Clinical trial • Phase II • Cardiology

Nucleic Acid for Heart failure with reduced ejection fraction (HFrEF) | Heart failure with mildly reduced ejection fraction (HFmrEF) | Left ventricular hypertrophy

Phase II trial of Nucleic Acid for Heart failure with reduced ejection fraction (HFrEF) | Heart failure with mildly reduced ejection fraction (HFmrEF) | L…

Overview

Trial Therapeutic Area
Cardiology
Trial Disease
Heart failure with reduced ejection fraction (HFrEF) | Heart failure with mildly reduced ejection fraction (HFmrEF) | Left ventricular hypertrophy
Trial Stage
Phase II
Drug Modality
Oligonucleotide

Key dates

Initial CTIS Submission Date
07-02-2025
First CTIS Authorization Date
26-05-2025

Trial design

Randomised, placebo q4w (placebo given every 4 weeks, matching schedule to active: placebo q4w).-controlled Phase II trial across 43 sites in Netherlands, Germany, Spain and others.

Randomised
Yes
Comparator
Placebo Q4W (placebo given every 4 weeks, matching schedule to active: placebo Q4W).
Target Sample Size
99
Trial Duration For Participant
420

Eligibility

Recruits 99 No vulnerable population selected (isVulnerablePopulationSelected: false). Informed consent is required from adult participants; subject information and informed consent forms are provided (documents present in multiple languages for adult participants). No provisions for assent/minor consent are indicated in the application data..

Vulnerable Population
No vulnerable population selected (isVulnerablePopulationSelected: false). Informed consent is required from adult participants; subject information and informed consent forms are provided (documents present in multiple languages for adult participants). No provisions for assent/minor consent are indicated in the application data.

Inclusion criteria

  • {"criterion_text":"- 1. Age 40-84 years (both inclusive) at the time of signing the informed consent.\n- 2. Documented symptomatic HF diagnosed ≥180 days prior to screening with at least weekly need for oral diuretic treatment, and New York Heart Association class II−III at screening.\n- 3. Clinically stable and on optimised doses and unchanged drug classes of guideline-directed HF therapy ≥45 days prior to randomisation.\n- 4. LVEF <50% as assessed by echocardiography at screening, measured by central laboratory.\n- 5. Left ventricular hypertrophy or left ventricular dilatation assessed by echocardiography at screening measured by central laboratory with any of the following: a. LVMi >88 g/m2 for female participants and >102 g/m2 for male participants, using the truncated ellipsoid method. b. LVMi >95 g/m2 for female participants and >115 g/m2 for male participants, using the linear method (cube formula). c. Left ventricular end-diastolic diameter indexed to body surface area (LVEDDi) >3.1 cm/m2 for female participants and >3.0 cm/m2 for male participants.\n- 7. Body mass index 18.5-40 kg/m2 (both inclusive) and body weight ≤140 kg. Body mass index is calculated in the electronic case report form based on height and body weight at the screening visit (visit 1).\n- 8. NT-proBNP ≥300 pg/mL; NT-proBNP ≥600 pg/mL if atrial fibrillation/flutter is present at time of screening, measured by central laboratory."}

Exclusion criteria

  • {"criterion_text":"- 1. eGFR <30 mL/min/1.73 m2 at time of screening, measured by central laboratory.\n- 10. Participants with suspected or diagnosed cardiac amyloidosis or sarcoidosis.\n- 2. Participants with an episode of acute kidney failure or acute kidney injury, at the discretion of the investigator, within 90 days prior to randomisation.\n- 3. Myocardial infarction, unstable angina pectoris or HF hospitalisation within 30 days prior to screening.\n- 4. Participants receiving intravenous HF medications within 45 days prior to randomisation.\n- 5. Planned coronary revascularisation, pacemaker/cardioverter-defibrillator/CRT implantation, ablation of cardiac arrythmias or valve repair/replacement at the time of randomisation.\n- 6. Stroke or transient ischemic attack within 12 months prior to randomisation.\n- 7. Participants with potential disruption of the blood-brain barrier (e.g., multiple sclerosis), in the opinion of the investigator.\n- 8. Known history of severe liver disease and/or alanine aminotransferase or aspartate aminotransferase >2.5x upper limit of normal at screening, measured by central laboratory.\n- 9. Known genetic (or highly suspected due to family history) cause of increased cardiac mass (including dilated cardiomyopathy, Fabry disease and likely pathogenic or pathogenic variants within hypertrophic cardiomyopathy [HCM]))."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Change in normalised miR-132 from baseline (V2) to week 24 (V14). Unit: Ratio to baseline","definition_or_measurement_approach":"Change in normalised miR-132 from baseline to week 24, measured as ratio to baseline (miR-132 normalisation as defined in protocol)."}

