Can a heart drug shield the brain? a trial investigates Vericiguat's potential to slow cognitive decline
NCT ID NCT06601465
First seen Aug 25, 2026 · Last updated Aug 26, 2026 · Updated 1 time
Summary
This trial tests whether vericiguat, a drug used for heart failure, can also help preserve brain health in people who have both chronic heart failure and mild-to-moderate cognitive impairment. Participants will receive either vericiguat or standard care for 26 weeks. The study uses brain MRI scans to see if the drug can reduce brain tissue loss, which may be linked to cognitive decline.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- vericiguat (Verquvo), a soluble guanylate cyclase stimulator
- What this could lead to
- If successful, this could point toward a treatment that preserves brain function in people with heart failure and cognitive decline.
- What could go wrong
- This is an early-stage pilot trial with a modest number of participants, so results may not be definitive. The drug may not show a clear benefit on brain health, and potential side effects include low blood pressure and interactions with other heart medications.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 120 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2025
- Expected to finish
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Jul 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Adult patients 2. Established chronic heart failure (≥ 6 months) 3. Mild-to-moderate cognitive impairment (as per the diagnosis of cognitive impairment or a Montreal Cognitive Assessment (MoCA) score 10-25). Exclusion Criteria: 1. Patients who have contraindications for sGC stimulator and vericiguat therapy (i.e. use of long-acting nitrates, other soluble guanylate cyclase stimulators (e.g., riociguat), or phosphodiesterase type 5 (PDE-5), pregnancy or breast-feeding) 2. Unable to undergo CMR imaging or brain MRI. 3. CMR exclusions: incompatible implantable cardiac device (ICD or CRT), uncontrolled atrial fibrillation or recurrent ventricular arrhythmias). 4. General medical conditions: uncontrolled thyroid disorders, hepatic failure, or myocardial revascularization procedures \[coronary angioplasty and/or surgical revascularization in the previous 3 months\], cancer/malignancy, or with severe dementia). 5. Patients with allergies to the study products. 6. Patients currently hospitalized.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
4 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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McGill University Health Center
NOT_YET_RECRUITINGMontreal, Quebec, Canada
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University of Alberta
RECRUITINGEdmonton, Alberta, Canada
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University of Calgary
RECRUITINGCalgary, Alberta, Canada
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University of Ottawa
RECRUITINGOttawa, Ontario, Canada
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