Real-World data shows which heart failure drug may be better
NCT ID NCT07376265
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looked at health records of 1,249 heart failure patients in Portugal to compare two types of medication: sacubitril/valsartan versus older drugs called ACE inhibitors or ARBs. The goal was to see which treatment better prevents heart failure hospitalizations or death from heart problems. Because this was an observational study using existing data, it reflects real-world care but cannot prove cause and effect.
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 (a combination drug) compared to ACE inhibitors or ARBs (standard heart failure medications)
- What this could lead to
- If results are positive, this could support using sacubitril/valsartan as a preferred treatment to reduce heart failure hospitalizations and cardiovascular death.
- What could go wrong
- This is an observational study, not a randomized trial, so results may be influenced by unmeasured factors. It also only looked at a specific population in Portugal, so findings may not apply everywhere.
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.
- Participants
-
1,249 people
The number who actually took part.
- Started
-
Oct 2023
- Finished
-
Apr 2024
- Lead sponsor
-
A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
The study included heart failure patients with reduced ejection fraction.
- Ages
-
18 years and older
- 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: * Left ventricular ejection fraction (LVEF) \< 40% * Brain natriuretic peptide (BNP) ≥35 pg/mL or N-terminal prohormone of brain natriuretic peptide (NT-proBNP) ≥125 pg/mL * Had a record in the database in the 365 days prior to the index date Exclusion criteria: * Missing sex or date of birth * Estimated glomerular filtration rate (eGFR) below 30 mL/min/1.73 m\^2 at SAC/VAL, ACEi or ARB initiation * History of angioedema or unacceptable side effects during receipt of SAC/VAL, ACEi or ARB * Severe hepatic impairment, biliary cirrhosis, and cholestasis * Pregnancy
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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
-
Novartis
East Hanover, New Jersey, 07936, United States
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