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NCT03730961

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

Completed Phase 2 Results posted Last 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.

Timeline
17 January 2019
Primary endpoint
11 December 2019
9 January 2020

Quick facts

Lead sponsorBristol-Myers Squibb
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingquadruple
Primary purposetreatment
Enrollment23
Start date17 January 2019
Primary completion11 December 2019
Estimated completion9 January 2020
Sites2 locations across United Kingdom

Drugs / interventions tested

Conditions studied

Sponsor

Bristol-Myers Squibb — full company profile →

Who can join

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 Placebo Primary · 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
GroupValue95% CI
BMS-986231900.7± 366.56
Placebo1603.3± 674.18
Sequence 2
GroupValue95% CI
BMS-9862311176.7± 386.21
Placebo1345.4± 391.11
Total
GroupValue95% CI
BMS-9862311032.1± 392.74
Placebo1480.5± 559.92
FeNa in Participants With HFrEF While on BMS-986231 Compared to Placebo Secondary · 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
GroupValue95% CI
BMS-9862310.5± 0.52
Placebo0.6± 0.73
0-4 hours
GroupValue95% CI
BMS-9862310.6± 0.67
Placebo0.7± 0.84
4-5 hours
GroupValue95% CI
BMS-9862314.6± 3.34
Placebo5.4± 3.09
5-6 hours
GroupValue95% CI
BMS-9862315.0± 2.87
Placebo7.0± 3.51
6-7 hours
GroupValue95% CI
BMS-9862313.3± 2.33
Placebo4.7± 2.79
7-8 hours
GroupValue95% CI
BMS-9862311.7± 1.26
Placebo3.3± 2.52
FeK in Participants With HFrEF While on BMS-986231 Compared to Placebo Secondary · 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

Before start of infusion
GroupValue95% CI
BMS-9862310.4± 0.16
Placebo0.4± 0.17
0-4 hours
GroupValue95% CI
BMS-9862310.5± 0.20
Placebo0.4± 0.17
4-5 hours
GroupValue95% CI
BMS-9862311.1± 0.67
Placebo0.9± 0.46
5-6 hours
GroupValue95% CI
BMS-9862311.2± 0.54
Placebo1.2± 0.52
6-7 hours
GroupValue95% CI
BMS-9862311.1± 0.42
Placebo1.0± 0.35
7-8 hours
GroupValue95% CI
BMS-9862311.0± 0.32
Placebo0.8± 0.32
Furosemide Urinary Concentrations Secondary · Day 1, predose, 0-2 hours, 2-4 hours, 4-5 hours, 5-6 hours, 6-7 hours, 7-8 hours, 8-10 hours

Summary of urine recovery by interval, measured by amount excreted.

Before start of infusion
GroupValue95% CI
BMS-9862310.2± 0.13
Placebo0.2± 0.11
0-2 hours
GroupValue95% CI
BMS-9862310.1± 0.08
Placebo0.1± 0.11
2-4 hours
GroupValue95% CI
BMS-9862310.3± 0.37
Placebo0.1± 0.11
4-5 hours
GroupValue95% CI
BMS-9862317.9± 4.66
Placebo8.2± 4.56
5-6 hours
GroupValue95% CI
BMS-9862314.3± 1.74
Placebo3.7± 1.48
6-7 hours
GroupValue95% CI
BMS-9862312.8± 2.03
Placebo2.7± 1.43
7-8 hours
GroupValue95% CI
BMS-9862312.0± 1.22
Placebo1.7± 1.15
8-10 hours
GroupValue95% CI
BMS-9862311.7± 1.28
Placebo1.6± 1.00
Furosemide Plasma Concentrations Secondary · Day 1: 4, 5, 6, 8, 10 hours

Summary of plasma concentrations by interval.

