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AzTrials

Heart FailurePhase 2GARDEN TIMI 74NCT05492500

A Study of Ponsegromab in People With Heart Failure

A Phase 2 study testing Main cohort (Cohort A): Ponsegromab low dose, Main cohort (Cohort A): Ponsegromab medium dose and Main cohort (Cohort A): ponsegromab high dose in people with Heart Failure, run by Pfizer at 122 sites in 11 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The primary purpose of this clinical trial is to compare the effects of study medicine (Ponsegromab/PF-06946860) with a placebo (an injection that looks like the study medicine but does not contain the active medicine) to find out if the study medicine is better than the placebo (an injection that looks like the study… 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?
Main cohort (Cohort A): Ponsegromab low dose, Main cohort (Cohort A): Ponsegromab medium dose and Main cohort (Cohort A): ponsegromab high dose
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
455 participants
Where
122 sitesin 11 countries
Study dates
26 Sep 2022to 5 Mar 2025
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

  • Male and female participants aged 18 years or older
  • -. Clinical evidence of HF with each of the following criteria:
  • LVEF <50% on most recent measurement, within 12 months of screening. Note: An assessment of LVEF in the prior 12 months is not required in situations where LVEF has been persistently <50% on prior assessments obtained at least 3 months apart (including the most recent measurement).
  • NYHA class II-IV at screening.
  • NT-proBNP ≥400 pg/mL at screening (Note: Does not apply to open-label, PK Cohort [Cohort B]).
  • Serum GDF-15 concentration ≥2000 pg/mL at screening.
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  • Cohort D only: Serum GDF-15 concentration <2000 pg/mL at screening.
  • KCCQ-23 CSS <75 at screening (Note: Does not apply to open-label, PK Cohort [Cohort B]).
  • Evidence of cachexia or fatigue or functional impairment, as demonstrated by at least one of the following at screening (Note: Does not apply to open-label, PK Cohort [Cohort B]):
  • Non-edematous unintentional weight loss ≥5% in the last 6 months or current BMI <20 kg/m2, associated with subjective fatigue or anorexia; or
  • Fatigue at least 3 times per week AND at least moderately bothersome fatigue in the past 2 weeks based on the KCCQ-23 administered at screening; or
  • A score of <60 on the Physical Limitations Domain of the KCCQ 23 administered at screening.

Who cannot join

  • Acute decompensated HF within 1 month prior to Screening Visit 1 or during the screening period.
  • Implantation of a cardiac resynchronization therapy device or valve repair or replacement within 3 months prior to randomization or intent to do so during the trial.
  • For the open-label, PK cohort (Cohort B) only: implantation of a cardiac resynchronization therapy device more than 1 month prior to randomization is permitted.
  • History of heart transplantation, currently listed for heart transplant, current/planned mechanical circulatory support, or current/planned use of intravenous inotropes (eg, dobutamine, milrinone).
  • Acute coronary syndrome within 1 month prior to randomization.
  • Coronary revascularization (percutaneous coronary intervention or coronary artery bypass grafting) within 3 months prior to randomization or intent to undergo coronary revascularization during the trial.
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  • For the open-label, PK cohort (Cohort B) only: coronary revascularization more than 1 month prior to randomization is permitted.
  • Untreated indication for an implantable cardiac defibrillator or pacemaker to treat a cardiac rhythm abnormality (ie, tachyarrhythmia or bradyarrhythmia).
  • Previous administration with an investigational product (drug or vaccine) within 30 days (or as determined by the local requirement) or 5 half lives (whichever is longer) preceding the first dose of study intervention used in this study. Treatment with an investigational biologic agent within 6 months or 5 half-lives (whichever is longer) of Day 1.
  • Previous exposure to ponsegromab in a prior clinical study.
  • Renal disease requiring ongoing dialysis.
  • Cirrhosis with evidence of portal hypertension not due to HF, or the following LFT abnormalities at the time of screening, confirmed by a repeat test if deemed necessary: AST or ALT level ≥ 3 x ULN, or total bilirubin level ≥ 2 x ULN (unless history of Gilbert's syndrome).

Trial locations and contacts

122 sites in 11 countries.

122 sites in 11 countries

United States22 sites
  • Emory University School of Medicine-Grady Campus

    Atlanta, Georgia, 30303

  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115

  • University of North Carolina Medical Center

    Chapel Hill, North Carolina, 27514

  • Clinical and Translational Research Center

    Chapel Hill, North Carolina, 27599

  • Texas Health Heart & Vascular Specialist (THHVS) #18760

    Dallas, Texas, 75231

  • Henry Ford Hospital

    Detroit, Michigan, 48202

  • Eastern shore Research Institute LLC

    Fairhope, Alabama, 36532

  • Chicago Medical Research

    Hazel Crest, Illinois, 60429

  • Saint Luke's Hospital of Kansas City

    Kansas City, Missouri, 64111

  • Keck Medical Center of USC

    Los Angeles, California, 90033

  • M Health Fairview Clinics and Surgery Center

    Minneapolis, Minnesota, 55455

  • M Health Fairview University of Minnesota Investigational Drug Services

    Minneapolis, Minnesota, 55455

  • M Health Fairview University of Minnesota Medical Center-East Bank

    Minneapolis, Minnesota, 55455

  • University of Minnesota/Lillehei Clinical Research Unit

    Minneapolis, Minnesota, 55455

  • South Oklahoma Heart Research, LLC

    Oklahoma City, Oklahoma, 73135

  • Reid Physician Associates

    Richmond, Indiana, 47374

  • Washington University in St. Louis Center for Outpatient Health (COH)

