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CompletedNCT03901729AVANTIUpdated Apr 18, 2022

A Trial to Study BAY1753011 in Patients With Congestive Heart Failure

A Phase 2 interventional study of BAY 1753011 and Placebo BAY 1753011 in Heart Failure (HF), sponsored by Bayer. Completed at 66 sites in 9 countries. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2022-04-18.

Sponsored by Bayer · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
482
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
01

Study summary

To assess the efficacy of 30 mg of BAY1753011, with or without furosemide, versus furosemide alone in patients with heart failure and objective evidence of congestion.

02

Conditions studied

  • Heart Failure (HF)

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Keywords

  • Chronic heart failure (CHF)
  • Heart failure with reduced ejection fraction (HFrEF)
  • Heart failure with preserved ejection fraction (HFpEF)
  • Heart failure with mid-range ejection fraction (HFmrEF)
03

In context

Heart Failure

5,701 studies on the registry are indexed under Heart Failure; 1,220 are open to participants now.

This study's enrollment of 482 is above the median of 72 across 3,736 interventional studies indexed under Heart Failure.

Browse Heart Failure studies →

Lead sponsor

Bayer is the lead sponsor of 1,643 studies on the registry; 57 are open to participants now.

Of its 209 completed or terminated interventional studies of FDA-regulated products, 129 (62%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • History of CHF on individually optimized treatment with HF medications unless contraindicated or not tolerated, for at least 12 weeks prior to index hospitalization and in accordance with international guidelines.
  • Subjects admitted to the hospital with a primary diagnosis of decompensated HF including symptoms and signs of fluid overload requiring IV diuretic therapy in the Emergency room (ER) or any time between day 1-3 of hospital admission (index hospitalization).
  • Subjects on an average/usual total daily dose of loop diuretic ≥ 40 mg of furosemide or equivalent, within 4 weeks prior to index hospitalization.
  • At least one of the following 5 parameters any day between 3-7 of index hospitalization (screening period)

    • Natriuretic peptides Brain natriuretic peptide/N-terminal prohormone of brain natriuretic peptide (BNP/NT-proBNP):

      • Drop in BNP or NT-proBNP ≤ 30% from admission values (if measured during index hospitalization) or
      • BNP ≥ 500 pg/ml or NT-proBNP ≥ 1800 pg/ml at screening (day 3 to 7 of index hospitalization)
    • Body weight (BW) loss \<0.4 kg per 40 mg furosemide at day 4 of index hospitalization
    • Composite congestion score (CCS) ≥ 3
    • Hypervolemic hyponatremia defined as serum sodium \< 136 mmol/l
    • In hospital worsening renal function defined as increased serum creatinine ≥ 0.3 mg/dl compared to index hospitalization admission values AND at least one the following

      • Jugular venous pressure (JVP) ≥ 10 cm on physical examination
      • Inferior vena cava (IVC) diameter > 21 mm
      • IVC collapse with sniff \< 50%
      • At least 2+ peripheral edema or pulmonary edema or pleural effusion on chest X-ray or clinical exam

Exclusion criteria

Exclusion Criteria

  • Active or history of acute inflammatory heart disease, within 3 months prior to screening, e.g., acute myocarditis
  • Acute coronary syndrome, including unstable angina, Non-ST segment elevation myocardial infarction (NSTEMI) or ST segment elevation myocardial infarction (STEMI), or major Cardiovascular (CV) surgery including coronary artery bypass graft (CABG), percutaneous coronary intervention (PCI) within 3 months prior to screening
  • Any primary cause of HF scheduled for surgery or interventional therapy (e.g., TAVI), e.g., valve disease such as severe aortic stenosis or mitral valve regurgitation
  • Requirement of mechanical support (intra-aortic balloon pump, endotracheal intubation, mechanical ventilation, or any ventricular assist device) or ultrafiltration/hemodialysis
  • Estimated glomerular filtration rate of \< 30 ml/min/1.73 m*2 determined by the Modified Diet and Renal Disease equation at screening; reassessments allowed as clinically needed
  • Serum potassium ≥ 5.5 mmol/L or ≤ 3.3 mmol/L at screening; reassessments allowed as clinically needed
  • Serum sodium ≥ 146 mmol/L or ≤ 130 mmol/L at screening; reassessments allowed as clinically needed
  • Concomitant treatment with potassium-sparing diuretic (with the exception of mineralocorticoid- receptor antagonist (MRA) that cannot be stopped prior to randomization and for the duration of the treatment period.
05

