urea has been researched along with Left Ventricular Dysfunction in 30 studies
pseudourea: clinical use; structure
isourea : A carboximidic acid that is the imidic acid tautomer of urea, H2NC(=NH)OH, and its hydrocarbyl derivatives.
Excerpt | Relevance | Reference |
---|---|---|
"We previously conducted a prospective study of landiolol hydrochloride (INN landiolol), an ultrashort-acting β-blocker, and reported that it could prevent atrial fibrillation after cardiac surgery." | 9.20 | Safety and efficacy of landiolol hydrochloride for prevention of atrial fibrillation after cardiac surgery in patients with left ventricular dysfunction: Prevention of Atrial Fibrillation After Cardiac Surgery With Landiolol Hydrochloride for Left Ventric ( Arimoto, M; Hata, H; Ishii, Y; Osaka, S; Sezai, A; Shiono, M; Yaoita, H, 2015) |
" The J-Land study was conducted to compare the efficacy and safety of landiolol, an ultra-short-acting β-blocker, with those of digoxin for swift control of tachycardia in AF/AFL in patients with LV dysfunction." | 9.17 | Urgent management of rapid heart rate in patients with atrial fibrillation/flutter and left ventricular dysfunction: comparison of the ultra-short-acting β1-selective blocker landiolol with digoxin (J-Land Study). ( Aiba, T; Atarashi, H; Daimon, T; Fujino, K; Hori, M; Ikeda, T; Imai, Y; Inoue, H; Kinugawa, K; Kitakaze, M; Nagai, R; Nagano, T; Okamura, T; Sakamoto, A; Seino, Y; Shimizu, W; Yamashita, T, 2013) |
"Omecamtiv mecarbil improved cardiac function in patients with heart failure caused by left ventricular dysfunction and could be the first in class of a new therapeutic agent." | 9.15 | The effects of the cardiac myosin activator, omecamtiv mecarbil, on cardiac function in systolic heart failure: a double-blind, placebo-controlled, crossover, dose-ranging phase 2 trial. ( Clarke, CP; Cleland, JG; Francis, DP; Goldman, JH; Greenberg, BH; Lang, CC; Lee, JH; Malik, FI; Mayet, J; Mc Murray, JJ; Monaghan, M; Neyses, L; Nifontov, EM; Saikali, KG; Saltzberg, M; Senior, R; Shaburishvili, T; Teerlink, JR; Tsyrlin, VA; Wasserman, SM; Wolff, AA, 2011) |
"Clinical experience with landiolol use in patients with atrial fibrillation (AF) and a severely depressed left ventricular (LV) function is limited." | 7.96 | Comparison of Landiolol and Digoxin as an Intravenous Drug for Controlling the Heart Rate in Patients with Atrial Fibrillation and Severely Depressed Left Ventricular Function. ( Akitsu, K; Fujino, T; Ikeda, T; Kinoshita, T; Koike, H; Shinohara, M; Suzuki, T; Wada, R; Yano, K, 2020) |
"The purpose of this study was to determine whether a low-dose β-blocker, in combination with milrinone, improves cardiac function in acute decompensated heart failure (ADHF) with tachycardia." | 7.78 | Low-dose β-blocker in combination with milrinone safely improves cardiac function and eliminates pulsus alternans in patients with acute decompensated heart failure. ( Doi, M; Fukuta, S; Kobayashi, S; Matsuzaki, M; Murakami, W; Nao, T; Okamura, T; Okuda, S; Susa, T; Tanaka, T; Wada, Y; Yamada, J; Yano, M, 2012) |
"To specifically assess the synthetic activity of the L-arginine-NO metabolic pathway, urinary excretion of [15N]nitrates and [15N]urea was determined after a primed continuous intravenous infusion of L-[15N]arginine (40 micromol/kg) in 16 patients with congestive heart failure and 9 age-matched normal control subjects at rest and during submaximal treadmill exercise." | 7.70 | Decreased activity of the L-arginine-nitric oxide metabolic pathway in patients with congestive heart failure. ( Katz, SD; Khan, T; Knecht, M; Mathew, L; Potharlanka, P; Whelan, J; Zeballos, GA, 1999) |
"Landiolol was ineffective in the majority of AFl/AT patients." | 5.51 | Differential Effectiveness of Landiolol Between Atrial Fibrillation and Atrial Flutter/Atrial Tachycardia Patients With Left Ventricular Dysfunction. ( Fujimoto, Y; Hayashi, H; Hayashi, M; Ito-Hagiwara, K; Iwasaki, YK; Maru, E; Oka, E; Shimizu, W; Yamamoto, T; Yodogawa, K, 2019) |
"The patient was a 20-year old male with dilated cardiomyopathy." | 5.42 | An Experience of Landiolol Use for an Advanced Heart Failure Patient With Severe Hypotension. ( Amiya, E; Endo, M; Hatano, M; Imamura, T; Inaba, T; Kinugawa, K; Komuro, I; Maki, H; Nitta, D, 2015) |
"Landiolol has a cardioprotective effect on I/R injury in the rat heart when administered before ischemia." | 5.34 | Pre-ischemic administration of landiolol prevents ischemia-reperfusion injury in the rat heart. ( Hirai, H; Minamiyama, Y; Sakaguchi, M; Sasaki, Y; Shibata, T; Suehiro, S; Takahashi, Y; Takemura, S, 2007) |
