Heart FailurePhase 2NCT01951638
Phase IIb Safety and Efficacy Study of Four Dose Regimens of BAY1021189 in Patients With Heart Failure and Preserved Ejection Fraction Suffering From Worsening Chronic Heart Failure (SOCRATES-PRESERVED)
A Phase 2 study testing Vericiguat (BAY1021189) (1.25 mg) and Vericiguat (BAY1021189) (5 mg) in people with Heart Failure, run by Bayer at 158 sites in 25 countries.
Trial summary
Objective of the study is to find the optimal dose of the once daily oral soluble guanylate cyclase stimulator (sGC) BAY1021189 for Phase III that can be given in addition to standard diuretic and comorbidity treatment for heart failure with preserved ejection fraction (HFpEF) Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Heart Failure
- What is being tested?
- Vericiguat (BAY1021189) (1.25 mg) and Vericiguat (BAY1021189) (5 mg)
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 477 participants
- Where
- 158 sitesin 25 countries
- Study dates
- 6 Nov 2013to 16 Sep 2015
- 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Worsening chronic heart failure (WCHF) requiring hospitalization (or intravenous diuretic treatment for HF without hospitalization) with initiation of study treatment after clinical stabilization
- Left ventricular ejection fraction (LVEF) >/= 45% by echocardiography at randomization
Who cannot join
- Intravenous inotropes at any time after hospitalization
Trial locations and contacts
158 sites in 25 countries.
158 sites in 25 countries
Japan22 sites
Study site
Fukui, 910-8526
Study site
Higashiibaraki, Ibaraki, 311-3193
Study site
Himeji, Hyōgo, 670-0981
Study site
Hiroshima, 734-8530
Study site
Iizuka, Fukuoka, 820-8505
Study site
Kanazawa, Ishikawa-ken, 920-8650
Study site
Komatsushimachō, Tokushima, 773-8502
Study site
Kumamoto, 862-8505
Study site
Meguro-ku, Tokyo, 152-8902
Study site
Minato-ku, Tokyo, 106-0031
Study site
Nagasaki, 850-8555
Study site
Naha, Okinawa, 902-8511
Study site
Osaka, 558-8558
Study site
Sagamihara, Kanagawa, 252-5188
Study site
Sakai, Osaka, 599-8247
Study site
Takamatsu, Kagawa-ken, 760-0018
Study site
Takatsuki, Osaka, 569-1096
Study site
Tokushima, 770-8539
Study site
Toyama, 930-8550
Study site
Uji, Kyoto, 611-0041
Study site
Yokohama, Kanagawa, 236-0051
Study site
Yokosuka, Kanagawa, 238-8567
United States17 sites
Study site
Buffalo, New York, 14215
Study site
Charleston, South Carolina, 29425
Study site
Chicago, Illinois, 60611-2908
Study site
Detroit, Michigan, 48202
Study site
Fort Lauderdale, Florida, 33308
Study site
Fountain Valley, California, 92708
Study site
Germantown, Tennessee, 38138
Study site
Iowa City, Iowa, 52242
Study site
Jackson, Mississippi, 39216-4505
Study site
Macon, Georgia, 31201
Study site
Milwaukee, Wisconsin, 53215
Study site
Minneapolis, Minnesota, 55422
Study site
Naples, Florida, 34102
Study site
Nashville, Tennessee, 37232-8802
Study site
New Orleans, Louisiana, 70112-1396
Study site
Newark, New Jersey, 07103
Study site
Pittsburgh, Pennsylvania, 15212
Germany10 sites
Study site
Bad Homburg, Hesse, 61348
Study site
Bad Krozingen, Baden-Wurttemberg, 79189
Study site
Cologne, North Rhine-Westphalia, 50937
Study site
Erfurt, Thuringia, 99089
Study site
Greifswald, Mecklenburg-Vorpommern, 17475
Study site
Hamburg, 20246
Study site
Hanover, Lower Saxony, 30625
Study site
Homburg, Saarland, 66421
Study site
München, Bavaria, 80331
Study site
Münster, North Rhine-Westphalia, 48149
Israel10 sites
Study site
Afula, 1834111
Study site
Ashkelon, 7830604
Study site
Hadera, 3810101
Study site
Haifa, 3109601
Study site
Jerusalem, 9103102
