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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT05093933




Registration number
NCT05093933
Ethics application status
Date submitted
18/10/2021
Date registered
26/10/2021

Titles & IDs
Public title
A Study of Vericiguat (MK-1242) in Participants With Chronic Heart Failure With Reduced Ejection Fraction (HFrEF) (MK-1242-035)
Scientific title
A Pivotal Phase 3 Randomized, Placebo-controlled Clinical Study to Evaluate the Efficacy and Safety of the sGC Stimulator Vericiguat/MK-1242 in Adults With Chronic Heart Failure With Reduced Ejection Fraction
Secondary ID [1] 0 0
MK-1242-035
Secondary ID [2] 0 0
1242-035
Universal Trial Number (UTN)
Trial acronym
VICTOR
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Chronic Heart Failure With Reduced Ejection Fraction 0 0
Condition category
Condition code
Cardiovascular 0 0 0 0
Coronary heart disease
Cardiovascular 0 0 0 0
Other cardiovascular diseases

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Vericiguat
Treatment: Drugs - Placebo

Experimental: Vericiguat - Participants receive a starting dose of 2.5 mg of vericiguat taken orally once daily. The vericiguat dose will be titrated to 5 mg and to 10 mg.

Placebo comparator: Placebo - Participants receive a starting matching placebo to vericiguat dose of 2.5 mg taken orally once daily. The matching placebo dose will be sham titrated to 5 mg and to 10 mg.


Treatment: Drugs: Vericiguat
2.5, 5.0, or 10.0 mg orally once daily

Treatment: Drugs: Placebo
0 mg matching placebo for 2.5 mg, 5 mg, and 10 mg of vericiguat

Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Time to First Occurrence of Composite Endpoint of Cardiovascular (CV) Death or Heart Failure (HF) Hospitalization
Timepoint [1] 0 0
From date of randomization until the date of first occurrence of a CV death or HF hospitalization, assessed up to approximately 40 months
Secondary outcome [1] 0 0
Time to First Occurrence of CV Death
Timepoint [1] 0 0
From date of randomization until the date of first occurrence of a CV death, assessed up to approximately 40 months
Secondary outcome [2] 0 0
Time to First Occurrence of HF Hospitalization
Timepoint [2] 0 0
From date of randomization until the date of first occurrence of a HF hospitalization, assessed up to approximately 40 months
Secondary outcome [3] 0 0
Time to Total HF Hospitalizations (Including First and Recurrent Events)
Timepoint [3] 0 0
Up to approximately 40 months
Secondary outcome [4] 0 0
Time to First Occurrence of Composite Endpoint of All-Cause Mortality or HF Hospitalization
Timepoint [4] 0 0
From date of randomization until the date of first occurrence of death or HF hospitalization, assessed up to approximately 40 months
Secondary outcome [5] 0 0
Time to All-Cause Mortality
Timepoint [5] 0 0
From date of randomization until the date of death, assessed up to approximately 40 months
Secondary outcome [6] 0 0
Percentage of Participants who Experienced One or More Selected Nonserious Adverse Events (NSAEs)
Timepoint [6] 0 0
Up to approximately 40 months
Secondary outcome [7] 0 0
Percentage of Participants Who Experienced One or More Serious Adverse Events (SAEs)
Timepoint [7] 0 0
Up to approximately 40 months
Secondary outcome [8] 0 0
Percentage of Participants Who Experienced One or More Events of Clinical Interest (ECIs)
Timepoint [8] 0 0
Up to approximately 40 months

Eligibility
Key inclusion criteria
* History of chronic HF [New York Heart Association (NYHA) Class II to IV] on guideline-directed medical therapy for heart failure (GDMT) with no HF hospitalization within 6 months or outpatient IV diuretic use within 3 months before randomization.
* Left ventricular ejection fraction (LVEF) of =40%, assessed within 12 months before randomization by any imaging method.
* Elevated N-terminal pro-brain natriuretic peptide (NT-proBNP) levels.
* A female participant is eligible to participate if she is not pregnant or breastfeeding, is not a woman of childbearing potential (WOCBP), or is a WOCBP and agrees to follow contraceptive guidance during the study intervention period and for at least 1 month after the last dose of study intervention.
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
* Has SBP <100 mm Hg or symptomatic hypotension.
* Awaiting heart transplantation, is receiving continuous IV infusion of an inotrope, or has or anticipates receiving an implanted ventricular assist device.
* Amyloidosis or sarcoidosis.
* Primary valvular heart disease requiring surgical procedure or intervention or has undergone a valvular surgical procedure or intervention within 3 months before randomization.
* Hypertrophic cardiomyopathy.
* Acute myocarditis or Takotsubo cardiomyopathy.
* History of heart transplant.
* Tachycardia-induced cardiomyopathy and/or uncontrolled tachyarrhythmia.
* Acute coronary syndrome, or undergone coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI) within 3 months before randomization.
* History of symptomatic carotid stenosis, transient ischemic attack (TIA), or stroke within 3 months before randomization.
* Malignancy or other noncardiac condition limiting life expectancy to <3 years.
* Requires continuous home oxygen for severe pulmonary disease.
* Interstitial lung disease.
* Discontinuation or dose modification of GDMT or vericiguat within 4 weeks before randomization.
* Recent history (within the last year) of drug or alcohol abuse or dependence.

