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Not yet recruitingPHASE3INTERVENTIONAL

A Study to Investigate CV Outcomes With Elecoglipron Compared With Placebo in Adult Participants With HFpEF or HFmrEF

This research study is testing a new medicine called Elecoglipron for adults who have a specific type of heart condition known as heart failure. Specifically, it's for those with 'heart failure with preserved ejection fraction' (HFpEF) or 'heart failure with mildly reduced ejection fraction' (HFmrEF). These terms describe how well your heart pumps blood. The study aims to find out if Elecoglipron can help improve how people with these conditions feel and function, compared to a dummy medicine (called a placebo). All participants will continue to take their usual heart failure medications, including another drug called dapagliflozin, as part of their standard care. The study is a major step (Phase 3) to see if this new medicine could be a future treatment option.

At a glance

Status
Not yet recruiting
Phase
PHASE3
Sponsor
AstraZeneca
Enrolment target
6,950
Start
28 Aug 2026
Estimated completion
03 Sep 2029

What is this study about?

This study is a clinical trial, which means it's a careful way of testing a new medicine called Elecoglipron. It's for adults who have a specific kind of heart problem known as heart failure. In this study, we're focusing on two types: 'heart failure with preserved ejection fraction' (HFpEF) and 'heart failure with mildly reduced ejection fraction' (HFmrEF). These are medical terms that describe how well your heart is pumping blood – 'ejection fraction' refers to the amount of blood pumped out with each heartbeat. Even if your heart pumps a normal or slightly reduced amount of blood, you can still have symptoms of heart failure.

The main goal of the study is to see if Elecoglipron can help improve important heart health outcomes for people with these conditions. To do this, half of the participants will receive Elecoglipron, and the other half will receive a 'placebo', which looks exactly like the study medicine but contains no active drug. This allows researchers to compare the effects of the new medicine against doing nothing extra.

All participants will continue to receive their standard heart failure treatments, including a medication called dapagliflozin. This is a common approach in trials to see how a new medicine works when added to existing care. The study is 'double-blind', meaning neither you nor your study doctor will know if you're taking Elecoglipron or the placebo. This helps make sure the results are as fair and unbiased as possible. This is a large, important 'Phase 3' study, which is usually the last step before a medicine might be considered for wider use.

Key takeaways

  • This study is testing a new medicine, Elecoglipron, for specific types of heart failure.
  • It compares Elecoglipron to a dummy medicine (placebo) to see if it helps improve heart health.
  • Participants will continue to take their usual heart failure medicines, including dapagliflozin.
  • The study is 'double-blind', meaning no one will know if you're getting the active medicine or placebo.
  • It's a Phase 3 study, a crucial step before a medicine might be approved for wider use.
  • Taking part means regular check-ups and monitoring by a research team.

Who may be eligible?

To be considered for this study, you would need to meet certain health requirements. For example, your heart's pumping ability, measured as 'left ventricular ejection fraction' (LVEF), would need to be above 40% in the last year. You also need to have been diagnosed with heart failure and experiencing symptoms that limit your daily activities, as described by your doctor, falling into a range from New York Heart Association (NYHA) Class II to IV.

There are also some reasons why you might not be able to join. For instance, if your Body Mass Index (BMI) is too low (under 25 kg/m²), or if you have certain types of diabetes, such as Type 1, or if your blood sugar levels (HbA1c) are very high (10% or more). People with a history of serious low blood sugar episodes, specific kidney problems, or who need kidney dialysis, would also not be able to take part.

Additionally, if you've recently had major heart surgery or certain heart procedures in the last three months, or if your heart failure is caused by very specific, rare conditions, you wouldn't be eligible. Certain stomach or bowel conditions, or a history of pancreatitis, might also prevent participation. Finally, if you or your family have a history of a particular type of thyroid cancer called medullary thyroid carcinoma, or a related genetic condition, you would not be able to join.

Could this study suit you?

Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.

  1. Are you an adult with heart failure?
  2. Has your heart's pumping ability (LVEF) been measured above 40% in the last year?
  3. Do you experience heart failure symptoms that affect your daily life (NYHA Class II-IV)?
  4. Do you NOT have Type 1 diabetes, very high blood sugar (HbA1c 10% or more), or a history of severe low blood sugar?
  5. Have you NOT had major heart surgery or specific heart procedures in the last 3 months?
  6. Do you NOT have certain kidney, stomach, or bowel conditions that could interfere with the study?
Answer every question to see your result.

What does participation involve?

If you decide to take part in this study, it would involve several steps over a period of time. You would have regular visits to the study clinic where the research team would monitor your health closely. These visits would include check-ups, physical examinations, and blood tests to see how you are responding to the medication and to ensure your safety.

You would be given either the study medicine, Elecoglipron, or the placebo (dummy medicine) to take regularly, in addition to your current heart failure medications, including dapagliflozin. You would be asked to keep a record of any symptoms or side effects you experience. The full duration of your participation would depend on the study design, but generally, these types of Phase 3 studies can last for a year or more, including follow-up appointments after you stop taking the study medicine.

Potential risks and benefits

Taking part in any clinical trial involves potential benefits and potential risks. You might benefit from closer medical attention and regular health monitoring, and you could potentially receive a new medicine that might improve your heart condition, although this is not guaranteed. However, there are also potential risks, such as experiencing side effects from the study medicine, which could be mild or more serious. The dummy medicine (placebo) also means you might not receive any active treatment beyond your usual care. It's important to remember that you have the right to withdraw from the study at any time, for any reason, without it affecting your usual medical care.

Locations (366)

  • Research Site
    Verified postcode
    Fairhope, United States
  • Research Site
    Verified postcode
    Beverly Hills, United States
  • Research Site
    Verified postcode
    Huntington Beach, United States
  • Research Site
    Verified postcode
    Huntington Park, United States
  • Research Site
    Verified postcode
    Loma Linda, United States
  • Research Site
    Verified postcode
    Lomita, United States
  • Research Site
    Verified postcode
    Northridge, United States
  • Research Site
    Verified postcode
    Tarzana, United States
  • Research Site
    Verified postcode
    New Haven, United States
  • Research Site
    Verified postcode
    Hialeah, United States
  • Research Site
    Verified postcode
    Jacksonville, United States
  • Research Site
    Verified postcode
    Lakeland, United States

Common questions

What is Elecoglipron?

Elecoglipron is a new medicine being tested to see if it can help people with certain types of heart failure. This study is trying to understand its effects.

What is 'heart failure with preserved/mildly reduced ejection fraction'?

These are types of heart failure where your heart muscle still pumps a normal or slightly lower amount of blood, but it doesn't relax properly or fill with enough blood, leading to symptoms like breathlessness.

What is a 'placebo'?

A placebo is a dummy medicine that looks exactly like the study medicine but contains no active drug. It helps researchers compare the real medicine's effects against having no extra treatment.

Will I know if I'm taking the new medicine or the placebo?

No, this is a 'double-blind' study, meaning neither you nor your study doctor will know whether you are taking Elecoglipron or the placebo. This ensures fair and unbiased results.

Can I stop participating in the study at any time?

Yes, your participation is voluntary. You can decide to leave the study at any time, for any reason, and it will not affect your standard medical care.

How to find out more

AstraZeneca Clinical Study Information Center

Always speak to your GP or specialist before deciding to take part in a study.

Interested in taking part?

Register your interest

Share your details and the research team for "A Study to Investigate CV Outcomes With Elecoglipron Compare…" will contact you if you may be eligible. Always speak to your GP before agreeing to take part.

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