Phase II/III study VALOR will assess efficacy, safety and pharmacokinetics of vericiguat in pediatric patients VALOR is the pivotal study in pediatric heart failure with vericiguat Heart failure can occur at any age and rates in children are increasing.1 Although the incidence of pediatric heart failure is low at up to 7 per 100,000 children, the impact on the children and adolescents affected is high, with an in-hospital mortality rate of 7–26%.1,2 Heart failure symptoms include failure to thrive, shortness of breath or increased respiratory frequency (tachypnea), tiredness and fatigue, fluid retention and reduced ability to do physical tasks.3 Children with heart failure are 24 times more likely to be hospitalized than children without heart failure.1 “Pediatric heart failure remains a devastating diagnosis for children and their families,” said Professor Joseph Rossano, Co-Director of the Cardiac Center and Chief of the Division of Cardiology at Children's Hospital of Philadelphia and VALOR Steering Committee Chairperson. “Because vericiguat has a distinct mechanism of action and is well tolerated when used with other treatments in adults, it could be an important treatment option in pediatric heart failure, which is a complex and diverse condition.” “Although heart failure is more common in older adults it is important to be aware that children can be affected too and there are few clinical trials that have been conducted specifically in a pediatric heart failure population,” said Dr. Christian Rommel, Member of the Executive Committee of Bayer’s Pharmaceuticals Division and Head of Research and Development. “With the start of our pediatric study VALOR we want to address this gap and will investigate if vericiguat can be used as a treatment option for pediatric heart failure.” VALOR is a randomized, placebo-controlled, double-blind trial which enrolls patients in > 28 days through NCT05714085).
Vericiguat 2.5 mg, 5 mg, and 10 mg is an oral once daily stimulator of soluble guanylate cyclase (sGC), an important enzyme in the NO-sGC-cGMP signaling pathway.10 When nitric oxide (NO) binds to sGC, the enzyme catalyzes the synthesis of intracellular cyclic guanosine monophosphate (cGMP), a second messenger that plays a role in the regulation of vascular tone, cardiac contractility, and cardiac remodeling.11 Heart failure is associated with impaired synthesis of NO and decreased activity of sGC, which may contribute to myocardial and vascular dysfunction.10 By directly stimulating sGC, independently of and synergistically with NO, vericiguat augments levels of intracellular cGMP, leading to smooth muscle relaxation and vasodilation. In the EU Verquvo is indicated for symptomatic chronic heart failure in adult patients with reduced ejection fraction who are stabilized after a recent decompensation event requiring intravenous (IV) therapy. About the Worldwide Collaboration between Bayer and MSD Since October 2014, Bayer and MSD (known as Merck & Co., Inc. in the U.S. and Canada) have pursued a worldwide collaboration in the field of sGC modulators. The collaboration brings together two leading companies that have stated their intent to fully evaluate this therapeutic class in areas of unmet medical need. The vericiguat program is being co-developed by Bayer and MSD. MSD has the commercial rights to vericiguat in the U.S. and Bayer has the exclusive commercial rights in the rest of world. The companies share equally the costs of the development of vericiguat. Bayer is a global enterprise with core competencies in the life science fields of health care and nutrition. Its products and services are designed to help people and the planet thrive by supporting efforts to master the major challenges presented by a growing and aging global population. Bayer is committed to driving sustainable development and generating a positive impact with its businesses. At the same time, the Group aims to increase its earning power and create value through innovation and growth. The Bayer brand stands for trust, reliability and quality throughout the world. In fiscal 2022, the Group employed around 101,000 people and had sales of 50.7 billion euros. R&D expenses before special items amounted to 6.2 billion euros. For more information, go to www.bayer.com. Find more information at https://pharma.bayer.com
Follow us on Facebook: http://www.facebook.com/bayer
Follow us on Twitter: @BayerPharma
1 Amdani S et al. JACC. 2022;17;79(19):1917-28.
2 Ahmed H, VanderPluym C. Cardiovasc Diagn Ther 2021;11(1):323-335
3 Ferreira JP et al. Global Heart. 2019 Sep 1;14(3):197-214
4 Armstrong PW, et al. N Engl J Med 2020;382:1883–1893
5 Tromp J et al. J Am Coll Cardiol 2022;10:73–84
6 Heidenreich PA, et al. Circulation. 2022;145:e895–e1032
7 McDonald M et al. Can J Cardiol 2021;37:531–546
8Tsutsui H et al. J Card Fail 2021;27:1404–1444
9 McDonagh TA et al. Eur Heart J 2021;42:3599–3726
10 Ezekowitz JA et al. JACC Heart Fail. 2020;8:931-939
11 Pieske B et al. Eur J Heart Fail. 2014 Sep: 1026-38