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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)

מגייסמקבל משתתפים כעת, לפי רשומת המרשם.
יצירת קשר עם המחקר

בקצרה

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…

שלב 3דרושים 5,056 משתתפים657 אתרים34 מדינות

קטגוריות

רשום במרשם אחד

מחקר יחיד יכול להיות רשום בכמה מרשמים. אנו מציגים אותו פעם אחת ומקשרים לכל רשומה שברשותנו.

מידע הניסוי מוצג כפי שפורסם על ידי המרשם, בשפת המקור שלו.

מתעניינים במחקר הזה?

התחברות או צרו חשבון כדי לרשום את התעניינותכם ולעקוב אחר המחקר הזה.

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.

תקציר

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.

מצבים רפואיים

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

זכאות

זכאות
מיןהכול
גילאים18 Years99 Years
מתנדבים בריאיםלא

זכאות כפי שנכתבה במרשם

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.

זכאות במשפטים פשוטים

הקריטריונים של רשומה זו טרם פורקו למשפטים נפרדים. טקסט המרשם שלמעלה שלם והוא הגרסה המחייבת.

תכנון המחקר

תכנון המחקר
סוג המחקרהתערבותי
שלבשלב 3
הקצאהאקראי
מודל ההתערבותPARALLEL
מטרה ראשיתTREATMENT
הסתרהDOUBLE (2)
גיוסדרושים 5,056 משתתפים

נותן חסות ושותפים

  • Amgen נותן חסות

זרועות והתערבויות

  • Maridebart CafraglutideEXPERIMENTAL

    Participants will receive maridebart cafraglutide subcutaneously (SC)

  • PlaceboPLACEBO_COMPARATOR

    Participants will receive placebo SC

התערבויות

  • תרופה Maridebart cafraglutide

    Maridebart cafraglutide will be administered SC.

  • תרופה Placebo

    Placebo will be administered SC.

מדדי תוצאה

  1. מדד תוצאה ראשוני

    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.

    מסגרת זמן Up to approximately 35 months

  2. מדד תוצאה משני

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

    מסגרת זמן Baseline and Week 72

  3. מדד תוצאה משני

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

    מסגרת זמן Baseline and Week 72

  4. מדד תוצאה משני

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

    מסגרת זמן Up to approximately 35 months

  5. מדד תוצאה משני

    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.

    מסגרת זמן Baseline and Week 48

  6. מדד תוצאה משני

    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.

    מסגרת זמן Baseline and Week 48

  7. מדד תוצאה משני

    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.

    מסגרת זמן Baseline and Week 48

  8. מדד תוצאה משני

    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.

    מסגרת זמן Baseline and Week 48

  9. מדד תוצאה משני

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

    מסגרת זמן Baseline and Week 72

  10. מדד תוצאה משני

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

    מסגרת זמן Baseline and Week 72

  11. מדד תוצאה משני

    Change from Baseline in the Waist Circumference (cm)

    מסגרת זמן Baseline and Week 72

  12. מדד תוצאה משני

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

    מסגרת זמן Baseline and Week 72

  13. מדד תוצאה משני

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

    מסגרת זמן Baseline and Week 72

  14. מדד תוצאה משני

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

    מסגרת זמן Baseline and Week 72

  15. מדד תוצאה משני

    Percent Change from Baseline in the Body Weight (kg)

    מסגרת זמן Baseline and Week 72

  16. מדד תוצאה משני

    Percent Change from Baseline in Total Cholesterol

    מסגרת זמן Baseline and Week 72

  17. מדד תוצאה משני

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

    מסגרת זמן Up to approximately 35 months

  18. מדד תוצאה משני

    Time to the First HF Event

    מסגרת זמן Up to approximately 35 months

  19. מדד תוצאה משני

    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.

    מסגרת זמן Up to approximately 35 months

  20. מדד תוצאה משני

    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.

    מסגרת זמן Baseline and Week 48

  21. מדד תוצאה משני

    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.

