200 Participants Needed

CDR132L for Heart Failure

(8212-Preserved Trial)

Recruiting at 102 trial locations
Age: 18+
Sex: Any
Trial Phase: Phase 2
Sponsor: Novo Nordisk A/S
Must be taking: Diuretics
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to understand how a new medicine, CDR132L, can help people with heart failure by examining its effects on the heart's structure and function. Participants will receive either CDR132L in one of three doses or a placebo, alongside their regular heart failure treatment, over about 60 weeks. It is ideal for those who have been managing chronic heart failure for at least 90 days and require frequent oral diuretics (medicines that help remove excess fluid). As a Phase 2 trial, this research focuses on measuring the treatment's effectiveness in an initial, smaller group of people.

Do I need to stop my current medications for the trial?

The trial requires participants to be on stable doses of their current heart failure medications for at least 45 days before joining. It doesn't specify stopping other medications, so you may not need to stop them, but it's best to discuss with the trial team.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that CDR132L, a new treatment being tested for heart failure, has promising safety results from earlier studies. These studies found that CDR132L can improve heart function and structure without causing major safety issues. The treatment works by blocking a small molecule called microRNA-132, which is linked to heart failure.

In earlier research, patients did not experience serious side effects, suggesting that CDR132L is generally well-tolerated. However, since this is still a trial, not all potential side effects may be known yet. Participants will receive doses of CDR132L every four weeks, and researchers will closely monitor their safety throughout the study.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about CDR132L for heart failure because it targets microRNA-132, a molecule involved in heart disease progression. Unlike standard heart failure treatments like beta-blockers, ACE inhibitors, or diuretics, which mainly manage symptoms and reduce workload on the heart, CDR132L aims to address the underlying molecular causes of heart failure. This unique mechanism could potentially improve heart function and slow disease progression, offering a new hope for patients. Additionally, CDR132L is administered via intravenous infusion, allowing for controlled dosing and potentially enhancing its effectiveness.

What evidence suggests that this trial's treatments could be effective for heart failure?

Research has shown that CDR132L might improve heart function in people with heart failure. Studies have found that this treatment can stop and even reverse changes in the heart that lead to heart failure. CDR132L achieves this by blocking a molecule called microRNA-132, which contributes to harmful changes in the heart. In animal studies, CDR132L improved the heart's pumping and relaxation. Early human results are promising, suggesting that CDR132L could enhance heart performance and structure. Participants in this trial will receive one of three different doses of CDR132L or a placebo, alongside their standard care for heart failure.14678

Who Is on the Research Team?

CT

Clinical Transparency (dept. 2834)

Principal Investigator

Novo Nordisk A/S

Are You a Good Fit for This Trial?

This trial is for individuals with heart failure who have preserved ejection fraction and left ventricular hypertrophy. Specific eligibility criteria are not provided, but typically participants must meet certain health standards to be included.

Inclusion Criteria

Left ventricular ejection fraction ≥50% as assessed by echocardiography at screening, measured by central laboratory
NT-proBNP ≥300 pg/mL; NT-proBNP ≥600 pg/mL if atrial fibrillation/flutter is present at time of screening, measured by central laboratory
I am between 40 and 84 years old.
See 5 more

Exclusion Criteria

My kidney function is severely reduced.
Participants with CRT, pacemaker or implantable cardioverter-defibrillator
Participants with potential disruption of the blood-brain barrier, in the opinion of the investigator
See 8 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive intravenous infusion of CDR132L or placebo once every 4 weeks for 48 weeks

48 weeks
12 visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

12 weeks

Extension

Participants continue to be monitored for adverse events up to week 60

12 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • CDR132L
Trial Overview The study compares different doses of a potential new medicine called CDR132L against a placebo over approximately 60 weeks. The aim is to see how CDR132L affects the structure and function of the heart in patients with heart failure.
How Is the Trial Designed?
4Treatment groups
Experimental Treatment
Placebo Group
Group I: CDR132L: Dose 3Experimental Treatment1 Intervention
Group II: CDR132L: Dose 2Experimental Treatment1 Intervention
Group III: CDR132L: Dose 1Experimental Treatment1 Intervention
Group IV: PlaceboPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Novo Nordisk A/S

Lead Sponsor

Trials
1,578
Recruited
3,813,000+
Lars Fruergaard Jørgensen profile image

Lars Fruergaard Jørgensen

Novo Nordisk A/S

Chief Executive Officer since 2017

MSc in Finance and Business Administration, Aarhus School of Business, Aarhus University, Denmark

Martin Holst Lange profile image

Martin Holst Lange

Novo Nordisk A/S

Chief Medical Officer since 2021

MD from University of Copenhagen

Citations

1.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/38269451/
Rationale and design of the HF-REVERT trialEfficacy and safety of CDR132L in patients with reduced left ventricular ejection fraction after myocardial infarction: Rationale and design of ...
Study to Assess Efficacy and Safety of CDR132L in ...The aim of the study is to show that CDR132L is safe and effective to improve heart failure in such patients. Official Title. Phase 2, Multicenter, Randomized, ...
Efficacy and safety of CDR132L in patients with reduced ...Inhibition of microRNA (miR)-132 effectively prevents and reverses adverse cardiac remodelling, making it an attractive heart failure (HF) ...
Abstract 114: Safety And Efficacy Of CDR132L, A Novel ...The application of this drug suggests cardiac functional improvements and cardiac remodelling. The efficacy of this drug is encouraging, and ...
Development of a Mechanism-Based Next-Generation ...Viereck, et al. CDR132L improves systolic and diastolic function in a large animal model of chronic heart failure. Eur Heart J, 42 (2021), pp. 192-201.
Novel antisense therapy targeting microRNA-132 in ...CDR132L, a specific antisense oligonucleotide, is a first-in-class miR-132 inhibitor that attenuates and even reverses HF in preclinical models.
NCT05350969 | Study to Assess Efficacy and Safety of ...The aim of the study is to show that CDR132L is safe and effective to improve heart failure in such patients. Official Title. Phase 2, Multicenter, Randomized, ...
A Research Study Comparing CDR132L With Placebo on ...This study will look into how CDR132L (a potential new medicine) works on the structure and function of the heart in people living with heart failure.
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