fraction work index (LVEF) is a calculated echocardiography parameter. LVEF is derived from the directly measured parameters left ventricular end-diastolic volume (LVEDV) and left ventricular end-systolic volume (LVESV). These 2 parameters are acquired during a noninvasive echocardiography examination. Formula: LVEF = 100*(LVEDV - LVESV)/LVEDV. | Evaluable subjects in full analysis set (FAS). | Posted | Mean | Standard Deviation | percentage | Baseline, Week 12 |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Change From Baseline in Systolic and Diastolic Blood Pressure to Week 12 | Blood pressure was measured by monitor measurements after 10 minutes resting in a supine position (3 measurements taken approximately 2 minutes apart).The changes in blood pressure were recorded and the mean of the three measurements was analyzed. | Evaluable subjects in safety analysis set (SAF). | Posted | Mean | Standard Deviation | millimeter of mercury (mmHg) | Baseline, Week 12 |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Change From Baseline in Heart Rate to Week 12 | Heart rate was measured after 10 minutes resting in a supine position (3 measurements taken approximately 2 minutes apart). The changes in heart rate were recorded and the mean of the three measurements was analyzed. | Evaluable subjects in safety analysis set (SAF). | Posted | Mean | Standard Deviation | Beats per minute | Baseline, Week 12 |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Number of Subjects With Clinical Events (Heart Failure [HF] Hospitalization and Cardio-Vascular [CV] Mortality) | Clinical events (heart failure and mortality) were analyzed as CV death, and HF hospitalization at specified time points. | FAS | Posted | Count of Participants | Participants | Baseline until 16 weeks |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Number of Subjects With Implantable Cardioverter Defibrillators Cardiac Resynchronization Therapy With Defibrillation (ICD/CRT-D) Therapy | ICD / CRT with defibrillation therapy (CRT-D) included previous appropriate interventions such as shocks or anti-tachycardic pacing (ATP) when diagnostic of sustained ventricular tachycardias in pre defined rapid zone. | No analysis was performed for this end point. | Posted | Baseline upto 16 weeks |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Number of Subjects With Treatment-Emergent Adverse Events | An adverse event (AE) was any untoward medical occurrence in a subject who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; and another medically important serious event as judged by the investigator. AEs are considered to be treatment-emergent if they have started or worsened after first application of study drug up to 5 days after end of treatment with study drug. | SAF | Posted | Count of Participants | Participants | From the start of study treatment upto 5 days after the last dose of study drug |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Change in Biomarkers From Baseline to Week 12: Osteopontin (ng/mL) | Evaluable subjects in FAS | Posted | Mean | Standard Deviation | nanogram(s)/milliliter (ng/mL) | Baseline, Week 12 |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Change in Biomarkers From Baseline to Week 12: TIMP-4 (pg/mL) | TIMP-4: tissue inhibitor of matrix metalloproteinases 4 | Evaluable subjects in FAS | Posted | Mean | Standard Deviation | picogram(s)/millilitre (pg/mL) | Baseline, Week 12 |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Change in Biomarkers From Baseline to Week 12: cGMP (Pmol/mL) | cGMP: cyclic guanosine monophosphate | Evaluable subjects in FAS | Posted | Mean | Standard Deviation | picomole(s)/milliliter (pmol/mL) | Baseline, Week 12 |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Change in Biomarkers From Baseline to Week 12: PIIINP (mcg/L) | PIIINP: pro-collagen III N-terminal peptide | Evaluable subjects in FAS | Posted | Mean | Standard Deviation | microgram(s)/liter (mcg/L) | Baseline, Week 12 |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Change in Biomarkers From Baseline to Week 12: GDF-15 (pg/mL) | GDF-15: growth differentiation factor 15 | Evaluable subjects in FAS | Posted | Mean | Standard Deviation | pg/mL | Baseline, Week 12 |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Change in Biomarkers From Baseline to Week 12: ST2 (pg/mL) | ST2: suppression of tumorigenicity 2 | Evaluable subjects in FAS | Posted | Mean | Standard Deviation | pg/mL | Baseline, Week 12 |
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Change in Biomarkers From Baseline to Week 12: Gal-3 (μg/mL) | Gal-3: Galectin-3 | Evaluable subjects in FAS | Posted | Mean | Standard Deviation | mcg/L | Baseline, Week 12 |
|
Treatment-emergent AEs were collected after first application of study medication up to 5 calendar days after end of treatment with study medication.
