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NCT06424288ClinicalTrials.gov

A Study to Test Whether Vicadrostat in Combination With Empagliflozin Helps People With Heart Failure

EASi-HF Preserved - A Phase III Double-blind, Randomised, Parallel-group Superiority Trial to Evaluate Efficacy and Safety of the Combined Use of Oral Vicadrostat (BI 690517) and Empagliflozin Compared With Placebo and Empagliflozin in Participants With Symptomatic Heart Failure (HF: NYHA II-IV) and Left Ventricular Ejection Fraction (LVEF) ≥40%

قيد التجنيديقبل مشاركين الآن، وفقاً لسجل السجل.
التواصل مع هذه الدراسة

باختصار

This study is open to adults aged 18 or above legal age with heart failure. People can join the study if they have heart failure symptoms and a left ventricular ejection fraction (LVEF) of 40% or more. The purpose of…

المرحلة 3مطلوب 6,000 مشارك652 موقعاً30 دولة

الفئات

مسجَّلة في سجل واحد

يمكن أن تُسجَّل دراسة واحدة في عدة سجلات. نعرضها مرة واحدة ونربط بكل سجل نحتفظ به.

تُعرض معلومات التجربة كما نشرها السجل، بلغتها الأصلية.

هل أنت مهتم بهذه الدراسة؟

تسجيل الدخول أو أنشئ حسابًا لتسجيل اهتمامك ومتابعة هذه الدراسة.

How this study is set up

The points below are drawn from the public registry record for this study. Each one cites the field or sentence it came from. A dash (—) means the record does not state something — not that it is missing or wrong. Many well-run studies, especially small ones, leave some of these blank.

  • Present: Registered before enrolment beganFirst posted 2024-05-22; recorded start 2024-06-17
  • Present: Has a defined primary outcomeA primary outcome measure is listed in the record
  • Present: The primary outcome states a time frameThe primary outcome measure records a time frame
  • Present: Participants are randomly assignedAllocation is recorded as randomised
  • Present: Has a comparison groupThe record lists a placebo or comparator arm, or more than one study arm
  • Present: Uses blinding (masking)A masking level is recorded in the record
  • Not stated: An ethics committee is not stated in the registry recordThis registry's ingested record has no ethics-committee field
  • Not stated: Regulatory oversight (such as an IND or IDE) is not stated in the registry recordThis registry's ingested record has no regulatory-authorisation field
  • Not stated: A data monitoring committee is not stated in the registry recordThis registry's ingested record has no data-monitoring-committee fieldA data monitoring committee is not required for many smaller studies, and its absence here is not unusual.
  • Present: No cost to participants is mentioned in the recordChecked the summary, description and eligibility text; no cost-to-participant phrase found
  • Present: Sponsor has 1218 other studies in this databaseCounted from the lead sponsor named in the record (Boehringer Ingelheim)
  • Present: Sponsor has posted results for at least one studyBased on the sponsor’s studies in this database
  • The record lists 1 condition.
  • Lead sponsor type recorded as: industry.
  • Intervention regulatory context: investigational, within a phased regulatory pathway.

Trial stature

Three independent measures of this study, described from its registry record — not a recommendation about it. A rigorous study by investigators nobody has heard of is better evidence than a weak study led by a famous one. How these are scored.

Methodological rigourDEFINITIVE

A definitive-grade design for a phase 3 study, judged from its ClinicalTrials.gov record.

How this score is built
  • Randomised allocation20/20

    Participants are randomly allocated between arms

  • Blinding16/20

    Triple-blind

  • Control arm13/15

    Placebo / sham control arm

  • Primary-outcome specificity10/10

    Named primary outcome with a defined time frame

  • Endpoint type10/10

    Mortality / MACE endpoint (hard clinical outcome)

  • Multi-centre8/8

    Multi-centre: 652 sites

  • Data monitoring committee7/7

    A data monitoring committee is in place

  • Prospective registration5/5

    Registered before the study start date

  • Protocol / SAP posted0/5

    No protocol or SAP posted to the registry

ScaleLARGE

A large study, international in scope: 6,000 participants (target), run at 652 sites, across 30 countries.

