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Search: WFRF:(Ponikowski Piotr) > Cleland John G. F. > Li Jing > Cardiac Myosin Acti...

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Cardiac Myosin Activation with Omecamtiv Mecarbil in Systolic Heart Failure

Teerlink, John R. (author)
San Francisco VA Med Ctr, CA 94143 USA; Univ Calif San Francisco, CA 94143 USA
Diaz, Rafael (author)
Estudios Clin Latino Amer, Argentina
Felker, G. Michael (author)
Duke Univ, NC 27706 USA; Duke Clin Res Inst, NC USA; Natl & Kapodistrian Univ Athens, Greece
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McMurray, John J. V. (author)
British Heart Fdn, England
Metra, Marco (author)
Univ Brescia, Italy
Solomon, Scott D. (author)
Brigham & Womens Hosp, MA 02115 USA
Adams, Kirkwood F. (author)
Univ N Carolina, NC 27515 USA
Anand, Inder (author)
Univ Minnesota, MN USA
Arias-Mendoza, Alexandra (author)
Inst Nacl Cardiol, Mexico
Biering-Sorensen, Tor (author)
Univ Copenhagen, Denmark; Univ Copenhagen, Denmark
Bohm, Michael (author)
Saarland Univ, Germany
Bonderman, Diana (author)
Med Univ Vienna, Austria
Cleland, John G. F. (author)
Univ Glasgow, Scotland; Imperial Coll, England; Univ Nova Lisboa, Portugal
Corbalan, Ramon (author)
Pontificia Univ Catolicica Chile, Spain
Crespo-Leiro, Maria G. (author)
Univ A Coruna, Spain
Dahlström, Ulf (author)
Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
Echeverria, Luis E. (author)
Fdn Cardiovasc & Colombia, Colombia
Fang, James C. (author)
Univ Utah, UT USA
Filippatos, Gerasimos (author)
National and Kapodistrian University of Athens, Attikon University Hospital, Greece; Athens, Greece
Fonseca, Candida (author)
Hospital S. Francisco Xavier, Centro Hospitalar Lisboa Ocidental, NOVA Medical School, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal
Goncalvesova, Eva (author)
Comenius Univ, Slovakia
Goudev, Assen R. (author)
Queen Giovanna Univ Hosp & Med Univ, Bulgaria
Howlett, Jonathan G. (author)
Univ Calgary, Canada
Lanfear, David E. (author)
Henry Ford Hosp, MI 48202 USA
Li, Jing (author)
Chinese Acad Med Sci & Peking Union Med Coll, Peoples R China
Lund, Mayanna (author)
Middlemore Hosp, New Zealand
Macdonald, Peter (author)
St Vincents Hosp Sydney, Australia
Mareev, Viacheslav (author)
Moscow MV Lomonosov State Univ, Russia
Momomura, Shin-ichi (author)
Saitama Citizens Med Ctr, Japan
OMeara, Eileen (author)
Montreal Heart Inst, Canada; Univ Montreal, Canada
Parkhomenko, Alexander (author)
Section of Cardiology, San Francisco Veterans Affairs Medical Center, School of Medicine, University of California, San Francisco, San Francisco, United States; Robertson Centre for Biostatistics and Clinical Trials, Institute of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom
Ponikowski, Piotr (author)
Wroclaw Med Univ, Poland
Ramires, Felix J. A. (author)
Univ Sao Paulo, Brazil
Serpytis, Pranas (author)
Vilnius Univ, Lithuania
Sliwa, Karen (author)
Univ Cape Town, South Africa
Spinar, Jindrich (author)
St Ann Hosp, Czech Republic; Masaryk Univ Brno, Czech Republic
Suter, Thomas M. (author)
Univ Bern, Switzerland
Tomcsanyi, Janos (author)
St John God Hosp, Hungary
Vandekerckhove, Hans (author)
AZ St Lucas, Belgium
Vinereanu, Dragos (author)
Univ & Emergency Hosp, Romania
Voors, Adriaan A. (author)
Univ Groningen, Netherlands
Yilmaz, Mehmet B. (author)
Dokuz Eylul Univ, Turkey
Zannad, Faiez (author)
Section of Cardiology, San Francisco Veterans Affairs Medical Center, School of Medicine, University of California, San Francisco, San Francisco, United States; Fundación Cardiovascular de Colombia, Floridablanca, Colombia
Sharpsten, Lucie (author)
Amgen Inc, CA USA
Legg, Jason C. (author)
Amgen Inc, CA USA
Varin, Claire (author)
Univ Lorraine, France
Honarpour, Narimon (author)
Amgen Inc, CA USA
Abbasi, Siddique A. (author)
Amgen Inc, CA USA
Malik, Fady I. (author)
Cytokinetics, CA USA
Kurtz, Christopher E. (author)
Amgen Inc, CA USA
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 (creator_code:org_t)
Waltham, MA, United States : MASSACHUSETTS MEDICAL SOC, 2021
2021
English.
In: New England Journal of Medicine. - Waltham, MA, United States : MASSACHUSETTS MEDICAL SOC. - 0028-4793 .- 1533-4406. ; 384:2, s. 105-116
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Among patients with heart failure and a reduced ejection fraction, those who received the cardiac myosin activator omecamtiv mecarbil had a lower incidence of a composite of heart-failure events or cardiovascular death at a median of 22 months than those who received placebo. Background The selective cardiac myosin activator omecamtiv mecarbil has been shown to improve cardiac function in patients with heart failure with a reduced ejection fraction. Its effect on cardiovascular outcomes is unknown. Methods We randomly assigned 8256 patients (inpatients and outpatients) with symptomatic chronic heart failure and an ejection fraction of 35% or less to receive omecamtiv mecarbil (using pharmacokinetic-guided doses of 25 mg, 37.5 mg, or 50 mg twice daily) or placebo, in addition to standard heart-failure therapy. The primary outcome was a composite of a first heart-failure event (hospitalization or urgent visit for heart failure) or death from cardiovascular causes. Results During a median of 21.8 months, a primary-outcome event occurred in 1523 of 4120 patients (37.0%) in the omecamtiv mecarbil group and in 1607 of 4112 patients (39.1%) in the placebo group (hazard ratio, 0.92; 95% confidence interval [CI], 0.86 to 0.99; P=0.03). A total of 808 patients (19.6%) and 798 patients (19.4%), respectively, died from cardiovascular causes (hazard ratio, 1.01; 95% CI, 0.92 to 1.11). There was no significant difference between groups in the change from baseline on the Kansas City Cardiomyopathy Questionnaire total symptom score. At week 24, the change from baseline for the median N-terminal pro-B-type natriuretic peptide level was 10% lower in the omecamtiv mecarbil group than in the placebo group; the median cardiac troponin I level was 4 ng per liter higher. The frequency of cardiac ischemic and ventricular arrhythmia events was similar in the two groups. Conclusions Among patients with heart failure and a reduced ejection, those who received omecamtiv mecarbil had a lower incidence of a composite of a heart-failure event or death from cardiovascular causes than those who received placebo. (Funded by Amgen and others; GALACTIC-HF ClinicalTrials.gov number, ; EudraCT number, 2016-002299-28.)

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)

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