NCT02884206 · Phase 3 · COMPLETED
Efficacy and Safety of LCZ696 Compared to Valsartan on Cognitive Function in Patients With Chronic Heart Failure and Preserved Ejection Fraction
This Phase 3 trial tested whether LCZ696 (sacubitril/valsartan, sold as Entresto) protects cognitive function better than valsartan alone in people with a specific type of heart failure called HFpEF. Researchers measured thinking and memory using a standardized computer test. Phase 3 means the drug was already known to work for heart failure — this study asked whether it also had a meaningful effect on the brain.
Eligibility criteria
Key Inclusion Criteria: * Chronic heart failure with current symptoms NYHA class II-IV * Left ventricular ejection fraction > 40% * NT-proBNP >= 125 pg/mL at screening visit * Patient with evidence of adequate functioning to complete study assessments Key Exclusion Criteria: * Patients with acute decompensated heart failure requiring augmented therapy with diuretics, vasodilators and/or inotropic drugs * Acute coronary syndrome (including myocardial infarction (MI)), cardiac surgery, other major CV surgery, or urgent percutaneous coronary intervention (PCI), carotid surgery or carotid angioplasty, history of stroke or transient ischemic attack within the 3 months prior to Screening visit or an elective PCI within 30 days prior to Screening visit * Patients with history of hereditary or idiopathic angioedema or angioedema related to previous ACEi or ARB therapies * Patients who require treatment with 2 or more of the following: an ACEi, an ARB or a renin inhibitor * Patients with one of the following: 1. Patients with serum potassium >5.2 mmol/L (mEq/L) at Screening visit 2. Patients with serum potassium >5.4 mmol/L (mEq/L) at any visit during run-in treatment period or at randomization visit 3. Systolic blood pressure (SBP) ≥180 mmHg at Screening visit, or 4. SBP \<110 mmHg at Screening visit, or 5. SBP \<100 mmHg or symptomatic hypotension as determined by the investigator at Visit 103 or at randomization visit 6. Body mass index (BMI) >45 kg/m\^2 * Patients with 1. known pericardial constriction, genetic hypertrophic cardiomyopathy, infiltrative cardiomyopathy 2. hemodynamically significant obstructive valvular disease * Life-threatening or uncontrolled dysrhythmia, including symptomatic or sustained ventricular tachycardia and atrial fibrillation or flutter with a resting ventricular rate >110 beats per minute * Inability to perform cognitive battery or other study evaluations based on significant motor (e.g. hemiplegia, muscular-skeletal injury) or sensory (blindness, decreased or uncorrected visual or auditory acuity) skill * Clinically significant cerebral pathology for example large cerebral aneurysm or space occupying lesion that may impact cognition as assessed by central MRI reader * Mini mental state examination score less than 24 at screening * Patients with a clinical diagnosis of Alzheimer's disease or other dementia syndromes or any indication for or current treatment with cholinesterase inhibitors and/or another prescription AD treatment (e.g. memantine).
The sponsor's own eligibility wording, lightly reformatted. The study team makes the final eligibility decision — worth discussing with your doctor.
Eligibility criteria as of 2024-08-06