Cytokinetics Announces Additional Results From COSMIC-HF at the American Heart Association Scientific Sessions 2017
“NT-proBNP is a biomarker of ventricular wall stress, with higher levels reflecting more severe heart failure,” said Fady I. Malik, MD, PhD, Cytokinetics’ Executive Vice President of Research & Development. “This analysis showed that omecamtiv mecarbil reduces NT-proBNP in a potentially meaningful way, consistent with a reduction in ventricular wall stress. With these positive changes observed for NT-proBNP and other measures relevant to heart failure in COSMIC-HF, we now look forward in GALACTIC-HF to learning if omecamtiv mecarbil can improve clinical outcomes in patients with heart failure.”
COSMIC-HF: Expansion Phase Design and Results
The expansion phase of COSMIC-HF evaluated the pharmacokinetics, pharmacodynamics, safety and tolerability of oral omecamtiv mecarbil in 448 patients with chronic heart failure and left ventricular systolic dysfunction. Patients were randomized 1:1:1 to receive either placebo or treatment with omecamtiv mecarbil dosed as 25 mg twice daily or 25 mg twice daily with dose escalation to 50 mg twice daily, depending on a plasma concentration of omecamtiv mecarbil after two weeks of treatment. The trial met its primary pharmacokinetic objective and showed statistically significant improvements in all pre-specified secondary measures of cardiac function in the treatment group receiving pharmacokinetic-based (PK) dose titration.
This post-hoc responder analysis evaluated percent changes in NT-proBNP between patients receiving placebo or omecamtiv mecarbil from baseline to week 20 in the PK titration group of COSMIC-HF. Responders were defined as those patients who achieved various thresholds in the percent reduction of NT-proBNP from baseline to 20 weeks. The percentage of patients receiving omecamtiv mecarbil and meeting each responder definition was compared to the corresponding percentage of patients in the placebo group meeting the same responder definition. In patients receiving omecamtiv mecarbil compared to placebo, there was a statistically significant greater proportion of responders at each threshold except for that evaluating a > 50 percent decrease from baseline.
|Percent decrease in
baseline to 20 weeks
|Proportion of Responders|
|Omecamtiv Mecarbil||Placebo||p value|
The data from this post-hoc analysis suggest omecamtiv mecarbil reduced myocardial wall stress, perhaps providing a mechanism for beneficial ventricular reverse remodeling, which is a reversal of the ventricular enlargement that occurs in patients with systolic heart failure, that may translate into clinically meaningful effects on cardiovascular outcomes.
About Heart Failure
Heart failure is a grievous condition that affects more than 23 million people worldwide, about half of whom have reduced left ventricular function. It is the leading cause of hospitalization and readmission in people age 65 and older in
About Omecamtiv Mecarbil
Omecamtiv mecarbil is a novel cardiac myosin activator. Cardiac myosin is the cytoskeletal motor protein in the cardiac muscle cell that is directly responsible for converting chemical energy into the mechanical force resulting in cardiac contraction. Cardiac myosin activators are thought to accelerate the rate-limiting step of the myosin enzymatic cycle and shift the enzymatic cycle in favor of the force-producing state. Preclinical research has shown that cardiac myosin activators increase contractility in the absence of changes in intracellular calcium in cardiac myocytes.
Omecamtiv mecarbil is being developed by
Cytokinetics is a late-stage biopharmaceutical company focused on discovering, developing and commercializing first-in-class muscle activators as potential treatments for debilitating diseases in which muscle performance is compromised and/or declining. As a leader in muscle biology and the mechanics of muscle performance, the company is developing small molecule drug candidates specifically engineered to increase muscle function and contractility. Cytokinetics’ lead drug candidate is tirasemtiv, a fast skeletal muscle troponin activator (FSTA). Tirasemtiv is the subject of VITALITY-ALS, an international Phase 3 clinical trial in patients with ALS. Tirasemtiv has been granted orphan drug designation and fast track status by the U.S. Food and Drug Administration (
This press release contains forward-looking statements for purposes of the Private Securities Litigation Reform Act of 1995 (the “Act”). Cytokinetics disclaims any intent or obligation to update these forward-looking statements, and claims the protection of the Act’s Safe Harbor for forward-looking statements. Examples of such statements include, but are not limited to, the properties and potential benefits of Cytokinetics’ drug candidates, including omecamtiv mecarbil; the design, timing, results and significance of GALACTIC-HF, the Phase 3 clinical trial of omecamtiv mecarbil in subjects with chronic heart failure and reduced ejection fraction; and the potential for eventual regulatory approval, commercialization and launch of Cytokinetics’ product candidates. Such statements are based on management's current expectations, but actual results may differ materially due to various risks and uncertainties, including, but not limited to Amgen's decisions with respect to the design, initiation, conduct, timing and continuation of development activities for omecamtiv mecarbil; potential difficulties or delays in the development, testing, regulatory approvals for trial commencement, progression or product sale or manufacturing, or production of Cytokinetics' drug candidates that could slow or prevent clinical development or product approval, including risks that current and past results of clinical trials or preclinical studies may not be indicative of future clinical trials results, patient enrollment for or conduct of clinical trials may be difficult or delayed, Cytokinetics' drug candidates may have adverse side effects or inadequate therapeutic efficacy, the U.S. Food and Drug Administration or foreign regulatory agencies may delay or limit Cytokinetics' or its partners' ability to conduct clinical trials; Cytokinetics may be unable to obtain or maintain patent or trade secret protection for its intellectual property; Cytokinetics may incur unanticipated research and development and other costs or be unable to obtain additional financing necessary to conduct development of its products; standards of care may change, rendering Cytokinetics' drug candidates obsolete; and competitive products or alternative therapies may be developed by others for the treatment of indications Cytokinetics' drug candidates and potential drug candidates may target. For further information regarding these and other risks related to Cytokinetics' business, investors should consult Cytokinetics' filings with the Securities and Exchange Commission. Forward-looking statements are not guarantees of future performance, and Cytokinetics' actual results of operations, financial condition and liquidity, and the development of the industry in which it operates, may differ materially from the forward-looking statements contained in this press release. Any forward-looking statements that Cytokinetics makes in this press release speak only as of the date of this press release.
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Source: Cytokinetics, Incorporated