Chronic Heart Failure With Preserved Ejection FractionPhase 2VITALITY-HFpEFNCT03547583
Patient-reported Outcomes in Vericiguat-treated Patients With HFpEF
A Phase 2 study testing Vericiguat (BAY1021189) 2.5 mg, 5 mg or 10 mg IR tablets in people with Chronic Heart Failure With Preserved Ejection Fraction, run by Bayer at 177 sites in 21 countries.
Trial summary
The primary hypothesis in this trial is that the treatment with vericiguat 10 mg or 15 mg in patients with HFpEF improves the KCCQ PLS (Kansas City Cardiomyopathy Questionnaire Physical limitation score) compared to placebo after 24 weeks of treatment. Read more about this study
- Who is it for?
- Ages 45 years and older
- Conditions the study is for
- Chronic Heart Failure With Preserved Ejection Fraction
- What is being tested?
- Vericiguat (BAY1021189) 2.5 mg, 5 mg or 10 mg IR tablets
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 789 participants
- Where
- 177 sitesin 21 countries
- Study dates
- 15 Jun 2018to 4 Nov 2019
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 45 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Previous diagnosis of chronic heart failure (HF)
- HF decompensation within 6 months prior to randomization, defined as hospitalization for HF or intravenous (IV) diuretic treatment for HF without hospitalization.
- N-terminal pro brain natriuretic peptide (NT-proBNP) ≥300 or brain natriuretic peptide (BNP) ≥100 pg/mL in sinus rhythm, or NT-proBNP
- ≥600 or BNP ≥200 pg/mL in atrial fibrillation within 30 days prior to randomization
- Diagnostic criteria of HFpEF by echocardiography assessed within 12 months prior to randomization (most recent measurement must be used to determine eligibility with no interim event signaling potential deterioration in ejection fraction)
- Left ventricular ejection fraction (LVEF) ≥45% and
Show all 10Show fewer
- Structural changes indicated by at least one of the following parameters:
- Left ventricle (LV) hypertrophy (any of the following: intraventricular septal or posterior wall thickness ≥1.1 cm, and/or LV mass index ≥115 g/m*2 in male and ≥95 g/m*2 in female), or
- Left atrium (LA) enlargement (any of the following: left atrial volume (LAV) index ≥29 ml/m*2, or LAV >58 mL in male and >52 mL in female patients, or LA area >20 cm*2, or LA diameter >40 mm in male and >38 mm in female patients)
- NYHA class II or III at randomization
Who cannot join
- Clinical instability at randomization, defined by
- Any IV treatment within 24h prior to randomization, and/or
- SBP ≥160 mmHg
- SBP <110 mmHg and/or DBP <40 mmHg and/or symptomatic hypotension
- Resting heart rate (HR) <50 or ≥100 beats per minute (bpm)
- Use of IV inotropes at any time between qualifying HF event and randomization
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- Previous diagnosis of reduced ejection fraction (EF) (EF <40%)
- Hypertrophic obstructive cardiomyopathy, acute myocarditis, amyloidosis, sarcoidosis, or pericardial disease
- Primary valvular heart disease requiring surgery or intervention, or within 3 months after valvular surgery or intervention, or active endocarditis
- Acute coronary syndrome, including unstable angina, Non ST-elevation myocardial infarction or ST-elevation myocardial infarction, or Coronary artery bypass grafting (CABG) within 60 days prior to randomization, or indication for Percutaneous coronary intervention or CABG at the time of randomization
- Symptomatic carotid stenosis, or transient ischemic attack or stroke within 60 days prior to randomization
- Complex congenital heart disease
- Non-cardiac comorbidity (any of the following)
- Estimated glomerular filtration rate (eGFR) <30 ml/min/1.73 m*2 calculated by Modification of Diet in Renal Disease formula
- Hepatic insufficiency classified as Child-Pugh B or C
- Morbid obesity with a body mass index >45 kg/m*2
- Malignancy or other non-cardiac condition limiting life expectancy to <1 year, per physician judgment
- Requires continuous home oxygen for severe pulmonary disease or has interstitial lung disease
- Patients with allergies, intolerance or hypersensitivity to investigational drug or any of the excipients
- Concurrent or anticipated use of nitrates or NO donors, phosphodiesterase type V (PDE5) inhibitors, or a Soluble guanylate cyclase (sGC) stimulator
Trial locations and contacts
177 sites in 21 countries.
