Chronic Heart Failure With Reduced Ejection FractionPhase 3VICTORNCT05093933
A Study of Vericiguat (MK-1242) in Participants With Chronic Heart Failure With Reduced Ejection Fraction (HFrEF) (MK-1242-035)
A Phase 3 study testing Vericiguat in people with Chronic Heart Failure With Reduced Ejection Fraction, run by Merck Sharp & Dohme LLC at 519 sites in 36 countries.
Trial summary
The purpose of this study is to evaluate the efficacy and safety of vericiguat in participants with chronic heart failure with reduced ejection fraction (HFrEF), specifically those with symptomatic chronic HFrEF who have not had a recent hospitalization for heart failure or need for outpatient intravenous (IV)… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Chronic Heart Failure With Reduced Ejection Fraction
- What is being tested?
- Vericiguat
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 6,106 participants
- Where
- 519 sitesin 36 countries
- Study dates
- 2 Nov 2021to 5 Feb 2025
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- History of chronic HF [New York Heart Association (NYHA) Class II to IV] on guideline-directed medical therapy for heart failure (GDMT) with no HF hospitalization within 6 months or outpatient IV diuretic use within 3 months before randomization.
- Left ventricular ejection fraction (LVEF) of ≤40%, assessed within 12 months before randomization by any imaging method.
- Elevated N-terminal pro-brain natriuretic peptide (NT-proBNP) levels.
- A female participant is eligible to participate if she is not pregnant or breastfeeding, is not a woman of childbearing potential (WOCBP), or is a WOCBP and agrees to follow contraceptive guidance during the study intervention period and for at least 1 month after the last dose of study intervention.
Who cannot join
- Has SBP <100 mm Hg or symptomatic hypotension.
- Awaiting heart transplantation, is receiving continuous IV infusion of an inotrope, or has or anticipates receiving an implanted ventricular assist device.
- Amyloidosis or sarcoidosis.
- Primary valvular heart disease requiring surgical procedure or intervention or has undergone a valvular surgical procedure or intervention within 3 months before randomization.
- Hypertrophic cardiomyopathy.
- Acute myocarditis or Takotsubo cardiomyopathy.
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- History of heart transplant.
- Tachycardia-induced cardiomyopathy and/or uncontrolled tachyarrhythmia.
- Acute coronary syndrome, or undergone coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI) within 3 months before randomization.
- History of symptomatic carotid stenosis, transient ischemic attack (TIA), or stroke within 3 months before randomization.
- Malignancy or other noncardiac condition limiting life expectancy to <3 years.
- Requires continuous home oxygen for severe pulmonary disease.
- Interstitial lung disease.
- Discontinuation or dose modification of GDMT or vericiguat within 4 weeks before randomization.
- Recent history (within the last year) of drug or alcohol abuse or dependence.
Trial locations and contacts
519 sites in 36 countries.
519 sites in 36 countries
United States84 sites
Advanced Cardiovascular - Alexander City ( Site 0038)
Alexander City, Alabama, 35010
Cambridge Medical Trials ( Site 0041)
Alexandria, Louisiana, 71301
Emory University School of Medicine ( Site 0123)
Atlanta, Georgia, 30322
Maryland Cardiovascular Specialists ( Site 0056)
Baltimore, Maryland, 21229
University of Alabama at Birmingham - School of Medicine-Cardiology ( Site 0153)
Birmingham, Alabama, 35294
Excel Medical Clinical Trials ( Site 0008)
Boca Raton, Florida, 33434
Erie County Medical Center ( Site 0160)
Buffalo, New York, 14215
Aultman Hospital-Cardiology Clinical Trials ( Site 0064)
Canton, Ohio, 44710
Accellacare - Charleston ( Site 0141)
Charleston, South Carolina, 29464
Mount Sinai Hospital ( Site 0050)
Chicago, Illinois, 60608
University of Cincinnati Medical Center-Cardiology ( Site 0071)
Cincinnati, Ohio, 45219
University of Missouri Hospital ( Site 0163)
Columbia, Missouri, 65212
IACT Health ( Site 0106)
Columbus, Georgia, 31904
New York Presbyterian Medical Group Hudson Valley Cardiology ( Site 0127)
Cortlandt Manor, New York, 10567
Valley Clinical Trials, Inc. ( Site 0085)
Covina, California, 91723
Dallas VA Medical Center ( Site 0084)
Dallas, Texas, 75216
Southwest Family Medicine Associates ( Site 0131)
Dallas, Texas, 75235
Universal Axon Clinical Research, LLC ( Site 0022)
Doral, Florida, 33166
Doylestown Hospital-Cardiology ( Site 0030)
Doylestown, Pennsylvania, 18901
Medresearch Inc ( Site 0043)
El Paso, Texas, 79935
INOVA Fairfax Medical Campus ( Site 0136)
Falls Church, Virginia, 22042
Holy Cross Hospital ( Site 0100)
Fort Lauderdale, Florida, 33308
Mercy Gilbert Medical Center-Dignity Health Cardiology ( Site 0075)
Gilbert, Arizona, 85297
Louisiana Heart Center - Hammond ( Site 0004)
Hammond, Louisiana, 70403
The Heart Clinic - Hammond ( Site 0155)
Hammond, Louisiana, 70403
Chicago Medical Research ( Site 0086)
Hazel Crest, Illinois, 60429
Indago Research and Health Center Inc ( Site 0011)
Hialeah, Florida, 33012
South Florida Research Solutions ( Site 0058)
Hollywood, Florida, 33021
Cardiovascular Institute of the South ( Site 0072)
Houma, Louisiana, 70360
West Houston Area Clinical Trial Consultants ( Site 0014)
Houston, Texas, 77094
Heart Center Research, LLC ( Site 0156)
Huntsville, Alabama, 35801
Franciscan Physician Network - Indiana Heart Physicians ( Site 0087)
Indianapolis, Indiana, 46237
University of Iowa ( Site 0005)
Iowa City, Iowa, 52242
Phillips Medical Services ( Site 0070)
Jackson, Mississippi, 39209
The University of Mississippi Medical Center-Cardiovascular ( Site 0073)
Jackson, Mississippi, 39216
Apex Research Foundation ( Site 0001)
Jackson, Tennessee, 38301
University of Florida - Jacksonville ( Site 0169)
Jacksonville, Florida, 32209
East Coast Institute for Research, LLC ( Site 0047)
Jacksonville, Florida, 32216
NSC Research ( Site 0068)
Johns Creek, Georgia, 30024
Logan Health Research ( Site 0017)
Kalispell, Montana, 59901
South Texas Cardiovascular Consultants, PLLC-Research ( Site 0024)
Kerrville, Texas, 78028
Cardiovascular Institute of the South, 3 ( Site 0096)
Lafayette, Louisiana, 70503
Capitol Cardiology Associates - Lanham Office-Maryland Research Centers ( Site 0167)
Lanham, Maryland, 20706
VA West Los Angeles Medical Center-Cardiology ( Site 0149)
Los Angeles, California, 90073
Norton Healthcare-Norton Heart Specialist ( Site 0062)
Louisville, Kentucky, 40205
Southeastern Cardiology and Cardiovascular-Duke HC CRU - Lumberton ( Site 0134)
Lumberton, North Carolina, 28358
Georgia Arrhythmia Consultants and Research Institute ( Site 0042)
Macon, Georgia, 31201
Carient Heart & Vascular - Manassas ( Site 0059)
Manassas, Virginia, 20109
The Heart Center of Lake County Research Institute-Research ( Site 0147)
Merrillville, Indiana, 46410
Cardiovascular Research Center of South Florida ( Site 0074)
Miami, Florida, 33173
ProLive Medical Research ( Site 0032)
Miami, Florida, 33175
IMA Clinical Research ( Site 0112)
Monroe, Louisiana, 71201
Cardiovascular Research of Northwest Indiana ( Site 0036)
Munster, Indiana, 46321
Vanderbilt University Medical Center-Vanderbilt Heart and Vascular Institue ( Site 0060)
Nashville, Tennessee, 37232
Icahn School of Medicine at Mount Sinai ( Site 0161)
New York, New York, 10029-5674
Sentara Norfolk General Hospital ( Site 0114)
Norfolk, Virginia, 23507
Valley Clinical Trials Inc ( Site 0006)
Northridge, California, 91325
Cardiovascular Institute of the South ( Site 0081)
Opelousas, Louisiana, 70570
OSF Healthcare Cardiovascular Institute ( Site 0122)
Peoria, Illinois, 61614
Methodist Medical Center of Illinois ( Site 0098)
Peoria, Illinois, 61636
Peace River Cardiovascular Center ( Site 0088)
Port Charlotte, Florida, 33952
Pulse Heart Institute - Puyallup ( Site 0119)
Puyallup, Washington, 98372
Amici Clinical Research LLC-Research ( Site 0037)
Raritan, New Jersey, 08869
