A Study to Assess Safety & Effectiveness of Tovinontrine in Chronic Heart Failure With Reduced Ejection Fraction (Cycle-1-REF) (Cycle-1-REF)
A Phase 2, Randomized, Double-Blind, Placebo-Controlled, Dose Finding Study to Assess the Safety and Effectiveness of Tovinontrine in Patients With Chronic Heart Failure With Reduced Ejection Fraction
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Gail Berman
- Phone Number: 617-863-8088
- Email: Info@cardurion.com
Study Locations
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Chermside, Australia, 4032
- Cardurion Investigative Site
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Perth, Australia
- Cardurion Investigative Site
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Queensland
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Southport, Queensland, Australia, 4222
- Cardurion Investigative Site
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Bruges, Belgium, 8000
- Cardurion Investigational Site
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Brussels, Belgium
- Cardurion Investigative Site
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Brussels, Belgium, 1070
- Cardurion Investigative Site
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Genk, Belgium
- Cardurion Investigative Site
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Ghent, Belgium, 9000
- Cardurion Investigative Site
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Hasselt, Belgium, 3500
- Cardurion Investigative Site
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Kortrijk, Belgium, 8500
- Cardurion Investigative Site
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Sint-Niklaas, Belgium, 9100
- Cardurion Investigative Site
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Burgas, Bulgaria, 8008
- Cardurion Investigative Site
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Gabrovo, Bulgaria, 5300
- Cardurion Investigative Site
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Pazardzhik, Bulgaria, 4400
- Cardurion Investigative Site
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Plovdiv, Bulgaria, 4002
- Cardurion Investigative Site
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Plovdiv, Bulgaria, 4003
- Cardurion Investigative Site
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Rousse, Bulgaria, 7000
- Cardurion Investigative Site
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Sofia, Bulgaria, 1000
- Cardurion Investigative Site
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Sofia, Bulgaria, 1233
- Cardurion Investigative Site 2
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Sofia, Bulgaria, 1233
- Cardurion Investigative Site
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Stara Zagora, Bulgaria, 6000
- Cardurion Investigative Site
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Veliko Tarnovo, Bulgaria, 5006
- Cardurion Investigative Site
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Sherbrooke, Canada, J1G 2E8
- Cardurion Investigative Site
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Trois-Rivières, Canada, G9B 2N3
- Cardurion Investigative Site
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Ontario
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Cambridge, Ontario, Canada, N1R 6V6
- Cardurion Investigative Site
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Hamilton, Ontario, Canada, L8L 2X2
- Cardurion Investigative Site
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Quebec
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Chicoutimi, Quebec, Canada, G7H 7K9
- Cardurion Investigative Site
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Montreal, Quebec, Canada
- Cardurion Investigative Site
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Hradec Králové, Czechia, 500 02
- Cardurion Investigative Site
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Hradec Králové, Czechia, 500 05
- Cardurion Investigative Site
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Prague, Czechia, 128 08
- Cardurion Investigative Site
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Tbilisi, Georgia, 0102
- Cardurion Investigative Site
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Tbilisi, Georgia, 0131
- Cardurion Investigative Site
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Tbilisi, Georgia, 0141
- Cardurion Investigative Site
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Tbilisi, Georgia, 0159
- Cardurion Investigative Site 2
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Tbilisi, Georgia, 0159
- Cardurion Investigative Site
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Tbilisi, Georgia, 0160
- Cardurion Investigative Site
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Tbilisi, Georgia, 0186
- Cardurion Investigative Site
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Dresden, Germany, 01067
- Cardurion Investigative Site
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Magdeburg, Germany, 39120
- Cardurion Investigative Site
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Brandenburg
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Berlin, Brandenburg, Germany, 10787
- Cardurion Investigative Site
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Elsterwerda, Brandenburg, Germany, 04910
- Cardurion Investigative Site
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Lower Saxony
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Papenburg, Lower Saxony, Germany, 26871
- Cardurion Investigative Site
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Balatonfüred, Hungary, 8230
- Cardurion Investigative Site
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Budapest, Hungary, H-1122
- Cardurion Investigative Site
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Budapest, Hungary, 1148
- Cardurion Investigative Site
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Gyöngyös, Hungary, 3200
- Cardurion Investigative Site
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Hatvan, Hungary, 3000
- Cardurion Investigative Site
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Kaposvár, Hungary, 7400
- Cardurion Investigative Site
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Orosháza, Hungary, 5900
- Cardurion Investigative Site
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Zalaegerszeg, Hungary, 8900
- Cardurion Investigative Site
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Bergamo, Italy
- Cardurion Investigative Site
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Milan, Italy, 20138
- Cardurion Investigative Site
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Napoli, Italy
- Cardurion Investigative Site
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Rozzano, Italy
- Cardurion Investigative Site
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Riga, Latvia
- Cardurion Investigative Site
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Kaunas, Lithuania
- Cardurion Investigative Site
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Klaipėda, Lithuania
- Cardurion Investigative Site
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Panevezys, Lithuania
- Cardurion Investigative Site
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Goes, Netherlands, 4462 RA
- Cardurion Investigative Site
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Groningen, Netherlands, 9713 GZ
- Cardurion Investigative Site
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Hardenberg, Netherlands, 7772 SE
- Cardurion Investigative Site
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Sneek, Netherlands, 8601 ZR
- Cardurion Investigative Site
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The Hague, Netherlands, 2545 AA
- Cardurion Investigative Site