"We previously conducted a prospective study of landiolol hydrochloride (INN landiolol), an ultrashort-acting β-blocker, and reported that it could prevent atrial fibrillation after cardiac surgery." | 5.20 | Safety and efficacy of landiolol hydrochloride for prevention of atrial fibrillation after cardiac surgery in patients with left ventricular dysfunction: Prevention of Atrial Fibrillation After Cardiac Surgery With Landiolol Hydrochloride for Left Ventric ( Arimoto, M; Hata, H; Ishii, Y; Osaka, S; Sezai, A; Shiono, M; Yaoita, H, 2015) |
"Results from the multicenter trial (J-Land study) of landiolol versus digoxin in atrial fibrillation (AF) and atrial flutter (AFL) patients with left ventricular (LV) dysfunction revealed that landiolol was more effective for controlling rapid HR than digoxin." | 5.19 | Impacts of patient characteristics on the effectiveness of landiolol in AF/AFL patients complicated with LV dysfunction: Subgroup analysis of the J-Land study. ( Aiba, T; Atarashi, H; Daimon, T; Fujino, K; Hori, M; Ikeda, T; Imai, Y; Inoue, H; Kinugawa, K; Kitakaze, M; Nagai, R; Nagano, T; Okamura, T; Sakamoto, A; Seino, Y; Shimizu, W; Yamashita, T, 2014) |
" The J-Land study was conducted to compare the efficacy and safety of landiolol, an ultra-short-acting β-blocker, with those of digoxin for swift control of tachycardia in AF/AFL in patients with LV dysfunction." | 5.17 | Urgent management of rapid heart rate in patients with atrial fibrillation/flutter and left ventricular dysfunction: comparison of the ultra-short-acting β1-selective blocker landiolol with digoxin (J-Land Study). ( Aiba, T; Atarashi, H; Daimon, T; Fujino, K; Hori, M; Ikeda, T; Imai, Y; Inoue, H; Kinugawa, K; Kitakaze, M; Nagai, R; Nagano, T; Okamura, T; Sakamoto, A; Seino, Y; Shimizu, W; Yamashita, T, 2013) |
"Omecamtiv mecarbil improved cardiac function in patients with heart failure caused by left ventricular dysfunction and could be the first in class of a new therapeutic agent." | 5.15 | The effects of the cardiac myosin activator, omecamtiv mecarbil, on cardiac function in systolic heart failure: a double-blind, placebo-controlled, crossover, dose-ranging phase 2 trial. ( Clarke, CP; Cleland, JG; Francis, DP; Goldman, JH; Greenberg, BH; Lang, CC; Lee, JH; Malik, FI; Mayet, J; Mc Murray, JJ; Monaghan, M; Neyses, L; Nifontov, EM; Saikali, KG; Saltzberg, M; Senior, R; Shaburishvili, T; Teerlink, JR; Tsyrlin, VA; Wasserman, SM; Wolff, AA, 2011) |
"Clinical experience with landiolol use in patients with atrial fibrillation (AF) and a severely depressed left ventricular (LV) function is limited." | 3.96 | Comparison of Landiolol and Digoxin as an Intravenous Drug for Controlling the Heart Rate in Patients with Atrial Fibrillation and Severely Depressed Left Ventricular Function. ( Akitsu, K; Fujino, T; Ikeda, T; Kinoshita, T; Koike, H; Shinohara, M; Suzuki, T; Wada, R; Yano, K, 2020) |
"The purpose of this study was to determine whether a low-dose β-blocker, in combination with milrinone, improves cardiac function in acute decompensated heart failure (ADHF) with tachycardia." | 3.78 | Low-dose β-blocker in combination with milrinone safely improves cardiac function and eliminates pulsus alternans in patients with acute decompensated heart failure. ( Doi, M; Fukuta, S; Kobayashi, S; Matsuzaki, M; Murakami, W; Nao, T; Okamura, T; Okuda, S; Susa, T; Tanaka, T; Wada, Y; Yamada, J; Yano, M, 2012) |
"To specifically assess the synthetic activity of the L-arginine-NO metabolic pathway, urinary excretion of [15N]nitrates and [15N]urea was determined after a primed continuous intravenous infusion of L-[15N]arginine (40 micromol/kg) in 16 patients with congestive heart failure and 9 age-matched normal control subjects at rest and during submaximal treadmill exercise." | 3.70 | Decreased activity of the L-arginine-nitric oxide metabolic pathway in patients with congestive heart failure. ( Katz, SD; Khan, T; Knecht, M; Mathew, L; Potharlanka, P; Whelan, J; Zeballos, GA, 1999) |
"Landiolol was ineffective in the majority of AFl/AT patients." | 1.51 | Differential Effectiveness of Landiolol Between Atrial Fibrillation and Atrial Flutter/Atrial Tachycardia Patients With Left Ventricular Dysfunction. ( Fujimoto, Y; Hayashi, H; Hayashi, M; Ito-Hagiwara, K; Iwasaki, YK; Maru, E; Oka, E; Shimizu, W; Yamamoto, T; Yodogawa, K, 2019) |