Secondary endpoints

  • {"endpoint_text":"- Change in composite Z score based on the 3 outcome measures LVEDVi, LVESVi and NT-proBNP from baseline (V2) to week 24 (V14). Unit: Score","definition_or_measurement_approach":"Composite Z score based on LVEDVi, LVESVi and NT-proBNP from baseline to week 24; unit reported as score."}
  • {"endpoint_text":"- Number of adverse events from baseline (V2) to week 24 (V14). Unit: Count","definition_or_measurement_approach":"Count of adverse events occurring from baseline to week 24."}
  • {"endpoint_text":"- Number of adverse events from baseline (V2) to week 60 (V27). Unit: Count","definition_or_measurement_approach":"Count of adverse events occurring from baseline to week 60."}

Recruitment

Planned Sample Size
99
Recruitment Window Months
30
Consent Approach
Informed consent obtained from each adult participant. Subject information and informed consent forms are provided for adult participants in multiple languages (English, Dutch, German, Spanish, Polish, Czech as evidenced by document set). No assent process for minors is indicated (trial enrols adults).

Methods

  • Patient-facing trial recruitment advertisements and materials (country-specific patient adverts present for Germany, Spain, Poland, Czechia, Netherlands) as indicated by recruitment document titles.
  • HCP-targeted recruitment materials (healthcare-professional adverts and referral information sheets present per country documents).
  • Referral and transfer-of-contact-data materials to enable referral of potential participants (documents titled referral/transfer-of-contact-data).
  • Participant study booklets, patient support network booklets and clinic-visit overview materials provided to support recruitment and participant information.
  • Participant Infusion Test-specific recruitment advertisements (materials titled 'Participant Infusion Test' present).

Geography

Total Number Of Sites
43
Total Number Of Participants
113

Netherlands

Earliest CTIS Part Ii Submission Date
21-05-2025
Latest Decision Or Authorization Date
21-11-2025
Processing Time Days
184
Number Of Sites
5
Number Of Participants
21

Sites

Site Name
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Department Name
Erasmus MC_LOC#1
Principal Investigator Name
Rudolf De Boer
Principal Investigator Email
r.a.deboer@erasmusmc.nl
Contact Person Name
Rudolf De Boer
Contact Person Email
r.a.deboer@erasmusmc.nl
Site Name
Academisch Medisch Centrum
Department Name
Academisch Medisch Centrum
Principal Investigator Name
Ahmad Amin
Principal Investigator Email
a.s.amin@amsterdamumc.nl
Contact Person Name
Ahmad Amin
Contact Person Email
a.s.amin@amsterdamumc.nl
Site Name
Zuyderland Medisch Centrum Stichting
Department Name
Zuyderland ziekenhuis_LOC#1
Principal Investigator Name
Mark Hazebroek
Principal Investigator Email
Rd-cardiology@zuyderland.nl
Contact Person Name
Mark Hazebroek
Contact Person Email
Rd-cardiology@zuyderland.nl
Site Name
Radboud universitair medisch centrum Stichting
Department Name
Radboudumc
Principal Investigator Name
Carlijne Hassing
Principal Investigator Email
Carlijne.Hassing@radboudumc.nl
Contact Person Name
Carlijne Hassing
Contact Person Email
Carlijne.Hassing@radboudumc.nl
Site Name
Stichting Viecuri Medisch Centrum voor Noord-Limburg
Department Name
VieCuri
Principal Investigator Name
Wouter Remkes
Principal Investigator Email
wremkes@viecuri.nl
Contact Person Name
Wouter Remkes
Contact Person Email
wremkes@viecuri.nl