Renown Regional Medical Center-Renown Institute for Heart and Vascular Health ( Site 0168)
Reno, Nevada, 89502
Reid Physician Associates ( Site 0054)
Richmond, Indiana, 47374
Dominion Medical Associates, Inc. ( Site 0089)
Richmond, Virginia, 23219
The Valley Hospital ( Site 0035)
Ridgewood, New Jersey, 07450
BAYCARE MEDICAL GROUP ( Site 0099)
Safety Harbor, Florida, 34695
East Coast Institute for Research - St. Augustine ( Site 0016)
Saint Augustine, Florida, 32086
South Texas Cardiovascular Consultants, PLLC-Research ( Site 0020)
San Antonio, Texas, 78201
Cardiovascular Center of Sarasota ( Site 0154)
Sarasota, Florida, 34239
Ascension Providence Hospital ( Site 0094)
Southfield, Michigan, 48075
MultiCare Health System-MultiCare Cardiology - Inland Northwest ( Site 0102)
Spokane, Washington, 99204
Washington University-Department of Medicine ( Site 0044)
St Louis, Missouri, 63110
St. Louis Heart and Vascular, P.C.-Clinical Trials Unit ( Site 0029)
St Louis, Missouri, 63136
CHEAR Center LLC ( Site 0009)
The Bronx, New York, 10455
Cardiovascular Consultants of South Georgia, LLC ( Site 0137)
Thomasville, Georgia, 31792
ProMedica Toledo Hospital-ProMedica Heart Failure Clinic ( Site 0061)
Toledo, Ohio, 43606
Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center ( Site 0010)
Torrance, California, 90502
Tyler Cardiovascular Consultants ( Site 0039)
Tyler, Texas, 75701
Blue Coast Research Center ( Site 0053)
Vista, California, 92081
Cardiovascular Associates of the Delaware Valley ( Site 0097)
Washington Township, New Jersey, 08080
Alliance for Multispecialty Research, LLC ( Site 0143)
Wichita, Kansas, 67207
Accellacare - Wilmington ( Site 0090)
Wilmington, North Carolina, 28401
China48 sites
BAO TOU CENTRAL HOSPITAL ( Site 0866)
Baotou, Inner Mongolia, 014040
Beijing Anzhen Hospital, Capital Medical University-Cardiovascular ( Site 0856)
Beijing, Beijing Municipality, 100029
Aero Space Center Hospital ( Site 0918)
Beijing, Beijing Municipality, 100049
Beijing Friendship Hospital-Cardology ( Site 0865)
Beijing, Beijing Municipality, 100050
Beijing Tsinghua Changgung Hospital ( Site 0911)
Beijing, Beijing Municipality, 102218
China-Japan Union Hospital-department of cardiology ( Site 0916)
Changchun, Jilin, 130033
Changsha Central Hospital ( Site 0854)
Changsha, Hunan, 410004
Hunan Provincial People's Hospital ( Site 0857)
Changsha, Hunan, 410005
Xiangya Hospital Central South University-Cardiological Department ( Site 0899)
Changsha, Hunan, 410008
The Third Xiangya Hospital of Central South University-Cardiology ( Site 0860)
Changsha, Hunan, 410013
West China Hospital Sichuan University ( Site 0904)
Chengdu, Sichuan, 610041
The Second Affiliated Hospital Chongqing Medical University-Department of Cardiology ( Site 0908)
Chongqing, Chongqing Municipality, 400010
The First People's Hospital of Foshan ( Site 0898)
Foshan, Guangdong, 528041
Guangdong Provincial People's Hospital-Cardiology ( Site 0852)
Guangzhou, Guangdong, 510080
Sun Yat-sen Memorial Hospital, Sun Yat-sen University-Cardiology ( Site 0868)
Guangzhou, Guangdong, 510120
The First Affiliated Hospital of Jinan University ( Site 0897)
Guangzhou, Guangdong, 510630
Hainan General Hospital ( Site 0894)
Haikou, Hainan, 570311
The First Affiliated Hospital, Zhejiang University ( Site 0907)
Hangzhou, Zhejiang, 310003
The Second Affiliated hospital of Zhejiang University school of medicine ( Site 0909)
Hangzhou, Zhejiang, 310052
Zhejiang Provincial People's Hospital ( Site 0914)
Hangzhou, Zhejiang, 311599
The First Hospital of Harbin Medical University-Cardiology ( Site 0903)
Harbin, Heilongjiang, 150001
Anhui Provincil Hospital South District ( Site 0920)
Hefei, Anhui, 230036
Lanzhou university second hospital-Lanzhou university second hospital ( Site 0863)
Lanzhou, Gansu, 730030
People's Hospital of Lishui City-department of cardiovascular ( Site 0862)
Lishui, Zhejiang, 323000
The Second Affiliated Hospital of Nanchang University-Cardiology ( Site 0912)
Nanchang, Jiangxi, 330006
Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School-Cardiolggy
Nanjing, Jiangsu, 210000
The Second Affiliated Hospital of Nanjing Medical University-Cardiology ( Site 0900)
Nanjing, Jiangsu, 210011
Shanghai Jiaotong University School of Medicine Ruijin Hospital-Cardiology Department ( Site 0855)
Shanghai, Shanghai Municipality, 200001
Zhongshan Hospital,Fudan University-Cardiology ( Site 0851)
Shanghai, Shanghai Municipality, 200032
Shanghai Tongji Hospital-Cardiovascular Department ( Site 0905)
Shanghai, Shanghai Municipality, 200065
Shanghai Yangpu District Central Hospital-Cardiology ( Site 0876)
Shanghai, Shanghai Municipality, 200090
Shanghai Xuhui Central Hospital-Cardiovascular Department ( Site 0872)
Shanghai, Shanghai Municipality
The People's Hospital of Liaoning Province ( Site 0859)
Shenyang, Liaoning, 110016
The University of Hong Kong - Shenzhen Hospital-Cardiovascular department ( Site 0895)
Shenzhen, Guangdong, 518053
Siping Central People's Hospital-Cardiovascular Department ( Site 0915)
Siping, Jilin, 136000
The Second Hospital of Tianjin Medical University-Endocrinology ( Site 0902)
Tianjin, Tianjin Municipality, 300211
Tianjin Chest Hospital-Cardiology ( Site 0901)
Tianjin, Tianjin Municipality, 300222
Tianjin People' s Hospital ( Site 0867)
Tianjin, Tianjin Municipality
Chongqing Three Gorges Central Hospital ( Site 0913)
Wanzhou, Chongqing Municipality, 404199
The First Affiliated Hospital of Wenzhou Medical University-Vasculocardiology Department ( Site 0874
Wenzhou, Zhejiang, 325000
Wuhan Union Hospital ( Site 0919)
Wuhan, Hubei, 430022
Wuxi No.2 People's Hospital-Cardiology Department ( Site 0877)
Wuxi, Jiangsu, 214002
Wuxi People's Hospital-Cardiovascular Department ( Site 0870)
Wuxi, Jiangsu, 214023
The First Affiliated Hospital of Xian Jiaotong University ward1 depattment of medical oncology ( Sit
Xi'an, Shaanxi, 710061
Shaanxi provincial people's hospital ( Site 0853)
Xi'an, Shaanxi, 710068
The Affiliated Hospital of Xuzhou Medical College ( Site 0910)
Xuzhou, Jiangsu, 221006
Northern Jiangsu People's Hospital ( Site 0861)
Yangzhou, Jiangsu, 225001
Affiliated Hospital of Jiangsu University-Cardiology Department ( Site 0917)
Zhenjiang, Jiangsu, 212001
Ukraine24 sites
Communal non-profit enterprise "Cherkasy Regional Hospital of Сherkasy Regional Council" ( Site 4292
Cherkasy, Cherkasy Oblast, 18000
Cherkasy Regional Hospital-Cardiorheumatology ( Site 4283)
Cherkasy, Cherkasy Oblast, 18009
Clinical medical and diagnostic center Limited Liability Company "Simedgroup" ( Site 4284)
Ivano-Frankivsk, Ivano-Frankivsk Oblast, 76000
Municipal Non-commercial Enterprise "Ivano-Frankivsk Regional Clinical Cardiology Center of Ivano-Fr
Ivano-Frankivsk, Ivano-Frankivsk Oblast, 76018
Central clinical hospital - Ukrzalisnytsia-2nd Cardiology ( Site 4306)
Kharkiv, Kharkiv Oblast, 61000
Communal non-profit enterprise "City Clinical Hospital # 27" of Kharkiv City Council ( Site 4262)
Kharkiv, Kharkiv Oblast, 61000
L.T. Mala National Institute of Therapy of NAMS of Ukraine-Clinical Pharmacology and Pharmacogeneti
Kharkiv, Kharkiv Oblast, 61039
Municipal Non-Profit Enterprise -City clinical hospital No8 of Kharkiv city council ( Site 4278)
Kharkiv, Kharkiv Oblast, 61176
Khmelnytskyi Regional Cardiovascular Center-department of invasive cardiology and interventional ra
Khmelnytskyi, Khmelnytskyi Oblast, 29001
Kyiv Railway Clinical Hospital No.2 of Branch Health Center of the Public Joint Stock Company Ukrain
Kiev, Kyiv Oblast, 03049
Medical Center of Limited Liability Company "Medical Center "Consilium Medical" ( Site 4257)
Kiev, Kyiv Oblast, 04050
Medbud Clinic ( Site 4265)
Kyiv, Kyivska Oblast, 03037
State Institution National Scientific Center M.D. Strazhesko-Essential Hypertension ( Site 4259)
Kyiv, Kyivska Oblast, 03680
Consultative - Diagnostic Centre of Pechersky District-Therapeutic department ( Site 4307)
Kyiv, 01103
MNE " Kyiv City Clinical Emergency Hospital" of Kyiv Regional Council (KCSA) ( Site 4256)
