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Pilot Study of COR-1 in Heart Failure

COR-1, an Anti-Beta1 Receptor Antibody Cyclopeptide in Heart Failure: a Phase II, Multicentre, Randomised, Double-Blind and Placebo-Controlled Study With Parallel Groups

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01391507
Enrollment
36
Registered
2011-07-12
Start date
2011-10-31
Completion date
2013-08-31
Last updated
2014-10-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cardiomyopathy, Dilated

Keywords

Anti-beta1-receptor autoantibodies, COR-1, Heart failure

Brief summary

The purpose of this study is to investigate the effect of COR-1 in combination with standard therapy in patients with heart failure. The safety and tolerability of COR-1 will also be assessed.

Detailed description

In patients with dilated cardiomyopathy (heart is weakened and enlarged), the presence of anti-beta1-receptor autoantibodies has been shown to predict more depressed left ventricular function, increased prevalence of serious ventricular arrhythmias, sudden cardiac death, and cardiovascular mortality. In animal models, COR-1 cyclopeptide has been shown to bind to, and therefore decrease, the anti-beta1-receptor autoantibody titre. This study will investigate the safety and effectiveness of COR-1 treatment in patients with dilated cardiomyopathy. This study will be a randomized (the study treatment is assigned by chance), double-blind, (neither investigator nor patient knows the treatment that the volunteer receives), multicenter (study is conducted in more than one center) placebo-controlled (one of the treatments is inactive), parallel group study (patients in different treatment groups receive medication at the same time) in men and women who have heart failure due to dilated cardiomyopathy. Eligible patients should also have a left ventricular ejection fraction of less than or equal to 45% (measurement of the percentage of blood leaving the heart each time it contracts) and should be positive for anti-beta1-receptor autoantibodies. The study will consist of 3 phases: a screening phase, a double-blind treatment period, and a follow-up phase. Patients will be randomly assigned to 1 of 4 treatment groups: 20 mg COR-1, 80 mg COR-1, 160 mg COR-1, or placebo (inactive medication). Each patient will receive 1 intravenous dose (medication is injected into a vein) every 4 weeks for a total of 6 months. Patients will come to the study center each time they receive study medication and will remain at the center for 2 to 3 hours following the injection. Blood samples will be drawn at time points during the screening, treatment, and follow-up periods. Patients will return to the study center for follow-up visits at 3 months following completion of the 6-month treatment period. Patients will participate in the study for approximately 9 months. Patient safety will be monitored. The study drug (COR-1) is being investigated for the treatment of heart failure.

Interventions

Monthly intravenous injection for 6 months

DRUGCOR-1

Monthly intravenous injection for 6 months

DRUGStandard therapy for heart failure

All patients will continue to receive standard therapy for heart failure (ie, in accordance with guidelines) throughout the study.

Sponsors

Corimmun GmbH
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

* Diagnosed heart failure due to dilated cardiomyopathy with left ventricular ejection fraction \< 45% * Presence of anti-beta1-receptor autoantibodies * New York Heart Association (NYHA) class II to III heart failure * Symptomatic heart failure for \>1 year and \< 8 years * Treatment with adequate doses of angiotensin converting enzyme inhibitors or angiotensin II receptor blockers, beta-blockers, and optional aldosterone antagonists according to guidelines for at least six months (with the exception of lack of tolerability of any of these drugs) and at stable doses for 2 months prior to screening

Exclusion criteria

* Ischemic heart disease characterized by \>= 50% coronary artery stenosis and/or history of myocardial infarction * Third or higher degree valvular defect * Any disease requiring immunosuppressive drugs (except for \<= 5 mg/day prednisone-equivalent dose) or any clinically relevant disorder of the immune system * History of severe allergies and increased risk for anaphylactic shock (e.g., bronchial asthma) * History of, or currently active illness, considered to be clinically significant by the Investigator or any other illness that the Investigator considers should exclude the patient from the study or that could interfere with the interpretation of the study results

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Left Ventricular Ejection Fraction (LVEF) at Month 6Baseline and Month 6The LVEF is a fraction of blood (in percent) pumped out of the left ventricle of the heart (the main pumping chamber). Ejection fraction percentages greater than (\>) 55% are considered normal. It was measured by biplane echocardiography (central assessment).