"Omecamtiv mecarbil (OM) is a novel inotropic agent that prolongs systolic ejection time and increases ejection fraction through myosin ATPase activation." | 1.42 | Myosin Activator Omecamtiv Mecarbil Increases Myocardial Oxygen Consumption and Impairs Cardiac Efficiency Mediated by Resting Myosin ATPase Activity. ( Aasum, E; Bakkehaug, JP; Boardman, N; Engstad, ET; How, OJ; Kildal, AB; Larsen, TS; Myrmel, T; Næsheim, T; Rønning, L, 2015) |
"The patient was a 20-year old male with dilated cardiomyopathy." | 1.42 | An Experience of Landiolol Use for an Advanced Heart Failure Patient With Severe Hypotension. ( Amiya, E; Endo, M; Hatano, M; Imamura, T; Inaba, T; Kinugawa, K; Komuro, I; Maki, H; Nitta, D, 2015) |
"Landiolol has a cardioprotective effect on I/R injury in the rat heart when administered before ischemia." | 1.34 | Pre-ischemic administration of landiolol prevents ischemia-reperfusion injury in the rat heart. ( Hirai, H; Minamiyama, Y; Sakaguchi, M; Sasaki, Y; Shibata, T; Suehiro, S; Takahashi, Y; Takemura, S, 2007) |
"Hemodialysis patients (n = 34) with ESRD were enrolled in a prospective manner." | 1.33 | Changes in B-type natriuretic peptide levels in hemodialysis and the effect of depressed left ventricular function. ( Awad, A; Boulware, M; McCullough, PA; Merhi, W; Mourad, I; Safley, DM; Sandberg, KR; Sullivan, RA, 2005) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 0 (0.00) | 18.7374 |
1990's | 1 (3.33) | 18.2507 |
2000's | 3 (10.00) | 29.6817 |
2010's | 20 (66.67) | 24.3611 |
2020's | 6 (20.00) | 2.80 |
Authors | Studies |
---|---|
Lewis, GD | 1 |
Voors, AA | 1 |
Cohen-Solal, A | 1 |
Metra, M | 1 |
Whellan, DJ | 1 |
Ezekowitz, JA | 1 |
Böhm, M | 2 |
Teerlink, JR | 5 |
Docherty, KF | 1 |
Lopes, RD | 1 |
Divanji, PH | 1 |
Heitner, SB | 1 |
Kupfer, S | 1 |
Malik, FI | 5 |
Meng, L | 1 |
Wohltman, A | 1 |
Felker, GM | 3 |
Crespo-Leiro, MG | 1 |
McDonagh, TA | 1 |
Barge-Caballero, E | 1 |
Shinohara, M | 1 |
Wada, R | 1 |
Yano, K | 1 |
Akitsu, K | 1 |
Koike, H | 1 |
Kinoshita, T | 1 |
Suzuki, T | 1 |
Fujino, T | 1 |
Ikeda, T | 3 |
Bernier, TD | 1 |
Buckley, LF | 1 |
Solomon, SD | 2 |
McMurray, JJV | 2 |
Cleland, JGF | 1 |
Abbasi, SA | 1 |
Zhang, H | 2 |
Globe, G | 1 |
Biering-Sørensen, T | 1 |
Minamisawa, M | 1 |
Claggett, B | 1 |
Liu, J | 1 |
Abbasi, S | 1 |
Kurtz, CE | 1 |
Syed, YY | 1 |
Oka, E | 2 |
Iwasaki, YK | 2 |
Maru, E | 1 |
Fujimoto, Y | 1 |
Ito-Hagiwara, K | 1 |
Hayashi, H | 1 |
Yamamoto, T | 1 |
Yodogawa, K | 1 |
Hayashi, M | 1 |
Shimizu, W | 4 |
Nitta, D | 2 |
Imamura, T | 2 |
Momomura, S | 1 |
Nagai, R | 2 |
Kinugawa, K | 3 |
Inoue, H | 2 |
Atarashi, H | 2 |
Seino, Y | 2 |
Yamashita, T | 2 |
Aiba, T | 2 |
Kitakaze, M | 2 |
Sakamoto, A | 2 |
Imai, Y | 2 |
Daimon, T | 2 |
Fujino, K | 2 |
Nagano, T | 2 |
Okamura, T | 3 |
Hori, M | 2 |
Zhou, J | 2 |
Cui, X | 1 |
Jin, X | 1 |
Tang, B | 1 |
Fu, M | 1 |
Herlitz, H | 1 |
Cui, J | 1 |
Zhu, H | 1 |
Sun, A | 1 |
Hu, K | 1 |
Ge, J | 1 |
Bakkehaug, JP | 2 |
Kildal, AB | 2 |
Engstad, ET | 2 |
Boardman, N | 2 |
Næsheim, T | 2 |
Rønning, L | 2 |
Aasum, E | 2 |
Larsen, TS | 2 |
Myrmel, T | 2 |
How, OJ | 2 |
Melby, SJ | 1 |
Sezai, A | 1 |
Osaka, S | 1 |
Yaoita, H | 1 |
Ishii, Y | 1 |
Arimoto, M | 1 |
Hata, H | 1 |
Shiono, M | 1 |
Endo, M | 1 |
Amiya, E | 1 |
Inaba, T | 1 |
Maki, H | 1 |
Hatano, M | 1 |
Komuro, I | 1 |
Kass, DA | 1 |
Linz, B | 1 |
Hohl, M | 1 |
Reil, JC | 1 |
Linz, D | 1 |
Takata, J | 1 |
Haruyama, N | 1 |
Arashi, T | 1 |
Mae, T | 1 |
Yousif, MH | 1 |
Benter, IF | 1 |
Roman, RJ | 1 |
Cleland, JG | 1 |
Senior, R | 1 |
Nifontov, EM | 1 |
Mc Murray, JJ | 1 |
Lang, CC | 1 |
Tsyrlin, VA | 1 |
Greenberg, BH | 1 |
Mayet, J | 1 |
Francis, DP | 1 |
Shaburishvili, T | 1 |
Monaghan, M | 1 |
Saltzberg, M | 1 |
Neyses, L | 1 |
Wasserman, SM | 1 |
Lee, JH | 1 |
Saikali, KG | 1 |
Clarke, CP | 1 |
Goldman, JH | 1 |
Wolff, AA | 1 |
Kobayashi, S | 1 |
Susa, T | 1 |
Tanaka, T | 1 |
Murakami, W | 1 |
Fukuta, S | 1 |
Okuda, S | 1 |
Doi, M | 1 |
Wada, Y | 1 |
Nao, T | 1 |
Yamada, J | 1 |
Yano, M | 1 |
Matsuzaki, M | 1 |
Yasumura, Y | 1 |
Ito, N | 1 |
Tashiro, T | 1 |
Morishige, N | 1 |
Nishimi, M | 1 |
Hayashida, Y | 1 |
Minematsu, N | 1 |
Kuwahara, G | 1 |
Sukehiro, Y | 1 |
Teratani, H | 1 |
Safley, DM | 1 |
Awad, A | 1 |
Sullivan, RA | 1 |
Sandberg, KR | 1 |
Mourad, I | 1 |
Boulware, M | 1 |
Merhi, W | 1 |
McCullough, PA | 1 |
Takahashi, Y | 1 |
Shibata, T | 1 |
Sasaki, Y | 1 |
Hirai, H | 1 |
Takemura, S | 1 |
Minamiyama, Y | 1 |
Sakaguchi, M | 1 |
Suehiro, S | 1 |
Katz, SD | 1 |
Khan, T | 1 |
Zeballos, GA | 1 |