Study site
Petah Tikva, 4941492
Study site
Rehovot, 7610001
Study site
Tel Aviv, 6423906
Study site
Tiberias, 1528001
Study site
Zrifin, 7030000
Belgium8 sites
Study site
Bruges, 8000
Study site
Bruxelles - Brussel, 1200
Study site
Ghent, 9000
Study site
Gilly, 6060
Study site
Huy, 4500
Study site
Mechelen, 2800
Study site
Mol, 2400
Study site
Roeselare, 8800
Poland8 sites
Study site
Bialystok, 15-276
Study site
Krakow, 31-121
Study site
Krakow, 31-202
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Lodz, 92-213
Study site
Lodz, 93-513
Study site
Olsztyn, 10-010
Study site
Poznan, 61-848
Study site
Szczecin, 70-965
Austria7 sites
Study site
Graz, Styria, 8036
Study site
Linz, Upper Austria, 4010
Study site
Linz, Upper Austria, 4020
Study site
Salzburg, 5020
Study site
Sankt Pölten, Lower Austria, 3100
Study site
Vienna, 1090
Study site
Vienna, 1220
Italy7 sites
Study site
Ancona, The Marches, 60126
Study site
Arezzo, Tuscany, 52040
Study site
Bergamo, Lombardy, 24127
Study site
Brescia, Lombardy, 25123
Study site
Milan, Lombardy, 20017
Study site
Milan, Lombardy, 20149
Study site
Pavia, Lombardy, 27100
Spain7 sites
Study site
Barcelona, 08003
Study site
Barcelona, 08023
Study site
El Palmar, Murcia, 30120
Study site
Majadahonda, Madrid, 28222
Study site
Santander, Cantabria, 39008
Study site
Valencia, 46010
Study site
Valencia, 46026
Bulgaria6 sites
Study site
Burgas, 8018
Study site
Sofia, 1202
Study site
Sofia, 1233
Study site
Sofia, 1309
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Sofia, 1527
Study site
Stara Zagora, 6000
Canada6 sites
Study site
Montreal, Quebec, H1T 1C8
Study site
Montreal, Quebec, H2W 1T8
Study site
Québec, G1V 4G5
Study site
Saint-Jean-sur-Richelieu, Quebec, J3A 1C3
Study site
Sherbrooke, Quebec, J1G 2E8
Study site
Toronto, Ontario, M5B 1W8
Australia5 sites
Study site
Brisbane, Queensland, 4029
Study site
Brisbane, Queensland, 4064
Study site
Darlinghurst, New South Wales, 2010
Study site
Hobart, Tasmania, 7000
Study site
Redcliffe, Queensland, 4020
Czechia5 sites
Study site
Kroměříž, 767 01
Study site
Prague, 10034
Study site
Prague, 12808
Study site
Prague, 140 21
Study site
Prague, 169 02
Sweden5 sites
Study site
Helsingborg, 251 87
Study site
Karlstad, 652 30
Study site
Linköping, 581 85
Study site
Örebro, 701 85
Study site
Stockholm, 118 83
Taiwan5 sites
Study site
Kaohsiung City, 813
Study site
New Taipei City, 220
Study site
Taipei, 10016
Study site
Taipei, 11217
Study site
Taoyuan, 333423
France4 sites
Study site
Bron, 69677
Study site
Pessac, 33604
Study site
Rouen, 76031
Study site
Toulouse, 31403
Netherlands4 sites
Study site
Amsterdam, 1105 AZ
Study site
Heerenveen, 8441 PW
Study site
Leeuwarden, 8934 AD
Study site
Sneek, 8601 ZR
Portugal4 sites
Study site
Almada, 2801-951
Study site
Lisbon, 1449-005
Study site
Lisbon, 1500-650
Study site
Lisbon, 1649-035
Singapore4 sites
Study site
Singapore, 119228
Study site
Singapore, 169609
Study site
Singapore, 308433
Study site
Singapore, 768828
Denmark3 sites
Study site
Aalborg, 9000
Study site
Holbæk, 4300
Study site
Randers, 8930
Greece3 sites
Study site
Athens, 11527
Study site
Chaïdári, 12462
Study site
Nea Ionia / Athens, 142 33
Hungary3 sites
Study site
Budapest, 1097
Study site
Kistarcsa, H-2143
Study site
Székesfehérvár, 8000
Switzerland2 sites
Study site
Geneva, 1205
Study site
Lugano, Canton Ticino, 6900
United Kingdom2 sites
Study site
Chesterfield, Derbyshire, S44 5DX
Study site
Stevenage, Hertfordshire, SG1 4AB
About this study
