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Heart Failure With Preserved Ejection FractionPhase 2CAPACITY-HFpEFNCT03254485

A Study of the Effect of IW-1973 on the Exercise Capacity of Patients With Heart Failure With Preserved Ejection Fraction (HFpEF)

A Phase 2 study testing IW-1973 in people with Heart Failure With Preserved Ejection Fraction, run by Akebia Therapeutics at 62 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The objective of the CAPACITY-HFpEF study is to evaluate the safety and efficacy of IW-1973 compared with placebo when administered daily for approximately 12 weeks to patients with HFpEF. Read more about this study

Who is it for?
Ages 45 years and older
What is being tested?
IW-1973
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
196 participants
Where
62 sitesin 2 countries
Study dates
7 Nov 2017to 19 Aug 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

  • Patient is an ambulatory male or female ≥45 years old at the Screening Visit
  • Patient has heart failure with ejection fraction (EF) of ≥40%
  • Patient has a peak VO2 measuring <80% of age- and sex-adjusted normal values
  • Patient has evidence in medical history supporting clinical heart failure syndrome consisting of at least 1 of the following:
  • Hospitalization or emergency department visit for heart failure within the past year
  • Elevated B-type natriuretic peptide (BNP) or N-terminal pro b-type natriuretic peptide (NT-proBNP) within the past 6 months
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  • Echocardiographic evidence within the past 12 months of at least 2 of the following: left ventricular (LV) hypertrophy, left atrial (LA) enlargement, or diastolic dysfunction
  • Hemodynamic evidence of elevated filling pressures
  • Patient meets at least 2 of the following criteria at the Screening Visit:
  • Diagnosis of type 2 diabetes mellitus or prediabetes
  • History of hypertension
  • Body mass index (BMI) >30 kg/m2
  • Age ≥70 years

Who cannot join

  • Patient has had acute coronary syndrome or percutaneous coronary intervention within 30 days before Randomization
  • Patient has had cardiac transplantation or has cardiac transplantation planned during the study
  • Patient has had cardiac artery bypass graft, cardiac mechanical support implantation, or other cardiac surgery in the 3 months before the Screening Visit or planned during the study
  • Patient has severe chronic obstructive coronary disease as defined by chronic oxygen dependence
  • Patient had had heart failure hospitalization with discharge within 30 days before the Screening Visit
  • Patient has a history of clinically significant hypersensitivity or allergies to any of the inactive ingredients contained in the active or placebo drug products
Show all 12Show fewer
  • Patient has previously received IW-1973 in a study, or received an investigational drug during the 30 days or 5 half lives of that investigational drug (whichever is longer) before the Screening Visit, or is planning to receive another investigational drug at any time during the study
  • Patient is taking specific inhibitors of phosphodiesterase 5 (PDE5), nonspecific inhibitors of PDE5, any supplements for the treatment of erectile dysfunction, riociguat, or nitrates or nitric oxide (NO) donors in any form
  • Patient is taking strong cytochrome P450 3A (CYP3A) inhibitors
  • Women of childbearing potential must have a negative pregnancy test prior to randomization and must agree to use protocol-specified contraception from the Screening Visit through 60 days after the final dose of study drug
  • Male patients must be surgically sterile by vasectomy (conducted ≥60 days before the Screening Visit or confirmed via sperm analysis) or must agree to use protocol-specified contraception from the Screening Visit through 60 days after the final dose of study drug
  • Other exclusion criteria per protocol

Trial locations and contacts

62 sites in 2 countries.

62 sites in 2 countries

United States57 sites
  • Lousiana Heart Center

    Bogalusa, Louisiana, 70427

  • St. Luke's Regional Medical Center

    Boise, Idaho, 83712

  • Tufts Medical Center

    Boston, Massachusetts, 02111

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • Boston University School of Medicine

    Boston, Massachusetts, 02118

  • Lahey Clinic

    Burlington, Massachusetts, 01805

  • University of Vermont Medical Center

    Burlington, Vermont, 05401

  • Northwestern University

    Chicago, Illinois, 60611

  • Ohio State University Medical Center (OSUMC)