Kyiv, 02166
State Institution National Scientific Center M.D. Strazhesko-Department of clinical arrhythmology a
Kyiv, 03151
State Institution National Scientific Center M.D. Strazhesko-Resuscitation and Intensive care ( Site
Kyiv, 03680
Lutsk City Clinical Hospital-Center for Cardiovascular Disease ( Site 4255)
Lutsk, Volyn Oblast, 43024
Municipal non-profit enterprise'Odesa Regional Clinical Hospital'of Odesa Regional Council ( Site 42
Odesa, Odesa Oblast, 65025
Zakarpattya Regional Clinical Cardiology Dispensary-Dept. of Hospital Therapy, Uzhhorod National Un
Uzhhorod, Zakarpattia Oblast, 88000
Ukrayins'kyy Derzhavnyy Naukovo-Doslidnyy Instytut Rebilitatsiyi Invalidiv ( Site 4274)
Vinnytsia, Vinnytsia Oblast, 21029
Communal Non-profit Enterprise "City Hospital #6" Zaporizhzhia City Counci-Therapy department ( Site
Zaporizhia, Zaporizhzhia Oblast, 69035
Communal nonprofit enterprise "City Hospital #9" of Zaporizhzhia City Council ( Site 4251)
Zaporizhia, Zaporizhzhia Oblast, 69065
Communal Enterprise "Hospital #1" of Zhytomyr City Council-Advisory and Treatment department of Sci
Zhytomyr, Zhytomyr Oblast, 10002
Mexico23 sites
Hospital General de Acapulco ( Site 2469)
Acapulco de Juárez, Guerrero, 39901
Fundación Cardiovascular de Aguascalientes A.C. ( Site 2473)
Aguascalientes, 20230
Medivest Centro de Investigación Integral ( Site 2460)
Chihuahua City, Chihuahua, 31203
Centro de Estudios de Investigacion Metabolicos y Cardiovasculares ( Site 2468)
Ciudad Madero, Tamaulipas, 89440
Unidad de Investigaci�n Cl�nica Cardiometabolica de Occidente ( Site 2466)
Guadalajara, Jalisco, 44150
Cardiocent de Guadalajara S.C. ( Site 2464)
Guadalajara, Jalisco, 44160
Instituto Jalisciense de Metabolismo SC ( Site 2467)
Guadalajara, Jalisco, 44670
Centro de Estudios de Alta Especialidad de Sinaloa ( Site 2463)
Mazatlán, Sinaloa, 82113
Medical Care and Research SA de CV ( Site 2461)
Mérida, Yucatán, 97070
HOSPITAL GENERAL DE MEXICO DR. EDUARDO LICEAGA ( Site 2478)
Mexico City, Mexico City, 06720
Centro de Imagen y Tecnología en Intervención Cardiovascular ( Site 2477)
Mexico City, Mexico City, 10400
Instituto Nacional de Cardiologia Ignacio Chavez ( Site 2454)
Mexico City, Mexico City, 14080
Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran ( Site 2474)
Mexico City, Mexico City, 14080
Unidad biomedica avanzada monterrey ( Site 2462)
Monterrey, Nuevo León, 64460
Oaxaca Site Management Organization ( Site 2459)
Oaxaca City, 68000
Centro de Investigacion Clinica de Oaxaca ( Site 2457)
Oaxaca City, 68020
Grupo Ollin Care ( Site 2476)
Pachuca, Hidalgo, 42000
Centro de Atención e Investigación Cardiovascular del Potosí ( Site 2453)
San Luis Potosí City, San Luis Potosí, 78200
Unidad Médica para la Salud Integral ( Site 2472)
San Nicolás de los Garza, Nuevo León, 66465
Centro de Investigacion Cardiovascular y Metabólica ( Site 2465)
Tijuana, Estado de Baja California, 22500
CIMAB SA de CV ( Site 2456)
Torreón, Coahuila, 27000
Consultorio de Medicina Especilizada del Sector Privado ( Site 2455)
Xalapa, Veracruz, 91193
Hospital Angeles Xalapa ( Site 2451)
Xalapa, Veracruz, 91193
Canada21 sites
Heritage Medical Research Clinic ( Site 0679)
Calgary, Alberta, T2N 4Z6
Cambridge Cardiac Care Centre ( Site 0658)
Cambridge, Ontario, N1R 6V6
University Of Alberta Hospital ( Site 0669)
Edmonton, Alberta, T6G 2B7
NSHA-QEII Health Sciences Centre-Dickson Bldg-Cardiology ( Site 0664)
Halifax, Nova Scotia, B3H 3A7
Hôpital de la Cité-de-la-Santé ( Site 0673)
Laval, Quebec, H7M 3L9
G A Research Associates ( Site 0652)
Moncton, New Brunswick, E1G 1A7
Institut de Cardiologie de Montreal ( Site 0661)
Montreal, Quebec, H1T 1C8
Montreal General Hospital ( Site 0653)
Montreal, Quebec, H3G 1A4
PACE Cardiology ( Site 0675)
Newmarket, Ontario, L3Y 2P6
North York Diagnostic and Cardiac Centre ( Site 0682)
North York, Ontario, M6B 3H7
Oakville Cardiovascular Research LP ( Site 0657)
Oakville, Ontario, L6K 3W7
Private Practice - Dr. James Cha ( Site 0655)
Oshawa, Ontario, L1J 2K1
Kawartha Cardiology Clinical Trials ( Site 0654)
Peterborough, Ontario, K9J 0B2
Unité de Recherche Clinique du CISSS des Laurentides ( Site 0668)
Saint-Jérôme, Quebec, J7Z 2V4
Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre Hospitalier Univer
Sherbrooke, Quebec, J1H 5N4
Hopital Pierre-Le Gardeur ( Site 0674)
Terrebonne, Quebec, J6V 2H2
Corcare-Corcare Cardiovascular Research ( Site 0660)
Toronto, Ontario, M1B 5N1
Medicus MFC Research Clinic ( Site 0676)
Toronto, Ontario, M4P 1E4
Diex Recherche Trois-Rivieres ( Site 0677)
Trois-Rivières, Quebec, G9A 4P3
Victoria Heart Institute Foundation ( Site 0680)
Victoria, British Columbia, V8R 1B2
St. Boniface General Hospital ( Site 0667)
Winnipeg, Manitoba, R2H 2A6
Germany21 sites
Praxis Rankestrasse ( Site 1461)
Berlin, 10789
Klinikum Coburg ( Site 1464)
Coburg, Bavaria
St. Vinzenz-Hospital-Cardiology ( Site 1455)
Cologne, North Rhine-Westphalia, 50733
Staedtisches Klinikum Dresden-2. Medizinische Klinik ( Site 1468)
Dresden, Saxony, 01067
Hausärztlich-Kardiologisches MVZ am Felsenkeller GmbH/Zentrum für klinische Studien ( Site 1477)
Dresden, Saxony, 01277
Herzzentrum Dresden GmbH Universitätsklinik ( Site 1469)
Dresden, Saxony, 01307
Katholisches Krankenhaus St. Johann Nepomuk ( Site 1462)
Erfurt, Thuringia, 99097
ClinPhenomics CVC GmbH ( Site 1457)
Frankfurt am Main, Hesse, 60596
Klinikum Frankfurt Höchst ( Site 1463)
Frankfurt am Main, Hesse, 65929
Universitätsmedizin Greifswald ( Site 1470)
Greifswald, Mecklenburg-Vorpommern, 17475
Cardiologicum Hamburg ( Site 1467)
Hamburg, 22041
Medizinische Hochschule Hannover ( Site 1476)
Hanover, Lower Saxony, 30625
Universitaetsklinikum Heidelberg-Klinik für Kardiologie, Angiologie und Pneumologie ( Site 1475)
Heidelberg, Baden-Wurttemberg, 69120
Asklepios Klinik Langen ( Site 1473)
Langen, Hesse, 63225
Klinikum Leverkusen ( Site 1453)
Leverkusen, North Rhine-Westphalia, 51375
Klinikum Ludwigshafen ( Site 1456)
Ludwigshafen am Rhein, Rhineland-Palatinate, 67063
Kliniken Maria Hilf-Klinik für Kardiologie ( Site 1454)
Mönchengladbach, North Rhine-Westphalia, 41063
Marienhaus Klinikum St. Elisabeth Neuwied ( Site 1452)
Neuwied, Rhineland-Palatinate, 56564
Kardiologische Gemeinschaftspraxis ( Site 1460)
Nuremberg, Bavaria, 90402
Gemeinschaftspraxis Dr. Fabian Krämer, Dr. Ulrich Overhoff ( Site 1459)
Siegen, North Rhine-Westphalia, 57072
Universitaetsklinikum Wuerzburg ( Site 1458)
Würzburg, Bavaria, 97080
United Kingdom20 sites
Ulster Hospital ( Site 4185)
Belfast, Lisburn And Castlereagh, BT16 1RH
Craigavon Area Hospital ( Site 4162)
Belfast, Northern Ireland, BT63 5QQ
Layton Medical Centre ( Site 4184)
Blackpool, Lancashire, FY3 7EN
Blackpool Victoria Hospital ( Site 4161)
Blackpool, FY3 8NR
Princess of Wales Hospital ( Site 4178)
Bridgend, Wales, CF31 1RQ
Chesterfield Royal Hospital ( Site 4159)
Calow Chesterfield, Derbyshire, S44 5BL
Cumberland Infirmary ( Site 4174)
Carlisle, Cumbria, CA2 7HY
University Hospital Coventry & Warwickshire-Research & Development ( Site 4170)
Coventry, CV2 2DX
Carmel Medical Practice ( Site 4152)
Darlington, England, DL3 7RD
Russells Hall Hospital ( Site 4153)
Dudley, England, DY1 2HQ
Ninewells Hospital and Medical School-Cardiology ( Site 4164)
Dundee, Dundee City, DD1 9SY
King's College Hospital-Cardiac Research Department ( Site 4154)
London, England, SE5 9RS
St. George's Hospital-Cardiology Clinical Academic Group ( Site 4156)
London, England, SW17 0QT
William Harvey Heart Centre ( Site 4169)
London, London, City of, EC1M 5PZ
Prince Charles Hospital ( Site 4171)
Merthyr Tydfil, Great Britain, CF47 9DT
The Adam Practice ( Site 4180)
Poole, BH16 5PW
University Hospital of North Tees ( Site 4172)
Stockton-on-Tees, TS19 8PE
Walsall Manor Hospital ( Site 4179)
West Midlands, Walsall, WS2 9PS
West Cumberland Hospital ( Site 4176)
Whitehaven, Cumbria, CA28 8JG
Worcestershire Royal Hospital-Cardiology Research Department ( Site 4181)
Worcester, Worcestershire, WR5 1DD
Russia19 sites