Mathew, L | 1 |
Potharlanka, P | 1 |
Knecht, M | 1 |
Whelan, J | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
A Double-blind, Randomized, Placebo-controlled, Multicenter Study to Assess the Effect of Omecamtiv Mecarbil on Exercise Capacity in Subjects With Heart Failure With Reduced Ejection Fraction and Decreased Exercise Tolerance[NCT03759392] | Phase 3 | 276 participants (Actual) | Interventional | 2019-04-09 | Completed | ||
A Double-blind, Randomized, Placebo-controlled, Multicenter, Dose Escalation Study to Select and Evaluate an Oral Modified Release Formulation of Omecamtiv Mecarbil in Subjects With Heart Failure and Left Ventricular Systolic Dysfunction[NCT01786512] | Phase 2 | 544 participants (Actual) | Interventional | 2013-02-26 | Completed | ||
A Phase II, Multi Center, Double-Blind, Randomized, Placebo Controlled, Dose-Escalation, Pharmacokinetic (PK) and Pharmacodynamic (PD) Study of CK-1827452 in Patients With Stable Heart Failure[NCT00624442] | Phase 2 | 45 participants (Actual) | Interventional | 2007-04-30 | Completed | ||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
The effect of treatment on exercise capacity, as assessed by peak oxygen uptake, was assessed during cardiopulmonary exercise testing (CPET) with gas-exchange analysis. Cycle ergometry was the preferred modality for exercise testing; treadmill exercise testing was an acceptable alternative. Participants were to use the same testing modality for all exercise tests during the study. Whenever possible, CPET was administered by the same study personnel using the same equipment throughout the study. (NCT03759392)
Timeframe: Baseline and Week 20
Intervention | mL/min/kg (Least Squares Mean) |
---|---|
Omecamtiv Mecarbil | -0.239 |
Placebo | 0.207 |
The effect of treatment on daily activity, as assessed by average daily activity units, was evaluated by actigraphy. Actigraphy was collected during 4 sessions throughout the study for 2 week intervals. (NCT03759392)
Timeframe: Baseline (Week -2 to Day 1) to Weeks 18-20
Intervention | 10^5 activity units (Least Squares Mean) |
---|---|
Omecamtiv Mecarbil | -0.2 |
Placebo | -0.5 |
Total workload was measured during CPET (cycle ergometry [preferred] or treadmill exercise testing) and represents the maximum load to which a participant was subjected during CPET in order to produce work. (NCT03759392)
Timeframe: Baseline and Week 20
Intervention | Watt (Least Squares Mean) |
---|---|
Omecamtiv Mecarbil | -3.798 |
Placebo | 1.590 |
Ventilatory efficiency (ventilation [VE]/volume of exhaled carbon dioxide [VCO2]) was measured through CPET with gas exchange analysis. (NCT03759392)
Timeframe: Baseline and Week 20
Intervention | slope (Least Squares Mean) |
---|---|
Omecamtiv Mecarbil | 0.277 |
Placebo | -0.138 |
(NCT01786512)
Timeframe: Day 7 at predose and at 0.5, 1, 2, 3, 4, 6, 8, and 12 hours post-dose
Intervention | ng*hr/mL (Mean) |
---|---|
Dose-escalation Cohort 1: Omecamtiv Mecarbil 25 mg M-F1 | 2030 |
Dose-escalation Cohort 1: Omecamtiv Mecarbil 25 mg M-F2 | 2000 |
Dose-escalation Cohort 1: Omecamtiv Mecarbil 25 mg SCT-F2 | 1740 |
Dose-escalation Cohort 2: Omecamtiv Mecarbil 50 mg M-F1 | 5070 |
Dose-escalation Cohort 2: Omecamtiv Mecarbil 50 mg M-F2 | 5010 |
Dose-escalation Cohort 2: Omecamtiv Mecarbil 50 mg SCT-F2 | 6550 |
(NCT01786512)
Timeframe: Day 7 at predose and at 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 48, and 72 hours, and 7 days post-dose.
Intervention | ng/mL (Mean) |
---|---|
Dose-escalation Cohort 1: Omecamtiv Mecarbil 25 mg M-F1 | 193 |
Dose-escalation Cohort 1: Omecamtiv Mecarbil 25 mg M-F2 | 201 |
Dose-escalation Cohort 1: Omecamtiv Mecarbil 25 mg SCT-F2 | 171 |
Dose-escalation Cohort 2: Omecamtiv Mecarbil 50 mg M-F1 | 492 |
Dose-escalation Cohort 2: Omecamtiv Mecarbil 50 mg M-F2 | 502 |
Dose-escalation Cohort 2: Omecamtiv Mecarbil 50 mg SCT-F2 | 601 |
(NCT01786512)
Timeframe: Day 7 at predose
Intervention | ng/mL (Mean) |
---|---|
Dose-escalation Cohort 1: Omecamtiv Mecarbil 25 mg M-F1 | 157 |
Dose-escalation Cohort 1: Omecamtiv Mecarbil 25 mg M-F2 | 137 |
Dose-escalation Cohort 1: Omecamtiv Mecarbil 25 mg SCT-F2 | 134 |
Dose-escalation Cohort 2: Omecamtiv Mecarbil 50 mg M-F1 | 376 |
Dose-escalation Cohort 2: Omecamtiv Mecarbil 50 mg M-F2 | 395 |
Dose-escalation Cohort 2: Omecamtiv Mecarbil 50 mg SCT-F2 | 476 |
(NCT01786512)
Timeframe: Day 7 at predose and at 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 48, and 72 hours, and 7 days post-dose.