    Columbus, Ohio, 43210

  • North Dallas Research Associates

    Dallas, Texas, 75069

  • Texas Health Research and Education Insitute

    Dallas, Texas, 75231

  • Southwest Family Medicine Associates

    Dallas, Texas, 75235

  • Baylor University Medical Center

    Dallas, Texas, 75246

  • University of Texas Southwestern Medical Center

    Dallas, Texas, 75390

  • Aurora Denver Cardiology

    Denver, Colorado, 80218

  • Duke University Medical Center

    Durham, North Carolina, 27710

  • Holy Cross Hospital

    Fort Lauderdale, Florida, 33308

  • New Generation of Medical Research

    Hialeah, Florida, 33016

  • Franciscan Physician Network - Indiana Heart Physicians

    Indianapolis, Indiana, 46237

  • East Coast Institute for Research

    Jacksonville, Florida, 32216

  • University of Kansas Medical Center

    Kansas City, Kansas, 66160

  • JEHM

    La Mesa, California, 91941

  • Research Institute of Lancaster General Health

    Lancaster, Pennsylvania, 17602

  • Cardiology and Medicine Clinic

    Little Rock, Arkansas, 72204

  • South Denver Cardiology Associates

    Littleton, Colorado, 80120

  • Axis Clinical Trials

    Los Angeles, California, 90036

  • Unity Point Health

    Madison, Wisconsin, 53713

  • University of Wisconsin - Madison

    Madison, Wisconsin, 53792

  • PCRS Network, LLC

    Miami, Florida, 33126

  • University of Minnesota

    Minneapolis, Minnesota, 55455

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37232

  • JEHM

    National City, California, 91950

  • Mount Sinai School of Medicine

    New York, New York, 10025

  • Valley Clinical Trials

    Northridge, California, 91325

  • South Oklahoma Heart Research

    Oklahoma City, Oklahoma, 73135

  • Newton Clinical Research

    Oklahoma City, Oklahoma, 73159

  • Stanford University

    Palo Alto, California, 94305

  • Broward Research Center

    Pembroke Pines, Florida, 33024

  • Unity Point Health - Methodist Hospital

    Peoria, Illinois, 61602

  • Drexel University College of Medicine

    Philadelphia, Pennsylvania, 19102

  • Arizona Arrhythmia Research Center

    Phoenix, Arizona, 85016

  • Progressive Medical Research

    Port Orange, Florida, 32127

  • Oregon Health & Science University (OHSU)

    Portland, Oregon, 97239

  • Virginia Commonwealth University Medical College of Virginia

    Richmond, Virginia, 23298

  • The Valley Hospital

    Ridgewood, New Jersey, 07450

  • Mayo Clinic

    Rochester, Minnesota, 55905

  • Schnitzler Cardiovascular Consultants

    San Antonio, Texas, 78229

  • Mayo Clinic

    Scottsdale, Arizona, 85259

  • PeaceHealth, Sacred Heart Physicians

    Springfield, Oregon, 97477

  • VA Healthcare John Cochran Medical Center

    St Louis, Missouri, 63106

  • Washington University

    St Louis, Missouri, 63110

  • Madigan Army Medical Center

    Tacoma, Washington, 98431

  • ProMedica Toledo Hospital

    Toledo, Ohio, 43606

  • Harbor UCLA Medical Center

    Torrance, California, 90509

  • University of Arizona

    Tucson, Arizona, 85724

  • Oklahoma Heart Institute

    Tulsa, Oklahoma, 74104

  • Michigan Heart

    Ypsilanti, Michigan, 48197

Other trials in United States

Canada5 sites
  • Ecogene-21

    Chicoutimi, Quebec, G7H 7K9

  • London Health Sciences Centre

    London, Ontario, N6A 5A5

  • Institut Universitaire de Cardiologie et de Pneumologie De Quebec

    Québec, G1V 4G5

  • CIUSSS de l'Estrie - CHUS

    Sherbrooke, Quebec, J1G 2E8

  • Mount Sinai Hospital

    Toronto, Ontario, M5G 1X5

Other trials in Canada

About this study

Official title: A Multicenter, Randomized, Double-blind, Placebo-controlled, Phase 2 Study Evaluating the Safety and Efficacy of Different Doses of IW-1973 Over 12 Weeks in Patients With Heart Failure With Preserved Ejection Fraction

The objective of the CAPACITY-HFpEF study is to evaluate the safety and efficacy of IW-1973 compared with placebo when administered daily for approximately 12 weeks to patients with HFpEF. The study will evaluate the effect of oral IW-1973 on peak exercise capacity in patients with HFpEF, with or without permanent or persistent atrial fibrillation.

Being tested
IW-1973, Placebo Oral Tablet
Keywords
Heart Failure, Cardiovascular, HF, HFpEF
Medical subject headings
Heart Failure

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • IW-1973Drug

    Oral Tablet

  • Placebo Oral TabletDrug

    Oral Tablet

Study groups in NCT03254485
Study groupRoleWhat they receive
IW-1973 High DoseExperimentalNot described
Receives: Drug: IW-1973
PlaceboPlacebo comparatorPlacebo to match experimental drug
Receives: Drug: Placebo Oral Tablet

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Study Drug-related TEAEs

    An adverse event (AE) is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. TEAEs are defined as those adverse events (AEs) that started or worsened in severity after the administration of study drug. Causality relationship to study drug was per Investigator assessment. Number of participants with TEAEs and study drug-related TEAEs is presented.