Ivanovo Regional Healthcare Institution Cardiology Dispensary ( Site 3265)
Ivanovo, Ivanovo Oblast, 153012
Interregional Clinical Diagnostic Center-Department of Clinical Trials ( Site 3307)
Kazan', Tatarstan, Respublika, 420101
Krasnodar Regional Clinical Hospital Number 1 S.V. Ochapovskogo ( Site 3281)
Krasnodar, Krasnodarskiy Kray, 350086
State budgetary Healthcare Institution of the city of Moscow "V. V. Vinogradov City Clinical Hospita
Moscow, Moscow, 117292
Omsk Regional Clinical Health Service Number 9 ( Site 3296)
Omsk, Omsk Oblast, 644018
Perm Regional Hospital for War Veterans ( Site 3272)
Perm, Permskiy Kray, 614990
Rostov State Medical University ( Site 3259)
Rostov-on-Don, Rostov Oblast, 344022
Rostov-on-Don City Emergency Hospital ( Site 3271)
Rostov-on-Don, Rostov Oblast, 344068
Ryazan State Medical University named after Academician I.P. Pavlova ( Site 3260)
Ryazan, Ryazan Oblast, 390005
First Pavlov State Medical University of Saint Petersburg-Сardiology department ( Site 3257)
Saint Petersburg, Leningradskaya Oblast', 197022
First Pavlov State Medical University of Saint Petersburg ( Site 3288)
Saint Petersburg, Sankt-Peterburg, 197022
Almazov National Medical Research Centre ( Site 3320)
Saint Petersburg, Sankt-Peterburg, 197341
Pokrovskaya Municipal Hospital ( Site 3252)
Saint Petersburg, Sankt-Peterburg, 199106
Pokrovskaya Municipal Hospital-1-st cardiology department ( Site 3251)
Saint Petersburg, Sankt-Peterburg, 199106
Astarta Clinic ( Site 3276)
Saint Petersburg, Sankt-Peterburg, 199226
Institute for Medical Research ( Site 3316)
Saint Petersburg, 196084
Clinical Hospital S.R.Mirotvortseva name SSMU ( Site 3254)
Saratov, Saratov Oblast, 410054
City Hospital No. 4 ( Site 3269)
Sochi, Krasnodarskiy Kray, 354057
Volgograd State Medical University ( Site 3258)
Volgograd, Volgograd Oblast, 400131
Hungary17 sites
DRC Gyógyszervizsgáló Központ ( Site 1869)
Balatonfüred, Veszprém megye, 8230
Private Practice - Dr. Lakatos Ferenc ( Site 1854)
Békéscsaba, Bekes County, 5600
Szent Rókus Kórház ( Site 1858)
Budapest, 1085
Gottsegen György Országos Kardiovaszkuláris Intézet ( Site 1851)
Budapest, 1096
Semmelweis University-Városmajori Szív- és Érgyógyászati Klinika ( Site 1855)
Budapest, 1122
Óbudai Egészségügyi Centrum ( Site 1861)
Budapest, 1932
Békés Megyei Központi Kórház Pándy Kálmán Tagkórház-Cardiology ( Site 1878)
Gyula, Bekes County, 5700
Bacs-Kiskun Megyei Korhaz-I. Belgyógyászat - Kardiológia ( Site 1873)
Kecskemét, Bács-Kiskun county, 6000
Flor Ferenc Hospital of Pest County-5th Department of Internal Medicine ( Site 1852)
Kistarcsa, Pest County, 2143
TaNa Med ( Site 1866)
Mosonmagyaróvár, Győr-Moson-Sopron, 9200
Medifarma 98 Kft-Outpatient Clinic ( Site 1859)
Nyíregyháza, 4400
CoroMed ( Site 1867)
Pécs, Baranya, 7623
Pécsi Tudományegyetem Klinikai Központ ( Site 1865)
Pécs, Baranya, 7624
Szegedi Tudományegyetem Szent-Györgyi Albert Klinikai Központ-Belgyógyászati Klinika ( Site 1874)
Szeged, Csongrád megye, 6725
CMed Rehabilitacios es Diagnosztikai Kozpont ( Site 1877)
Székesfehérvár, Szekesfehervar, 8000
Tolna Megyei Balassa János Kórház ( Site 1868)
Szekszárd, Szekszard, 7100
OEC Clinical Research - Zalaegerszeg ( Site 1864)
Zalaegerszeg, 8900
Poland15 sites
NZOZ Centrum Medyczne KERmed ( Site 3066)
Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-231
Polsko-Amerykańskie Kliniki Serca PAKS Małopolskie Centrum Sercowo-Naczyniowe ( Site 3062)
Chrzanów, Lesser Poland Voivodeship, 32-500
Indywidualna Specjalistyczna Praktyka Lekarska w Dziedzinie Kardiologii Lek. med. Krzysztof Cymerman
Gdynia, Pomeranian Voivodeship, 81-157
Polsko-Amerykańskie Kliniki Serca ( Site 3077)
Kędzierzyn-Koźle, Opole Voivodeship, 47-200
Centrum Medyczne Zdrowa J. Trebacz, W. Zajdel Sp. J. ( Site 3061)
Krakow, Lesser Poland Voivodeship, 31-216
Beata Miklaszewicz & Dariusz Dabrowski CARDIAMED s.j. ( Site 3070)
Legnica, Lower Silesian Voivodeship, 59-220
NZOZ Twoja Przychodnia ( Site 3051)
Lublin, Lublin Voivodeship, 20-857
SP ZOZ w Puławach- Oddział Kardiologii ( Site 3071)
Puławy, Lublin Voivodeship, 24-100
Centrum Medyczne Medyk ( Site 3065)
Rzeszów, Podkarpackie Voivodeship, 35-055
Centrum Medyczne Dr Sudnik s.c. Wanda i Jerzy Sudnik ( Site 3073)
Sokółka, Podlaskie Voivodeship, 16-100
Private Practice - Dr. Robert Witek-Ośrodek Badań Klinicznych "METABOLICA" Lek. Robert Witek ( Site
Tarnów, Lesser Poland Voivodeship, 33-100
Praktyka Lekarska Lidia Pawlowicz ( Site 3053)
Torun, Kuyavian-Pomeranian Voivodeship, 87-100
Wojewodzki Szpital Zespolony im Ludwika Rydygiera w Toruniu-Oddz.Klin.Kardiologii i Int.T.Kard. ( Si
Torun, Kuyavian-Pomeranian Voivodeship, 87-100
ETG Warszawa ( Site 3052)
Warsaw, Masovian Voivodeship, 02-793
Instytut Chorób Serca, Zakład Badań Klinicznych Chorób Układu Krążenia ( Site 3057)
Wrocaw, Lower Silesian Voivodeship, 50-556
Italy14 sites
Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII-Cardiologia 1 ( Site 2151)
Bergamo, 24127
IRCCS - AOU di Bologna-Dept. of Medical and Surgical sciences ( Site 2158)
Bologna, 40138
Azienda Ospedaliera Spedali Civili di Brescia-Cardiology- Day Hospital ( Site 2154)
Brescia, 25123
Azienda Ospedaliero Universitaria S.Anna ( Site 2152)
Cona, Emilia-Romagna, 44124
Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico-U.O.C. Cardiologia ( Site 2161)
Milan, Lombardy, 20122
Centro Cardiologico Monzino-Heart Failure Unit ( Site 2153)
Milan, Lombardy, 20138
ASST Grande Ospedale Metropolitano Niguarda-Unità Ricerche Cliniche della Cardiologia 4 ( Site 2159)
Milan, Milano, 20162
Fondazione IRCCS Policlinico San Matteo-Cardiology ( Site 2157)
Pavia, 27100
University of Perugia ( Site 2164)
Perugia, 06132
Policlinico Umberto I ( Site 2166)
Rome, Lazio, 00161
IRCCS San Raffaele Pisana-riabilitazione cardiologica ( Site 2156)
Rome, Roma, 00163
ospedale le scotte ( Site 2163)
Siena, Tuscany, 53100
Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino ( Site 2165)
Torino, 10126
Cattinara Hospital-Cardiovascular Department ( Site 2162)
Trieste, Friuli Venezia Giulia, 34149
South Africa14 sites
Tiervlei Trial Centre ( Site 3461)
Bellville, Cape Town, Western Cape, 7530
Universitas Private Hospital-Cardiology Research ( Site 3453)
Bloemfontein, Free State, 9321
TREAD Research ( Site 3451)
Cape Town, Western Cape, 7500
Professor Ntsekhe Cardiology Clinic ( Site 3454)
Cape Town, Western Cape, 7925
Enhancing Care Foundation ( Site 3456)
Durban, KwaZulu-Natal, 4001
Excellentis Clinical Trial Consultants ( Site 3464)
George, Western Cape, 6529
Lenasia Clinical Trial Centre - Johannesburg ( Site 3470)
Johannesburg, Gauteng, 1821
Netcare Sunninghill Hospital ( Site 3457)
Johannesburg, Gauteng, 2196
Midrand Medical Centre ( Site 3466)
Midrand, Gauteng, 1685
Paarl Research Centre ( Site 3468)
Paarl, Western Cape, 7646
University of Pretoria - Faculty of Health Sciences-CRU ( Site 3462)
Pretoria, Gauteng, 0001
Clinical Trial Systems ( Site 3452)
Pretoria, Gauteng, 0186
Jongaie Research ( Site 3469)
Pretoria West, Gauteng, 0183
Chris Hani Baragwanath Academic Hospital ( Site 3455)
Soweto, Gauteng, 2013
Denmark13 sites
Aarhus Universitetshospital, Skejby ( Site 1160)
Aarhus, Central Jutland, 8200
Rigshospitalet-Cardiology ( Site 1161)
Copenhagen, Capital Region, 2100
Amager Hospital ( Site 1163)
Copenhagen, Capital Region, 2300
Sydvestjysk Sygehus Esbjerg-Hjertemedicinsk Projekt ( Site 1154)
Esbjerg, Region Syddanmark, 6700
Herlev and Gentofte Hospital-Department of Cardiology ( Site 1158)
Hellerup, Capital Region, 2900
Nordsjællands Hospital - Hillerød ( Site 1159)
Hillerød, Capital Region, 3400
Sygehus Vendsyssel Hjoerring ( Site 1164)
Hjørring, North Denmark, 9800
Holbæk Sygehus-Cardiology ( Site 1152)
Holbæk, Region Sjælland, 4300
Hvidovre Hospital-259 ( Site 1151)
Hvidovre, Capital Region, 2650
Roskilde Sygehus ( Site 1162)
Roskilde, Region Sjælland, 4000
Slagelse Sygehus-Ambulatorium for Hjertesygdomme ( Site 1153)
Slagelse, Region Sjælland, 4200
Svendborg Hospital Odense Universitets hospital-Kardiologisk Forskningsenhed ( Site 1156)
