Phase 1
N=70
Study to Assess the Effect of Omecamtiv Mecarbil (OM) on QT/QTc Intervals in Healthy Adults
QT Intervals Changes · QTc Intervals Changes
Bottom Line
View on ClinicalTrials.gov: NCT04175808 ↗Enrolled (actual)
70
Serious AEs
0.0%
Results posted
Jul 2021
Primary outcome: Primary: Placebo-corrected Change From Baseline in QT Interval Corrected for Heart Rate Based on the Fridericia Method (QTcF) After Omecamtiv Mecarbil Dosing in Part B — -2.6; -4.9; -5.8; -6.7 ms
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- Omecamtiv Mecarbil (OM) (Drug); Placebo (Drug); Moxifloxacin (Drug)
- Age
- Adult · 18+ yrs
- Sex
- All
- Sponsor
- Cytokinetics
- Primary completion
- Mar 2020
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Placebo-corrected Change From Baseline in QT Interval Corrected for Heart Rate Based on the Fridericia Method (QTcF) After Omecamtiv Mecarbil Dosing in Part B |
-2.6; -4.9; -5.8; -6.7; -4.5; -2.7 | — |
| SECONDARY Maximum Observed Plasma Concentration (Cmax) of Omecamtiv Mecarbil in Part B |
416 | — |
| SECONDARY Time to Maximum Observed Plasma Concentration (Tmax) of Omecamtiv Mecarbil In Part B |
0.583 | — |
| SECONDARY Apparent Terminal Elimination Half-life (T1/2) of Omecamtiv Mecarbil in Part B |
20.0 | — |
| SECONDARY Apparent Total Plasma Clearance (CL/F) for Omecamtiv Mecarbil in Part B |
10.4 | — |
| SECONDARY Apparent Volume of Distribution (VZ/F) for Omecamtiv Mecarbil in Part B |
299 | — |
| SECONDARY Area Under the Concentration-time Curve From Time 0 to the Time of Last Quantifiable Concentration (AUC0-t) for Omecamtiv Mecarbil in Part B |
4710 | — |
| SECONDARY AUC From Time 0 to Infinity (AUCinf) for Omecamtiv Mecarbil in Part B |
4790 | — |
| SECONDARY Placebo-corrected Change From Baseline in QT Interval Corrected for Heart Rate Based on the Fridericia Method (QTcF) After Moxifloxacin Dosing in Part B |
2.2; 8.6; 10.1; 10.2; 11.1; 12.7 | — |
| SECONDARY Change From Baseline in Heart Rate After Omecamtiv Mecarbil Dosing in Part B |
1.3; 1.2; 1.4; 0.2; -0.5; -0.2 | — |
| SECONDARY Change From Baseline in QTcF After Omecamtiv Mecarbil Dosing in Part B |
-6.3; -9.1; -8.6; -8.1; -5.5; -5.2 | — |
| SECONDARY Change From Baseline in PR Interval After Omecamtiv Mecarbil Dosing in Part B |
-0.5; 1.0; 0.4; 0.4; -1.2; -0.8 | — |
| SECONDARY Change From Baseline in QRS After Omecamtiv Mecarbil Dosing in Part B |
-0.2; 0.0; -0.2; 0.0; -0.2; -0.3 | — |
| SECONDARY Slope of Omecamtiv Mecarbil Plasma Concentration Estimated From Concentration-QTc Analysis in Part B |
-0.011 | — |
| SECONDARY Placebo-corrected Change From Baseline in Heart Rate After Omecamtiv Mecarbil Dosing in Part B |
-0.9; -1.3; -0.6; -2.3; -1.9; -1.5 | — |
| SECONDARY Placebo-corrected Change From Baseline in PR Interval After Omecamtiv Mecarbil Dosing in Part B |
0.6; 0.9; -0.3; 1.0; 0.1; 1.9 | — |
| SECONDARY Placebo-corrected Change From Baseline in QRS After Omecamtiv Mecarbil Dosing in Part B |
-0.1; -0.1; -0.1; -0.1; 0.0; 0.1 | — |
| SECONDARY Number of Participants With Recorded Outlier Values for QTcF, HR, PR, and QRS After Omecamtiv Mecarbil Dosing in Part B |
1; 0; 0; 0; 0; 0 | — |
| SECONDARY Number of Participants With Treatment-emergent Changes in T-wave Morphology and U-wave Presence After Omecamtiv Mecarbil Dosing in Part B |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Number of Participants With Treatment-emergent Adverse Events (TEAEs) |
20; 26; 24; 29; 0; 0 | — |
| SECONDARY Number of Participants With Clinically Significant Abnormalities in Vital Signs, Laboratory Tests, or Electrocardiogram Findings |
0; 0; 0; 0; 0; 0 | — |
Summary
The primary objective of this study is to assess the effect of a single therapeutic (50 mg) oral dose of omecamtiv mecarbil (OM) on the QT interval / QT interval corrected for heart rate (QTc), relative to placebo, in healthy adults.
