Effectiveness of CRD-740 in Heart Failure (CARDINAL-HF)
Heart Failure, Heart Failure With Reduced Ejection Fraction, Heart Failure With Preserved Ejection Fraction
About this trial
This is an interventional treatment trial for Heart Failure focused on measuring PDE9, Heart Failure, CRD-740, HFpEF, HFrEF
Eligibility Criteria
Inclusion Criteria:
- Males or Females ≥18 years of age, at screening.
- Diagnosis of clinical heart failure syndrome, New York Heart Association functional class II - III for at least 6 months prior to screening
For Part A:
- Ejection Fraction ≤40% by echocardiography at screening.
- NT-proBNP level ≥600 pg/ml at screening. Subjects with atrial fibrillation or flutter at screening are required to have an NT-proBNP level of ≥1000 pg/mL at screening.
For Part B:
For subjects with EF ≤40%:
- Ejection Fraction ≤40% by echocardiography at screening.
- NT-proBNP level ≥600 pg/ml at screening. Subjects with atrial fibrillation or flutter at screening are required to have an NT-proBNP level of ≥1000 pg/mL at screening.
For subjects with EF >40%:
- EF >40% and left atrial enlargement by echocardiography at screening.
- NT-proBNP level ≥300 pg/ml at screening. Subjects with atrial fibrillation or flutter at screening are required to have an NT-proBNP level of ≥500 pg/mL at screening.
- Stable doses of guideline-directed heart failure therapy for a minimum of 4 weeks prior to screening that has been individually optimized according to standard practice guidelines and no addition of guideline-directed heart failure therapy within 3 months of screening.
Exclusion Criteria:
- Documented EF≥60% within 6 months of screening.
- Recent HF exacerbation defined by hospitalization or requirement for intravenous diuretics within 60 days of screening.
- Subjects with planned interventions (e.g., percutaneous coronary intervention, devices) etc. occurring during their involvement in this study.
- Acute coronary syndrome, stroke, transient ischemic attack, cardiac, carotid or other major cardiovascular surgery or carotid angioplasty within 60 days of screening.
- Subjects with clinical suspicion of infiltrative cardiomyopathy (e.g., 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.
- Prior or planned orthotopic heart transplantation.
- Presence of or plan for mechanical circulatory support.
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Sites / Locations
- Cardurion Investigative Site
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Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
CRD-740
Placebo
Part A: Participants in Part A randomly assigned to this arm will take CRD-740 twice daily at two ascending dose levels over 12 weeks. Part B: Participants in Part B randomly assigned to this arm will take CRD-740 twice daily at a single dose level over 12 weeks.
Part A: Participants in Part A randomly assigned to this arm will take placebo twice daily at two ascending dose levels over 12 weeks. Part B: Participants in Part B randomly assigned to this arm will take placebo twice daily at a single dose level over 12 weeks.