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Omecamtiv mecarbil

Small molecule

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Reliablesignal

Evidence outlook · lead readout

GALACTIC-HF (NCT02929329) · Heart Failure

The completed lead evidence has the design features that historically survive confirmatory trials: randomized, controlled, and adequately powered against a prespecified clinically accepted endpoint.

GALACTIC-HF (NCT02929329): This was a large, randomized, triple-blind, placebo-controlled trial involving 8,256 participants. Its hard clinical primary endpoint—time to cardiovascular death or first heart-failure event—was met, favoring omecamtiv mecarbil (hazard ratio 0.92, p=0.0252).

Also in development:Heart Failure with Reduced Ejection Fraction · Phase 3

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Competitive landscape

61 competitors in this universe: 1 direct rival (same mechanism and indication), 0 same-class, 60 same-indication; 17 further along in development.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Omecamtiv Mecarbil: this drugPhase 3Small moleculeCardiac myosin (activator)
DanicamtivPhase 3Small moleculeCardiac myosin (activator)
Baxdrostat (Baxfendy)ApprovedSmall moleculeAldosterone synthase (CYP11B2)
Dapagliflozin (Farxiga / Forxiga)ApprovedSmall moleculeSGLT2
Empagliflozin (Jardiance)ApprovedSmall moleculeSGLT2
Ferric Carboxymaltose (Injectafer / Ferinject)ApprovedIron Complex (iv)Iron repletion
Ferric Derisomaltose (Monoferric / Monofer)ApprovedIron Complex (iv)Iron repletion
Finerenone (Kerendia)ApprovedSmall moleculeMineralocorticoid receptor
Furosemide (subcutaneous, scPharmaceuticals) (FUROSCIX)ApprovedSmall moleculeNKCC2
Furosemide (subcutaneous, SQ Innovation) (Lasix ONYU)ApprovedSmall moleculeNKCC2
Icodextrin (peritoneal Ultrafiltration) (Extraneal)ApprovedDevice Solution (peritoneal Dialysis)Peritoneal ultrafiltration
Isosorbide Dinitrate / Hydralazine (BiDil)ApprovedSmall moleculeHydralazine/isosorbide dinitrate (fixed combination)
Ivabradine (Corlanor)ApprovedSmall moleculeIf (funny) channel
Mavacamten (Camzyos)ApprovedSmall moleculeCardiac myosin (inhibitor)
Sacubitril / Valsartan (Entresto)ApprovedSmall moleculeNeprilysin + Angiotensin II receptor (dual)
Sotagliflozin (Inpefa)ApprovedSmall moleculeSGLT1/2 (dual)

…and 46 more. Research shows the complete landscape.

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Research adds each competitor's evidence grade and sourced trial results, aligned per race, so you can see who actually has the data.

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Upcoming events

(1 total)

Estimated primary-completion dates from ClinicalTrials.gov. These are registry estimates, never confirmed readout dates; they can move as trials progress.

2027 (1)
September 2027 (1)
Phase 3Heart FailureRecruiting
Est. primary completion 2027-09 · NCT06736574 · CT.gov ↗
What to watch
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All registered studies

Every ClinicalTrials.gov study of this drug's own program, grouped by indication and phase. Research unlocks the studies themselves: titles, statuses, dates and featured-trial cross-links.

Phase 3 (4)
Phase 2 (8)
Phase 1 (4)