Saltar al contenido principal
xMedica

NCT07037459ClinicalTrials.gov

Maridebart Cafraglutide in Heart Failure With Preserved or Mildly Reduced Ejection Fraction and Obesity

A Phase 3 Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of Maridebart Cafraglutide on Mortality and Morbidity in Participants Living With Heart Failure With Preserved or Mildly Reduced Ejection Fraction and Obesity (MARITIME-HF)

En reclutamientoAdmite participantes ahora, según el registro.
Contactar con este estudio

En resumen

This trial will examine if maridebart cafraglutide as an adjunct to standard of care will lead to a reduction in heart failure (HF) events such as HF hospitalizations and urgent HF visits, cardiovascular (CV) deaths and improvement in HF symptoms…

Fase 35056 participantes buscados657 centros34 países

Categorías

Registrado en 1 registro

Un mismo estudio puede estar registrado en varios registros. Lo mostramos una sola vez y enlazamos con todos los registros que tenemos.

La información del ensayo se muestra tal como la publicó el registro, en su idioma original.

¿Le interesa este estudio?

Iniciar sesión o cree una cuenta para registrar su interés y seguir este estudio.

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 2025-06-25; recorded start 2025-06-25
  • 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 303 other studies in this databaseCounted from the lead sponsor named in the record (Amgen)
  • Present: Sponsor has posted results for at least one studyBased on the sponsor’s studies in this database
  • The record lists 3 conditions.
  • 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

  • Blinding13/20

    Double-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: 628 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: 5,056 participants (target), run at 657 sites, across 34 countries.

How this score is built
  • Enrolment36/40

    5,056 participants (target)

  • Site count25/25

    628 sites

  • Country count15/15

    34 countries

  • Planned duration10/10

    Planned over about 64 months

  • Sponsor scale9/10

    Amgen has led 300 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.

Resumen

This trial will examine if maridebart cafraglutide as an adjunct to standard of care will lead to a reduction in heart failure (HF) events such as HF hospitalizations and urgent HF visits, cardiovascular (CV) deaths and improvement in HF symptoms in participants with HF with preserved ejection fraction (HFpEF) and HF with mildly reduced ejection fraction (HFmrEF) who are obese. This is a phase 3, global, multicenter, 2-part trial with a double-blind period and an open-label extension (OLE). The trial is event-driven, and Part 1 will conclude when approximately 850 primary endpoint events have occurred.

Afecciones

  • Heart Failure With Preserved Ejection Fraction
  • Heart Failure With Mildly Reduced Ejection Fraction
  • Obesity

Elegibilidad

Elegibilidad
SexoTodos
Edades18 Years99 Years
Voluntarios sanosNo

Elegibilidad tal como figura en el registro

Inclusion Criteria: * Age ≥ 18 years at the time of informed consent. * BMI ≥ 30.0 kg/m\^2 at randomization. * HF diagnosed for at least 30 days with New York Heart Association (NYHA) Class II-IV at the time of informed consent. * Managed with HF standard of care therapies. * Left ventricular ejection fraction (LVEF) of \> 40% within 12 months before randomization. Exclusion Criteria: * History of any of the following within 60 days prior to or during screening: Type I (spontaneous) MI, valvular replacement or repair, coronary revascularization, coronary artery bypass graft surgery or other major cardiovascular surgery, stroke. * HF due to: hypertrophic cardiomyopathy, infiltrative cardiomyopathy, active or chronic myocarditis, constrictive pericarditis, cardiac tamponade, arrhythmogenic right ventricular or left ventricular cardiomyopathy/dysplasia, uncorrected primary valvular heart disease, clinically significant congenital heart disease. * Hospitalized with acute decompensated HF at the time of or during the screening period. * Type 1 diabetes mellitus, or any type of diabetes with the exception of T2DM or history of gestational diabetes. * For participants with a prior diagnosis of T2DM (including those diagnosed during screening): 1. HbA1c \> 10.0% (86 mmol/mol) at screening 2. Uncontrolled diabetes requiring immediate therapy 3. History of diabetic ketoacidosis or hyperosmolar state/coma within 12 months before randomization 4. One or more episodes of severe hypoglycemia within 6 months before randomization and/or history of hypoglycemia unawareness 5. History or presence of either proliferative diabetic retinopathy, or diabetic maculopathy, or severe non-proliferative diabetic retinopathy; or currently receiving or planning to receive treatment for diabetic retinopathy and/or macular edema. * SBP ≥ 180 mmHg during the screening period, or on three or more blood pressure-lowering drugs with a SBP \> 160 mmHg during the screening period (including day 1 prior to randomization). * History of chronic pancreatitis or acute pancreatitis in the 180 days before screening or during the screening period. * Any personal lifetime history of, or family history(first-degree relative\[s\]) of medullary thyroid carcinoma or MEN-2. * eGFR \< 20 mL/min/1.73 m\^2 (CKD-EPI creatinine (Cr)-cystatin C equation) or receiving dialysis at screening. * Calcitonin ≥ 50 ng/L (pg/mL) at screening. * Acute or chronic hepatitis. * Any of the following psychiatric history: 1. History of unstable major depressive disorder or other severe psychiatric disorder within 2 years prior to screening or during the screening period 2. Lifetime history of suicide attempt 3. History of non-suicidal self-injury within 5 years prior to screening or during the screening period. * History of any other condition that, in the opinion of the investigator, may preclude the participant from following the protocol and completing the trial. * Use of any glucagon-like peptide 1 receptor agonist (GLP-1 RA), glucose-dependent insulinotropic polypeptide (GIP) agonists or antagonists, or amylin analogs within 90 days prior to or during the screening period or planned use during the conduct of the trial.

