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A Trial to Study Neladenoson Bialanate Over 20 Weeks in Patients With Chronic Heart Failure With Reduced Ejection Fraction

Phase 2
Completed
Conditions
Heart Failure
Interventions
Drug: Neladenoson bialanate (BAY1067197)
Drug: Placebo
Registration Number
NCT02992288
Lead Sponsor
Bayer
Brief Summary

The objective of the study is to find the optimal dose of once daily oral neladenoson bialanate (BAY 1067197) when given in addition to standard therapy for heart failure with reduced ejection fraction (HFrEF).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
427
Inclusion Criteria
  • Men or women aged 18 years and older
  • Diagnosis of chronic heart failure (CHF), NYHA ( New York Heart Association ) class II-IV, LVEF ≤ 35% and elevated NT-proBNP
Read More
Exclusion Criteria
  • Acute de-novo heart failure
  • Requirement of any intravenous (IV) treatments following 48 hours prior to randomization
  • Mechanical support (e.g. intra-aortic balloon pump, endotracheal intubation, mechanical ventilation, or any ventricular assist device)
  • Any cause of chronic heart failure other than ischemic cardiomyopathy and idiopathic dilated cardiomyopathy
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Neladenoson bialanate (BAY1067197) (10 mg)Neladenoson bialanate (BAY1067197)Chronic heart failure with reduced ejection fraction
Neladenoson bialanate (BAY1067197) (5 mg)Neladenoson bialanate (BAY1067197)Chronic heart failure with reduced ejection fraction
Neladenoson bialanate (BAY1067197) (20 mg)Neladenoson bialanate (BAY1067197)Chronic heart failure with reduced ejection fraction
Neladenoson bialanate (BAY1067197) (30 mg)Neladenoson bialanate (BAY1067197)Chronic heart failure with reduced ejection fraction
Neladenoson bialanate (BAY1067197) (40 mg)Neladenoson bialanate (BAY1067197)Chronic heart failure with reduced ejection fraction
PlaceboPlaceboChronic heart failure with reduced ejection fraction
Primary Outcome Measures
NameTimeMethod
Absolute Change From Baseline in Left Ventricular Ejection Fraction (LVEF) (%) at Week 20 Measured by EchocardiographyBaseline, Week 20

Left ventricular ejection fraction (LVEF) was measured by echocardiography. Mean and standard deviation were reported.

Absolute Change From Baseline in Log-transformed NT-pro B-type Natriuretic Peptide (BNP) at Week 20Baseline, Week 20

NT-pro b-type Natriuretic Peptide (BNP) was measured. Mean and standard deviation were reported.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline in Left Ventricular End-Systolic Volume (LVESV) at Week 20Baseline, Week 20

LVESV was defined as the volume of blood in the left ventricle at the end of contraction, or systole and the beginning of filling or diastole. Mean and standard deviation were reported.

Change From Baseline in Left Ventricular End-Diastolic Volume (LVEDV) at Week 20Baseline, Week 20

LVEDV was defined as the volume of blood in the left ventricle at end load or filling in diastole or the amount of blood in the ventricles just before systole. Mean and standard deviation were reported.

Number of Participants With Composite Efficacy OutcomeBaseline up to Week 26

Composite efficacy outcome was the first occurrence of CV death, HF hospitalization or urgent visit for HF. Number of participants with composite efficacy outcome were reported.

Number of Participants With Cardiovascular (CV) MortalityBaseline up to Week 26

Cardiovascular (CV) mortality was assessed. Number of participants with CV mortality were reported.

Change From Baseline in High Sensitivity Troponin T (Hs-TNT) at Week 20Baseline, Week 20

High sensitivity troponin T (hs-TNT) was measured. Mean and standard deviation were reported.

Number of Participants With Heart Failure (HF) Hospitalization and Urgent Visits for Heart Failure (HF)Baseline up to Week 26

Number of participants with HF hospitalization and urgent visits for HF were reported.

Trial Locations

Locations (75)

East Texas Cardiology

🇺🇸

Houston, Texas, United States

Specialized Hospital for Actrive Treatm of Card - Pleven

🇧🇬

Pleven, Bulgaria

NMTH Tzar Boris III

🇧🇬

Sofia, Bulgaria

Herz- und Diabeteszentrum Nordrhein-Westfalen (HDZ NRW)