    St Louis, Missouri, 63108

  • Washington University in St. Louis Center for Advanced Medicine (CAM)

    St Louis, Missouri, 63110

  • Washington University School of Medicine

    St Louis, Missouri, 63110

  • Holy Name Medical Center

    Teaneck, New Jersey, 07666

  • Traverse Heart & Vascular

    Traverse City, Michigan, 49684

  • MedStar Washington Hospital Center

    Washington D.C., District of Columbia, 20010

Other trials in United States

Canada17 sites
  • Saul Vizel Professional Medicine Corporation dba Vizel Cardiac Research

    Cambridge, Ontario, N1R 7R1

  • QEII Health Sciences Centre - Victoria General Site

    Halifax, Nova Scotia, B3H 3A7

  • University Hospital - London Health Sciences Centre

    London, Ontario, N6A 5A5

  • Institut de Cardiologie de Montreal

    Montreal, Quebec, H1T 1C8

  • Centre Hospitalier de l'Université de Montréal

    Montreal, Quebec, H2X 3E4

  • Fraser Clinical Trials Inc

    New Westminster, British Columbia, V3L 3W4

  • North York Diagnostic and Cardiac Centre

    North York, Ontario, M6B 3H7

  • Private Practice - Dr. James Cha

    Oshawa, Ontario, L1J 2K1

  • Kawartha Cardiology Clinical Trials

    Peterborough, Ontario, K9J 0B2

  • Centre intégré de santé et de services sociaux du Bas Saint-Laurent- Hôpital régional de Rimouski

    Rimouski, Quebec, G5L 5T1

  • CardioVasc HR Inc

    Saint-Jean-sur-Richelieu, Quebec, J3A 1J2

  • Centre intégré de santé et de services sociaux de Lanaudière - Hopital Pierre-Le Gardeur.