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Active, not recruiting
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
QLD,SA,WA
Recruitment hospital [1] 0 0
Royal Brisbane and Women's Hospital-Cardiology Research ( Site 0453) - Brisbane
Recruitment hospital [2] 0 0
The Prince Charles Hospital-Cardiology Research Centre ( Site 0451) - Brisbane
Recruitment hospital [3] 0 0
Core Research Group ( Site 0452) - Brisbane
Recruitment hospital [4] 0 0
Royal Adelaide Hospital-Cardiology ( Site 0456) - Adelaide
Recruitment hospital [5] 0 0
Flinders Medical Centre-Cardiology Research ( Site 0455) - Bedford Park
Recruitment hospital [6] 0 0
St. John of God Subiaco Hospital ( Site 0457) - Subiaco
Recruitment postcode(s) [1] 0 0
4029 - Brisbane
Recruitment postcode(s) [2] 0 0
4032 - Brisbane
Recruitment postcode(s) [3] 0 0
4064 - Brisbane
Recruitment postcode(s) [4] 0 0
5000 - Adelaide
Recruitment postcode(s) [5] 0 0
5042 - Bedford Park
Recruitment postcode(s) [6] 0 0
6008 - Subiaco
Recruitment outside Australia
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Pomorskie
Country [210] 0 0
Puerto Rico
State/province [210] 0 0
Bayamon
Country [211] 0 0
Puerto Rico
State/province [211] 0 0
Humacao
Country [212] 0 0
Puerto Rico
State/province [212] 0 0
Ponce
Country [213] 0 0
Puerto Rico
State/province [213] 0 0
Rio Grande
Country [214] 0 0
Puerto Rico
State/province [214] 0 0
San Juan
Country [215] 0 0
Russian Federation
State/province [215] 0 0
Ivanovskaya Oblast
Country [216] 0 0
Russian Federation
State/province [216] 0 0
Krasnodarskiy Kray
Country [217] 0 0
Russian Federation
State/province [217] 0 0
Leningradskaya Oblast
Country [218] 0 0
Russian Federation
State/province [218] 0 0
Moskva
Country [219] 0 0
Russian Federation
State/province [219] 0 0
Omskaya Oblast
Country [220] 0 0
Russian Federation
State/province [220] 0 0
Permskiy Kray
Country [221] 0 0
Russian Federation
State/province [221] 0 0
Rostovskaya Oblast
Country [222] 0 0
Russian Federation
State/province [222] 0 0
Ryazanskaya Oblast
Country [223] 0 0
Russian Federation
State/province [223] 0 0
Sankt-Peterburg
Country [224] 0 0
Russian Federation
State/province [224] 0 0
Saratovskaya Oblast
Country [225] 0 0
Russian Federation
State/province [225] 0 0
Tatarstan, Respublika
Country [226] 0 0
Russian Federation
State/province [226] 0 0
Volgogradskaya Oblast
Country [227] 0 0
Singapore
State/province [227] 0 0
Central Singapore
Country [228] 0 0
Singapore
State/province [228] 0 0
South East
Country [229] 0 0
Singapore
State/province [229] 0 0
South West
Country [230] 0 0
South Africa
State/province [230] 0 0
Free State
Country [231] 0 0
South Africa
State/province [231] 0 0
Gauteng
Country [232] 0 0
South Africa
State/province [232] 0 0
Kwazulu-Natal
Country [233] 0 0
South Africa
State/province [233] 0 0
Western Cape
Country [234] 0 0
Spain
State/province [234] 0 0
Barcelona
Country [235] 0 0
Spain
State/province [235] 0 0
Cataluna
Country [236] 0 0
Spain
State/province [236] 0 0
La Coruna
Country [237] 0 0
Spain
State/province [237] 0 0
Madrid, Comunidad De
Country [238] 0 0
Spain
State/province [238] 0 0
Valenciana, Comunitat
Country [239] 0 0
Spain
State/province [239] 0 0
Madrid
Country [240] 0 0
Spain
State/province [240] 0 0
Sevilla
Country [241] 0 0
Sweden
State/province [241] 0 0
Dalarnas Lan
Country [242] 0 0
Sweden
State/province [242] 0 0
Orebro Lan
Country [243] 0 0
Sweden
State/province [243] 0 0
Skane Lan
Country [244] 0 0
Sweden
State/province [244] 0 0
Stockholms Lan
Country [245] 0 0
Sweden
State/province [245] 0 0
Vasterbottens Lan
Country [246] 0 0
Sweden
State/province [246] 0 0
Vastmanlands Lan
Country [247] 0 0
