Heart Failure
Conditions
Keywords
BAY94-8862, MR antagonist, Heart failure, Japanese patients
Brief summary
This study will be conducted in subjects with clinical diagnosis of worsening chronic heart failure and either type 2 diabetes mellitus (DM) with or without chronic kidney disease (CKD) or moderate CKD alone treated with evidence-based therapy for heart failure (HF) for at least 3 months prior to emergency presentation to hospital using a multi-center, randomized, adaptive, double-blind, double-dummy, comparator-controlled, parallel-group design. Primary objective of the study is to investigate efficacy \[percentage of subjects with a relative decrease in N-terminal prohormone B-type natriuretic peptide (NT-proBNP) of more than 30% from baseline to Visit 10 (Day 90)\] and safety of different oral doses of BAY94-8862 given once daily.
Interventions
2.5 mg, 5 mg, 7.5 mg, 10 mg, 15 mg, and 20 mg of BAY94-8862 tablets
INSPRA 25 and 50 mg tablets (MAH: Pfizer) will be used for eplerenone 25 and 50 mg tablets
matching placebo
Sponsors
Study design
Eligibility
Inclusion criteria
* Subjects with worsening chronic heart failure requiring emergency presentation to hospital and treatment with intravenous (IV) diuretics at hospital * Subjects with either type 2 DM or moderate CKD
Exclusion criteria
* Acute de-novo heart failure or acute inflammatory heart disease, e.g. acute myocarditis * Acute coronary syndrome (ACS) (elevated cardiac troponins which are not caused by an ACS are not an exclusion criterion) in the last 30 days prior to the screening visit * Cardiogenic shock * Valvular heart disease requiring surgical intervention during the course of the study * Subjects with left ventricular assistance device or waiting for heart transplantation * Stroke or transient ischemic cerebral attack in the last 3 months prior to the screening visit * Addison's disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The percentage of subjects with a relative decrease in N-terminal prohormone B-type natriuretic peptide of more than 30% from baseline to Visit 10 | From baseline to 90 days |
Secondary
| Measure | Time frame |
|---|---|
| Change in serum potassium | From baseline to 90 days |
Countries
Japan