Secondary

MeasureTime frameDescription
Change From Baseline in N-Terminal Pro B-Type Natriuretic Peptide (NT-ProBNP) Level at Month 6Baseline and Month 6The NT-ProBNP is a biomarker (a biologic molecule) that has been shown to predict cardiac events.
Change From Baseline in Central Transmitral Flow Velocity Time Integral (VTI) at Month 6Baseline and Month 6Transmitral flow VTI measures how blood flows through the heart. This was measured by echocardiogram. Most of the values for transmitral flow VTI were not provided in the reports from central core echocardiographic laboratory due to technical reasons.
Change From Baseline in Central Tissue E-Wave Doppler Mitral Annular Velocity at Month 6Baseline and Month 6Tissue doppler mitral annular velocity is a measure of how well the heart fills with blood. This was measured by echocardiogram. Most of the values for E-wave were not provided in the reports from central core echocardiographic laboratory due to technical reasons.
Change From Baseline in Distance Walked During Six-minute Walk Test at Month 6Baseline and Month 6A standardized 6-minute walk test was performed and the distance covered in 6 minutes was measured.
Change From Baseline in Local Left Ventricular Ejection Fraction (LVEF) at Month 9Baseline and Month 9The LVEF is a measure of how much blood is pumped out of the left ventricle of the heart (the main pumping chamber). Ejection fraction percentages greater than (\>) 55% are considered normal. It was measured by biplane echocardiography (local assessment).
Change From Baseline in Minnesota Living With Heart Failure Questionnaire Score at Month 6Baseline and Month 6Minnesota living with heart failure questionnaire is a self-administered, disease-specific measure of health related quality of life (QOL) that assesses participant's perceptions of the influence of heart failure on physical, socioeconomic and psychological aspects of life. Participants responded to 21 items using a six-point response scale (0-5). The total summary score can range from 0-105 with a lower score reflecting better heart failure related QOL.
Change From Baseline in Holter Electrocardiography (ECG) Parameters (Heart Rate) at Month 6Baseline and Month 6A Holter monitor is a portable device which monitors the electrical activity (electrocardiography) of the heart. Mean heart rate, maximum heart rate and minimum heart rate were evaluated.
Number of Participants With Holter Electrocardiography (ECG) ParametersBaseline and Month 6A Holter monitor is a portable device which monitors the electrical activity (electrocardiography) of the heart. Block, Heart rhythm, AV junctional, Ventricular, Lown classification, Results were evaluated.
Number of Participants With New York Heart Association (NYHA) Classification of Disease ProgressionBaseline and Month 6Disease progression (morbidity) was measured by the NYHA classification. The NYHA classification assesses the severity of symptoms of heart failure as judged by the investigator and is comprised of 4 stages. Stage I- No symptoms/limitation in ordinary physical activity (for example, shortness of breath when walking, climbing stairs); Stage II-Mild symptoms (mild shortness of breath and/or angina) and slight limitation during ordinary activity; Stage III- Marked limitation in activity due to symptoms, even during less-than-ordinary activity, (for example, walking short distances \[20-100 m\]), comfortable only at rest; and Stage IV- Severe limitations in activity/experiences symptoms while at rest (mostly bedbound participants).

Countries

Germany

Participant flow

Participants by arm

ArmCount
Placebo
Matching placebo (0.9 percent sodium chloride solution) was administered intravenously in addition to the standard therapy for heart failure every 4 weeks for a total of 6 doses.
10
COR-1 20 Milligram (mg)
COR-1 (JNJ-54452840) was administered at a dose of 20 mg intravenously in addition to the standard therapy for heart failure every 4 weeks for a total of 6 doses.
8
COR-1 80 mg
COR-1 was administered at a dose of 80 mg intravenously in addition to the standard therapy for heart failure every 4 weeks for a total of 6 doses.
6
COR-1 160 mg
COR-1 was administered at a dose of 160 mg intravenously in addition to the standard therapy for heart failure every 4 weeks for a total of 6 doses.
12
Total36

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyAdverse Event1122
Overall StudyDeath0001
Overall StudyLack of Efficacy0001
Overall StudyProtocol Violation2112
Overall StudyWithdrawal by Subject1211

Baseline characteristics

CharacteristicPlaceboCOR-1 20 Milligram (mg)COR-1 80 mgCOR-1 160 mgTotal
Age, Continuous59.4 years
STANDARD_DEVIATION 9.61
57.5 years
STANDARD_DEVIATION 10.92
62 years
STANDARD_DEVIATION 13.59
59.8 years
STANDARD_DEVIATION 11.88
59.6 years
STANDARD_DEVIATION 10.97
Region of Enrollment
Germany
10 participants8 participants6 participants12 participants36 participants
Sex: Female, Male
Female
3 Participants2 Participants1 Participants2 Participants8 Participants
Sex: Female, Male
Male
7 Participants6 Participants5 Participants10 Participants28 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —
other
Total, other adverse events
4 / 107 / 85 / 66 / 12
serious
Total, serious adverse events
1 / 101 / 81 / 66 / 12

Outcome results

Primary

Change From Baseline in Left Ventricular Ejection Fraction (LVEF) at Month 6

The LVEF is a fraction of blood (in percent) pumped out of the left ventricle of the heart (the main pumping chamber). Ejection fraction percentages greater than (\>) 55% are considered normal. It was measured by biplane echocardiography (central assessment).

