Heart Failure With Reduced Ejection Fraction (HFrEF)Phase 2CALIBRATE-HFNCT07750873
A Trial of CRD-4730 in HFrEF
A Phase 2 study testing CRD-4730 in people with Heart Failure With Reduced Ejection Fraction (HFrEF), run by Cardurion Pharmaceuticals, Inc. at 2 sites in United States.
Trial summary
CRD-4730 is a calcium/calmodulin-dependent protein kinase II (CaMKII) inhibitor. The CALIBRATE-HF trial is a Phase 2, global, multi-center, randomized, double-blind, parallel-group, placebo-controlled trial. Read more about this study
- Who is it for?
- Ages 18 to 85 years
- Conditions the study is for
- Heart Failure With Reduced Ejection Fraction (HFrEF)
- What is being tested?
- CRD-4730
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 525 participants
- Where
- 2 sitesUnited States
- Study dates
- 15 Jul 2026to Sep 2028
- Phase
- Phase 2
- Are there results?
- Not yet: the study is under way
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 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Adult male or female patient ≥ 18 years of age and ≤ 85 years of age at the time of screening.
- Has a medical history supporting a diagnosis of clinical chronic heart failure (HF) syndrome with a duration of at least 8 weeks prior to the time of screening and current NYHA functional class II to III (based on investigator's assessment).
- Has left ventricular ejection fraction ≤ 40% by a centrally read transthoracic echocardiogram performed during screening.
- Has NT-proBNP level ≥ 600 pg/mL (70.8 pmol/L) at the time of screening. Patients in atrial fibrillation or flutter at the time of screening are required to have an NT-proBNP level of ≥ 900 pg/mL (106.4 pmol/L).
- Is receiving optimized and stable guideline directed HF therapy (per applicable regional or national guidelines).
Who cannot join
- Has evidence of recent HF exacerbation defined by hospitalization or requirement for IV or SQ diuretics within 4 weeks of the time of screening or during the Screening Period.
- Has a requirement for routine, scheduled outpatient IV infusions for HF (ie, inotropes, vasodilators, or diuretics) or routinely scheduled ultrafiltration.
- Has acute coronary syndrome, unstable angina, persistent angina at rest, stroke, transient ischemic attack, cardiac, carotid or other major cardiovascular surgery, cardiac valve repair (surgical or nonsurgical) or surgical replacement, or carotid angioplasty within 8 weeks prior to screening or during the Screening Period.
- Has clinical suspicion of infiltrative cardiomyopathy (eg, amyloid, sarcoid), hypertrophic cardiomyopathy (obstructive or non-obstructive), or HF secondary to severe valvular disease, active myocarditis, active pericarditis, or clinically significant congenital heart disease.
- NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
Trial locations and contacts
2 sites in 1 country. Contact the study team or a site near you to ask about taking part.
United States2 sites, 2 recruiting
- Recruiting
Cardurion Investigative Site
Bloomfield Hills, Michigan, 48304
Abdul-Rahman Halabi, 248-282-3639, abdul.halabi@profoundresearch.io
- Recruiting
Cardurion Investigative Site
Pasadena, California, 91105
Gregory Giesler, 626-793-1227, gregory.giesler@profoundresearch.io
About this study
Official title: A Phase 2, Randomized, Double-Blind, Placebo-Controlled Trial to Evaluate the Efficacy, Safety, and Tolerability of CRD-4730 in Patients With Heart Failure With Reduced Ejection Fraction (HFrEF)
CRD-4730 is a calcium/calmodulin-dependent protein kinase II (CaMKII) inhibitor. The CALIBRATE-HF trial is a Phase 2, global, multi-center, randomized, double-blind, parallel-group, placebo-controlled trial. The trial will evaluate the efficacy, safety, and tolerability of CRD-4730 in addition to guideline directed medical therapy in participants with heart failure with reduced ejection fraction (HFrEF). Participants will be randomized to 1 of 4 study groups and receive investigational study drug or placebo twice daily (BID) for 24 weeks of treatment.
