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HNO Donor

Phase 2

Heart Failure | Small molecule | Cardiovascular |Bristol-Myers Squibb Company|Last Updated: Jan 6, 2021

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials2
Total Enrollment378

FDA Designations

No designations recorded

Clinical trial landscape

HNO Donor · 2 trials · 3 indications

Phase 2 2
NCT03357731A Study of Continuous Infusions of HNO (Nitroxyl) Donor in Patients With Heart Failure and Impaired Systolic FunctionHeart Failure
COMPLETED49 Analytics
NCT03016325Evaluate the Safety and Efficacy of 48-Hour Infusions of HNO (Nitroxyl) Donor in Hospitalized Patients With Heart FailureHeart Failure
COMPLETED329 Analytics
PHASE2COMPLETED
A Study of Continuous Infusions of HNO (Nitroxyl) Donor in Patients With Heart Failure and Impaired Systolic Function
Heart FailureUnlock trial analytics
PHASE2COMPLETED
Evaluate the Safety and Efficacy of 48-Hour Infusions of HNO (Nitroxyl) Donor in Hospitalized Patients With Heart Failure
Heart FailureUnlock trial analytics

Study Endpoints

Primary Endpoints

Mean Stroke Volume Index (SVI) Derived From the Velocity Time Integral at the Left Ventricular Outflow Tract (LVOT VTI) at the End of the 5-hour Infusion of BMS-986231, Versus Placebo
at the end of the 5-hour infusion

The objective is to evaluate the effects of BMS-986231 on the left ventricular (LV) systolic function by stroke volume index (SVI) assessed by echocardiography compared to placebo.

Percentage of Participants With Clinically Relevant Hypotension up to 6 Hours After the End of Study Drug Infusion
From start of infusion up to 6 hours post end of infusion

Percentage of participants with clinically relevant hypotension, defined by systolic blood pressure (SBP) \< 90 mm Hg (confirmed by a repeated value \< 90 mm Hg) or symptoms of hypotension, up to 6 hours after the end of study drug infusion

Secondary Endpoints

Mean SVI Derived From LVOT VTI at the End of the 5-hour Infusion of BMS-986231, Versus NTG
at the end of the 5-hour infusion
Mean LVEF, Computed by Simpson's Method at the End of the 5-hour Infusion of BMS-986231, Versus Placebo and NTG
at the end of the 5-hour infusion
Mean Cardiac Power Index at the End of the 5-hour Infusion of BMS-986231, Versus Placebo and NTG
at the end of the 5-hour infusion
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Placebo/BMS-986231/NTGEXPERIMENTALadministered in a cross over design with 5-hour infusions and 5-28 day wash-out periods
Placebo/NTG/BMS-986231EXPERIMENTALadministered in a cross over design with 5-hour infusions and 5-28 day wash-out periods
NTG/Placebo/BMS-986231EXPERIMENTALadministered in a cross over design with 5-hour infusions and 5-28 day wash-out periods
NTG/BMS-986231/PlaceboEXPERIMENTALadministered in a cross over design with 5-hour infusions and 5-28 day wash-out periods
BMS-986231/Placebo/NTGEXPERIMENTALadministered in a cross over design with 5-hour infusions and 5-28 day wash-out periods
BMS-986231/NTG/PlaceboEXPERIMENTALadministered in a cross over design with 5-hour infusions and 5-28 day wash-out periods
Part 1 Cohort 1 HNO DonorEXPERIMENTAL -
Placebo Part 1 Cohort 1PLACEBO_COMPARATOR -
Part 2 Cohort 2 HNO Donor- low doseEXPERIMENTAL -
Part 2 Cohort 2 HNO Donor- high doseEXPERIMENTAL -
Placebo Part 2 Cohort 2PLACEBO_COMPARATOR -

Interventions

NameTypeDescription
HNO DonorDRUGInfusion
Nitroglycerin (NTG)DRUGInfusion
PlaceboOTHERInfusion
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites18

For more information regarding Bristol-Myers Squibb Clinical Trial participation, please visit www.BMSStudyConnect.com Inclusion Criteria: * Heart failure with reduced ejection fraction (LVEF on echocardiogram of 40% or less) * Stable guideline directed therapy for heart failure including oral diu...

Countries:United StatesJapanNetherlandsUnited KingdomArgentinaCanadaCzechiaFranceGermanyGreeceItalyPolandSpain
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Frequently asked questions about HNO Donor

What is HNO Donor used for in heart failure?

HNO Donor is an investigational small molecule being studied for the treatment of heart failure. It is a nitroxyl donor that has been evaluated in hospitalized patients with heart failure and in patients with heart failure and impaired systolic function. The drug is currently in Phase 2 clinical development.

What does HNO Donor target?

HNO Donor is a nitroxyl (HNO) donor, meaning it releases nitroxyl, a reactive nitrogen species that can modulate cardiac function. Nitroxyl is believed to enhance myocardial contractility and vasodilation, which may be beneficial in heart failure. The drug is being developed to address reduced cardiac output and related symptoms.

Who makes HNO Donor?

HNO Donor is being developed by Bristol-Myers Squibb Company, a biopharmaceutical company listed on the New York Stock Exchange under the ticker symbol BMY. The company is conducting clinical trials to evaluate the safety and efficacy of this investigational drug for heart failure.

What phase is HNO Donor in?

HNO Donor is in Phase 2 clinical development. It has completed two Phase 2 trials, with a total of 378 participants enrolled. The drug is not yet approved and remains investigational, meaning it has not been authorized for commercial use by regulatory authorities.

What clinical trials is HNO Donor in?

HNO Donor has been studied in two completed Phase 2 trials. The first, NCT03016325, evaluated 48-hour infusions in 329 hospitalized patients with heart failure. The second, NCT03357731, studied continuous infusions in 49 patients with heart failure and impaired systolic function. Both trials were randomized, double-blind, and controlled.

Is HNO Donor the same as nitroxyl?

HNO Donor is a nitroxyl donor, not nitroxyl itself. It is a compound that releases nitroxyl (HNO) in the body. The drug is designed to deliver nitroxyl to exert its effects on the cardiovascular system, particularly in heart failure. It is not referred to by any other name in the available data.