STANDUP AHF: Evaluate the Safety and Efficacy of 48-Hour Infusions of HNO (Nitroxyl) Donor in Hospitalized Patients With Heart Failure

Sponsor
Bristol-Myers Squibb (Industry)
Overall Status
Completed
CT.gov ID
NCT03016325
Collaborator
(none)
329
116
5
33.9
2.8
0.1

Study Details

Study Description

Brief Summary

A Study to Evaluate Safety and Efficacy of Continuous 48-Hour Intravenous Infusions of HNO Donor in Hospitalized Patients with Heart Failure and Impaired Systolic Function

Condition or Disease Intervention/Treatment Phase
  • Drug: HNO Donor
  • Drug: Placebo
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
329 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Multicenter, Randomized, Double-Blind, Parallel-Group, Placebo-Controlled, Dose-Ranging, Phase 2b Study of the Safety and Efficacy of Continuous 48-Hour Intravenous Infusions of BMS-986231 in Hospitalized Patients With Heart Failure and Impaired Systolic Function
Actual Study Start Date :
Jan 13, 2017
Actual Primary Completion Date :
Jun 23, 2019
Actual Study Completion Date :
Nov 12, 2019

Arms and Interventions

Arm Intervention/Treatment
Experimental: Part 1 Cohort 1 HNO Donor

Drug: HNO Donor
Infusion
Other Names:
  • BMS-986231
  • Placebo Comparator: Placebo Part 1 Cohort 1

    Drug: Placebo
    Infusion

    Experimental: Part 2 Cohort 2 HNO Donor- low dose

    Drug: HNO Donor
    Infusion
    Other Names:
  • BMS-986231
  • Experimental: Part 2 Cohort 2 HNO Donor- high dose

    Drug: HNO Donor
    Infusion
    Other Names:
  • BMS-986231
  • Placebo Comparator: Placebo Part 2 Cohort 2

    Drug: Placebo
    Infusion

    Outcome Measures

    Primary Outcome Measures

    1. Percentage of Participants With Clinically Relevant Hypotension up to 6 Hours After the End of Study Drug Infusion [From start of infusion up to 6 hours post end of infusion]

      Percentage of participants with clinically relevant hypotension, defined by systolic blood pressure (SBP) < 90 mm Hg (confirmed by a repeated value < 90 mm Hg) or symptoms of hypotension, up to 6 hours after the end of study drug infusion

    Secondary Outcome Measures

    1. Change in NT-proBNP From Baseline to Hour 24, 48, 72, 120 or Discharge (Whichever Comes First), and at Day 32 [0, 24, 48, 72, 120 hour or discharge; Day 32]

      Assess the effect of BMS-986231 on NT-proBNP (N-terminal prohormone of brain natriuretic peptide)

    2. Change in Participant-reported Resting Dyspnea From Baseline Through Hour 72 [Hours 6, 12, 24, 48, and 72]

      Endpoint was measured by the area under the curve (AUC) of the 11-point Numerical Rating Scale (NRS) obtained at baseline, and Hours 6, 12, 24, 48, and 72. Participants were asked to report their absolute current severity of dyspnea on an 11-point numerical rating scale (NRS; range 0 to 10). The numerical rating scale (NRS) was used to assess the degree of dyspnea (breathlessness), measured using an 11-point scale provided by the Sponsor. A score of 0 represents "I am not breathless at all" and 10 represents "I am the most breathless I can possibly imagine".

    3. Percentage of Participants With Symptomatic Hypotension up to 6 Hours After the End of Study Drug Infusion [From start of infusion up to 6 hours post end of infusion]

      The percentage of participants experiencing symptoms of hypotension up to 6 hours post-treatment was reported for each arm.

    4. Percentage of Participants With SBP < 90 mm Hg (Confirmed by a Repeated Value) [From start of infusion up to 6 hours post end of infusion]

      The percentage of participants experiencing SBP < 90 mm Hg (confirmed by a repeated value) up to 6 hours post-treatment was reported for each arm.

    5. Number of Participants With a Serious Adverse Events (SAE) Assessed up to Day 32 [32 days]

      Number of participants who experienced an in-study SAE. Medical Dictionary for Regulatory Activities (MedDRA) version: 22.0 Included serious adverse events with onset time from the start of study treatment, up to and including 32 days after the start of study treatment.

    6. Number of Participants Who Discontinued Due to Hypotension [up to 120 hours (for AEs); up to 32 days (for SAEs)]

      Number of participants who discontinued study treatment due to hypotension. Medical Dictionary for Regulatory Activities (MedDRA) version: 22.0 Included nonserious adverse events with onset time from the start of study treatment, up to and including 120 hours after the start of study treatment and serious adverse events with onset time from the start of study treatment, up to and including 32 days after the start of study treatment. Hypotension defined as systolic blood pressure (SBP) < 90 mmHg.

    7. Number of Participants Who Discontinued, Experienced a Down-titration or Dose Interruption Due to Decreased Blood Pressure [up to 120 hours (for AEs); up to 32 days (for SAEs)]

      Number of participants who discontinued study treatment, experienced a down-titration (dose reduction) or dose interruption due to decreased blood pressure/hypotension are reported below. Medical Dictionary for Regulatory Activities (MedDRA) version: 22.0 Included nonserious adverse events with onset time from the start of study treatment, up to and including 120 hours after the start of study treatment and serious adverse events with onset time from the start of study treatment, up to and including 32 days after the start of study treatment. If the participant experienced systolic blood pressure (SBP) < 95 mm Hg, without symptoms related to hypotension, the measurement was repeated within 15 minutes. If the SBP remained < 95 mm Hg, the dose reduction occurred.

    8. Number of Participants With an Adverse Event (AE) Assessed up to 120 Hours [up to 120 hours]

      Number of participants who experienced an in-study AE. Medical Dictionary for Regulatory Activities (MedDRA) version: 22.0 Included nonserious adverse events with onset time from the start of study treatment, up to and including 120 hours after the start of study treatment.

    9. Number of Participants Who Died (All- Cause and Cardiovascular-related) Through Day 182 [through 182 days]

      Number of participants who died (all- cause and CV related) through Day 182. Medical Dictionary for Regulatory Activities (MedDRA) version: 22.0 CV=Cardiovascular

    10. Change in Troponin T From Baseline to Hour 24, 48, and 72 [from baseline to Hour 24, 48, and 72]

      Baseline = Last non-missing result with a collection date-time less than or on the date-time of the start of infusion of study drug

    11. Number of Participants With Marked Laboratory Abnormality Assessed to 120 Hours - Hematology [to 120 hours]

      Number of participants who experienced an in-study Hematology marked laboratory abnormality (reported in > 5% of total participants). Medical Dictionary for Regulatory Activities (MedDRA) version: 22.0

    12. Number of Participants With Marked Laboratory Abnormality Assessed to 120 Hours - Chemistry [to 120 hours]

      Number of participants who experienced an in-study Chemistry marked laboratory abnormality (reported in > 5% of total participants). Medical Dictionary for Regulatory Activities (MedDRA) version: 22.0

    13. Number of Participants With Marked Laboratory Abnormality Assessed to 120 Hours - Urinalysis [to 120 hours]

      Number of participants who experienced an in-study Urinalysis marked laboratory abnormality (reported in > 5% of total participants). Medical Dictionary for Regulatory Activities (MedDRA) version: 22.0

    14. Change in Vital Signs From Baseline to 120 Hours - Blood Pressure [to 120 hours]

      The change in baseline for vital signs was reported for each arm.

    15. Change in Vital Signs From Baseline to 120 Hours - Heart Rate [to 120 hours]

      The change in baseline for vital signs was reported for each arm.

    16. Change in Vital Signs From Baseline to 120 Hours - Respiratory Rate [to 120 hours]

      The change in baseline for vital signs was reported for each arm.

    17. Change in Vital Signs From Baseline to 120 Hours - Temperature [to 120 hours]

      The change in baseline for vital signs was reported for each arm.

    18. Change in Electrocardiograms (ECGs) From Baseline to 120 Hours - Mean Heart Rate [to 120 hours]

      The change in baseline for ECGs was reported for each arm.

    19. Change in Electrocardiograms (ECGs) From Baseline to 120 Hours - PR, QT, QTcF Intervals and QRS Duration [to 120 hours]

      The change in baseline for ECGs was reported for each arm.

    20. Change in Physical Measurements From Baseline to 120 Hours [to 120 hours]

      The change in baseline for physical measurements was reported for each arm.

    21. Change in Laboratory Assessments From Baseline to 120 Hours, Main Study Cohorts Only - x10^9 Cells/L [to 120 hours]

      The change in baseline for laboratory assessments was reported for each arm of the Main study cohorts only.

    22. Change in Laboratory Assessments From Baseline to 120 Hours, Main Study Cohorts Only - g/L [to 120 hours]

      The change in baseline for laboratory assessments was reported for each arm of the Main study cohorts only.

    23. Change in Laboratory Assessments From Baseline to 120 Hours, Main Study Cohorts Only - mmol/L [to 120 hours]

      The change in baseline for laboratory assessments was reported for each arm of the Main study cohorts only.

    24. Change in Laboratory Assessments From Baseline to 120 Hours, Main Study Cohorts Only - U/L [to 120 hours]

      The change in baseline for laboratory assessments was reported for each arm of the Main study cohorts only.

    25. Change in Laboratory Assessments From Baseline to 120 Hours, Main Study Cohorts Only - mg/dL [to 120 hours]

      The change in baseline for laboratory assessments was reported for each arm of the Main study cohorts only.

    26. Change in Laboratory Assessments From Baseline to 120 Hours, Main Study Cohorts Only - x10^12 c/L [to 120 hours]

      The change in baseline for laboratory assessments was reported for each arm of the Main study cohorts only.

    27. Change in Laboratory Assessments From Baseline to 120 Hours, Japan Cohort Only - Protein (Nmol/L) [to 120 hours]

      The change in baseline for laboratory assessments was reported for each arm of the Japan cohort only.

    28. Change in Laboratory Assessments From Baseline to 120 Hours, Japan Cohort Only - Creatinine (µmol/L) [to 120 hours]

      The change in baseline for laboratory assessments was reported for each arm of the Japan cohort only.

