failure patients without incurring the risks associated with inodilators in current clinical use,” said David Kass, M.D., the Abraham and Virginia Weiss Professor of Cardiology at Johns Hopkins University School of Medicine, who was involved in the study.
“Based on these findings,ITI-214 has the potential to be a safe,once-a-day oral inodilator with a novel mechanism of action that could have utility in clinical situations where there is great unmet medical need, ranging from the treatment of acute heart failure to the maintenance of patients with stable chronic HFrEF,” said Sharon Mates, Ph.D., Chairman and CEO of Intra-Cellular Therapies, Inc.
The initiation of StudyITI-214-104 followed findings in preclinical models thatITI-214 had improved cardiac output through a mechanism of action different from those of available heart failure therapies. These findings in preclinical models of heart failure were published by researchers at Johns Hopkins University and Intra-Cellular Therapies scientists in the journal Circulation1. Currently available heart failure drugs that strengthen heart contractions, such as PDE3 inhibitors (amrinone and milrinone) and ß-adrenergic agonists (dobutamine), are associated with potentially dangerous complications, such as arrhythmias.ITI-214 does not interact with the ß-adrenergic signaling pathway and does not stimulate abnormal rhythms in an animal model of heart failure. These experimental results demonstrated thatITI-214 may exert its effects via distinct pathways, one of which involves adenosine A2B receptor signaling, and suggest thatITI-214 may represent a mechanistically novel and potentially safe approach for the treatment of human heart failure.
About StudyITI-214-104
StudyITI-214-104 was a randomized, double-blind, placebo-controlled study of escalating single oral doses ofITI-214 (10, 30, and 90 mg) in patients with HFrEF NYHA classII-III. The primary objective of the study was to determine the effects ofITI-214 on cardiac function, using echocardiography with Doppler imaging, in patients with reduced ejection fraction (£35%) who were already maintained onstandard-of-care treatment. Safety was evaluated by monitoring for hemodynamic effects and changes in cardiac rhythm.