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CompletedNCT01131013Updated May 14, 2019

A Study of CK-2017357 in Patients With Peripheral Artery Disease and Symptomatic Claudication

A Phase 2 interventional study of Placebo and 375 mg CK-2017357 in Intermittent Claudication and Peripheral Artery Disease, sponsored by Cytokinetics. Completed at 14 sites in United States. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2019-05-14.

Sponsored by Cytokinetics · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
61
Allocation
Randomized
Ages
40 Years and older
Sex
All
01

Study summary

The primary objective of this early-stage clinical study is to demonstrate an effect of single doses of CK-2017357 on measures of skeletal muscle function and fatigability in patients with peripheral artery disease and symptomatic claudication.

Read the detailed description

This study is a Phase II, double-blind, randomized, placebo-controlled, three-way crossover design of two single doses of CK-2017357 in patients with peripheral artery disease and symptomatic claudication. 36 to 72 patients will be randomized at approximately 15 study centers to one of six different treatment sequences. Each treatment sequence consists of three dosing periods in which patients receive single oral doses of placebo, 375 mg and 500 mg of CK-2017357. All six treatment sequences will enroll approximately the same number of patients. A wash out period of at least 6 days (to a maximum of 10 days) will be employed between the individual doses for each patient. This study is designed to assess the effects of CK-2017357 on measures of endurance/fatigue, work output, and walking capacity. The PK and PD relationship of CK-2017357 after two single doses will be assessed versus placebo, and the CK-2017357 concentration versus time data obtained in this study may be used to develop a population PK model to estimate intra- and inter-patient variability of PK parameters in patients with claudication.

02

Conditions studied

  • Intermittent Claudication
  • Peripheral Artery Disease
03

In context

Peripheral Arterial Disease

1,542 studies on the registry are indexed under Peripheral Arterial Disease; 282 are open to participants now.

This study's enrollment of 61 is below the median of 74 across 1,066 interventional studies indexed under Peripheral Arterial Disease.

Browse Peripheral Arterial Disease studies →

Lead sponsor

Cytokinetics is the lead sponsor of 41 studies on the registry; 3 are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 7 (64%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Ability to comprehend and willing to sign an Informed Consent Form (ICF)
  2. Ability to understand written and oral English language
  3. Peripheral arterial disease defined as an ankle-brachial index (ABI) at rest ≤ 0.90 in at least one leg in which the patient experiences claudication
  4. Stable claudication symptoms over past 6 months (Fontaine Stage II) in at least one calf muscle due to documented peripheral artery disease
  5. Females (of non-childbearing potential) or males who are 40 years of age or older
  6. Body mass index (BMI) of 18.0 to 30.0 kg/m2, inclusive
  7. Ability to perform the bilateral heel raise familiarization sufficient to induce typical claudication at a contraction frequency of once every other second
  8. Ability to complete a six-minute walking test
  9. Pre-study clinical laboratory findings (including troponin I [TnI] and creatine phosphokinase [CPK]) within the normal range, or if outside of the normal range, deemed not clinically significant by the Investigator and Sponsor's Medical Monitor
  10. For female patients only: Non-childbearing potential (e.g., documented post-menopausal ≥ 1 year, sterilized, status-post hysterectomy) For male patients only: Agreement either

    • To use a condom during sexual intercourse with female partners who are of reproductive potential and to have female partners use an additional effective means of contraception (e.g., diaphragm plus spermicide, or oral contraceptives) for the duration of the study and 10 weeks after the end of the study or
    • To abstain from sexual intercourse for the duration of the study and 10 weeks after the end of the study

Exclusion criteria

Exclusion Criteria:

  1. Asymptomatic peripheral artery disease classified as Fontaine Stage I
  2. Critical leg ischemia classified as Fontaine Stage III-IV (rest pain, tissue necrosis or gangrene)
  3. Non-atherosclerotic causes of arterial occlusive disease
  4. "Atypical leg pain," defined as significant residual leg discomfort at rest
  5. Leg, hip, or knee surgery within 6 months prior to randomization
  6. Any revascularization procedure (coronary or peripheral) within 3 months prior to randomization
  7. Life-threatening ventricular arrhythmias, unstable angina, stroke, and/or myocardial infarction within 3 months prior to randomization
  8. Moderate/severe symptomatic heart failure defined as NYHA Class III or IV; in patients with NYHA Class I or II heart failure, the screening heel raise familiarization must elicit claudication symptoms and not cardiac symptoms
  9. Severe COPD or other respiratory impairment defined as receiving supplemental oxygen therapy at home or by clinical assessment of the Investigator
  10. Poorly controlled hypertension (defined as supine resting BP >180 mmHg systolic or > 100 mmHg diastolic, or both)
  11. Hypotension (defined as supine resting BP \< 95 mmHg systolic or \< 55 mmHg diastolic, or both, or symptomatic hypotension [standing, supine, or orthostatic])
  12. Exercise tolerance (including ability to perform heel raise and six-minute walk test) that, in the opinion of the Investigator, is significantly limited by other co-morbid conditions or diseases other than claudication
  13. Type 1 diabetes (juvenile onset, insulin-dependent), or poorly controlled Type 2 diabetes (defined as HbA1c > 9.0% in the past 3 months)
  14. Hepatic insufficiency (defined as ALT or AST > 3x ULN, or total bilirubin > 3 mg/dL)
  15. Renal insufficiency (defined as serum creatinine > 2.5 mg/dL or receiving dialysis)
  16. Anemia (defined as hemoglobin \< 12.0 g/dL)
  17. Participation in any other investigational study drug or device trial in which receipt of an investigational study drug or device occurred within 30 days prior to dosing
  18. Previous treatment with gene therapy or other vascular endothelial growth factor (VEGF)-related therapy
  19. Any prior treatment with CK-2017357
  20. Recent history of alcoholism or drug abuse, or significant behavioral or psychiatric problems, or other conditions which in the Investigator's opinion may impair ability to adequately comply with the requirements of the study
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
61 participants (actual)

Study arms

  • Experimental
    Treatment Sequence 1

    Dosing Period 1 - Placebo; Dosing Period 2 - 375 mg CK-2017357; Dosing Period 3 - 500 mg CK-2017357

    Drug: Placebo · Drug: 375 mg CK-2017357 · Drug: 500 mg CK-2017357

  • Experimental
    Treatment Sequence 2

    Dosing Period 1 - Placebo; Dosing Period 2 - 500 mg CK-2017357; Dosing Period 3 - 375 mg CK-2017357

    Drug: Placebo · Drug: 375 mg CK-2017357 · Drug: 500 mg CK-2017357

  • Experimental
    Treatment Sequence 3

    Dosing Period 1 - 375 mg CK-2017357; Dosing Period 2 - Placebo; Dosing Period 3 - 500 mg CK-2017357

    Drug: Placebo · Drug: 375 mg CK-2017357 · Drug: 500 mg CK-2017357

  • Experimental
    Treatment Sequence 4

    Dosing Period 1 - 375 mg CK-2017357; Dosing Period 2 - 500 mg CK-2017357; Dosing Period 3 - Placebo

    Drug: Placebo · Drug: 375 mg CK-2017357 · Drug: 500 mg CK-2017357

  • Experimental
    Treatment Sequence 5

    Dosing Period 1 - 500 mg CK-2017357; Dosing Period 2 - Placebo; Dosing Period 3 - 375 mg CK-2017357

    Drug: Placebo · Drug: 375 mg CK-2017357 · Drug: 500 mg CK-2017357

  • Experimental
    Treatment Sequence 6

    Dosing Period 1 - 500 mg CK-2017357; Dosing Period 2 - 375 mg CK-2017357; Dosing Period 3 - Placebo

    Drug: Placebo · Drug: 375 mg CK-2017357 · Drug: 500 mg CK-2017357

Interventions

  • DrugPlacebo

    Matching placebo in capsules administered as a single oral dose.

  • Drug375 mg CK-2017357

    375 mg CK-2017357 in capsules administered as a single oral dose.

    Also known as: tirasemtiv

  • Drug500 mg CK-2017357

    500 mg CK-2017357 in capsules administered as a single oral dose.