Time frame: Baseline and Month 6

Population: Intention-to-treat (ITT) population included all participants who were randomly assigned to treatment. Missing data was imputed using last observation carried forward (LOCF) method.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in Left Ventricular Ejection Fraction (LVEF) at Month 6Baseline35.4 Percentage of blood pumped outStandard Deviation 11.72
PlaceboChange From Baseline in Left Ventricular Ejection Fraction (LVEF) at Month 6Change at Month 6-1.6 Percentage of blood pumped outStandard Deviation 5.94
COR-1 20 Milligram (mg)Change From Baseline in Left Ventricular Ejection Fraction (LVEF) at Month 6Change at Month 60.8 Percentage of blood pumped outStandard Deviation 5.55
COR-1 20 Milligram (mg)Change From Baseline in Left Ventricular Ejection Fraction (LVEF) at Month 6Baseline29.4 Percentage of blood pumped outStandard Deviation 12.06
COR-1 80 mgChange From Baseline in Left Ventricular Ejection Fraction (LVEF) at Month 6Baseline35.0 Percentage of blood pumped outStandard Deviation 13.42
COR-1 80 mgChange From Baseline in Left Ventricular Ejection Fraction (LVEF) at Month 6Change at Month 65.4 Percentage of blood pumped outStandard Deviation 10.11
COR-1 160 mgChange From Baseline in Left Ventricular Ejection Fraction (LVEF) at Month 6Baseline32.4 Percentage of blood pumped outStandard Deviation 10.77
COR-1 160 mgChange From Baseline in Left Ventricular Ejection Fraction (LVEF) at Month 6Change at Month 6-0.9 Percentage of blood pumped outStandard Deviation 3.09
Secondary

Change From Baseline in Central Tissue E-Wave Doppler Mitral Annular Velocity at Month 6

Tissue doppler mitral annular velocity is a measure of how well the heart fills with blood. This was measured by echocardiogram. Most of the values for E-wave were not provided in the reports from central core echocardiographic laboratory due to technical reasons.

Time frame: Baseline and Month 6

Population: ITT population included all participants who were randomly assigned to treatment. Missing data was imputed using LOCF method. Here, N (Number of Participants Analyzed) signifies those participants who were evaluable for this outcome measure.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in Central Tissue E-Wave Doppler Mitral Annular Velocity at Month 6Baseline5.6 Centimeter (cm)/ Second (sec)Standard Deviation 1.52
PlaceboChange From Baseline in Central Tissue E-Wave Doppler Mitral Annular Velocity at Month 6Change at Month 6-0.2 Centimeter (cm)/ Second (sec)Standard Deviation 0.45
COR-1 20 Milligram (mg)Change From Baseline in Central Tissue E-Wave Doppler Mitral Annular Velocity at Month 6Change at Month 60.0 Centimeter (cm)/ Second (sec)Standard Deviation 0
COR-1 20 Milligram (mg)Change From Baseline in Central Tissue E-Wave Doppler Mitral Annular Velocity at Month 6Baseline5.2 Centimeter (cm)/ Second (sec)Standard Deviation 1.1
COR-1 80 mgChange From Baseline in Central Tissue E-Wave Doppler Mitral Annular Velocity at Month 6Baseline4.0 Centimeter (cm)/ Second (sec)
COR-1 80 mgChange From Baseline in Central Tissue E-Wave Doppler Mitral Annular Velocity at Month 6Change at Month 60.0 Centimeter (cm)/ Second (sec)
COR-1 160 mgChange From Baseline in Central Tissue E-Wave Doppler Mitral Annular Velocity at Month 6Baseline5.8 Centimeter (cm)/ Second (sec)Standard Deviation 1.71
COR-1 160 mgChange From Baseline in Central Tissue E-Wave Doppler Mitral Annular Velocity at Month 6Change at Month 60.0 Centimeter (cm)/ Second (sec)Standard Deviation 0
Secondary

Change From Baseline in Central Transmitral Flow Velocity Time Integral (VTI) at Month 6

Transmitral flow VTI measures how blood flows through the heart. This was measured by echocardiogram. Most of the values for transmitral flow VTI were not provided in the reports from central core echocardiographic laboratory due to technical reasons.

Time frame: Baseline and Month 6

Population: ITT population included all participants who were randomly assigned to treatment. Missing data was imputed using LOCF method. Here, N (Number of Participants Analyzed) signifies those participants who were evaluable for this outcome measure. No participants were evaluable for arms COR-1 80 mg and COR-1 160 mg.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in Central Transmitral Flow Velocity Time Integral (VTI) at Month 6Baseline45.0 Centimeter (cm)Standard Deviation 31.11
PlaceboChange From Baseline in Central Transmitral Flow Velocity Time Integral (VTI) at Month 6Change at Month 60.0 Centimeter (cm)Standard Deviation 0
COR-1 20 Milligram (mg)Change From Baseline in Central Transmitral Flow Velocity Time Integral (VTI) at Month 6Baseline21.0 Centimeter (cm)
COR-1 20 Milligram (mg)Change From Baseline in Central Transmitral Flow Velocity Time Integral (VTI) at Month 6Change at Month 60.0 Centimeter (cm)
Secondary

Change From Baseline in Distance Walked During Six-minute Walk Test at Month 6

A standardized 6-minute walk test was performed and the distance covered in 6 minutes was measured.

