RECRUITING

A Study to Test Whether Vicadrostat (BI 690517) in Combination With Empagliflozin Helps People With Heart Failure and a Weak Pumping Function of the Left Side of the Heart

Conditions

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

This study is open to adults with chronic heart failure (HF) who have a reduced left ventricular ejection fraction (LVEF) of less than 40%. People can join the study if they have been diagnosed with chronic HF at least 3 months before the study. The purpose of this study is to find out whether a medicine called vicadrostat, in combination with another medicine called empagliflozin, helps people with chronic heart failure. In this study, participants are put into 2 groups randomly. Participants have an equal chance of being in either group. One group takes vicadrostat/empagliflozin tablets, and the other group takes placebo/empagliflozin tablets. Placebo tablets look like vicadrostat tablets but do not contain any medicine. Participants take the study medicines as tablets once a day for between 1 and about 3.5 years. During this time, they can continue their regular treatment for heart failure. Participants can stay in the study as long as they benefit from treatment and can tolerate it, for a maximum of about 3.5 years. During this time, they visit the study site regularly. The exact number of visits is different for each participant, depending on how long they stay in the study. The study staff may also contact the participants by phone. Participants also regularly answer questions about their well-being. The doctors document when participants experience worsening of their heart failure symptoms, must go to hospital due to heart failure, or die during the study. The time until these events are observed is compared between the treatment groups to see whether the treatment works. The doctors also regularly check participants' health and take note of any unwanted effects.

Official Title

EASi-HF Reduced - A Phase III Double-blind, Randomised, Parallel-group Superiority Trial to Evaluate Efficacy and Safety of the Combined Use of Oral Vicadrostat (BI 690517) and Empagliflozin Compared With Placebo and Empagliflozin in Participants With Symptomatic Chronic Heart Failure (HF: NYHA II-IV) and Left Ventricular Ejection Fraction (LVEF) < 40%

Quick Facts

Study Start:2025-05-20
Study Completion:2029-02-22
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT06935370

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. 1. At least 18 years old and at least at the legal age of consent in countries where it is greater than 18 years
  2. 2. Signed and dated written informed consent in accordance with International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use - Good Clinical Practice (ICH-GCP) and local legislation prior to admission to the trial
  3. 3. Male or female participants. Women of childbearing potential (WOCBP) must be ready and able to use highly effective methods of birth control per ICH M3 (R2) that result in a low failure rate of less than 1% per year when used consistently and correctly. A list of contraception methods meeting these criteria and instructions on the duration of their use is provided in the protocol.
  4. 4. Chronic heart failure (HF) diagnosed at least 3 months before Visit 1, and in New York Heart Association (NYHA) classes II to IV at Visit 1, with left ventricular ejection fraction (LVEF) \< 40% per local reading (obtained by echocardiography, radionuclide ventriculography, invasive angiography, magnetic resonance imaging (MRI), or computed tomography (CT)).
  5. 5. Elevated N-terminal pro-brain natriuretic peptide (NT-proBNP) at Visit 1, analysed at the central laboratory
  6. 6. Treated according to best possible standard of care (SOC) (disregarding sodium-dependent glucose co-transporter 2 inhibitor (SGLT2i) and mineralocorticoid receptor antagonist (MRA)) in accordance with applicable heart failure (HF) local/international guidelines and judgement of the investigator.
  1. 1. Treatment with an MRA (e.g. spironolactone, eplerenone, finerenone) within 14 days prior to Visit 1 or requiring such treatment before randomisation or planned during the trial based on the judgment of the investigator. Treatment with an MRA should not be discontinued with the intention of study enrolment.
  2. 2. Treatment with amiloride or other potassium-sparing diuretic within 14 days prior to Visit 1 or requiring such treatment before randomisation or planned during the trial based on the judgment of the investigator.
  3. 3. Receiving the following treatments:
  4. * A direct renin inhibitor (e.g. aliskiren) at Visit 2
  5. * More than one angiotensin-converting enzyme inhibitor (ACEi), angiotensin receptor blocker (ARB) or angiotensin receptor-neprilysin inhibitor (ARNi) used simultaneously at Visit 2
  6. * Other aldosterone synthase inhibitors, e.g. baxdrostat at Visit 2 or planned during the trial
  7. * Systemic mineralocorticoid replacement therapy (e.g. fludrocortisone) at Visit 2
  8. * In case of acute decompensated HF:
  9. * i.v. inotrope, i.v. vasodilating drug (e.g. nitrate, nitroprusside), or i.v. natriuretic peptide (e.g. nesiritide, carperitide), or mechanical support (e.g. intra-aortic balloon pump, endotracheal intubation, mechanical ventilation, any ventricular assist device) within 24 hours prior to randomisation
  10. * i.v. diuretic with a dose that has been increased/intensified within 6 hours prior to randomisation (a stable dose of an i.v. diuretic is not exclusionary)
  11. 4. Myocardial infarction (MI), transient ischemic attack (TIA), stroke, coronary artery bypass graft surgery (CABG), heart valve surgery/intervention or any other major surgery (major according to the investigator's assessment) within 90 days prior to Visit 2, or scheduled for major elective surgery (e.g. hip replacement, CABG)
  12. 5. Percutaneous coronary intervention (PCI) or any angiography using iodinated contrast agents in the 7 days prior to Visit 2
  13. 6. Heart transplant recipient, awaiting heart transplant, or currently implanted left ventricular assist device (LVAD)
  14. 7. Known cardiomyopathy based on infiltrative diseases (e.g. amyloidosis), accumulation diseases (e.g. haemochromatosis, Fabry disease), muscular dystrophies, hypertrophic obstructive cardiomyopathy or known pericardial constriction, or cardiomyopathy with potentially reversible cause such as stress or peripartum cardiomyopathy or cardiomyopathy induced by chemotherapy within 12 months prior to Visit 1 and until Visit 2
  15. 8. Acute inflammatory heart disease, such as acute myocarditis, within 90 days preceding prior to Visit 1 and until Visit 2 Further exclusion criteria apply.

