Can a daily pill shield hearts in HFpEF?
NCT ID NCT07830940
First seen Sep 21, 2026 · Last updated Sep 21, 2026
Summary
Researchers are testing whether adding finerenone to standard heart failure care can protect heart function and prevent worsening heart failure in people with heart failure with preserved ejection fraction (HFpEF). The trial enrolls adults with HFpEF who are randomly assigned to receive either finerenone plus standard care or standard care alone for six months. The main goal is to measure changes in how well the heart muscle stretches and pumps, using advanced ultrasound imaging.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- finerenone, a non-steroidal mineralocorticoid receptor antagonist taken as a daily pill
- What this could lead to
- If it works, finerenone could become a new add-on pill to help protect heart function and keep people with HFpEF out of the hospital.
- What could go wrong
- This is a small, single-center study, so the results may not hold up in larger, more diverse groups. Finerenone can raise potassium and affect kidney function, so participants need regular blood tests.
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 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 194 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Mar 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: * Age greater than or equal to 18 years * Clinically evidenced heart failure with left ventricular ejection fraction greater than or equal to 50 percent * HFA-PEFF score greater than or equal to 5 or score 2 to 4 with functional testing confirming HFpEF * Sinus rhythm on resting ECG at screening * Written informed consent Exclusion Criteria: * Implanted cardiac pacemaker or defibrillator with active atrial pacing * Estimated glomerular filtration rate less than 25 milliliters per minute per 1.73 square meters * Baseline serum potassium greater than 5 milliequivalents per liter * Known hypersensitivity to Finerenone
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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 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.
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Other studies related to the condition(s) this trial covers.
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