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HNO Donor

Phase 2

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

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment378
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03357731A Study of Continuous Infusions of HNO (Nitroxyl) Donor in Patients With Heart Failure and Impaired Systolic FunctionPHASE2 COMPLETED 49Nov 30, 2017May 10, 2019Jul 27, 202018 United States, Japan +2
NCT03016325Evaluate the Safety and Efficacy of 48-Hour Infusions of HNO (Nitroxyl) Donor in Hospitalized Patients With Heart FailurePHASE2 COMPLETED 329Jan 13, 2017Nov 12, 2019Jan 6, 2021116 United States, Argentina +11
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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 — 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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