177 sites in 21 countries
United States29 sites
Anne Arundel Health System
Annapolis, Maryland, 21401
Fox Valley Clinical Research Center, LLC
Aurora, Illinois, 60506
WestSide Medical
Beverly Hills, California, 90211
Cardiology Associates Of South Florida PA
Boynton Beach, Florida, 33472
Cardiovascular and Vein Center of Florida
Bradenton, Florida, 34209
Capital Area Research, LLC
Camp Hill, Pennsylvania, 17011
Capitol Interventional Cardiology
Carmichael, California, 95608
Penrose-St. Francis Health Services
Colorado Springs, Colorado, 80923
Cardiology Associates Research Company
Daytona Beach, Florida, 32117
Henry Ford Health System
Detroit, Michigan, 48202
Stern Cardiovascular Center
Germantown, Tennessee, 38138
Heart Clinic of Hammond
Hammond, Louisiana, 70403
Glacier View Research Institute
Kalispell, Montana, 59901
Carolina Heart Specialists
Lancaster, South Carolina, 29720
Advocate Condell Medical Center
Libertyville, Illinois, 60048
Bryan Heart
Lincoln, Nebraska, 68506
LifeSpring Research Foundation, LLC
Miami, Florida, 33130
Southwest Florida Research
Naples, Florida, 34102
Research Integrity, LLC
Owensboro, Kentucky, 42303
Riser Medical Associates
Picayune, Mississippi, 39466
Reid Health
Richmond, Indiana, 47374
East Coast Institute for Research, LLC
Saint Augustine, Florida, 32086
Clinical Advancement Center, PLLC
San Antonio, Texas, 78212-4740
St. Louis Heart & Vascular, PC
St Louis, Missouri, 63136
Cardiology Associates of Fairfield County, PC
Trumbull, Connecticut, 06611
Corporation Lane Research Center
Virginia Beach, Virginia, 23462
Cardiology Partners
Wellington, Florida, 33449
Interventional Cardiology Medical Group
West Hills, California, 91307
Wake Forest Baptist Health
Winston-Salem, North Carolina, 27157
Japan21 sites
Fukui Prefectural Hospital
Fukui, 910-8526
Minamino Cardiovascular Hospital
Hachiōji, Tokyo, 192-0918
National Hospital Organization Hamada Medical Center
Hamada, Shimane, 697-8511
Hirakata kohsai Hospital
Hirakata, Osaka, 573-0153
National Hospital Organization Iwakuni Clinical Center
Iwakuni, Yamaguchi, 740-8510
National Hospital Organization Kanazawa Medical Center
Kanazawa, Ishikawa-ken, 920-8650
Kishiwada Tokushukai Hospital
Kishiwada, Osaka, 596-0042
Steel Memorial Yawata Hospital
Kitakyushu, Fukuoka, 805-8508
National Hospital Organization Kobe Medical Center
Kobe, Hyōgo, 654-0155
Seikeikai New Tokyo Heart Clinic
Matsudo, Chiba, 271-0077
Iwate Prefectural Central Hospital
Morioka, Iwate, 020-0066
Okayama Rosai Hospital
Okayama, 702-8055
Osaka General Medical Center
Osaka, 558-8558
Toho University Omori Medical Center
Ōta-ku, Tokyo, 143-8541
Matsuda Cardiovascular clinic
Sapporo, Hokkaido, 003-0026
Tokyo Women's Medical University Hospital
Shinjuku-ku, Tokyo, 162-8666
Higashi Takarazuka Satoh Hospital
Takarazuka, Hyōgo, 665-0873
Takatsuki Red Cross Hospital
Takatsuki, Osaka, 569-1096
Osaka Medical College Hospital
Takatsuki, Osaka, 569-8686
Toyama Prefectural Central Hospital
Toyama, 930-8550
Uji-Tokushukai Medical Center
Uji, Kyoto, 611-0041
Canada10 sites
University of Alberta
Edmonton, Alberta, T6G 2B7
Cardiovascular CRO Ltd.