Germany

Earliest CTIS Part Ii Submission Date
22-04-2025
Latest Decision Or Authorization Date
31-03-2026
Processing Time Days
343
Number Of Sites
9
Number Of Participants
20

Sites

Site Name
Universitaetsklinikum Essen AöR
Department Name
Universitaetsklinikum Essen - Klinik für Kardiologie und Angiologie
Principal Investigator Name
Tienush Rassaf
Principal Investigator Email
tienush.rassaf@uk-essen.de
Contact Person Name
Tienush Rassaf
Contact Person Email
tienush.rassaf@uk-essen.de
Site Name
Medizinische Hochschule Hannover
Department Name
Medizinische Hochschule Hannover, Klinik für Kardiologie und Angiologie
Principal Investigator Name
Johann Bauersachs
Principal Investigator Email
bauersachs.johann@mh-hannover.de
Contact Person Name
Johann Bauersachs
Site Name
Universitaetsklinikum Halle (Saale) AöR
Department Name
Klinik und Poliklinik für Innere Medizin III, UK Halle
Principal Investigator Name
Daniel Sedding
Principal Investigator Email
Daniel.Sedding@uk-halle.de
Contact Person Name
Daniel Sedding
Contact Person Email
Daniel.Sedding@uk-halle.de
Site Name
Herzzentrum Dresden GmbH Universitaetsklinik
Department Name
Herzzentrum Dresden GmbH Universitätsklinik
Principal Investigator Name
Ephraim Winzer
Principal Investigator Email
ephraim.winzer@tu-dresden.de
Contact Person Name
Ephraim Winzer
Contact Person Email
ephraim.winzer@tu-dresden.de
Site Name
Universitaetsklinikum Heidelberg AöR
Department Name
Universitätsklinik Heidelberg Innere Medizin III Kardiologie, Angiologie, Pneumologie
Principal Investigator Name
Norbert Frey
Principal Investigator Email
Norbert.Frey@med.uni-heidelberg.de
Contact Person Name
Norbert Frey
Site Name
Charite Universitaetsmedizin Berlin KöR
Department Name
Charité B.Franklin Kardio + Hämatologie
Principal Investigator Name
Ursula Rauch-Kröhnert
Principal Investigator Email
ursula.rauch@dhzc-charite.de
Contact Person Name
Ursula Rauch-Kröhnert
Contact Person Email
ursula.rauch@dhzc-charite.de
Site Name
Universitaetsklinikum Frankfurt AöR
Department Name
Uni Frankfurt, Kardiologie_LOC#1
Principal Investigator Name
Maria Papathanasiou
Principal Investigator Email
maria.papathanasiou@unimedizin-ffm.de
Contact Person Name
Maria Papathanasiou
Site Name
Charite Universitaetsmedizin Berlin KöR (Campus Virchow-Klinikum)
Department Name
Charité - Campus Virchow-Klinikum - Kardiologie, Angiologie und Intensivmedizin (CRU)
Principal Investigator Name
Frank Edelmann
Principal Investigator Email
frank.edelmann@dhzc-charite.de
Contact Person Name
Frank Edelmann
Contact Person Email
frank.edelmann@dhzc-charite.de
Site Name
Universitaetsklinikum Schleswig-Holstein AöR
Department Name
Kardiologie und Internistische Intensivmedizin Kiel
Principal Investigator Name
Derk Frank
Principal Investigator Email
derk.frank@uksh.de
Contact Person Name
Derk Frank
Contact Person Email
derk.frank@uksh.de

Spain

Earliest CTIS Part Ii Submission Date
26-02-2025
Latest Decision Or Authorization Date
07-05-2026
Processing Time Days
435
Number Of Sites
12
Number Of Participants
22

