Heart failure drug combo shows promise for leaky valve patients
NCT ID NCT05991284
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether adding sacubitril-valsartan to standard care helps people with heart failure (with preserved pumping ability) and a leaky mitral valve. 84 participants were randomly assigned to get the drug or standard care alone. Researchers measured heart function and exercise capacity after six months to see if the drug improves blood flow and symptoms.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- sacubitril-valsartan
- What this could lead to
- If it works, this could improve heart function and exercise capacity in patients with a specific type of heart failure and leaky mitral valve.
- What could go wrong
- This is a small, completed phase 4 trial with 84 participants. The results may not apply to all heart failure patients, and the drug may cause side effects like low blood pressure or kidney issues.
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
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
84 people
The number who actually took part.
- Started
-
Feb 2024
- Finished
-
May 2026
- Lead sponsor
-
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
-
18 to 95 years
- Sex
-
Anyone
- Healthy volunteers
-
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 \> 18 years. * New York Heart Association class II to IV. * Written informed consent. * Left ventricular (LV) ejection fraction ≥ 50%. * Objective evidence of cardiac structural and/or functional abnormalities consistent with the presence of LV diastolic dysfunction/raised LV filling pressures, including raised natriuretic peptides. * ≥ moderate functional MR assessed by transthoracic echocardiography within the previous year. Exclusion Criteria: * Systolic blood pressure \< 100 mmHg. * Potassium ≥ 5.2 mmol/L. * Estimated Glomerular Filtration Rate ≤ 25 ml/min/1.73m². * History of angioedema or unacceptable side effects during receipt of angiotensin converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARB). * Structural mitral valve disease and previous or planned mitral valve intervention. * Already receiving angiotensin receptor neprilysin inhibitor (ARNI, sacubitril-valsartan) therapy. * Severe comorbid condition limiting life expectancy \< 24 months or inability to perform a maximal CPETecho. * Myocardial infarction, unstable angina, coronary revascularization within 12 weeks prior enrolment. * Severe aortic, tricuspid or pulmonary valve disease. * Pregnancy, lactation, or use of any method of contraception that is not highly effective.
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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.
Contacts and locations
Locations
-
Ziekenhuis Oost-Limburg
Genk, 3600, Belgium
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