    Terrebonne, Quebec, J6V 2H2

  • Corcare

    Toronto, Ontario, M1B 5N1

  • Unity Health Toronto, St. Michael's Hospital

    Toronto, Ontario, M5B 1W8

  • Diex Recherche Trois-Rivieres

    Trois-Rivières, Quebec, G9A 4P3

  • Community Care Building

    Winchester, Ontario, K0C 2K0

  • Winchester District Memorial Hospital

    Winchester, Ontario, K0C 2K0

Other trials in Canada

Spain17 sites
  • CHUAC-Complejo Hospitalario Universitario A Coruña

    A Coruña, A Coruña [LA Coruña], 15006

  • Parc de Salut Mar - Hospital del Mar

    Barcelona, Barcelona [barcelona], 08003

  • Hospital Universitari Vall d'Hebron

    Barcelona, Barcelona [barcelona], 08035

  • Hospital de la Santa Creu i Sant Pau

    Barcelona, Catalunya [cataluña], 08041

  • Hospital Clínico Universitario Virgen de la Arrixaca

    El Palmar, Murcia, Región de, 30120

  • Hospital Universitario Virgen Nieves

    Granada, 18012

  • Hospital Universitari de Bellvitge

    L'Hospitalet de Llobregat, Barcelona, 08907

  • Hospital Universitario Ramón y Cajal

    Madrid, Madrid, Comunidad de, 28034

  • Hospital Universitario La Paz

    Madrid, 28046

  • Hospital Universitario Puerta de Hierro Majadahonda

    Majadahonda, Madrid, Comunidad de, 28222

  • Hospital Universitario Virgen de la Victoria

    Málaga, 29010

  • Hospital Universitario Central de Asturias

    Oviedo, 33011

  • CHUS - Hospital Clinico Universitario

    Santiago de Compostela, A Coruña [LA Coruña], 15706

  • Hospital Universitario Virgen Del Rocio

    Seville, 41013

  • Hospital Clinico de Valencia

    Valencia, Valenciana, Comunitat, 46010

  • Hospital General Universitario de Valencia

    Valencia, 46014

  • Hospital Universitari i Politecnic La Fe

    Valencia, 46026

Other trials in Spain

United Kingdom12 sites
  • Barnet Hospital

    Barnet, EN5 3DJ

  • Royal Papworth Hospital NHS Foundation Trust

    Cambridge, CB2 0AY

  • Golden Jubilee National Hospital

    Clydebank, G81 4DY

  • Ninewells Hospital and Medical School

    Dundee, Dundee CITY, DD1 9SY

  • Glasgow Royal Infirmary

    Glasgow, Scotland, G31 2ER

  • Northwick Park Hospital

    Harrow, London, CITY of, HA1 3UJ

  • Wycombe General Hospital

    High Wycombe, Buckinghamshire, HP11 2TT

  • Lincoln County Hospital

    Lincoln, LN2 5QY

  • Liverpool University Hospitals NHS Foundation Trust

    Liverpool, L9 7AL

  • St. George's Hospital

    London, England and Wales, SW17 0QT

  • Northern General Hospital

    Sheffield, S5 7AU

  • University Hospital of North Tees

    Stockton-on-Tees, TS19 8PE

Other trials in United Kingdom

China11 sites
  • Peking University First Hospital

    Beijing, 100034

  • China-Japan Union Hospital

    Changchun, Jilin, 130033

  • The Second Xiangya Hospital of Central South University

    Changsha, Hunan, 410011

  • Guangdong Provincial People's Hospital

    Guangzhou, Guangdong, 510080

  • The First Affiliated Hospital, Sun Yat-sen University

    Guangzhou, Guangdong, 510080

  • The First Affiliated Hospital of University of South China

    Hengyang, Hunan, 421001

  • Qilu Hospital of Shandong University

    Jinan, Shandong, 250014

  • Zhongshan Hospital,Fudan University

    Shanghai, Shanghai Municipality, 200032

  • Tianjin People' s Hospital

    Tianjin, Tianjin Municipality, 300120

  • The First Affiliated Hospital of Xi'an Jiaotong University

    Xi'an, Shaanxi, 710061

  • Yuncheng Central Hospital

    Yuncheng, Shanxi, 044000

Other trials in China

Japan10 sites
  • Hyogo Prefectural Amagasaki General Medical Center

    Amagasaki, Hyōgo, 660-8550

  • Hyogo Prefectural Harima-Himeji General Medical Center

    Himeji, Hyōgo, 670-8560

  • Kishiwada Tokushukai Hospital

    Kishiwada, Osaka, 596-0042

  • Iwate Prefectural Central Hospital

    Morioka, Iwate, 020-0066

  • Osaka General Medical Center

    Osaka, 558-8558

  • National Hospital Organization Sendai Medical Center

    Sendai, Miyagi, 983-8520

  • Keio University Hospital

    Shinjuku-ku, Tokyo, 160-8582

  • National Cerebral and Cardiovascular Center

    Suita, Osaka, 564-8565

  • Higashi Takarazuka Satoh Hospital

    Takarazuka, Hyōgo, 665-0873

  • National Hospital Organization Saitama Hospital

    Wako, Saitama, 351-0102

Other trials in Japan

Hungary8 sites
  • Private Practice - Dr. Lakatos Ferenc

    Békéscsaba, Bekes County, 5600

  • Dél-Pesti Centrumkórház Orszagos Hematologiai es Infektologiai Intezet

    Budapest, 1097

  • Semmelweis Egyetem

    Budapest, 1122

  • Somogy Vármegyei Kaposi Mór Oktató Kórház

    Kaposvár, Somogy County, 7400

  • TaNa Med

    Mosonmagyaróvár, Győr-Moson-Sopron, 9200

  • Kanizsai Dorottya Korhaz

    Nagykanizsa, 8800

  • Medifarma 98 Kft

    Nyíregyháza, Nyíregyháza, 4400

  • Pécsi Tudományegyetem Klinikai Központ

    Pécs, Baranya, 7624

Other trials in Hungary

Poland8 sites
  • Uniwersytecki Szpital Kliniczny w Białymstoku

    Bialystok, Podlaskie Voivodeship, 15-276

  • Kardio Brynow

    Katowice, Silesian Voivodeship, 40-555

  • SPZOZ Centralny Szpital Kliniczny Uniwersytetu Medycznego w Lodzi

    Lodz, 92-213

  • Miejski Szpital Zespolony w Olsztynie

    Olsztyn, Warmian-Masurian Voivodeship, 10-045

  • Uniwersytecki Szpital Kliniczny w Poznaniu

    Poznan, Greater Poland Voivodeship, 61-848

  • Polsko Amerykanskie Kliniki Serca

    Tychy, 43-100

  • Uniwersyteckie Centrum Kliniczne Warszawskiego Uniwersytetu Medycznego Centralny Szpital Kliniczny

    Warsaw, 02-097

  • Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego we Wrocławiu

    Wroclaw, Lower Silesian Voivodeship, 50-556

Other trials in Poland

Czechia6 sites
  • Fakultni Nemocnice u sv. Anny v Brne

    Brno, South Moravian, 602 00

  • EDUMED - Jaroměř

    Jaroměř, Náchod, 551 01

  • Institut Klinicke a Experimentalni Mediciny

    Prague, Praha 4, 140 21

  • Fakultni nemocnice Kralovske Vinohrady

    Prague, 100 34

  • Vseobecna fakultni nemocnice v Praze

    Prague, 12808

  • Ustredni vojenska nemocnice

    Prague, 16902

Other trials in Czechia

Germany6 sites
  • Herz - und Diabeteszentrum Nordrhein - Westfalen, Bad Oeynhausen

    Bad Oeynhausen, North Rhine-Westphalia, 32545

  • Hausärztlich-Kardiologisches MVZ am Felsenkeller GmbH/Zentrum für klinische Studien

    Dresden, Saxony, 01277

  • Universitätsklinikum Frankfurt Goethe-Universität

    Frankfurt am Main, Hesse, 60590

  • Universitätsmedizin Göttingen - Georg-August-Universität

    Göttingen, Lower Saxony, 37075

  • Universitätsklinikum Jena

    Jena, Thuringia, 07747

  • Universitätsklinikum Jena

    Jena, Thuringia, 7743

Other trials in Germany

Australia5 sites
  • Core Research Group

    Brisbane, Queensland, 4064

  • The Prince Charles Hospital

    Chermside, Queensland, 4032

  • Concord Repatriation General Hospital

    Concord, New South Wales, 2139

  • Lyell McEwin Hospital

    Elizabeth Vale, South Australia, 5112

  • The Alfred Hospital

    Melbourne, Victoria, 3004

Other trials in Australia

About this study

Official title: A PHASE 2, DOUBLE-BLIND, RANDOMIZED, PLACEBO-CONTROLLED, 4-ARM STUDY TO INVESTIGATE SYMPTOMS, FUNCTION, HEALTH-RELATED QUALITY OF LIFE AND SAFETY WITH REPEATED SUBCUTANEOUS ADMINISTRATION OF PONSEGROMAB VERSUS PLACEBO IN ADULT PARTICIPANTS WITH HEART FAILURE

The primary purpose of this clinical trial is to compare the effects of study medicine (Ponsegromab/PF-06946860) with a placebo (an injection that looks like the study medicine but does not contain the active medicine) to find out if the study medicine is better than the placebo (an injection that looks like the study medicine but does not contain the active medicine) for treatment of symptoms related to heart failure. Participants will not know which treatment group they are assigned to. Most participants in this study will receive the study medicine or placebo by shots under the skin every four weeks. People may be able to participate in this study if they have heart failure. Participants will take part in this study for about 9 months. During this time participants will visit the study clinic once a month.