How this score is built
  • Enrolment36/40

    6,000 participants (target)

  • Site count25/25

    652 sites

  • Country count15/15

    30 countries

  • Planned duration9/10

    Planned over about 48 months

  • Sponsor scale10/10

    Boehringer Ingelheim has led 1,211 trials in our corpus

Investigator standingUNKNOWN

We have no verifiable track record for the investigator named on this trial. That is common for early-career investigators and for records held outside ClinicalTrials.gov — it is not a negative signal.

How this score is built
  • Investigator standing0/100

    No investigator recorded in the registry for this trial

These describe the registry record only, and today we hold ClinicalTrials.gov data. Absent fields lower a score, and absence often reflects registration practice rather than study quality. A high-stature trial is not necessarily safer or a better choice for you — enrolling in a large definitive trial can mean a higher chance of receiving placebo, while a small early-phase study may be the only route to a new therapy.

ملخص

This study is open to adults aged 18 or above legal age with heart failure. People can join the study if they have heart failure symptoms and a left ventricular ejection fraction (LVEF) of 40% or more. The purpose of this study is to find out whether vicadrostat (BI 690517) in combination with empagliflozin helps people with heart failure. Participants are put into 2 groups by chance. Every participant has an equal chance of being in each group. The groups are: * Vicadrostat/empagliflozin group: participants take vicadrostat/empagliflozin as tablets once a day. * Placebo/empagliflozin group: participants take placebo/empagliflozin as tablets once a day. Participants can stay in the study as long as they benefit from treatment and can tolerate it. During this time, they visit their doctors regularly. The doctors regularly check participants' health and take note of any unwanted effects. The study staff may also contact the participants by phone. Participants also regularly answer questions about their well-being. The study does not have a fixed duration. It continues until there is enough data to see if the treatment is working.