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Utrecht, Netherlands, 3582 KE
- Cardurion Investigative Site
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Veldhoven, Netherlands, 5504 DB
- Cardurion Investigative Site
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Zutphen, Netherlands, 7207 AE
- Cardurion Investigative Site
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Christchurch, New Zealand
- Cardurion Investigative Site
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Dunedin, New Zealand
- Cardurion Investigative Site
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Grodzisk Mazowiecki, Poland, 05-825
- Cardurion Investigative Site
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Krakow, Poland, 31-216
- Cardurion Investigative Site
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Lodz, Poland, 92-213
- Cardurion Investigative Site
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Lodz, Poland, 94-255
- Cardurion Investigative Site
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Lodz, Poland
- Cardurion Investigative Site
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Lublin, Poland, 20-011
- Cardurion Investigative Site
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Lublin, Poland, 20-049
- Cardurion Investigative Site
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Sopot, Poland, 81-717
- Cardurion Investigative Site
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Szczecin, Poland
- Cardurion Investigative Site
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Torun, Poland, 87-100
- Cardurion Investigative Site
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Warsaw, Poland, 04-628
- Cardurion Investigative Site
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Wroclaw, Poland, 50-556
- Cardurion Investigative Site
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Wroclaw, Poland, 50-981
- Cardurion Investigative Site
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Bardejov, Slovakia
- Cardurion Investigative Site
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Bratislava, Slovakia
- Cardurion Investigative Site
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Handlová, Slovakia, 972 51
- Cardurion Investigative Site
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Košice, Slovakia, 040 022
- Cardurion Investigative Site
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Košice, Slovakia
- Cardurion Investigative Site
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Nitra, Slovakia, 949 01
- Cardurion Investigative Site
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Prešov, Slovakia, 080 01
- Cardurion Investigative Site
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Žilina, Slovakia
- Cardurion Investigative Site
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Alicante, Spain, 03010
- Cardurion Investigative Site
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Córdoba, Spain, 14004
- Cardurion Investigative Site
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Madrid, Spain, 28041
- Cardurion Investigative Site
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Málaga, Spain, 29010
- Cardurion Investigative Site
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Santiago de Compostela, Spain, 15706
- Cardurion Investigative Site
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Seville, Spain, 41009
- Cardurion Investigative Site
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Valencia, Spain, 46026
- Cardurion Investigative Site
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Murcia
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El Palmar, Murcia, Spain, 30120
- Cardurion Investigative Site
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Kaohsiung City, Taiwan, 80756
- Cardurion Investigative Site
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New Taipei City, Taiwan, 243
- Cardurion Investigative Site
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Taichung, Taiwan, 407219
- Cardurion Investigative Site
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Taipei, Taiwan, 100225
- Cardurion Investigative Site
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Taipei, Taiwan, 10507
- Cardurion Investigative Site
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Bridgend, United Kingdom, CF31 1RQ
- Cardurion Investigative Site
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Chichester, United Kingdom, PO19 6SE
- Cardurion Investigative Site
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Dundee, United Kingdom, DD1 9SY
- Cardurion Investigative Site
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Glasgow, United Kingdom, G81 4DY
- Cardurion Investigative Site
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Harrow, United Kingdom, HA1 3UJ
- Cardurion Investigative Site
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Isleworth, United Kingdom, TW7 6AF
- Cardurion Investigative Site
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London, United Kingdom, SE5 9RS
- Cardurion Investigative Site
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London, United Kingdom, NW1 2BU
- Cardurion Investigative Site
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Southampton, United Kingdom, SO16 6YD
- Cardurion Investigative Site
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Manchester
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Wythenshawe, Manchester, United Kingdom, M23 9QZ
- Cardurion Investigative Site
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Alabama
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Birmingham, Alabama, United States, 35233
- Cardurion Investigative Site
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Arkansas
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Little Rock, Arkansas, United States, 72204
- Cardurion Investigative Site
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California
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Beverly Hills, California, United States, 90211
- Cardurion Investigative Site
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Orange, California, United States, 92868
- Cardurion Investigative Site
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Torrance, California, United States, 90502
- Cardurion Investigative Site
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Van Nuys, California, United States, 91405
- Cardurion Investigative Site
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Florida
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Jacksonville, Florida, United States, 32216
- Cardurion Investigative Site
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Miami, Florida, United States, 33137
- Cardurion Investigative Site
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Illinois
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Hazel Crest, Illinois, United States, 60429
- Cardurion Investigative Site
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Peoria, Illinois, United States, 61636
- Cardurion Investigative Site
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Louisiana
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Alexandria, Louisiana, United States, 71301
- Cardurion Investigative Site
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Covington, Louisiana, United States, 70433
- Cardurion Investigative Site
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Maryland
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Baltimore, Maryland, United States, 21201
- Cardurion Investigative Site
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Missouri
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St Louis, Missouri, United States, 63110
- Cardurion Investigative Site