4 hours post-dose
GroupValue95% CI
BMS-9862311605± 5384
Placebo63.6± 140.3
5 hours post-dose
GroupValue95% CI
BMS-9862312049± 593.0
Placebo2145± 653.2
6 hours post-dose
GroupValue95% CI
BMS-9862311122± 437.6
Placebo1146± 466.8
8 hours post-dose
GroupValue95% CI
BMS-986231426.8± 204.8
Placebo476.6± 226.0
10 hours post-dose
GroupValue95% CI
BMS-986231345.6± 386.6
Placebo244.3± 164.3
Ratio Urinary Sodium (Na) to Urinary Furosemide at 8 Hours Post-start Infusion Secondary · 0-4 hours after furosemide

Summary of urinary concentrations 0-4 hours after furosemide Ratio = Cumulative Sodium Excretion / Cumulative Furosemide in Urine

GroupValue95% CI
BMS-9862316.1± 3.18
Placebo10.1± 4.74
Number of Participants With Clinically Relevant Hypotension Secondary · up to 8 hours

Clinically relevant hypotension is defined as systolic blood pressure (SBP) \< 90 mmHg or symptomatic hypotension during infusion

GroupValue95% CI
BMS-9862314
Placebo0
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

GroupValue95% CI
BMS-9862318
Placebo6
Number of Participants With an Abnormal Clinical Laboratory Value Secondary · 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.

GroupValue95% CI
BMS-9862310
Placebo0
Change From Baseline in Vital Signs - Blood Pressure Secondary · Day 1, 8 hours post-dose (end of infusion)

The change in baseline for vital signs was reported for each arm.

diastolic blood pressure
GroupValue95% CI
BMS-986231-14.5± 9.99
Placebo-0.6± 10.46
systolic blood pressure
GroupValue95% CI
BMS-986231-28.4± 15.60
Placebo-4.9± 14.55
Change From Baseline in Vital Signs - Heart Rate Secondary · Day 1, 8 hours post-dose (end of infusion)

The change in baseline for vital signs was reported for each arm.

GroupValue95% CI
BMS-9862310.5± 10.40
Placebo-0.1± 8.08
Change From Baseline in Vital Signs - Oxygen Saturation Secondary · Day 1, 8 hours post-dose (end of infusion)

The change in baseline for vital signs was reported for each arm.

GroupValue95% CI
BMS-986231-1.0± 1.82
Placebo0.0± 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.

BMS-986231
Serious: 1/23 (4%)
Deaths: 0/23
Placebo
Serious: 2/23 (9%)
Deaths: 0/23

Serious adverse events (5 terms)

ReactionSystemBMS-986231Placebo
Myocardial infarctionCardiac disorders
Lower respiratory tract infectionInfections and infestations
Acute kidney injuryRenal and urinary disorders
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Other adverse events (4 terms — click to expand)

ReactionSystemBMS-986231Placebo
HeadacheNervous system disorders
HypotensionVascular disorders
Lower respiratory tract infectionInfections and infestations
DizzinessNervous system disorders

Most-reported serious reactions: Myocardial infarction, Lower respiratory tract infection, Acute kidney injury, Chronic obstructive pulmonary disease, Dyspnoea.

Data from ClinicalTrials.gov NCT03730961 adverse events section.

Sponsor's own description

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):

  1. Leveraging Signaling Pathways to Treat Heart Failure With Reduced Ejection Fraction.
    Pinilla-Vera M, Hahn VS, Kass DA. · · 2019 · cited 38× · PMID 31120818 · DOI 10.1161/circresaha.119.313682
  2. The interplay of inflammation, exosomes and Ca<sup>2+</sup> dynamics in diabetic cardiomyopathy.
    Sanganalmath SK, Dubey S, Veeranki S, Narisetty K, et al · · 2023 · cited 29× · PMID 36804872 · DOI 10.1186/s12933-023-01755-1
  3. Targeting Ca&lt;sup&gt;2 +&lt;/sup&gt; Handling Proteins for the Treatment of Heart Failure and Arrhythmias.
    Njegic A, Wilson C, Cartwright EJ. · · 2020 · cited 24× · PMID 33013458 · DOI 10.3389/fphys.2020.01068
  4. Targeting Calcium Regulation for Heart Failure and Arrhythmia Therapeutics: A Critical Review.
    Redel-Traub G, Marx SO, Marks AR. · · 2025 · cited 1× · PMID 41021670 · DOI 10.1161/circulationaha.125.075150

Verify or expand the search:

Other trials of BMS-986231

Trials testing the same drug.

Other recruiting trials for Cardiac Failure

Currently open trials in the same condition.

Other Bristol-Myers Squibb trials

Trials by the same sponsor.

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