Contacts and Locations

Study Contact

Boehringer Ingelheim
CONTACT
1-800-243-0127
clintriage.rdg@boehringer-ingelheim.com

Study Locations (Sites)

University of Alabama at Birmingham
Birmingham, Alabama, 35233
United States
Alliance for Multispecialty Research, LLC
Mobile, Alabama, 36608
United States
Drug Research and Analysis Corporation
Montgomery, Alabama, 36106
United States
Ram Dandillaya, MD, Inc.
Beverly Hills, California, 90211
United States
Valley Clinical Trials, Inc.
Covina, California, 91723
United States
North Coast Cardiology
Encinitas, California, 92024
United States
Orange County Research Center
Lake Forest, California, 92630
United States
Merced Vein and Vascular Center
Merced, California, 95340
United States
Radin Cardiovascular Medical Group
Newport Beach, California, 92663
United States
Amicis Research Center
Northridge, California, 91324
United States
Paradigm Clinical Research - San Diego
San Diego, California, 92108
United States
Care Access Research
Thousand Oaks, California, 91360
United States
Bridgeport Hospital
Bridgeport, Connecticut, 06610
United States
Bay Area Cardiology
Brandon, Florida, 33511
United States
Cardiology Associates Research Co.
Daytona Beach, Florida, 32117
United States
Suncoast Research Associates, LLC
Doral, Florida, 33172
United States
Malcom Randall VA Medical Center
Gainesville, Florida, 32608
United States
Velocity Clinical Research-Hallandale Beach-67888
Hallandale, Florida, 33009
United States
University of Florida
Jacksonville, Florida, 32209
United States
East Coast Institute For Research, LLC
Jacksonville, Florida, 32216
United States
First Coast Cardiovascular Institute
Jacksonville, Florida, 32216
United States
Jacksonville Center for Clinical Research
Jacksonville, Florida, 32216
United States
University of Miami - Miller School of Medicine
Miami, Florida, 33125
United States
Central Therapy Center, Inc.
Miami, Florida, 33176
United States
Inpatient Research Clinic, LLC
Miami Lakes, Florida, 33014
United States
Innovation Medical Research Center
Palmetto Bay, Florida, 33157
United States
Peace River Cardiovascular Center
Port Charlotte, Florida, 33952
United States
St. Johns Center for Clinical Research
Saint Augustine, Florida, 32086
United States
Cardiology Partners Clinical Research Institute
Wellington, Florida, 33449
United States
Cozy Research LLC
Wesley Chapel, Florida, 33544
United States
Clinical Site Partners, LLC
Winter Park, Florida, 32789
United States
Atlanta Clinical Research Centers
Atlanta, Georgia, 30342
United States
Columbus Regional Research Institute
Columbus, Georgia, 31904
United States
NSC Research Inc
Johns Creek, Georgia, 30024
United States
Northwest Heart Clinical Research, LLC
Arlington Heights, Illinois, 60005
United States
Illinois Masonic Hospital
Chicago, Illinois, 60657
United States
Chicago Medical Research
Hazel Crest, Illinois, 60429
United States
Clinical Investigation Specialists, Inc.
Libertyville, Illinois, 60048
United States
AMR Park Ridge
Park Ridge, Illinois, 60068
United States
Springfield Clinic
Springfield, Illinois, 62703
United States
Midwest Cardiovascular Research and Education Foundation
Elkhart, Indiana, 46514
United States
St. Francis Medical Group-Indiana Heart Physicians, Inc
Indianapolis, Indiana, 46237
United States
Indiana Medical Research Institute
Merrillville, Indiana, 46410
United States
Cardiovascular Research of Northwest Indiana, LLC
Munster, Indiana, 46321
United States
Reid Hospital
Richmond, Indiana, 47374
United States
The Iowa Clinic, PC
West Des Moines, Iowa, 50266
United States
University of Kansas Medical Center
Kansas City, Kansas, 66160
United States
Kansas Nephrology Research Institute, LLC
Wichita, Kansas, 67214
United States
Robert J Dole Veterans Affairs Medical Center
Wichita, Kansas, 67218
United States
West Houston Area Clinical Trial Consultants, LLC
Wichita, Kansas, 67226
United States
West Houston Area Clinical Trial Consultants, LLC
Wichita, Kansas, 67226
United States
Norton Healtcare - Norton Heart and Vascular Institute
Louisville, Kentucky, 40217
United States
Heart Clinic of Hammond