الحالات

  • Heart Failure

الأهلية

الأهلية
الجنسالجميع
الأعمار18 Yearsلا حد أقصى
المتطوعون الأصحّاءلا

الأهلية كما كُتبت في السجل

Inclusion criteria: 1. At least 18 years old and at least of the legal age of consent in countries where it is greater than 18 years 2. Signed and dated written informed consent in accordance with ICH-GCP and local legislation prior to admission to the trial 3. Male or female participants. Women of childbearing potential (WOCBP) must be ready and able to use highly effective methods of birth control per International Conference on Harmonisation (ICH) M3 (R2) that result in a low failure rate of less than 1% per year when used consistently and correctly. A list of contraception methods meeting these criteria and instructions on the duration of their use is provided in the participant information 4. Chronic Heart failure (HF) diagnosed at least 3 months before Visit 1, and in New York Heart Association (NYHA) class II-IV at Visit 1, with left ventricular ejection fraction (LVEF) ≥40% per local reading. A historical LVEF may be used if it was measured within 12 months prior to Visit 1, or the LVEF may be measured after study consent has been obtained and before randomisation at Visit 2 5. Presence of structural heart abnormality (confirmed by any imaging modality; i.e. echocardiography at Visit 1, as defined by left ventricular hypertrophy or left atrial enlargement). Historical imaging may be used if performed within 12 months prior to Visit 1, or imaging may be completed after study consent has been obtained and before Visit 2 6. Elevated N-terminal pro-brain natriuretic peptide (NT-proBNP) at Visit 1, analysed at the central laboratory at Visit 1: 1. in participants with body mass index (BMI) \<27 kg/m²: ≥300 pg/mL for participants without atrial fibrillation (Afib) or atrial flutter (Aflutter) (at Visit 1 electrocardiogram (ECG)) and ≥900 pg/mL for participants with Afib or Aflutter (at Visit 1 ECG) 2. in participants with BMI ≥27 kg/m² to \<35 kg/m²: ≥220 pg/mL for participants without Afib or Aflutter (at Visit 1 ECG) and ≥660 pg/mL for participants with Afib or Aflutter (at Visit 1 ECG) 3. in participants with BMI ≥35 kg/m²: ≥125 pg/mL for participants without Afib or Aflutter (at Visit 1 ECG) and ≥375 pg/mL for participants with Afib or Aflutter (at Visit 1 ECG) 7. At least one of the following: * Currently treated with diuretic therapy e.g. loop diuretics or thiazides, and on a stable dose for at least 1 week prior to Visit 1 * Documented hospitalisation for HF within 6 months prior to Visit 1 * Elevated NT-proBNP at Visit 1, analysed at the central laboratory at Visit 1 * in participants without Afib or Aflutter (at Visit 1 ECG): ≥900 pg/mL * for participants with Afib or Aflutter (at Visit 1 ECG): ≥1800 pg/mL * Urine albumin-to-creatinine ratio (UACR) ≥30 mg/g, analysed at the central laboratory at Visit 1 8. Treated according to best possible standard of care (SOC) (disregarding Sodium-dependent glucose co-transporter 2 inhibitors (SGLT2is) and Mineralocorticoid receptor antagonists (MRAs)) in accordance with applicable HF local/international guidelines and judgment of the investigator Further inclusion criteria apply. Exclusion criteria: 1. Treatment with an mineralocorticoid receptor antagonist (MRA) (e.g. spironolactone, eplerenone, finerenone) within 14 days prior to Visit 1 or requiring such treatment before randomisation or planned during the trial based on the judgment of the investigator. Treatment with MRA should not be interrupted with the intention of enrolment into the study 2. Treatment with amiloride, or other potassium-sparing diuretic within 14 days prior to Visit 1 or requiring such treatment before randomisation or planned during the trial based on the judgment of the investigator 3. Receiving the following treatments: * a direct renin inhibitor (e.g. aliskiren) at Visit 2 * more than one angiotensin-converting enzyme inhibitor (ACEI), angiotensin receptor blocker (ARB) or angiotensin receptor-neprilysin inhibitor (ARNI) used simultaneously at Visit 2 * In case of acute decompensated HF: * i.v. inotrope, i.v. vasodilating drug (e.g. nitrate, nitroprusside), or i.v. natriuretic peptide (e.g. nesiritide, carperitide), or mechanical support (e.g. intra-aortic balloon pump, endotracheal intubation, mechanical ventilation, any ventricular assist device) within 24 hours prior to randomisation (Visit 2) * i.v. diuretic with a dose that has been increased/intensified within 6 hours prior to randomisation (a stable dose of an i.v. diuretic is not exclusionary) * Systemic mineralocorticoid replacement therapy (e.g. fludrocortisone) at Visit 2 * Other aldosterone synthase inhibitors, e.g. baxdrostat at Visit 2 or planned during the trial 4. Myocardial infarction (MI), transient ischemic attack (TIA), stroke, coronary artery bypass graft (CABG) surgery, heart valve surgery/intervention or any other major surgery (major according to the investigator's assessment) within 90 days prior to Visit 2, or scheduled for major elective surgery (e.g. hip replacement, coronary artery bypass graft surgery/CABG) 5. Percutaneous coronary intervention (PCI) ( scheduled or unscheduled) or any angiography using iodinated contrast agents in the 7 days prior to Visit 2 6. Heart transplant recipient, awaiting heart transplant, or currently implanted left ventricular assist device (LVAD) 7. Known cardiomyopathy based on infiltrative diseases (e.g. amyloidosis), accumulation diseases (e.g. haemochromatosis, Fabry disease), muscular dystrophies, hypertrophic obstructive cardiomyopathy or genetic hypertrophic cardiomyopathy,known pericardial constriction, or cardiomyopathy with potentially reversible cause such as stress or peripartum cardiomyopathy or cardiomyopathy induced by chemotherapy within the 12 months prior to Visit 1 and until Visit 2 8. Acute inflammatory heart disease, such as acute myocarditis, within the 90 days preceding prior to Visit 1 and until Visit 2 9. Known severe valvular heart disease (obstructive or regurgitant), as per investigator's judgment, or valvular heart disease scheduled for surgical or invasive procedures at Visit 1, or anticipated invasive treatment during the study Further exclusion criteria apply.

