Can a common heart drug reverse scarring in stiff heart failure?
NCT ID NCT06536309
First seen Jun 27, 2026 · Last updated Sep 01, 2026 · Updated 2 times
Summary
This study tests whether the drug sacubitril/valsartan can reduce scarring in the heart muscle of people with a type of heart failure called HFpEF (stiff heart). The trial will enroll 36 adults aged 50 and older with heart failure and a normal pumping function. Participants will receive either the study drug or a comparison drug (valsartan alone) for one year, and heart scarring will be measured using MRI scans.
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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.
- Started
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Aug 2026
- Finished
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Aug 2026
- 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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50 to 85 years
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults aged 50 years or older * Able to provide informed consent, as assessed by a physician investigator, and willing to comply with the study * Clinically confirmed diagnosis of heart failure * Left ventricular ejection fraction greater than or equal to 45% within 1 year by echocardiogram, cardiac MRI, or nuclear scan Exclusion Criteria: * Contraindication to MRI (metal prosthesis, implantable cardiac device, or severe claustrophobia) * Systolic blood pressure \< 100mm Hg, or \<110 mm Hg for patients not taking an ACE inhibitor or angiotensin receptor blocker * symptomatic hypotension * eGFR \< 30 mL/min/1.73m2 within 60 days of enrollment * Serum potassium \>5.2mmol/L within 60 days of enrollment, or \>5.0 mmol/L for patients not taking an ACE inhibitor or angiotensin receptor blocker * Myocardial infarction within 6 months of enrollment * Infiltrative or hypertrophic cardiomyopathy * History of cirrhosis, biliary cirrhosis, or cholestasis * History of angioedema * Pregnancy, planning pregnancy, or breastfeeding * Active treatment with lithium or a direct renin inhibitor
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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.
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Other studies related to the condition(s) this trial covers.
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