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AMBER-HFpEF: Assessment of CK-4021586 in a Multi-Center, Blinded Evaluation of Safety and Tolerability Results in HFpEF
NCT06793371 · Cytokinetics
In plain English
Click the button to translate this study into plain language — what it is, who qualifies, and what participation looks like.
Official title
A Multi-Center, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of CK-4021586 in Adults With Symptomatic Heart Failure With Preserved Ejection Fraction
About this study
This is a Phase 2 dose-finding study in adult participants with symptomatic HFpEF.
Eligibility criteria
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.
Study design
Enrollment target: 60 participants
Allocation: randomized
Masking: triple
Age groups: adult, older_adult
Timeline
Starts: 2025-02-06
Estimated completion: 2026-09
Last updated: 2026-01-12
Interventions
Drug: CK-4021586 (150 mg, 300 mg, 450 mg, and 600 mg)Drug: Placebo to match CK-4021586
Primary outcomes
- • Incidence of early drug discontinuation (12 weeks)
- • Incidence of LVEF < 40% (12 weeks)
- • Incidence of AEs (12 weeks)
Sponsor
Cytokinetics · industry
Contacts & investigators
ContactCytokinetics MD · contact · medicalaffairs@cytokinetics.com · 650-624-2929
InvestigatorCytokinetics MD · study_director, Cytokinetics
All locations (24)
Eastern Shore Research Institute, LLCRecruiting
Fairhope, Alabama, United States
University of Arizona Sarver Heart CenterRecruiting
Tucson, Arizona, United States
John L. McClellan Memorial Veterans HospitalRecruiting
Little Rock, Arkansas, United States
BioSolutions Clinical Research CenterRecruiting
Imperial, California, United States
Profound Research LLCRecruiting
Pasadena, California, United States
University of California, San Francisco - Heart and Vascular CenterRecruiting
San Francisco, California, United States
FOMAT - Comprehensive Cardiovascular CareRecruiting
Santa Maria, California, United States
Blue Coast Research Center, LLCRecruiting
Vista, California, United States
New Generation of Medical ResearchRecruiting
Hialeah, Florida, United States
Cleveland Clinic FloridaRecruiting
Weston, Florida, United States
Methodist Medical Center of IllinoisRecruiting
Peoria, Illinois, United States
Louisiana Heart CenterRecruiting
Slidell, Louisiana, United States
Massachusetts General HospitalRecruiting
Boston, Massachusetts, United States
Mayo ClinicRecruiting
Rochester, Minnesota, United States
Washington University Center for Advanced MedicineRecruiting
St Louis, Missouri, United States
Morristown Medical CenterRecruiting
Morristown, New Jersey, United States
NYU Langone HealthRecruiting
New York, New York, United States
The Lindner Center for Research & Education at The Christ HospitalRecruiting
Cincinnati, Ohio, United States
Oregon Health and Science UniversityRecruiting
Portland, Oregon, United States
University of Texas Southwestern Medical Center, DallasRecruiting
Dallas, Texas, United States
Center for Advanced Heart FailureRecruiting
Houston, Texas, United States
DelRicht ResearchRecruiting
Vienna, Virginia, United States
Swedish Heart & Vascular Institute, Advanced Cardiac Support ProgramRecruiting
Seattle, Washington, United States
Froedtert Hospital - Center for Advanced CareRecruiting
Milwaukee, Wisconsin, United States