Intervention | hours (Mean) |
---|---|
Dose-escalation Cohort 1: Omecamtiv Mecarbil 25 mg M-F1 | 3.9 |
Dose-escalation Cohort 1: Omecamtiv Mecarbil 25 mg M-F2 | 2.0 |
Dose-escalation Cohort 1: Omecamtiv Mecarbil 25 mg SCT-F2 | 4.2 |
Dose-escalation Cohort 2: Omecamtiv Mecarbil 50 mg M-F1 | 2.6 |
Dose-escalation Cohort 2: Omecamtiv Mecarbil 50 mg M-F2 | 2.2 |
Dose-escalation Cohort 2: Omecamtiv Mecarbil 50 mg SCT-F2 | 4.6 |
Heart rate was measured using electrocardiography. Least squares means are from a repeated measures model including treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates. (NCT01786512)
Timeframe: Baseline and week 20
Intervention | bpm (Least Squares Mean) |
---|---|
Expansion Phase: Placebo | 0.57 |
Expansion Phase: Omecamtiv Mecarbil 25 mg | -0.77 |
Expansion Phase: OM PK-based Titration | -2.40 |
LVEDD was measured using echocardiography. Least squares means are from a repeated measures model including treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates. (NCT01786512)
Timeframe: Baseline and week 20
Intervention | cm (Least Squares Mean) |
---|---|
Expansion Phase: Placebo | 0.089 |
Expansion Phase: Omecamtiv Mecarbil 25 mg | 0.023 |
Expansion Phase: OM PK-based Titration | -0.040 |
LVESD was measured using echocardiography. Least squares means are from a repeated measures model including treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates. (NCT01786512)
Timeframe: Baseline and week 20
Intervention | cm (Least Squares Mean) |
---|---|
Expansion Phase: Placebo | -0.242 |
Expansion Phase: Omecamtiv Mecarbil 25 mg | -0.322 |
Expansion Phase: OM PK-based Titration | -0.421 |
Least squares means are from a repeated measures model including treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates. (NCT01786512)
Timeframe: Baseline and week 20
Intervention | pg/mL (Least Squares Mean) |
---|---|
Expansion Phase: Placebo | 502 |
Expansion Phase: Omecamtiv Mecarbil 25 mg | -319 |
Expansion Phase: OM PK-based Titration | -468 |
Stroke volume was measured using echocardiography. Least squares means are from a repeated measures model including treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates. (NCT01786512)
Timeframe: Baseline and week 20
Intervention | mL (Least Squares Mean) |
---|---|
Expansion Phase: Placebo | -1.05 |
Expansion Phase: Omecamtiv Mecarbil 25 mg | 3.53 |
Expansion Phase: OM PK-based Titration | 2.58 |
Systolic ejection time was measured using echocardiography. Least squares means are from a repeated measures model including treatment group, stratification factor, scheduled visit, interaction of treatment with scheduled visit and the baseline value as covariates. (NCT01786512)
Timeframe: Baseline and week 20
Intervention | seconds (Least Squares Mean) |
---|---|
Expansion Phase: Placebo | 0.0000 |
Expansion Phase: Omecamtiv Mecarbil 25 mg | 0.0112 |
Expansion Phase: OM PK-based Titration | 0.0250 |
"An adverse event (AE) is defined as any untoward medical occurrence in a clinical trial participant, including worsening of a preexisting medical condition. The event does not necessarily have a causal relationship with study treatment. Laboratory value changes that required treatment or adjustment in current therapy were considered adverse events.~Each adverse event was graded for severity according to the Common Terminology Criteria for Adverse Events (CTCAE), where Grade 1 = Mild AE, Grade 2 = Moderate AE, Grade 3 = Severe AE, and Grade 4 = life-threatening AE.~A serious adverse event is defined as an adverse event that met at least 1 of the following serious criteria:~fatal~life threatening~required in-patient hospitalization or prolongation of existing hospitalization~resulted in persistent or significant disability/incapacity~congenital anomaly/birth defect~other medically important serious event" (NCT01786512)
Timeframe: From first dose of study drug to 4 weeks after last dose; treatment duration was 7 days in the dose escalation phase.
Intervention | Participants (Count of Participants) | ||||||
---|---|---|---|---|---|---|---|
Any treatment-emergent adverse event (TEAE) | TEAE Grade ≥ 2 | TEAE Grade ≥ 3 | TEAE Grade ≥ 4 | Serious adverse events | TEAE leading to discontinuation of study drug | Fatal adverse events | |
Dose-escalation Cohort 1: Omecamtiv Mecarbil 25 mg M-F1 | 2 | 1 | 0 | 0 | 0 | 0 | 0 |
Dose-escalation Cohort 1: Omecamtiv Mecarbil 25 mg M-F2 | 6 | 1 | 1 | 0 | 1 | 0 | 0 |
Dose-escalation Cohort 1: Omecamtiv Mecarbil 25 mg SCT-F2 | 6 | 1 | 0 | 0 | 0 | 0 | 0 |
Dose-escalation Cohort 1: Placebo | 4 | 0 | 0 | 0 | 0 | 0 | 0 |
Dose-escalation Cohort 2: Omecamtiv Mecarbil 50 mg M-F1 | 9 | 5 | 2 | 0 | 2 | 2 | 0 |
Dose-escalation Cohort 2: Omecamtiv Mecarbil 50 mg M-F2 | 3 | 1 | 0 | 0 | 0 | 0 | 0 |
Dose-escalation Cohort 2: Omecamtiv Mecarbil 50 mg SCT-F2 | 5 | 1 | 1 | 0 | 1 | 0 | 0 |
Dose-escalation Cohort 2: Placebo | 1 | 1 | 0 | 0 | 0 | 0 | 0 |
(NCT01786512)
Timeframe: Weeks 2 and 12 at predose and 1, 2, 4, 6, and 8 hours post-dose.