Official title: A Randomized Parallel-group, Placebo-controlled, Double-blind, Multi-center Dose Finding Phase II Trial Exploring the Pharmacodynamic Effects, Safety and Tolerability, and Pharmacokinetics of Four Dose Regimens of the Oral sGC Stimulator BAY1021189 Over 12 Weeks in Patients With Worsening Heart Failure and Preserved Ejection Fraction (HFpEF)
Objective of the study is to find the optimal dose of the once daily oral soluble guanylate cyclase stimulator (sGC) BAY1021189 for Phase III that can be given in addition to standard diuretic and comorbidity treatment for heart failure with preserved ejection fraction (HFpEF)
- Conditions
- Heart Failure
- Being tested
- Vericiguat (BAY1021189) (1.25 mg), Vericiguat (BAY1021189) (5 mg), Placebo
- Keywords
- Worsening Heart Failure, Heart Failure with Preserved Ejection Fraction
- Medical subject headings
- Heart Failure
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Vericiguat (BAY1021189) (1.25 mg)Drug
1.25 mg BAY1021189 tablets
Vericiguat (BAY1021189) (5 mg)Drug
5 mg BAY1021189 tablets
PlaceboDrug
| Study group | Role | What they receive |
|---|---|---|
| Vericiguat (BAY1021189)(10 mg) | Experimental | 2.5 mg orally once daily for 2 weeks, up-titration to 5 mg orally once daily for 2 weeks, up-titration to 10 mg orally once daily for 8 weeks Receives: Drug: Vericiguat (BAY1021189) (1.25 mg); Drug: Vericiguat (BAY1021189) (5 mg) |
| Vericiguat (BAY1021189) (5 mg) | Experimental | 2.5 mg orally once daily for 2 weeks, then 5 mg orally once daily for 10 weeks (with sham titration) Receives: Drug: Vericiguat (BAY1021189) (1.25 mg); Drug: Vericiguat (BAY1021189) (5 mg) |
| Vericiguat (BAY1021189) (2.5 mg) | Experimental | 2.5 mg orally once daily for 12 weeks (with sham titrations) Receives: Drug: Vericiguat (BAY1021189) (1.25 mg) |
| Vericiguat (BAY1021189) (1.25 mg) | Experimental | 1.25 mg orally once daily for 12 weeks (with sham titrations) Receives: Drug: Vericiguat (BAY1021189) (1.25 mg) |
| Placebo | Placebo comparator | Orally once daily for 12 weeks (with sham titrations) Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline to Week 12 in Log-transformed N-terminal Pro-brain Natriuretic Peptide (NT-proBNP)
NTproBNP is a circulating plasma biomarker of cardiovascular function and prognosis in heart failure (HF).
Measured: Baseline, Week 12 (end of treatment [EOT])
Change From Baseline to Week 12 in Left Atrial Volume (LAV)
Left atrial volume was measured by echocardiography.
Measured: Baseline, Week 12 (EOT)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Sep 2013 (estimated)
- Study start6 Nov 2013
- Primary completion18 Aug 2015
- Study completion16 Sep 2015
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 (1)Papers the sponsor has linked to this study.
- Other trials for Heart FailureStudies 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
- 477 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bayer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bayer Study Director, Study director, Bayer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01951638
- Sponsor's protocol ID
- 15829
- Other IDs
- 2013-002288-25
- Status last verified
- Feb 2021
- First submitted
- 24 Sep 2013
- Last updated
- 16 Mar 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Pieske B, Butler J, Filippatos G, Lam C, Maggioni AP, Ponikowski P, Shah S, Solomon S, Kraigher-Krainer E, Samano ET, Scalise AV, Muller K, Roessig L, Gheorghiade M; SOCRATES Investigators and Coordinators. Rationale and design of the SOluble guanylate Cyclase stimulatoR in heArT failurE Studies (SOCRATES). Eur J Heart Fail. 2014 Sep;16(9):1026-38. doi: 10.1002/ejhf.135. Epub 2014 Jul 24.