Greater Sudbury, Ontario, P3E 5M4
London Health Sciences Centre
London, Ontario, N6A 5A5
Clinique Sante Cardio MC
Montreal, Quebec, H1T 3Y7
Centre De Recherche Du (CRCHUM) - Hotel-Diu
Montreal, Quebec, H2X 3H8
PACE Cardiology Clinic
Newmarket, Ontario, L3Y 2P6
Oakville Cardiologists, Inc.
Oakville, Ontario, L6K 3W7
CardioVasc HR, Inc.
Saint-Jean-sur-Richelieu, Quebec, J3A 1J2
SMH Cardiology Clinical Trials Inc
Surrey, British Columbia, V3V 0C6
St. Michael's Hospital Health Centre
Toronto, Ontario, M5B 1W8
Bulgaria9 sites
Multiprofile Hospital for Active Treatment Pazardzhik
Pazardzhik, 4400
Spec Hosp for Active Treatm in Cardiology Sv Georgi Pernik
Pernik, 2300
Specialized Hospital for Actrive Treatm of Card - Pleven
Pleven, 5800
Multiprofile Hospital for Active Treatment Medline Clinic
Plovdiv, 4000
MHAT Dr. Bratan Shukerov AD
Smolyan, 4700
Second Medical Center Sofia EOOD
Sofia, 1202
NMTH Tzar Boris III
Sofia, 1233
V MHAT
Sofia, 1233
MHAT Sveta Marina EAD
Varna, 9010
Israel9 sites
HaEmek Medical Center
Afula, 1834111
Hillel Yaffe Medical Center
Hadera, 3810101
Rambam Health Corporation
Haifa, 3109601
Hadassah Hebrew University Hospital Ein Kerem
Jerusalem, 9112001
Chaim Sheba Medical Center
Ramat Gan, 5262000
Kaplan Medical Center
Rehovot, 7610001
Health Corporation of the Ziv Medical Center (R.A.)
Safed, 1311001
The Baruch Padeh Medical Center, Poria
Tiberias, 1528001
Shamir Medical Center (Assaf Harofeh)
Zrifin, 7030000
Italy9 sites
ASST Papa Giovanni XXIII
Bergamo, Lombardy, 24127
A.O.U. di Bologna Policlinico S.Orsola Malpighi
Bologna, Emilia-Romagna, 40138
ASST Spedali Civili di Brescia
Brescia, Lombardy, 25123
A.O.U. di Ferrara
Ferrara, Emilia-Romagna, 44124
IRCCS Istituto Clinico Humanitas - Humanitas Mirasole S.p.A.
Milan, Lombardy, 20089
ASST Grande Ospedale Metropolitano Niguarda
Milan, Lombardy, 20162
IRCCS Fondazione Policlinico San Matteo
Pavia, Lombardy, 27100
Asl Roma 6
Rome, Lazio, 00040
A.O.U. di Sassari
Sassari, Sardinia, 07100
Poland9 sites
Uniwersytecki Szpital Kliniczny w Bialymstoku
Bialystok, 15-276
10 Wojskowy Szpital Kliniczny z Poliklinika SPZOZ
Bydgoszcz, 85-681
CLINICAL MEDICAL RESEARCH Sp. z o. o.
