Skip to main content
OpenTrials
Recruiting

NCT Number: NCT06793371

AMBER-HFpEF: Assessment of CK-4021586 in a Multi-Center, Blinded Evaluation of Safety and Tolerability Results in HFpEF

This is a Phase 2 dose-finding study in adult participants with symptomatic HFpEF.

Recruiting

Interested in participating?

Request Info

Key information

Age range

40 year–85 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Eastern Shore Research Institute, LLC, Fairhope, Alabama, United States

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Males and females ≥ 40 years and ≤ 85 years of age at screening.
  • Diagnosed with HF with NYHA functional class II or III.
  • Screening echocardiography with LVEF ≥ 60%.
  • Screening NT-proBNP ≥ 300 pg/mL for participants in sinus rhythm and ≥ 900 pg/mL for participants with comorbid atrial fibrillation or flutter.
  • Body mass index < 40 kg/m2.
  • Participants on beta-blockers, angiotensin-converting enzyme (ACE)/angiotensin II receptor blocker (ARB) or angiotensin receptor/neprilysin inhibitor (ARNI), must be on stable doses for more than 30 days prior to screening.
  • Participants on a glucagon-like peptide-1 (GLP-1) agonist must be on a stable dose for more than 24 weeks prior to screening with no anticipated plans to change dose during this study.

Exclusion criteria

  • History or evidence of any other clinically significant disorder, malignancy, active infection, other condition, or disease that, in the opinion of the investigator or the Medical Monitor, would pose a risk to patient safety or interfere with the study evaluation, procedures, or completion.
  • Other protocol-defined Inclusion/Exclusion criteria apply.

Treatment and study plan

CK-4021586 (150 mg, 300 mg, 450 mg, and 600 mg)

Drug

CK-4021586 administered orally

Other names: ulacamten

Placebo to match CK-4021586

Drug

Placebo administered orally

Primary outcomes

  1. Incidence of early drug discontinuation

    Time frame: 12 weeks

    Incidence of early drug discontinuation observed during dosing of CK 4021586 in patients with HFpEF

  2. Incidence of LVEF < 40%

    Time frame: 12 weeks

    Incidence of left-ventricular ejection fraction (LVEF) < 40% observed during dosing of CK-4021586 in patients with HFpEF

  3. Incidence of AEs

    Time frame: 12 weeks

    Incidence of adverse events observed during dosing of CK-4021586 in patients with HFpEF

Secondary outcomes

  1. Change in NT-proBNP

    Time frame: Baseline to Week 6 and Week 12

    Change from baseline values in NT-proBNP to Week 6 and Week 12

  2. Plasma concentrations of CK-4021586

    Time frame: 12 weeks

    Observed 2-hour post dose plasma concentration (C2hr) and minimum plasma concentration (Cmin) for CK-4021586 over the dosing interval

  3. Concentration-response relationship of CK-4021586 on NT-proBNP change

    Time frame: Baseline to Week 12

    Slope of the relationship of plasma concentration of CK-4021586 to the change from baseline in the NT-proBNP

  4. Concentration-response relationship of CK-4021586 to LVEF change

    Time frame: Baseline to Week 12

    Slope of the relationship of plasma concentration of CK-4021586 to the change from baseline in the LVEF

  5. Change in LVEF

    Time frame: Baseline to Week 6 and Week 12

    Change from baseline in LVEF at Week 6 and Week 12

Study contacts

Contact information is provided by the study sponsor or research team.

Cytokinetics MD

CONTACT

[email protected]

650-624-2929

Sponsors and collaborators

Lead sponsor

Cytokinetics

Industry

Registry information

Official study title

A Multi-Center, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of CK-4021586 in Adults With Symptomatic Heart Failure With Preserved Ejection Fraction

Acronym: AMBER-HFpEF

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Jan 27, 2025
Registry last updated
May 29, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.