الأهلية في عبارات بسيطة

لم تُقسَّم معايير هذا السجل إلى عبارات منفصلة بعد. نص السجل أعلاه كامل وهو النسخة المُعتمَدة.

تصميم الدراسة

تصميم الدراسة
نوع الدراسةتدخّلية
المرحلةالمرحلة 3
التخصيصمعشّاة
نموذج التدخّلPARALLEL
الغرض الأساسيTREATMENT
التعميةTRIPLE (3)
التجنيدمطلوب 6,000 مشارك

الجهة الراعية والمتعاونون

  • Boehringer Ingelheim الجهة الراعية

الأذرع والتدخلات

  • vicadrostat/empagliflozinEXPERIMENTAL
  • placebo/empagliflozinPLACEBO_COMPARATOR

التدخلات

  • دواء empagliflozin

    empagliflozin

  • دواء placebo

    placebo matching vicadrostat

  • دواء vicadrostat

    vicadrostat

مقاييس النتائج

  1. مقياس النتيجة الأولي

    Time to first event of Cardiovascular (CV) death, hospitalisation for heart failure (HHF) or urgent heart failure (HF) visit

    الإطار الزمني up to 42 months

  2. مقياس النتيجة الثانوي

    Key secondary endpoint: Time to first event of CV death or HHF

    الإطار الزمني up to 42 months

  3. مقياس النتيجة الثانوي

    Key secondary endpoint: Occurrence of HHFs (first and recurrent)

    الإطار الزمني up to 42 months

  4. مقياس النتيجة الثانوي

    Key secondary endpoint: Absolute change from baseline in Kansas City Cardiomyopathy Questionnaire Total Symptom Score (KCCQ-TSS) at Week 32

    The Kansas City Cardiomyopathy Questionnaire is a patient-reported outcome instrument for use in clinical investigations in heart failure. The Total Symptom Score measures the following aspects of symptom experience in two domain scores: The "Symptom Frequency Domain" assesses frequency of the following experiences: * Lower extremity swelling in the morning * Fatigue limiting patients' ability to do what they want * Dyspnea limiting patients' ability to do what they want * Dyspnea forcing patients to sleep upright/elevated The "Symptom Burden Domain" assesses bothersomeness of the following symptoms: * Fatigue * Dyspnea * Lower extremity swelling All KCCQ scores are scaled from 0 to 100 and frequently summarized in 25-point ranges, where scores represent health status as follows: 0 to 24: very poor to poor; 25 to 49: poor to fair; 50 to 74: fair to good; and 75 to 100: good to excellent.

    الإطار الزمني at baseline, at week 32

  5. مقياس النتيجة الثانوي

    Key secondary endpoint: Time to CV death

    الإطار الزمني up to 42 months

  6. مقياس النتيجة الثانوي

    Key secondary endpoint: Time to all-cause mortality

    الإطار الزمني up to 42 months

  7. مقياس النتيجة الثانوي

    Time to first HHF

    الإطار الزمني up to 42 months

  8. مقياس النتيجة الثانوي

    Time to first occurrence of death from kidney failure, chronic dialysis* or renal transplant or onset of sustained reduction of ≥50% eGFR from baseline** or onset of sustained eGFR (CKD-EPI)cr <10 mL/min/1.73 m2 (composite renal endpoint)

    \* chronic dialysis is defined as dialysis continuing for at least 30 days \*\* using the Chronic Kidney Disease Epidemiology Collaboration creatinine equation ((CKD-EPI)cr)

