An Investigational Study of Continuous 8-Hour Intravenous Administrations of BMS-986231 in Participants With Heart Failure and Reduced Heart Function Given a Standard Dose of Loop Diuretic
CompletedPhase 2Results postedLast updated 26 February 2021
What this trial tests
Phase 2 trial testing BMS-986231 in Cardiac Failure in 23 participants. Completed in 9 January 2020.
18 and older, any sex, with Cardiac Failure or Myocardial Failure. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
4-hour Urinary Output Following Intravenous Administration of 40 mg Furosemide to HFrEF Participants Receiving BMS-986231 Infusion Compared to PlaceboPrimary· 4 hours
The total volume of urinary output 4 hours after 40 mg furosemide bolus given to participants with HFrEF while on BMS-986231 compared to placebo: absolute difference in total volume and % change from placebo.
Sequence 1: Placebo in period 1, drug in period 2
Sequence 2: Drug in period 1, placebo in period 2
Sequence 1
Group
Value
95% CI
BMS-986231
900.7
± 366.56
Placebo
1603.3
± 674.18
Sequence 2
Group
Value
95% CI
BMS-986231
1176.7
± 386.21
Placebo
1345.4
± 391.11
Total
Group
Value
95% CI
BMS-986231
1032.1
± 392.74
Placebo
1480.5
± 559.92
FeNa in Participants With HFrEF While on BMS-986231 Compared to PlaceboSecondary· Day 1, predose; 0-4 hours, 4-5 hours, 5-6 hours, 6-7 hours, 7-8 hours
Secondary efficacy analyses was performed using the randomized population. The FeNa, FeK, furosemide urinary and plasma concentration and the ratio of urinary sodium to urinary furosemide was calculated at each time point over 4-hour urine/plasma collection after a bolus injection of 40 mg furosemide while receiving BMS-986231 or placebo.
Fractional Excretion Na = ((Urine Sodium \* Plasma Creatinine) / (Plasma Sodium \* Urine Creatinine)) \* 100
Before start of infusion
Group
Value
95% CI
BMS-986231
0.5
± 0.52
Placebo
0.6
± 0.73
0-4 hours
Group
Value
95% CI
BMS-986231
0.6
± 0.67
Placebo
0.7
± 0.84
4-5 hours
Group
Value
95% CI
BMS-986231
4.6
± 3.34
Placebo
5.4
± 3.09
5-6 hours
Group
Value
95% CI
BMS-986231
5.0
± 2.87
Placebo
7.0
± 3.51
6-7 hours
Group
Value
95% CI
BMS-986231
3.3
± 2.33
Placebo
4.7
± 2.79
7-8 hours
Group
Value
95% CI
BMS-986231
1.7
± 1.26
Placebo
3.3
± 2.52
FeK in Participants With HFrEF While on BMS-986231 Compared to PlaceboSecondary· Day 1, predose; 0-4 hours, 4-5 hours, 5-6 hours, 6-7 hours, 7-8 hours
Secondary efficacy analyses was performed using the randomized population. The FeNa, FeK, furosemide urinary and plasma concentration and the ratio of urinary sodium to urinary furosemide was calculated at each time point over 4-hour urine/plasma collection after a bolus injection of 40 mg furosemide while receiving BMS-986231 or placebo.
Fractional Excretion K = ((Urine Potassium \* Plasma Creatinine) / (Plasma Potassium \* Urine Creatinine)) \* 100
Ratio Urinary Sodium (Na) to Urinary Furosemide at 8 Hours Post-start InfusionSecondary· 0-4 hours after furosemide
Summary of urinary concentrations 0-4 hours after furosemide
Ratio = Cumulative Sodium Excretion / Cumulative Furosemide in Urine
Group
Value
95% CI
BMS-986231
6.1
± 3.18
Placebo
10.1
± 4.74
Number of Participants With Clinically Relevant HypotensionSecondary· up to 8 hours
Clinically relevant hypotension is defined as systolic blood pressure (SBP) \< 90 mmHg or symptomatic hypotension during infusion
Group
Value
95% CI
BMS-986231
4
Placebo
0
Number of Participants With an Adverse Event (AE)Secondary· up to 8 days
Clinically relevant hypotension is defined as systolic blood pressure (SBP) \< 90 mmHg or symptomatic hypotension during infusion
Group
Value
95% CI
BMS-986231
8
Placebo
6
Number of Participants With an Abnormal Clinical Laboratory ValueSecondary· from first dose to 30 days post-last dose (ca. 5-8 weeks)
Number of participants who experienced an in-study abnormal clinical laboratory event under the category of Hematology, Chemistry or Urinalysis.
Group
Value
95% CI
BMS-986231
0
Placebo
0
Change From Baseline in Vital Signs - Blood PressureSecondary· Day 1, 8 hours post-dose (end of infusion)
The change in baseline for vital signs was reported for each arm.
diastolic blood pressure
Group
Value
95% CI
BMS-986231
-14.5
± 9.99
Placebo
-0.6
± 10.46
systolic blood pressure
Group
Value
95% CI
BMS-986231
-28.4
± 15.60
Placebo
-4.9
± 14.55
Change From Baseline in Vital Signs - Heart RateSecondary· Day 1, 8 hours post-dose (end of infusion)
The change in baseline for vital signs was reported for each arm.
Group
Value
95% CI
BMS-986231
0.5
± 10.40
Placebo
-0.1
± 8.08
Change From Baseline in Vital Signs - Oxygen SaturationSecondary· Day 1, 8 hours post-dose (end of infusion)
The change in baseline for vital signs was reported for each arm.
Group
Value
95% CI
BMS-986231
-1.0
± 1.82
Placebo
0.0
± 1.56
Adverse events — posted to ClinicalTrials.gov
Time frame: From first dose to 100 days post-last dose (up to ca. 4 months).
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
The purpose of this study is to investigate continuous 8-hour introductions of BMS-986231 in participants with heart failure and weakened heart function given a standard dose of diuretic.
Publications & conference data
4 peer-reviewed publications reference this trial (live from Europe PMC):
NCT03515980 — An Investigational Study of Experimental Medication BMS-986231 Given in Participants With Different Levels of Liver Func
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NCT03332186 — A Study of Experimental Medication BMS-986231 in Patients With Different Levels of Kidney Function
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NCT03210909 — Pharmacokinetics and Metabolism of [14C] BMS-986231 in Healthy Male Participants
· Phase 1
· completed
NCT02932969 — Study With Healthy Japanese and Non-Asian Participants With BMS-986231
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NCT07284745 — A Study of KarXT + KarX-EC for Treatment of Irritability in Children and Adolescents With Autism
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NCT07492680 — A Study of BMS-986504 Monotherapy and in Combination With Other Agents in Participants With Advanced and/or Metastatic S
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Publications: Europe PMC API search by NCT ID, retrieved 9 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Bristol-Myers Squibb
Last refreshed: 26 February 2021
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03730961.