Svendborg, Region Syddanmark, 5700
Regionshospitalet Viborg ( Site 1166)
Viborg, Central Jutland, 8800
Turkey (Türkiye)13 sites
Afyon Kocatepe Üniversitesi Tıp Fakültesi-Cardiology Department ( Site 4058)
Afyonkarahisar, 03200
Hacettepe Universitesi ( Site 4061)
Ankara, 06230
Ankara Bilkent Şehir Hastanesi-cardiology ( Site 4053)
Ankara, 06800
Antalya Egitim ve Arastırma Hastanesi-Cardiology ( Site 4064)
Antalya, 07100
Ege University Medicine of Faculty-Cardilogy Department ( Site 4054)
Bornova, İzmir, 35100
Eskisehir Osmangazi University-Cardiology ( Site 4052)
Eskişehir, 26480
Istanbul University Cerrahpasa Medical School Internal Diseases Institute-CARDIOLOGY INSTITUTE ( Sit
Istanbul, 34098
Başkent Üniversitesi Istanbul Hastanesi ( Site 4057)
Istanbul, 34662
Dr. Siyami Ersek Göğüs Kalp Ve Damar Cerrahisi Eğitim Ve Araştırma Hastanesi ( Site 4063)
Istanbul, 34668
Dokuz Eylül Üniversitesi-CARDIOLOGY ( Site 4055)
Izmir, 35340
Medical Park zmir Hastanesi-cardiology ( Site 4059)
Izmir, 35510
Kocaeli Üniversitesi-Cardiology ( Site 4060)
Kocaeli, 41380
Mersin University ( Site 4056)
Mersin, 33343
Chile12 sites
IC La Serena Research ( Site 0769)
La Serena, Coquimbo Region, 1720430
Clinica Alemana Osorno ( Site 0768)
Osorno, Los Lagos Region, 5311089
Enroll SpA ( Site 0755)
Santiago, Region M. de Santiago, 7500587
Clinica Dermacross ( Site 0760)
Santiago, Region M. de Santiago, 7640881
Espacio Eme ( Site 0762)
Santiago, Region M. de Santiago, 7770086
Hospital y CRS El Pino ( Site 0763)
Santiago, Region M. de Santiago, 8053095
Universidad de Chile - Hospital Clínico Universidad de Chile ( Site 0754)
Santiago, Region M. de Santiago, 8330111
Clínica Ensenada ( Site 0753)
Santiago, Region M. de Santiago, 8380465
Cardio Sur ( Site 0756)
Santiago, Region M. de Santiago, 8910259
Centro De Estudios Cardiologicos Y De Medicina Interna ( Site 0752)
Temuco, Araucania, 4780000
Clinical Research Chile SpA ( Site 0761)
Valdivia, Los Ríos Region, 5110683
ONCOCENTRO APYS ( Site 0770)
Viña del Mar, Valparaiso, 2520598
Colombia12 sites
Clinica de la Costa S.A.S. ( Site 0954)
Barranquilla, Atlántico, 080020
Corazon IPS ( Site 0964)
Barranquilla, Atlántico, 080020
IPS Centro Científico Asistencial S.A.S ( Site 0952)
Barranquilla, Atlántico, 080020
Instituto Del Corazón De Bucaramanga ( Site 0960)
Bucaramanga, Santander Department, 680002
Fundacion Valle del Lili- CIC-Internal Medicine ( Site 0962)
Cali, Valle del Cauca Department, 760032
Centro de Investigaciones Clinicas SAS ( Site 0957)
Cali, Valle del Cauca Department, 760036
Clínica Imbanaco S.A.S ( Site 0963)
Cali, Valle del Cauca Department
IPS Médicos Internistas de Caldas ( Site 0959)
Manizales, Caldas Department, 170004
Fundación Centro de Investigación Clínica CIC ( Site 0955)
Medellín, Antioquia, 050021
Centro Cardiovascular Colombiano Clínica Santa María ( Site 0951)
Medellín, Antioquia, 050034
Rodrigo Botero S.A.S ( Site 0953)
Medellín, Antioquia, 50030
Fundación Cardiovascular de Colombia ( Site 0961)
Piedecuesta, Santander Department, 681017
Spain12 sites
CHUAC-Complejo Hospitalario Universitario A Coruña ( Site 3666)
A Coruña, La Coruna, 15006
Hospital Germans Trias i Pujol ( Site 3664)
Badalona, Barcelona, 08916
Hospital Quiron Barcelona ( Site 3655)
Barcelona, Catalonia, 08023
Parc de Salut Mar - Hospital del Mar ( Site 3663)
Barcelona, 08003
Hospital Universitari Vall d'Hebron ( Site 3659)
Barcelona, 08035
Hospital Universitari de Bellvitge-Unitat Multidisciplinar d'Insuficiència Cardíaca Comunitària (UM
L'Hospitalet de Llobregat, Catalonia, 08907
Hospital Universitario Ramón y Cajal ( Site 3662)
Madrid, Madrid, Comunidad de, 28034
Hospital Clinico San Carlos-Cardiology ( Site 3661)
Madrid, 28040
Hospital Universitario La Paz ( Site 3665)
Madrid, 28046
CHUS - Hospital Clinico Universitario-Cardiology - Clinical Research Unit ( Site 3651)
Santiago de Compostela, La Coruna, 15706
Hospital Universitario Virgen de Valme ( Site 3654)
Seville, 41014
HOSPITAL CLINICO DE VALENCIA ( Site 3656)
Valencia, Valenciana, Comunitat, 46010
Czechia11 sites
Fakultní nemocnice Brno Bohunice-Interni kardiologicka klinika ( Site 1058)
Brno, Brno-mesto, 625 00
Vojenská Nemocnice Brno-Internal department ( Site 1055)
Brno, Brno-mesto, 636 00
MUDr. Libor Nechvatal s.r.o. , Kardiologie ( Site 1057)
Brno, South Moravian, 602 00
Fakultni Nemocnice u sv. Anny v Brne-I. interni kardioangiologicka klinika ( Site 1066)
Brno, South Moravian, 60200
KardioBusak s.r.o. ( Site 1051)
Louny, 44001
Klinika Dr. Pirka ( Site 1065)
Mladá Boleslav, Mlada Boleslav, 293 01
Institut Klinicke a Experimentalni Mediciny-Klinika kardiologie ( Site 1052)
Prague, Praha 4, 14021
Ustredni vojenska nemocnice-Oddeleni kardiologie ( Site 1054)
Prague, Praha 6, 169 02
Vseobecna fakultni nemocnice v Praze-Centrum srdečního selhání ( Site 1059)
Prague, 12808
Nemocnice Slany-Interna - kardiologicka ambulance ( Site 1063)
Slaný, Central Bohemia, 274 01
KIGE ( Site 1060)
Znojmo, 66902
France11 sites
CHD Vendee ( Site 1361)
La Roche-sur-Yon, Vendee, 85000
Centre Hospitalier Louis Pasteur ( Site 1360)
Le Coudray, Eure-et-Loir, 28630
Hôpitaux Universitaires Paris Sud - Hôpital Bicêtre ( Site 1356)
Le Kremlin-Bicêtre, Paris, 94270
Hospices Civils de Lyon - Hopital Louis Pradel ( Site 1364)
Lyon, Rhone, 69677
Centre Hospitalier Universitaire de Nice - Hopital Pasteur-Service cardiologie ( Site 1353)
Nice, Alpes-Maritimes, 06000
Pitie Salpetriere University Hospital ( Site 1363)
Paris, Île-de-France Region, 75013
CHU Bordeaux Haut-Leveque ( Site 1362)
Pessac, Aquitaine, 33600
CHU Charles Nicolle ( Site 1354)
Rouen, Haute-Normandie, 76031
Centre Hospitalier intercommunal de Toulon La Seyne sur Mer ( Site 1352)
Toulon, Provence-Alpes-Côte d'Azur Region, 83100
CHU Rangueil-Cardiology ( Site 1351)
Toulouse, Haute-Garonne, 31059
Centre Hospitalier Régional Universitaire de Nancy - Hôpitau-Centre Investigation Clinique Plurithé
Vandœuvre-lès-Nancy, Lorraine, 54511
Greece11 sites
University Hospital of Alexandroupolis-First Department of Internal Medicine ( Site 1551)
Alexanroupolis, Evros, 681 00
General Hospital of Athens Hippokratio ( Site 1552)
Athens, Attica, 115 27
Alexandra Hospital-HEART FAILURE AND CARDIO-ONCOLOGY UNIT ( Site 1559)
Athens, Attica, 115 28
General Hospital of Athens "G. Gennimatas"-General Hospital of Athens "G.Gennimatas" ( Site 1561)
Athens, Attica, 11527
Konstantopoulio General Hospital-Cardiology Clinic ( Site 1553)
Athens, Attica, 142 33
ATTIKON GENERAL UNIVERSITY HOSPITAL ( Site 1556)
Chaïdári, Attica, 124 62
University Hospital of Ioannina-2nd Department of Cardiology ( Site 1554)
Ioannina, West Greece, 455 00
University General Hospital of Larissa ( Site 1555)
Larissa, Thessaly, 411 10
Hygeia Hospital-6th cardiology clinic ( Site 1560)
Marousi, Attica, 151 23
AHEPA University General Hospital of Thessaloniki-1st Cardiology Clinic ( Site 1558)
Thessaloniki, 546 36
European Interbalkan Medical Center-2nd Department of Cardiology ( Site 1557)
Thessaloniki, 57001
Brazil10 sites
Centro de Pesquisa Clinica do Coracao ( Site 0561)
Acaraju, Sergipe, 49055-530
Instituto de Pesquisa clinica de Campinas ( Site 0551)
Campinas, São Paulo, 13060-080
PUC Trials- Nucleo de Pesquisa clinica da Escola de Medicina da PUCPR ( Site 0555)
Curitiba, Paraná
Hospital de Messejana Dr Carlos Alberto Studart Gomes ( Site 0560)
Fortaleza, Ceará, 60864-190
Universidade Federal de Goias-Serviço de Cardiologia ( Site 0553)
Goiânia, Goiás, 74605-020
Hospital Mae de Deus ( Site 0564)
Porto Alegre, Rio Grande do Sul, 90880-480
CAPED Centro Avancado Pesquisa e Diagnostica ( Site 0552)
Ribeirão Preto, São Paulo, 14026-900
Hospital de Clínicas de Ribeirão Preto ( Site 0559)
Ribeirão Preto, São Paulo, 14048900
Hospital Pro-Cardiaco ( Site 0556)
Rio de Janeiro, 22280-003
Incor - Instituto do Coracao ( Site 0557)
São Paulo, 05403-900
Israel10 sites
Assuta Ashdod Medical Center-Cardiology ( Site 2063)
Ashdod, 7747629
Hillel Yaffe Medical Center-Heart Institute ( Site 2058)
Hadera, 3810101
