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CXL-1427 Ascending Dose

Phase 2

Heart Failure | Small molecule | Cardiovascular |Bristol-Myers Squibb Company|Trials Updated: Feb 26, 2021

CXL-1427 Ascending Dose development status

Highest phase Phase 2 (NCT03730961)
Phase scored for BMYPhase 1
Registered trials 6 across 1 sponsor since Jun 2016

CXL-1427 Ascending Dose target and mechanism

ModalitySmall molecule

Also known as BMS-986231

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials6
Total Enrollment288

FDA Designations

No designations recorded

CXL-1427 Ascending Dose clinical trials

CXL-1427 Ascending Dose · 6 trials · 11 indications

Phase 2 1Phase 1 5
NCT03730961An 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 DiureticCardiac Failure
COMPLETED23 Analytics
PHASE2COMPLETED
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
Cardiac FailureUnlock trial analytics

Study Endpoints

Primary Endpoints

4-hour Urinary Output Following Intravenous Administration of 40 mg Furosemide to HFrEF Participants Receiving BMS-986231 Infusion Compared to Placebo
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

Area under the concentration-time curve from time 0 extrapolated to infinity [AUC(INF)] derived from plasma concentration
Up to 2 days
AUC from time 0 up to time T, where T is the last time point with concentrations above the lower limit of quantitation [AUC(0-T)] derived from plasma concentration
Up to 2 days
Maximum plasma concentration (Cmax)
Up to 2 days
Maximum observed plasma concentration (Cmax) derived from plasma concentration
11 days
Area under the concentration-time curve from time 0 extrapolated to infinity [AUC(0-inf)] derived from plasma concentration
11 days
Metabolite ratio determined using AUC0-inf for metabolite/AUC0-inf [MRAUC(0-inf)] derived from plasma concentration
11 days
Clearance (CL) derived from plasma concentration
11 days
Renal clearance (CLR) derived from urine concentration
11 days
Area Under the Concentration-Time Curve from Time Zero to Time of Last Quantifiable Concentration (AUC[0-T])
Up to 8 days

Measured by plasma concentrations

Percent of Total Radioactivity Recovered in All Excreta (% total)
Up to 8 days

Measured by plasma urine, feces, and vomit (if applicable) volumes and radioactivity counts

Half-Life (T-HALF)
Up to 8 days

Measured by plasma concentrations

Total Body Clearance (CLT)
Up to 8 days

Measured by plasma concentrations

Volume of Distribution during Terminal Elimination Phase (Vz/F)
Up to 8 days

Measured by plasma concentrations

Time to Maximum Observed Concentration (Tmax)
Up to 8 days

Measured by plasma concentrations

Safety and tolerability of single continuous IV infusion of BMS-986231 in healthy Japanese and Non-Asian participants based on Adverse events, clinical laboratory values, vital signs, ECGs, and physical examinations
11 days
Safety measured by percentage of Treatment Emergent Adverse Events (TEAEs)
Up to 31 days
Tolerability measured by percentage of Treatment Emergent Adverse Events (TEAEs)
Up to 31 days