Katowice, 40-156
SPZOZ Centralny Szpital Kliniczny UM w Lodzi
Lodz, 92-213
Szpital Kliniczny Przemienienia Panskiego
Poznan, 61-848
Twoja Przychodnia - Szczecinskie Centrum Medyczne
Szczecin, 70-240
Uniwersyteckie Centrum Kliniczne Warszawskiego UM
Warsaw, 02-097
IV Wojskowy Szpital Kliniczny z Poliklinika, SPZOZ
Wroclaw, 50-981
Dolnoslaski Szp. Spec. im T.M. Centrum Medycyny Ratunkowej
Wroclaw, 54-049
Spain9 sites
Hospital Sanitas La Zarzuela
Aravaca, Madrid, 28023
Hospital Álvaro Cunqueiro
Babio - Beade, Pontevedra, 36312
Hospital del Mar
Barcelona, 08003
Ciutat Sanitària i Universitària de Bellvitge
L'Hospitalet de Llobregat, Barcelona, 08907
Hospital Universitario Clinica Puerta de Hierro
Majadahonda, Madrid, 28222
Hospital Virgen de la Victoria
Málaga, 29010
Hospital Sant Joan Despi Moises Broggi
Sant Joan Despí, Barcelona, 08940
Hospital Clínico Universitario de Santiago de Compostela
Santiago de Compostela, A Coruña, 15706
Complejo Hospitalario Ntra. Sra. de Valme
Seville, 41014
Argentina8 sites
Centro de Investigaciones Clínicas
Buenos Aires, Ciudad Auton. de Buenos Aires, C1425DES
Centro de Medicina Integral e Investigacion Clínica
CABA, Ciudad Auton. de Buenos Aires, C1426EGR
Inst. de Cardiología de Corrientes Juana Francisca Cabral
Corrientes, 3400
Clínica DIM
Ramos Mejía, Buenos Aires, B1740ETD
Sanatorio Parque S.A.
Rosario, Santa Fe Province, S2000DSV
Instituto de Investigaciones Clínicas San Nicolás
San Nicolás de los Arroyos, Buenos Aires, B2900DMH
Centro de Investigaciones Clinicas del Litoral
Santa Fe, S3000FWO
Centro de Especialidades Médicas
Villa Luro, Ciudad Auton. de Buenos Aires, C1440CFD
Austria7 sites
Krankenhaus St. Josef Braunau
Braunau am Inn, Upper Austria, 5280
Medizinische Universität Graz
Graz, Styria, 8036
Ordensklinikum Linz GmbH Elisabethinen
Linz, Upper Austria, 4020
Universitätsklinikum St. Pölten
Sankt Pölten, Lower Austria, 3100
Zentrum f. klinische Studien Dr. Hanusch GmbH
Vienna, 1060
Universitätsklinikum AKH Wien
Vienna, 1090
Klinik Floridsdorf - Krankenhaus Nord
Vienna, 1210
Germany7 sites
Herz- und Diabeteszentrum Nordrhein-Westfalen (HDZ NRW)
Bad Oeynhausen, North Rhine-Westphalia, 32545
Klinische Forschung Dresden GmbH
Dresden, Saxony, 01069
Zentrum für Klinische Studien Südbrandenburg GmbH
Elsterwerda, Brandenburg, 04910
Cardiologicum Hamburg - Praxen Wandsbek
Hamburg, 22041
St. Vincenz und Elisabeth Hospital, Kathol. Klinikum Mainz
Mainz, Rhineland-Palatinate, 55131
Kliniken Maria Hilf GmbH
Mönchengladbach, North Rhine-Westphalia, 41063
Klinikum der Universität Würzburg
Würzburg, Bavaria, 97078
Portugal7 sites
Hospital de Cascais
Alcabideche, Lisbon District, 2755-009
Hospital Garcia de Orta
Almada, 2801-951
CHTS - Hospital Padre Americo
Guilhufe, Porto District, 4564-007
CHLO - Hospital Sao Francisco Xavier
Lisbon, 1449-005
Hospital da Luz - Lisboa
Lisbon, 1500-650
CHUP - Hospital Santo Antonio
Porto, 4099-001
CHS - Hospital Sao Bernardo
Setúbal, Setúbal District, 2900-446
Greece6 sites
G. GENNIMATAS General State Hospital of Athens
Athens, 11527
KAT General Hospital of Athens
Kifisia / Athens, Attica, 14561
University General Hospital of Larissa
Larissa, 41100
Konstantopoulio General Hospital of Nea Ionia - AGIA OLGA
Nea Ionia / Athens, 142 33
"AHEPA" University General Hospital of Thessaloniki
Thessaloniki, 54636
Hippokration General Hospital of Thessaloniki
Thessaloniki, 54642
Hungary6 sites
Budai Irgalmasrendi Korhaz
Budapest, 1027
Magyar Honvedseg Egeszsegugyi Kozpont Honvedkorhaz
Budapest, 1134
Magyar Honvedseg Egeszsegugyi Kozpont Honvedkorhaz
Budapest
Pharma4Trial Kft.