Rambam Health Care Campus-Cardiology ( Site 2053)
Haifa, 3109601
Shaare Zedek Medical Center-Cardiology ( Site 2055)
Jerusalem, 9013102
Hadassah Medical Center-Heart Institute ( Site 2062)
Jerusalem, 9112001
Galilee Medical Center-Cardiology ( Site 2051)
Nahariya, 2210001
Rabin Medical Center-Cardiology - CHF ( Site 2052)
Petah Tikva, 49100
Sheba Medical Center-Leviev Heart Center ( Site 2064)
Ramat Gan, 5262100
Kaplan Medical Center-Heart Institution ( Site 2054)
Rehovot, 7610001
Yitzhak Shamir Medical Center-Cardiology ( Site 2060)
Ẕerifin, 609300
Peru9 sites
Hospital Alberto Sabogal Sologuren ( Site 2851)
Bellavista, Qallaw, 07011
Instituto Nacional Cardiovascular INCOR Carlos Peschiera Carrillo - EsSalud ( Site 2855)
Jesús María, Lima, 15072
Clínica Vesalio-Cardiology ( Site 2854)
Lima, 15036
Clínica Javier Prado ( Site 2853)
Lima, 15046
Clínica El Golf-Cardiologia ( Site 2857)
Lima, 15076
Clínica Providencia ( Site 2856)
Lima, 15088
Hospital Cayetano Heredia-Servicio de cardiologia ( Site 2852)
Lima, Lima 31
Clínica Belén ( Site 2858)
Piura, 20000
Centro de investigacion Clínica Trujillo-Medical specialties ( Site 2860)
Trujillo, La Libertad, 13001
South Korea9 sites
Hallym University Sacred Heart Hospital-Cardiovascular center ( Site 3556)
Anyang-si, Kyonggi-do, 14068
Pusan National University Hospital-Internal Medicine ( Site 3553)
Busan, Pusan-Kwangyokshi, 49241
Chungbuk National University Hospital-Internal medicine ( Site 3551)
Cheongju-si, North Chungcheong, 28644
Chonnam National University Hospital ( Site 3558)
Gwangju, Kwangju-Kwangyokshi, 61469
Chungnam national university hospital ( Site 3554)
Junggu, Taejon-Kwangyokshi, 35015
Gachon University Gil Medical Center ( Site 3559)
Namdong-gu, Incheon, 21565
Seoul National University Hospital ( Site 3557)
Seoul, 03080
Severance Hospital, Yonsei University Health System ( Site 3552)
Seoul, 03722
Yonsei University-Wonju Severance Christian Hospital ( Site 3555)
Wŏnju, Kang-won-do, 26426
Sweden9 sites
Falu Lasarett-Dep of Cardiology ( Site 3756)
Falun, Dalarna County, 791 31
Sahlgrenska Universitetssjukhuset-Cardiology Research Unit ( Site 3753)
Gothenburg, Västra Götaland County, 413 45
Clemenstorgets Hjartmottagning ( Site 3755)
Lund, Skåne County, 22221
Universitetssjukhuset Örebro-Heart-Lung-Physiology Clinic ( Site 3754)
Örebro, Örebro County, 701 85
Skellefteå Lasarett-Research unit, floor 5 ( Site 3760)
Skellefteå, Västerbotten County, 931 86
Karolinska Universitetssjukhuset Solna-Heart and Vascular theme ( Site 3759)
Solna, Stockholm County, 171 64
Aleris Specialistvård Sabbatsberg ( Site 3762)
Stockholm, Stockholm County, 113 61
Akardo Med Site ( Site 3763)
Stockholm, Stockholm County, 117 27
Västmanlands Sjukhus Västerås ( Site 3757)
Västerås, Västmanland County, 72189
Malaysia8 sites
Hospital Sultanah Bahiyah-Department of Cardiology ( Site 2355)
Alor Star, Kedah, 05460
Hospital Queen Elizabeth II ( Site 2359)
Kota Kinabalu, Sabah, 88300
Sarawak Heart Centre ( Site 2352)
Kota Samarahan, Sarawak, 94300
Hospital Sultanah Nur Zahirah-Jabatan Perubatan ( Site 2360)
Kuala Terengganu, Terengganu, 20400
Hospital Tengku Ampuan Afzan ( Site 2353)
Kuantan, Pahang, 25100
Hospital Universiti Sains Malaysia-Medical Department ( Site 2357)
Kubang Kerian, Kelantan, 16150
University Malaya Medical Centre ( Site 2351)
Lembah Pantai, Kuala Lumpur, 59100
UiTM Sungai Buloh Campus ( Site 2354)
Sungai Buloh, Selangor, 47000
Argentina7 sites
Centro Médico Viamonte-Clinical Research ( Site 4361)
Buenos Aires, Buenos Aires F.D., C1120AAC
CEDIC ( Site 4363)
CABA, Buenos Aires, C1060ABN
Centro de Investigaciones Metabólicas (CINME)-Cardiology ( Site 4352)
Ciudad Autónoma de Buenos Aires, Buenos Aires, C1027AAP
DIM Clínica Privada ( Site 4359)
Ramos Mejía, Buenos Aires, B1704ETD
Fundacion Estudios Clinicos ( Site 4356)
Rosario, Santa Fe Province, S2000DEJ
Centro de Investigaciones Clinicas del Litoral ( Site 4354)
Santa Fe, 3000
Instituto de Investigaciones Clinicas Zarate ( Site 4360)
Zárate, Buenos Aires, B2800DGH
New Zealand7 sites
North Shore Hospital-Cardiology Research ( Site 2656)
Auckland, 0622
Auckland City Hospital ( Site 2659)
Auckland, 1023
Middlemore Clinical Trials ( Site 2658)
Auckland, 2025
Christchurch Heart Institute ( Site 2651)
Christchurch, Canterbury, 8011
Dunedin Hospital-Cardiology Department ( Site 2653)
Dunedin, Otago, 9016
Waikato Hospital-Cardiology Clinical Trials Unit ( Site 2654)
Hamilton, Waikato Region, 3204
Hutt Valley District Health board HVDHB-Cardiology Research Unit ( Site 2652)
Lower Hutt, Wellington Region, 5010
Australia6 sites
Royal Adelaide Hospital-Cardiology ( Site 0456)
Adelaide, South Australia, 5000
Flinders Medical Centre-Cardiology Research ( Site 0455)
Bedford Park, South Australia, 5042
Royal Brisbane and Women's Hospital-Cardiology Research ( Site 0453)
Brisbane, Queensland, 4029
The Prince Charles Hospital-Cardiology Research Centre ( Site 0451)
Brisbane, Queensland, 4032
Core Research Group ( Site 0452)
Brisbane, Queensland, 4064
St. John of God Subiaco Hospital ( Site 0457)
Subiaco, Western Australia, 6008
Taiwan6 sites
Changhua Christian Hospital ( Site 3857)
Changhua County, Changhua, 50006
Mackay Memorial Hospital-Hsinchu ( Site 3852)
Hsinchu, Hsinchu, 300
Kaohsiung Medical University Hospital ( Site 3856)
Kaohsiung City, 807
Taichung Veterans General Hospital ( Site 3855)
Taichung, 407
Taipei Veterans General Hospital-General Clinical Research Center ( Site 3851)
Taipei, 11217
Chang Gung Medical Foundation-Linkou Branch ( Site 3854)
Taoyuan, 333
Austria5 sites
Krankenhaus St. Josef Braunau ( Site 0354)
Braunau am Inn, Upper Austria, 5280
Medizinische Universität Graz-Department of Cardiology ( Site 0351)
Graz, Styria, 8036
Uniklinikum Salzburg-Universitätsklinik für Innere Medizin II, Kardiologie, Internistische Intensiv
Salzburg, 5020
Imed19-privat ( Site 0353)
Vienna, State of Vienna, A-1190
Klinik Floridsdorf-Karl Landsteiner Institute for Cardiovascular and Critical Care Research c/o Dep
Vienna, 1210
Puerto Rico5 sites
Cooperativa De Facultad Medica Sanacoop-Instituto Sanacoop ( Site 3151)
Bayamón, 00961
Private Practice - Dr. Yolanda Figueroa-Torres ( Site 3156)
Humacao, 00791
Research and Cardiovascular Corp. ( Site 3152)
Ponce, 00717
Caparra Internal Medicine ( Site 3155)
Rio Grande, 00745
VA Caribbean Healthcare System ( Site 3157)
San Juan, 00921-3201
Hong Kong4 sites
Grantham Hospital ( Site 1753)
Aberdeen, 999077
Queen Mary Hospital-Medicine - Cardiology ( Site 1752)
Hksar
Princess Margaret Hospital ( Site 1755)
Hong Kong
Prince of Wales Hospital ( Site 1751)
Shatin, NT
Singapore4 sites
National Heart Centre Singapore ( Site 3351)
Singapore, Central Singapore, 169609
Tan Tock Seng Hospital ( Site 3353)
Singapore, Central Singapore, 308433
Changi General Hospital ( Site 3356)
Singapore, South East, 529889
National University Heart Centre, Singapore-Department of Cardiology ( Site 3355)
Singapore, South West, 119074
Guatemala3 sites
Unidad De Diagnostico Cardiologico ( Site 1652)
Guatemala City, 01001
Clinica Medica ( Site 1651)
Guatemala City, 01010
Unidad De Diagnostico Cardiologico ( Site 1654)
Guatemala City
Ireland2 sites
St. James's Hospital-Cardiology ( Site 1951)
Dublin, D08 E9P6
St. Michael's Hospital ( Site 1955)
Dún Laoghaire, Dublin, A96 D628
About this study
Official title: A Pivotal Phase 3 Randomized, Placebo-controlled Clinical Study to Evaluate the Efficacy and Safety of the sGC Stimulator Vericiguat/MK-1242 in Adults With Chronic Heart Failure With Reduced Ejection Fraction
The purpose of this study is to evaluate the efficacy and safety of vericiguat in participants with chronic heart failure with reduced ejection fraction (HFrEF), specifically those with symptomatic chronic HFrEF who have not had a recent hospitalization for heart failure or need for outpatient intravenous (IV) diuretics. The primary hypothesis is that vericiguat is superior to placebo in reducing the risk of cardiovascular death or heart failure hospitalization.