A separate PK cohort within this clinical trial will receive open-label study medicine (Ponsegromab/PF-06946860) only. Participants in this open-label, PK cohort will not receive placebo. These participants will receive the study medicine by shots under the skin every four weeks. People may be able to participate in this study cohort if they also have heart failure. Participants will take part in the open-label, PK cohort for about 7 months.

Read the detailed description

The primary purpose of this study is to assess the effect of repeated subcutaneous administration of ponsegromab (PF-06946860) compared to placebo on frequency, severity, and burden of symptoms as well as physical limitations in participants with heart failure and different ranges of circulating GDF-15 concentrations. The study will also assess the safety, tolerability, PK, PD, and immunogenicity of ponsegromab.

A separate, open-label, PK cohort, with more frequent PK and GDF-15 collection after single and multiple subcutaneous administration of ponsegromab (PF-06946860), will be enrolled at certain sites to facilitate a more comprehensive assessment of PK characteristics and PK/PD relationship for GDF-15 in participants with heart failure and elevated circulating GDF-15 concentrations.

Conditions
Heart Failure
Being tested
Main cohort (Cohort A): Ponsegromab low dose, Main cohort (Cohort A): Ponsegromab medium dose, Main cohort (Cohort A): ponsegromab high dose, Main cohort (Cohort A): Matched placebo, Open-label, PK Cohort (Cohort B): ponsegromab low dose
Keywords
Heart Failure, N-terminal pro-B type natriuretic peptide, Kansas City Cardiomyopathy Questionnaire, Patient's Global Impression of Severity, Patient's Global Impression of Change, Patient Reported Outcome Measurement Information System, Growth differentiation factor 15, New York Heart Association
Medical subject headings
Heart Failure

What participants receive

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

  • Main cohort (Cohort A): Ponsegromab low doseDrug

    Also called PF-06946860 low dose

    Ponsegromab low dose subcutaneous injection

  • Main cohort (Cohort A): Ponsegromab medium doseDrug

    Also called PF-06946860 medium dose

    Ponsegromab medium dose subcutaneous injection

  • Main cohort (Cohort A): ponsegromab high doseDrug

    Also called PF-06946860 high dose

    Ponsegromab high dose subcutaneous injection

  • Main cohort (Cohort A): Matched placeboOther

    Also called Placebo

    Matched placebo subcutaneous injection

  • Open-label, PK Cohort (Cohort B): ponsegromab low doseDrug

    Also called PF-06946860 low dose

    ponsegromab low dose subcutaneous injection

  • Open-label, PK Cohort (Cohort B): ponsegromab medium doseDrug

    Also called PF-06946860 medium dose

    Ponsegromab medium dose subcutaneous injection

  • Open-label, PK Cohort (Cohort B): ponsegromab high doseDrug

    Also called PF-06946860 high dose

    Ponsegromab high dose subcutaneous injection

  • Optional Cohort C: Ponsegromab low doseDrug

    Also called PF-06946860 low dose

    Ponsegromab low dose subcutaneous injection

  • Optional Cohort C: Matched placeboOther

    Also called Placebo

    Matched placebo subcutaneous injection

  • Optional Cohort D: Ponsegromab high doseDrug

    Also called PF-06946860 high dose

    Ponsegromab high dose subcutaneous injection

  • Optional Cohort D: Matched placeboOther

    Also called Placebo

    Matched placebo subcutaneous injection

Study groups in NCT05492500
Study groupRoleWhat they receive
Main cohort (Cohort A): ponsegromab low doseExperimentalParticipants will receive a low dose Q4W SC
Receives: Drug: Main cohort (Cohort A): Ponsegromab low dose
Main cohort (Cohort A): ponsegromab medium doseExperimentalParticipants will receive a medium dose Q4W SC
Receives: Drug: Main cohort (Cohort A): Ponsegromab medium dose
Main cohort (Cohort A): ponsegromab high doseExperimentalParticipants will receive a high dose Q4W SC
Receives: Drug: Main cohort (Cohort A): ponsegromab high dose
Main cohort (Cohort A): placeboPlacebo comparatormatched placebo
Receives: Other: Main cohort (Cohort A): Matched placebo
Open-label, PK Cohort (Cohort B): ponsegromab low doseExperimentalParticipants will receive a low dose Q4W SC
Receives: Drug: Open-label, PK Cohort (Cohort B): ponsegromab low dose
Open-label, PK Cohort (Cohort B): ponsegromab medium doseExperimentalParticipants will receive a medium dose Q4W SC
Receives: Drug: Open-label, PK Cohort (Cohort B): ponsegromab medium dose
Open-label, PK Cohort (Cohort B): ponsegromab high doseExperimentalParticipants will receive a high dose Q4W SC
Receives: Drug: Open-label, PK Cohort (Cohort B): ponsegromab high dose
Optional Cohort C: ponsegromab low doseExperimentalParticipants will receive a low dose Q4W SC
Receives: Drug: Optional Cohort C: Ponsegromab low dose
Optional Cohort C: placeboPlacebo comparatormatched placebo
Receives: Other: Optional Cohort C: Matched placebo
Optional Cohort D: ponsegromab high doseExperimentalParticipants will receive a high dose Q4W SC
Receives: Drug: Optional Cohort D: Ponsegromab high dose
Optional Cohort D: placeboPlacebo comparatormatched placebo
Receives: Other: Optional Cohort D: Matched placebo

