A Safety and Tolerability Study of HJB647 in Heart Failure Participants With Reduced Ejection Fraction
Purpose
The purpose of this study is to evaluate the safety, tolerability, and pharmacokinetics of HJB647 at two different doses in participants with chronic stable heart failure with reduced or mildly reduced ejection fraction (HFrEF/HFmrEF).
Condition
- Heart Failure With Reduced Ejection Fraction
Eligibility
- Eligible Ages
- Between 18 Years and 100 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
Participants eligible for inclusion in this study must meet all of the following criteria: - Men and women aged 18 years or older - Stable NYHA functional class II-III - LVEF <50% - NT-proBNP ≥600 pg/ml if in sinus rhythm or ≥900 pg/ml if in atrial fibrillation at screening - On stable standard of care therapy with sacubitril/valsartan with a dose of at least 49/51 mg BID for at least 4 weeks before screening.
Exclusion Criteria
Participants will be deemed ineligible for inclusion if they meet any of the following exclusion criteria: - Acute decompensated heart failure within 3 months prior to screening - SBP <105 mmHg at screening or baseline. - Acute coronary syndrome, stroke, transient ischemic attack, cardiac, carotid or other major cardiovascular surgery, PCI, or carotid angioplasty within the 6 months prior to screening - Hemodynamically significant mitral and/or aortic valve disease, or any prior valve replacement, except mitral regurgitation secondary to LV dilation at screening - eGFR <45 ml/min/1.73m2 at screening, as measured by the CKD-EPI formula - BMI >40 kg/m2 - Strong CYP3A4 inhibitors or inducers, sGC activators (vericiguat), PDE5 inhibitors, and nitroglycerin products - Women of childbearing potential Further eligibility criteria might apply in alignment with the trial protocol.
Study Design
- Phase
- Phase 1
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Crossover Assignment
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Investigator)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Placebo Comparator Placebo |
Taken by mouth as capsules |
|
|
Experimental HJB647 low dose |
Taken by mouth as capsule |
|
|
Experimental HJB647 high dose |
Taken by mouth as capsule |
|
Recruiting Locations
Bradenton, Florida 34208
Inverness, Florida 34452
Jacksonville, Florida 32216
More Details
- Status
- Recruiting
- Sponsor
- Novartis Pharmaceuticals
Detailed Description
This is a multi-center, randomized, participant- and investigator- blinded, placebo- controlled crossover study to investigate the safety, tolerability, and pharmacokinetics of HJB647 in participants with chronic stable heart failure with reduced or mildly reduced ejection fraction (HFrEF/HFmrEF). The study will consist of approximately 12 participants randomly assigned in a 1:1:1 ratio to one of three 3-day treatment sequences comprised of two doses of HJB647 and placebo. Dosing of the HJB647 and placebo is planned for 3 consecutive days. Participants will be domiciled during study drug administration period for close monitoring with a follow-up in-clinic visit on Day 7. A safety call will be performed on Day 33.