New heart failure drug shows promise in early trial
NCT ID NCT06215586
First seen Jun 24, 2026 · Last updated Sep 02, 2026 · Updated 3 times
Summary
This Phase 2 study tested the safety and effectiveness of tovinontrine, an experimental drug, compared to a placebo in 303 adults with chronic heart failure with preserved ejection fraction. The main goal was to see if tovinontrine could lower a key biomarker (NT-proBNP) in the blood over 12 weeks. The trial is now completed, and results will help determine if further testing is warranted.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- tovinontrine
- What this could lead to
- If successful, this could point toward a new treatment option for chronic heart failure with preserved ejection fraction, potentially improving heart function and symptoms.
- What could go wrong
- This is a Phase 2 trial with only 303 participants, so results are preliminary. The drug may not show significant benefit over placebo, and side effects are still being evaluated.
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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303 people
The number who actually took part.
- Started
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Feb 2024
- Finished
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Sep 2025
- Lead sponsor
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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.
- 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: * Is an adult male or female patient ≥ 18 years of age * Has evidence in the medical history supporting a diagnosis of clinical HF syndrome, NYHA functional class II to III, with the duration of at least 6 months prior to the time of Screening. The HF syndrome is defined by documentation of 1 or more of the following: * At least 1 of the typical symptoms due to HF such as dyspnea and/or fatigue limiting exercise capacity; * At least 1 of the typical signs of HF such as peripheral edema, elevated jugular venous pressure, pulmonary crackles; or * Hospitalization, emergency department visit, or outpatient visit for HF requiring intravenous (IV) or subcutaneous (SQ) diuresis within the past 12 months. * Has ejection fraction (EF) \>40% and left atrial enlargement by transthoracic echocardiogram (TTE) performed and interpreted locally at the time of Screening; * Has NT-proBNP level ≥ 300 pg/mL at the time of Screening. Patients with atrial fibrillation or flutter at the time of Screening are required to have an NT proBNP level of ≥500 pg/mL at the time of Screening; * Is on stable optimized doses of guideline-directed HF therapy, per Investigator's clinical judgment, for a minimum of 4 weeks prior to the time of Screening and during the Screening Period, with no planned changes after randomization; Has had no addition of new guideline-directed HF therapy within the 3 months prior to the time of Screening or during the Screening Period; Exclusion Criteria: * Has documented EF ≥ 60% by TTE within 6 months of the time of Screening or during the Screening Period; * Has evidence of recent HF exacerbation defined by hospitalization or requirement for IV or SQ diuretics within 60 days of the time of Screening or during the Screening Period; * Has a requirement for routine, scheduled outpatient IV infusions for HF (ie, inotropes, vasodilators, or diuretics) or routinely scheduled ultrafiltration; * Has elective interventions (eg, percutaneous coronary intervention, device implantations, percutaneous structural heart disease interventions, cardiac and non-cardiac surgery) planned to occur during involvement in this study; * Has acute coronary syndrome, stroke, transient ischemic attack, cardiac, carotid or other major cardiovascular surgery, or carotid angioplasty within 60 days of the time of Screening or during the Screening Period; * Has had a prior or planned orthotopic heart transplantation; * Has presence of or plan for mechanical circulatory support; Note: Other protocol defined Inclusion/Exclusion criteria may apply.
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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
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Cardurion Investigational Site
Dresden, 01067, Germany
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Cardurion Investigative Site
Birmingham, Alabama, 35233, United States
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Cardurion Investigative Site
Little Rock, Arkansas, 72204, United States
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Cardurion Investigative Site
Orange, California, 92868, United States
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Cardurion Investigative Site
Torrance, California, 90502, United States
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Cardurion Investigative Site
Van Nuys, California, 91405, United States
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Cardurion Investigative Site
Jacksonville, Florida, 32216, United States
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Cardurion Investigative Site
Miami, Florida, 33137, United States
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Cardurion Investigative Site
Hazel Crest, Illinois, 60429, United States
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Cardurion Investigative Site
Peoria, Illinois, 61636, United States
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Cardurion Investigative Site
Alexandria, Louisiana, 71301, United States
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Cardurion Investigative Site
Covington, Louisiana, 70433, United States
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Cardurion Investigative Site
St Louis, Missouri, 63110, United States
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Cardurion Investigative Site
Buffalo, New York, 14215, United States
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Cardurion Investigative Site
New York, New York, 10019, United States
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Cardurion Investigative Site
Cleveland, Ohio, 44195, United States
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Cardurion Investigative Site
Oklahoma City, Oklahoma, 73135, United States
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Cardurion Investigative Site
Portland, Oregon, 97225, United States
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Cardurion Investigative Site
Rapid City, South Dakota, 57701, United States
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Cardurion Investigative Site
Nashville, Tennessee, 37232-7601, United States
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Cardurion Investigative Site
Dallas, Texas, 75246, United States
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Cardurion Investigative Site
McKinney, Texas, 75069, United States
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Cardurion Investigative Site
Burlington, Vermont, 05401, United States