- Being tested
- CRD-4730, Placebo
- Keywords
- Heart failure
- Medical subject headings
- Heart Failure
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CRD-4730Drug
Experimental, Dose A, B and C
PlaceboDrug
Placebo
| Study group | Role | What they receive |
|---|---|---|
| Study Arm 1: CRD-4730 Dose A tablet | Experimental | Participants will receive Dose A of CRD-4730 administered orally twice daily for 24 weeks Receives: Drug: CRD-4730 |
| Study Arm 2: CRD-4730 Dose B tablet | Experimental | Participants will receive Dose B of CRD-4730 administered orally twice daily for 24 weeks Receives: Drug: CRD-4730 |
| Study Arm 3: CRD-4730 Dose C tablet | Experimental | Participants will receive Dose C of CRD-4730 administered orally twice daily for 24 weeks Receives: Drug: CRD-4730 |
| Study Arm 4: Matched Placebo tablet | Placebo comparator | Participants will receive placebo administered orally twice daily for 24 weeks Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from Baseline in Composite Z-Score at 24 weeks
Composite Z-score calculated as the average of Z-scores for the change from baseline at 24 weeks for the following 6 endpoints: NT-proBNP (log-transformed), Left ventricular end-diastolic volume index (LVEDVI), Left ventricular end-systolic volume index (LVESVI), E/e' ratio, Global longitudinal strain (GLS), Left atrial volume index (LAVI). A z-score for each component endpoint is a standardized measure with a common scale with a mean of 0 and a standard deviation of 1. Composite z-score integrates the component z-scores to assess a participant's overall response. Lower composite z-scores indicate more favorable changes from baseline, whereas higher composite z-scores indicate less favorable changes from baseline.
Measured: Baseline and Week 24
Secondary outcomes (11)
NT-proBNP biomarker
Change in NT-proBNP (measured in pg/mL) from baseline at 12 and 24 weeks.
Measured: Baseline, Week 12, and Week 24
Left ventricular end-diastolic volume
Change from baseline in left ventricular end-diastolic volume (LVEDV, measured in mL) at 12 and 24 weeks
Measured: Baseline, Week 12, and Week 24
Left ventricular end-diastolic volume index
Change from baseline in left ventricular end-diastolic volume index (LVEDVI, measured in mL/m²) at 12 and 24 weeks
Measured: Baseline, Week 12, and Week 24
Left ventricular end-systolic volume
Change from baseline in left ventricular end-systolic volume (LVESV, measured in mL) at 12 and 24 weeks
Measured: Baseline, Week 12, and Week 24
Left ventricular end-systolic volume index
Change from baseline in left ventricular end-systolic volume index (LVESVI, measured in mL/m²) at 12 and 24 weeks
Measured: Baseline, Week 12, and Week 24
Early diastolic mitral inflow velocity (E)/early diastolic mitral annular velocity (e') ratio
Change from baseline in early diastolic mitral inflow velocity (E)/early diastolic mitral annular velocity (e') ratio (E/e' ratio, unitless) at 12 and 24 weeks
Measured: Baseline, Week 12, and Week 24
Global longitudinal strain
Change from baseline in global longitudinal strain (GLS, measured in %) at 12 and 24 weeks
Measured: Baseline, Week 12, and Week 24
Left atrial volume index
Change from baseline in left atrial volume index (LAVI, measured in mL/m²) at 12 and 24 weeks
Measured: Baseline, Week 12, and Week 24
Kansas City Cardiomyopathy Questionnaire (KCCQ) Clinical summary score
Change from baseline in Kansas City Cardiomyopathy Questionnaire (KCCQ) Clinical summary score (CSS) at 12 and 24 weeks. a. KCCQ, scored 0 to 100 with higher scores indicating better health.
Measured: Baseline, Week 12 and Week 24
Kansas City Cardiomyopathy Questionnaire (KCCQ) Total summary score
Change from baseline in Kansas City Cardiomyopathy Questionnaire (KCCQ) Total summary score (TSS) at 12 and 24 weeks. a. KCCQ scored 0 to 100 with higher scores indicating better health.
Measured: Baseline, Week 12, and Week 24
Kansas City Cardiomyopathy Questionnaire (KCCQ) Overall summary score
Change from baseline in Kansas City Cardiomyopathy Questionnaire (KCCQ) Overall summary score (OSS) at 12 and 24 weeks. KCCQ, scored 0 to 100 with higher scores indicating better health.