    29. Change in Laboratory Assessments From Baseline to 120 Hours, Japan Cohort Only - Cystatin (mg/L) [to 120 hours]

      The change in baseline for laboratory assessments was reported for each arm of the Japan cohort only.

    30. Change in Laboratory Assessments From Baseline to 120 Hours, Japan Cohort Only - Percentage Fractional Potassium Excretion [to 120 hours]

      The change in baseline for laboratory assessments was reported for each arm of the Japan cohort only.

    31. Change in Laboratory Assessments From Baseline to 120 Hours, Japan Cohort Only - Percentage Fractional Sodium Excretion [to 120 hours]

      The change in baseline for laboratory assessments was reported for each arm of the Japan cohort only.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No

    For more information regarding Bristol-Myers Squibb Clinical Trial participation, please visit www.BMSStudyConnect.com

    Inclusion Criteria:
    • Actively being hospitalized for acute decompensated heart failure

    • At least 1 administration of IV diuretic for the current episode

    • Be randomized within 18 hours of first dose of IV diuretic for current episode for Part 1 Cohort 1, or 48 hours for first dose for Part II Cohort II

    • Have shortness of breath at rest or with minimal exertion after administration of 1 dose of IV diuretic

    • Have history of heart failure and a left ventricular ejection fraction (LVEF) ≤ 40%

    Exclusion Criteria:
    • Systolic blood pressure <105mm Hg or >160mm Hg or heart rate <50 or >130 bpm

    • Have an active infection requiring IV anti-microbial treatment

    • Be hospitalized with acute coronary syndrome, coronary revascularization or acute myocardial infarction during the previous 90 days prior to screening

    • Have a history of a cerebral vascular accident (CVA or stroke) or of a transient ischemic attack (TIA) during the previous 90 days prior to screening

    • Suspected acute lung disease (e.g pneumonia or asthma) or severe chronic lung disease (e.g. severe chronic obstructive pulmonary disease, or pulmonary fibrosis)

    Other protocol defined inclusion/exclusion criteria could apply

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 University of Arizona Sarver Heart Center Tucson Arizona United States 85724
    2 University of Florida Gainesville Florida United States 32610
    3 Tampa General Hospital Tampa Florida United States 33606
    4 Emory University Atlanta Georgia United States 30322
    5 Indiana University Health Methodist Hospital Indianapolis Indiana United States 46202
    6 University of Maryland Medical Center Baltimore Maryland United States 21201
    7 DMC Detroit Receiving Hospital Detroit Michigan United States 48201
    8 Harper University Hospital Detroit Michigan United States 48201
    9 Henry Ford Health System Detroit Michigan United States 48202
    10 Sinai Grace Hospital Detroit Michigan United States 48235
    11 Saint Louis University Saint Louis Missouri United States 63110
    12 Washington University Saint Louis Missouri United States 63110
    13 University of North Carolina at Chapel Hill Chapel Hill North Carolina United States 27599
    14 Duke University Medical Center Durham North Carolina United States 27710
    15 University of Cincinnati Cincinnati Ohio United States 45267
    16 Wexner Medical Center at The Ohio State University Columbus Ohio United States 43210
    17 University of Pennsylvania Philadelphia Pennsylvania United States 19104
    18 Thomas Jefferson University Philadelphia Pennsylvania United States 19107
    19 Medical University of South Carolina - PPDS Charleston South Carolina United States 29425
    20 Vanderbilt University Medical Center Nashville Tennessee United States 37232
    21 University of Texas Southwestern Medical Center Dallas Texas United States 75390
    22 Ben Taub General Hospital Houston Texas United States 77030
    23 University of Utah Medical Center Salt Lake City Utah United States 84132
    24 University of Virginia Health System Charlottesville Virginia United States 22908
    25 Local Institution Caba Buenos Aires Argentina C1428ART
    26 Local Institution Rosario Santa FE Argentina Santa Fe, 2000
    27 Local Institution Buenos Aires Argentina
    28 Local Institution Cordoba Argentina 5000
    29 Local Institution Cordoba Argentina X5000AAX
    30 Local Institution Cordoba Argentina X5000EPU
    31 Local Institution Cordoba Argentina X5000JHQ
    32 Local Institution Cordoba Argentina
    33 Local Institution Corrientes Argentina 3400
    34 Local Institution Santa Fe Argentina 3000
    35 Local Institution Edmonton Alberta Canada T6G 2R3
    36 Local Institution Halifax Nova Scotia Canada B3H 4S9
    37 Local Institution Quebec Canada G1V 4G5
    38 Local Institution Brno Czechia 625 00
    39 Local Institution Brno Czechia 656 91
    40 Local Institution Hradec Kralove Czechia 500 05
    41 Local Institution Plzen-Bory Czechia 305 99
    42 Local Institution Prague Czechia 12808
    43 Local Institution Praha 4 Czechia 140 21
    44 Local Institution Slany Czechia 274 01
    45 Local Institution Besancon France 25000
    46 Local Institution Beziers France 34500
    47 Local Institution Bobigny France 93009
    48 Local Institution Creteil France
    49 Local Institution Evreux France 27015
    50 Local Institution La Tronche France 38700
    51 Local Institution Paris Cedex 10 France 75475
    52 Local Institution Paris France 75013
    53 Local Institution Bad Nauheim Germany 61231
    54 Local Institution Frankfurt Germany 60590
    55 Local Institution Gottingen Germany 37075
    56 Local Institution Greifswald Germany
    57 Local Institution Hamburg Germany 20246
    58 Local Institution Hannover Germany 30625
    59 Local Institution Homburg Germany 66421
    60 Local Institution Ludwigshafen Germany 67063
    61 Local Institution Mainz Germany
    62 Local Institution Regensburg Germany 935053
    63 Local Institution Athens, Attiki Greece 11527
    64 Local Institution Athens Greece 11527
    65 Local Institution Athens Greece 12464
    66 Local Institution Athens Greece 14233
    67 Local Institution Ioannina Greece 45500
    68 Local Institution Kallithea Greece 17674
    69 Local Institution Larisa Greece 41110
    70 Local Institution Thessaloniki Greece 54636
    71 Local Institution Brescia Italy 25123
    72 Local Institution Ferrara Italy 44121
    73 Local Institution Foggia Italy 71121
    74 Local Institution Nagoya-shi Aichi Japan 4678602
    75 Local Institution Seto Aichi Japan 489-0065
    76 Local Institution Fukushima-shi Fukushima Japan 9601295
    77 Local Institution Sapporo-shi Hokkaido Japan 0608648
    78 Local Institution Amagasaki Hyogo Japan 6608550
    79 Local Institution Sagamihara-shi Kanagawa Japan 2520375
    80 Local Institution Yokohama Kanagawa Japan 227-8501
    81 Local Institution Yokohama Kanagawa Japan 232-0024
    82 Local Institution Okayama-shi Okayama Japan 7008558
    83 Local Institution Suita-shi Osaka Japan
    84 Local Institution Kawaguchi Saitama Japan 333-0842
    85 Local Institution Bunkyo-ku Tokyo Japan 1138431
    86 Local Institution Bunkyo-ku Tokyo Japan 1138603
    87 Local Institution Itabashi-ku Tokyo Japan 1738610
    88 Local Institution Osaka Japan 558-8558
    89 Local Institution Tokyo Japan 113-8655
    90 Local Institution Tokyo Japan 162-8655
    91 Local Institution Amersfoort Netherlands 3818 ES
    92 Local Institution Deventer Netherlands 7416 SE
    93 Local Institution Hardenberg Netherlands 7772 SE
    94 Local Institution Leeuwarden Netherlands 8934 AD
    95 Local Institution Bialystok Poland 15-276
    96 Local Institution Katowice Poland 40-635
    97 Local Institution Krakow Poland 31-202
    98 Local Institution Lodz Poland 91-347
    99 Local Institution Lodz Poland 92-213
    100 Local Institution Warszawa Poland 04-628
    101 Local Institution Wroclaw Poland 50-981
    102 Local Institution Wroclaw Poland 54-049
    103 Local Institution Zamosc Poland 22-400
    104 Local Institution Alicante Spain 03010
    105 Local Institution Barcelona Spain 08025
    106 Local Institution Barcelona Spain 8035
    107 Local Institution L'Hospitalet de Llobregat Spain 08907
    108 Local Institution Madrid Spain 28007
    109 Local Institution Madrid Spain 28041
    110 Local Institution Sant Joan Despi Spain 08970
    111 Local Institution Santiago De Compostela Spain 15706
    112 Local Institution Belfast United Kingdom BT16 1RH
    113 Local Institution Blackpool United Kingdom FY3 8NR
    114 Local Institution Glasgow United Kingdom G4 0SF
    115 Local Institution Glasgow United Kingdom G51 4TF
    116 Local Institution London United Kingdom SW17 0QT

    Sponsors and Collaborators

    • Bristol-Myers Squibb

    Investigators

    • Study Director: Bristol-Myers Squibb, Bristol-Myers Squibb

    Study Documents (Full-Text)

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    Bristol-Myers Squibb
    ClinicalTrials.gov Identifier:
    NCT03016325
    Other Study ID Numbers:
    • CV013-011
    • 2016-001685-29
    First Posted:
    Jan 10, 2017
    Last Update Posted:
    Jan 6, 2021
    Last Verified:
    Dec 1, 2020
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail Main study cohorts: 100 participants in Part I and 222 in Part II were assigned to treatment (322 randomized in total), of which 97 and 214, respectively, were treated (311 total treated). Reasons not treated (Part I): 3 other reasons. Reasons not treated (Part II): 2 no longer met study criteria; 1 adverse event (AE); 5 other reasons. Japanese-specific cohort: 18 participants were randomized and treated in Part II (Japan cohort)
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants
    Period Title: Treatment Period
    STARTED 48 49 71 71 72 6 6 6
    COMPLETED 48 48 70 71 70 6 6 6
    NOT COMPLETED 0 1 1 0 2 0 0 0
    Period Title: Treatment Period
    STARTED 48 49 71 71 72 6 6 6
    COMPLETED 44 47 62 63 64 6 5 6
    NOT COMPLETED 4 2 9 8 8 0 1 0
    Period Title: Treatment Period
    STARTED 48 49 71 71 72 6 6 6
    COMPLETED 44 45 60 58 60 1 2 1
    NOT COMPLETED 4 4 11 13 12 5 4 5

