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Congenital Heart DiseasePhase 3NCT06693674

Effect of Sacubitril-Valsartan on Cardiac Structure and Function

A Phase 3 study testing Entresto Pill in people with Congenital Heart Disease, run by Mayo Clinic at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record

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Trial summary

The purpose of this study is to compare changes in cardiac structure and function, biomarkers, and patient reported outcomes between adults with congenital heart disease (ACHD) randomized to angiotensin receptor-neprilysin inhibitor (ARNI) therapy vs placebo. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Congenital Heart Disease
What is being tested?
Entresto Pill
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
45 participants
Where
1 siteUnited States
Study dates
3 Feb 2025to Aug 2028
Phase
Phase 3

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

  • Congenital Heart Disease Diagnosis
  • Age 18 or Older

Who cannot join

  • Stage IV chronic kidney disease defined as creatinine clearance <30 ml/min
  • Hyperkalemia defined as serum potassium >5.2 mmol/l,
  • Hypotension defined as systolic blood pressure <100 mmHg,
  • History of angioedema related to previous ACE or ARB therapy
  • Patients diagnosed with diabetes using Aliskiren,
  • Pregnancy.
Show all 18Show fewer
  • Drug Therapies
  • Amifostine
  • Droperidol
  • Dantrolene
  • CYP3A4 Inhibitors
  • Obinutuzumab
  • Aliskiren
  • Lithium
  • Sparsentan
  • ACE inhibitor
  • ARB
  • ARNI

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

United States1 site, 1 recruiting
  • Mayo Clinic in Rochester

    Rochester, Minnesota, 55905

    Amanda Wozniak, 507-266-1976, Wozniak.Amanda@mayo.edu

    Alexander C Egbe

    Recruiting

Other trials in United States

About this study

Official title: Effect of Sacubitril-Valsartan on Cardiac Structure and Function in Adults With Congenital Heart Disease

The purpose of this study is to compare changes in cardiac structure and function, biomarkers, and patient reported outcomes between adults with congenital heart disease (ACHD) randomized to angiotensin receptor-neprilysin inhibitor (ARNI) therapy vs placebo.

Being tested
Entresto Pill, Placebo
Medical subject headings
Heart Defects, Congenital

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Entresto PillDrug

    Patients will take a 24/26 mg dose orally, twice daily, for weeks 1 and 2, 49/51 mg orally, twice daily, for weeks 3 and 4, and 97/103 mg orally twice daily, for the remaining 48 weeks (total duration: 52 weeks).

  • PlaceboOther

    Patients taking placebo tablets will take 1 tablet orally, twice daily

Study groups in NCT06693674
Study groupRoleWhat they receive
EntrestoExperimentalNot described
Receives: Drug: Entresto Pill
PlaceboPlacebo comparatorNot described
Receives: Other: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Ventricular function

    Ventricular Function will be determined by indices of Right Ventricle (RV) and Left Ventricle (LV) systolic and diastolic function indices acquired from CMRI and transthoracic echocardiographic imaging.

    Measured: Baseline, Week 52

  2. Ventricular structure

    Ventricular structure will be determined by Right Ventricle (RV) and Left Ventricle (LV) size and wall thickness acquired from CMRI and transthoracic echocardiographic imaging.

    Measured: Baseline, Week 52

  3. Change from baseline in Hs-Troponin

    Hs-Troponin will be determined by blood specimen and will be measured in ng/L. A higher value indicates damage to the heart.

    Measured: Baseline, Week 52

  4. Change from baseline in Galectin 3

    Galectin 3 will be determined by blood specimen and will be measure in ng/mL. A higher value indicates a higher severity of heart disease.

    Measured: Baseline, Week 52

  5. Change from baseline in Cystatin C

    Cystatin C will be determined by blood specimen and measured in mg/L. A lower value reflects better kidney function.

    Measured: Baseline, Week 52

  6. Change in baseline in Soluble ST-2 (sST-2)

    Soluble ST-2 (sST-2) will be determined by blood specimen and measured in ng/mL. A higher value indicates a higher severity of heart failure.

    Measured: Baseline, Week 52

  7. Patient reported outcomes

    Patient reported outcomes will be determined by a quality-of-life questionnaire. A self-assessment survey to assess the extent to which heart failure (HF) affects the patient's activities of daily living and quality of life. The questionnaire is 12 questions and a lower score reflects more severe the limitations on daily life.

    Measured: Baseline, Week 52

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Nov 2024
  2. Study start3 Feb 2025
  3. Primary completionAug 2028 (estimated)
  4. Study completionAug 2028 (estimated)

Resources

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
Double blind
Who is masked
Participant, Investigator
Enrolment
45 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06693674
Sponsor's protocol ID
24-009099
Other IDs
5R01HL162830-02
Status last verified
Oct 2026
First submitted
14 Nov 2024
Last updated
9 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

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