Gyöngyös, 3200
Kanizsai Dorottya Hospital
Nagykanizsa, 8800
Medifarma-98 Egeszsegugyi, Kereskedelmi es Szolgaltato Kft.
Nyíregyháza, 4400
Russia6 sites
Sci-Res. Institute of Complex Cardiovascular Disorders
Kemerovo, 650002
Research center of therapy and prophylactic medicine
Moscow, 101990
Moscow State University n.a. M.V. Lomonosov
Moscow, 119192
City hospital #15
Saint Petersburg, 198205
City Pokrovskaya Hospital
Saint Petersburg, 199106
Samara Regional Clinical Cardiology Dispensary n.a. Polyakov
Samara, 443070
South Africa6 sites
TREAD Research cc
Cape Town, Western Cape, 7500
Tiervlei Trial Centre
Cape Town, Western Cape, 7531
Durban Medical Centre
Durban, KwaZulu-Natal, 4067
Nash Ranjith Research Centre
Merebank, KwaZulu-Natal, 4052
Clinical Trial Systems
Pretoria, Gauteng
Vergelegen Medi-Clinic
Somerset West, Western Cape, 7130
Belgium5 sites
Algemeen Stedelijk Ziekenhuis Campus Aalst
Aalst, 9300
AZ St-Jan Brugge Oostende AV
Bruges, 8000
UZ Antwerpen
Edegem, 2650
H. Hartziekenhuis Mol
Mol, 2400
AZ Delta
Roeselare, 8800
Colombia5 sites
IPS Centro Cientifico Asistencial S.A.S
Barranquilla, Atlántico
Caja de Compensación Familiar CAFAM
Bogotá, Bogota D.C., 0
Fundación Cardiovascular de Colombia
Floridablanca
Mediservis del Tolima IPS S.A.S
Ibague, Tolima Department
Hospital General de Medellin
Medellín, Antioquia
Taiwan4 sites
Far Eastern Memorial Hospital
New Taipei City, 220
National Taiwan University Hospital
Taipei, 10016
Taipei Veterans General Hospital
Taipei, 11217
Cheng Hsin General Hospital
Taipei, 112
Malaysia3 sites
Hospital Raja Perempuan Zainab II
Kelantan, 15200
Institute Jantung Negara
Kuala Lumpur, 50400
Sarawak Heart Centre
Sarawak, 94300
Singapore2 sites
Singapore General Hospital
Singapore, 169608
National Heart Centre Singapore
Singapore, 169609
About this study
Official title: A Randomized Parallel-group, Placebo-controlled, Double-blind, Multi-center Trial to Evaluate the Efficacy and Safety of the Oral sGC stImulator Vericiguat to Improve Physical Functioning in Activities of Daily Living in Patients With Heart Failure and Preserved Ejection Fraction (VITALITY-HFpEF)
The primary hypothesis in this trial is that the treatment with vericiguat 10 mg or 15 mg in patients with HFpEF improves the KCCQ PLS (Kansas City Cardiomyopathy Questionnaire Physical limitation score) compared to placebo after 24 weeks of treatment.
- Being tested
- Vericiguat (BAY1021189) 2.5 mg, 5 mg or 10 mg IR tablets, Placebo
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Vericiguat (BAY1021189) 2.5 mg, 5 mg or 10 mg IR tabletsDrug
Oral use. Vericiguat, which will be started at 2.5 mg at randomization and up-titrated to 5 mg at week 2, and to 10 mg at week 4, with sham titration or up-titration to 15 mg at week 6.
