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Omecamtiv Mecarbil Matrix F1 Formulation

Phase 2

Modified Release Oral Formulation | Small molecule | Cardiovascular |Cytokinetics, Incorporated|Last Updated: Aug 12, 2021

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment544

FDA Designations

No designations recorded

Clinical trial landscape

Omecamtiv Mecarbil Matrix F1 Formulation · 1 trial · 7 indications

Phase 2 1
NCT01786512COSMIC-HF - Chronic Oral Study of Myosin Activation to Increase Contractility in Heart FailureModified Release Oral Formulation
COMPLETED544 Analytics
PHASE2COMPLETED
COSMIC-HF - Chronic Oral Study of Myosin Activation to Increase Contractility in Heart Failure
Modified Release Oral FormulationUnlock trial analytics

Study Endpoints

Primary Endpoints

Dose Escalation Phase: Maximum Observed Plasma Concentration (Cmax) of Omecamtiv Mecarbil Following the Last Dose (Day 7)
Day 7 at predose and at 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 48, and 72 hours, and 7 days post-dose.
Dose Escalation Phase: Time to Maximum Observed Plasma Concentration (Tmax) of Omecamtiv Mecarbil Following the Last Dose (Day 7)
Day 7 at predose and at 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 48, and 72 hours, and 7 days post-dose.
Dose Escalation Phase: Plasma Concentration of Omecamtiv Mecarbil Prior to Dosing on Day 7
Day 7 at predose
Dose Escalation Phase: Area Under the Plasma Concentration-time Curve for a Dosing Interval of 12 Hours Post Dose (AUC12) for Omecamtiv Mecarbil
Day 7 at predose and at 0.5, 1, 2, 3, 4, 6, 8, and 12 hours post-dose
Expansion Phase: Plasma Concentration of Omecamtiv Mecarbil Prior to Dosing
Predose (before morning dose) at weeks 2, 8, 12, 16, and 20
Expansion Phase: Maximum Observed Plasma Concentration of Omecamtiv Mecarbil
Weeks 2 and 12 at predose and 1, 2, 4, 6, and 8 hours post-dose.

Secondary Endpoints

Expansion Phase: Change From Baseline in Systolic Ejection Time (SET) at Week 20
Baseline and week 20
Expansion Phase: Change From Baseline in Stroke Volume at Week 20
Baseline and week 20
Expansion Phase: Change From Baseline in Left Ventricular End Systolic Diameter (LVESD) at Week 20
Baseline and week 20
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Dose-escalation Cohort 1: PlaceboPLACEBO_COMPARATORParticipants received placebo tablets twice a day (BID) for 7 days.
Dose-escalation Cohort 1: Omecamtiv Mecarbil 25 mg M-F1EXPERIMENTALParticipants received 25 mg omecamtiv mecarbil (OM) Matrix F1 (M-F1) tablets twice a day for 7 days.
Dose-escalation Cohort 1: Omecamtiv Mecarbil 25 mg M-F2EXPERIMENTALParticipants received 25 mg omecamtiv mecarbil Matrix F2 (M-F2) tablets twice a day for 7 days.
Dose-escalation Cohort 1: Omecamtiv Mecarbil 25 mg SCT-F2EXPERIMENTALParticipants received 25 mg omecamtiv mecarbil swellable core technology F2 (SCT-F2) tablets twice a day for 7 days.
Dose-escalation Cohort 2: PlaceboPLACEBO_COMPARATORParticipants received placebo tablets twice a day for 7 days.
Dose-escalation Cohort 2: Omecamtiv Mecarbil 50 mg M-F1EXPERIMENTALParticipants received 50 mg omecamtiv mecarbil M-F1 tablets twice a day for 7 days.
Dose-escalation Cohort 2: Omecamtiv Mecarbil 50 mg M-F2EXPERIMENTALParticipants received 50 mg omecamtiv mecarbil M-F2 tablets twice a day for 7 days.
Dose-escalation Cohort 2: Omecamtiv Mecarbil 50 mg SCT-F2EXPERIMENTALParticipants received 50 mg omecamtiv mecarbil SCT-F2 tablets twice a day for 7 days.
Expansion Phase: PlaceboPLACEBO_COMPARATORParticipants received placebo tablets twice a day for 20 weeks.
Expansion Phase: Omecamtiv Mecarbil 25 mg M-F1EXPERIMENTALParticipants received 25 mg omecamtiv mecarbil M-F1 tablets twice a day for 20 weeks.
Expansion Phase: OM M-F1 PK-based TitrationEXPERIMENTALAll participants received 25 mg omecamtiv mecarbil M-F1 tablets twice a day. At week 8 the dose escalated to 50 mg twice a day if the week 2 predose plasma concentration of OM was less than the predefined cutoff of 200 ng/mL.

