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MYK-491

Phase 1

Heart Failure With Reduced Ejection Fraction | Small molecule | Cardiovascular |Bristol-Myers Squibb Company|Last Updated: Feb 2, 2023

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials1
Total Enrollment52

FDA Designations

No designations recorded

Clinical trial landscape

MYK-491 · 1 trial · 2 indications

Phase 1 1
NCT03447990v4 Study Evaluating the Safety, Tolerability and Preliminary Pharmacokinetics and Pharmacodynamics of MYK-491Heart Failure With Reduced Ejection Fraction
COMPLETED52 Analytics
PHASE1COMPLETED
v4 Study Evaluating the Safety, Tolerability and Preliminary Pharmacokinetics and Pharmacodynamics of MYK-491
Heart Failure With Reduced Ejection FractionUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
From first dose to 30 days post last dose (Up to 2 months)

Number of participants with any grade of treatment-emergent adverse events (TEAEs) and any grade of serious adverse events (SAEs).

Number of Participants With Change From Baseline in Electrocardiograms (ECG) Intervals - SAD Cohorts
Baseline, day 1-16, 2 hours pre-dose and at 3-, 5-, 9-, 12-, 24-, and 36-hours post-dose

Number of participants with change from baseline in ECGs QTcF, PR, and QRS intervals. Baseline is defined as the last non-missing value prior to the corresponding period.

Number of Participants With Change From Baseline in Electrocardiograms (ECG) Intervals - MAD Cohorts
Baseline, Day 1-16, 2 hours pre-dose and at 7-, 24-, and 48-hours post final dose

Number of participants with change from baseline in ECGs QTcF, PR, and QRS intervals. Baseline is defined as the last non-missing value prior to first randomized dose.

Mean Change From Baseline in Vital Signs Part 1 - SAD Cohorts
Baseline and at 6-hours post-dose

Mean change from baseline in supine systolic blood pressure (SBP) and supine diastolic blood pressure (DBP) vital signs. Baseline is defined as the last non-missing value prior to the corresponding period.

Mean Change From Baseline in Vital Signs Part 1 - MAD Cohorts
Baseline and at 6-hours post-dose

Mean change from baseline in supine systolic blood pressure (SBP) and supine diastolic blood pressure (DBP) vital signs. Baseline is defined as the last non-missing value prior to first randomized dose

Mean Change From Baseline in Vital Signs Part 2 - SAD Cohorts
Baseline and at 6-hours post-dose

Mean change from baseline in heart rate (HR) vital signs. Baseline is defined as the last non-missing value prior to the corresponding period.

Mean Change From Baseline in Vital Signs Part 2 - MAD Cohorts
Baseline and at 6-hours post-dose

Mean change from baseline in heart rate (HR) vital signs. Baseline is defined as the last non-missing value prior to first randomized dose

Number of Participants With a Troponin I Increase - SAD Cohorts
Baseline, day 1-3, 2 hours pre-dose and at 3-, 5-, 9-, 12-, 24-, and 36-hours post-dose

Number of participants with a troponin increase is defined as when one of the following conditions was met (1) if the participant's troponin I value was normal prior to dosing (≤0.03 ng/mL), an elevated level on at least one measurement after start of dosing \>2×ULN for the specific assay (\>0.06 ng/mL) through Day 16. (2) If the participant's troponin I value was above the ULN for the specific assay prior to dosing, an increase \>0.03 ng/mL compared to baseline on at least one measurement after start of dosing through Day 16.

Number of Participants With a Troponin I Increase - MAD Cohorts
Baseline, pre-dose and 7hr post dose on treatment day 1, day 2, day 5 and pre-dose and at 7-, 24-, and 48-hours post final dose

Number of participants with a troponin increase is defined as when one of the following conditions was met (1) if the participant's troponin I value was normal prior to dosing (≤0.03 ng/mL), an elevated level on at least one measurement after start of dosing \>2×ULN for the specific assay (\>0.06 ng/mL) through Day 16. (2) If the participant's troponin I value was above the ULN for the specific assay prior to dosing, an increase \>0.03 ng/mL compared to baseline on at least one measurement after start of dosing through Day 16.