What is being measured

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

  1. Change From Baseline in Kansas City Cardiomyopathy Questionnaire (KCCQ)-23 - Clinical Summary Score (CSS) at Week 22: Cohort A, Ponsegromab 300 mg Versus Placebo

    KCCQ is a self-reported 23-item questionnaire that assessed health related quality of life (HRQL) in participants with heart failure (HF) over the past 2 weeks. KCCQ quantifies 7 domains: physical limitations (6 items), symptom stability (1 item), symptom frequency (4 items), symptom burden (3 items), self-efficacy (2 items), quality of life (3 items) and social limitations (4 items). Scores were generated for each domain and scaled from 0 (worst status) to 100 (best possible status). KCCQ total symptom score (TSS): mean of domains- symptom frequency and symptom burden; and was transformed to a single score which ranged from 0 (worst) to 100 (best possible status). KCCQ-23-CSS: mean of the TSS and physical limitation domain score; and was transformed to a single score which ranged from 0 (worst) to 100 (best possible status), where higher KCCQ-23-CSS signified better health status.

    Measured: Baseline [the last measurement on study Day 1], Week 22

Secondary outcomes (25)
  1. Change From Baseline in KCCQ-23 CSS at Week 22: Cohort A

    KCCQ is a self-reported 23-item questionnaire that assessed HRQL in participants with HF over the past 2 weeks. KCCQ quantifies 7 domains: physical limitations (6 items), symptom stability (1 item), symptom frequency (4 items), symptom burden (3 items), self-efficacy (2 items), quality of life (3 items) and social limitations (4 items). Scores were generated for each domain and scaled from 0 (worst status) to 100 (best possible status). KCCQ TSS: mean of domains- symptom frequency and symptom burden; and was transformed to a single score which ranged from 0 (worst) to 100 (best possible status). KCCQ-23-CSS: mean of the TSS and physical limitation domain score; and was transformed to a single score which ranged from 0 (worst) to 100 (best possible status), where higher KCCQ-23-CSS signified better health status.

    Measured: Baseline [the last measurement on study Day 1], Week 22

  2. Change From Baseline in KCCQ-23-Overall Summary Score (OSS) at Week 22: Cohort A, Ponsegromab 300 mg Versus Placebo

    KCCQ is a self-reported 23-item questionnaire that assessed HRQL in participants with HF over the past 2 weeks. KCCQ quantifies 7 domains: physical limitations (6 items), symptom stability (1 item), symptom frequency (4 items), symptom burden (3 items), self-efficacy (2 items), quality of life (3 items) and social limitations (4 items). Scores were generated for each domain and scaled from 0 (worst status) to 100 (best possible status). KCCQ-23-OSS: mean of domain scores- physical limitation, quality of life, social limitation and TSS (mean of symptom frequency and symptom burden); and was transformed to a single score which ranged from 0 (worst) to 100 (best possible status), where higher KCCQ-23-OSS signified better health status.

    Measured: Baseline [the last measurement on study Day 1], Week 22

  3. Change From Baseline in KCCQ-23 OSS at Week 22: Cohort A

    KCCQ is a self-reported 23-item questionnaire that assessed HRQL in participants with HF over the past 2 weeks. KCCQ quantifies 7 domains: physical limitations (6 items), symptom stability (1 item), symptom frequency (4 items), symptom burden (3 items), self-efficacy (2 items), quality of life (3 items) and social limitations (4 items). Scores were generated for each domain and scaled from 0 (worst status) to 100 (best possible status). KCCQ-23-OSS: mean of domain scores- physical limitation, quality of life, social limitation and TSS (mean of symptom frequency and symptom burden); and was transformed to a single score which ranged from 0 (worst) to 100 (best possible status), where higher KCCQ-23-OSS signified better health status.

    Measured: Baseline [the last measurement on study Day 1], Week 22

  4. Change From Baseline in KCCQ-23-TSS at Week 22: Cohort A, Ponsegromab 300 mg Versus Placebo

    KCCQ is a self-reported 23-item questionnaire that assessed HRQL in participants with HF over the past 2 weeks. KCCQ quantifies 7 domains: physical limitations (6 items), symptom stability (1 item), symptom frequency (4 items), symptom burden (3 items), self-efficacy (2 items), quality of life (3 items) and social limitations (4 items). Scores were generated for each domain and scaled from 0 (worst status) to 100 (best possible status). KCCQ-23-TSS: mean of domains- symptom frequency and symptom burden; and was transformed to a single score which ranged from 0 (worst) to 100 (best possible status), where higher KCCQ-23-TSS signified better health status.

    Measured: Baseline [the last measurement on study Day 1], Week 22

  5. Change From Baseline in KCCQ-23 TSS at Week 22: Cohort A

    KCCQ is a self-reported 23-item questionnaire that assessed HRQL in participants with HF over the past 2 weeks. KCCQ quantifies 7 domains: physical limitations (6 items), symptom stability (1 item), symptom frequency (4 items), symptom burden (3 items), self-efficacy (2 items), quality of life (3 items) and social limitations (4 items). Scores were generated for each domain and scaled from 0 (worst status) to 100 (best possible status). KCCQ-23-TSS: mean of domains- symptom frequency and symptom burden; and was transformed to a single score which ranged from 0 (worst) to 100 (best possible status), where higher KCCQ-23-TSS signified better health status.

