Sacubitril-valsartan in Patients With Heart Failure.

NCT ID: NCT07341893

Last Updated: 2026-01-14

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

RECRUITING

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-08-01

Study Completion Date

2026-03-30

Brief Summary

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The aim of this study is to evaluate the safety and efficacy of Sacubitril -Valsartan in patients with heart failure.

Detailed Description

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* A 3-month, prospective interventional study, which will include 60 patients with heart failure reduced ejection fraction, patients, will be consecutively randomized into two groups, the first group (n=30) will be given Sacubitril-valsartan twice daily and the second group (n=30) on standard treatment of heart failure.
* Approval will be obtained from Research and Ethics Committee of Faculty of Pharmacy, Damanhour University. Patients will provided written informed consent and will be checked for inclusion and exclusion criteria.
* All patients will undergo analysis of inflammatory biomarkers such as: NT-proBNP, Galectin-3 and GDF-15 at beginning of the study and after 3 months of the study.
* Echocardiography study before and after the study focusing on:

Measurement of parameters such as: Left atrial diameter (LAD), basic left ventricular dimensions (EDD and ESD), Ejection fraction (EF%).

\- Follow up will be performed for assessing:

1. MACE such as MI, stroke, HF, or death.
2. LV Echocardiography improvements of any of basic Echo parameters.
3. Assessment of New York Heart association (NYHA) class.

Outcomes: all patients will be followed up for 3 months for:

* 1ry outcomes: A.Major Adverse Cardiovascular Events (MACE) such as MI, stroke or death. B.Heart failure hospitalization C.LV Echocardiography improvements of any of basic Echo parameters such as: Left atrial diameter (LAD), basic left ventricular dimensions (EDD and ESD), Ejection fraction (EF%).
* 2ry outcomes: Change in inflammatory markers such as: NT-proBNP, GDF-15 and Galectin-3.

Conditions

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Heart Failure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

60 patients with heart failure reduced ejection fraction, patients, will be consecutively randomized into two groups, the first group (n=30) will be given Sacubitril-valsartan twice daily and the second group (n=30) on standard treatment of heart failure.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Sacubitril-valsartan group

group (n=30) will be given Sacubitril-valsartan twice daily plus standard treatment.

Group Type ACTIVE_COMPARATOR

Sacubitril-valsartan

Intervention Type DRUG

patients (n=30) will be given Sacubitril-valsartan 50 mg twice daily.

Control group

Control group (n=30) on standard treatment of heart failure.

Group Type PLACEBO_COMPARATOR

standard treatment of heart failure

Intervention Type DRUG

Control group (n=30) on standard treatment of heart failure.

Interventions

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Sacubitril-valsartan

patients (n=30) will be given Sacubitril-valsartan 50 mg twice daily.

Intervention Type DRUG

standard treatment of heart failure

Control group (n=30) on standard treatment of heart failure.

Intervention Type DRUG

Other Intervention Names

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Entresto Beta blockers, ACEis

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years old for both genders.
* LV ejection fraction (LVEF) ≤40%.
* Heart failure patients with NYHA grade II-IV.

Exclusion Criteria

1. CKD with GFR \< 20 ml/min/1.73
2. Serum potassium \< 5.5 mmol / L.
3. Pregnant or lactating women
4. Active infection.
5. Congenital heart disease.
6. Autoimmune disorders or connective tissue disorders.
7. Severe hepatic dysfunction.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Damanhour University

OTHER

Sponsor Role lead

Responsible Party

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Rehab Werida

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Nouran A. Abu Shaara, Bachlore

Role: PRINCIPAL_INVESTIGATOR

Damanhour University

Locations

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Damanhur Medical National Institute

Damanhūr, Elbehairah, Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Rehab H Werida, Ass. Prof.

Role: CONTACT

01005359968

Yasser E. Bahnacy, Ass. Prof.

Role: CONTACT

Facility Contacts

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Rehab H Werida, Ass. Prof

Role: primary

01005359968

Nouran A. Abu Shaara, Bachlore

Role: backup

References

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Lu H, Claggett BL, Packer M, Lam CSP, Swedberg K, Rouleau J, Zile MR, Lefkowitz M, Desai AS, Jhund P, McMurray JJV, Solomon SD, Vaduganathan M. Effects of Sacubitril/Valsartan on All-Cause Hospitalizations in Heart Failure: Post Hoc Analysis of the PARADIGM-HF and PARAGON-HF Randomized Clinical Trials. JAMA Cardiol. 2024 Nov 1;9(11):1047-1052. doi: 10.1001/jamacardio.2024.2566.

Reference Type BACKGROUND
PMID: 39210725 (View on PubMed)

Lee YH, Lin PL, Chiou WR, Huang JL, Lin WY, Liao CT, Chung FP, Liang HW, Hsu CY, Chang HY. Combination of ivabradine and sacubitril/valsartan in patients with heart failure and reduced ejection fraction. ESC Heart Fail. 2021 Apr;8(2):1204-1215. doi: 10.1002/ehf2.13182. Epub 2021 Jan 6.

Reference Type BACKGROUND
PMID: 33410280 (View on PubMed)

Other Identifiers

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sacubitril-valsartan

Identifier Type: -

Identifier Source: org_study_id

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