Intervention | ng/mL (Mean) | |
---|---|---|
Week 2 | Week 12 | |
Expansion Phase: OM PK-based Titration | 212 | 318 |
Expansion Phase: Omecamtiv Mecarbil 25 mg | 212 | 200 |
"An adverse event is defined as any untoward medical occurrence in a clinical trial participant, including worsening of a preexisting medical condition. The event does not necessarily have a causal relationship with study treatment. Laboratory value changes that required treatment or adjustment in current therapy were considered adverse events.~Each adverse event was graded for severity according to the Common Terminology Criteria for Adverse Events (CTCAE), where Grade 1 = Mild AE, Grade 2 = Moderate AE, Grade 3 = Severe AE, and Grade 4 = life-threatening AE.~A serious adverse event is defined as an adverse event that met at least 1 of the following serious criteria:~fatal~life threatening~required in-patient hospitalization or prolongation of existing hospitalization~resulted in persistent or significant disability/incapacity~congenital anomaly/birth defect~other medically important serious event" (NCT01786512)
Timeframe: From first dose of study drug until 4 weeks after last dose; treatment duration was 20 weeks in the expansion phase.
Intervention | Participants (Count of Participants) | ||||||
---|---|---|---|---|---|---|---|
Any treatment-emergent adverse event (TEAE) | TEAE Grade ≥ 2 | TEAE Grade ≥ 3 | TEAE Grade ≥ 4 | Serious adverse events | TEAEs leading to discontinuation of study drug | Fatal adverse events | |
Expansion Phase: OM PK-based Titration | 95 | 61 | 31 | 11 | 32 | 12 | 3 |
Expansion Phase: Omecamtiv Mecarbil 25 mg | 92 | 60 | 28 | 8 | 36 | 8 | 1 |
Expansion Phase: Placebo | 91 | 62 | 34 | 5 | 30 | 12 | 4 |
(NCT01786512)
Timeframe: Predose (before morning dose) at weeks 2, 8, 12, 16, and 20
Intervention | ng/mL (Mean) | ||||
---|---|---|---|---|---|
Week 2 | Week 8 | Week 12 | Week 16 | Week 20 | |
Expansion Phase: OM PK-based Titration | 179 | 161 | 263 | 240 | 239 |
Expansion Phase: Omecamtiv Mecarbil 25 mg | 174 | 156 | 165 | 155 | 149 |
Determined by evaluation of plasma concentrations from blood samples collected prior to dosing and at 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 12, 24 and 48 hours after initiation of study drug infusion (NCT00624442)
Timeframe: 2 days
Intervention | hour x nanogram/milliliter (Mean) |
---|---|
Cohort 1/2: 0.125 mg/kg/h + 0.0625 mg/kg/h | 1102.2 |
Cohort 1/2: 0.25 mg/kg/h + 0.125 mg/kg/h | 2314.3 |
Cohort 1/2: 0.5 mg/kg/h + 0.25 mg/kg/h | 4252.7 |
Cohort 1/2: 0.75 mg/kg/h + 0.375 mg/kg/h | 6060.7 |
Cohort 1/2: 1.0 mg/kg/h + 0.5 mg/kg/h | 8495.7 |
Cohort 3: 0.25 mg/kg/h + 0.025 mg/kg/h | 3982.7 |
Cohort 3: 0.5 mg/kg/h + 0.05 mg/kg/h | 8120.5 |
Cohort 3: 1.0 mg/kg/h + 0.1 mg/kg/h | 18450.7 |
Cohort 4: 0.25 mg.kg.h + 0.125 mg/kg/h + 0.025 mg/kg/h | 4399.0 |
Cohort 4: 0.5 mg/kg/h + 0.25 mg/kg/h + 0.05 mg/kg/h | 10624.8 |
Cohort 4: 1.0 mg/kg/h + 0.5 mg/kg/h + 0.1 mg/kg/h | 19394.3 |
Cohort 5: 1.0 mg/kg/h + 0.5 mg/kg/h + 0.1 mg/kg/h | 59044.6 |
Cohort 5: 0.75 mg/kg/h + 0.375 mg/kg/h + 0.075 mg/kg/h | 43605.5 |
Determined by evaluation of plasma concentrations from blood samples collected prior to dosing and at 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 12, 24 and 48 hours after initiation of study drug infusion (NCT00624442)
Timeframe: 2 days
Intervention | nanogram/milliliter (Mean) |
---|---|
Cohort 1/2: 0.125 mg/kg/h + 0.0625 mg/kg/h | 96.1 |
Cohort 1/2: 0.25 mg/kg/h + 0.125 mg/kg/h | 195.0 |
Cohort 1/2: 0.5 mg/kg/h + 0.25 mg/kg/h | 347.1 |
Cohort 1/2: 0.75 mg/kg/h + 0.375 mg/kg/h | 558.1 |
Cohort 1/2: 1.0 mg/kg/h + 0.5 mg/kg/h | 635.9 |
Cohort 3: 0.25 mg/kg/h + 0.025 mg/kg/h | 165.3 |
Cohort 3: 0.5 mg/kg/h + 0.05 mg/kg/h | 279.9 |
Cohort 3: 1.0 mg/kg/h + 0.1 mg/kg/h | 633.0 |
Cohort 4: 0.25 mg.kg.h + 0.125 mg/kg/h + 0.025 mg/kg/h | 177.9 |
Cohort 4: 0.5 mg/kg/h + 0.25 mg/kg/h + 0.05 mg/kg/h | 403.3 |
Cohort 4: 1.0 mg/kg/h + 0.5 mg/kg/h + 0.1 mg/kg/h | 681.4 |
Cohort 5: 1.0 mg/kg/h + 0.5 mg/kg/h + 0.1 mg/kg/h | 884.5 |
Cohort 5: 0.75 mg/kg/h + 0.375 mg/kg/h + 0.075 mg/kg/h | 726.9 |