    Measured: Baseline [the last measurement on study Day 1], Week 22

  6. Change From Baseline in KCCQ-23 Physical Limitation Score at Week 22: Cohort A, Ponsegromab 300 mg Versus Placebo

    KCCQ is a self-reported 23-item questionnaire that assessed HRQL in participants with HF over the past 2 weeks. KCCQ quantifies 7 domains: physical limitations (6 items), symptom stability (1 item), symptom frequency (4 items), symptom burden (3 items), self-efficacy (2 items), quality of life (3 items) and social limitations (4 items). Scores were generated for each domain and scaled from 0 (worst status) to 100 (best possible status). KCCQ-23 physical limitation score scaled from 0 (worst status) to 100 (best possible status), where higher scores signified better health status.

    Measured: Baseline [the last measurement on study Day 1], Week 22

  7. Change From Baseline in KCCQ-23 Physical Limitation Score at Week 22: Cohort A

    KCCQ is a self-reported 23-item questionnaire that assessed HRQL in participants with HF over the past 2 weeks. KCCQ quantifies 7 domains: physical limitations (6 items), symptom stability (1 item), symptom frequency (4 items), symptom burden (3 items), self-efficacy (2 items), quality of life (3 items) and social limitations (4 items). Scores were generated for each domain and scaled from 0 (worst status) to 100 (best possible status). KCCQ-23 physical limitation score scaled from 0 (worst status) to 100 (best possible status), where higher scores signified better health status.

    Measured: Baseline [the last measurement on study Day 1], Week 22

  8. Percentage of Participants With >= 5-Point Increase From Baseline in KCCQ-23-CSS at Week 22: Cohort A, Ponsegromab 300 mg Versus Placebo

    KCCQ is a self-reported 23-item questionnaire that assessed HRQL in participants with HF over the past 2 weeks. KCCQ quantifies 7 domains: physical limitations (6 items), symptom stability (1 item), symptom frequency (4 items), symptom burden (3 items), self-efficacy (2 items), quality of life (3 items) and social limitations (4 items). Scores were generated for each domain and scaled from 0 (worst status) to 100 (best possible status). KCCQ TSS: mean of domains- symptom frequency and symptom burden; and was transformed to a single score which ranged from 0 (worst) to 100 (best possible status). KCCQ-23-CSS: mean of the TSS and physical limitation domain score; and was transformed to a single score which ranged from 0 (worst) to 100 (best possible status), where higher KCCQ-23-CSS signified better health status.

    Measured: Week 22

  9. Percentage of Participants With >= 5-Point Increase From Baseline in KCCQ-23 CSS Score at Week 22: Cohort A

    KCCQ is a self-reported 23-item questionnaire that assessed HRQL in participants with HF over the past 2 weeks. KCCQ quantifies 7 domains: physical limitations (6 items), symptom stability (1 item), symptom frequency (4 items), symptom burden (3 items), self-efficacy (2 items), quality of life (3 items) and social limitations (4 items). Scores were generated for each domain and scaled from 0 (worst status) to 100 (best possible status). KCCQ TSS: mean of domains- symptom frequency and symptom burden; and was transformed to a single score which ranged from 0 (worst) to 100 (best possible status). KCCQ-23-CSS: mean of the TSS and physical limitation domain score; and was transformed to a single score which ranged from 0 (worst) to 100 (best possible status), where higher KCCQ-23-CSS signified better health status.

    Measured: Week 22

  10. Percentage of Participants With >= 5-Point Increase From Baseline in KCCQ-23 OSS Score at Week 22: Cohort A, Ponsegromab 300 mg Versus Placebo

    KCCQ is a self-reported 23-item questionnaire that assessed HRQL in participants with HF over the past 2 weeks. KCCQ quantifies 7 domains: physical limitations (6 items), symptom stability (1 item), symptom frequency (4 items), symptom burden (3 items), self-efficacy (2 items), quality of life (3 items) and social limitations (4 items). Scores were generated for each domain and scaled from 0 (worst status) to 100 (best possible status). KCCQ-23-OSS: mean of domain scores- physical limitation, quality of life, social limitation and TSS (mean of symptom frequency and symptom burden); and was transformed to a single score which ranged from 0 (worst) to 100 (best possible status), where higher KCCQ-23-OSS signified better health status.

    Measured: Week 22

  11. Percentage of Participants With >= 5-Point Increase From Baseline in KCCQ-23 OSS Score at Week 22: Cohort A

    KCCQ is a self-reported 23-item questionnaire that assessed HRQL in participants with HF over the past 2 weeks. KCCQ quantifies 7 domains: physical limitations (6 items), symptom stability (1 item), symptom frequency (4 items), symptom burden (3 items), self-efficacy (2 items), quality of life (3 items) and social limitations (4 items). Scores were generated for each domain and scaled from 0 (worst status) to 100 (best possible status). KCCQ-23-OSS: mean of domain scores- physical limitation, quality of life, social limitation and TSS (mean of symptom frequency and symptom burden); and was transformed to a single score which ranged from 0 (worst) to 100 (best possible status), where higher KCCQ-23-OSS signified better health status.