Measured: Baseline, Week 12, and Week 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Aug 2026
- Study start15 Jul 2026
- Primary completionSep 2028 (estimated)
- Study completionSep 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Heart Failure With Reduced Ejection Fraction (HFrEF)Studies of the same condition, open and under way.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 525 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Cardurion Pharmaceuticals, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07750873
- Sponsor's protocol ID
- CRD-4730-210
- Acronym
- CALIBRATE-HF
- Status last verified
- Aug 2026
- First submitted
- 17 Jul 2026
- Last updated
- 6 Aug 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Takagahara, Shuichi, et al. "Novel, Potent, and Highly Selective Calcium/Calmodulin-Dependent Protein Kinase II (CaMKII) Inhibitors Reduce Substrate Phosphorylation in Rat Hearts and Prolong Survival in a Mouse Model of Severe Heart Failure." Circulation 148.Suppl_1 (2023): A12726-A12726. https://doi.org/10.1161/circ.148.suppl_1.12726
Study at a glance
From the registry record, last updated by the sponsor on 6 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2, Randomized, Double-Blind, Placebo-Controlled Trial to Evaluate the Efficacy, Safety, and Tolerability of CRD-4730 in Patients With Heart Failure With Reduced Ejection Fraction (HFrEF)
- ClinicalTrials.gov ID
- NCT07750873
- Acronym / sponsor ID
- CALIBRATE-HF / CRD-4730-210
- Keywords
- Heart failure
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 525 participants (estimated)
- Lead sponsor
- Cardurion Pharmaceuticals, Inc.Industry (pharma, biotech, devices)
- Study start
- 15 Jul 2026 (actual)
- Primary completion
- Sep 2028 (estimated)
- Study completion
- Sep 2028 (estimated)
- First posted
- 6 Aug 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
CRD-4730 is a calcium/calmodulin-dependent protein kinase II (CaMKII) inhibitor. The CALIBRATE-HF trial is a Phase 2, global, multi-center, randomized, double-blind, parallel-group, placebo-controlled trial. The trial will evaluate the efficacy, safety, and tolerability of CRD-4730 in addition to guideline directed medical therapy in participants with heart failure with reduced ejection fraction (HFrEF). Participants will be randomized to 1 of 4 study groups and receive investigational study drug or placebo twice daily (BID) for 24 weeks of treatment.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Study Arm 1: CRD-4730 Dose A tablet | Experimental | Drug: CRD-4730Participants will receive Dose A of CRD-4730 administered orally twice daily for 24 weeks |
| Study Arm 2: CRD-4730 Dose B tablet | Experimental | Drug: CRD-4730Participants will receive Dose B of CRD-4730 administered orally twice daily for 24 weeks |
| Study Arm 3: CRD-4730 Dose C tablet | Experimental | Drug: CRD-4730Participants will receive Dose C of CRD-4730 administered orally twice daily for 24 weeks |
| Study Arm 4: Matched Placebo tablet | Placebo comparator | Drug: PlaceboParticipants will receive placebo administered orally twice daily for 24 weeks |
Who may qualify
- Ages
- 18 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Adult male or female patient ≥ 18 years of age and ≤ 85 years of age at the time of screening.
- Has a medical history supporting a diagnosis of clinical chronic heart failure (HF) syndrome with a duration of at least 8 weeks prior to the time of screening and current NYHA functional class II to III (based on investigator's assessment).
- Has left ventricular ejection fraction ≤ 40% by a centrally read transthoracic echocardiogram performed during screening.
- Has NT-proBNP level ≥ 600 pg/mL (70.8 pmol/L) at the time of screening. Patients in atrial fibrillation or flutter at the time of screening are required to have an NT-proBNP level of ≥ 900 pg/mL (106.4 pmol/L).
- Is receiving optimized and stable guideline directed HF therapy (per applicable regional or national guidelines).
Key exclusion criteria (5 listed)
- Has evidence of recent HF exacerbation defined by hospitalization or requirement for IV or SQ diuretics within 4 weeks of the time of screening or during the Screening Period.