    الإطار الزمني up to 42 months

  9. مقياس النتيجة الثانوي

    Absolute change from baseline in KCCQ Clinical Summary Score (KCCQ-CSS) at Week 32

    The KCCQ Clinical Summary Score is a composite of the Total Symptom Score and Physical Limitations Score. The "Physical Limitations Score" measures the following physical limitations: * Dressing * Showering/bathing * Walking one block on level ground * Doing yardwork, housework or carrying groceries * Climbing a flight of stairs without stopping * Hurrying or jogging as if to catch a bus All KCCQ scores are scaled from 0 to 100 and frequently summarized in 25-point ranges, where scores represent health status as follows: 0 to 24: very poor to poor; 25 to 49: poor to fair; 50 to 74: fair to good; and 75 to 100: good to excellent.

    الإطار الزمني at baseline, at week 32

  10. مقياس النتيجة الثانوي

    Absolute change from baseline in KCCQ-TSS at Week 52

    الإطار الزمني at baseline, at week 52

  11. مقياس النتيجة الثانوي

    Absolute change from baseline in KCCQ-OSS at Week 32

    The Kansas City Cardiomyopathy Questionnaire - overall summary score (KCCQ-OSS) is a combination of the symptom \[domain\], physical limitations, social limitations, and quality of life domains. All KCCQ scores are scaled from 0 to 100 and frequently summarized in 25-point ranges, where scores represent health status as follows: 0 to 24: very poor to poor; 25 to 49: poor to fair; 50 to 74: fair to good; and 75 to 100: good to excellent.

    الإطار الزمني at baseline, at week 32

  12. مقياس النتيجة الثانوي

    Absolute change from baseline in KCCQ-OSS at Week 52

    الإطار الزمني at baseline, at week 52

  13. مقياس النتيجة الثانوي

    Absolute change from baseline in systolic blood pressure (SBP) [mmHg] at Week 32 in participants with baseline SBP ≥130 mmHg

    الإطار الزمني at baseline, at week 32

  14. مقياس النتيجة الثانوي

    Absolute chance from baseline in diastolic blood pressure (DBP) [mmHg] at Week 32 in participants with baseline DBP ≥80 mmHg

    الإطار الزمني at baseline, at week 32

التواريخ

التواريخ
تاريخ البدء17 يونيو 2024 (فعلي)
الإتمام الأولي22 مايو 2028 (تقديري)
الإتمام22 مايو 2028 (تقديري)
أول نشر22 مايو 2024 (فعلي)
آخر تحديث21 أغسطس 2026
النتائج منشورةغير مذكور في سجل السجل
آخر تأكيد للحالةأغسطس 2026

فعلي يعني أن الحدث وقع. تقديري يعني أن الجهة الراعية تتوقعه. للكلمتين معنيان مختلفان.