- Being tested
- Vericiguat, Placebo
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
VericiguatDrug
Also called MK-1242, BAY 1021189
2.5, 5.0, or 10.0 mg orally once daily
PlaceboDrug
0 mg matching placebo for 2.5 mg, 5 mg, and 10 mg of vericiguat
| Study group | Role | What they receive |
|---|---|---|
| Vericiguat | Experimental | Participants receive a starting dose of 2.5 mg of vericiguat taken orally once daily. The vericiguat dose will be titrated to 5 mg and to 10 mg. Receives: Drug: Vericiguat |
| Placebo | Placebo comparator | Participants receive a starting matching placebo to vericiguat dose of 2.5 mg taken orally once daily. The matching placebo dose will be sham titrated to 5 mg and to 10 mg. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time to First Occurrence of Composite Endpoint of Cardiovascular (CV) Death or Heart Failure (HF) Hospitalization: Participants With an Event Per 100 Patient-Years
The time to first occurrence of the composite endpoint of CV death or HF hospitalization was defined as the time from randomization to the first event of CV death or HF hospitalization. Randomized participants without a HF hospitalization or CV death event at the time of analysis were censored at the last available information, when the protocol pre-specified number of total CV death events was achieved (primary completion analysis data cutoff), or the date of their non-CV death, whichever occurred first. Events were confirmed by a clinical events committee (CEC). Protocol-specified final analyses are reported here with a primary completion data cutoff. Time-to-event methodology was used to evaluate the results and the number of participants with a CV death or HF hospitalization event per 100 patient-years at risk is presented.
Measured: Up to approximately 36 months (from randomization to the primary completion data cutoff)
Secondary outcomes (11)
Time to CV Death: Participants With an Event Per 100 Patient-Years
Time to CV death was defined as the time from randomization to CV death. Randomized participants without a CV death at the time of analysis were censored at their last available information, when the protocol pre-specified number of total CV death events was achieved (primary analysis database cutoff), or the date of their non-CV death, whichever occurred first. CV deaths were confirmed by a CEC. Protocol-specified final analyses are reported here with a primary completion data cutoff. Time-to-event methodology was used to evaluate the results and the number of participants with a CV death event per 100 patient-years at risk is presented.
Measured: Up to approximately 36 months (from randomization to the primary completion data cutoff)
Time to First Occurrence of HF Hospitalization: Participants With an Event Per 100 Patient-Years
Time to first occurrence of HF hospitalization was defined as the time from randomization to the first event of HF hospitalization. Randomized participants without an HF hospitalization at the time of analysis were censored at their last available information, when the protocol pre-specified number of total CV death events was achieved (primary analysis database cutoff), or the date of their death, whichever occurred first. HF hospitalizations were confirmed by a CEC. Protocol-specified final analyses are reported here with a primary completion data cutoff. Time-to-event methodology was used to evaluate the results and the number of participants with an HF hospitalization event per 100 patient-years at risk is presented.
Measured: Up to approximately 36 months (from randomization to the primary completion data cutoff)
Time to Total HF Hospitalizations (Including First and Recurrent Events): Total Events Per 100 Patient-Years
Time to total HF hospitalizations was defined as the time from randomization to all HF hospitalization events, including time to first event and time increments between events. Randomized participants without an HF hospitalization at the time of analysis were censored at their last available information, when the protocol pre-specified number of total CV death events was achieved (primary analysis database cutoff), or the date of their death, whichever occurred first. HF hospitalizations were confirmed by a CEC. Protocol-specified final analyses are reported here with a primary completion data cutoff. Time-to-event methodology was used to evaluate the results and the number of total HF hospitalization events per 100 patient-years at risk is presented.
Measured: Up to approximately 36 months (from randomization to the primary completion data cutoff)
Time to First Occurrence of Composite Endpoint of All-Cause Mortality or HF Hospitalization: Participants With an Event Per 100 Patient-Years
The time to first occurrence of the composite endpoint of all-cause mortality or HF hospitalization was defined as the time from randomization to the first event of all-cause mortality or HF hospitalization. Randomized participants without an all-cause mortality or HF hospitalization event at the time of analysis were censored at the last available information or when the protocol pre-specified number of total CV death events is achieved (primary analysis database cutoff), whichever occurred first. Events were confirmed by a CEC. Protocol-specified final analyses are reported here with a primary completion data cutoff. Time-to-event methodology was used to evaluate the results and the number of participants with an all-cause mortality or HF hospitalization event per 100 patient-years at risk is presented.
Measured: Up to approximately 36 months (from randomization to the primary completion data cutoff)
Time to All-Cause Mortality: Participants With an Event Per 100 Patient-Years
Time to all-cause mortality was defined as the time from randomization to all-cause mortality. Randomized participants without an all-cause mortality event at the time of analysis were censored at their last available information or when the protocol pre-specified number of total CV death events was achieved (primary analysis database cutoff), whichever occurred first. All-cause mortality was confirmed by a CEC. Protocol-specified final analyses are reported here with a primary completion data cutoff. Time-to-event methodology was used to evaluate the results and the number of participants with an all-cause mortality event per 100 patient-years at risk is presented.
Measured: Up to approximately 36 months (from randomization to the primary completion data cutoff)
Percentage of Participants Who Experienced One or More Selected Nonserious Adverse Events (NSAEs)
An adverse event (AE) is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. Selected NSAEs are defined as nonserious AEs that meet any of the following criteria: AEs that lead to study intervention dose modification or discontinuation, AEs that lead to withdrawal from the study, or Coronavirus Disease 2019 (COVID-19) disease-related AEs. Protocol-specified final analyses are reported here with a primary completion data cutoff. The percentage of participants who experienced one or more selected NSAEs is presented.
Measured: Up to approximately 36 months (from randomization to the primary completion data cutoff)
Percentage of Participants Who Experienced One or More Serious Adverse Events (SAEs)
An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly or birth defect, or other important medical events as determined by the investigator. Protocol-specified final analyses are reported here with a primary completion data cutoff. The percentage of participants who experienced one or more SAEs is presented.
Measured: Up to approximately 36 months (from randomization to the primary completion data cutoff)
Percentage of Participants Who Experienced One or More Events of Clinical Interest (ECIs)
ECIs were determined and reported based on the clinical judgment of the investigator. As pre-specified in the protocol, ECIs included the following: 1) Events of potential drug-induced liver injury (DILI), defined as an elevated aspartate aminotransferase or alanine aminotransferase laboratory value that is greater than or equal to 3X the upper limit of normal (ULN) and an elevated total bilirubin laboratory value that is greater than or equal to 2X the ULN and, at the same time, an alkaline phosphatase laboratory value that is less than 2X the ULN, 2) Events associated with symptomatic hypotension, or 3) Events associated with anemia, regardless of etiology. Protocol-specified final analyses are reported here with a primary completion data cutoff. The percentage of participants who experienced one or more ECIs is presented.
Measured: Up to approximately 36 months (from randomization to the primary completion data cutoff)
Percentage of Participants Who Experienced One or More Potential DILI ECIs
Potential DILI ECIs were determined and reported based on the clinical judgment of the investigator. Potential DILI ECIs were defined as an elevated aspartate aminotransferase or alanine aminotransferase laboratory value that is greater than or equal to 3X the ULN and an elevated total bilirubin laboratory value that is greater than or equal to 2X the ULN and, at the same time, an alkaline phosphatase laboratory value that is less than 2X the ULN. Protocol-specified final analyses are reported here with a primary completion data cutoff. The percentage of participants who experienced one or more potential DILI ECIs is presented.
Measured: Up to approximately 36 months (from randomization to the primary completion data cutoff)
Percentage of Participants Who Experienced One or More Symptomatic Hypotension ECIs
Symptomatic hypotension ECIs were determined and reported based on the clinical judgment of the investigator. Protocol-specified final analyses are reported here with a primary completion data cutoff. The percentage of participants who experienced one or more symptomatic hypotension ECIs is presented.
Measured: Up to approximately 36 months (from randomization to the primary completion data cutoff)
Percentage of Participants Who Experienced One or More Anemia ECIs
Anemia ECIs were determined and reported based on the clinical judgment of the investigator, regardless of etiology. Protocol-specified final analyses are reported here with a primary completion data cutoff. The percentage of participants who experienced one or more anemia ECIs is presented.
Measured: Up to approximately 36 months (from randomization to the primary completion data cutoff)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Oct 2021
- Study start2 Nov 2021
- Primary completion20 Nov 2024
- Study completion5 Feb 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Chronic Heart Failure With Reduced Ejection FractionStudies of the same condition, open and under way.
- More trials run by Merck Sharp & Dohme LLCThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 6,106 participants (actual)
Sponsor and investigators
- Lead sponsor
- Merck Sharp & Dohme LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Merck Sharp & Dohme LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05093933
- Sponsor's protocol ID
- 1242-035
- Other IDs
- MK-1242-035, 2022-500881-80-00, U1111-1278-5066, 2020-005941-18
- Acronym
- VICTOR
- Status last verified
- Dec 2025
- First submitted
- 18 Oct 2021
- Last updated
- 19 Dec 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
Publications
Butler J, Usman MS, Anstrom KJ, Blaustein RO, Bonaca MP, Ezekowitz JA, Freitas C, Lam CSP, Lewis EF, Lindenfeld J, McMullan CJ, Mentz RJ, O'Connor C, Rosano GMC, Saldarriaga CI, Senni M, Udelson J, Voors AA, Zannad F. Soluble guanylate cyclase stimulators in patients with heart failure with reduced ejection fraction across the risk spectrum. Eur J Heart Fail. 2022 Nov;24(11):2029-2036. doi: 10.1002/ejhf.2720. Epub 2022 Nov 16.
PubMed 36250238Reddy YNV, Butler J, Anstrom KJ, Blaustein RO, Bonaca MP, Corda S, Ezekowitz JA, Lam CSP, Lewis EF, Lindenfeld J, McMullan CJ, Mentz RJ, O'Connor C, Patel M, Ponikowski P, Rosano GMC, Saldarriaga CI, Senni M, Udelson J, Voors AA, Zannad F. Vericiguat Global Study in Participants with Chronic Heart Failure: Design of the VICTOR trial. Eur J Heart Fail. 2025 Feb;27(2):209-218. doi: 10.1002/ejhf.3501. Epub 2024 Oct 30.
