Heart failure & cardiomyopathies

Omecamtiv Mecarbil in Black Patients With Heart Failure and Reduced Ejection Fraction: Insights From GALACTIC-HF

JACC Heart FailPublished Secondary analysis of the GALACTIC-HF randomised trial

Authors' conclusion

Black patients treated with omecamtiv mecarbil had similar benefit and safety compared with White counterparts.

Study context

Population
Symptomatic heart failure (HF), elevated natriuretic peptides, left ventricular ejection fraction (LVEF) ≤35%; Black vs White patients in countries contributing ≥10 Black participants
Participants
562 Black patients
Comparison
Omecamtiv mecarbil vs placebo in Black vs White patients
Primary endpoint
Composite of:
  • Time to first HF event
  • CV death
Methodological detailssubgroup analysis by race
  • Subgroup analysis by race

Primary result

As reported in the abstract

Primary endpoint, Black vs White patients

Hazard ratio

0.83

Black patients

Hazard ratio

0.88

White patients

Further findings

Heart rate and NT-proBNP

Similar improvements in Black vs White patients

Placebo-corrected change in BP from baseline, Black vs White patients

mm Hg

Black patients
+3.4
White patients
−0.7
  • P for interaction = 0.02
  • Only nominally significant treatment-by-race interaction

Original publication

Omecamtiv Mecarbil in Black Patients With Heart Failure and Reduced Ejection Fraction: Insights From GALACTIC-HF. JACC Heart Fail. Published 1 February 2023. doi:10.1016/j.jchf.2022.11.021

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.