Study design

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

Study arms

  • Experimental
    Arm 1

    BAY1753011 30mg in addition to standard of care (SoC) for part A and part B

    Drug: BAY 1753011

  • Placebo comparator
    Arm 2

    Placebo of BAY1753011 in addition to SoC for part A and part B

    Other: Placebo BAY 1753011

  • Experimental
    Arm 1-A

    BAY1753011 30mg in addition to Placebo Furosemide 80mg for part B

    Drug: BAY 1753011 · Other: Placebo Furosemide

  • Active comparator
    Arm 1-B

    Furosemide 80mg in addition to Placebo BAY1753011 30mg for part B

    Other: Placebo BAY 1753011 · Drug: Furosemide

  • Experimental
    Arm 2-A

    BAY1753011 30mg in addition to Placebo Furosemide 80mg for part B

    Drug: BAY 1753011 · Other: Placebo Furosemide

  • Active comparator
    Arm 2-B

    Furosemide 80mg in addition to Placebo BAY1753011 30mg for part B

    Other: Placebo BAY 1753011 · Drug: Furosemide

Interventions

  • DrugBAY 1753011

    Tablet; 30mg or 5mg unit; 30mg once daily in the morning; Oral

  • OtherPlacebo BAY 1753011

    Tablet; Once daily in the morning; Oral

  • DrugFurosemide

    Tablet; 40mg unit; 80mg once daily in the morning; Oral

  • OtherPlacebo Furosemide

    Tablet; Once daily in the morning; Oral

06

What researchers measure

Primary outcomes

  1. PART A: Change in body weight

    Time frame: Compare Day 30 (End of part A) with Day 1 (Start of part A)

  2. PART A: Change in serum creatinine

    Time frame: Compare Day 30 (End of part A) with Day 1 (Start of part A)

  3. PART B: Change in body weight

    Time frame: Compare Day 60 (End of part B) with Day 30 (Start of part B)

  4. PART B: Change in log transformed blood urea nitrogen (BUN)/creatinine ratio

    Time frame: Compare Day 60 (End of part B) with Day 30 (Start of part B)

Secondary outcomes

  1. Incidence of Treatment-emergent adverse event (including Serious adverse event)

    Time frame: From the time of first study drug administration up to 7 days after the last dose of study drug (Day 60)

