Clinical Trials

Multiple clinical trials spanning Phase 1 through Phase 3 evaluate the clinical development of danicamtiv in healthy participants and patients with heart failure with reduced ejection fraction, dilated cardiomyopathy, and primary familial or genetic dilated cardiomyopathy. Sponsored by organizations including Bristol-Myers Squibb, MyoKardia, Inc., and Kardigan, Inc., trial statuses encompass completed early-phase safety and pharmacokinetic evaluations, ongoing recruiting late-phase studies, and a small subset of terminated trials. Ultimately, these investigations aim to establish the safety, pharmacokinetics, and therapeutic efficacy of danicamtiv in heart failure populations.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07771465 RECRUITING
Symptomatic Genetic Dilated Cardiomyopathy (DCM)
Kardigan, Inc.
2026-08-26 PHASE3
NCT07210723 RECRUITING
Symptomatic Genetic Dilated Cardiomyopathy
Kardigan, Inc.
2026-02-13 PHASE2; PHASE3
NCT05952089 COMPLETED
Heart Failure With Reduced Ejection Fraction
Bristol-Myers Squibb
2023-08-17 PHASE1
NCT04572893 TERMINATED
Primary Familial Dilated Cardiomyopathy
Bristol-Myers Squibb
2020-08-04 PHASE2
NCT06027437 COMPLETED
Healthy Volunteers
Bristol-Myers Squibb
2023-09-05 PHASE1
NCT05806359 COMPLETED
Healthy Volunteers
Bristol-Myers Squibb
2023-03-31 PHASE1
NCT05162222 COMPLETED
Healthy Participants
Bristol-Myers Squibb
2021-12-15 PHASE1
NCT03447990 COMPLETED
Heart Failure With Reduced Ejection Fraction; Dilated Cardiomyopathy
Bristol-Myers Squibb
2018-02-06 PHASE1; PHASE2
NCT03447990 Completed
Heart Failure With Reduced Ejection Fraction|Dilated Cardiomyopathy
Bristol-Myers Squibb
2018-02-06 Phase 1|Phase 2
NCT03062956 COMPLETED
Dilated Cardiomyopathy
MyoKardia, Inc.
2017-01-16 PHASE1

(data from https://clinicaltrials.gov, updated on 2026-09-02)

Check the Danicamtiv (MYK-491) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Danicamtiv functions as a selective cardiac myosin activator that directly binds to the cardiac myosin head, enhancing cross-bridge turnover and increasing myocardial sarcomeric contractility. By bolstering systolic cardiac function and improving stroke volume, this target engagement directly counters the impaired contractile state characteristic of heart failure with reduced ejection fraction and dilated cardiomyopathy.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.