Elegibilidad en frases sencillas

Los criterios de este registro aún no se han desglosado en frases separadas. El texto del registro anterior está completo y es la versión autorizada.

Diseño del estudio

Diseño del estudio
Tipo de estudioDe intervención
FaseFase 3
AsignaciónAleatorizado
Modelo de intervenciónPARALLEL
Propósito principalTREATMENT
EnmascaramientoDOUBLE (2)
Inscripción5056 participantes buscados

Patrocinador y colaboradores

  • Amgen Patrocinador

Grupos e intervenciones

  • Maridebart CafraglutideEXPERIMENTAL

    Participants will receive maridebart cafraglutide subcutaneously (SC)

  • PlaceboPLACEBO_COMPARATOR

    Participants will receive placebo SC

Intervenciones

  • Fármaco Maridebart cafraglutide

    Maridebart cafraglutide will be administered SC.

  • Fármaco Placebo

    Placebo will be administered SC.

Variables de resultado

  1. Variable de resultado principal

    Time to First Occurrence of a Composite Endpoint Consisting of: CV Death or HF Events

    Heart Failure events include: hospitalization for HF or urgent HF visits.

    Plazo Up to approximately 35 months

  2. Variable de resultado secundaria

    Percent Change from Baseline in Non-high-density Lipoprotein Cholesterol (non-HDL-C)

    Plazo Baseline and Week 72

  3. Variable de resultado secundaria

    Percent Change from Baseline in Low-density Lipoprotein Cholesterol (LDL-C), HDL-C, Triglycerides (TG), Very Low-density Lipoprotein Cholesterol (VLDL-C)

    Plazo Baseline and Week 72

  4. Variable de resultado secundaria

    Total All-cause Hospitalizations (First and Recurrent Time to Event)

    Plazo Up to approximately 35 months

  5. Variable de resultado secundaria

    Number of Participants Achieving ≥ 5-point Change in KCCQ-CSS Score from Baseline for Participants with Baseline KCCQ-CSS Score ≤ 80

    The KCCQ is a 23-item disease-specific measure for participants with HF, measuring the participant's perception of their health status. The KCCQ-CSS assesses symptoms and physical limitations, ranging from 0 to 100, with higher scores indicating better functioning and quality of life.

    Plazo Baseline and Week 48

  6. Variable de resultado secundaria

    Number of Participants Achieving ≥ 10-point Change in KCCQ-CSS Score from Baseline for Participants with Baseline KCCQ-CSS Score ≤ 80

    The KCCQ is a 23-item disease-specific measure for participants with HF, measuring the participant's perception of their health status. The KCCQ-CSS assesses symptoms and physical limitations, ranging from 0 to 100, with higher scores indicating better functioning and quality of life.