- Has a requirement for routine, scheduled outpatient IV infusions for HF (ie, inotropes, vasodilators, or diuretics) or routinely scheduled ultrafiltration.
- Has acute coronary syndrome, unstable angina, persistent angina at rest, stroke, transient ischemic attack, cardiac, carotid or other major cardiovascular surgery, cardiac valve repair (surgical or nonsurgical) or surgical replacement, or carotid angioplasty within 8 weeks prior to screening or during the Screening Period.
- Has clinical suspicion of infiltrative cardiomyopathy (eg, amyloid, sarcoid), hypertrophic cardiomyopathy (obstructive or non-obstructive), or HF secondary to severe valvular disease, active myocarditis, active pericarditis, or clinically significant congenital heart disease.
- NOTE: Other protocol defined Inclusion/Exclusion criteria may apply.
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 |
|---|---|---|
| CRD-4730Experimental, Dose A, B and C | Drug | Study Arm 1: CRD-4730 Dose A tablet, Study Arm 2: CRD-4730 Dose B tablet, Study Arm 3: CRD-4730 Dose C tablet |
| PlaceboPlacebo | Drug | Study Arm 4: Matched Placebo tablet |
Primary outcome
Change from Baseline in Composite Z-Score at 24 weeks
Time frame: Baseline and Week 24
Composite Z-score calculated as the average of Z-scores for the change from baseline at 24 weeks for the following 6 endpoints: NT-proBNP (log-transformed), Left ventricular end-diastolic volume index (LVEDVI), Left ventricular end-systolic volume index (LVESVI), E/e' ratio, Global longitudinal strain (GLS), Left atrial volume index (LAVI). A z-score for each component endpoint is a standardized measure with a common scale with a mean of 0 and a standard deviation of 1. Composite z-score integrates the component z-scores to assess a participant's overall response. Lower composite z-scores indicate more favorable changes from baseline, whereas higher composite z-scores indicate less favorable changes from baseline.
11 secondary outcomes
NT-proBNP biomarker
Time frame: Baseline, Week 12, and Week 24
Left ventricular end-diastolic volume
Time frame: Baseline, Week 12, and Week 24
Left ventricular end-diastolic volume index
Time frame: Baseline, Week 12, and Week 24
Left ventricular end-systolic volume
Time frame: Baseline, Week 12, and Week 24
Left ventricular end-systolic volume index
Time frame: Baseline, Week 12, and Week 24
Early diastolic mitral inflow velocity (E)/early diastolic mitral annular velocity (e') ratio
Time frame: Baseline, Week 12, and Week 24
Global longitudinal strain
Time frame: Baseline, Week 12, and Week 24
Left atrial volume index
Time frame: Baseline, Week 12, and Week 24
Kansas City Cardiomyopathy Questionnaire (KCCQ) Clinical summary score
Time frame: Baseline, Week 12 and Week 24
Kansas City Cardiomyopathy Questionnaire (KCCQ) Total summary score
Time frame: Baseline, Week 12, and Week 24
Kansas City Cardiomyopathy Questionnaire (KCCQ) Overall summary score
Time frame: Baseline, Week 12, and Week 24
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Aug 2026.
- BackgroundTakagahara, Shuichi, et al. "Novel, Potent, and Highly Selective Calcium/Calmodulin-Dependent Protein Kinase II (CaMKII) Inhibitors Reduce Substrate Phosphorylation in Rat Hearts and Prolong Survival in a Mouse Model of Severe Heart Failure." Circulation 148.Suppl_1 (2023): A12726-A12726. https://doi.org/10.1161/circ.148.suppl_1.12726
- Individual participant dataSharing planned: No
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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.
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing CRD-4730 in people with Heart Failure With Reduced Ejection Fraction (HFrEF), run by Cardurion Pharmaceuticals, Inc. at 2 sites in United States.
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 5 inclusion and 5 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: looking for participants now, as of the sponsor's last update on 6 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in United States. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Cardurion Pharmaceuticals (617-863-8088, ClinicalTrialsGov@cardurion.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change from Baseline in Composite Z-Score at 24 weeks (time frame: Baseline and Week 24). 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 NCT07750873, which also lists 1 linked publication.
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 6 Aug 2026.