Number of Participants With Clinically Significant Laboratory Abnormalities
From first dose to 30 days post last dose (Up to 2 months)

Number of participants with clinically significant laboratory abnormalities.

Number of Participants With Clinically Significant Physical Examinations Abnormalities
From first dose to 30 days post last dose (Up to 2 months)

Number of participants with clinically significant physical examinations abnormalities.

Secondary Endpoints

Danicamtiv Maximum Observed Plasma Concentration (Cmax)
1 hour pre-dose and day 1-12 at 1, 2, 3, 4, 5, 6, 9, 12, 18, 24, 36, and 48 hours postdose
Danicamtiv Time of Maximum Observed Plasma Concentration (Tmax)
1 hour pre-dose and day 1-12 at 1, 2, 3, 4, 5, 6, 9, 12, 18, 24, 36, and 48 hours postdose
Area Under the Plasma Concentration-Time Curve (AUC)
1 hour pre-dose and day 1-12 at 1, 2, 3, 4, 5, 6, 9, 12, 18, 24, 36, and 48 hours postdose
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part 1/SAD and Part 2/MAD - drugOTHERPart 1/SAD: Crossover, Single ascending dose of MYK-491/placebo Part 2/MAD: Parallel, multiple ascending dose of MYK-491/placebo
Part 1/SAD and Part 2/MAD - placeboOTHERPart 1/SAD: Crossover, Single ascending dose of MYK-491/placebo Part 2/MAD: Parallel, multiple ascending dose of MYK-491/placebo

Interventions

NameTypeDescription
MYK-491DRUGSingle Ascending Dose and Multiple Ascending Dose of MYK-491
PlaceboDRUGSingle Ascending Dose and Multiple Ascending Dose of placebo
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Eligibility Criteria

Age Range18 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites17

Key Inclusion Criteria: * Has stable chronic heart failure with reduced ejection fraction * Has adequate acoustic windows for echocardiography Key Exclusion Criteria: * Any significant structural cardiac abnormalities on Screening TTE * At Screening, symptomatic hypotension or hypertension or bra...

Countries:United StatesFranceGermanyNetherlandsPolandSwedenUnited Kingdom
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Frequently asked questions about MYK-491

What is MYK-491 used for?

MYK-491 is an investigational small molecule being developed for the treatment of heart failure with reduced ejection fraction. It is currently in Phase 1 clinical development and has not been approved by regulatory authorities. The drug is intended to address conditions such as dilated cardiomyopathy, which is characterized by impaired heart function.

Who makes MYK-491?

MYK-491 is being developed by Bristol-Myers Squibb Company, a biopharmaceutical company traded on the New York Stock Exchange under the ticker symbol BMY. The company is conducting clinical research to evaluate the safety, tolerability, and preliminary pharmacokinetics and pharmacodynamics of this investigational drug in patients with heart failure.

What phase is MYK-491 in?

MYK-491 is in Phase 1 clinical development. It is an investigational drug and has not been approved by the FDA or any other regulatory agency. The Phase 1 trial has been completed, and the drug remains in early-stage clinical research to assess its safety and preliminary effects in patients with heart failure with reduced ejection fraction.

What clinical trials is MYK-491 in?

MYK-491 has one completed Phase 1 clinical trial registered under the identifier NCT03447990. This study evaluated the safety, tolerability, and preliminary pharmacokinetics and pharmacodynamics of MYK-491 in 52 participants with heart failure with reduced ejection fraction and dilated cardiomyopathy. The trial was conducted in multiple countries, including the United States, France, Germany, and the United Kingdom.

Is MYK-491 FDA approved?

MYK-491 is not FDA approved. It is an investigational drug currently in Phase 1 clinical development. The completed Phase 1 trial assessed its safety and preliminary effects, but the drug has not yet received regulatory approval for the treatment of heart failure with reduced ejection fraction or any other condition.