    Plazo Baseline and Week 48

  7. Variable de resultado secundaria

    Number of Participants Achieving an Anchor-based Change in KCCQ-CSS Score From Baseline for Participants with Baseline KCCQ-CSS Score ≤ 80

    The KCCQ is a 23-item disease-specific measure for participants with HF, measuring the participant's perception of their health status. The KCCQ-CSS assesses symptoms and physical limitations, ranging from 0 to 100, with higher scores indicating better functioning and quality of life. The Patient Global Impression of Severity (PGI-S) and Patient Global Impression of Change (PGI-C) can be used as anchors to estimate within-patient change in the KCCQ-CSS score.

    Plazo Baseline and Week 48

  8. Variable de resultado secundaria

    Number of Participants Achieving ≥ 5-point Change in KCCQ-TSS Score from Baseline for Participants with Baseline KCCQ-CSS Score ≤ 80

    The KCCQ is a 23-item disease-specific measure for participants with HF, measuring the participant's perception of their health status. The KCCQ-TSS assesses symptom frequency and burden, ranging from 0 to 100, with higher scores indicating better functioning and quality of life. The KCCQ-CSS assesses symptoms and physical limitations, ranging from 0 to 100, with higher scores indicating better functioning and quality of life.

    Plazo Baseline and Week 48

  9. Variable de resultado secundaria

    Change from Baseline in the Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)

    Plazo Baseline and Week 72

  10. Variable de resultado secundaria

    Change from Baseline in Body Mass Index (BMI) (kg/m^2)

    Plazo Baseline and Week 72

  11. Variable de resultado secundaria

    Change from Baseline in the Waist Circumference (cm)

    Plazo Baseline and Week 72

  12. Variable de resultado secundaria

    Change from Baseline in the Urine Albumin-to-creatinine Ratio (uACR)

    Plazo Baseline and Week 72

  13. Variable de resultado secundaria

    Change from Baseline in the Hemoglobin A1c (HbA1c [%, mmol/mol]) and fasting plasma glucose (mg/dL)

    Plazo Baseline and Week 72

  14. Variable de resultado secundaria

    Percent Change from Baseline in the High-sensitivity C Reactive Protein (hs-CRP)

    Plazo Baseline and Week 72

  15. Variable de resultado secundaria

    Percent Change from Baseline in the Body Weight (kg)

    Plazo Baseline and Week 72

  16. Variable de resultado secundaria

    Percent Change from Baseline in Total Cholesterol

    Plazo Baseline and Week 72

  17. Variable de resultado secundaria

    Time to Onset of Type 2 Diabetes Mellitus (T2DM) in Participants with Prediabetes

    Plazo Up to approximately 35 months

  18. Variable de resultado secundaria

    Time to the First HF Event

    Plazo Up to approximately 35 months

  19. Variable de resultado secundaria

    Time to First Event of a Composite Nephropathy Endpoint

    The composite nephropathy endpoint consists of: persistent macroalbuminuria, persistent ≥ 40% reduction in estimated glomerular filtration rate (eGFR), onset of persistent eGFR \< 15 mL/min/1.73 m\^2, initiation of chronic renal replacement therapy (dialysis or transplantation), CV or renal death.

    Plazo Up to approximately 35 months

  20. Variable de resultado secundaria

    Change From Baseline in Kansas City Cardiomyopathy Questionnaire (KCCQ) Clinical Summary Score (CSS) for Participants with Baseline KCCQ-CSS Score ≤ 80

    The KCCQ is a 23-item disease-specific measure for participants with HF, measuring the participant's perception of their health status. The KCCQ-CSS assesses symptoms and physical limitations, ranging from 0 to 100, with higher scores indicating better functioning and quality of life.

    Plazo Baseline and Week 48

  21. Variable de resultado secundaria

    Change from Baseline in the KCCQ Total Symptom Score (TSS) for Participants with Baseline KCCQ-CSS Score ≤ 80

    The KCCQ is a 23-item disease-specific measure for participants with HF, measuring the participant's perception of their health status. The KCCQ-TSS assesses symptom frequency and burden, ranging from 0 to 100, with higher scores indicating better functioning and quality of life.

