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

RecruitingPhase 2

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

Who can join

Ages 40 to 85 · All sexes

Full eligibility criteria
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.

About the study

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

What is being tested

Sponsor: Cytokinetics · Participants: 60 · Started: Feb 6, 2025

Contact the study team

Official record on ClinicalTrials.gov — NCT06793371

Locations in the U.S.

AlabamaEastern Shore Research Institute, LLC, Fairhope
ArizonaUniversity of Arizona Sarver Heart Center, Tucson
ArkansasJohn L. McClellan Memorial Veterans Hospital, Little Rock
CaliforniaBioSolutions Clinical Research Center, Imperial
Profound Research LLC, Pasadena
University of California, San Francisco - Heart and Vascular Center, San Francisco
FOMAT - Comprehensive Cardiovascular Care, Santa Maria
Blue Coast Research Center, LLC, Vista
FloridaLas Mercedes Medical Research, Hialeah
New Generation of Medical Research, Hialeah
Cleveland Clinic Florida, Weston
IllinoisMethodist Medical Center of Illinois, Peoria
MassachusettsMassachusetts General Hospital, Boston
MinnesotaMayo Clinic, Rochester
MissouriWashington University Center for Advanced Medicine, St Louis
New JerseyMorristown Medical Center, Morristown
New YorkMount Sinai West, New York
NYU Langone Health, New York
OhioThe Lindner Center for Research & Education at The Christ Hospital, Cincinnati
OregonOregon Health and Science University, Portland
TexasUniversity of Texas Southwestern Medical Center, Dallas, Dallas
Center for Advanced Heart Failure, Houston
WashingtonSwedish Heart & Vascular Institute, Advanced Cardiac Support Program, Seattle
WisconsinFroedtert Hospital - Center for Advanced Care, Milwaukee

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.