    Measured: Day 1 up to Day 113

  2. Change From Baseline in Peak Oxygen Consumption (VO2) at Week 12

    Peak VO2 was obtained from Cardiopulmonary Exercise Test (CPET), which was used to evaluate the effect of praliciguat on peak exercise capacity. Baseline is defined as the last non-missing measurement prior to the first dose of study drug. Change from Baseline was calculated by subtracting Baseline value from the Week 12 value. Data were analyzed using an analysis of covariance (ANCOVA) model with treatment group and atrial fibrillation stratification factors as categorical variable terms and Baseline peak VO2 value as a covariate. Milliliter O2 per kilogram per minute = mL O2/kg/min

    Measured: Baseline and Week 12

Secondary outcomes (3)
  1. Change From Baseline in 6-minute Walk Test (6MWT) Distance at Week 12

    6MWT was a simple assessment of everyday functional capacity and provided a global evaluation of the organ/physiologic systems involved in exercise. 6MWT assessed the distance travelled in 6 minutes, measured at approximately the same time of day. Baseline is defined as the last non-missing measurement prior to the first dose of study drug. Change from Baseline was calculated by subtracting Baseline value from the Week 12 value. Data were analyzed using an ANCOVA model with treatment group, atrial fibrillation stratification factor and peak VO2 stratification factor as categorical variable terms and Baseline value as a covariate.

    Measured: Baseline and Week 12

  2. Change From Baseline in Ventilatory Efficiency at Week 12

    Ventilatory efficiency was defined as minute ventilation/carbon dioxide (VE/VCO2) slope, production and was obtained from CPET. Baseline is defined as the last non-missing measurement prior to the first dose of study drug. Change from Baseline was calculated by subtracting Baseline value from the Week 12 value. Data were analyzed using an ANCOVA model with treatment group, atrial fibrillation stratification factor and peak VO2 stratification factor as categorical variable terms and baseline value as a covariate.

    Measured: Baseline and Week 12

  3. CPET Responders at Week 12

    CPET responders were defined as participants who improved by at least 1.5 mL O2/kg/min in peak VO2 from Baseline to Week 12. Baseline is defined as the last non-missing measurement prior to the first dose of study drug.

    Measured: At Week 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Aug 2017
  2. Study start7 Nov 2017
  3. Primary completion19 Aug 2019
  4. Study completion19 Aug 2019

Resources

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
196 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03254485
Sponsor's protocol ID
C1973-204
Acronym
CAPACITY-HFpEF
Status last verified
Aug 2022
First submitted
16 Aug 2017
Last updated
15 Sep 2022
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Udelson JE, Lewis GD, Shah SJ, Zile MR, Redfield MM, Burnett J Jr, Parker J, Seferovic JP, Wilson P, Mittleman RS, Profy AT, Konstam MA. Effect of Praliciguat on Peak Rate of Oxygen Consumption in Patients With Heart Failure With Preserved Ejection Fraction: The CAPACITY HFpEF Randomized Clinical Trial. JAMA. 2020 Oct 20;324(15):1522-1531. doi: 10.1001/jama.2020.16641.

    PubMed 33079154
  • Udelson JE, Lewis GD, Shah SJ, Zile MR, Redfield MM, Burnett J Jr, Mittleman RS, Profy AT, Seferovic JP, Reasner D, Konstam MA. Rationale and design for a multicenter, randomized, double-blind, placebo-controlled, phase 2 study evaluating the safety and efficacy of the soluble guanylate cyclase stimulator praliciguat over 12 weeks in patients with heart failure with preserved ejection fraction (CAPACITY HFpEF). Am Heart J. 2020 Apr;222:183-190. doi: 10.1016/j.ahj.2020.01.009. Epub 2020 Jan 21.

    PubMed 32105984

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing IW-1973 in people with Heart Failure With Preserved Ejection Fraction, run by Akebia Therapeutics at 62 sites in 2 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 13 inclusion and 12 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 15 Sep 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 62 sites in United States, Canada. 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 15 Sep 2022). 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?

Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Study Drug-related TEAEs (time frame: Day 1 up to Day 113). 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 NCT03254485, which also lists 2 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 15 Sep 2022.

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