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BAY1067197

Phase 2

Heart Failure | Small molecule | Cardiovascular |Bayer AG|Trials Updated: Sep 19, 2019

BAY1067197 development status

Highest phase Phase 2
Registered trials 1 across 1 sponsor since Jan 2014

BAY1067197 target and mechanism

Molecular targetADORA1
Target classAgonist
ModalitySmall molecule

Also known as BAY1067197 (treatment 2)

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment42

FDA Designations

No designations recorded

BAY1067197 clinical trials

BAY1067197 · 2 trials · 1 indication

Phase 2 2
NCT02040233Multiple Dose Study in Heart Failure of BAY 1067197Heart Failure
COMPLETED31 Analytics
NCT01945606Study to Assess the Safety of BAY1067197 in Stable Heart Failure Patients on Standard Therapy Including ß-blockerHeart Failure
COMPLETED11 Analytics
PHASE2COMPLETED
Multiple Dose Study in Heart Failure of BAY 1067197
Heart FailureUnlock trial analytics
PHASE2COMPLETED
Study to Assess the Safety of BAY1067197 in Stable Heart Failure Patients on Standard Therapy Including ß-blocker
Heart FailureUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Subjects With Relevant Changes in Heart Rate
From the start of study treatment up to Day 29

Heart rate was measured by monitor measurements after 30 minutes resting in a supine position. The relevant changes in heart rate were recorded and analysed.

Number of Subjects With Relevant Changes in Blood Pressure
From the start of study treatment up to Day 29

Blood pressure was measured by monitor measurements after 30 minutes resting in a supine position. The relevant changes in blood pressure were recorded and analysed.

Number of Subjects With More than First Degree Atrio-Ventricular (AV) Block
After 7 day tratment and day 28

A complete standard 12-lead ECG was recorded and evaluated parameters such as heart rate, PR/PQinterval, QRSD interval, QT interval (uncorrected). Clinically relevant findings in ECG such as a second degree AV-block Mobitz type I (Wenkebach), Mobitz type II - or any third-degree AV block were recorded and reported. A 24-hour Holter ECG was recorded with a standard Holter ECG recorder for the purpose of detecting AV blocks, no higher degree AV blocks \> 1 or clinically relevant effect on HR were observed during Holter monitoring periods.

Change From Baseline in Left Ventricular Ejection Fraction (LVEF)
Baseline to day 7

The change in LVEF between the post and the pre-treatment measurements were analyzed using Bayesian statistics to quantify the difference between BAY1067197 treatment and placebo measured by CMR. LVEF is the fraction of blood (in percent) pumped out of the heart's left ventricular chamber with each heart beat, and is a measure of cardiac output for the heart.

Maximum Observed Concentration of BAY84-3174 in Plasma (Cmax) After First Dose of BAY1067197
Day 1: pre-dose and 0.5, 1, 2, 3, 4, 6, 12 and 24 hours post-dose

Maximum observed BAY84-3174 concentration in plasma, directly taken from analytical data. Geometric mean and percentage geometric coefficient of variation (%CV) were reported.

Maximum Observed Concentration of BAY84-3174 in Plasma Divided by Dose (Cmax/D) After First Dose of BAY1067197
Day 1: pre-dose and 0.5, 1, 2, 3, 4, 6, 12 and 24 hours post-dose

Maximum observed drug concentration, directly taken from analytical data, divided by dose. Geometric mean and %CV were reported.

Area Under the Concentration Versus Time Curve of BAY84-3174 for the Dosing Interval (AUCtau) After First Dose of BAY1067197
Day 1: pre-dose and 0.5, 1, 2, 3, 4, 6, 12 and 24 hours post-dose

AUCtau is defined as area under the plasma concentration time profile from time zero to the end of the dosing interval after the first dose and dosing interval was 24 h for both arms. Geometric mean and %CV were reported.

Area Under the Concentration Versus Time Curve of BAY84-3174 for the Dosing Interval Divided by Dose (AUCtau/D) After First Dose of BAY1067197
Day 1: pre-dose and 0.5, 1, 2, 3, 4, 6, 12 and 24 hours post-dose

AUCtau/D is defined as area under the plasma concentration time profile from time zero to the end of the dosing interval divided by dose after the first dose and dosing interval was 24 h for both arms. Geometric mean and %CV were reported.

Maximum Observed Concentration of BAY84-3174 in Plasma (Cmax,md) After Multiple Dose Administration During a Dosing Interval
Day 7: pre dose and 0.5, 1, 2, 3, 4, 6 and 12 hours post dose; Day 8, Day 14, Day 22 and Day 29

Cmax,md is defined as maximum observed drug concentration in plasma after multiple-dose administrations during a dosing interval directly taken from analytical data.Geometric mean and %CV were reported.