    Baseline Characteristics

    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort) Total
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants Total of all reporting groups
    Overall Participants 48 49 71 71 72 6 6 6 329
    Age (Years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [Years]
    66.0
    (12.23)
    64.6
    (12.23)
    67.3
    (11.52)
    69.2
    (11.41)
    70.0
    (11.52)
    65.3
    (17.88)
    69.5
    (13.31)
    76.7
    (10.48)
    67.9
    (11.94)
    Age, Customized (Count of Participants)
    < 65 years
    17
    35.4%
    24
    49%
    21
    29.6%
    23
    32.4%
    19
    26.4%
    3
    50%
    3
    50%
    1
    16.7%
    111
    33.7%
    65 -to <=75 years
    22
    45.8%
    15
    30.6%
    36
    50.7%
    26
    36.6%
    30
    41.7%
    0
    0%
    1
    16.7%
    2
    33.3%
    132
    40.1%
    >75 years
    9
    18.8%
    10
    20.4%
    14
    19.7%
    22
    31%
    23
    31.9%
    3
    50%
    2
    33.3%
    3
    50%
    86
    26.1%
    Sex: Female, Male (Count of Participants)
    Female
    8
    16.7%
    10
    20.4%
    18
    25.4%
    20
    28.2%
    15
    20.8%
    0
    0%
    1
    16.7%
    2
    33.3%
    74
    22.5%
    Male
    40
    83.3%
    39
    79.6%
    53
    74.6%
    51
    71.8%
    57
    79.2%
    6
    100%
    5
    83.3%
    4
    66.7%
    255
    77.5%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    0
    0%
    1
    2%
    9
    12.7%
    11
    15.5%
    11
    15.3%
    0
    0%
    0
    0%
    0
    0%
    32
    9.7%
    Not Hispanic or Latino
    44
    91.7%
    45
    91.8%
    18
    25.4%
    23
    32.4%
    20
    27.8%
    0
    0%
    0
    0%
    0
    0%
    150
    45.6%
    Unknown or Not Reported
    4
    8.3%
    3
    6.1%
    44
    62%
    37
    52.1%
    41
    56.9%
    6
    100%
    6
    100%
    6
    100%
    147
    44.7%
    Race/Ethnicity, Customized (Count of Participants)
    White
    35
    72.9%
    37
    75.5%
    63
    88.7%
    62
    87.3%
    66
    91.7%
    0
    0%
    0
    0%
    0
    0%
    263
    79.9%
    Black or African American
    11
    22.9%
    11
    22.4%
    4
    5.6%
    7
    9.9%
    4
    5.6%
    0
    0%
    0
    0%
    0
    0%
    37
    11.2%
    Asian
    0
    0%
    0
    0%
    2
    2.8%
    2
    2.8%
    2
    2.8%
    6
    100%
    6
    100%
    6
    100%
    24
    7.3%
    Other
    2
    4.2%
    1
    2%
    2
    2.8%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    5
    1.5%

    Outcome Measures

    1. Primary Outcome
    Title Percentage of Participants With Clinically Relevant Hypotension up to 6 Hours After the End of Study Drug Infusion
    Description Percentage of participants with clinically relevant hypotension, defined by systolic blood pressure (SBP) < 90 mm Hg (confirmed by a repeated value < 90 mm Hg) or symptoms of hypotension, up to 6 hours after the end of study drug infusion
    Time Frame From start of infusion up to 6 hours post end of infusion

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants
    Measure Participants 48 49 71 71 72 6 6 6
    clinically relevant hypotension
    8.3
    17.3%
    20.4
    41.6%
    18.3
    25.8%
    21.1
    29.7%
    34.7
    48.2%
    0
    0%
    33.3
    555%
    50.0
    833.3%
    symptoms of hypotension
    2.1
    4.4%
    6.1
    12.4%
    1.4
    2%
    2.8
    3.9%
    8.3
    11.5%
    0
    0%
    0
    0%
    0
    0%
    confirmed SBP < 90 mmHg
    6.3
    13.1%
    20.4
    41.6%
    18.3
    25.8%
    21.1
    29.7%
    29.2
    40.6%
    0
    0%
    33.3
    555%
    50.0
    833.3%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Placebo - Part I, BMS-986231 - Part I
    Comments
    Type of Statistical Test Superiority
    Comments Part I, clinically relevant hypotension - relative risk
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative risk from placebo
    Estimated Value 2.45
    Confidence Interval (2-Sided) 95%
    0.83 to 14.53
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Placebo - Part I, BMS-986231 - Part I
    Comments
    Type of Statistical Test Superiority
    Comments Part I, clinically relevant hypotension - relative difference
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative difference from placebo
    Estimated Value 0.12
    Confidence Interval (2-Sided) 95%
    -0.02 to 0.28
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Placebo - Part I, BMS-986231 - Part I
    Comments
    Type of Statistical Test Superiority
    Comments Part I, symptoms of hypotension - relative risk
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative risk from placebo
    Estimated Value 2.94
    Confidence Interval (2-Sided) 95%
    0.31 to 75.47
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Placebo - Part I, BMS-986231 - Part I
    Comments
    Type of Statistical Test Superiority
    Comments Part I, symptoms of hypotension - relative difference
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative difference from placebo
    Estimated Value 0.04
    Confidence Interval (2-Sided) 95%
    -0.06 to 0.15
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Placebo - Part I, BMS-986231 - Part I
    Comments
    Type of Statistical Test Superiority
    Comments Part I, confirmed SBP < 90 mmHg - relative risk
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative risk from placebo
    Estimated Value 3.27
    Confidence Interval (2-Sided) 95%
    1.01 to 14.66
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Placebo - Part I, BMS-986231 - Part I
    Comments
    Type of Statistical Test Superiority
    Comments Part I, confirmed SBP < 90 mmHg - relative difference
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative difference from placebo
    Estimated Value 0.14
    Confidence Interval (2-Sided) 95%
    0.00 to 0.29
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Placebo - Part II, BMS-986231 6 µg/kg/Min - Part II
    Comments
    Type of Statistical Test Superiority
    Comments Part II (low dose), clinically relevant hypotension - relative risk
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative risk from placebo
    Estimated Value 1.15
    Confidence Interval (2-Sided) 95%
    0.58 to 2.43
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Placebo - Part II, BMS-986231 6 µg/kg/Min - Part II
    Comments
    Type of Statistical Test Superiority
    Comments Part II (low dose), clinically relevant hypotension - relative difference
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative difference from placebo
    Estimated Value 0.03
    Confidence Interval (2-Sided) 95%
    -0.11 to 0.16
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Placebo - Part II, BMS-986231 6 µg/kg/Min - Part II
    Comments
    Type of Statistical Test Superiority
    Comments Part II (low dose), symptoms of hypotension - relative risk
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative risk from placebo
    Estimated Value 2.00
    Confidence Interval (2-Sided) 95%
    0.18 to 54.35
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 10
    Statistical Analysis Overview Comparison Group Selection Placebo - Part II, BMS-986231 6 µg/kg/Min - Part II
    Comments
    Type of Statistical Test Superiority
    Comments Part II (low dose), symptoms of hypotension - relative difference
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative difference from placebo
    Estimated Value 0.01
    Confidence Interval (2-Sided) 95%
    -0.05 to 0.09
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 11
    Statistical Analysis Overview Comparison Group Selection Placebo - Part II, BMS-986231 6 µg/kg/Min - Part II
    Comments
    Type of Statistical Test Superiority
    Comments Part II (low dose), confirmed SBP < 90 mmHg - relative risk
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative risk from placebo
    Estimated Value 1.15
    Confidence Interval (2-Sided) 95%
    0.58 to 2.43
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 12
    Statistical Analysis Overview Comparison Group Selection Placebo - Part II, BMS-986231 6 µg/kg/Min - Part II
    Comments
    Type of Statistical Test Superiority
    Comments Part II (low dose), confirmed SBP < 90 mmHg - relative difference
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative difference from placebo
    Estimated Value 0.03
    Confidence Interval (2-Sided) 95%
    -0.11 to 0.16
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 13
    Statistical Analysis Overview Comparison Group Selection Placebo - Part II, BMS-986231 12 µg/kg/Min - Part II
    Comments
    Type of Statistical Test Superiority
    Comments Part II (high dose), clinically relevant hypotension - relative risk
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative risk from placebo
    Estimated Value 1.90
    Confidence Interval (2-Sided) 95%
    1.04 to 3.59
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 14
    Statistical Analysis Overview Comparison Group Selection Placebo - Part II, BMS-986231 12 µg/kg/Min - Part II
    Comments
    Type of Statistical Test Superiority
    Comments Part II (high dose), clinically relevant hypotension - relative difference
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative difference from placebo
    Estimated Value 0.16
    Confidence Interval (2-Sided) 95%
    0.01 to 0.31
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 15
    Statistical Analysis Overview Comparison Group Selection Placebo - Part II, BMS-986231 12 µg/kg/Min - Part II
    Comments
    Type of Statistical Test Superiority
    Comments Part II (high dose), symptoms of hypotension - relative risk
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative risk from placebo
    Estimated Value 5.92
    Confidence Interval (2-Sided) 95%
    0.91 to 149.72
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 16
    Statistical Analysis Overview Comparison Group Selection Placebo - Part II, BMS-986231 12 µg/kg/Min - Part II
    Comments
    Type of Statistical Test Superiority
    Comments Part II (high dose), symptoms of hypotension - relative difference
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative difference from placebo
    Estimated Value 0.07
    Confidence Interval (2-Sided) 95%
    -0.01 to 0.16
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 17
    Statistical Analysis Overview Comparison Group Selection Placebo - Part II, BMS-986231 12 µg/kg/Min - Part II
    Comments
    Type of Statistical Test Superiority
    Comments Part II (high dose), confirmed SBP < 90 mmHg - relative risk
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative risk from placebo
    Estimated Value 1.59
    Confidence Interval (2-Sided) 95%
    0.87 to 3.21
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 18
    Statistical Analysis Overview Comparison Group Selection Placebo - Part II, BMS-986231 12 µg/kg/Min - Part II
    Comments
    Type of Statistical Test Superiority
    Comments Part II (high dose), confirmed SBP < 90 mmHg - relative difference
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative difference from placebo
    Estimated Value 0.11
    Confidence Interval (2-Sided) 95%
    -0.04 to 0.25
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 19
    Statistical Analysis Overview Comparison Group Selection Placebo - Part II (Japan Cohort), BMS-986231 6 µg/kg/Min - Part II (Japan Cohort)
    Comments
    Type of Statistical Test Superiority
    Comments Part II-Japan (low dose), clinically relevant hypotension - relative difference
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative difference from placebo
    Estimated Value 0.33
    Confidence Interval (2-Sided) 95%
    -0.17 to 0.78
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 20
    Statistical Analysis Overview Comparison Group Selection Placebo - Part II (Japan Cohort), BMS-986231 6 µg/kg/Min - Part II (Japan Cohort)
    Comments
    Type of Statistical Test Superiority
    Comments Part II-Japan (low dose), confirmed SBP < 90 mmHg - relative difference
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative difference from placebo
    Estimated Value 0.33
    Confidence Interval (2-Sided) 95%
    -0.17 to 0.78
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 21
    Statistical Analysis Overview Comparison Group Selection Placebo - Part II (Japan Cohort), BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Comments
    Type of Statistical Test Superiority
    Comments Part II-Japan (high dose), clinically relevant hypotension - relative difference
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative difference from placebo
    Estimated Value 0.50
    Confidence Interval (2-Sided) 95%
    -0.04 to 0.88
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 22
    Statistical Analysis Overview Comparison Group Selection Placebo - Part II (Japan Cohort), BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Comments
    Type of Statistical Test Superiority
    Comments Part II-Japan (high dose), confirmed SBP < 90 mmHg - relative difference
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative difference from placebo
    Estimated Value 0.50
    Confidence Interval (2-Sided) 95%
    -0.04 to 0.88
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    2. Secondary Outcome
    Title Change in NT-proBNP From Baseline to Hour 24, 48, 72, 120 or Discharge (Whichever Comes First), and at Day 32
    Description Assess the effect of BMS-986231 on NT-proBNP (N-terminal prohormone of brain natriuretic peptide)
    Time Frame 0, 24, 48, 72, 120 hour or discharge; Day 32