Time frame: Baseline and Month 6

Population: ITT population included all participants who were randomly assigned to treatment. Missing data was imputed using LOCF method.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in Distance Walked During Six-minute Walk Test at Month 6Baseline421.1 MeterStandard Deviation 113.29
PlaceboChange From Baseline in Distance Walked During Six-minute Walk Test at Month 6Change at Month 638.7 MeterStandard Deviation 63.11
COR-1 20 Milligram (mg)Change From Baseline in Distance Walked During Six-minute Walk Test at Month 6Change at Month 6-8.7 MeterStandard Deviation 104.35
COR-1 20 Milligram (mg)Change From Baseline in Distance Walked During Six-minute Walk Test at Month 6Baseline451.1 MeterStandard Deviation 51.02
COR-1 80 mgChange From Baseline in Distance Walked During Six-minute Walk Test at Month 6Baseline395.2 MeterStandard Deviation 81.03
COR-1 80 mgChange From Baseline in Distance Walked During Six-minute Walk Test at Month 6Change at Month 612.8 MeterStandard Deviation 57.7
COR-1 160 mgChange From Baseline in Distance Walked During Six-minute Walk Test at Month 6Baseline420.7 MeterStandard Deviation 109.77
COR-1 160 mgChange From Baseline in Distance Walked During Six-minute Walk Test at Month 6Change at Month 62.4 MeterStandard Deviation 41.01
Secondary

Change From Baseline in Holter Electrocardiography (ECG) Parameters (Heart Rate) at Month 6

A Holter monitor is a portable device which monitors the electrical activity (electrocardiography) of the heart. Mean heart rate, maximum heart rate and minimum heart rate were evaluated.

Time frame: Baseline and Month 6

Population: Safety population included all participants who received at least 1 dose of the study agent.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in Holter Electrocardiography (ECG) Parameters (Heart Rate) at Month 6Baseline: Mean Heart Rate74.6 Beats per minuteStandard Deviation 7
PlaceboChange From Baseline in Holter Electrocardiography (ECG) Parameters (Heart Rate) at Month 6Change at Month 6: Mean Heart Rate1.3 Beats per minuteStandard Deviation 6.68
PlaceboChange From Baseline in Holter Electrocardiography (ECG) Parameters (Heart Rate) at Month 6Baseline: Maximum Heart Rate126.4 Beats per minuteStandard Deviation 18.28
PlaceboChange From Baseline in Holter Electrocardiography (ECG) Parameters (Heart Rate) at Month 6Change at Month 6: Maximum Heart Rate-0.8 Beats per minuteStandard Deviation 15.24
PlaceboChange From Baseline in Holter Electrocardiography (ECG) Parameters (Heart Rate) at Month 6Baseline: Minimum Heart Rate51.6 Beats per minuteStandard Deviation 11.54
PlaceboChange From Baseline in Holter Electrocardiography (ECG) Parameters (Heart Rate) at Month 6Change at Month 6: Minimum Heart Rate0.5 Beats per minuteStandard Deviation 3.39
COR-1 20 Milligram (mg)Change From Baseline in Holter Electrocardiography (ECG) Parameters (Heart Rate) at Month 6Change at Month 6: Minimum Heart Rate0.1 Beats per minuteStandard Deviation 3.93
COR-1 20 Milligram (mg)Change From Baseline in Holter Electrocardiography (ECG) Parameters (Heart Rate) at Month 6Change at Month 6: Maximum Heart Rate5.4 Beats per minuteStandard Deviation 40.15
COR-1 20 Milligram (mg)Change From Baseline in Holter Electrocardiography (ECG) Parameters (Heart Rate) at Month 6Baseline: Mean Heart Rate76.9 Beats per minuteStandard Deviation 10.92
COR-1 20 Milligram (mg)Change From Baseline in Holter Electrocardiography (ECG) Parameters (Heart Rate) at Month 6Baseline: Maximum Heart Rate130.3 Beats per minuteStandard Deviation 33.26
COR-1 20 Milligram (mg)Change From Baseline in Holter Electrocardiography (ECG) Parameters (Heart Rate) at Month 6Change at Month 6: Mean Heart Rate-0.9 Beats per minuteStandard Deviation 3.63
COR-1 20 Milligram (mg)Change From Baseline in Holter Electrocardiography (ECG) Parameters (Heart Rate) at Month 6Baseline: Minimum Heart Rate59.3 Beats per minuteStandard Deviation 13.12
COR-1 80 mgChange From Baseline in Holter Electrocardiography (ECG) Parameters (Heart Rate) at Month 6Change at Month 6: Mean Heart Rate-5.8 Beats per minuteStandard Deviation 10.18
COR-1 80 mgChange From Baseline in Holter Electrocardiography (ECG) Parameters (Heart Rate) at Month 6Baseline: Maximum Heart Rate123.0 Beats per minuteStandard Deviation 15.26
COR-1 80 mgChange From Baseline in Holter Electrocardiography (ECG) Parameters (Heart Rate) at Month 6Change at Month 6: Maximum Heart Rate0.0 Beats per minuteStandard Deviation 25.3
COR-1 80 mgChange From Baseline in Holter Electrocardiography (ECG) Parameters (Heart Rate) at Month 6Change at Month 6: Minimum Heart Rate-7.8 Beats per minuteStandard Deviation 4.5
COR-1 80 mgChange From Baseline in Holter Electrocardiography (ECG) Parameters (Heart Rate) at Month 6Baseline: Minimum Heart Rate66.0 Beats per minuteStandard Deviation 4.16
COR-1 80 mgChange From Baseline in Holter Electrocardiography (ECG) Parameters (Heart Rate) at Month 6Baseline: Mean Heart Rate84.2 Beats per minuteStandard Deviation 11.43
COR-1 160 mgChange From Baseline in Holter Electrocardiography (ECG) Parameters (Heart Rate) at Month 6Baseline: Minimum Heart Rate58.7 Beats per minuteStandard Deviation 6.65
COR-1 160 mgChange From Baseline in Holter Electrocardiography (ECG) Parameters (Heart Rate) at Month 6Change at Month 6: Minimum Heart Rate-2.3 Beats per minuteStandard Deviation 10.09
COR-1 160 mgChange From Baseline in Holter Electrocardiography (ECG) Parameters (Heart Rate) at Month 6Change at Month 6: Mean Heart Rate1.4 Beats per minuteStandard Deviation 6.97
COR-1 160 mgChange From Baseline in Holter Electrocardiography (ECG) Parameters (Heart Rate) at Month 6Change at Month 6: Maximum Heart Rate-2.0 Beats per minuteStandard Deviation 31.56
COR-1 160 mgChange From Baseline in Holter Electrocardiography (ECG) Parameters (Heart Rate) at Month 6Baseline: Mean Heart Rate75.3 Beats per minuteStandard Deviation 8.59
COR-1 160 mgChange From Baseline in Holter Electrocardiography (ECG) Parameters (Heart Rate) at Month 6Baseline: Maximum Heart Rate125.1 Beats per minuteStandard Deviation 35.23
Secondary