Sites

Site Name
Hospital Del Mar
Department Name
Hospital del Mar
Principal Investigator Name
Sonia Ruiz Bustillo
Principal Investigator Email
sruiz@psmar.cat
Contact Person Name
Sonia Ruiz Bustillo
Contact Person Email
sruiz@psmar.cat
Site Name
Hospital Clinico Universitario De Valencia
Department Name
Hospital Clínico Universitario de Valencia
Principal Investigator Name
Julio Núñez Villota
Principal Investigator Email
juenuvi@uv.es
Contact Person Name
Julio Núñez Villota
Contact Person Email
juenuvi@uv.es
Site Name
Hospital De Denia
Department Name
Cardiology Department
Principal Investigator Name
Alfonso Valle
Principal Investigator Email
dr.alfonsovalle@gmail.com
Contact Person Name
Alfonso Valle
Contact Person Email
dr.alfonsovalle@gmail.com
Site Name
Hospital Universitario Virgen De La Victoria
Department Name
Hospital Clínico Virgen de la Victoria
Principal Investigator Name
Jose Manuel Garcia Pinilla
Principal Investigator Email
eecccardiohuvv@gmail.com
Contact Person Name
Jose Manuel Garcia Pinilla
Contact Person Email
eecccardiohuvv@gmail.com
Site Name
Hospital Universitari De Girona Doctor Josep Trueta
Department Name
Hospital Universitario de Gerona Doctor Josep Trueta
Principal Investigator Name
Aleix Fort
Principal Investigator Email
afort.girona.ics@gencat.cat
Contact Person Name
Aleix Fort
Contact Person Email
afort.girona.ics@gencat.cat
Site Name
University Clinical Hospital Virgen De La Arrixaca
Department Name
Hospital Virgen de la Arrixaca
Principal Investigator Name
Domingo Pascual Figal
Principal Investigator Email
dpascual@um.es
Contact Person Name
Domingo Pascual Figal
Contact Person Email
dpascual@um.es
Site Name
University Hospital Virgen Del Rocio S.L.
Department Name
Hospital Virgen del Rocío
Principal Investigator Name
Antonio Grande Trillo
Principal Investigator Email
trillo_87@hotmail.com
Contact Person Name
Antonio Grande Trillo
Contact Person Email
trillo_87@hotmail.com
Site Name
Hospital Universitario La Paz
Department Name
Hospital Universitario La Paz
Principal Investigator Name
María Isabel Antorrena Miranda
Principal Investigator Email
iantorrena@hotmail.com
Contact Person Name
María Isabel Antorrena Miranda
Contact Person Email
iantorrena@hotmail.com
Site Name
El Hospital Universitario De Gran Canaria Dr. Negrin
Department Name
Hospital Universitario de Gran Canaria Doctor Negrín
Principal Investigator Name
Antonio García Quintana
Principal Investigator Email
uichugcdn.scs@gobiernodecanarias.org
Contact Person Name
Antonio García Quintana
Site Name
Hospital Universitario Clinico San Cecilio
Department Name
Hospital Universitario San Cecilio - Cardiology
Principal Investigator Name
Jesús Gabriel Sánchez Ramos
Principal Investigator Email
cardiopac.husc.sspa@juntadeandalucia.es
Contact Person Name
Jesús Gabriel Sánchez Ramos
Site Name
Hospital Universitario Puerta De Hierro De Majadahonda
Department Name
Servicio de cardiología
Principal Investigator Name
Marta Cobo Marcos
Principal Investigator Email
martacobomarcos@hotmail.com
Contact Person Name
Marta Cobo Marcos
Contact Person Email
martacobomarcos@hotmail.com
Site Name
Hospital Universitario Ramon Y Cajal
Department Name
Cardiología
Principal Investigator Name
Marta Jiménez-Blanco Bravo
Principal Investigator Email
marta.jimenez-blanco@salud.madrid.org
Contact Person Name
Marta Jiménez-Blanco Bravo

Poland

Earliest CTIS Part Ii Submission Date
21-05-2025
Latest Decision Or Authorization Date
15-05-2026
Processing Time Days
359
Number Of Sites
12
Number Of Participants
32