Maximum Observed Concentration of BAY84-3174 in Plasma Divided by Dose (Cmax,md/D) After Multiple Dose Administration During a Dosing Interval
Day 7: pre dose and 0.5, 1, 2, 3, 4, 6 and 12 hours post dose; Day 8, Day 14, Day 22 and Day 29

Maximum observed drug concentration, directly taken from analytical data divided by dose after multiple doses. Geometric mean and %CV were reported.

Area Under the Concentration Versus Time Curve of BAY84-3174 During any Dosing Interval (AUCtau,md) After Multiple Dose Administration
Day 7: pre-dose and 0.5, 1, 2, 3, 4, 6, 12 and 24 hours post-dose

AUCtau,md is defined as area under the plasma concentration time profile from time zero during the dosing interval after multiple-dose administrations and dosing interval was 24 h for both arms. Geometric mean and %CV were reported.

Area Under the Concentration Versus Time Curve of BAY84-3174 During any Dosing Interval Divided by Dose (AUCtau,md/D) After Multiple Dose Administration
Day 7: pre-dose and 0.5, 1, 2, 3, 4, 6, 12 and 24 hours post-dose

AUCtau,md/D is defined as area under the plasma concentration time profile from time zero to the end of the dosing interval after multiple dose of administrations divided by dose and dosing interval was 24 h for both arms. Geometric mean and %CV were reported.

Number of patients with occurrence of AV-Block > I°
up to 48 hours

Secondary Endpoints

Changes From Baseline for Wall Motion Score Index at Day (WMSI) as Measured by Cardiac Magnetic Resonance at Day 7
Baseline to day 7
Number of Subjects With Clinically Relevant Changes Observed in Echocardiography Parameters
Baseline, Day 6 and 15
Number of Subjects With Clinically Relevant Changes Observed in Biomarkers
Baseline up to Day 15
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
BAY1067197 (10 mg)ACTIVE_COMPARATOR -
BAY1067197ACTIVE_COMPARATOR -
Placebo (10 mg)PLACEBO_COMPARATOR -
PlaceboPLACEBO_COMPARATOR -
Placebo and BAY1067197EXPERIMENTALPatients will get both treatment 1 and 2

Interventions

NameTypeDescription
BAY1067197 (10 mg)DRUG10 mg BAY1067197 for 7 d treatment once daily as oral application
BAY1067197DRUGThe dose escalation to the second dose step will proceed only if the previous dose step has shown acceptable safety and tolerability 5 mg / or 10 mg / or 20 mg BAY1067197 for 7 d treatment as oral application.
Placebo (10 mg)DRUG10 mg Placebo for 7 d treatment once daily as oral application
PlaceboDRUG5 mg / or 10 mg / or 20 mg Placebo for 7 d treatment once daily as oral application
Placebo (treatment 1)DRUGOral administration of placebo tablets
BAY1067197 (treatment 2)DRUGOral administration of a single dose of 30 mg (3×10 mg Tablet) BAY1067197
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites6

* Inclusion Criteria: * Clinical diagnosis of chronic systolic heart failure of ischemic or non-ischemic etiology:(New York Heart Association)NYHA class I-III and treatment with standard pharmacological therapy for the treatment of systolic heart failure including β-blocker ≥ 4 weeks prior to random...

Countries:GermanyItalyNetherlandsPoland
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Frequently asked questions about BAY1067197

What is BAY1067197 used for?

BAY1067197 is an investigational small molecule being studied for the treatment of heart failure. It has been evaluated in Phase 2 clinical trials in patients with stable heart failure, including patients receiving standard therapy with a beta-blocker. It is not approved for any indication and remains in clinical development.

What does BAY1067197 target?

BAY1067197 targets ADORA1, the adenosine A1 receptor, and acts as an agonist at this receptor. This target class places it among compounds designed to modulate adenosine signaling in the cardiovascular system, which is the basis for its study in heart failure.

Who is developing BAY1067197?

BAY1067197 is being developed by Bayer AG, which trades on the OTC market under the ticker BAYRY. Bayer sponsored the Phase 2 heart failure studies of the compound.

What phase is BAY1067197 in?

BAY1067197 is in Phase 2 development. Both of its heart failure trials have been completed, and no trials are currently active. The drug is investigational and has not been approved by the FDA or any other regulatory agency for heart failure or any other indication.

What clinical trials is BAY1067197 in?

BAY1067197 has been studied in two completed Phase 2 trials: NCT02040233, a multiple dose study in heart failure conducted in Germany, Italy, Netherlands, and Poland with 31 patients, and NCT01945606, which assessed safety in stable heart failure patients on standard therapy including a beta-blocker, run in the Netherlands with 11 patients.