    Measured: Week 22

  12. Percentage of Participants With >= 5-Point Increase From Baseline in KCCQ-23 TSS Score at Week 22: Cohort A, Ponsegromab 300 mg Versus Placebo

    KCCQ is a self-reported 23-item questionnaire that assessed HRQL in participants with HF over the past 2 weeks. KCCQ quantifies 7 domains: physical limitations (6 items), symptom stability (1 item), symptom frequency (4 items), symptom burden (3 items), self-efficacy (2 items), quality of life (3 items) and social limitations (4 items). Scores were generated for each domain and scaled from 0 (worst status) to 100 (best possible status). KCCQ-23-TSS: mean of domains- symptom frequency and symptom burden; and was transformed to a single score which ranged from 0 (worst) to 100 (best possible status), where higher KCCQ-23-TSS signified better health status.

    Measured: Week 22

  13. Percentage of Participants With >= 5-Point Increase From Baseline in KCCQ-23 TSS Score at Week 22: Cohort A

    KCCQ is a self-reported 23-item questionnaire that assessed HRQL in participants with HF over the past 2 weeks. KCCQ quantifies 7 domains: physical limitations (6 items), symptom stability (1 item), symptom frequency (4 items), symptom burden (3 items), self-efficacy (2 items), quality of life (3 items) and social limitations (4 items). Scores were generated for each domain and scaled from 0 (worst status) to 100 (best possible status). KCCQ-23-TSS: mean of domains- symptom frequency and symptom burden; and was transformed to a single score which ranged from 0 (worst) to 100 (best possible status), where higher KCCQ-23-TSS signified better health status.

    Measured: Week 22

  14. Percentage of Participants With >= 5-Point Increase From Baseline in KCCQ-23 PL Score at Week 22: Cohort A, Ponsegromab 300 mg Versus Placebo

    KCCQ is a self-reported 23-item questionnaire that assessed HRQL in participants with HF over the past 2 weeks. KCCQ quantifies 7 domains: physical limitations (6 items), symptom stability (1 item), symptom frequency (4 items), symptom burden (3 items), self-efficacy (2 items), quality of life (3 items) and social limitations (4 items). Scores were generated for each domain and scaled from 0 (worst status) to 100 (best possible status). KCCQ-23 physical limitation score scaled from 0 (worst status) to 100 (best possible status), where higher scores signified better health status.

    Measured: Week 22

  15. Percentage of Participants With >= 5-Point Increase From Baseline in KCCQ-23 PL Score at Week 22: Cohort A

    KCCQ is a self-reported 23-item questionnaire that assessed HRQL in participants with HF over the past 2 weeks. KCCQ quantifies 7 domains: physical limitations (6 items), symptom stability (1 item), symptom frequency (4 items), symptom burden (3 items), self-efficacy (2 items), quality of life (3 items) and social limitations (4 items). Scores were generated for each domain and scaled from 0 (worst status) to 100 (best possible status). KCCQ-23 physical limitation score scaled from 0 (worst status) to 100 (best possible status), where higher scores signified better health status.

    Measured: Week 22

  16. Change From Baseline in 6-Minute Walk Distance (6MWD) at Week 22: Cohort A, Ponsegromab 300 mg Versus Placebo

    The 6-minute walk test (6MWT) is a submaximal exercise test that entails measurement of distance walked over a span of 6 minutes. The 6MWD (distance travelled in meters) provides a measure for integrated global response of multiple cardiopulmonary and musculoskeletal systems involved in exercise.

    Measured: Baseline [the last measurement on study Day 1], Week 22

  17. Change From Baseline in 6MWD at Week 22: Cohort A

    The 6MWT is a submaximal exercise test that entails measurement of distance walked over a span of 6 minutes. The 6MWD (distance travelled in meters) provides a measure for integrated global response of multiple cardiopulmonary and musculoskeletal systems involved in exercise.

    Measured: Baseline [the last measurement on study Day 1], Week 22

  18. Change From Baseline in Patient Reported Outcomes Measurement Information System (PROMIS) Fatigue (Version 7a) at Week 22: Cohort A, Ponsegromab 300 mg Versus Placebo

    The PROMIS Fatigue 7a is a self-reported measure that assessed a range of symptoms in the past 7 days from mild subjective feelings of tiredness to an overwhelming, debilitating, and sustained sense of exhaustion that likely decreases one's ability to execute daily activities and function normally in family or social roles. The short form (SF) 7A consisted of 7 items that study participants rated from 1: "Never" to 5: "Always". A global raw score ranged from 7 to 35 was calculated and translated into a T-score with minimum of 29.4 and maximum of 83.2 (mean = 50, a standard deviation [SD] = 10) using the applicable score conversion provided in the PROMIS user's manual. Higher scores indicated more fatigue.

    Measured: Baseline [the last measurement on study Day 1], Week 22

  19. Change From Baseline in PROMIS Fatigue (Version 7a) at Week 22: Cohort A

    The PROMIS Fatigue 7a is a self-reported measure that assessed a range of symptoms in the past 7 days from mild subjective feelings of tiredness to an overwhelming, debilitating, and sustained sense of exhaustion that likely decreases one's ability to execute daily activities and function normally in family or social roles. The short form (SF) 7A consisted of 7 items that study participants rated from 1: "Never" to 5: "Always". A global raw score ranged from 7 to 35 was calculated and translated into a T-score (mean = 50, a standard deviation [SD] = 10) using the applicable score conversion provided in the PROMIS user's manual. Higher scores indicated more fatigue.

    Measured: Baseline [the last measurement on study Day 1], Week 22

  20. Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs): Cohort A

    An adverse event (AE) was any untoward medical occurrence in a participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE was considered a TEAE if the event started during the effective duration of treatment. TESAE was a TEAE which met the definition of serious adverse event (SAE) viz. any untoward medical occurrence at any dose that resulted in death; was life-threatening; required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity; was a congenital anomaly/birth defect or was considered an important medical event. AEs included SAEs and all other AEs (non-SAEs).