🇩🇪

Bad Oeynhausen, Nordrhein-Westfalen, Germany

Klinikum der Stadt Ludwigshafen am Rhein gGmbH

🇩🇪

Ludwigshafen, Rheinland-Pfalz, Germany

KAT General Hospital of Athens

🇬🇷

Kifisia / Athens, Attica, Greece

AZ Turnhout

🇧🇪

Turnhout, Belgium

Spec Hosp for Active Treatm in Cardiology Sv Georgi Pernik

🇧🇬

Pernik, Bulgaria

UMHAT Tsaritsa Joanna-ISUL EAD Sofia

🇧🇬

Sofia, Bulgaria

MHAT Dr Stefan Cherkezov

🇧🇬

Veliko Tarnovo, Bulgaria

Multiprofile Hospital for Active Treatment Sveta Sofia

🇧🇬

Sofia, Bulgaria

ASST Papa Giovanni XXIII

🇮🇹

Bergamo, Lombardia, Italy

AUSL 8 Arezzo

🇮🇹

Arezzo, Toscana, Italy

National Hospital Organization Takasaki General Medical C

🇯🇵

Takasaki, Gunma, Japan

R.I.A.C Naha City Hospital

🇯🇵

Naha, Okinawa, Japan

Osaka General Medical Center

🇯🇵

Osaka, Japan

Southwest Florida Research

🇺🇸

Naples, Florida, United States

Tokyo Women's Medical University Hospital

🇯🇵

Shinjuku-ku, Tokyo, Japan

St.-Johannes-Hospital Dortmund

🇩🇪

Dortmund, Nordrhein-Westfalen, Germany

G. Gennimatas General State Hospital of Athens

🇬🇷

Athens, Greece

Gunma University Hospital

🇯🇵

Maebashi, Gunma, Japan

National hospital Organization Mito Medical Center

🇯🇵

Higashiibaraki, Ibaraki, Japan

Kishiwada Tokushukai Hospital

🇯🇵

Kishiwada, Osaka, Japan

Grand Hôpital de Charleroi

🇧🇪

Gilly, Belgium

AZ Delta

🇧🇪

Roeselare, Belgium

Hillel Yaffe Medical Center

🇮🇱

Hadera, Israel

Rambam Health Corporation

🇮🇱

Haifa, Israel

Fondazione Policlinico Universitario Agostino Gemelli

🇮🇹

Roma, Lazio, Italy

Minamino Cardiovascular Hospital

🇯🇵

Hachioji, Tokyo, Japan

Hiroshima University Hospital

🇯🇵

Hiroshima, Japan

A.O.U. Policlinico Federico II Napoli

🇮🇹

Napoli, Campania, Italy

Medizinische Hochschule Hannover (MHH)

🇩🇪

Hannover, Niedersachsen, Germany

Hadassah University Hospital Mount Scopus

🇮🇱

Jerusalem, Israel

Hyogo Prefectural Amagasaki General Medical Center

🇯🇵

Amagasaki, Hyogo, Japan

Takatsuki Red Cross Hospital

🇯🇵

Takatsuki, Osaka, Japan

Charité Campus Virchow-Klinikum (CVK)

🇩🇪

Berlin, Germany

Shaare Zedek Medical Center

🇮🇱

Jerusalem, Israel

Nihon University Itabashi Hospital

🇯🇵

Itabashi-ku, Tokyo, Japan

Hospital Clínico Universitario de Santiago de Compostela

🇪🇸

Santiago de Compostela, A Coruña, Spain

ASST Spedali Civili di Brescia

🇮🇹

Brescia, Lombardia, Italy

IRCCS Centro Cardiologico Fondazione Monzino

🇮🇹

Milano, Lombardia, Italy

Toyama Prefectural Central Hospital

🇯🇵

Toyama, Japan

St. Elizabeth Youngstown Hospital

🇺🇸

Youngstown, Ohio, United States

Glacier View Research Institute-Cardiology

🇺🇸

Kalispell, Montana, United States

University of Mississippi Medical Center

🇺🇸

Jackson, Mississippi, United States

Onze Lieve Vrouwe Gasthuis

🇳🇱

Amsterdam, Netherlands

Erasmus Medisch Centrum

🇳🇱

Rotterdam, Netherlands

Twoja Przychodnia - Szczecinskie Centrum Medyczne

🇵🇱

Szczecin, Poland

Hospital General Universitario Gregorio Marañón

🇪🇸

Madrid, Spain

Stony Brook University Medical Center

🇺🇸

Stony Brook, New York, United States

AZ St-Jan Brugge Oostende AV

🇧🇪

Brugge, Belgium

Henry Ford Health System

🇺🇸

Detroit, Michigan, United States

St. Louis Heart & Vascular, PC

🇺🇸

Saint Louis, Missouri, United States

KLIMED Marek Klimkiewicz

🇵🇱

Bialystok, Poland

CLINICAL MEDICAL RESEARCH Sp. z o. o.

🇵🇱

Katowice, Poland

Konstantopoulio General Hospital of Nea Ionia - Agia Olga

🇬🇷

Nea Ionia / Athens, Greece

Hippokration General Hospital of Thessaloniki

🇬🇷

Thessaloniki, Greece

Tel-Aviv Sourasky Medical Center

🇮🇱

Tel Aviv, Israel

Nzoz Salus

🇵🇱

Lodz, Poland

Szpital Kliniczny Przemienienia Panskiego

🇵🇱

Poznan, Poland

Hospital Universitario "Virgen de la Arrixaca"

🇪🇸

El Palmar, Murcia, Spain

Complejo Hospitalario Universitario A Coruña

🇪🇸

A Coruña, Spain

Universitair Medisch Centrum Groningen

🇳🇱

Groningen, Netherlands

IV Wojskowy Szpital Kliniczny z Poliklinika, SPZOZ

🇵🇱

Wroclaw, Poland

Hospital Clínico Universitario San Carlos

🇪🇸

Madrid, Spain

Ziekenhuis Rijnstate

🇳🇱

Arnhem, Netherlands

Szpital Specjalistyczny im. J. Dietla

🇵🇱

Krakow, Poland

Hospital Universitari i Politècnic La Fe

🇪🇸

Valencia, Spain

Hospital Clínico Universitario de Valencia

🇪🇸

Valencia, Spain

Tennessee Center for Clinical Trials

🇺🇸

Tullahoma, Tennessee, United States

Kliniken Maria Hilf GmbH

🇩🇪

Mönchengladbach, Nordrhein-Westfalen, Germany

Thriassio General Hospital of Elefsina

🇬🇷

Elefsina, Greece

Barzilai Medical Center

🇮🇱

Ashkelon, Israel

Assaf Harofeh Medical Center

🇮🇱

Zrifin, Israel

Okayama Rosai Hospital

🇯🇵

Okayama, Japan

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