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants
    Measure Participants 48 49 71 71 72 6 6 6
    24 hour
    -270.88
    (400.320)
    -364.46
    (456.158)
    -147.96
    (452.239)
    -340.74
    (430.639)
    -416.91
    (503.825)
    -129.70
    (255.716)
    -165.93
    (185.910)
    -397.60
    (330.721)
    48 hour
    -405.06
    (591.711)
    -510.51
    (592.734)
    -210.87
    (580.487)
    -300.87
    (725.268)
    -472.32
    (610.590)
    -329.24
    (646.985)
    -251.73
    (243.794)
    -497.35
    (725.286)
    72 hour
    -396.21
    (675.761)
    -373.86
    (702.530)
    -249.26
    (655.999)
    -118.86
    (900.798)
    -293.94
    (685.681)
    -433.08
    (761.573)
    9.89
    (523.754)
    -229.56
    (809.850)
    120 hour
    -541.36
    (773.006)
    -409.53
    (751.624)
    -140.60
    (1358.127)
    -76.20
    (993.110)
    -390.21
    (717.114)
    -434.36
    (659.528)
    -379.06
    (244.917)
    -552.55
    (824.009)
    Day 32
    -202.07
    (799.169)
    -91.61
    (2254.397)
    -321.73
    (600.297)
    -361.73
    (782.881)
    -476.86
    (716.072)
    -556.69
    (1288.342)
    -343.64
    (377.590)
    -706.11
    (1111.877)
    3. Secondary Outcome
    Title Change in Participant-reported Resting Dyspnea From Baseline Through Hour 72
    Description Endpoint was measured by the area under the curve (AUC) of the 11-point Numerical Rating Scale (NRS) obtained at baseline, and Hours 6, 12, 24, 48, and 72. Participants were asked to report their absolute current severity of dyspnea on an 11-point numerical rating scale (NRS; range 0 to 10). The numerical rating scale (NRS) was used to assess the degree of dyspnea (breathlessness), measured using an 11-point scale provided by the Sponsor. A score of 0 represents "I am not breathless at all" and 10 represents "I am the most breathless I can possibly imagine".
    Time Frame Hours 6, 12, 24, 48, and 72

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants
    Measure Participants 48 49 71 71 72 6 6 6
    6 hour
    -1.5
    (1.84)
    -1.5
    (1.64)
    -1.1
    (1.90)
    -1.7
    (1.94)
    -1.7
    (2.13)
    -0.3
    (1.03)
    0.0
    (2.90)
    -1.3
    (3.44)
    12 hour
    -2.1
    (2.38)
    -2.2
    (1.73)
    -1.7
    (2.75)
    -2.4
    (2.38)
    -2.0
    (2.49)
    -1.0
    (1.79)
    -0.2
    (3.37)
    -1.4
    (4.22)
    24 hour
    -2.0
    (2.50)
    -2.1
    (2.19)
    -2.1
    (2.82)
    -2.9
    (2.68)
    -2.2
    (2.42)
    -0.8
    (1.72)
    -1.5
    (3.02)
    -1.2
    (2.14)
    48 hour
    -2.8
    (2.15)
    -2.6
    (2.51)
    -2.8
    (3.00)
    -3.4
    (2.44)
    -2.8
    (2.45)
    -1.2
    (1.47)
    -0.8
    (3.43)
    -2.0
    (1.67)
    72 hour
    -2.9
    (2.23)
    -3.7
    (2.22)
    -3.2
    (3.19)
    -3.9
    (2.28)
    -3.2
    (2.73)
    -1.2
    (2.14)
    -1.2
    (3.19)
    -2.0
    (2.00)
    4. Secondary Outcome
    Title Percentage of Participants With Symptomatic Hypotension up to 6 Hours After the End of Study Drug Infusion
    Description The percentage of participants experiencing symptoms of hypotension up to 6 hours post-treatment was reported for each arm.
    Time Frame From start of infusion up to 6 hours post end of infusion

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants
    Measure Participants 48 49 71 71 72 6 6 6
    Number (95% Confidence Interval) [Percentage of participants]
    2.1
    4.4%
    6.1
    12.4%
    1.4
    2%
    2.8
    3.9%
    8.3
    11.5%
    0
    0%
    0
    0%
    0
    0%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Placebo - Part I, BMS-986231 - Part I
    Comments
    Type of Statistical Test Superiority
    Comments Part I, symptoms of hypotension - relative risk
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative risk from placebo
    Estimated Value 2.94
    Confidence Interval (2-Sided) 95%
    0.31 to 75.47
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Placebo - Part I, BMS-986231 - Part I
    Comments
    Type of Statistical Test Superiority
    Comments Part I, symptoms of hypotension - relative difference
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative difference from placebo
    Estimated Value 0.04
    Confidence Interval (2-Sided) 95%
    -0.06 to 0.15
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Placebo - Part II, BMS-986231 6 µg/kg/Min - Part II
    Comments
    Type of Statistical Test Superiority
    Comments Part II (low dose), symptoms of hypotension - relative risk
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative risk from placebo
    Estimated Value 2.00
    Confidence Interval (2-Sided) 95%
    0.18 to 54.35
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Placebo - Part II, BMS-986231 6 µg/kg/Min - Part II
    Comments
    Type of Statistical Test Superiority
    Comments Part II (low dose), symptoms of hypotension - relative difference
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative difference from placebo
    Estimated Value 0.01
    Confidence Interval (2-Sided) 95%
    -0.05 to 0.09
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Placebo - Part II, BMS-986231 12 µg/kg/Min - Part II
    Comments
    Type of Statistical Test Superiority
    Comments Part II (high dose), symptoms of hypotension - relative risk
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative risk from placebo
    Estimated Value 5.92
    Confidence Interval (2-Sided) 95%
    0.91 to 149.72
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Placebo - Part II, BMS-986231 12 µg/kg/Min - Part II
    Comments
    Type of Statistical Test Superiority
    Comments Part II (high dose), symptoms of hypotension - relative difference
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative difference from placebo
    Estimated Value 0.07
    Confidence Interval (2-Sided) 95%
    -0.01 to 0.16
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    5. Secondary Outcome
    Title Percentage of Participants With SBP < 90 mm Hg (Confirmed by a Repeated Value)
    Description The percentage of participants experiencing SBP < 90 mm Hg (confirmed by a repeated value) up to 6 hours post-treatment was reported for each arm.
    Time Frame From start of infusion up to 6 hours post end of infusion