Hammond, Louisiana, 70403
United States
Grace Research, LLC-Shreveport-64616
Shreveport, Louisiana, 71105
United States
Ascension Saint Agnes Heart Care
Baltimore, Maryland, 21229
United States
Metropolitan Cardiovascular Consultants
Beltsville, Maryland, 20705
United States
Capitol Cardiology Associates
Lanham, Maryland, 20706
United States
McLaren Bay Region Medical Center
Bay City, Michigan, 48708
United States
Cardiology and Vascular Associates - CAVA
Bloomfield Hills, Michigan, 48304
United States
Michigan Healthcare Professionals Pulse Cardiology
Farmington Hills, Michigan, 48334
United States
St. John Providence Hospital
Novi, Michigan, 48374
United States
Michigan Heart, PC
Ypsilanti, Michigan, 48197
United States
Mayo Clinic, Rochester
Rochester, Minnesota, 55905
United States
Regions Hospital
Saint Paul, Minnesota, 55101
United States
Jackson Heart Clinic, P.A.
Jackson, Mississippi, 39216
United States
North Kansas City Hospital
Kansas City, Missouri, 64116
United States
Kansas City VA Medical Center
Kansas City, Missouri, 64128
United States
St. Louis Heart and Vascular, P.C.
St Louis, Missouri, 63136
United States
Be Well Clinical Studies
Omaha, Nebraska, 68144
United States
Advanced Heart Care, LLC
Bridgewater, New Jersey, 08807
United States
Garden State Heart Care, PC
Manalapan, New Jersey, 07726
United States
Bassett Healthcare
Cooperstown, New York, 13326
United States
Mount Sinai Hospital-New York-52529
New York, New York, 10019
United States
Icahn School of Medicine at Mount Sinai
New York, New York, 10029
United States
IMA Clinical Research Lenoir
Lenoir, North Carolina, 28645
United States
Pinehurst Medical Clinic, Inc. - East
Pinehurst, North Carolina, 28374
United States
WakeMed
Raleigh, North Carolina, 27610
United States
Piedmont Healthcare
Statesville, North Carolina, 28625
United States
Wilmington Health
Wilmington, North Carolina, 28401
United States
VA Northeast Ohio Healthcare System
Cleveland, Ohio, 44106
United States
K and R Research LLC
Marion, Ohio, 43302
United States
Cardiology Consultants of Philadelphia
Yardley, Pennsylvania, 19067
United States
Bon Secours Medical Group Greenville Specialty Care, LLC
Greenville, South Carolina, 29607
United States
Monument Health
Rapid City, South Dakota, 57701
United States
Pharmatex Research
Amarillo, Texas, 79109
United States
Amarillo Heart Clinical Research Institute, Incorporated
Amarillo, Texas, 79124
United States
NextStage Clinical Research
Beaumont, Texas, 77702-1513
United States
Headlands Research Brownsville
Brownsville, Texas, 78526
United States
Texas Health Research and Education Institute
Dallas, Texas, 75231
United States
Southwest Family Medicine Associates
Dallas, Texas, 75235
United States
Helios CR Inc - Fort Worth
Fort Worth, Texas, 76104
United States
The Methodist Hospital Research Institute
Houston, Texas, 77030
United States
DM Clinical Research Dallas
Irving, Texas, 75061
United States
DCOL Center for Clinical Research
Longview, Texas, 75605
United States
North Texas Research Associates
McKinney, Texas, 75071
United States
Texas Institute Of Cardiology
McKinney, Texas, 75071
United States
Stryde Research
Plano, Texas, 75093
United States
Accurate Clinical Research, Inc.
Richmond, Texas, 77469
United States
Revival Research Institute, LLC.
Sherman, Texas, 75092
United States
Baylor Scott and White Health
Temple, Texas, 76508
United States
Northwest Heart Center
Tomball, Texas, 77375
United States
NextStage Clinical Research
Waco, Texas, 76712
United States
Virginia Heart - Falls Church
Falls Church, Virginia, 22042
United States
Carient Heart and Vascular
Manassas, Virginia, 20109
United States
Sentara Norfolk General Hospital
Norfolk, Virginia, 23507
United States
Carilion Clinic
Roanoke, Virginia, 24014
United States

Collaborators and Investigators

Sponsor: Boehringer Ingelheim

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2025-05-20
Study Completion Date2029-02-22

Study Record Updates

Study Start Date2025-05-20
Study Completion Date2029-02-22

Terms related to this study

Additional Relevant MeSH Terms

  • Heart Failure