    Plazo Baseline and Week 48

  22. Variable de resultado secundaria

    Total Number of HF Events Including First and Recurrent HF Events

    Plazo Up to approximately 35 months

  23. Variable de resultado secundaria

    Time to First Occurrence of a Composite Endpoint Consisting of: Myocardial Infarction (MI), Ischemic Stroke, CV Death (Major Adverse Cardiac Events [MACE]), or HF Events

    Plazo Up to approximately 35 months

  24. Variable de resultado secundaria

    Change in eGFR Slope (Total)

    Plazo Baseline up to approximately 35 months

  25. Variable de resultado secundaria

    Change in eGFR Slope (Chronic)

    Plazo From 4 months up to approximately 35 months

  26. Variable de resultado secundaria

    Number of Participants Achieving ≥ 10-point Change in KCCQ-TSS Score from Baseline for Participants with Baseline KCCQ-CSS Score ≤ 80

    The KCCQ is a 23-item disease-specific measure for participants with HF, measuring the participant's perception of their health status. The KCCQ-TSS assesses symptom frequency and burden, ranging from 0 to 100, with higher scores indicating better functioning and quality of life. The KCCQ-CSS assesses symptoms and physical limitations, ranging from 0 to 100, with higher scores indicating better functioning and quality of life.

    Plazo Baseline and Week 48

  27. Variable de resultado secundaria

    Number of Participants Achieving an Anchor-based Change in KCCQ-TSS Score from Baseline for Participants with Baseline KCCQ-CSS Score ≤ 80

    The KCCQ is a 23-item disease-specific measure for participants with HF, measuring the participant's perception of their health status. The KCCQ-TSS assesses symptom frequency and burden, ranging from 0 to 100, with higher scores indicating better functioning and quality of life. The KCCQ-CSS assesses symptoms and physical limitations, ranging from 0 to 100, with higher scores indicating better functioning and quality of life. The PGI-S and PGI-C can be used as anchors to estimate within-patient change in the KCCQ-CSS score.

    Plazo Baseline and Week 48

  28. Variable de resultado secundaria

    Time to All-cause Death

    Plazo Up to approximately 35 months

  29. Variable de resultado secundaria

    Time to CV Death

    Plazo Up to Approximately 35 Months

  30. Variable de resultado secundaria

    Number of Participants with Treatment-emergent Adverse Events and Serious Adverse Events

    Plazo Up to approximately 35 months

  31. Variable de resultado secundaria

    Plasma Concentration of Maridebart Cafraglutide

    Plazo Week 72

  32. Variable de resultado secundaria

    Change from Baseline in N-terminal Pro B Type Natriuretic Peptide (NT-proBNP)

    Plazo Baseline and Week 72

  33. Variable de resultado secundaria

    Time to New Onset of Atrial Fibrillation (AF) or Atrial Flutter (AFL) in Participants Without a History of AF or AFL at Baseline

    Plazo Baseline and up to approximately 35 months

  34. Variable de resultado secundaria

    Time to First Event of a Composite Nephropathy Endpoint

    The composite nephropathy endpoint consisting of persistent ≥ 40% reduction in estimated glomerular filtration rate (eGFR), onset of persistent eGFR \< 15 mL/min/1.73 m\^2, initiation of chronic renal replacement therapy (dialysis or transplantation), or CV death.

    Plazo Up to approximately 35 months

Fechas

Fechas
Fecha de inicio25 de junio de 2025 (real)
Finalización principal30 de junio de 2028 (estimada)
Finalización29 de septiembre de 2030 (estimada)
Primera publicación25 de junio de 2025 (real)
Última actualización16 de septiembre de 2026
Resultados publicadosNo indicado en el registro
Estado verificado por última vezseptiembre de 2026

Real significa que el evento ocurrió. Estimada significa que el patrocinador lo prevé. Ambas cosas significan algo distinto.