  2. Change in augmentation index

    Time frame: Up to 60 days

07

Study locations

66 sites
  • Universitätsklinikum St. Pölten
    St. Pölten, Niederösterreich 3100, Austria
  • Krankenhaus St. Josef Braunau
    Braunau, Oberösterreich 5280, Austria
  • Medizinische Universität Graz
    Graz, Steiermark 8036, Austria
  • Universitätsklinikum AKH Wien
    Wien, 1090, Austria
  • Klinik Floridsdorf - Krankenhaus Nord
    Wien, 1210, Austria
  • MHAT Haskovo
    Haskovo, 6300, Bulgaria
  • Spec Hosp for Active Treatm in Cardiology Sv Georgi Pernik
    Pernik, 2300, Bulgaria
  • UMHAT Dr. Georgi Stranski
    Pleven, 5800, Bulgaria
  • Multiprofile Hospital for Active Treatment Medline Clinic
    Plovdiv, 4000, Bulgaria
  • MHAT "Knyaginya Klementina - Sofia"EAD
    Sofia, 1233, Bulgaria
  • NMTH Tzar Boris III
    Sofia, 1233, Bulgaria
  • UMHAT Tsaritsa Joanna-ISUL EAD Sofia
    Sofia, 1527, Bulgaria
  • KAT General Hospital of Athens
    Kifisia / Athens, Attica 14561, Greece
  • G. GENNIMATAS General State Hospital of Athens
    Athens, 11527, Greece
  • University General Hospital of Athens "ATTIKON"
    Chaidari - Athens, 12462, Greece
  • University General Hospital of Ioannina
    Ioannina, 45500, Greece
  • Univ. General Hospital of Larissa
    Larissa, 41100, Greece
  • Konstantopoulio General Hospital of Nea Ionia - AGIA OLGA
    Nea Ionia / Athens, 142 33, Greece
  • "AHEPA" University General Hospital of Thessaloniki
    Thessaloniki, 54636, Greece
  • Hippokration General Hospital of Thessaloniki
    Thessaloniki, 54642, Greece
  • Budai Irgalmasrendi Korhaz
    Budapest, 1023, Hungary
  • University of Semmelweis/ Semmelweis Egyetem
    Budapest, 1122, Hungary
  • Magyar Honvedseg Egeszsegugyi Kozpont Honvedkorhaz
    Budapest, Hungary
  • Kanizsai Dorottya Hospital
    Nagykanizsa, 8800, Hungary
  • Josa Andras Hospital
    Nyiregyhaza, H-4400, Hungary
  • Fejer Megyei Szent Gyorgy Egyetemi Oktato Korhaz
    Szekesfehervar, 8000, Hungary
  • Tolna Megyei Balassa Janos Korhaz
    Szekszard, 7100, Hungary
  • Jasz-Nagykun-Szolnok Megyei Hetenyi Geza Korhaz
    Szolnok, 5000, Hungary
  • Zala Megyei Szent Rafael Korhaz
    Zalaegerszeg, 8900, Hungary
  • Barzilai Medical Center
    Ashkelon, 7830604, Israel
  • Rambam Health Corporation
    Haifa, 3109601, Israel
  • Hadassah Hebrew University Hospital Ein Kerem
    Jerusalem, 9112001, Israel
  • Health Corporation of Galilee Medical Center
    Nahariya, 22100, Israel
  • Chaim Sheba Medical Center
    Ramat Gan, 5262000, Israel
  • Tel-Aviv Sourasky Medical Center
    Tel Aviv, 6423906, Israel
  • Shamir Medical Center (Assaf Harofeh)
    Zrifin, 7030000, Israel
  • A.O.U. di Ferrara
    Ferrara, Emilia-Romagna 44124, Italy
  • AUSL della Romagna
    Rimini, Emilia-Romagna 47923, Italy
  • ASST Papa Giovanni XXIII
    Bergamo, Lombardia 24127, Italy
  • ASST Spedali Civili di Brescia
    Brescia, Lombardia 25123, Italy
  • IRCCS Centro Cardiologico Monzino S.p.A
    Milano, Lombardia 20138, Italy
  • Fondazione Policlinico di Monza
    Monza Brianza, Lombardia 20900, Italy
  • AUSL Toscana Sud-Est
    Arezzo, Toscana 52044, Italy
  • Fondazione Toscana Gabriele Monasterio (FTGM)
    Pisa, Toscana 56124, Italy
  • A.O.U. Senese
    Siena, Toscana 53100, Italy
  • Uniwersytecki Szpital Kliniczny w Bialymstoku
    Bialystok, 15-276, Poland
  • 10 Wojskowy Szpital Kliniczny z Poliklinika SPZOZ
    Bydgoszcz, 85-681, Poland
  • Szpital sw. Wincentego a Paulo
    Gdynia, 81-348, Poland
  • Samodzielny Publiczny Specjalistyczny Szpital Zachodni
    Grodzisk Mazowiecki, 05-825, Poland
  • Szpital Kliniczny Przemienienia Panskiego
    Poznan, 61-848, Poland
  • Szpital Wojewodzki Nr 2
    Rzeszow, 35-301, Poland
  • Uniwersyteckie Centrum Kliniczne Warszawskiego UM
    Warszawa, 02-097, Poland
  • Uniwersytecki Szpital Kliniczny UM we Wroclawiu
    Wroclaw, 50-556, Poland
  • Hospital de Cascais
    Alcabideche, Lisboa 2755-009, Portugal
  • CHS - Hospital Sao Bernardo
    Setubal, Setúbal 2900-446, Portugal
  • CHL - Hospital Santo Andre
    Leiria, 2410-197, Portugal
  • CHLO - Hospital Sao Francisco Xavier
    Lisboa, 1449-005, Portugal
  • Hospital da Luz - Lisboa
    Lisboa, 1500-650, Portugal
  • CHUP - Hospital Santo Antonio
    Porto, 4099-001, Portugal
  • Hospital Álvaro Cunqueiro
    Babio - Beade, Pontevedra 36312, Spain
  • Hospital del Mar
    Barcelona, 08003, Spain
  • Hospital Ramón y Cajal
    Madrid, 28034, Spain
  • Hospital Virgen de la Victoria
    Málaga, 29010, Spain
  • Hospital Clínico Universitario de Valencia
    Valencia, 46010, Spain
  • Hospital General Universitario de Valencia
    Valencia, 46014, Spain
  • Hospital Universitari i Politècnic La Fe
    Valencia, 46026, Spain
08

References and documents

Publications

  • Goldsmith SR, Burkhoff D, Gustafsson F, Voors A, Zannad F, Kolkhof P, Staedtler G, Colorado P, Dinh W, Udelson JE. Dual Vasopressin Receptor Antagonism to Improve Congestion in Patients With Acute Heart Failure: Design of the AVANTI Trial. J Card Fail. 2021 Feb;27(2):233-241. doi: 10.1016/j.cardfail.2020.10.007. Epub 2020 Oct 24. PubMed 33188886 ↗

Individual participant data

Plan to share: No — Availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Interested researchers can use www.clinicalstudydatarequest.com to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the Study sponsors section of the portal.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 18, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03901729
Lead sponsor
Bayer
Responsible party
Sponsor
First posted
Apr 3, 2019
Start date
May 29, 2019
Primary completion
Apr 16, 2021
Completion
May 21, 2021
Last update
Apr 18, 2022

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2022. You cannot join it, but the record below documents what was studied.

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