PlaceboDrug
Placebo and sham up-titration at weeks 2, 4, and 6
| Study group | Role | What they receive |
|---|---|---|
| Vericiguat up to 10 mg | Experimental | Subjects will receive vericiguat (BAY1021189) for 24 weeks, starting at 2.5 mg once daily at randomization and up-titrated to 5 mg at week 2, to 10 mg at week 4, with sham titration at week 6. Receives: Drug: Vericiguat (BAY1021189) 2.5 mg, 5 mg or 10 mg IR tablets |
| Vericiguat up to 15 mg | Experimental | Subjects will receive vericiguat (BAY1021189) for 24 weeks, starting at 2.5 mg once daily at randomization and up-titrated to 5 mg at week 2, to 10 mg at week 4, and to 15 mg at week 6. Receives: Drug: Vericiguat (BAY1021189) 2.5 mg, 5 mg or 10 mg IR tablets |
| Placebo | Placebo comparator | Subject will receive placebo for 24 weeks, once daily, starting sham up-titration at weeks 2, 4, and 6. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in KCCQ Physical Limitation Score From Baseline to Week 24
The City Cardiomyopathy Questionnaire (KCCQ) measures the impact of patients' heart failure, or its treatment, on 6 domains; Physical Limitation, Symptom (with subscores for frequency and burden), Quality of Life, Social Limitations, Symptom Stability and Self-Efficacy. Scores are calculated by summing domain responses and then transforming scores to a 0-100 unit scale with higher scores indicating better health status.
Measured: From baseline to Week 24
Secondary outcomes (1)
Change in the Six-minute Walk Test (6MWT) From Baseline to Week 24
6MWT was conducted to test the physical limitations of the patient by assessing the patient's exercise capacity. The distance walked by the patient in 6 minutes was measured.
Measured: From baseline to Week 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Jun 2018
- Study start15 Jun 2018
- Primary completion15 Oct 2019
- Study completion4 Nov 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Chronic Heart Failure With Preserved Ejection FractionStudies of the same condition, open and under way.
- More trials run by BayerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 789 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bayer
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Merck Sharp & Dohme LLC, Canadian VIGOUR Centre, Duke Clinical Research Institute
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03547583
- Sponsor's protocol ID
- 19334
- Other IDs
- 2018-000298-65, 2018
- Acronym
- VITALITY-HFpEF
- Status last verified
- Nov 2020
- First submitted
- 24 May 2018
- Last updated
- 6 Jan 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Butler J, Lam CSP, Anstrom KJ, Ezekowitz J, Hernandez AF, O'Connor CM, Pieske B, Ponikowski P, Shah SJ, Solomon SD, Voors AA, Wu Y, Carvalho F, Bamber L, Blaustein RO, Roessig L, Armstrong PW. Rationale and Design of the VITALITY-HFpEF Trial. Circ Heart Fail. 2019 May;12(5):e005998. doi: 10.1161/CIRCHEARTFAILURE.119.005998.
PubMed 31096775deFilippi CR, Shah P, Shah SJ, Alemayehu W, Lam CSP, Butler J, Roessig L, O'Connor CM, Westerhout CM, Armstrong PW; VITALITY-HFpEF Study Group. Proteomics Identify Clinical Phenotypes and Predict Functional Outcomes in Heart Failure With Preserved Ejection Fraction: Insights From VITALITY-HFpEF. Circ Heart Fail. 2024 Sep;17(9):e011792. doi: 10.1161/CIRCHEARTFAILURE.124.011792. Epub 2024 Aug 29.
PubMed 39206547Kaul P, Rathwell S, Lam CSP, Westerhout CM, Spertus JA, Anstrom KJ, Blaustein RO, Ezekowitz JA, Pieske B, Roessig L, Butler J, Armstrong PW; VITALITY-HFpEF Study Group. Patient-Reported Frailty and Functional Status in Heart Failure With Preserved Ejection Fraction: Insights From VITALITY-HFpEF. JACC Heart Fail. 2023 Apr;11(4):392-403. doi: 10.1016/j.jchf.2022.11.015. Epub 2023 Feb 1.