المواقع

621 موقعاً قيد التجنيد

Argentina

Argentina
المنشأةالمدينةالولاية أو المنطقةالحالة
Inst de Inv Clinicas-Bahia BlancaBahía Blancaقيد التجنيد
Swiss Medical Center Barrio ParqueBuenos Aireقيد التجنيد
Mautalen- Salud e InvestigacionCiudad Autonoma Buenos Airesقيد التجنيد
Centro Medico Dra Laura MaffeiCiudad Autonoma Buenos Airesقيد التجنيد
Fundacion FavaloroCiudad Autonoma Buenos Airesقيد التجنيد
Glenny Corp. S.A. Bioclinica ArgentinaCiudad Autonoma Buenos Airesقيد التجنيد
Instituto Cardiovascular de Buenos AiresCiudad Autonoma Buenos Airesقيد التجنيد
Centro de Investigaciones Metabolicas (CINME)-Ciudad Autonoma Buenos Aires-41221Ciudad Autonoma Buenos Airesقيد التجنيد
Centro Medico ViamonteCiudad Autonoma de Bs Asقيد التجنيد
Hospital Italiano de Buenos AiresCiudad Autónoma de Bs Asقيد التجنيد
Instituto Medico Elsa Perez SRL (IMEP)Ciudadelaقيد التجنيد
Clinica Coronel SuarezCoronel Suárezقيد التجنيد
Instituto Médico DAMIC S.R.L.Córdobaقيد التجنيد
Sanatorio Allende S.A.Córdobaقيد التجنيد
Sanatorio Privado Duarte Quiros De Clinica Colombo SACórdobaقيد التجنيد
Well MedicaCórdobaقيد التجنيد
Centro Medico LuquezCórdobaقيد التجنيد
Centro de Investigaciones Medicas Mar del PlataMar del Plataقيد التجنيد
Hospital Universitario AustralPilarقيد التجنيد
Instituto de Investigaciones Clinicas de QuilmesQuilmesقيد التجنيد
DIM Clinica PrivadaRamos Mejíaقيد التجنيد
Instituto CAICIRosarioقيد التجنيد
Instituto de Investigaciones Clinicas de RosarioRosarioقيد التجنيد
Centro Cardiovascular SaltaSaltaقيد التجنيد
Corporacion Medica de Gral. San Martin S.A.San Martinقيد التجنيد
Investigaciones en Patologias RespiratoriasSan Miguel de Tucumánقيد التجنيد
Clinica MayoSan Miguel de Tucumánقيد التجنيد
Investigaciones Clinicas TucumanSan Miguel de Tucumánقيد التجنيد
Centro Modelo de CardiologiaSan Miguel de Tucumánقيد التجنيد
Instituto de Investigaciones Clinicas San NicolasSan Nicolásقيد التجنيد
Centro de Investigaciones Clinicas del LitoralSanta Feقيد التجنيد
CEMEDIC - Centro de Especialidades MedicasVilla Luroقيد التجنيد

Australia

Australia
المنشأةالمدينةالولاية أو المنطقةالحالة
Royal Adelaide HospitalAdelaideSouth Australiaقيد التجنيد
Royal Brisbane and Women's HospitalBrisbaneQueenslandلم يبدأ التجنيد بعد
Prince Charles HospitalChermsideQueenslandقيد التجنيد
Concord Repatriation General HospitalConcordNew South Walesقيد التجنيد
Total Cardiovascular CareFrankstonVictoriaقيد التجنيد
Canberra HospitalGarranAustralian Capital Territoryقيد التجنيد
Gosford HospitalGosfordNew South Walesقيد التجنيد
Nepean HospitalKingswoodNew South Walesقيد التجنيد
Pendlebury ResearchKotaraNew South Walesقيد التجنيد
Royal Melbourne HospitalParkvilleVictoriaقيد التجنيد
Mount HospitalPerthWestern Australiaلم يبدأ التجنيد بعد
John Flynn Private HospitalTugunQueenslandقيد التجنيد
The Queen Elizabeth HospitalWoodvilleSouth Australiaقيد التجنيد

Belgium

Belgium
المنشأةالمدينةالولاية أو المنطقةالحالة
Ziekenhuis Oost-LimburgGenkقيد التجنيد
AZ Sint-LucasGhentقيد التجنيد
Grand Hôpital de CharleroiGillyقيد التجنيد
Jessa ZiekenhuisHasseltقيد التجنيد
AZ GroeningeKortrijkقيد التجنيد

يُدرَج 602 موقع إضافي في سجل السجل.

مستندات الدراسة

لا تُرتبط أي مستندات في سجل السجل هذا.

التغيّرات عبر الزمن

لم تُسجَّل أي تغييرات منذ أن أدرجنا هذا السجل لأول مرة.

يُسجَّل تغيير في كل مرة تحدّث فيها الجهة الراعية سجل السجل. تظهر هنا الحالة والتواريخ والتجنيد والمواقع كلما تغيّرت.