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Cardurion Investigative Site
Chermside, Australia
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Cardurion Investigative Site
Bruges, 8000, Belgium
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Cardurion Investigative Site
Sint-Niklaas, 9100, Belgium
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Cardurion Investigative Site
Burgas, 8008, Bulgaria
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Cardurion Investigative Site
Gabrovo, 5300, Bulgaria
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Cardurion Investigative Site
Plovdiv, 4002, Bulgaria
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Cardurion Investigative Site
Plovdiv, 4003, Bulgaria
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Cardurion Investigative Site
Rousse, 7000, Bulgaria
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Cardurion Investigative Site
Sofia, 1000, Bulgaria
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Cardurion Investigative Site
Stara Zagora, 6000, Bulgaria
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Cardurion Investigative Site
Cambridge, Ontario, N1R 6V6, Canada
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Cardurion Investigative Site
Hamilton, Ontario, L8L 2X2, Canada
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Cardurion Investigative Site
Chicoutimi, Quebec, G7H 7K9, Canada
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Cardurion Investigative Site
Montreal, Quebec, Canada
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Cardurion Investigative Site
Sherbrooke, Quebec, J1G 2E8, Canada
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Cardurion Investigative Site
Trois-Rivières, Quebec, G8Z 3R9, Canada
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Cardurion Investigative Site
Hradec Králové, 500 02, Czechia
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Cardurion Investigative Site
Hradec Králové, 50005, Czechia
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Cardurion Investigative Site
Prague, 128 02, Czechia
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Cardurion Investigative Site
Elsterwerda, Brandenburg, 04910, Germany
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Cardurion Investigative Site
Papenburg, Lower Saxony, 26871, Germany
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Cardurion Investigative Site
Brandenburg, State of Berlin, 10787, Germany
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Cardurion Investigative Site
Magdeburg, 39120, Germany
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Cardurion Investigative Site
Balatonfüred, 8230, Hungary
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Cardurion Investigative Site
Budapest, H-1122, Hungary
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Cardurion Investigative Site
Gyöngyös, 3200, Hungary
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Cardurion Investigative Site
Hatvan, 3000, Hungary
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Cardurion Investigative Site
Orosháza, 5900, Hungary
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Cardurion Investigative Site
Milan, 20138, Italy
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Cardurion Investigative Site
Eindhoven, 5504 DL, Netherlands
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Cardurion Investigative Site
Groningen, 9713 AP, Netherlands
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Cardurion Investigative Site
Hardenberg, 7772 SE, Netherlands
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Cardurion Investigative Site
Sneek, 8601 ZR, Netherlands
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Cardurion Investigative Site
Zutphen, 7207 AE, Netherlands
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Cardurion Investigative Site
Dunedin, New Zealand
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Cardurion Investigative Site
Grodzisk Mazowiecki, 05-825, Poland
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Cardurion Investigative Site
Lodz, 92-213, Poland
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Cardurion Investigative Site
Lublin, 20-011, Poland
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Cardurion Investigative Site
Sopot, 81-717, Poland
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Cardurion Investigative Site
Torun, 87-100, Poland
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Cardurion Investigative Site
Warsaw, Poland
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Cardurion Investigative Site
Wroclaw, 50-556, Poland
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Cardurion Investigative Site
Wroclaw, 50-981, Poland
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Cardurion Investigative Site
Córdoba, 14004, Spain
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Cardurion Investigative Site
Málaga, 29010, Spain
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Cardurion Investigative Site
Santiago de Compostela, 15706, Spain
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Cardurion Investigative Site
Seville, 41009, Spain
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Cardurion Investigative Site
Valencia, 46026, Spain
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Cardurion Investigative Site
Kaohsiung City, Taiwan
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Cardurion Investigative Site
Taipei, Taiwan
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Cardurion Investigative Site
Taipei County, Taiwan
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Cardurion Investigative Site
Taoyuan, Taiwan
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Cardurion Investigative Site
Bridgend, CF31 1RQ, United Kingdom
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Cardurion Investigative Site
Chichester, PO19 6SE, United Kingdom
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Cardurion Investigative Site
Dundee, DD1 9SY, United Kingdom
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Cardurion Investigative Site
Glasgow, G81 4DY, United Kingdom
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Cardurion Investigative Site
Harrow, HA1 3UJ, United Kingdom
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Cardurion Investigative Site
Isleworth, TW7 6AF, United Kingdom
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Cardurion Investigative Site
London, SE5 9RS, United Kingdom
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Cardurion Investigative Site
London, W1T 7HA, United Kingdom
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Cardurion Investigative Site
Southampton, SO16 6YD, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can zapping the heart beat drugs for AF in heart failure?
- Can a nurse and a neighbor help tame chronic disease?
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- Two eggs a day put to the test for heart health