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants
    Measure Participants 48 49 71 71 72 6 6 6
    Number (95% Confidence Interval) [Percentage of participants]
    6.3
    13.1%
    20.4
    41.6%
    18.3
    25.8%
    21.1
    29.7%
    29.2
    40.6%
    0
    0%
    33.3
    555%
    50.0
    833.3%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Placebo - Part I, BMS-986231 - Part I
    Comments
    Type of Statistical Test Superiority
    Comments Part I, confirmed SBP < 90 mmHg - relative risk
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative risk from placebo
    Estimated Value 3.27
    Confidence Interval (2-Sided) 95%
    1.01 to 14.66
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Placebo - Part I, BMS-986231 - Part I
    Comments
    Type of Statistical Test Superiority
    Comments Part I, confirmed SBP < 90 mmHg - relative difference
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative difference from placebo
    Estimated Value 0.14
    Confidence Interval (2-Sided) 95%
    0.00 to 0.29
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Placebo - Part II, BMS-986231 6 µg/kg/Min - Part II
    Comments
    Type of Statistical Test Superiority
    Comments Part II (low dose), confirmed SBP < 90 mmHg - relative risk
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative risk from placebo
    Estimated Value 1.15
    Confidence Interval (2-Sided) 95%
    0.58 to 2.43
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Placebo - Part II, BMS-986231 6 µg/kg/Min - Part II
    Comments
    Type of Statistical Test Superiority
    Comments Part II (low dose), confirmed SBP < 90 mmHg - relative difference
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative difference from placebo
    Estimated Value 0.03
    Confidence Interval (2-Sided) 95%
    -0.11 to 0.16
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Placebo - Part II, BMS-986231 12 µg/kg/Min - Part II
    Comments
    Type of Statistical Test Superiority
    Comments Part II (high dose), confirmed SBP < 90 mmHg - relative risk
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative risk from placebo
    Estimated Value 1.59
    Confidence Interval (2-Sided) 95%
    0.87 to 3.21
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Placebo - Part II, BMS-986231 12 µg/kg/Min - Part II
    Comments
    Type of Statistical Test Superiority
    Comments Part II (high dose), confirmed SBP < 90 mmHg - relative difference
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative difference from placebo
    Estimated Value 0.11
    Confidence Interval (2-Sided) 95%
    -0.04 to 0.25
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Placebo - Part II (Japan Cohort), BMS-986231 6 µg/kg/Min - Part II (Japan Cohort)
    Comments
    Type of Statistical Test Superiority
    Comments Part II-Japan (low dose), confirmed SBP < 90 mmHg - relative difference
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative difference from placebo
    Estimated Value 0.33
    Confidence Interval (2-Sided) 95%
    -0.17 to 0.78
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Placebo - Part II (Japan Cohort), BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Comments
    Type of Statistical Test Superiority
    Comments Part II-Japan (high dose), confirmed SBP < 90 mmHg - relative difference
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter Relative difference from placebo
    Estimated Value 0.50
    Confidence Interval (2-Sided) 95%
    -0.04 to 0.88
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    6. Secondary Outcome
    Title Number of Participants With a Serious Adverse Events (SAE) Assessed up to Day 32
    Description Number of participants who experienced an in-study SAE. Medical Dictionary for Regulatory Activities (MedDRA) version: 22.0 Included serious adverse events with onset time from the start of study treatment, up to and including 32 days after the start of study treatment.
    Time Frame 32 days

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants
    Measure Participants 48 49 71 71 72 6 6 6
    Number [Participants]
    11
    22.9%
    14
    28.6%
    23
    32.4%
    15
    21.1%
    15
    20.8%
    1
    16.7%
    0
    0%
    1
    16.7%
    7. Secondary Outcome
    Title Number of Participants Who Discontinued Due to Hypotension
    Description Number of participants who discontinued study treatment due to hypotension. Medical Dictionary for Regulatory Activities (MedDRA) version: 22.0 Included nonserious adverse events with onset time from the start of study treatment, up to and including 120 hours after the start of study treatment and serious adverse events with onset time from the start of study treatment, up to and including 32 days after the start of study treatment. Hypotension defined as systolic blood pressure (SBP) < 90 mmHg.
    Time Frame up to 120 hours (for AEs); up to 32 days (for SAEs)

    Outcome Measure Data

    Analysis Population Description
    All treated participants Note: Discontinuation due to hypotension occurred per protocol-mandated lowering of blood pressure to < 90 mmHg.
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants
    Measure Participants 48 49 71 71 72 6 6 6
    Number [Participants]
    4
    8.3%
    8
    16.3%
    7
    9.9%
    13
    18.3%
    16
    22.2%
    0
    0%
    1
    16.7%
    3
    50%
    8. Secondary Outcome
    Title Number of Participants Who Discontinued, Experienced a Down-titration or Dose Interruption Due to Decreased Blood Pressure
    Description Number of participants who discontinued study treatment, experienced a down-titration (dose reduction) or dose interruption due to decreased blood pressure/hypotension are reported below. Medical Dictionary for Regulatory Activities (MedDRA) version: 22.0 Included nonserious adverse events with onset time from the start of study treatment, up to and including 120 hours after the start of study treatment and serious adverse events with onset time from the start of study treatment, up to and including 32 days after the start of study treatment. If the participant experienced systolic blood pressure (SBP) < 95 mm Hg, without symptoms related to hypotension, the measurement was repeated within 15 minutes. If the SBP remained < 95 mm Hg, the dose reduction occurred.
    Time Frame up to 120 hours (for AEs); up to 32 days (for SAEs)

    Outcome Measure Data

    Analysis Population Description
    All treated participants Note: Discontinuation due to decreased blood pressure occurred per protocol-mandated lowering of blood pressure to < 95 mmHg.
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants
    Measure Participants 48 49 71 71 72 6 6 6
    discontinuation
    4
    8.3%
    8
    16.3%
    7
    9.9%
    13
    18.3%
    15
    20.8%
    0
    0%
    1
    16.7%
    3
    50%
    down-titration
    3
    6.3%
    9
    18.4%
    9
    12.7%
    10
    14.1%
    25
    34.7%
    0
    0%
    1
    16.7%
    3
    50%
    interruption
    3
    6.3%
    4
    8.2%
    4
    5.6%
    12
    16.9%
    13
    18.1%
    0
    0%
    0
    0%
    0
    0%
    9. Secondary Outcome
    Title Number of Participants With an Adverse Event (AE) Assessed up to 120 Hours
    Description Number of participants who experienced an in-study AE. Medical Dictionary for Regulatory Activities (MedDRA) version: 22.0 Included nonserious adverse events with onset time from the start of study treatment, up to and including 120 hours after the start of study treatment.
    Time Frame up to 120 hours

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants
    Measure Participants 48 49 71 71 72 6 6 6
    Number [Participants]
    31
    64.6%
    39
    79.6%
    48
    67.6%
    48
    67.6%
    55
    76.4%
    2
    33.3%
    6
    100%
    6
    100%
    10. Secondary Outcome
    Title Number of Participants Who Died (All- Cause and Cardiovascular-related) Through Day 182
    Description Number of participants who died (all- cause and CV related) through Day 182. Medical Dictionary for Regulatory Activities (MedDRA) version: 22.0 CV=Cardiovascular
    Time Frame through 182 days

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants
    Measure Participants 48 49 71 71 72 6 6 6
    All-cause
    3
    6.3%
    3
    6.1%
    11
    15.5%
    12
    16.9%
    9
    12.5%
    0
    0%
    0
    0%
    1
    16.7%
    CV-related
    3
    6.3%
    2
    4.1%
    9
    12.7%
    10
    14.1%
    4
    5.6%
    0
    0%
    0
    0%
    0
    0%
    11. Secondary Outcome
    Title Change in Troponin T From Baseline to Hour 24, 48, and 72
    Description Baseline = Last non-missing result with a collection date-time less than or on the date-time of the start of infusion of study drug
    Time Frame from baseline to Hour 24, 48, and 72

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants
    Measure Participants 48 49 71 71 72 6 6 6
    24 hour
    4.11
    (27.303)
    -1.31
    (12.278)
    -1.80
    (11.266)
    -3.45
    (20.030)
    -8.09
    (37.864)
    -4.67
    (3.983)
    1.33
    (5.750)
    -7.67
    (16.669)
    48 hour
    -0.93
    (22.714)
    14.56
    (81.979)
    -2.88
    (16.424)
    8.08
    (71.672)
    -11.15
    (45.495)
    -10.67
    (10.633)
    49.50
    (118.417)
    -8.40
    (25.501)
    72 hour
    6.07
    (30.033)
    6.76
    (66.673)
    -1.44
    (16.472)
    5.00
    (65.766)
    -13.05
    (68.276)
    -10.50
    (12.145)
    248.00
    (433.581)
    -15.00
    (25.169)
    12. Secondary Outcome
    Title Number of Participants With Marked Laboratory Abnormality Assessed to 120 Hours - Hematology
    Description Number of participants who experienced an in-study Hematology marked laboratory abnormality (reported in > 5% of total participants). Medical Dictionary for Regulatory Activities (MedDRA) version: 22.0
    Time Frame to 120 hours

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants
    Measure Participants 48 49 71 71 72 6 6 6
    high leukocyte counts
    5
    10.4%
    2
    4.1%
    5
    7%
    4
    5.6%
    3
    4.2%
    0
    0%
    0
    0%
    0
    0%
    low hemoglobin values
    4
    8.3%
    5
    10.2%
    5
    7%
    6
    8.5%
    4
    5.6%
    1
    16.7%
    1
    16.7%
    0
    0%
    low platelet values
    4
    8.3%
    2
    4.1%
    2
    2.8%
    7
    9.9%
    1
    1.4%
    0
    0%
    0
    0%
    0
    0%
    low neutrophils values
    0
    0%
    1
    2%
    1
    1.4%
    1
    1.4%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    low leukocyte counts
    0
    0%
    1
    2%
    2
    2.8%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    low hematocrit values
    1
    2.1%
    1
    2%
    1
    1.4%
    3
    4.2%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    low erythrocytes values
    1
    2.1%
    1
    2%
    1
    1.4%
    3
    4.2%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    13. Secondary Outcome
    Title Number of Participants With Marked Laboratory Abnormality Assessed to 120 Hours - Chemistry
    Description Number of participants who experienced an in-study Chemistry marked laboratory abnormality (reported in > 5% of total participants). Medical Dictionary for Regulatory Activities (MedDRA) version: 22.0
    Time Frame to 120 hours