PubMed 39473305Butler J, McMullan CJ, Anstrom KJ, Barash I, Bonaca MP, Borentain M, Corda S, Ezekowitz JA, Felker GM, Gates D, Lam CSP, Lewis EF, Lindenfeld J, Mentz RJ, O'Connor CM, Ponikowski P, Reddy YNV, Rosano GMC, Saldarriaga C, Senni M, She L, Teixeira PP, Udelson J, Urbinati A, Vlajnic V, Voors AA, Xing A, Patel MJ, Zannad F; VICTOR Study Group. Vericiguat in patients with chronic heart failure and reduced ejection fraction (VICTOR): a double-blind, placebo-controlled, randomised, phase 3 trial. Lancet. 2025 Sep 27;406(10510):1341-1350. doi: 10.1016/S0140-6736(25)01665-4. Epub 2025 Aug 30.
PubMed 40897189Khan MS, Grayburn PA, Butler J. Cardiac reverse remodelling with vericiguat: Victory or no victory? Eur J Heart Fail. 2023 Jul;25(7):1022-1024. doi: 10.1002/ejhf.2883. Epub 2023 May 25. No abstract available.
PubMed 37191077
Study at a glance
From the registry record, last updated by the sponsor on 19 Dec 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Pivotal Phase 3 Randomized, Placebo-controlled Clinical Study to Evaluate the Efficacy and Safety of the sGC Stimulator Vericiguat/MK-1242 in Adults With Chronic Heart Failure With Reduced Ejection Fraction
- ClinicalTrials.gov ID
- NCT05093933
- Acronym / sponsor ID
- VICTOR / 1242-035
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 6,106 participants (actual)
- Lead sponsor
- Merck Sharp & Dohme LLCIndustry (pharma, biotech, devices)
- Study start
- 2 Nov 2021 (actual)
- Primary completion
- 20 Nov 2024 (actual)
- Study completion
- 5 Feb 2025 (actual)
- First posted
- 26 Oct 2021 (actual)
- Results
- Posted 19 Dec 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the efficacy and safety of vericiguat in participants with chronic heart failure with reduced ejection fraction (HFrEF), specifically those with symptomatic chronic HFrEF who have not had a recent hospitalization for heart failure or need for outpatient intravenous (IV) diuretics. The primary hypothesis is that vericiguat is superior to placebo in reducing the risk of cardiovascular death or heart failure hospitalization.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Vericiguat | Experimental | Drug: VericiguatParticipants receive a starting dose of 2.5 mg of vericiguat taken orally once daily. The vericiguat dose will be titrated to 5 mg and to 10 mg. |
| Placebo | Placebo comparator | Drug: PlaceboParticipants receive a starting matching placebo to vericiguat dose of 2.5 mg taken orally once daily. The matching placebo dose will be sham titrated to 5 mg and to 10 mg. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- History of chronic HF [New York Heart Association (NYHA) Class II to IV] on guideline-directed medical therapy for heart failure (GDMT) with no HF hospitalization within 6 months or outpatient IV diuretic use within 3 months before randomization.
- Left ventricular ejection fraction (LVEF) of ≤40%, assessed within 12 months before randomization by any imaging method.
- Elevated N-terminal pro-brain natriuretic peptide (NT-proBNP) levels.
- A female participant is eligible to participate if she is not pregnant or breastfeeding, is not a woman of childbearing potential (WOCBP), or is a WOCBP and agrees to follow contraceptive guidance during the study intervention period and for at least 1 month after the last dose of study intervention.
Key exclusion criteria (15 listed)
- Has SBP <100 mm Hg or symptomatic hypotension.
- Awaiting heart transplantation, is receiving continuous IV infusion of an inotrope, or has or anticipates receiving an implanted ventricular assist device.
- Amyloidosis or sarcoidosis.
- Primary valvular heart disease requiring surgical procedure or intervention or has undergone a valvular surgical procedure or intervention within 3 months before randomization.
- Hypertrophic cardiomyopathy.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| VericiguatAlso: MK-1242, BAY 10211892.5, 5.0, or 10.0 mg orally once daily | Drug | Vericiguat |
| Placebo0 mg matching placebo for 2.5 mg, 5 mg, and 10 mg of vericiguat | Drug | Placebo |
Primary outcome
Time to First Occurrence of Composite Endpoint of Cardiovascular (CV) Death or Heart Failure (HF) Hospitalization: Participants With an Event Per 100 Patient-Years
Time frame: Up to approximately 36 months (from randomization to the primary completion data cutoff)
The time to first occurrence of the composite endpoint of CV death or HF hospitalization was defined as the time from randomization to the first event of CV death or HF hospitalization. Randomized participants without a HF hospitalization or CV death event at the time of analysis were censored at the last available information, when the protocol pre-specified number of total CV death events was achieved (primary completion analysis data cutoff), or the date of their non-CV death, whichever occurred first. Events were confirmed by a clinical events committee (CEC). Protocol-specified final analyses are reported here with a primary completion data cutoff. Time-to-event methodology was used to evaluate the results and the number of participants with a CV death or HF hospitalization event per 100 patient-years at risk is presented.
11 secondary outcomes
Time to CV Death: Participants With an Event Per 100 Patient-Years
Time frame: Up to approximately 36 months (from randomization to the primary completion data cutoff)
Time to First Occurrence of HF Hospitalization: Participants With an Event Per 100 Patient-Years
Time frame: Up to approximately 36 months (from randomization to the primary completion data cutoff)
Time to Total HF Hospitalizations (Including First and Recurrent Events): Total Events Per 100 Patient-Years
Time frame: Up to approximately 36 months (from randomization to the primary completion data cutoff)
Time to First Occurrence of Composite Endpoint of All-Cause Mortality or HF Hospitalization: Participants With an Event Per 100 Patient-Years
Time frame: Up to approximately 36 months (from randomization to the primary completion data cutoff)
Time to All-Cause Mortality: Participants With an Event Per 100 Patient-Years
Time frame: Up to approximately 36 months (from randomization to the primary completion data cutoff)
Percentage of Participants Who Experienced One or More Selected Nonserious Adverse Events (NSAEs)
Time frame: Up to approximately 36 months (from randomization to the primary completion data cutoff)
Percentage of Participants Who Experienced One or More Serious Adverse Events (SAEs)
Time frame: Up to approximately 36 months (from randomization to the primary completion data cutoff)
Percentage of Participants Who Experienced One or More Events of Clinical Interest (ECIs)
Time frame: Up to approximately 36 months (from randomization to the primary completion data cutoff)
Percentage of Participants Who Experienced One or More Potential DILI ECIs
Time frame: Up to approximately 36 months (from randomization to the primary completion data cutoff)
Percentage of Participants Who Experienced One or More Symptomatic Hypotension ECIs
Time frame: Up to approximately 36 months (from randomization to the primary completion data cutoff)
Percentage of Participants Who Experienced One or More Anemia ECIs
Time frame: Up to approximately 36 months (from randomization to the primary completion data cutoff)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Dec 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 36250238Butler J, Usman MS, Anstrom KJ, Blaustein RO, Bonaca MP, Ezekowitz JA, Freitas C, Lam CSP, Lewis EF, Lindenfeld J, McMullan CJ, Mentz RJ, O'Connor C, Rosano GMC, Saldarriaga CI, Senni M, Udelson J, Voors AA, Zannad F. Soluble guanylate cyclase stimulators in patients with heart failure with reduced ejection fraction across the risk spectrum. Eur J Heart Fail. 2022 Nov;24(11):2029-2036. doi: 10.1002/ejhf.2720. Epub 2022 Nov 16.
- Results publication: PubMed 39473305Reddy YNV, Butler J, Anstrom KJ, Blaustein RO, Bonaca MP, Corda S, Ezekowitz JA, Lam CSP, Lewis EF, Lindenfeld J, McMullan CJ, Mentz RJ, O'Connor C, Patel M, Ponikowski P, Rosano GMC, Saldarriaga CI, Senni M, Udelson J, Voors AA, Zannad F. Vericiguat Global Study in Participants with Chronic Heart Failure: Design of the VICTOR trial. Eur J Heart Fail. 2025 Feb;27(2):209-218. doi: 10.1002/ejhf.3501. Epub 2024 Oct 30.
- Results publication: PubMed 40897189Butler J, McMullan CJ, Anstrom KJ, Barash I, Bonaca MP, Borentain M, Corda S, Ezekowitz JA, Felker GM, Gates D, Lam CSP, Lewis EF, Lindenfeld J, Mentz RJ, O'Connor CM, Ponikowski P, Reddy YNV, Rosano GMC, Saldarriaga C, Senni M, She L, Teixeira PP, Udelson J, Urbinati A, Vlajnic V, Voors AA, Xing A, Patel MJ, Zannad F; VICTOR Study Group. Vericiguat in patients with chronic heart failure and reduced ejection fraction (VICTOR): a double-blind, placebo-controlled, randomised, phase 3 trial. Lancet. 2025 Sep 27;406(10510):1341-1350. doi: 10.1016/S0140-6736(25)01665-4. Epub 2025 Aug 30.
- Derived from this study: PubMed 37191077Khan MS, Grayburn PA, Butler J. Cardiac reverse remodelling with vericiguat: Victory or no victory? Eur J Heart Fail. 2023 Jul;25(7):1022-1024. doi: 10.1002/ejhf.2883. Epub 2023 May 25. No abstract available.
- Merck Clinical Trials InformationLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Director study director
Merck Sharp & Dohme LLC
519 sites in 36 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Vericiguat in people with Chronic Heart Failure With Reduced Ejection Fraction, run by Merck Sharp & Dohme LLC at 519 sites in 36 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 19 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 519 sites in United States, China, Ukraine, Mexico, Canada and 31 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 19 Dec 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Time to First Occurrence of Composite Endpoint of Cardiovascular (CV) Death or Heart Failure (HF) Hospitalization: Participants With an Event Per 100 Patient-Years (time frame: Up to approximately 36 months (from randomization to the primary completion data cutoff)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05093933, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Dec 2025.