PubMed 25056511
Study at a glance
From the registry record, last updated by the sponsor on 16 Mar 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 Dose Finding Phase II Trial Exploring the Pharmacodynamic Effects, Safety and Tolerability, and Pharmacokinetics of Four Dose Regimens of the Oral sGC Stimulator BAY1021189 Over 12 Weeks in Patients With Worsening Heart Failure and Preserved Ejection Fraction (HFpEF)
- ClinicalTrials.gov ID
- NCT01951638
- Acronym / sponsor ID
- 15829
- Conditions
- Heart Failure
- Keywords
- Worsening Heart Failure, Heart Failure with Preserved Ejection Fraction
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 477 participants (actual)
- Lead sponsor
- BayerIndustry (pharma, biotech, devices)
- Study start
- 6 Nov 2013 (actual)
- Primary completion
- 18 Aug 2015 (actual)
- Study completion
- 16 Sep 2015 (actual)
- First posted
- 26 Sep 2013 (estimated)
- Results
- Posted 12 Feb 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Objective of the study is to find the optimal dose of the once daily oral soluble guanylate cyclase stimulator (sGC) BAY1021189 for Phase III that can be given in addition to standard diuretic and comorbidity treatment for heart failure with preserved ejection fraction (HFpEF)
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| Vericiguat (BAY1021189)(10 mg) | Experimental | Drug: Vericiguat (BAY1021189) (1.25 mg), Drug: Vericiguat (BAY1021189) (5 mg)2.5 mg orally once daily for 2 weeks, up-titration to 5 mg orally once daily for 2 weeks, up-titration to 10 mg orally once daily for 8 weeks |
| Vericiguat (BAY1021189) (5 mg) | Experimental | Drug: Vericiguat (BAY1021189) (1.25 mg), Drug: Vericiguat (BAY1021189) (5 mg)2.5 mg orally once daily for 2 weeks, then 5 mg orally once daily for 10 weeks (with sham titration) |
| Vericiguat (BAY1021189) (2.5 mg) | Experimental | Drug: Vericiguat (BAY1021189) (1.25 mg)2.5 mg orally once daily for 12 weeks (with sham titrations) |
| Vericiguat (BAY1021189) (1.25 mg) | Experimental | Drug: Vericiguat (BAY1021189) (1.25 mg)1.25 mg orally once daily for 12 weeks (with sham titrations) |
| Placebo | Placebo comparator | Drug: PlaceboOrally once daily for 12 weeks (with sham titrations) |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Worsening chronic heart failure (WCHF) requiring hospitalization (or intravenous diuretic treatment for HF without hospitalization) with initiation of study treatment after clinical stabilization
- Left ventricular ejection fraction (LVEF) >/= 45% by echocardiography at randomization
Key exclusion criteria (1 listed)
- Intravenous inotropes at any time after hospitalization
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) (1.25 mg)1.25 mg BAY1021189 tablets | Drug | Vericiguat (BAY1021189) (1.25 mg), Vericiguat (BAY1021189) (2.5 mg), Vericiguat (BAY1021189) (5 mg), Vericiguat (BAY1021189)(10 mg) |
| Vericiguat (BAY1021189) (5 mg)5 mg BAY1021189 tablets | Drug | Vericiguat (BAY1021189) (5 mg), Vericiguat (BAY1021189)(10 mg) |
| Placebo | Drug | Placebo |
Primary outcome
Change From Baseline to Week 12 in Log-transformed N-terminal Pro-brain Natriuretic Peptide (NT-proBNP)
Time frame: Baseline, Week 12 (end of treatment [EOT])
NTproBNP is a circulating plasma biomarker of cardiovascular function and prognosis in heart failure (HF).
Change From Baseline to Week 12 in Left Atrial Volume (LAV)
Time frame: Baseline, Week 12 (EOT)
Left atrial volume was measured by echocardiography.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Mar 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 25056511Pieske B, Butler J, Filippatos G, Lam C, Maggioni AP, Ponikowski P, Shah S, Solomon S, Kraigher-Krainer E, Samano ET, Scalise AV, Muller K, Roessig L, Gheorghiade M; SOCRATES Investigators and Coordinators. Rationale and design of the SOluble guanylate Cyclase stimulatoR in heArT failurE Studies (SOCRATES). Eur J Heart Fail. 2014 Sep;16(9):1026-38. doi: 10.1002/ejhf.135. Epub 2014 Jul 24.
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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.
Bayer Study Director study director
Bayer
158 sites in 25 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Vericiguat (BAY1021189) (1.25 mg) and Vericiguat (BAY1021189) (5 mg) in people with Heart Failure, run by Bayer at 158 sites in 25 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 2 inclusion and 1 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 16 Mar 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 158 sites in Japan, United States, Germany, Israel, Belgium and 20 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 12 Feb 2021). 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 From Baseline to Week 12 in Log-transformed N-terminal Pro-brain Natriuretic Peptide (NT-proBNP) (time frame: Baseline, Week 12 (end of treatment [EOT])). The study lists 2 primary outcomes in all. 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 NCT01951638, which also lists 1 linked publication.
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 16 Mar 2021; AzTrials last refreshed its copy on 7 Nov 2026.