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants
    Measure Participants 48 49 71 71 72 6 6 6
    high blood urea nitrogen values
    23
    47.9%
    16
    32.7%
    23
    32.4%
    23
    32.4%
    18
    25%
    0
    0%
    1
    16.7%
    2
    33.3%
    high urate values
    10
    20.8%
    15
    30.6%
    10
    14.1%
    20
    28.2%
    8
    11.1%
    0
    0%
    1
    16.7%
    1
    16.7%
    high potassium values
    2
    4.2%
    5
    10.2%
    6
    8.5%
    7
    9.9%
    2
    2.8%
    0
    0%
    1
    16.7%
    0
    0%
    high alanine aminotransferase (ALT) values
    6
    12.5%
    1
    2%
    5
    7%
    2
    2.8%
    2
    2.8%
    0
    0%
    0
    0%
    0
    0%
    high alkaline phosphatase values
    5
    10.4%
    0
    0%
    2
    2.8%
    0
    0%
    1
    1.4%
    0
    0%
    0
    0%
    0
    0%
    low protein values
    3
    6.3%
    9
    18.4%
    3
    4.2%
    8
    11.3%
    4
    5.6%
    0
    0%
    1
    16.7%
    0
    0%
    high asparate aminotransferase values
    4
    8.3%
    0
    0%
    4
    5.6%
    2
    2.8%
    1
    1.4%
    0
    0%
    0
    0%
    0
    0%
    high bilirubin values
    2
    4.2%
    2
    4.1%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    1
    16.7%
    0
    0%
    high bicarbonate values
    1
    2.1%
    2
    4.1%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    low chloride counts
    1
    2.1%
    2
    4.1%
    1
    1.4%
    4
    5.6%
    1
    1.4%
    0
    0%
    0
    0%
    0
    0%
    high creatine kinase values
    0
    0%
    1
    2%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    high protein values
    1
    2.1%
    0
    0%
    2
    2.8%
    0
    0%
    2
    2.8%
    0
    0%
    0
    0%
    0
    0%
    high sodium values
    0
    0%
    1
    2%
    2
    2.8%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    low bicarbonate values
    0
    0%
    0
    0%
    2
    2.8%
    1
    1.4%
    1
    1.4%
    0
    0%
    0
    0%
    0
    0%
    low sodium values
    0
    0%
    0
    0%
    0
    0%
    2
    2.8%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    low albumin values
    0
    0%
    0
    0%
    0
    0%
    1
    1.4%
    2
    2.8%
    0
    0%
    0
    0%
    0
    0%
    low calcium values
    0
    0%
    0
    0%
    2
    2.8%
    1
    1.4%
    2
    2.8%
    0
    0%
    0
    0%
    0
    0%
    14. Secondary Outcome
    Title Number of Participants With Marked Laboratory Abnormality Assessed to 120 Hours - Urinalysis
    Description Number of participants who experienced an in-study Urinalysis marked laboratory abnormality (reported in > 5% of total participants). Medical Dictionary for Regulatory Activities (MedDRA) version: 22.0
    Time Frame to 120 hours

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants
    Measure Participants 48 49 71 71 72 6 6 6
    high protein values
    10
    20.8%
    11
    22.4%
    16
    22.5%
    13
    18.3%
    17
    23.6%
    2
    33.3%
    2
    33.3%
    2
    33.3%
    high erythrocyte values
    1
    2.1%
    1
    2%
    1
    1.4%
    3
    4.2%
    2
    2.8%
    0
    0%
    0
    0%
    0
    0%
    high leukocytes values
    0
    0%
    1
    2%
    0
    0%
    2
    2.8%
    1
    1.4%
    0
    0%
    0
    0%
    0
    0%
    15. Secondary Outcome
    Title Change in Vital Signs From Baseline to 120 Hours - Blood Pressure
    Description The change in baseline for vital signs was reported for each arm.
    Time Frame to 120 hours

    Outcome Measure Data

    Analysis Population Description
    All treated participants with a 120-hour evaluation
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants
    Measure Participants 29 26 50 48 44 6 6 6
    systolic blood pressure, mmHg
    -6.8
    (16.60)
    0.0
    (17.75)
    -4.3
    (15.23)
    -7.9
    (15.60)
    -8.8
    (14.01)
    -10.3
    (15.60)
    -17.5
    (9.14)
    -6.2
    (16.44)
    diastolic blood pressure, mmHg
    -4.0
    (12.67)
    -1.9
    (13.53)
    -4.4
    (12.99)
    -3.4
    (14.37)
    -1.6
    (10.83)
    1.7
    (16.24)
    -15.7
    (19.08)
    -9.3
    (14.45)
    16. Secondary Outcome
    Title Change in Vital Signs From Baseline to 120 Hours - Heart Rate
    Description The change in baseline for vital signs was reported for each arm.
    Time Frame to 120 hours

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants
    Measure Participants 48 49 71 71 72 6 6 6
    Mean (Standard Deviation) [beats/min]
    -1.8
    (15.53)
    -9.1
    (17.13)
    -8.3
    (15.55)
    -4.6
    (15.40)
    -6.3
    (15.60)
    -6.7
    (21.88)
    -3.0
    (13.31)
    3.8
    (11.55)
    17. Secondary Outcome
    Title Change in Vital Signs From Baseline to 120 Hours - Respiratory Rate
    Description The change in baseline for vital signs was reported for each arm.
    Time Frame to 120 hours

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants
    Measure Participants 48 49 71 71 72 6 6 6
    Mean (Standard Deviation) [breaths/min]
    -2.6
    (3.93)
    -3.0
    (4.82)
    -2.9
    (3.80)
    -2.6
    (4.33)
    -1.8
    (3.96)
    -2.3
    (2.88)
    0.0
    (9.98)
    -1.4
    (3.58)
    18. Secondary Outcome
    Title Change in Vital Signs From Baseline to 120 Hours - Temperature
    Description The change in baseline for vital signs was reported for each arm.
    Time Frame to 120 hours

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants
    Measure Participants 48 49 71 71 72 6 6 6
    Mean (Standard Deviation) [degrees C]
    -0.04
    (0.643)
    0.09
    (0.649)
    0.04
    (0.427)
    0.00
    (0.342)
    -0.05
    (0.481)
    -0.47
    (0.650)
    -0.27
    (0.535)
    0.44
    (0.541)
    19. Secondary Outcome
    Title Change in Electrocardiograms (ECGs) From Baseline to 120 Hours - Mean Heart Rate
    Description The change in baseline for ECGs was reported for each arm.
    Time Frame to 120 hours

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants
    Measure Participants 48 49 71 71 72 5 6 6
    Mean (Standard Deviation) [beats/min]
    -5.3
    (9.36)
    -6.8
    (21.31)
    -7.1
    (17.46)
    -5.1
    (18.64)
    -6.1
    (17.33)
    2.0
    (10.72)
    -13.0
    (12.62)
    -5.2
    (14.85)
    20. Secondary Outcome
    Title Change in Electrocardiograms (ECGs) From Baseline to 120 Hours - PR, QT, QTcF Intervals and QRS Duration
    Description The change in baseline for ECGs was reported for each arm.
    Time Frame to 120 hours

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants
    Measure Participants 48 49 71 71 72 6 6 6
    PR Interval, Aggregate, msec
    -17.4
    (66.31)
    -2.3
    (32.11)
    -0.1
    (23.49)
    10.9
    (22.02)
    2.0
    (25.41)
    -1.5
    (16.50)
    10.4
    (26.32)
    6.0
    (30.10)
    QRS Duration, Aggregate, msec
    5.1
    (22.19)
    -0.1
    (12.46)
    1.6
    (20.29)
    -1.6
    (13.22)
    2.7
    (16.77)
    -3.0
    (4.80)
    -2.5
    (7.20)
    3.0
    (4.38)
    QT Interval, Aggregate, msec
    -10.6
    (49.20)
    7.2
    (48.25)
    8.7
    (53.17)
    5.8
    (42.19)
    -0.3
    (45.39)
    -30.0
    (28.17)
    5.7
    (24.41)
    16.5
    (50.22)
    QTcF Interval, Aggregate, msec
    -27.5
    (41.79)
    -13.9
    (41.56)
    -4.0
    (51.04)
    -4.0
    (33.59)
    -10.3
    (37.63)
    -24.8
    (20.00)
    -8.8
    (22.35)
    3.2
    (22.93)
    21. Secondary Outcome
    Title Change in Physical Measurements From Baseline to 120 Hours
    Description The change in baseline for physical measurements was reported for each arm.
    Time Frame to 120 hours

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants
    Measure Participants 48 49 71 71 72 6 6 6
    Mean (Standard Deviation) [kg]
    0.00
    (0383)
    0.10
    (0.285)
    -2.87
    (4.447)
    -2.96
    (4.231)
    -1.83
    (5.295)
    -3.58
    (2.182)
    -3.97
    (2.160)
    -6.08
    (4.009)
    22. Secondary Outcome
    Title Change in Laboratory Assessments From Baseline to 120 Hours, Main Study Cohorts Only - x10^9 Cells/L
    Description The change in baseline for laboratory assessments was reported for each arm of the Main study cohorts only.
    Time Frame to 120 hours

    Outcome Measure Data

    Analysis Population Description
    All treated participants with a 120-hour evaluation
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours
    Measure Participants 30 23 41 36 39
    leukocyte, x10^9 c/L
    0.12
    (3.078)
    -1.38
    (1.892)
    -0.20
    (4.370)
    0.20
    (2.549)
    -0.09
    (1.980)
    platelet, x10^9 c/L
    5.63
    (31.679)
    -5.77
    (34.666)
    1.84
    (40.808)
    3.26
    (37.888)
    1.26
    (31.135)
    23. Secondary Outcome
    Title Change in Laboratory Assessments From Baseline to 120 Hours, Main Study Cohorts Only - g/L
    Description The change in baseline for laboratory assessments was reported for each arm of the Main study cohorts only.
    Time Frame to 120 hours

    Outcome Measure Data

    Analysis Population Description
    All treated participants with a 120-hour evaluation
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours
    Measure Participants 30 23 46 42 43
    hemoglobin, g/L
    -0.67
    (11.851)
    -0.70
    (8.573)
    1.20
    (11.487)
    0.94
    (11.684)
    1.38
    (9.161)
    protein, g/L
    1.10
    (6.172)
    2.77
    (5.839)
    0.57
    (8.178)
    0.38
    (6.048)
    -0.05
    (5.367)
    24. Secondary Outcome
    Title Change in Laboratory Assessments From Baseline to 120 Hours, Main Study Cohorts Only - mmol/L
    Description The change in baseline for laboratory assessments was reported for each arm of the Main study cohorts only.
    Time Frame to 120 hours