    Also known as: tirasemtiv

06

What researchers measure

Primary outcomes

  1. Effect of single dose of CK-2017357 on number of contractions, time and work to onset of claudication during bilateral heel raises

    Heel raises will be monitored by an electrogoniometer placed on the index leg and performed once every other second until onset of claudication pain or fatigue as determined by electrogoniometry

    Time frame: 1 day

  2. Effect of single dose of CK-2017357 on number of contractions, time and work to intolerable claudication pain or maximal calf muscle fatigue

    Heel raises will be monitored by an electrogoniometer placed on the index leg and performed once every other second until limited by intolerable claudication pain or fatigue as determined by electrogoniometry

    Time frame: 1 day

  3. Effect of single dose of CK-2017357 on Six-Minute Walk Test

    Patient's self-paced walking distance over 6 minutes

    Time frame: 1 day

Secondary outcomes

  1. Characterize the relationship, if any, between the plasma concentrations of CK-2017357 and number of contractions, time and work to onset of claudication during bilateral heel raises

    Bilateral heel raise assessments will be paired with PK concentrations obtained at or near the same time as the bilateral heel raises assessments and analyzed for concentration related effects

    Time frame: 1 day

  2. Characterize the relationship, if any, between the plasma concentrations of CK-2017357 and number of contractions, time and work to intolerable claudication pain or maximal calf muscle fatigue during bilateral heel raises

    Bilateral heel raise assessments will be paired with PK concentrations obtained at or near the same time as the bilateral heel raises assessments and analyzed for concentration related effects

    Time frame: 1 day

  3. Characterize the relationship, if any, between the plasma concentrations of CK-2017357 and Six-Minute Walk Test

    Six-Minute Walk Test will be paired with PK concentrations obtained at or near the same time Six Minute Walk Test and analyzed for concentration related effects

    Time frame: 1 day

  4. Number of patients with adverse events

    Time frame: 4 weeks

07

Study locations

14 sites
  • Tatum Ridge Internal Medicine
    Phoenix, Arizona 85032, United States
  • Apex Research Institute
    Santa Ana, California 92705, United States
  • Stanford Hospital and Clinics
    Stanford, California 94305, United States
  • Denver Health Medical Center
    Denver, Colorado 80204, United States
  • Tampa Bay Medical Research
    Clearwater, Florida 33761, United States
  • Jacksonville Center for Clinical Research
    Jacksonville, Florida 32216, United States
  • DMI Research, Inc
    Pinellas Park, Florida 33782, United States
  • Maine Research Associates
    Auburn, Maine 04210, United States
  • University of Massachusetts Memorial Medical Center
    Worcester, Massachusetts 01655, United States
  • Henry Ford Hospital
    Detroit, Michigan 48202, United States
  • Baylor College of Medicine
    Houston, Texas 77030, United States
  • Clinical Trials of Texas, Inc.
    San Antonio, Texas 78229, United States
  • National Clinical Research - Norfolk, Inc.
    Norfolk, Virginia 23502, United States
  • National Clinical Research - Richmond, Inc.
    Richmond, Virginia 23294, United States
08

References and documents

Publications

  • Hiatt WR, Hirsch AT, Bauer TA, Malik F, Lee J, Lin Y, Han FX, Chen MM, Jones D, Cedarbaum JM, Wolff AA. Efficacy and Tolerability of the Novel Fast Skeletal Muscle Troponin Activator, CK-2017357, in Patients with Claudication. 22nd Annual Sessions of the Society for Vascular Medicine. Boston, MA, June 2011
  • Bauer TA, Wolff AA, Hirsch AT, Meng LL, Rogers K, Malik FI, Hiatt WR. Effect of tirasemtiv, a selective activator of the fast skeletal muscle troponin complex, in patients with peripheral artery disease. Vasc Med. 2014 Aug;19(4):297-306. doi: 10.1177/1358863X14534516. Epub 2014 May 28. PubMed 24872402 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 14, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01131013
Lead sponsor
Cytokinetics
Responsible party
Sponsor
First posted
May 26, 2010
Start date
May 2010
Primary completion
Mar 2011
Completion
Mar 2011
Last update
May 14, 2019

Study contacts

William Hiatt, MD
study director · Colorado Prevention Center
Alan Hirsch, MD
principal investigator · University of Minnesota

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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