Ubicaciones

637 centros están en reclutamiento

Argentina

Argentina
CentroCiudadEstado o regiónEstado
Centro Medico Dra Laura Maffei Investigacion Clinica AplicadaCABABuenos AiresEn reclutamiento
Centro de Investigaciones Metabolicas CinmeCABABuenos AiresEn reclutamiento
Imoba Investigaciones medicasCABABuenos AiresEn reclutamiento
Fundacion Respirar - Consultorios Medicos Dr DoreskiCABABuenos AiresEn reclutamiento
Cemic - Centro de Educacion Medica e Investigaciones Clinicas Norberto QuirnoCABABuenos AiresEn reclutamiento
Cemedic Centro de Especialidades MedicasCABABuenos AiresEn reclutamiento
Cardiología PalermoCiudad Autonoma de Buenos AiresBuenos AiresEn reclutamiento
Ciprec Centro de Investigacion y Prevencion CardiovascularCiudad Autonoma de Buenos AiresBuenos AiresEn reclutamiento
Mautalen Salud e Investigacion Expertia SA-OsteoCiudad Autonoma de Buenos AiresBuenos AiresEn reclutamiento
Instituto Medico DamicCórdobaEn reclutamiento
Ciad - Consultorio Integral de Atencion al DiabeticoMorónBuenos AiresEn reclutamiento
Dim Clinica PrivadaRamos MeijaBuenos AiresEn reclutamiento
Instituto de Investigaciones Clínicas Rosario-Sanatorio DeltaRosarioSanta Fe ProvinceEn reclutamiento
INECO Neurociencias OronioRosarioEn reclutamiento
Instituto CAICI - Centro de Asistencia e Investigacion Clinica IntegralRosarioSanta Fe ProvinceEn reclutamiento
Centro Modelo de CardiologiaSan Miguel de TucumánTucumán ProvinceEn reclutamiento
Investigaciones Clinicas TucumanSan Miguel de TucumánTucumán ProvinceEn reclutamiento
Instituto de Investigaciones Clinicas de San NicolasSan Nicolás de los ArroyosBuenos AiresEn reclutamiento
Go Centro Medico San NicolasSan Nicolás de los ArroyosBuenos AiresEn reclutamiento
Hospital Dr Jose Maria CullenSanta FeEn reclutamiento
Centro de Investigaciones Clinicas del LitoralSanta FeEn reclutamiento
Clinica Fusavim Privada SRLVilla MaríaCórdoba ProvinceEn reclutamiento
Instituto de Investigaciones Clinicas ZarateZárateEn reclutamiento

Australia

Australia
CentroCiudadEstado o regiónEstado
Advara HeartCare WesleyAuchenflowerQueenslandFinalizado antes de tiempo
Flinders Medical CentreBedford ParkSouth AustraliaEn reclutamiento
Sunshine Coast University HospitalBirtinyaQueenslandEn reclutamiento
Victorian Heart HospitalClaytonVictoriaEn reclutamiento
Canberra HospitalGarranAustralian Capital TerritoryEn reclutamiento
Royal Brisbane and Womens HospitalHerstonQueenslandEn reclutamiento
Advara HeartCare JoondalupJoondalupWestern AustraliaEn reclutamiento
Advara HeartCare LeabrookLeabrookSouth AustraliaEn reclutamiento
Sydney Cardiometabolic CentreLiverpoolNew South WalesEn reclutamiento
The Alfred HospitalMelbourneVictoriaEn reclutamiento
Core Research Group Pty LtdMiltonQueenslandEn reclutamiento
Advara HeartCare MulgraveMulgraveVictoriaEn reclutamiento
Fiona Stanley HospitalMurdochWestern AustraliaEn reclutamiento
Gold Coast Hospital and Health ServiceSouthportQueenslandFinalizado antes de tiempo
Royal North Shore HospitalSt LeonardsNew South WalesEn reclutamiento
Dr Heart Pty LtdWoolloongabbaQueenslandFinalizado antes de tiempo

Austria

Austria
CentroCiudadEstado o regiónEstado
Krankenhaus Sankt Josef BraunauBraunau am InnEn reclutamiento
Pro Kompetenzzentrum fuer GesundheitGrazEn reclutamiento
Medizinische Universitaet GrazGrazEn reclutamiento
Klinikum Klagenfurt am WoertherseeKlagenfurtEn reclutamiento
Ordensklinikum Linz ElisabethinenLinzEn reclutamiento
Landeskrankenhaus SalzburgSalzburgEn reclutamiento
Imed Sankt PoeltenSankt PöltenEn reclutamiento
Universitaetsklinikum Sankt PoeltenSankt PöltenFinalizado antes de tiempo
Universitaetsklinikum Allgemeines Krankenhaus WienViennaEn reclutamiento
Herz Zentrum WaehringViennaEn reclutamiento
Ordinationszentrum imedneunzehn privatViennaEn reclutamiento

En el registro figuran 607 centros más.

Documentos del estudio

No hay documentos enlazados en este registro.

Cambios a lo largo del tiempo

  1. 16 de septiembre de 2026

    Centro añadido

    29 sites added (657 total)

    628657