Sites

Site Name
1 Wojskowy Szpital Kliniczny Z Poliklinika samodzielny publiczny zakład opieki zdrowotnej W Lublinie
Department Name
1 Wojskowy Szpital Kliniczny z Poliklinika SPZOZ
Principal Investigator Name
Grzegorz Sobieszek
Principal Investigator Email
cwbk@1wszk.pl
Contact Person Name
Grzegorz Sobieszek
Contact Person Email
cwbk@1wszk.pl
Site Name
Pomeranian Medical University
Department Name
Centrum Wsparcia Badan Klinicznych PUM
Principal Investigator Name
Piotr Gościniak
Principal Investigator Email
piotrgosciniak1@gmail.com
Contact Person Name
Piotr Gościniak
Contact Person Email
piotrgosciniak1@gmail.com
Site Name
American Heart Of Poland S.A.
Department Name
Centrum Kardiologii i Kardiochirurgii w Bielsku-Białej
Principal Investigator Name
Krzysztof Milewski
Principal Investigator Email
krzysztof.milewski@ahop.pl
Contact Person Name
Krzysztof Milewski
Contact Person Email
krzysztof.milewski@ahop.pl
Site Name
Uniwersytecki Szpital Kliniczny W Bialymstoku
Department Name
Klinika Kardiologii i Chorób Wewnętrznych z OINK
Principal Investigator Name
Anna Lisowska
Principal Investigator Email
anlila@poczta.onet.pl
Contact Person Name
Anna Lisowska
Contact Person Email
anlila@poczta.onet.pl
Site Name
Uniwersytecki Szpital Kliniczny Im. Jana Mikulicza-Radeckiego We Wroclawiu
Department Name
Zakład Badań Klinicznych Chorób Układu Krążenia
Principal Investigator Name
Joanna Szachniewicz
Principal Investigator Email
jszachniewicz@gmail.com
Contact Person Name
Joanna Szachniewicz
Contact Person Email
jszachniewicz@gmail.com
Site Name
Uniwersytecki Szpital Kliniczny Nr 4 W Lublinie
Department Name
Centrum Innowacyjnych Terapii
Principal Investigator Name
Lukasz Wisniowski
Principal Investigator Email
drlukaszwisniowski@gmail.com
Contact Person Name
Lukasz Wisniowski
Contact Person Email
drlukaszwisniowski@gmail.com
Site Name
Narodowy Instytut Kardiologii Stefana Kardynala Wyszynskiego Panstwowy Instytut Badawczy
Department Name
Narodowy Instytut Kardiologii, Centrum Wsparcia Badań Klinicznych
Principal Investigator Name
Artur Oręziak
Principal Investigator Email
aoreziak@ikard.pl
Contact Person Name
Artur Oręziak
Contact Person Email
aoreziak@ikard.pl
Site Name
Krakowski Szpital Specjalistyczny Im. Sw. Jana Pawla II
Department Name
Klinika Kardiologii Interwencyjnej
Principal Investigator Name
Jakub Podolec
Principal Investigator Email
jakub.podolec@uj.edu.pl
Contact Person Name
Jakub Podolec
Contact Person Email
jakub.podolec@uj.edu.pl
Site Name
Wojewodzki Szpital Im. Sw.Ojca Pio W Przemyslu
Department Name
Oddz.Kardiologii z pododdz. INK, pododdz. Kardiologii Inwazyjnej, pododdz. Kardiochirurgii
Principal Investigator Name
Lukasz Wisniowski
Principal Investigator Email
drlukaszwisniowski@gmail.com
Contact Person Name
Lukasz Wisniowski
Contact Person Email
drlukaszwisniowski@gmail.com
Site Name
4 Wojskowy Szpital Kliniczny Z Poliklinika Samodzielny Publiczny Zaklad Opieki Zdrowotnej We Wroclaw
Department Name
Osrodek Chorob Serca
Principal Investigator Name
Bartosz Krakowiak
Principal Investigator Email
badaniakliniczne@4wsk.pl
Contact Person Name
Bartosz Krakowiak
Contact Person Email
badaniakliniczne@4wsk.pl
Site Name
Wojewodzki Szpital Specjalistyczny W Bialej Podlaskiej
Department Name
Ośrodek Innowacyjnych Terapii
Principal Investigator Name
Piotr Macioch
Principal Investigator Email
piotr.macioch@gmail.com
Contact Person Name
Piotr Macioch
Contact Person Email
piotr.macioch@gmail.com
Site Name
Szpital Specjalistyczny Im. Ludwika Rydygiera W Krakowie Sp. z o.o.
Department Name
Oddział Kardiologii i Chorób Wewnętrznych
Principal Investigator Name
Piotr Rychlak
Principal Investigator Email
petrus_r@o2.pl
Contact Person Name
Piotr Rychlak
Contact Person Email
petrus_r@o2.pl