PubMed 36881394Armstrong PW, Lam CSP, Anstrom KJ, Ezekowitz J, Hernandez AF, O'Connor CM, Pieske B, Ponikowski P, Shah SJ, Solomon SD, Voors AA, She L, Vlajnic V, Carvalho F, Bamber L, Blaustein RO, Roessig L, Butler J; VITALITY-HFpEF Study Group. Effect of Vericiguat vs Placebo on Quality of Life in Patients With Heart Failure and Preserved Ejection Fraction: The VITALITY-HFpEF Randomized Clinical Trial. JAMA. 2020 Oct 20;324(15):1512-1521. doi: 10.1001/jama.2020.15922.
PubMed 33079152
Study at a glance
From the registry record, last updated by the sponsor on 6 Jan 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized Parallel-group, Placebo-controlled, Double-blind, Multi-center Trial to Evaluate the Efficacy and Safety of the Oral sGC stImulator Vericiguat to Improve Physical Functioning in Activities of Daily Living in Patients With Heart Failure and Preserved Ejection Fraction (VITALITY-HFpEF)
- ClinicalTrials.gov ID
- NCT03547583
- Acronym / sponsor ID
- VITALITY-HFpEF / 19334
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 789 participants (actual)
- Lead sponsor
- BayerIndustry (pharma, biotech, devices)
- Collaborators
- Merck Sharp & Dohme LLC, Canadian VIGOUR Centre, Duke Clinical Research Institute
- Study start
- 15 Jun 2018 (actual)
- Primary completion
- 15 Oct 2019 (actual)
- Study completion
- 4 Nov 2019 (actual)
- First posted
- 6 Jun 2018 (actual)
- Results
- Posted 3 Dec 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary hypothesis in this trial is that the treatment with vericiguat 10 mg or 15 mg in patients with HFpEF improves the KCCQ PLS (Kansas City Cardiomyopathy Questionnaire Physical limitation score) compared to placebo after 24 weeks of treatment.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Vericiguat up to 10 mg | Experimental | Drug: Vericiguat (BAY1021189) 2.5 mg, 5 mg or 10 mg IR tabletsSubjects will receive vericiguat (BAY1021189) for 24 weeks, starting at 2.5 mg once daily at randomization and up-titrated to 5 mg at week 2, to 10 mg at week 4, with sham titration at week 6. |
| Vericiguat up to 15 mg | Experimental | Drug: Vericiguat (BAY1021189) 2.5 mg, 5 mg or 10 mg IR tabletsSubjects will receive vericiguat (BAY1021189) for 24 weeks, starting at 2.5 mg once daily at randomization and up-titrated to 5 mg at week 2, to 10 mg at week 4, and to 15 mg at week 6. |
| Placebo | Placebo comparator | Drug: PlaceboSubject will receive placebo for 24 weeks, once daily, starting sham up-titration at weeks 2, 4, and 6. |
Who may qualify
- Ages
- 45 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Previous diagnosis of chronic heart failure (HF)
- HF decompensation within 6 months prior to randomization, defined as hospitalization for HF or intravenous (IV) diuretic treatment for HF without hospitalization.
- N-terminal pro brain natriuretic peptide (NT-proBNP) ≥300 or brain natriuretic peptide (BNP) ≥100 pg/mL in sinus rhythm, or NT-proBNP
- ≥600 or BNP ≥200 pg/mL in atrial fibrillation within 30 days prior to randomization
- Diagnostic criteria of HFpEF by echocardiography assessed within 12 months prior to randomization (most recent measurement must be used to determine eligibility with no interim event signaling potential deterioration in ejection fraction)
Key exclusion criteria (20 listed)
- Clinical instability at randomization, defined by
- Use of IV inotropes at any time between qualifying HF event and randomization
- Previous diagnosis of reduced ejection fraction (EF) (EF <40%)
- Hypertrophic obstructive cardiomyopathy, acute myocarditis, amyloidosis, sarcoidosis, or pericardial disease
- Primary valvular heart disease requiring surgery or intervention, or within 3 months after valvular surgery or intervention, or active endocarditis
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Vericiguat (BAY1021189) 2.5 mg, 5 mg or 10 mg IR tabletsOral use. Vericiguat, which will be started at 2.5 mg at randomization and up-titrated to 5 mg at week 2, and to 10 mg at week 4, with sham titration or up-titration to 15 mg at week 6. | Drug | Vericiguat up to 10 mg, Vericiguat up to 15 mg |
| PlaceboPlacebo and sham up-titration at weeks 2, 4, and 6 | Drug | Placebo |
Primary outcome
Change in KCCQ Physical Limitation Score From Baseline to Week 24
Time frame: From baseline to Week 24
The City Cardiomyopathy Questionnaire (KCCQ) measures the impact of patients' heart failure, or its treatment, on 6 domains; Physical Limitation, Symptom (with subscores for frequency and burden), Quality of Life, Social Limitations, Symptom Stability and Self-Efficacy. Scores are calculated by summing domain responses and then transforming scores to a 0-100 unit scale with higher scores indicating better health status.