Change From Baseline in Local Left Ventricular Ejection Fraction (LVEF) at Month 9

The LVEF is a measure of how much blood is pumped out of the left ventricle of the heart (the main pumping chamber). Ejection fraction percentages greater than (\>) 55% are considered normal. It was measured by biplane echocardiography (local assessment).

Time frame: Baseline and Month 9

Population: ITT population included all participants who were randomly assigned to treatment. Missing data was imputed using LOCF method.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in Local Left Ventricular Ejection Fraction (LVEF) at Month 9Baseline32.6 Percentage of blood pumped outStandard Deviation 5.78
PlaceboChange From Baseline in Local Left Ventricular Ejection Fraction (LVEF) at Month 9Change at Month 9-0.8 Percentage of blood pumped outStandard Deviation 4.39
COR-1 20 Milligram (mg)Change From Baseline in Local Left Ventricular Ejection Fraction (LVEF) at Month 9Change at Month 9-1.9 Percentage of blood pumped outStandard Deviation 5.99
COR-1 20 Milligram (mg)Change From Baseline in Local Left Ventricular Ejection Fraction (LVEF) at Month 9Baseline33.6 Percentage of blood pumped outStandard Deviation 9.77
COR-1 80 mgChange From Baseline in Local Left Ventricular Ejection Fraction (LVEF) at Month 9Baseline35.3 Percentage of blood pumped outStandard Deviation 8.57
COR-1 80 mgChange From Baseline in Local Left Ventricular Ejection Fraction (LVEF) at Month 9Change at Month 93.8 Percentage of blood pumped outStandard Deviation 4.02
COR-1 160 mgChange From Baseline in Local Left Ventricular Ejection Fraction (LVEF) at Month 9Baseline32.5 Percentage of blood pumped outStandard Deviation 9.27
COR-1 160 mgChange From Baseline in Local Left Ventricular Ejection Fraction (LVEF) at Month 9Change at Month 9-1.8 Percentage of blood pumped outStandard Deviation 3.13
Secondary

Change From Baseline in Minnesota Living With Heart Failure Questionnaire Score at Month 6

Minnesota living with heart failure questionnaire is a self-administered, disease-specific measure of health related quality of life (QOL) that assesses participant's perceptions of the influence of heart failure on physical, socioeconomic and psychological aspects of life. Participants responded to 21 items using a six-point response scale (0-5). The total summary score can range from 0-105 with a lower score reflecting better heart failure related QOL.

Time frame: Baseline and Month 6

Population: ITT population included all participants who were randomly assigned to treatment. Missing data was imputed using LOCF method. Here, N (Number of Participants Analyzed) signifies those participants who were evaluable for this outcome measure.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in Minnesota Living With Heart Failure Questionnaire Score at Month 6Baseline23.7 Units on a scaleStandard Deviation 11.57
PlaceboChange From Baseline in Minnesota Living With Heart Failure Questionnaire Score at Month 6Change at Month 63.3 Units on a scaleStandard Deviation 10.7
COR-1 20 Milligram (mg)Change From Baseline in Minnesota Living With Heart Failure Questionnaire Score at Month 6Change at Month 63.3 Units on a scaleStandard Deviation 16.25
COR-1 20 Milligram (mg)Change From Baseline in Minnesota Living With Heart Failure Questionnaire Score at Month 6Baseline21.4 Units on a scaleStandard Deviation 12.09
COR-1 80 mgChange From Baseline in Minnesota Living With Heart Failure Questionnaire Score at Month 6Baseline33.2 Units on a scaleStandard Deviation 23.09
COR-1 80 mgChange From Baseline in Minnesota Living With Heart Failure Questionnaire Score at Month 6Change at Month 61.8 Units on a scaleStandard Deviation 9.5
COR-1 160 mgChange From Baseline in Minnesota Living With Heart Failure Questionnaire Score at Month 6Baseline25.9 Units on a scaleStandard Deviation 25.27
COR-1 160 mgChange From Baseline in Minnesota Living With Heart Failure Questionnaire Score at Month 6Change at Month 62.4 Units on a scaleStandard Deviation 20.5
Secondary

Change From Baseline in N-Terminal Pro B-Type Natriuretic Peptide (NT-ProBNP) Level at Month 6

The NT-ProBNP is a biomarker (a biologic molecule) that has been shown to predict cardiac events.