The QT interval is the section on an electrocardiogram (ECG) that represents the time it takes for the electrical system to fire an impulse through the ventricles and then recharge, or the time it takes for the heart muscle to contract and then recover.
Eligibility Criteria
Inclusion Criteria
- Subject has provided informed consent before initiation of any study-specific activities/procedures.
- Healthy male or healthy female subjects greater than or equal to 18 to less than or equal to 50 years of age.
- No history or evidence of clinically relevant medical disorders as determined by the Investigator at Screening.
- Physical examination at Screening and vital signs, clinical laboratory values, and electrocardiogram (ECG) at Screening and Day -1 of each period are clinically acceptable to the Investigator.
- Body mass index (BMI) greater than, or equal to 18.0 kg/m^2 and less than, or equal to 30.0 kg/m^2.
- Willing to maintain current general diet and physical activity regimen.
Exclusion Criteria
- History or evidence of clinically significant disorder, condition, or disease not otherwise excluded that, in the opinion of the Investigator, would pose a risk to subject safety or interfere with the study evaluation, procedures, or completion.
- Any users of tobacco- or nicotine-containing products within 6 months before Day -1 of Part A.
- History suggestive of esophageal (including esophageal spasm, esophagitis), gastric, or duodenal ulceration or bowel disease (including, but not limited to, peptic ulceration, gastrointestinal bleeding, ulcerative colitis, Crohn's disease, or irritable bowel syndrome); or a history of gastrointestinal surgery other than uncomplicated appendectomy.
- History or current signs or symptoms of cardiovascular disease, including but not limited to myocardial infarction, congenital heart disease, valvular heart disease, coronary revascularization, or angina.
- Known substance abuse (eg, alcohol, licit or illicit drugs) within 1 year prior to Screening.
- Subjects with poor peripheral venous access.
- Use of any medications/substances outside the allowed timeframes as specified in Section 6.1.2.
- Currently receiving treatment in another investigational device or drug study, or less than 3 months, or 5 half-lives if longer, prior to receiving the first dose of study drug. Other investigational procedures while participating in this study are excluded.
- Donated blood from 3 months prior to Screening, plasma from 2 weeks prior to Screening, or platelets from 6 weeks prior to Screening.
- Subjects who were previously exposed to OM.
- Hepatic impairment defined by a total bilirubin (TBL) greater than or equal to 1.2 times the upper limit of normal (ULN), or alanine aminotransferase (ALT) or aspartate aminotransferase (AST) greater than ULN (and confirmed upon repeat).
- Systolic blood pressure (BP) greater than 140 mmHg or less than 90 mmHg, or diastolic BP greater than 90 mmHg.
- QTcF interval greater than 450 msec in male or greater than 470 msec in female or history/evidence of long QT syndrome, or PR of greater than or equal to 200 msec; or 2nd degree atrioventricular (AV) block or 3rd degree AV block, or heart rate greater than 100 bpm (and confirmed upon repeat, except 2nd or 3rd degree AV block, which are exclusionary based on a single finding).
- Troponin I or creatine kinase MB fraction (CK-MB) greater than ULN at Screening or Check-in for Part A or B.
- Estimated glomerular filtration rate (eGFR) less than 80 mL/min/1.73 m^2 at Screening as calculated by the Modified Diet in Renal Disease (MDRD) equation;
- Any positive test for drugs, cotinine (tobacco or nicotine use), and/or alcohol use.
- Positive hepatitis panel and/or positive human immunodeficiency virus test. Subjects whose results are compatible with prior immunization may be included.
- Subject has known sensitivity to any of the products or components to be administered during dosing, including history of hypersensitivity to moxifloxacin or any member of the quinolone class of antibacterials.
- History of tendon rupture or connective tissue disorders.
- Female subjects with a positive pregnancy test.
- Female subjects lactating/breastfeeding or who plans to breastfeed during the study through 90 day
Data sourced from ClinicalTrials.gov (NCT04175808). 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.