Secondary Endpoints

FeNa in Participants With HFrEF While on BMS-986231 Compared to Placebo
Day 1, predose; 0-4 hours, 4-5 hours, 5-6 hours, 6-7 hours, 7-8 hours
FeK in Participants With HFrEF While on BMS-986231 Compared to Placebo
Day 1, predose; 0-4 hours, 4-5 hours, 5-6 hours, 6-7 hours, 7-8 hours
Furosemide Urinary Concentrations
Day 1, predose, 0-2 hours, 2-4 hours, 4-5 hours, 5-6 hours, 6-7 hours, 7-8 hours, 8-10 hours
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Placebo+Diuretic to BMS-986231+DiureticEXPERIMENTALAdministered in a cross over design with 8-hour continuous infusions and 7-28 day wash-out periods
BMS-986231+Diuretic to Placebo+DiureticEXPERIMENTALAdministered in a cross over design with 8-hour continuous infusions and 7-28 day wash-out periods
Mild hepatic impairmentEXPERIMENTALBased on Hepatic Function Impairment - Child-Pugh A score 5 to 6 points
Moderate hepatic impairmentEXPERIMENTALBased on Hepatic Function Impairment - Child-Pugh B score 7 to 9 points
Severe hepatic impairmentEXPERIMENTALBased on Hepatic Function Impairment - Child-Pugh C score 10 to 15 points
Normal hepatic functionEXPERIMENTALBased on Hepatic Function Impairment as defined by the investigator
Mild Renal ImpairmentEXPERIMENTALMild renal impairment defined as eGFR 60 to \<90 mL/min/1.73 m\^2
Moderate renal impairmentEXPERIMENTALModerate renal impairment defined as eGFR 30 to \<60 mL/min/1.73 m\^2
Severe renal impairmentEXPERIMENTALSevere renal impairment defined as eGFR \<30 mL/min/1.73 m\^2, not requiring dialysis
Normal renal functionEXPERIMENTALNormal renal function defined as eGFR ≥90 mL/min/1.73 m\^2
BMS-986231 Intravenous InfusionEXPERIMENTALA single continuous intravenous infusion of BMS-986231
Panel 1 ArmEXPERIMENTALBMS-986231 and BMS-986231 Placebo intravenously
Panel 2 ArmEXPERIMENTALBMS-986231 and BMS-986231 Placebo intravenously
Panel 3 ArmEXPERIMENTALBMS-986231 and BMS-986231 Placebo intravenously
CXL-1427 (BMS-986231)EXPERIMENTALExperimental
PlaceboPLACEBO_COMPARATORPlacebo

Interventions

NameTypeDescription
BMS-986231DRUGIntravenous administration
FurosemideDRUGIntravenous administration
PlaceboDRUGIntravenous administration
BMS-986231 PlaceboDRUG -
CXL-1427 Ascending DoseDRUG -
CXL-1427 Descending DoseDRUG -
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites2

For more information regarding Bristol-Myers Squibb Clinical Trial participation, please visit www.BMSStudyConnect.com Inclusion Criteria: * Left ventricular ejection fraction \<45%, as assessed by echocardiography, a multigated acquisition (MUGA) scan or magnetic resonance imaging (MRI) scan with...

Countries:United KingdomHungaryPolandCzechiaUnited States
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Frequently asked questions about CXL-1427 Ascending Dose

What is CXL-1427 used for in Heart Failure?

CXL-1427 is an investigational small molecule being studied for the treatment of Heart Failure. It is administered as a single continuous intravenous (IV) infusion for up to 48 hours. The drug is currently in Phase 1 clinical development and has not been approved by regulatory authorities.

Who makes CXL-1427?

CXL-1427 is being developed by Bristol-Myers Squibb Company, which trades under the ticker symbol BMY. The company is conducting clinical trials to evaluate the safety of this investigational drug for Heart Failure.

What phase is CXL-1427 in?

CXL-1427 is in Phase 1 clinical development. A first-in-human study of the drug has been completed, evaluating the safety of single continuous intravenous infusions for up to 48 hours in healthy volunteers. The drug remains investigational and is not yet approved.

What clinical trials is CXL-1427 in?

CXL-1427 has one completed Phase 1 clinical trial registered as NCT02819271. This first-in-human study assessed the safety of single continuous intravenous infusions of CXL-1427 for up to 48 hours in 80 healthy volunteers, with a placebo-controlled, randomized, double-blind design.

Is CXL-1427 FDA approved?

CXL-1427 is not FDA approved. It is an investigational drug currently in Phase 1 clinical development for Heart Failure. The completed clinical trial focused on safety in healthy volunteers, and the drug has not yet progressed to later-stage studies or regulatory approval.