Time frame: Baseline and Month 6

Population: ITT population included all participants who were randomly assigned to treatment. Missing data was imputed using LOCF method.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in N-Terminal Pro B-Type Natriuretic Peptide (NT-ProBNP) Level at Month 6Baseline5678.0 Picogram (pg)/ Milliliter (mL)Standard Deviation 9347.1
PlaceboChange From Baseline in N-Terminal Pro B-Type Natriuretic Peptide (NT-ProBNP) Level at Month 6Change at Month 6-805.7 Picogram (pg)/ Milliliter (mL)Standard Deviation 1241
COR-1 20 Milligram (mg)Change From Baseline in N-Terminal Pro B-Type Natriuretic Peptide (NT-ProBNP) Level at Month 6Change at Month 61363.4 Picogram (pg)/ Milliliter (mL)Standard Deviation 3948.7
COR-1 20 Milligram (mg)Change From Baseline in N-Terminal Pro B-Type Natriuretic Peptide (NT-ProBNP) Level at Month 6Baseline2215.9 Picogram (pg)/ Milliliter (mL)Standard Deviation 1692.1
COR-1 80 mgChange From Baseline in N-Terminal Pro B-Type Natriuretic Peptide (NT-ProBNP) Level at Month 6Baseline971.4 Picogram (pg)/ Milliliter (mL)Standard Deviation 665.1
COR-1 80 mgChange From Baseline in N-Terminal Pro B-Type Natriuretic Peptide (NT-ProBNP) Level at Month 6Change at Month 6392.8 Picogram (pg)/ Milliliter (mL)Standard Deviation 295.7
COR-1 160 mgChange From Baseline in N-Terminal Pro B-Type Natriuretic Peptide (NT-ProBNP) Level at Month 6Baseline2299.4 Picogram (pg)/ Milliliter (mL)Standard Deviation 2024.1
COR-1 160 mgChange From Baseline in N-Terminal Pro B-Type Natriuretic Peptide (NT-ProBNP) Level at Month 6Change at Month 61109.6 Picogram (pg)/ Milliliter (mL)Standard Deviation 2130.6
Secondary

Number of Participants With Holter Electrocardiography (ECG) Parameters

A Holter monitor is a portable device which monitors the electrical activity (electrocardiography) of the heart. Block, Heart rhythm, AV junctional, Ventricular, Lown classification, Results were evaluated.

Time frame: Baseline and Month 6

Population: Safety population included all participants who received at least 1 dose of the study agent.

