Evidence map›Paper›PMID 36633816›Full record

Trial reportAmerican journal of cardiovascular drugs : drugs, devices, and other interventions2023

Vericiguat: A Randomized, Phase Ib, Placebo-Controlled, Double-Blind, QTc Interval Study in Patients with Chronic Coronary Syndromes.

Michael Böttcher, Hans-Dirk Düngen, Vasile Corcea, Frank Donath, Rainard Fuhr, Pim Gal, Gerd Mikus, Dietmar Trenk, Martin Coenen, Philippe Vieira Pires and 4 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled TrialMulticenter StudyClinical Trial, Phase I
In one paragraph

Trial report in American journal of cardiovascular drugs : drugs, devices, and other interventions, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03504982 (Study to Clinically Evaluate the QT/QTc Interval Prolongation Potential of Vericiguat in Patients With Stable Coronary Artery Disease in a 2-arm, Placebo-controlled, Randomized, Double-blind, Double-dummy Design Including a Vericiguat Multiple-dose Part With Fixed up Titration Periods and Moxifloxacin as Positive Control), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 9% 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.

NCT03504982 phase1completednot on this map

Study to Clinically Evaluate the QT/QTc Interval Prolongation Potential of Vericiguat in Patients With Stable Coronary Artery Disease in a 2-arm, Placebo-controlled, Randomized, Double-blind, Double-dummy Design Including a Vericiguat Multiple-dose Part With Fixed up Titration Periods and Moxifloxacin as Positive Control (for Assay Sensitivity Testing, Nested Into the Placebo Treatment)

TypeinterventionalSponsorBayerRan2018 to 2019Enrolled74ConditionsCoronary Artery DiseaseArmsVericiguat (BAY1021189), Moxifloxacin, Placebo
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Safety of Vericiguat in Patients with Coronary Artery Disease: A Systematic Review and Meta-analysis.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2025
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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

14 authors at 8 institutions in 3 countries.

Michael BöttcherClinical Pharmacology, Bayer AG, Wuppertal, Germany.
Hans-Dirk DüngenDepartment of Internal Medicine, Cardiology, Charité-Universitaetsmedizin Berlin, Berlin, Germany.
Vasile CorceaDepartment of Cardiac Surgery, PMSI Clinical Republican Hospital "T. Mosneaga", Chisinau, Republic of Moldova.
Frank DonathSocraTec R&D GmbH, Erfurt, Germany.
Rainard FuhrEarly Phase Clinical Unit, Parexel, Berlin, Germany.
Pim GalCentre for Human Drug Research, Leiden, The Netherlands.
Gerd MikusDepartment of Clinical Pharmacology and Pharmacoepidemiology, University Hospital Heidelberg, Heidelberg, Germany.
Dietmar TrenkDepartment University Heart Center Campus Bad Krozingen, Clinics of Cardiology and Angiology-Clinical Pharmacology, University Medical Center Freiburg, Freiburg, Germany.
Martin CoenenInstitute of Clinical Chemistry and Clinical Pharmacology, University Hospital Bonn, Bonn, Germany.
Philippe Vieira PiresResearch and Development, Bayer AG, Wuppertal, Germany.
Claudia MaschkeStudy Management, Bayer AG, Wuppertal, Germany.
Antonios Othon AliprantisTranslational Medicine, Merck & Co., Inc., Rahway, New Jersey, USA.
Nina BescheChrestos Concept GmbH & Co. KG, Essen, Germany.
Corina BeckerClinical Pharmacology, Bayer AG, Wuppertal, Germany. corina.becker@bayer.com.ORCID http://orcid.org/0000-0003-4715-6726
Bayer (Germany) · DECharité - Universitätsmedizin Berlin · DEHeidelberg University · DELeiden University Medical Center · NLMerck & Co., Inc., Rahway, NJ, USA (United States) · USSocraTec R&D (Germany) · DEUniversity Hospital Bonn · DEUniversity Medical Center Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVericiguat is indicated for the treatment of symptomatic chronic heart failure in adult patients with reduced ejection fraction who are stabilized after a recent decompensation event.

objectiveTo investigate the effects of vericiguat on QT interval in patients with chronic coronary syndromes (CCS).

methodsThis was a randomized, phase Ib, placebo-controlled, double-blind, double-dummy, multicenter study. Vericiguat once daily was up-titrated from 2.5 mg to 5 mg and then to 10 mg (treatments A, B, and C) at 14-day intervals. Positive control was moxifloxacin 400 mg (single dose on day 8 or day 50; placebo on other days [treatment D]). We evaluated the placebo-adjusted change from baseline of the Frederica-corrected QTc interval (QTcF), pharmacokinetics, safety, and tolerability of vericiguat.

resultsIn total, 74 patients with CCS, with mean (standard deviation) age 63.4 (8.0) years, were included and 72 patients completed the study. At each timepoint up to 7 h after administration, mean placebo-corrected change in QTcF from baseline was < 6 ms and the upper limit of the two-sided 90% confidence interval of the mean was below the 10-ms threshold for clinical relevance. Moxifloxacin confirmed the assay sensitivity. Median time of maximum concentration of vericiguat was 4.5 h post-dose. The adverse event profile of vericiguat was consistent with its mechanism of action, and the findings did not indicate any safety concerns.

conclusionsAs part of an integrative risk assessment, this study demonstrated no clinically relevant corrected QT prolongation with vericiguat 10 mg once daily at steady state. CLINICAL

trial registrationClinicalTrials.gov number, NCT03504982.

Indexed as

FluoroquinolonesHeart FailureAdultCross-Over StudiesDose-Response Relationship, DrugDouble-Blind MethodElectrocardiographyHeartHeart RateHeterocyclic Compounds, 2-RingHumansMiddle AgedMoxifloxacinPyrimidinesFluoroquinolonesHeterocyclic Compounds, 2-RingMoxifloxacinPyrimidinesvericiguat

Identifiers

PMID36633816
PMCPMC10006255
OpenAlexW4315754389

What OpenQuestion holds

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Registered trials

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.