Czechia

Earliest CTIS Part Ii Submission Date
01-05-2025
Latest Decision Or Authorization Date
15-04-2026
Processing Time Days
349
Number Of Sites
5
Number Of Participants
18

Sites

Site Name
Pratia Prague s.r.o.
Department Name
Pratia Prague s.r.o.
Principal Investigator Name
Tamilla Muzafarova
Principal Investigator Email
tamilla.muzafarova@pratia.com
Contact Person Name
Tamilla Muzafarova
Contact Person Email
tamilla.muzafarova@pratia.com
Site Name
Institute For Clinical And Experimental Medicine
Department Name
Kardiocentrum IKEM
Principal Investigator Name
Vojtěch Melenovský
Principal Investigator Email
vome@ikem.cz
Contact Person Name
Vojtěch Melenovský
Contact Person Email
vome@ikem.cz
Site Name
Fakultni Nemocnice Ostrava
Department Name
Fakultní Nemocnice Ostrava
Principal Investigator Name
Jan Václavík
Principal Investigator Email
jan.vaclavik@fno.cz
Contact Person Name
Jan Václavík
Contact Person Email
jan.vaclavik@fno.cz
Site Name
Vseobecna Fakultni Nemocnice V Praze
Department Name
interní klinika kardiologie a angiologie
Principal Investigator Name
Daniel Rob
Principal Investigator Email
daniel.rob@vfn.cz
Contact Person Name
Daniel Rob
Contact Person Email
daniel.rob@vfn.cz
Site Name
Nemocnice Ceske Budejovice a.s.
Department Name
Nemocnice Ceske Budejovice, a.s. Kardiologicke oddeleni
Principal Investigator Name
Aleš Kovářík
Principal Investigator Email
kovarik.ales@nemcb.cz
Contact Person Name
Aleš Kovářík
Contact Person Email
kovarik.ales@nemcb.cz

Sponsor

Primary sponsor

Full Name
Novo Nordisk A/S
Organisation Type
Pharmaceutical company
Country Of Registered Address
Denmark

Contract research organisations

Name
Icon (Lr) Limited
Responsibilities
Imaging Service
Name
IQVIA Limited
Name
Iqvia Rds Ireland Limited
Responsibilities
ECG

Third parties

  • {"country":"United Kingdom","full_name":"Vivos Technology Limited","duties_or_roles":"DMC","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United Kingdom (Northern Ireland)","full_name":"Almac Clinical Services Limited","duties_or_roles":"Packaging and Labelling QP oversight UK","organisation_type":"Pharmaceutical company"}
  • {"country":"Germany","full_name":"FyoniBio GmbH","duties_or_roles":"immunogenicity","organisation_type":"Pharmaceutical company"}
  • {"country":"Ireland","full_name":"Icon (Lr) Limited","duties_or_roles":"Imaging Service","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Denmark","full_name":"KLIFO A/S","duties_or_roles":"Equipment, Pump, Syringe, and Tube","organisation_type":"Pharmaceutical company"}
  • {"country":"Ireland","full_name":"Iqvia Rds Ireland Limited","duties_or_roles":"ECG","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"IQVIA Limited","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"Netherlands","full_name":"4G Clinical B.V.","duties_or_roles":"RTSM/IWRS supplier","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Germany","full_name":"BioAgilytix Europe GmbH","duties_or_roles":"miR-132 assay","organisation_type":"Pharmaceutical company"}
  • {"country":"Germany","full_name":"Axolabs GmbH","duties_or_roles":"Pharmacokinetics","organisation_type":"Pharmaceutical company"}
  • {"country":"Sweden","full_name":"Olink Proteomics AB","duties_or_roles":"Proteomics","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
CDR132L (sponsor product code CDR132L A 10043)
Active Substance
Nucleic Acid
Modality
Oligonucleotide
Routes Of Administration
Intravenous infusion
Route
Intravenous infusion
Starting Dose
00 mg/kg
Frequency
Q4W

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