ArmMeasureGroupValue (NUMBER)
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Abnormal, CS0 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Abnormal, NCS5 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Ventricular, 1001-2400/24h4 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Abnormal, NCS6 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Normal2 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: II, IIIa, IVa, IVb0 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: 0 No VES0 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: IVb Runs, repetitive VES1 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: V Early occurring VES(R-on T phenomenon)0 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: IVb Runs, repetitive VES2 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: I Occasional individual VES (< 30/h)3 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: IVa Couplets, repetitive VES1 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: IVa Couplets, repetitive VES1 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: IIIb Ventricular bigeminy0 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: II Frequent VES (>30/h)0 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Sinus rhythm5 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: IIIa Polymorphous VES1 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: AV block I0 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: IIIa Polymorphous VES2 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: II Frequent VES (>30/h)0 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Atrial fibrillation0 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: No block7 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: I Occasional individual VES (< 30/h)2 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: 0 No VES0 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline:Atrial fibrillation-paroxysmal/persistent2 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Normal0 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Ventricular, 1001-2400/24h4 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Ventricular, 241-1000/24h0 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Other0 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: II, IIIa, IVa, IVb0 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Ventricular, 0-240/24h2 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: AV junctional, 1001-2400/24h0 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline; AV junctional, 0-240/24h5 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: AV block II0 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: AV junctional, 241-1000/24h1 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: AV junctional, 0-240/24h5 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: AV junctional, 241-1000/24h2 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Abnormal, CS0 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Other2 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Atrial fibrillation-paroxysmal/persistent2 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: AV junctional, 1001-2400/24h0 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: V Early occurring VES (R-on T phenomenon)0 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Atrial fibrillation0 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Sinus rhythm2 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: AV block III0 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Ventricular, 0-240/24h1 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: AV block III0 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: AV block II0 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: AV block I0 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Ventricular, 241-1000/24h2 Participants
PlaceboNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: No block6 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Ventricular, 241-1000/24h2 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersBaseline: No block7 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersBaseline: AV block I0 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersBaseline: AV block II0 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersBaseline: AV block III0 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Sinus rhythm4 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Atrial fibrillation0 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersBaseline:Atrial fibrillation-paroxysmal/persistent1 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Other2 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersBaseline; AV junctional, 0-240/24h6 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersBaseline: AV junctional, 241-1000/24h0 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersBaseline: AV junctional, 1001-2400/24h0 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Ventricular, 0-240/24h1 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Ventricular, 1001-2400/24h3 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersBaseline: 0 No VES1 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersBaseline: I Occasional individual VES (< 30/h)0 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersBaseline: II Frequent VES (>30/h)2 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersBaseline: IIIa Polymorphous VES0 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersBaseline: IIIb Ventricular bigeminy0 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersBaseline: IVa Couplets, repetitive VES2 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersBaseline: IVb Runs, repetitive VES2 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersBaseline: V Early occurring VES(R-on T phenomenon)0 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersBaseline: II, IIIa, IVa, IVb0 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Normal0 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Abnormal, NCS5 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Abnormal, CS2 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: No block7 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: AV block I0 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: AV block II0 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: AV block III0 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Sinus rhythm4 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Atrial fibrillation0 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Atrial fibrillation-paroxysmal/persistent2 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Other1 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: AV junctional, 0-240/24h5 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: AV junctional, 241-1000/24h2 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: AV junctional, 1001-2400/24h0 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Ventricular, 0-240/24h2 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Ventricular, 241-1000/24h2 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Ventricular, 1001-2400/24h3 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: 0 No VES1 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: I Occasional individual VES (< 30/h)0 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: II Frequent VES (>30/h)0 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: IIIa Polymorphous VES3 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: IVa Couplets, repetitive VES1 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: IVb Runs, repetitive VES1 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: V Early occurring VES (R-on T phenomenon)0 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: II, IIIa, IVa, IVb1 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Normal0 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Abnormal, NCS6 Participants
COR-1 20 Milligram (mg)Number of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Abnormal, CS1 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Atrial fibrillation0 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Abnormal, CS2 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: No block5 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: AV block III0 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: AV block I0 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Ventricular, 0-240/24h1 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Abnormal, NCS3 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: AV block II0 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: IVb Runs, repetitive VES1 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: AV block III0 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Sinus rhythm3 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: AV junctional, 1001-2400/24h1 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: AV block II0 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: IVa Couplets, repetitive VES0 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Atrial fibrillation-paroxysmal/persistent1 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: AV junctional, 241-1000/24h0 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: V Early occurring VES (R-on T phenomenon)0 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Other1 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: AV junctional, 0-240/24h4 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline; AV junctional, 0-240/24h4 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: AV junctional, 241-1000/24h1 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: No block5 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: AV junctional, 1001-2400/24h0 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Other0 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: II, IIIa, IVa, IVb1 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Ventricular, 0-240/24h1 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Ventricular, 241-1000/24h1 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline:Atrial fibrillation-paroxysmal/persistent1 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: AV block I0 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Ventricular, 1001-2400/24h3 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: 0 No VES0 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Atrial fibrillation0 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Normal1 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: I Occasional individual VES (< 30/h)2 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: II Frequent VES (>30/h)0 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: II Frequent VES (>30/h)0 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: IIIa Polymorphous VES0 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: IIIb Ventricular bigeminy0 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: I Occasional individual VES (< 30/h)1 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Sinus rhythm4 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: IVa Couplets, repetitive VES2 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: IVb Runs, repetitive VES1 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: 0 No VES0 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: IIIa Polymorphous VES1 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: V Early occurring VES(R-on T phenomenon)0 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: II, IIIa, IVa, IVb1 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Ventricular, 1001-2400/24h2 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Normal2 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Abnormal, CS1 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Abnormal, NCS1 Participants
COR-1 80 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Ventricular, 241-1000/24h2 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: II, IIIa, IVa, IVb0 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Ventricular, 1001-2400/24h5 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Abnormal, CS1 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: AV block II0 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: IVa Couplets, repetitive VES1 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Ventricular, 241-1000/24h1 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: No block5 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Ventricular, 0-240/24h4 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: IIIa Polymorphous VES1 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Normal1 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: AV block I1 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: IVa Couplets, repetitive VES1 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Ventricular, 1001-2400/24h4 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Atrial fibrillation0 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: AV block II1 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: AV junctional, 1001-2400/24h1 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Abnormal, CS1 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: AV block III0 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: 0 No VES0 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: IVb Runs, repetitive VES2 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: 0 No VES0 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Sinus rhythm6 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: No block7 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: II, IIIa, IVa, IVb0 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: IVb Runs, repetitive VES3 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Atrial fibrillation0 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: AV junctional, 241-1000/24h3 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Abnormal, NCS5 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: I Occasional individual VES (< 30/h)2 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Atrial fibrillation-paroxysmal/persistent0 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Sinus rhythm7 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Normal1 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: II Frequent VES (>30/h)0 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Other1 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline; AV junctional, 0-240/24h6 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: V Early occurring VES (R-on T phenomenon)0 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Ventricular, 241-1000/24h1 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: AV junctional, 0-240/24h4 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: AV block III0 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: AV block I3 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Abnormal, NCS8 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: AV junctional, 241-1000/24h1 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: Other2 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: IIIa Polymorphous VES1 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: I Occasional individual VES (< 30/h)4 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: AV junctional, 1001-2400/24h2 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: II Frequent VES (>30/h)1 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: V Early occurring VES(R-on T phenomenon)0 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline: IIIb Ventricular bigeminy1 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersMonth 6: Ventricular, 0-240/24h2 Participants
COR-1 160 mgNumber of Participants With Holter Electrocardiography (ECG) ParametersBaseline:Atrial fibrillation-paroxysmal/persistent1 Participants
Secondary