Not provided
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Placebo | Subjects received placebo matched to vericiguat (Verquvo, BAY1021189) orally once daily for 12 weeks. Sham titrations included on Days 14 and 28. | 6 | 92 | 30 | 92 | 24 | 92 |
| EG001 | BAY1021189 1.25 Milligram (mg) | Subjects received vericiguat (Verquvo, BAY1021189) 1.25 mg orally once daily for 12 weeks. Sham titrations included on Days 14 and 28. | 6 | 91 | 26 | 91 | 25 | 91 |
| EG002 | BAY1021189 2.5 mg | Subjects received vericiguat (Verquvo, BAY1021189) 2.5 mg orally once daily for 12 weeks. Sham titrations included on Days 14 and 28. | 5 | 90 | 26 | 90 | 20 | 90 |
| EG003 | BAY1021189 From 2.5 to 5 mg | Subjects received vericiguat (Verquvo, BAY1021189) for 12 weeks, starting on 2.5 mg once daily with potential up-titration to 5 mg once daily after 14 or 28 days. Sham titration included on Day 28. | 3 | 91 | 20 | 91 | 23 | 91 |
| EG004 | BAY1021189 From 2.5 to 10 mg | Subjects received vericiguat (Verquvo, BAY1021189) for 12 weeks, starting on 2.5 mg once daily with potential up-titration to 5 mg once daily after 14 days, and up-titration to 10 mg once daily after 28 days. | 4 | 91 | 25 | 91 | 28 | 91 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Angina pectoris | Cardiac disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Atrial fibrillation | Cardiac disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Cardiac arrest | Cardiac disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Cardiac failure | Cardiac disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Cardiac failure acute | Cardiac disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Cardiac failure chronic | Cardiac disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Cardiac failure congestive | Cardiac disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Ventricular fibrillation | Cardiac disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Ventricular tachycardia | Cardiac disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Ischaemic cardiomyopathy | Cardiac disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Left ventricular dysfunction | Cardiac disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Acute left ventricular failure | Cardiac disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Abdominal pain upper | Gastrointestinal disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Melaena | Gastrointestinal disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Small intestinal obstruction | Gastrointestinal disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Upper gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Mechanical ileus | Gastrointestinal disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Incarcerated umbilical hernia | Gastrointestinal disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Chest pain | General disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Death | General disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Multi-organ failure | General disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Oedema peripheral | General disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Sudden death | General disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| General physical health deterioration | General disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Device dislocation | General disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Cholangitis | Hepatobiliary disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Cholecystitis | Hepatobiliary disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA 18.0 | Non-systematic Assessment |
| |
| Escherichia sepsis | Infections and infestations | MedDRA 18.0 | Non-systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA 18.0 | Non-systematic Assessment |
| |
| Gastroenteritis | Infections and infestations | MedDRA 18.0 | Non-systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 18.0 | Non-systematic Assessment |
| |
| Pneumococcal sepsis | Infections and infestations | MedDRA 18.0 | Non-systematic Assessment |
| |
| Fall | Injury, poisoning and procedural complications | MedDRA 18.0 | Non-systematic Assessment |
| |
| Hip fracture | Injury, poisoning and procedural complications | MedDRA 18.0 | Non-systematic Assessment |
| |
| Contusion | Injury, poisoning and procedural complications | MedDRA 18.0 | Non-systematic Assessment |
| |
| Incision site haemorrhage | Injury, poisoning and procedural complications | MedDRA 18.0 | Non-systematic Assessment |
| |
| Fluid overload | Metabolism and nutrition disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Transplant evaluation | Investigations | MedDRA 18.0 | Non-systematic Assessment |
| |
| Gout | Metabolism and nutrition disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Hyperglycaemia | Metabolism and nutrition disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Hyperkalaemia | Metabolism and nutrition disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Hypoglycaemia | Metabolism and nutrition disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Metabolic acidosis | Metabolism and nutrition disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Type 2 diabetes mellitus | Metabolism and nutrition disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Gastric cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 18.0 | Non-systematic Assessment |
| |
| Intra-abdominal haemangioma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 18.0 | Non-systematic Assessment |
| |
| Non-small cell lung cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA 18.0 | Non-systematic Assessment |
| |
| Cerebrovascular accident | Nervous system disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Cervicobrachial syndrome | Nervous system disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Subarachnoid haemorrhage | Nervous system disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Syncope | Nervous system disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Renal failure | Renal and urinary disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Urinary retention | Renal and urinary disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Acute kidney injury | Renal and urinary disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Acute pulmonary oedema | Respiratory, thoracic and mediastinal disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Acute respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Chronic obstructive pulmonary disease | Respiratory, thoracic and mediastinal disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Pneumonia aspiration | Respiratory, thoracic and mediastinal disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Pulmonary congestion | Respiratory, thoracic and mediastinal disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Pulmonary oedema | Respiratory, thoracic and mediastinal disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Rash | Skin and subcutaneous tissue disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Rash pruritic | Skin and subcutaneous tissue disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Catheter placement | Surgical and medical procedures | MedDRA 18.0 | Non-systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Hypotension | Vascular disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Deep vein thrombosis | Vascular disorders | MedDRA 18.0 | Non-systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Cardiac failure chronic | Cardiac disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Abdominal pain upper | Gastrointestinal disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Dyspepsia | Gastrointestinal disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Asthenia | General disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Hyperuricaemia | Metabolism and nutrition disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Dizziness | Nervous system disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 18.0 | Non-systematic Assessment |
| |
| Hypotension | Vascular disorders | MedDRA 18.0 | Non-systematic Assessment |
|
Endpoints of "Change in 'health-related quality of life', 'Composite Congestion Score', 'NYHA function class', and 'background heart failure therapies' were assessed as exploratory. "Incidence of atrial fibrillation" is reported in AE summary.