1 secondary outcome
Change in the Six-minute Walk Test (6MWT) From Baseline to Week 24
Time frame: From baseline to Week 24
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Jan 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 31096775Butler J, Lam CSP, Anstrom KJ, Ezekowitz J, Hernandez AF, O'Connor CM, Pieske B, Ponikowski P, Shah SJ, Solomon SD, Voors AA, Wu Y, Carvalho F, Bamber L, Blaustein RO, Roessig L, Armstrong PW. Rationale and Design of the VITALITY-HFpEF Trial. Circ Heart Fail. 2019 May;12(5):e005998. doi: 10.1161/CIRCHEARTFAILURE.119.005998.
- Derived from this study: PubMed 39206547deFilippi CR, Shah P, Shah SJ, Alemayehu W, Lam CSP, Butler J, Roessig L, O'Connor CM, Westerhout CM, Armstrong PW; VITALITY-HFpEF Study Group. Proteomics Identify Clinical Phenotypes and Predict Functional Outcomes in Heart Failure With Preserved Ejection Fraction: Insights From VITALITY-HFpEF. Circ Heart Fail. 2024 Sep;17(9):e011792. doi: 10.1161/CIRCHEARTFAILURE.124.011792. Epub 2024 Aug 29.
- Derived from this study: PubMed 36881394Kaul P, Rathwell S, Lam CSP, Westerhout CM, Spertus JA, Anstrom KJ, Blaustein RO, Ezekowitz JA, Pieske B, Roessig L, Butler J, Armstrong PW; VITALITY-HFpEF Study Group. Patient-Reported Frailty and Functional Status in Heart Failure With Preserved Ejection Fraction: Insights From VITALITY-HFpEF. JACC Heart Fail. 2023 Apr;11(4):392-403. doi: 10.1016/j.jchf.2022.11.015. Epub 2023 Feb 1.
- Derived from this study: PubMed 33079152Armstrong PW, Lam CSP, Anstrom KJ, Ezekowitz J, Hernandez AF, O'Connor CM, Pieske B, Ponikowski P, Shah SJ, Solomon SD, Voors AA, She L, Vlajnic V, Carvalho F, Bamber L, Blaustein RO, Roessig L, Butler J; VITALITY-HFpEF Study Group. Effect of Vericiguat vs Placebo on Quality of Life in Patients With Heart Failure and Preserved Ejection Fraction: The VITALITY-HFpEF Randomized Clinical Trial. JAMA. 2020 Oct 20;324(15):1512-1521. doi: 10.1001/jama.2020.15922.
- Click here to find information about studies related to Bayer Healthcare products conducted in EuropeLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
177 sites in 21 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Vericiguat (BAY1021189) 2.5 mg, 5 mg or 10 mg IR tablets in people with Chronic Heart Failure With Preserved Ejection Fraction, run by Bayer at 177 sites in 21 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 6 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 177 sites in United States, Japan, Canada, Bulgaria, Israel and 16 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 3 Dec 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in KCCQ Physical Limitation Score From Baseline to Week 24 (time frame: From baseline to Week 24). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03547583, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Jan 2021.