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours
    Measure Participants 48 49 71 71 72
    blood urea nitrogen, mmol/L
    4.01
    (5.474)
    0.32
    (3.164)
    1.96
    (3.920)
    2.15
    (5.016)
    1.24
    (3.655)
    urate, mmol/L
    0.06
    (0.154)
    0.01
    (0.108)
    -0.01
    (0.126)
    0.04
    (0.147)
    -0.03
    (0.111)
    potassium, mmol/L
    0.19
    (0.697)
    0.28
    (0.513)
    0.21
    (0.692)
    0.13
    (0.558)
    0.15
    (0.651)
    25. Secondary Outcome
    Title Change in Laboratory Assessments From Baseline to 120 Hours, Main Study Cohorts Only - U/L
    Description The change in baseline for laboratory assessments was reported for each arm of the Main study cohorts only.
    Time Frame to 120 hours

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours
    Measure Participants 48 49 71 71 72
    alanine aminotransferase (ALT), U/L
    148.13
    (837.833)
    -2.73
    (11.089)
    -3.22
    (102.038)
    30.36
    (189.310)
    -13.07
    (76.357)
    alkaline phosphatase, U/L
    -1.00
    (28.018)
    1.65
    (11.052)
    -1.31
    (25.186)
    5.43
    (26.007)
    -0.49
    (21.474)
    asparate aminotransferase, U/L
    214.77
    (1204.410)
    -2.77
    (10.277)
    -11.15
    (127.903)
    10.81
    (65.009)
    -10.00
    (52.075)
    26. Secondary Outcome
    Title Change in Laboratory Assessments From Baseline to 120 Hours, Main Study Cohorts Only - mg/dL
    Description The change in baseline for laboratory assessments was reported for each arm of the Main study cohorts only.
    Time Frame to 120 hours

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours
    Measure Participants 48 49 71 71 72
    Mean (Standard Deviation) [mg/dL]
    NA
    (NA)
    NA
    (NA)
    NA
    (NA)
    NA
    (NA)
    NA
    (NA)
    27. Secondary Outcome
    Title Change in Laboratory Assessments From Baseline to 120 Hours, Main Study Cohorts Only - x10^12 c/L
    Description The change in baseline for laboratory assessments was reported for each arm of the Main study cohorts only.
    Time Frame to 120 hours

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours
    Measure Participants 48 49 71 71 72
    Mean (Standard Deviation) [x10^12 c/L]
    -0.02
    (0.394)
    0.02
    (0.305)
    0.04
    (0.409)
    0.04
    (0.481)
    0.09
    (0.337)
    28. Secondary Outcome
    Title Change in Laboratory Assessments From Baseline to 120 Hours, Japan Cohort Only - Protein (Nmol/L)
    Description The change in baseline for laboratory assessments was reported for each arm of the Japan cohort only.
    Time Frame to 120 hours

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Arm/Group Description Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants
    Measure Participants 6 6 5
    Mean (Standard Deviation) [nmol/L]
    79.38
    (192.568)
    74.13
    (110.919)
    131.64
    (407.611)
    29. Secondary Outcome
    Title Change in Laboratory Assessments From Baseline to 120 Hours, Japan Cohort Only - Creatinine (µmol/L)
    Description The change in baseline for laboratory assessments was reported for each arm of the Japan cohort only.
    Time Frame to 120 hours

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Arm/Group Description Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants
    Measure Participants 6 6 5
    Mean (Standard Deviation) [µmol/L]
    4.33
    (17.728)
    -1.50
    (6.775)
    12.40
    (23.891)
    30. Secondary Outcome
    Title Change in Laboratory Assessments From Baseline to 120 Hours, Japan Cohort Only - Cystatin (mg/L)
    Description The change in baseline for laboratory assessments was reported for each arm of the Japan cohort only.
    Time Frame to 120 hours

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Arm/Group Description Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants
    Measure Participants 6 6 5
    Mean (Standard Deviation) [mg/L]
    0.18
    (0.268)
    0.17
    (0.150)
    0.25
    (0.077)
    31. Secondary Outcome
    Title Change in Laboratory Assessments From Baseline to 120 Hours, Japan Cohort Only - Percentage Fractional Potassium Excretion
    Description The change in baseline for laboratory assessments was reported for each arm of the Japan cohort only.
    Time Frame to 120 hours

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Arm/Group Description Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants
    Measure Participants 6 5 5
    Mean (Standard Deviation) [Fractional Potassium Excretion percent]
    4.88
    (8.009)
    -1.22
    (4.926)
    -12.34
    (13.316)
    32. Secondary Outcome
    Title Change in Laboratory Assessments From Baseline to 120 Hours, Japan Cohort Only - Percentage Fractional Sodium Excretion
    Description The change in baseline for laboratory assessments was reported for each arm of the Japan cohort only.
    Time Frame to 120 hours

    Outcome Measure Data

    Analysis Population Description
    All treated participants
    Arm/Group Title Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Arm/Group Description Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants
    Measure Participants 6 6 5
    Mean (Standard Deviation) [Fractional Sodium Excretion percent]
    0.02
    (2.076)
    -2.62
    (4.538)
    -5.50
    (7.984)

