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CK-4021586

Phase 1

Healthy Participants | Small molecule | Other |Cytokinetics, Incorporated|Last Updated: May 1, 2025

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-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment102
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05877053A Single and Multiple Ascending Dose Study of CK-4021586 in Healthy Adult ParticipantsPHASE1 COMPLETED 102May 9, 2023Nov 20, 2024May 1, 20251 United States
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Study Endpoints
Primary Endpoints
Incidence and severity of AEs
Time Frame for SAD Cohorts: Day -1 - Day 7; Time Frame for MAD Cohorts: Day -1 - Day 14; Time Frame for Food Effect Cohorts: Days 1 to 7 (Treatment Periods 1 and 2)

To assess the safety and tolerability of CK-4021586 when administered orally as single or multiple doses to healthy participants

Secondary Endpoints
Primary PK parameters of CK-4021586 including AUC
Time Frame for SAD Cohorts: Day -1 - Day 7; Time Frame for MAD Cohorts: Day -1 - Day 14; Time Frame for Food Effect Cohorts: Days 1 to 7 (Treatment Periods 1 and 2)
Changes over time from baseline in echocardiographic parameters including, but not limited to, LVEF
Time Frame for SAD Cohorts: Day -1 - Day 7; Time Frame for MAD Cohorts: Day -1 - Day 14
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeBASIC_SCIENCE
Treatment Arms
ArmTypeDescription
CK-4021586 for SAD CohortEXPERIMENTALSubjects will be assigned to one of 8 planned dose cohorts and receive single doses of CK-4021586
Placebo for SAD CohortPLACEBO_COMPARATORSubjects will be assigned to one of approximately 8 planned cohorts and receive single doses of placebo
CK-4021586 for MAD CohortEXPERIMENTALSubjects will be assigned to one of 4 planned dose cohorts and receive multiple doses of CK-4021586
Placebo for MAD CohortPLACEBO_COMPARATORSubjects will be assigned to one of approximately 4 planned cohorts and receive multiple of placebo
Food EffectEXPERIMENTALHealthy subjects will be administered CK-4021586 with and without food in a cross-over fashion
Interventions
NameTypeDescription
CK-4021586DRUGCK-4021586
Placebo for CK-4021586DRUGPlacebo for CK-4021586
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Eligibility Criteria
Age Range18 Years — 55 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Healthy male and female participants aged between 18 and 55 years (inclusive) with a body mass index between 18.0 and 30.0 kg/m2 (inclusive), with a body weight \> 50.0 kg Exclusion Criteria: * Significant history or clinical manifestation of any significant metabolic, aller...

Countries:United States
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