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Nebraska
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Omaha, Nebraska, United States, 68198
- Cardurion Investigative Site
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New York
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Buffalo, New York, United States, 14215
- Cardurion Investigative Site
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New York, New York, United States, 10025
- Cardurion Investigative Site
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Ohio
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Cleveland, Ohio, United States, 44195
- Cardurion Investigative Site
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Oklahoma
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Oklahoma City, Oklahoma, United States, 73135
- Cardurion Investigative Site
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South Dakota
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Rapid City, South Dakota, United States, 57701
- Cardurion Investigative Site
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Tennessee
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Nashville, Tennessee, United States, 37232
- Cardurion Investigative Site
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Texas
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Dallas, Texas, United States, 75226
- Cardurion Investigative Site
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McKinney, Texas, United States, 75069
- Cardurion Investigative Site
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Vermont
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Burlington, Vermont, United States, 05401
- Cardurion Investigative Site
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Washington
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Seattle, Washington, United States, 98195
- Cardurion Investigative Site
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Wisconsin
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Madison, Wisconsin, United States, 53792
- Cardurion Investigative Site
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
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% by transthoracic echocardiogram (TTE) performed and interpreted locally at the time of Screening;
- Has NT-proBNP level ≥ 600 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 ≥ 1000 pg/mL at the time of Screening;
- Is on stable optimized doses of guideline-directed HF therapy, per Investigator's clinical judgement, for a minimum of 4 weeks prior to the time of Screening and during Screening, 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 a documented EF >40% 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;
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Placebo Comparator: Placebo
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Tablets administered orally
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Experimental: Tovinontrine (CRD-750) - low dose
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Tablets administered orally
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Experimental: Tovinontrine (CRD-750) - medium dose
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Tablets administered orally
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Experimental: Tovinontrine (CRD-750) - high dose
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Tablets administered orally
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change in biomarkers from Baseline to Week 12 - NT-proBNP by treatment group
Time Frame: Baseline to Week 12
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The percent change in plasma NT-proBNP from Baseline to Week 12.
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Baseline to Week 12
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change in biomarkers at week 12 by treatment group - cGMP
Time Frame: Baseline to Week 12
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The percent change in urine and plasma cGMP from Baseline to Week 12.
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Baseline to Week 12
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Change in biomarkers at week 12 by treatment group - BNP
Time Frame: Baseline to Week 12
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The percent change in BNP from Baseline to Week 12.
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Baseline to Week 12
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Treatment Emergent Adverse Events (TEAEs)
Time Frame: Baseline to Week 12
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The number of participants with TEAEs including drug related AEs, serious AEs (SAEs), and AEs leading to study drug discontinuation.
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Baseline to Week 12
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Change in biomarkers at Week 12 - NT-proBNP
Time Frame: Baseline to Week 12
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The percent change in plasma NT-proBNP will be calculated from Baseline to Week 12.
The correlation of plasma concentration with percent change in plasma NT-proBNP will be evaluated.
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Baseline to Week 12
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Change in the biomarker ratio at Week 12 - NT-proBNP
Time Frame: Baseline to Week 12
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The percent change in the urine and plasma cGMP to NT-proBNP ratio at week 12
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Baseline to Week 12
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Change in the biomarker ratio at Week 12 - BNP
Time Frame: Baseline to Week 12
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The percent change in the urine and plasma cGMP to BNP ratio from Baseline to Week 12
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Baseline to Week 12
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The change from baseline in the Kansas City Cardiomyopathy Questionnaire-23-Clinical Summary Score
Time Frame: Baseline to Week 12
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Scaled 0 to 100 where lower scores represent worse health status than higher scores
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Baseline to Week 12
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The change from baseline in the Kansas City Cardiomyopathy Questionnaire 23- Overall Summary Score
Time Frame: Baseline to Week 12
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Scaled 0 to 100 where lower scores represent worse health status than higher scores
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Baseline to Week 12
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The change from baseline in the Kansas City Cardiomyopathy Questionnaire-23-CSS - Categorical
Time Frame: Week 12
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The proportion of patients with >=5, 10 and 20-point improvement in the KCCQ-23-CSS.
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Week 12
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New York Heart Association Classification
Time Frame: Week 12
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Class I to IV are possible with a higher classification representing worsening heart failure status.
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Week 12
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Gail Berman, Senior VP Head, Clinical Development Cardurion
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CRD-750-201
- 2023-508736-62 (EudraCT Number)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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