    Measured: From first dose of study treatment (Day 1) maximum up to 10 weeks post Week 22 (maximum up to approximately 32 weeks)

  21. Number of Participants With Any Abnormalities in Laboratory Test Parameters: Cohort A

    Laboratory parameters included were: hematology (hemoglobin, hematocrit, red blood cells [RBC] count, platelet count, white blood cells [WBC] count) and chemistry (urea and creatinine, estimated glomerular filtration rate [eGFR], cystatin C [at baseline only], sodium, potassium, aspartate aminotransferase [AST], alanine aminotransferase [ALT], total bilirubin, alkaline phosphatase [ALP], total protein, glucose [non-fasting] and lipid panel, total cholesterol, high-density lipoprotein [HDL] cholesterol, Non HDL cholesterol, calculated low-density lipoprotein [LDL] cholesterol and triglycerides. Number of participants with any abnormalities in laboratory test parameters as judged by investigator were reported.

    Measured: From first dose of study treatment (Day 1) up to Week 22

  22. Number of Participants With Abnormalities in Vital Signs: Cohort A

    Vital signs abnormalities criteria included: supine systolic blood pressure (SBP) <90 millimeters of mercury (mmHg), increase and decrease in change of >= 30mmHg; supine diastolic blood pressure (DBP) <50 mmHg, increase and decrease in change of >=20mmHg; and pulse rate (PR) <40 beats per minute (bpm) and >120 bpm.

    Measured: From first dose of study treatment (Day 1) maximum up to 10 weeks post Week 22 (maximum up to approximately 32 weeks)

  23. Number of Participants With TEAEs and TEASAEs: Cohort B

    An AE was any untoward medical occurrence in a participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE was considered a TEAE if the event started during the effective duration of treatment. TESAE was a TEAE which met the definition of SAE viz. any untoward medical occurrence at any dose that resulted in death; was life-threatening; required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity; was a congenital anomaly/birth defect or was considered an important medical event. AEs included SAEs and all other AEs (non-SAEs).

    Measured: From first dose of study treatment (Day 1) maximum up to 10 weeks post Week 12 (maximum up to approximately 22 weeks)

  24. Number of Participants With Any Abnormalities in Laboratory Test Parameters: Cohort B

    Laboratory parameters included were: hematology (hemoglobin, hematocrit, RBC count, platelet count, WBC count) and chemistry (urea and creatinine, eGFR, cystatin C [at baseline only], sodium, potassium, AST, ALT, total bilirubin, ALP, total protein, glucose [non-fasting] and lipid panel, total cholesterol, HDL cholesterol, Non HDL cholesterol, calculated LDL cholesterol and triglycerides. Number of participants with any abnormalities in laboratory test parameters as judged by investigator were reported.

    Measured: From first dose of study treatment (Day 1) maximum up to 4 weeks post Week 12 (maximum up to approximately 16 weeks)

  25. Number of Participants With Abnormalities in Vital Signs: Cohort B

    Vital signs criteria included: supine SBP <90 mmHg, increase and decrease in change of >= 30mmHg; supine DBP <50 mmHg, increase and decrease in change of >=20mmHg; and PR <40 bpm to >120 bpm.

    Measured: From start of study drug on Day 1 maximum up to 4weeks post last dose on Week 12 (maximum up to approximately Week 16)

Timeline

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

  1. First posted8 Aug 2022
  2. Study start26 Sep 2022
  3. Primary completion5 Mar 2025
  4. Study completion5 Mar 2025

Why it stopped: Following a prespecified interim analysis, and in consultation with the independent Data Monitoring Committee, the Sponsor terminated the study

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
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
In the main cohort (Cohort A), ponsegromab will be administered at low, medium and high doses every 4 weeks by subcutaneous injections for a total of 6 doses. Participants will be randomized to 1 of the 3 doses of ponsegromab or placebo. In optional Cohort C, ponsegromab will be administered at low doses every 4 weeks by subcutaneous injections for a total of 6 doses. Participants will be randomized to the low dose of ponsegromab or placebo. In optional Cohort D, ponsegromab will be administered at high doses every 4 weeks by subcutaneous injections for a total of 6 doses. Participants will be randomized to the high dose of ponsegromab or placebo. In a separate open-label, PK cohort (Cohort B), ponsegromab will be administered at low, medium and high doses every 4 weeks by subcutaneous injections for a total of 4 doses. Participants will be randomized to 1 of the 3 doses of ponsegromab. There is no placebo in the open-label, PK cohort.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
455 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05492500
Sponsor's protocol ID
C3651011
Other IDs
2023-509747-27-00, 2023
Acronym
GARDEN TIMI 74
Status last verified
Feb 2026
First submitted
25 Jul 2022
Last updated
18 Mar 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Main cohort (Cohort A): Ponsegromab low dose, Main cohort (Cohort A): Ponsegromab medium dose and Main cohort (Cohort A): ponsegromab high dose in people with Heart Failure, run by Pfizer at 122 sites in 11 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 12 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: stopped early, as of the sponsor's last update on 18 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 122 sites in United States, Canada, Spain, United Kingdom, China and 6 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 18 Mar 2026). 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 in Kansas City Cardiomyopathy Questionnaire (KCCQ)-23 - Clinical Summary Score (CSS) at Week 22: Cohort A, Ponsegromab 300 mg Versus Placebo (time frame: Baseline [the last measurement on study Day 1], Week 22). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 18 Mar 2026.

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