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NCT06793371PHASE2Recruiting

AMBER-HFpEF: Assessment of CK-4021586 in a Multi-Center, Blinded Evaluation of Safety and Tolerability Results in HFpEF

Cytokinetics

Start Date

2/6/2025

Completion Date

9/1/2026

Summary

This is a Phase 2 dose-finding study in adult participants with symptomatic HFpEF.

Eligibility Criteria

Age Range: 40 years to 85 years

Inclusion Criteria: * Males and females ≥ 40 years and ≤ 85 years of age at screening. * Diagnosed with HF with NYHA functional class II or III. * Screening echocardiography with LVEF ≥ 60%. * Screening NT-proBNP ≥ 300 pg/mL for participants in sinus rhythm and ≥ 900 pg/mL for participants with comorbid atrial fibrillation or flutter. * Body mass index \< 40 kg/m2. * Participants on beta-blockers, angiotensin-converting enzyme (ACE)/angiotensin II receptor blocker (ARB) or angiotensin receptor/neprilysin inhibitor (ARNI), must be on stable doses for more than 30 days prior to screening. * Participants on a glucagon-like peptide-1 (GLP-1) agonist must be on a stable dose for more than 24 weeks prior to screening with no anticipated plans to change dose during this study. Exclusion Criteria: * History or evidence of any other clinically significant disorder, malignancy, active infection, other condition, or disease that, in the opinion of the investigator or the Medical Monitor, would pose a risk to patient safety or interfere with the study evaluation, procedures, or completion. * Other protocol-defined Inclusion/Exclusion criteria apply.

Interventions

DRUG

CK-4021586 (150 mg, 300 mg, 450 mg, and 600 mg)

DRUG

Placebo to match CK-4021586

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Conditions

Symptomatic Heart Failure With Preserved Ejection Fraction (HFpEF)

Locations

Eastern Shore Research Institute, LLC

Fairhope, Alabama 36532

United States

University of Arizona Sarver Heart Center

Tucson, Arizona 85724

United States

John L. McClellan Memorial Veterans Hospital

Little Rock, Arkansas 72205

United States

BioSolutions Clinical Research Center

Imperial, California 92251

United States

Profound Research LLC

Pasadena, California 91105

United States

University of California, San Francisco - Heart and Vascular Center

San Francisco, California 94143

United States

FOMAT - Comprehensive Cardiovascular Care

Santa Maria, California 93454

United States

Blue Coast Research Center, LLC

Vista, California 92081

United States

New Generation of Medical Research

Hialeah, Florida 33016

United States

Cleveland Clinic Florida

Weston, Florida 33331

United States

Methodist Medical Center of Illinois

Peoria, Illinois 61636

United States

Louisiana Heart Center

Slidell, Louisiana 70458

United States

Massachusetts General Hospital

Boston, Massachusetts 02214

United States

Mayo Clinic

Rochester, Minnesota 55905

United States

Washington University Center for Advanced Medicine

St Louis, Missouri 63110

United States

Morristown Medical Center

Morristown, New Jersey 07960

United States

NYU Langone Health

New York, New York 10016

United States

Mount Sinai West

New York, New York 10019

United States

The Lindner Center for Research & Education at The Christ Hospital

Cincinnati, Ohio 45219

United States

Oregon Health and Science University

Portland, Oregon 97239

United States

University of Texas Southwestern Medical Center, Dallas

Dallas, Texas 75390

United States

Center for Advanced Heart Failure

Houston, Texas 77030

United States

DelRicht Research

Vienna, Virginia 22182

United States

Swedish Heart & Vascular Institute, Advanced Cardiac Support Program

Seattle, Washington 98122

United States

Froedtert Hospital - Center for Advanced Care

Milwaukee, Wisconsin 53226

United States