Pooled analysis of the echocardiographic measure fractional shortening from echocardiograms taken at all timepoints. Fractional shortening is the percentage of change from baseline in the left ventricular cavity dimension with systole. Echocardiograms from cohorts 1,2,3,4 and 5 (564 echocardiograms) were binned into either placebo group or 1 of 6 groups based on plasma concentration of CK-1827452. (NCT00624442)
Timeframe: 4 days
Intervention | Percentage of change (Least Squares Mean) | |
---|---|---|
# of Echocardiographic Observations (no units) | Fractional Shortening Percent Change from Baseline | |
>0-100 ng/mL | 81 | 1 |
>100-200 ng/mL | 56 | 1 |
>200-300 ng/mL | 37 | 3 |
>300-400 ng/mL | 23 | 3 |
>400-500 ng/mL | 17 | 2 |
>500 ng/mL | 44 | 5 |
Pooled analysis of the echocardiographic measure systolic ejection time from echocardiograms taken at all timepoints. The systolic ejection time is the period during which the aortic valve is open and blood is flowing across the valve. Echocardiograms from cohorts 1,2,3,4 and 5 (564 echocardiograms) were binned into either placebo group or 1 of 6 groups based on plasma concentration of CK-1827452. (NCT00624442)
Timeframe: 4 days
Intervention | msec (Least Squares Mean) | |
---|---|---|
# of Echocardiographic Observations (no units) | Ejection Fraction msec Change from Baseline | |
>0-100 ng/mL | 84 | 1 |
>100-200 ng/mL | 62 | 18 |
>200-300 ng/mL | 42 | 47 |
>300-400 ng/mL | 24 | 58 |
>400-500 ng/mL | 20 | 59 |
>500 ng/mL | 46 | 80 |
2 reviews available for urea and Left Ventricular Dysfunction
Article | Year |
---|---|
Cardiac Myosin Activation for the Treatment of Systolic Heart Failure.
Topics: Animals; Cardiac Myosins; Cardiotonic Agents; Heart Failure, Systolic; Humans; Myocardium; Recovery | 2021 |
Landiolol: A Review in Tachyarrhythmias.
Topics: Administration, Intravenous; Adrenergic beta-1 Receptor Antagonists; Atrial Fibrillation; Dose-Respo | 2018 |
8 trials available for urea and Left Ventricular Dysfunction
Article | Year |
---|---|
Effect of Omecamtiv Mecarbil on Exercise Capacity in Chronic Heart Failure With Reduced Ejection Fraction: The METEORIC-HF Randomized Clinical Trial.
Topics: Aged; Cardiovascular Agents; Chronic Disease; Double-Blind Method; Exercise Tolerance; Female; Heart | 2022 |
Effects of Omecamtiv Mecarbil on Symptoms and Health-Related Quality of Life in Patients With Chronic Heart Failure: Results From the COSMIC-HF Study.
Topics: Aged; Biomarkers; Chronic Disease; Female; Heart Failure; Humans; Male; Middle Aged; Patient Reporte | 2020 |
Cardiac Myosin Activator Omecamtiv Mecarbil Improves Left Ventricular Myocardial Deformation in Chronic Heart Failure: The COSMIC-HF Trial.
Topics: Aged; Biomarkers; Double-Blind Method; Female; Heart Failure; Heart Rate; Humans; Male; Middle Aged; | 2020 |
Urgent management of rapid heart rate in patients with atrial fibrillation/flutter and left ventricular dysfunction: comparison of the ultra-short-acting β1-selective blocker landiolol with digoxin (J-Land Study).
Topics: Adrenergic beta-1 Receptor Antagonists; Aged; Aged, 80 and over; Anti-Arrhythmia Agents; Atrial Flut | 2013 |
Impacts of patient characteristics on the effectiveness of landiolol in AF/AFL patients complicated with LV dysfunction: Subgroup analysis of the J-Land study.
Topics: Aged; Aged, 80 and over; Anti-Arrhythmia Agents; Atrial Fibrillation; Atrial Flutter; Digoxin; Drug | 2014 |
Safety and efficacy of landiolol hydrochloride for prevention of atrial fibrillation after cardiac surgery in patients with left ventricular dysfunction: Prevention of Atrial Fibrillation After Cardiac Surgery With Landiolol Hydrochloride for Left Ventric
Topics: Aged; Aged, 80 and over; Anti-Arrhythmia Agents; Atrial Fibrillation; Cardiac Surgical Procedures; F | 2015 |
The effects of the cardiac myosin activator, omecamtiv mecarbil, on cardiac function in systolic heart failure: a double-blind, placebo-controlled, crossover, dose-ranging phase 2 trial.
Topics: Blood Pressure; Cardiac Myosins; Cross-Over Studies; Double-Blind Method; Echocardiography; Female; | 2011 |
Safety and efficacy of an ultrashort-acting β1-blocker on left ventricular dysfunction.