    Adverse Events

    Time Frame Includes non-serious adverse events with onset time from the start of study treatment, up to and including 120 hours after the start of study treatment and serious adverse events with onset time from the start of study treatment, up to and including 32 days after the start of study treatment. Mortality data reported through 182 days post-treatment
    Adverse Event Reporting Description
    Arm/Group Title Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Arm/Group Description Escalating dose of placebo (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Escalating dose of BMS-986231 (3 µg/kg/min for 4 hours, then 6 µg/kg/min for another 4 hours, then 12 µg/kg/min for the remaining 40 hours) Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours BMS-986231 dose of 6 µg/kg/min for 48 hours BMS-986231 dose of 12 µg/kg/min for 48 hours Matching placebo dose of 6 µg/kg/min or 12 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 6 µg/kg/min for 48 hours for Japanese participants BMS-986231 dose of 12 µg/kg/min for 48 hours for Japanese participants
    All Cause Mortality
    Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 3/48 (6.3%) 3/49 (6.1%) 11/71 (15.5%) 12/71 (16.9%) 9/72 (12.5%) 0/6 (0%) 0/6 (0%) 1/6 (16.7%)
    Serious Adverse Events
    Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 11/48 (22.9%) 14/49 (28.6%) 23/71 (32.4%) 15/71 (21.1%) 15/72 (20.8%) 1/6 (16.7%) 0/6 (0%) 1/6 (16.7%)
    Cardiac disorders
    CARDIAC FAILURE 2/48 (4.2%) 6/49 (12.2%) 8/71 (11.3%) 2/71 (2.8%) 7/72 (9.7%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    ACUTE MYOCARDIAL INFARCTION 2/48 (4.2%) 1/49 (2%) 0/71 (0%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    CARDIAC FAILURE CONGESTIVE 1/48 (2.1%) 1/49 (2%) 0/71 (0%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    CARDIOGENIC SHOCK 1/48 (2.1%) 1/49 (2%) 3/71 (4.2%) 1/71 (1.4%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    CARDIORENAL SYNDROME 0/48 (0%) 1/49 (2%) 0/71 (0%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    MYOCARDIAL INFARCTION 0/48 (0%) 1/49 (2%) 1/71 (1.4%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    ATRIOVENTRICULAR BLOCK COMPLETE 1/48 (2.1%) 0/49 (0%) 0/71 (0%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    CARDIAC FAILURE ACUTE 1/48 (2.1%) 0/49 (0%) 0/71 (0%) 2/71 (2.8%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    CORONARY ARTERY STENOSIS 1/48 (2.1%) 0/49 (0%) 0/71 (0%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    ANGINA PECTORIS 0/48 (0%) 0/49 (0%) 0/71 (0%) 0/71 (0%) 1/72 (1.4%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    ATRIOVENTRICULAR BLOCK 0/48 (0%) 0/49 (0%) 0/71 (0%) 0/71 (0%) 1/72 (1.4%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    CARDIAC ARREST 0/48 (0%) 0/49 (0%) 1/71 (1.4%) 0/71 (0%) 1/72 (1.4%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    PERICARDIAL EFFUSION 0/48 (0%) 0/49 (0%) 0/71 (0%) 0/71 (0%) 1/72 (1.4%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    VENTRICULAR FIBRILLATION 0/48 (0%) 0/49 (0%) 0/71 (0%) 0/71 (0%) 1/72 (1.4%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    CARDIAC FAILURE CHRONIC 0/48 (0%) 0/49 (0%) 0/71 (0%) 1/71 (1.4%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    CORONARY ARTERY DISEASE 0/48 (0%) 0/49 (0%) 2/71 (2.8%) 1/71 (1.4%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    SINUS BRADYCARDIA 0/48 (0%) 0/49 (0%) 1/71 (1.4%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    SUPRAVENTRICULAR TACHYCARDIA 0/48 (0%) 0/49 (0%) 0/71 (0%) 1/71 (1.4%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    VENTRICULAR ARRHYTHMIA 0/48 (0%) 0/49 (0%) 1/71 (1.4%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    VENTRICULAR TACHYCARDIA 0/48 (0%) 0/49 (0%) 1/71 (1.4%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    MYOCARDIAL ISCHAEMIA 0/48 (0%) 0/49 (0%) 0/71 (0%) 0/71 (0%) 0/72 (0%) 1/6 (16.7%) 0/6 (0%) 0/6 (0%)
    General disorders
    SYSTEMIC INFLAMMATORY RESPONSE SYNDROME 0/48 (0%) 0/49 (0%) 1/71 (1.4%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    Hepatobiliary disorders
    HEPATIC CONGESTION 0/48 (0%) 0/49 (0%) 0/71 (0%) 1/71 (1.4%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    Infections and infestations
    ACINETOBACTER BACTERAEMIA 0/48 (0%) 1/49 (2%) 0/71 (0%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    PNEUMONIA 0/48 (0%) 1/49 (2%) 0/71 (0%) 2/71 (2.8%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    BRONCHITIS 0/48 (0%) 0/49 (0%) 0/71 (0%) 0/71 (0%) 1/72 (1.4%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    CELLULITIS 0/48 (0%) 0/49 (0%) 0/71 (0%) 0/71 (0%) 1/72 (1.4%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    SEPTIC SHOCK 0/48 (0%) 0/49 (0%) 1/71 (1.4%) 0/71 (0%) 1/72 (1.4%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    STAPHYLOCOCCAL SEPSIS 0/48 (0%) 0/49 (0%) 0/71 (0%) 0/71 (0%) 1/72 (1.4%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    ENDOCARDITIS 0/48 (0%) 0/49 (0%) 0/71 (0%) 1/71 (1.4%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    ERYSIPELAS 0/48 (0%) 0/49 (0%) 1/71 (1.4%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    Injury, poisoning and procedural complications
    WRIST FRACTURE 0/48 (0%) 0/49 (0%) 0/71 (0%) 1/71 (1.4%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    Investigations
    ELECTROCARDIOGRAM QRS COMPLEX PROLONGED 1/48 (2.1%) 0/49 (0%) 0/71 (0%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    Metabolism and nutrition disorders
    HYPERNATRAEMIA 0/48 (0%) 1/49 (2%) 0/71 (0%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    FLUID OVERLOAD 1/48 (2.1%) 0/49 (0%) 0/71 (0%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    BLADDER CANCER 0/48 (0%) 0/49 (0%) 0/71 (0%) 0/71 (0%) 1/72 (1.4%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    Nervous system disorders
    ALTERED STATE OF CONSCIOUSNESS 0/48 (0%) 1/49 (2%) 0/71 (0%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    Psychiatric disorders
    CONFUSIONAL STATE 0/48 (0%) 1/49 (2%) 1/71 (1.4%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    DELIRIUM 0/48 (0%) 1/49 (2%) 0/71 (0%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    ORGANIC BRAIN SYNDROME 0/48 (0%) 0/49 (0%) 0/71 (0%) 1/71 (1.4%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    Renal and urinary disorders
    ACUTE KIDNEY INJURY 3/48 (6.3%) 1/49 (2%) 1/71 (1.4%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    BLADDER MASS 0/48 (0%) 0/49 (0%) 0/71 (0%) 0/71 (0%) 1/72 (1.4%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    END STAGE RENAL DISEASE 0/48 (0%) 0/49 (0%) 0/71 (0%) 0/71 (0%) 1/72 (1.4%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    RENAL FAILURE 0/48 (0%) 0/49 (0%) 0/71 (0%) 1/71 (1.4%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    Respiratory, thoracic and mediastinal disorders
    ACUTE RESPIRATORY DISTRESS SYNDROME 0/48 (0%) 1/49 (2%) 0/71 (0%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    HYPERCAPNIA 0/48 (0%) 1/49 (2%) 0/71 (0%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    CHRONIC OBSTRUCTIVE PULMONARY DISEASE 1/48 (2.1%) 0/49 (0%) 0/71 (0%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    SLEEP APNOEA SYNDROME 0/48 (0%) 0/49 (0%) 0/71 (0%) 0/71 (0%) 1/72 (1.4%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    ACUTE PULMONARY OEDEMA 0/48 (0%) 0/49 (0%) 1/71 (1.4%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    ASTHMA 0/48 (0%) 0/49 (0%) 1/71 (1.4%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    DYSPNOEA 0/48 (0%) 0/49 (0%) 1/71 (1.4%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    PULMONARY OEDEMA 0/48 (0%) 0/49 (0%) 1/71 (1.4%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    Vascular disorders
    ANGIOPATHY 0/48 (0%) 0/49 (0%) 0/71 (0%) 0/71 (0%) 1/72 (1.4%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    HYPOTENSION 0/48 (0%) 0/49 (0%) 1/71 (1.4%) 1/71 (1.4%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 1/6 (16.7%)
    DEEP VEIN THROMBOSIS 0/48 (0%) 0/49 (0%) 1/71 (1.4%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    ILIAC ARTERY OCCLUSION 0/48 (0%) 0/49 (0%) 1/71 (1.4%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    PERIPHERAL ARTERY OCCLUSION 0/48 (0%) 0/49 (0%) 1/71 (1.4%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    Other (Not Including Serious) Adverse Events
    Placebo - Part I BMS-986231 - Part I Placebo - Part II BMS-986231 6 µg/kg/Min - Part II BMS-986231 12 µg/kg/Min - Part II Placebo - Part II (Japan Cohort) BMS-986231 6 µg/kg/Min - Part II (Japan Cohort) BMS-986231 12 µg/kg/Min - Part II (Japan Cohort)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 18/48 (37.5%) 40/49 (81.6%) 47/71 (66.2%) 43/71 (60.6%) 54/72 (75%) 2/6 (33.3%) 6/6 (100%) 6/6 (100%)
    Cardiac disorders
    CARDIAC FAILURE 2/48 (4.2%) 6/49 (12.2%) 8/71 (11.3%) 2/71 (2.8%) 7/72 (9.7%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    VENTRICULAR TACHYCARDIA 3/48 (6.3%) 1/49 (2%) 2/71 (2.8%) 1/71 (1.4%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    ATRIAL FIBRILLATION 0/48 (0%) 0/49 (0%) 0/71 (0%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 1/6 (16.7%) 0/6 (0%)
    MYOCARDIAL ISCHAEMIA 0/48 (0%) 0/49 (0%) 0/71 (0%) 0/71 (0%) 0/72 (0%) 1/6 (16.7%) 0/6 (0%) 0/6 (0%)
    Eye disorders
    VITREOUS DETACHMENT 0/48 (0%) 0/49 (0%) 0/71 (0%) 1/71 (1.4%) 0/72 (0%) 0/6 (0%) 1/6 (16.7%) 0/6 (0%)
    Gastrointestinal disorders
    CONSTIPATION 2/48 (4.2%) 0/49 (0%) 1/71 (1.4%) 1/71 (1.4%) 0/72 (0%) 0/6 (0%) 1/6 (16.7%) 1/6 (16.7%)
    DIARRHOEA 0/48 (0%) 1/49 (2%) 1/71 (1.4%) 1/71 (1.4%) 1/72 (1.4%) 0/6 (0%) 1/6 (16.7%) 0/6 (0%)
    Hepatobiliary disorders
    CHOLECYSTITIS 0/48 (0%) 0/49 (0%) 0/71 (0%) 0/71 (0%) 0/72 (0%) 0/6 (0%) 1/6 (16.7%) 0/6 (0%)
    Infections and infestations
    URINARY TRACT INFECTION 1/48 (2.1%) 2/49 (4.1%) 0/71 (0%) 3/71 (4.2%) 3/72 (4.2%) 0/6 (0%) 1/6 (16.7%) 1/6 (16.7%)
    Investigations
    BLOOD CREATININE INCREASED 0/48 (0%) 0/49 (0%) 0/71 (0%) 4/71 (5.6%) 0/72 (0%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    Metabolism and nutrition disorders
    HYPERURICAEMIA 1/48 (2.1%) 4/49 (8.2%) 3/71 (4.2%) 1/71 (1.4%) 2/72 (2.8%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    HYPOKALAEMIA 1/48 (2.1%) 3/49 (6.1%) 7/71 (9.9%) 8/71 (11.3%) 8/72 (11.1%) 0/6 (0%) 0/6 (0%) 1/6 (16.7%)
    HYPOGLYCAEMIA 1/48 (2.1%) 1/49 (2%) 0/71 (0%) 1/71 (1.4%) 2/72 (2.8%) 0/6 (0%) 1/6 (16.7%) 0/6 (0%)
    Musculoskeletal and connective tissue disorders
    MUSCLE SPASMS 2/48 (4.2%) 0/49 (0%) 0/71 (0%) 2/71 (2.8%) 1/72 (1.4%) 0/6 (0%) 1/6 (16.7%) 0/6 (0%)
    Nervous system disorders
    HEADACHE 1/48 (2.1%) 6/49 (12.2%) 5/71 (7%) 4/71 (5.6%) 2/72 (2.8%) 0/6 (0%) 0/6 (0%) 1/6 (16.7%)
    DIZZINESS 0/48 (0%) 3/49 (6.1%) 0/71 (0%) 0/71 (0%) 2/72 (2.8%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    TRANSIENT ISCHAEMIC ATTACK 0/48 (0%) 0/49 (0%) 0/71 (0%) 0/71 (0%) 2/72 (2.8%) 0/6 (0%) 0/6 (0%) 1/6 (16.7%)
    Psychiatric disorders
    INSOMNIA 2/48 (4.2%) 2/49 (4.1%) 6/71 (8.5%) 2/71 (2.8%) 1/72 (1.4%) 1/6 (16.7%) 1/6 (16.7%) 1/6 (16.7%)
    Renal and urinary disorders
    ACUTE KIDNEY INJURY 3/48 (6.3%) 1/49 (2%) 1/71 (1.4%) 1/71 (1.4%) 1/72 (1.4%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    RENAL IMPAIRMENT 3/48 (6.3%) 0/49 (0%) 3/71 (4.2%) 2/71 (2.8%) 1/72 (1.4%) 0/6 (0%) 0/6 (0%) 0/6 (0%)
    Skin and subcutaneous tissue disorders
    RASH PRURITIC 0/48 (0%) 0/49 (0%) 0/71 (0%) 0/71 (0%) 0/72 (0%) 1/6 (16.7%) 0/6 (0%) 0/6 (0%)
    Vascular disorders
    HYPOTENSION 5/48 (10.4%) 14/49 (28.6%) 15/71 (21.1%) 20/71 (28.2%) 31/72 (43.1%) 0/6 (0%) 3/6 (50%) 4/6 (66.7%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

    Results Point of Contact

    Name/Title Bristol-Myers Squibb Study Director
    Organization Bristol-Myers Squibb
    Phone Please email:
    Email Clinical.Trials@bms.com
    Responsible Party:
    Bristol-Myers Squibb
    ClinicalTrials.gov Identifier:
    NCT03016325
    Other Study ID Numbers:
    • CV013-011
    • 2016-001685-29
    First Posted:
    Jan 10, 2017
    Last Update Posted:
    Jan 6, 2021
    Last Verified:
    Dec 1, 2020