    מסגרת זמן Baseline and Week 48

  22. מדד תוצאה משני

    Total Number of HF Events Including First and Recurrent HF Events

    מסגרת זמן Up to approximately 35 months

  23. מדד תוצאה משני

    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

    מסגרת זמן Up to approximately 35 months

  24. מדד תוצאה משני

    Change in eGFR Slope (Total)

    מסגרת זמן Baseline up to approximately 35 months

  25. מדד תוצאה משני

    Change in eGFR Slope (Chronic)

    מסגרת זמן From 4 months up to approximately 35 months

  26. מדד תוצאה משני

    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.

    מסגרת זמן Baseline and Week 48

  27. מדד תוצאה משני

    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.

    מסגרת זמן Baseline and Week 48

  28. מדד תוצאה משני

    Time to All-cause Death

    מסגרת זמן Up to approximately 35 months

  29. מדד תוצאה משני

    Time to CV Death

    מסגרת זמן Up to Approximately 35 Months

  30. מדד תוצאה משני

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

    מסגרת זמן Up to approximately 35 months

  31. מדד תוצאה משני

    Plasma Concentration of Maridebart Cafraglutide

    מסגרת זמן Week 72

  32. מדד תוצאה משני

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

    מסגרת זמן Baseline and Week 72

  33. מדד תוצאה משני

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

    מסגרת זמן Baseline and up to approximately 35 months

  34. מדד תוצאה משני

    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.

    מסגרת זמן Up to approximately 35 months

תאריכים

תאריכים
תאריך התחלה25 ביוני 2025 (בפועל)
סיום ראשוני30 ביוני 2028 (משוער)
סיום29 בספטמבר 2030 (משוער)
פורסם לראשונה25 ביוני 2025 (בפועל)
עודכן לאחרונה16 בספטמבר 2026
התוצאות פורסמולא צוין ברשומת המרשם
המצב אומת לאחרונהספטמבר 2026

בפועל פירושו שהאירוע התרחש. משוער פירושו שנותן החסות צופה אותו. שתי המשמעויות שונות זו מזו.

מיקומים

637 אתרים מגייסים

Argentina

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

Australia

Australia
מתקןעירמדינה או אזורמצב
Advara HeartCare WesleyAuchenflowerQueenslandהופסק
Flinders Medical CentreBedford ParkSouth Australiaמגייס
Sunshine Coast University HospitalBirtinyaQueenslandמגייס
Victorian Heart HospitalClaytonVictoriaמגייס
Canberra HospitalGarranAustralian Capital Territoryמגייס
Royal Brisbane and Womens HospitalHerstonQueenslandמגייס
Advara HeartCare JoondalupJoondalupWestern Australiaמגייס
Advara HeartCare LeabrookLeabrookSouth Australiaמגייס
Sydney Cardiometabolic CentreLiverpoolNew South Walesמגייס
The Alfred HospitalMelbourneVictoriaמגייס
Core Research Group Pty LtdMiltonQueenslandמגייס
Advara HeartCare MulgraveMulgraveVictoriaמגייס
Fiona Stanley HospitalMurdochWestern Australiaמגייס
Gold Coast Hospital and Health ServiceSouthportQueenslandהופסק
Royal North Shore HospitalSt LeonardsNew South Walesמגייס
Dr Heart Pty LtdWoolloongabbaQueenslandהופסק

Austria

Austria
מתקןעירמדינה או אזורמצב
Krankenhaus Sankt Josef BraunauBraunau am Innמגייס
Pro Kompetenzzentrum fuer GesundheitGrazמגייס
Medizinische Universitaet GrazGrazמגייס
Klinikum Klagenfurt am WoertherseeKlagenfurtמגייס
Ordensklinikum Linz ElisabethinenLinzמגייס
Landeskrankenhaus SalzburgSalzburgמגייס
Imed Sankt PoeltenSankt Pöltenמגייס
Universitaetsklinikum Sankt PoeltenSankt Pöltenהופסק
Universitaetsklinikum Allgemeines Krankenhaus WienViennaמגייס
Herz Zentrum WaehringViennaמגייס
Ordinationszentrum imedneunzehn privatViennaמגייס

607 אתרים נוספים מצוינים ברשומת המרשם.

מסמכי המחקר

לא צורפו מסמכים ברשומת מרשם זו.

שינויים לאורך זמן

  1. 16 בספטמבר 2026

    אתר נוסף

    29 sites added (657 total)

    628657