Interventions

NameTypeDescription
Omecamtiv Mecarbil Matrix F1 FormulationDRUGModified release tablets for oral administration
Omecamtiv Mecarbil Matrix F2 FormulationDRUGModified release tablets for oral administration
PlaceboDRUGModified release tablets matching to omecamtiv mecarbil
Omecamtiv Mecarbil Swellable Core Technology F2DRUGModified release tablets for oral administration
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Eligibility Criteria

Age Range18 Years to 85 Years
SexALL
Healthy VolunteersNo
Study Sites101

Inclusion Criteria: * History of chronic heart failure (HF), defined as requiring treatment for HF for a minimum of 4 weeks prior to screening * Treated with stable, optimal pharmacological therapy for ≥ 4 weeks * History of left ventricular ejection fraction (LVEF) ≤ 40% * Elevated N-terminal proh...

Countries:United StatesAustraliaBelgiumBulgariaCanadaCzechiaGermanyHungaryItalyLithuaniaNetherlandsPolandUnited Kingdom
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Frequently asked questions about Omecamtiv Mecarbil Matrix F1 Formulation

What is Omecamtiv Mecarbil Matrix F1 Formulation used for?

Omecamtiv Mecarbil Matrix F1 Formulation is an investigational small molecule being developed for the modified release oral formulation of a treatment for chronic heart failure with left ventricular systolic dysfunction. It is being studied in patients with a history of chronic heart failure and reduced left ventricular ejection fraction.

Who makes Omecamtiv Mecarbil Matrix F1 Formulation?

Omecamtiv Mecarbil Matrix F1 Formulation is being developed by Cytokinetics, Incorporated, a biopharmaceutical company traded on the NASDAQ under the ticker symbol CYTK. The company is conducting clinical research on this cardiovascular small molecule.

What phase is Omecamtiv Mecarbil Matrix F1 Formulation in?

Omecamtiv Mecarbil Matrix F1 Formulation is in Phase 2 clinical development. It is an investigational drug and has not been approved by regulatory authorities. One Phase 2 clinical trial has been completed, and no active trials are currently ongoing.

What clinical trials is Omecamtiv Mecarbil Matrix F1 Formulation in?

Omecamtiv Mecarbil Matrix F1 Formulation was studied in the COSMIC-HF trial, registered as NCT01786512. This was a Phase 2, randomized, double-blind, placebo-controlled study that enrolled 544 participants across multiple countries, including the United States, Australia, Belgium, Bulgaria, Canada, Czechia, Germany, Hungary, Italy, Lithuania, Netherlands, Poland, and the United Kingdom.

Is Omecamtiv Mecarbil Matrix F1 Formulation the same as COSMIC-HF?

Omecamtiv Mecarbil Matrix F1 Formulation is not the same as COSMIC-HF. COSMIC-HF is the name of the clinical trial, formally titled 'Chronic Oral Study of Myosin Activation to Increase Contractility in Heart Failure,' which evaluated this drug. The trial was completed and included 544 participants.