Number of Participants With New York Heart Association (NYHA) Classification of Disease Progression

Disease progression (morbidity) was measured by the NYHA classification. The NYHA classification assesses the severity of symptoms of heart failure as judged by the investigator and is comprised of 4 stages. Stage I- No symptoms/limitation in ordinary physical activity (for example, shortness of breath when walking, climbing stairs); Stage II-Mild symptoms (mild shortness of breath and/or angina) and slight limitation during ordinary activity; Stage III- Marked limitation in activity due to symptoms, even during less-than-ordinary activity, (for example, walking short distances \[20-100 m\]), comfortable only at rest; and Stage IV- Severe limitations in activity/experiences symptoms while at rest (mostly bedbound participants).

Time frame: Baseline and Month 6

Population: ITT population included all participants who were randomly assigned to treatment. Missing data was imputed using LOCF method. Here 'n' specifies those participants who were evaluated for this outcome measure at given time point.

ArmMeasureGroupValue (NUMBER)
PlaceboNumber of Participants With New York Heart Association (NYHA) Classification of Disease ProgressionMonth 6: Stage II (n= 7, 7, 5, 8)3 Participants
PlaceboNumber of Participants With New York Heart Association (NYHA) Classification of Disease ProgressionBaseline: Stage III (n= 10, 8, 6, 12)3 Participants
PlaceboNumber of Participants With New York Heart Association (NYHA) Classification of Disease ProgressionMonth 6: Stage III (n= 7, 7, 5, 8)3 Participants
PlaceboNumber of Participants With New York Heart Association (NYHA) Classification of Disease ProgressionMonth 6: Stage I (n= 7, 7, 5, 8)1 Participants
PlaceboNumber of Participants With New York Heart Association (NYHA) Classification of Disease ProgressionBaseline: Stage II (n= 10, 8, 6, 12)7 Participants
COR-1 20 Milligram (mg)Number of Participants With New York Heart Association (NYHA) Classification of Disease ProgressionMonth 6: Stage I (n= 7, 7, 5, 8)1 Participants
COR-1 20 Milligram (mg)Number of Participants With New York Heart Association (NYHA) Classification of Disease ProgressionMonth 6: Stage II (n= 7, 7, 5, 8)4 Participants
COR-1 20 Milligram (mg)Number of Participants With New York Heart Association (NYHA) Classification of Disease ProgressionMonth 6: Stage III (n= 7, 7, 5, 8)2 Participants
COR-1 20 Milligram (mg)Number of Participants With New York Heart Association (NYHA) Classification of Disease ProgressionBaseline: Stage III (n= 10, 8, 6, 12)0 Participants
COR-1 20 Milligram (mg)Number of Participants With New York Heart Association (NYHA) Classification of Disease ProgressionBaseline: Stage II (n= 10, 8, 6, 12)8 Participants
COR-1 80 mgNumber of Participants With New York Heart Association (NYHA) Classification of Disease ProgressionMonth 6: Stage I (n= 7, 7, 5, 8)0 Participants
COR-1 80 mgNumber of Participants With New York Heart Association (NYHA) Classification of Disease ProgressionBaseline: Stage II (n= 10, 8, 6, 12)3 Participants
COR-1 80 mgNumber of Participants With New York Heart Association (NYHA) Classification of Disease ProgressionBaseline: Stage III (n= 10, 8, 6, 12)3 Participants
COR-1 80 mgNumber of Participants With New York Heart Association (NYHA) Classification of Disease ProgressionMonth 6: Stage II (n= 7, 7, 5, 8)3 Participants
COR-1 80 mgNumber of Participants With New York Heart Association (NYHA) Classification of Disease ProgressionMonth 6: Stage III (n= 7, 7, 5, 8)2 Participants
COR-1 160 mgNumber of Participants With New York Heart Association (NYHA) Classification of Disease ProgressionMonth 6: Stage II (n= 7, 7, 5, 8)6 Participants
COR-1 160 mgNumber of Participants With New York Heart Association (NYHA) Classification of Disease ProgressionBaseline: Stage III (n= 10, 8, 6, 12)5 Participants
COR-1 160 mgNumber of Participants With New York Heart Association (NYHA) Classification of Disease ProgressionBaseline: Stage II (n= 10, 8, 6, 12)7 Participants
COR-1 160 mgNumber of Participants With New York Heart Association (NYHA) Classification of Disease ProgressionMonth 6: Stage I (n= 7, 7, 5, 8)0 Participants
COR-1 160 mgNumber of Participants With New York Heart Association (NYHA) Classification of Disease ProgressionMonth 6: Stage III (n= 7, 7, 5, 8)2 Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026