Recent Updates
Recently added Catalysts

MYK-491

Phase 1

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

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
RandomizedDouble-BlindCONTROLLEDBiomarker
Total Trials1
Total Enrollment52
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03447990v4 Study Evaluating the Safety, Tolerability and Preliminary Pharmacokinetics and Pharmacodynamics of MYK-491PHASE1 COMPLETED 52Feb 6, 2018Oct 24, 2019Feb 2, 202317 United States, France +5
Unlock Drug Trial Details
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
Unlock Study Endpoints
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
Unlock Study Design Details
Eligibility Criteria
Age Range18 Years — 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
Unlock Eligibility Criteria