Safety & Effectiveness of Tovinontrine in Chronic Heart Failure With Preserved Ejection Fraction (Cycle-2-PEF)

NCT ID: NCT06215586

Last Updated: 2025-11-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

303 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-02-13

Study Completion Date

2025-09-02

Brief Summary

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The purpose of this study is to evaluate the safety and effectiveness of tovinontrine compared to placebo to lower NT-proBNP in patients with chronic heart failure with preserved ejection fraction

Detailed Description

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Conditions

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Heart Failure Heart Failure Preserved Ejection Fraction Cardiovascular Diseases Heart Diseases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Tovinontrine (CRD-750)

Group Type EXPERIMENTAL

Tovinontrine (CRD-750

Intervention Type DRUG

Tablets administered orally

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Tablets administered orally

Interventions

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Tovinontrine (CRD-750

Tablets administered orally

Intervention Type DRUG

Placebo

Tablets administered orally

Intervention Type DRUG

Eligibility Criteria

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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;
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cardurion Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gail Berman

Role: STUDY_DIRECTOR

Senior VP Head, Clinical Development Cardurion

Locations

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Cardurion Investigative Site

Birmingham, Alabama, United States

Site Status

Cardurion Investigative Site

Little Rock, Arkansas, United States

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Cardurion Investigative Site

Orange, California, United States

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Cardurion Investigative Site

Torrance, California, United States

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Cardurion Investigative Site

Van Nuys, California, United States

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Cardurion Investigative Site

Jacksonville, Florida, United States

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Cardurion Investigative Site

Miami, Florida, United States

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Cardurion Investigative Site

Hazel Crest, Illinois, United States

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Cardurion Investigative Site

Peoria, Illinois, United States

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Cardurion Investigative Site

Alexandria, Louisiana, United States

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Cardurion Investigative Site

Covington, Louisiana, United States

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Cardurion Investigative Site

St Louis, Missouri, United States

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Cardurion Investigative Site

Buffalo, New York, United States

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Cardurion Investigative Site

New York, New York, United States

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Cardurion Investigative Site

Cleveland, Ohio, United States

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Cardurion Investigative Site

Oklahoma City, Oklahoma, United States

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Cardurion Investigative Site

Portland, Oregon, United States

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Cardurion Investigative Site

Rapid City, South Dakota, United States

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Nashville, Tennessee, United States

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Dallas, Texas, United States

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McKinney, Texas, United States

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Burlington, Vermont, United States

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Chermside, , Australia

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Cardurion Investigative Site

Bruges, , Belgium

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Cardurion Investigative Site

Sint-Niklaas, , Belgium

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Cardurion Investigative Site

Burgas, , Bulgaria

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Gabrovo, , Bulgaria

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Plovdiv, , Bulgaria

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Plovdiv, , Bulgaria

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Rousse, , Bulgaria

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Sofia, , Bulgaria

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Cardurion Investigative Site

Stara Zagora, , Bulgaria

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Cambridge, Ontario, Canada

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Hamilton, Ontario, Canada

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Chicoutimi, Quebec, Canada

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Montreal, Quebec, Canada

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Sherbrooke, Quebec, Canada

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Trois-Rivières, Quebec, Canada

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Hradec Králové, , Czechia

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Cardurion Investigative Site

Hradec Králové, , Czechia

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Prague, , Czechia

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Cardurion Investigative Site

Elsterwerda, Brandenburg, Germany

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Cardurion Investigative Site

Papenburg, Lower Saxony, Germany

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Cardurion Investigative Site

Brandenburg, State of Berlin, Germany

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Cardurion Investigational Site

Dresden, , Germany

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Magdeburg, , Germany

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Balatonfüred, , Hungary

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Budapest, , Hungary

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Gyöngyös, , Hungary

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Hatvan, , Hungary

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Orosháza, , Hungary

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Milan, , Italy

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Eindhoven, , Netherlands

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Groningen, , Netherlands

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Hardenberg, , Netherlands

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Sneek, , Netherlands

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Zutphen, , Netherlands

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Dunedin, , New Zealand

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Grodzisk Mazowiecki, , Poland

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Lodz, , Poland

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Lublin, , Poland

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Sopot, , Poland

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Torun, , Poland

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Warsaw, , Poland

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Wroclaw, , Poland

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Wroclaw, , Poland

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Córdoba, , Spain

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Málaga, , Spain

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Santiago de Compostela, , Spain

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Seville, , Spain

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Valencia, , Spain

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Cardurion Investigative Site

Kaohsiung City, , Taiwan

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Taipei, , Taiwan

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Taipei County, , Taiwan

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Taoyuan District, , Taiwan

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Cardurion Investigative Site

Bridgend, , United Kingdom

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Cardurion Investigative Site

Chichester, , United Kingdom

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Cardurion Investigative Site

Dundee, , United Kingdom

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Cardurion Investigative Site

Glasgow, , United Kingdom

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Cardurion Investigative Site

Harrow, , United Kingdom

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Cardurion Investigative Site

Isleworth, , United Kingdom

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Cardurion Investigative Site

London, , United Kingdom

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Cardurion Investigative Site

London, , United Kingdom

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Cardurion Investigative Site

Southampton, , United Kingdom

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Countries

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United States Australia Belgium Bulgaria Canada Czechia Germany Hungary Italy Netherlands New Zealand Poland Spain Taiwan United Kingdom

Other Identifiers

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2023-508737-13

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CRD-750-202

Identifier Type: -

Identifier Source: org_study_id

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