Sweden
State/province [247] 0 0
Vastra Gotalands Lan
Country [248] 0 0
Taiwan
State/province [248] 0 0
Changhua
Country [249] 0 0
Taiwan
State/province [249] 0 0
Hsinchu
Country [250] 0 0
Taiwan
State/province [250] 0 0
Kaohsiung
Country [251] 0 0
Taiwan
State/province [251] 0 0
Taichung
Country [252] 0 0
Taiwan
State/province [252] 0 0
Taipei
Country [253] 0 0
Taiwan
State/province [253] 0 0
Taoyuan
Country [254] 0 0
Turkey
State/province [254] 0 0
Izmir
Country [255] 0 0
Turkey
State/province [255] 0 0
Afyonkarahisar
Country [256] 0 0
Turkey
State/province [256] 0 0
Ankara
Country [257] 0 0
Turkey
State/province [257] 0 0
Antalya
Country [258] 0 0
Turkey
State/province [258] 0 0
Eskisehir
Country [259] 0 0
Turkey
State/province [259] 0 0
Istanbul
Country [260] 0 0
Turkey
State/province [260] 0 0
Kocaeli
Country [261] 0 0
Turkey
State/province [261] 0 0
Mersin
Country [262] 0 0
Ukraine
State/province [262] 0 0
Cherkaska Oblast
Country [263] 0 0
Ukraine
State/province [263] 0 0
Ivano-Frankivska Oblast
Country [264] 0 0
Ukraine
State/province [264] 0 0
Kharkivska Oblast
Country [265] 0 0
Ukraine
State/province [265] 0 0
Khmelnytska Oblast
Country [266] 0 0
Ukraine
State/province [266] 0 0
Kyivska Oblast
Country [267] 0 0
Ukraine
State/province [267] 0 0
Kyiv
Country [268] 0 0
Ukraine
State/province [268] 0 0
Odeska Oblast
Country [269] 0 0
Ukraine
State/province [269] 0 0
Vinnytska Oblast
Country [270] 0 0
Ukraine
State/province [270] 0 0
Volynska Oblast
Country [271] 0 0
Ukraine
State/province [271] 0 0
Zakarpatska Oblast
Country [272] 0 0
Ukraine
State/province [272] 0 0
Zaporizka Oblast
Country [273] 0 0
Ukraine
State/province [273] 0 0
Zhytomyrska Oblast
Country [274] 0 0
United Kingdom
State/province [274] 0 0
Cumbria
Country [275] 0 0
United Kingdom
State/province [275] 0 0
Derbyshire
Country [276] 0 0
United Kingdom
State/province [276] 0 0
Dundee City
Country [277] 0 0
United Kingdom
State/province [277] 0 0
England
Country [278] 0 0
United Kingdom
State/province [278] 0 0
Great Britain
Country [279] 0 0
United Kingdom
State/province [279] 0 0
Lancashire
Country [280] 0 0
United Kingdom
State/province [280] 0 0
Lisburn And Castlereagh
Country [281] 0 0
United Kingdom
State/province [281] 0 0
London, City Of
Country [282] 0 0
United Kingdom
State/province [282] 0 0
Northern Ireland
Country [283] 0 0
United Kingdom
State/province [283] 0 0
Wales
Country [284] 0 0
United Kingdom
State/province [284] 0 0
Walsall
Country [285] 0 0
United Kingdom
State/province [285] 0 0
Worcestershire
Country [286] 0 0
United Kingdom
State/province [286] 0 0
Blackpool
Country [287] 0 0
United Kingdom
State/province [287] 0 0
Coventry
Country [288] 0 0
United Kingdom
State/province [288] 0 0
Poole
Country [289] 0 0
United Kingdom
State/province [289] 0 0
Stockton-On-Tees

Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
Merck Sharp & Dohme LLC
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Medical Director
Address 0 0
Merck Sharp & Dohme LLC
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries

Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
What data in particular will be shared?
http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf
When will data be available (start and end dates)?
Available to whom?
Available for what types of analyses?
How or where can data be obtained?
IPD available at link: http://engagezone.msd.com/ds_documentation.php


What supporting documents are/will be available?

No Supporting Document Provided



Results publications and other study-related documents

TypeCitations or Other Details
Journal Butler J, Usman MS, Anstrom KJ, Blaustein RO, Bona... [More Details]