Topics: Adrenergic beta-Antagonists; Anti-Arrhythmia Agents; Atrial Fibrillation; Coronary Artery Bypass; Do | 2012 |
20 other studies available for urea and Left Ventricular Dysfunction
Article | Year |
---|---|
Omecamtiv mecarbil for patients with severe systolic dysfunction and hypotension.
Topics: Blood Pressure; Heart Failure; Humans; Hypotension; Stroke Volume; Urea; Ventricular Dysfunction, Le | 2022 |
Comparison of Landiolol and Digoxin as an Intravenous Drug for Controlling the Heart Rate in Patients with Atrial Fibrillation and Severely Depressed Left Ventricular Function.
Topics: Administration, Intravenous; Aged; Aged, 80 and over; Anti-Arrhythmia Agents; Atrial Fibrillation; B | 2020 |
Differential Effectiveness of Landiolol Between Atrial Fibrillation and Atrial Flutter/Atrial Tachycardia Patients With Left Ventricular Dysfunction.
Topics: Aged; Anti-Arrhythmia Agents; Atrial Fibrillation; Atrial Flutter; Humans; Male; Middle Aged; Morpho | 2019 |
What Determines the Response to Landiolol?
Topics: Atrial Fibrillation; Atrial Flutter; Humans; Morpholines; Tachycardia; Urea; Ventricular Dysfunction | 2019 |
What Determines the Response to Landiolol? - Reply.
Topics: Atrial Fibrillation; Atrial Flutter; Humans; Morpholines; Tachycardia; Urea; Ventricular Dysfunction | 2019 |
Acute rate control in atrial fibrillation with left ventricular dysfunction.
Topics: Adrenergic beta-1 Receptor Antagonists; Anti-Arrhythmia Agents; Atrial Flutter; Digoxin; Female; Hea | 2013 |
Association of renal biochemical parameters with left ventricular diastolic dysfunction in a community-based elderly population in China: a cross-sectional study.
Topics: Aged; China; Coronary Disease; Creatinine; Cross-Sectional Studies; Diastole; Echocardiography; Fema | 2014 |
Myosin Activator Omecamtiv Mecarbil Increases Myocardial Oxygen Consumption and Impairs Cardiac Efficiency Mediated by Resting Myosin ATPase Activity.
Topics: Animals; Cardiotonic Agents; Disease Models, Animal; Dose-Response Relationship, Drug; Energy Metabo | 2015 |
Might a beta blocker finally provide some relief from postoperative atrial fibrillation?
Topics: Anti-Arrhythmia Agents; Atrial Fibrillation; Female; Humans; Male; Morpholines; Postoperative Compli | 2015 |
An Experience of Landiolol Use for an Advanced Heart Failure Patient With Severe Hypotension.
Topics: Adrenergic beta-1 Receptor Antagonists; Atrial Fibrillation; Biological Availability; Cardiomyopathy | 2015 |
Letter by Teerlink et al Regarding Article, "Myosin Activator Omecamtiv Mecarbil Increases Myocardial Oxygen Consumption and Impairs Cardiac Efficiency Mediated by Resting Myosin ATPase Activity".
Topics: Animals; Cardiotonic Agents; Enzyme Activators; Female; Heart Failure; Male; Myocardial Infarction; | 2015 |
Inhibition of NHE3-mediated Sodium Absorption in the Gut Reduced Cardiac End-organ Damage Without Deteriorating Renal Function in Obese Spontaneously Hypertensive Rats.
Topics: Animals; Antihypertensive Agents; Blood Pressure; Disease Models, Animal; Genetic Predisposition to | 2016 |
Response to Letter Regarding Article, "Myosin Activator Omecamtiv Mecarbil Increases Myocardial Oxygen Consumption and Impairs Cardiac Efficiency Mediated by Resting Myosin ATPase Activity".
Topics: Animals; Cardiotonic Agents; Enzyme Activators; Female; Heart Failure; Male; Myocardial Infarction; | 2015 |
Alteration of fatal 1:1 conducted atrial flutter to less conducted ratio by landiolol infusion.
Topics: Aged, 80 and over; Atrial Fibrillation; Atrial Flutter; Electrocardiography; Humans; Male; Morpholin | 2016 |
Cytochrome P450 metabolites of arachidonic acid play a role in the enhanced cardiac dysfunction in diabetic rats following ischaemic reperfusion injury.
Topics: 8,11,14-Eicosatrienoic Acid; Amidines; Animals; Arachidonic Acid; Blood Glucose; Body Weight; Corona | 2009 |
Low-dose β-blocker in combination with milrinone safely improves cardiac function and eliminates pulsus alternans in patients with acute decompensated heart failure.
Topics: Acute Disease; Adrenergic beta-Antagonists; Adult; Aged; Arrhythmias, Cardiac; Cardiotonic Agents; C | 2012 |
Combination of β-blocker and milrinone for acute heart failure.
Topics: Adrenergic beta-Antagonists; Arrhythmias, Cardiac; Cardiotonic Agents; Female; Heart Failure; Hemody | 2012 |
Changes in B-type natriuretic peptide levels in hemodialysis and the effect of depressed left ventricular function.
Topics: Biomarkers; Blood Pressure; Dialysis Solutions; Echocardiography; Female; Fluorescence Polarization | 2005 |
Pre-ischemic administration of landiolol prevents ischemia-reperfusion injury in the rat heart.
Topics: Adrenergic beta-Antagonists; Animals; Dose-Response Relationship, Drug; Heart; Ischemic Precondition | 2007 |
Decreased activity of the L-arginine-nitric oxide metabolic pathway in patients with congestive heart failure.
Topics: Adult; Aged; Arginine; Cardiomyopathies; Creatinine; Exercise Test; Female; Heart Failure; Humans; L | 1999 |