Not provided
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Therapeutic Area Head | Bayer AG | (+) 1-888-8422937 | clinical-trials-contact@bayer.com |
| ID | Term |
|---|---|
| D006333 | Heart Failure |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| C000603960 | vericiguat |
Not provided
Not provided
Not provided
| Death |
|
| Logistical difficulties |
|
| Adverse Event |
|
| Withdrawal by Subject |
|
| Lost to Follow-up |
|
| 65-75 |
|
| > 75 |
|
| Male |
|
| In case of a significant result in the primary analysis of the primary endpoint, pairwise comparisons to Placebo were performed in a hierarchical manner (from BAY1021189 from 2.5 to 10mg dose arm to BAY1021189 1.25mg dose arm). In case of non-significance of the primary analyses, these secondary analyses were specified as exploratory only, since the primary analyses were not significant. | t-test, 1 sided | = 0.0483 | Log-Scale mean difference | -0.2494 | 2-Sided | 90 | -0.5 | 0 | Other |
| In case of a significant result in the primary analysis of the primary endpoint, pairwise comparisons to Placebo were performed in a hierarchical manner (from BAY1021189 from 2.5 to 10mg dose arm to BAY1021189 1.25mg dose arm). In case of non-significance of the primary analyses, these secondary analyses were specified as exploratory only, since the primary analyses were not significant. | t-test, 1 sided | = 0.3042 | Log-Scale mean difference | -0.0731 | 2-Sided | 90 | -0.31 | 0.16 | Other |
| In case of a significant result in the primary analysis of the primary endpoint, pairwise comparisons to Placebo were performed in a hierarchical manner (from BAY1021189 from 2.5 to 10mg dose arm to BAY1021189 1.25mg dose arm). In case of non-significance of the primary analyses, these secondary analyses were specified as exploratory only, since the primary analyses were not significant. | t-test, 1 sided | = 0.3841 | Log-Scale mean difference | -0.0396 | 2-Sided | 90 | -0.26 | 0.18 | Other |
| In case of a significant result in the primary analysis of the primary endpoint, pairwise comparisons to Placebo were performed in a hierarchical manner (from BAY1021189 from 2.5 to 10mg dose arm to BAY1021189 1.25mg dose arm). In case of non-significance of the primary analyses, these secondary analyses were specified as exploratory only. | t-test, 1 sided | = 0.5444 | Log-Scale mean difference | 0.0151 | 2-Sided | 90 | -0.21 | 0.24 | Other |
Subjects received vericiguat (Verquvo, BAY1021189) for 12 weeks, starting on 2.5 mg once daily with potential up-titration to 5 mg once daily after 14 or 28 days. Sham titration included on Day 28. |
| OG004 | BAY1021189 From 2.5 to 10 mg | Subjects received vericiguat (Verquvo, BAY1021189) for 12 weeks, starting on 2.5 mg once daily with potential up-titration to 5 mg once daily after 14 days, and up-titration to 10 mg once daily after 28 days. |
|
|
| OG003 | BAY1021189 From 2.5 to 5 mg | Subjects received vericiguat (Verquvo, BAY1021189) for 12 weeks, starting on 2.5 mg once daily with potential up-titration to 5 mg once daily after 14 or 28 days. Sham titration included on Day 28. |
| OG004 | BAY1021189 From 2.5 to 10 mg | Subjects received vericiguat (Verquvo, BAY1021189) for 12 weeks, starting on 2.5 mg once daily with potential up-titration to 5 mg once daily after 14 days, and up-titration to 10 mg once daily after 28 days. |
|
|
Subjects received vericiguat (Verquvo, BAY1021189) for 12 weeks, starting on 2.5 mg once daily with potential up-titration to 5 mg once daily after 14 or 28 days. Sham titration included on Day 28. |
| OG004 | BAY1021189 From 2.5 to 10 mg | Subjects received vericiguat (Verquvo, BAY1021189) for 12 weeks, starting on 2.5 mg once daily with potential up-titration to 5 mg once daily after 14 days, and up-titration to 10 mg once daily after 28 days. |
|
|
Subjects received vericiguat (Verquvo, BAY1021189) for 12 weeks, starting on 2.5 mg once daily with potential up-titration to 5 mg once daily after 14 or 28 days. Sham titration included on Day 28.
