Evidence map›Paper›PMID 33125516›Full record

Trial reportEuropean journal of clinical pharmacology2021

Safety, pharmacodynamic, and pharmacokinetic characterization of vericiguat: results from six phase I studies in healthy subjects.

Michael Boettcher, Dirk Thomas, Wolfgang Mueck, Stephanie Loewen, Erich Arens, Kenichi Yoshikawa, Corina Becker

Open access · hybridAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in European journal of clinical pharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
7.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.

  1. Pooled it
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  5. Vericiguat: A Randomized, Phase Ib, Placebo-Controlled, Double-Blind, QTc Interval Study in Patients with Chronic Coronary Syndromes.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2023
    Trial
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  9. Vericiguat: A New Horizon for Heart Failure Treatment.Reviews in cardiovascular medicine · 2026
    Review
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  12. Review
  13. Article
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  15. Towards the Fifth Pillar for the Treatment of Heart Failure with Reduced Ejection Fraction: Vericiguat in Older and Complex Patients.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2024
    Review
  16. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Michael BoettcherResearch & Development, Pharmaceuticals, Clinical PD CV, Bayer AG, Wuppertal, Germany.
Dirk ThomasExperimental Medicine, Bayer AG, Wuppertal, Germany.
Wolfgang MueckResearch & Development, Pharmaceuticals, Clinical PK CV, Bayer AG, Aprather Weg 18a, 42113, Wuppertal, Germany.
Stephanie LoewenChrestos Concept GmbH & Co. KG, Essen, Germany.
Erich ArensResearch & Development, Pharmaceuticals, Clinical PD CV, Bayer AG, Wuppertal, Germany.
Kenichi YoshikawaClinical Sciences, Research & Development Japan, Bayer Yakuhin, Ltd, Osaka, Japan.
Corina BeckerResearch & Development, Pharmaceuticals, Clinical PD CV, Bayer AG, Wuppertal, Germany. corina.becker@bayer.com.ORCID http://orcid.org/0000-0003-4715-6726
Bayer (Germany) · DEBayer (Japan) · JPUCB Pharma (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo characterize the safety, pharmacodynamics, and pharmacokinetics (PK) of vericiguat in healthy males.

methodsSix phase I studies were conducted in European, Chinese, and Japanese males. Subjects received oral vericiguat as a single dose (0.5-15.0 mg solution [for first-in-human study] or 1.25-10.0 mg immediate release [IR tablets]) or multiple doses (1.25-10.0 mg IR tablets once daily [QD] or 5.0 mg IR tablets twice daily for 7 consecutive days). Bioavailability and food effects on vericiguat PK (IR tablets) were also studied in European subjects.

resultsOverall, 255 of 265 randomized subjects completed their respective studies. There were no deaths or serious adverse events. Vericiguat was generally well tolerated at doses ≤ 10.0 mg. In the first-in-human study, the most frequent drug-related adverse events were headache and postural dizziness (experienced by five subjects each [7.2%]). Three of four subjects who received vericiguat 15.0 mg (oral solution, fasted) experienced orthostatic reactions. Vericiguat (≤ 10.0 mg, IR tablets) was rapidly absorbed (median time to reach maximum plasma concentration ≤ 2.5 h [fasted]) with a mean half-life of about 22.0 h (range 17.9-27.0 h for single and multiple doses). No evidence for deviation from dose proportionality or unexpected accumulation was observed. Administration of vericiguat 5.0 mg IR tablets with food increased bioavailability by 19% (estimated ratio 119% [90% confidence interval]: 108; 131]), reduced PK variability, and prolonged vericiguat absorption relative to the fasted state.

conclusionIn general, vericiguat was well tolerated. These results supported further clinical evaluation of vericiguat QD in patients with heart failure. REGISTRY NUMBERS: EudraCT: 2011-001627-21; EudraCT: 2012-000953-30.

Indexed as

Heterocyclic Compounds, 2-RingPyrimidinesSoluble Guanylyl CyclaseAdministration, OralAdultBiological AvailabilityBlood PressureCardiac OutputCyclic GMPDelayed-Action PreparationsDouble-Blind MethodDrug Administration ScheduleEpinephrineFood-Drug InteractionsHealthy VolunteersHeart RateCyclic GMPDelayed-Action PreparationsEpinephrineHeterocyclic Compounds, 2-RingNorepinephrinePyrimidinesSoluble Guanylyl CyclasevericiguatHeart failurePharmacodynamicPharmacokineticPharmacotherapyPhase I

Identifiers

PMID33125516
PMCPMC7935833
OpenAlexW3096425772

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.