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Phase 3 Completed N=8,232 Randomized Triple-blind Treatment

Registrational Study With Omecamtiv Mecarbil (AMG 423) to Treat Chronic Heart Failure With Reduced Ejection Fraction

Source: ClinicalTrials.gov NCT02929329 ↗
Enrolled (actual)
8,232
Serious AEs
58.6%
Results posted
Jul 2021
Primary outcomePrimary: Time to Cardiovascular Death or First Heart Failure Event — 39.1; 37.0 percentage of participants — p=0.0252
◆ Published Evidence
Emerging
5citations · ~3 / year
Cardiac Troponin and Treatment Effects of Omecamtiv Mecarbil: Results From the GALACTIC-HF Study.
Journal of cardiac failure · 2024 · Open access · Likely link

Summary

The purpose of this study is to determine if treatment with omecamtiv mecarbil when added to standard of care is well tolerated and superior to placebo in reducing the risk of cardiovascular death or heart failure events in adults with chronic heart failure with reduced ejection fraction (HFrEF).

Linked Publications (5)

  • Cardiac Troponin and Treatment Effects of Omecamtiv Mecarbil: Results From the GALACTIC-HF Study.
    Journal of cardiac failure · 2024 · 5 citations · Open access · Likely link
  • Comparative Prognosis of Chagas and Other Cardiomyopathies.
    Journal of the American College of Cardiology · 2026 · 1 citation · Likely link
  • Dipstick proteinuria and outcomes in patients with heart failure and reduced ejection fraction: insights from GALACTIC-HF.
    European journal of heart failure · 2026 · 0 citations · Open access · Likely link
  • Lactate Dehydrogenase and Outcomes in Patients With HF and Reduced Ejection Fraction: Insights From GALACTIC-HF.
    JACC. Heart failure · 2026 · 0 citations · Open access · Likely link
  • Efficacy and Safety of Omecamtiv Mecarbil in Heart Failure With Reduced Ejection Fraction According to Age: The GALACTIC-HF Trial.
    JACC. Heart failure · 2026 · 0 citations · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Time to Cardiovascular Death or First Heart Failure Event
39.1; 37.0 0.0252 sig
SECONDARY
Time to Cardiovascular Death
19.4; 19.6 0.8555
SECONDARY
Change From Baseline in Kansas City Cardiomyopathy Questionnaire Total Symptom Score (KCCQ TSS) at Week 24
6.29; 5.83; 21.15; 23.65 0.0278 sig
SECONDARY
Time to First Heart Failure Hospitalization
28.7; 27.7 0.1902
SECONDARY
Time to All-cause Death
25.9; 25.9 0.9633

Eligibility Criteria

Key Inclusion Criteria

  • Subject has provided informed consent
  • Male or female, ≥ 18 to ≤ 85 years
  • History of chronic heart failure (HF), defined as requiring treatment for HF for a minimum of 30 days before randomization
  • Left ventricle ejection fraction (LVEF) ≤ 35%, per subjects most recent medical record, within 12 months prior to screening.
  • New York Heart Association (NYHA) class II to IV at most recent screening assessment.
  • Managed with HF standard of care (SoC) therapies consistent with regional clinical practice guidelines according to investigator judgment of subject's clinical status
  • Current hospitalization with primary reason of HF OR one of the following events within 1 year of screening: hospitalization with primary reason of HF; urgent visit to emergency department (ED) with primary reason of HF.
  • Elevated B-type natriuretic peptide (BNP) or n-terminal-prohormone brain natriuretic peptide (NT-proBNP)

Other Inclusion Criteria May apply

Key Exclusion Criteria

  • Currently receiving treatment in another investigational device or drug study, or < 30 days since ending treatment on another investigational device or drug study(ies). Other investigational procedures while participating in this study are excluded.
  • Malignancy within 5 years prior to randomization with the following exceptions: localized basal or squamous cell carcinoma of the skin, cervical intraepithelial neoplasia, stage 1 prostate carcinoma, breast ductal carcinoma in situ.
  • Subject has known sensitivity to any of the products or components to be administered during testing

Other Exclusion Criteria May apply

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02929329) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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