| OG004 | BAY1021189 From 2.5 to 10 mg | Subjects received vericiguat (Verquvo, BAY1021189) for 12 weeks, starting on 2.5 mg once daily with potential up-titration to 5 mg once daily after 14 days, and up-titration to 10 mg once daily after 28 days. |
|
|
| OG004 | BAY1021189 From 2.5 to 10 mg | Subjects received vericiguat (Verquvo, BAY1021189) for 12 weeks, starting on 2.5 mg once daily with potential up-titration to 5 mg once daily after 14 days, and up-titration to 10 mg once daily after 28 days. |
|
|
Subjects received vericiguat (Verquvo, BAY1021189) for 12 weeks, starting on 2.5 mg once daily with potential up-titration to 5 mg once daily after 14 or 28 days. Sham titration included on Day 28.
| OG004 | BAY1021189 From 2.5 to 10 mg | Subjects received vericiguat (Verquvo, BAY1021189) for 12 weeks, starting on 2.5 mg once daily with potential up-titration to 5 mg once daily after 14 days, and up-titration to 10 mg once daily after 28 days. |
|
Subjects received vericiguat (Verquvo, BAY1021189) 2.5 mg orally once daily for 12 weeks. Sham titrations included on Days 14 and 28. |
| OG003 | BAY1021189 From 2.5 to 5 mg | Subjects received vericiguat (Verquvo, BAY1021189) for 12 weeks, starting on 2.5 mg once daily with potential up-titration to 5 mg once daily after 14 or 28 days. Sham titration included on Day 28. |
| OG004 | BAY1021189 From 2.5 to 10 mg | Subjects received vericiguat (Verquvo, BAY1021189) for 12 weeks, starting on 2.5 mg once daily with potential up-titration to 5 mg once daily after 14 days, and up-titration to 10 mg once daily after 28 days. |
|
|
| OG004 | BAY1021189 From 2.5 to 10 mg | Subjects received vericiguat (Verquvo, BAY1021189) for 12 weeks, starting on 2.5 mg once daily with potential up-titration to 5 mg once daily after 14 days, and up-titration to 10 mg once daily after 28 days. |
|
|
| OG004 | BAY1021189 From 2.5 to 10 mg | Subjects received vericiguat (Verquvo, BAY1021189) for 12 weeks, starting on 2.5 mg once daily with potential up-titration to 5 mg once daily after 14 days, and up-titration to 10 mg once daily after 28 days. |
|
|
| OG004 | BAY1021189 From 2.5 to 10 mg | Subjects received vericiguat (Verquvo, BAY1021189) for 12 weeks, starting on 2.5 mg once daily with potential up-titration to 5 mg once daily after 14 days, and up-titration to 10 mg once daily after 28 days. |
|
|
| OG004 | BAY1021189 From 2.5 to 10 mg | Subjects received vericiguat (Verquvo, BAY1021189) for 12 weeks, starting on 2.5 mg once daily with potential up-titration to 5 mg once daily after 14 days, and up-titration to 10 mg once daily after 28 days. |
|
|
| OG004 | BAY1021189 From 2.5 to 10 mg | Subjects received vericiguat (Verquvo, BAY1021189) for 12 weeks, starting on 2.5 mg once daily with potential up-titration to 5 mg once daily after 14 days, and up-titration to 10 mg once daily after 28 days. |
|
|
| OG004 | BAY1021189 From 2.5 to 10 mg | Subjects received vericiguat (Verquvo, BAY1021189) for 12 weeks, starting on 2.5 mg once daily with potential up-titration to 5 mg once daily after 14 days, and up-titration to 10 mg once daily after 28 days. |
|
|
| OG004 | BAY1021189 From 2.5 to 10 mg | Subjects received vericiguat (Verquvo, BAY1021189) for 12 weeks, starting on 2.5 mg once daily with potential up-titration to 5 mg once daily after 14 days, and up-titration to 10 mg once daily after 28 days. |
|
|
|
|