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Clinical Trials List

Protocol Number1378-0020
Active

2024-07-30 - 2028-09-30

Phase III

Recruiting10

ICD-10I50.20

Unspecified systolic (congestive) heart failure

ICD-10I50.21

Acute systolic (congestive) heart failure

ICD-10I50.22

Chronic systolic (congestive) heart failure

ICD-10I50.23

Acute on chronic systolic (congestive) heart failure

ICD-10I50.30

Unspecified diastolic (congestive) heart failure

ICD-10I50.31

Acute diastolic (congestive) heart failure

ICD-10I50.32

Chronic diastolic (congestive) heart failure

ICD-10I50.33

Acute on chronic diastolic (congestive) heart failure

ICD-10I50.40

Unspecified combined systolic (congestive) and diastolic (congestive) heart failure

ICD-10I50.41

Acute combined systolic (congestive) and diastolic (congestive) heart failure

ICD-10I50.42

Chronic combined systolic (congestive) and diastolic (congestive) heart failure

ICD-10I50.43

Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure

ICD-10I50.9

Heart failure, unspecified

ICD-9428.0

Congestive heart failure

EASi-HF Preserved – A Phase III double-blind, randomised, parallel-group superiority trial to evaluate efficacy and safety of the combined use of oral vicadrostat (BI 690517) and empagliflozin compared with placebo and empagliflozin in participants with symptomatic heart failure (HF: NYHA II-IV) and left ventricular ejection fraction (LVEF) ≥40%

  • Trial Applicant

    IQVIA RDS Taiwan Ltd.

  • Sponsor

    Jaana Harjula

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2026/02/01

Investigators and Locations

Principal Investigator Tsung-Hsien Lin Division of Cardiovascular Diseases

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator JIN–LONG HUANG Division of Cardiovascular Diseases

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 張鴻猷 Division of Cardiovascular Diseases

Co-Principal Investigator

  • 馮安寧 Division of Cardiovascular Diseases
  • 楊尚峯 Division of Cardiovascular Diseases
  • 劉怡凡 Division of Cardiovascular Diseases
  • 馮文楷 Division of Cardiovascular Diseases

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Yen-Wen Wu Division of Cardiovascular Diseases

Co-Principal Investigator

  • 林恆旭 Division of Cardiovascular Diseases
  • 黃繼正 Division of Cardiovascular Diseases
  • 張藝耀 Division of Cardiovascular Diseases
  • 許榮城 Division of Cardiovascular Diseases
  • 曾炳憲 Division of Cardiovascular Diseases

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Tzung-Dau Wang Division of Cardiovascular Diseases

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator 李統立 Division of Cardiovascular Diseases

Co-Principal Investigator

  • 梁懷文 Division of Cardiovascular Diseases
  • 曾維功 Division of Cardiovascular Diseases
  • 蔡幸珊 Division of Cardiovascular Diseases
  • 宣錦峰 Division of Cardiovascular Diseases

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Shih-Hsien Sung Division of Cardiovascular Diseases

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Pao-Hsien Chu Division of Cardiovascular Diseases

Co-Principal Investigator

  • 周宗川 Division of Cardiovascular Diseases
  • 葉日凱 Division of Cardiovascular Diseases
  • 蕭富致 Division of Cardiovascular Diseases
  • 陳東藝 Division of Cardiovascular Diseases
  • 王俊力 Division of Cardiovascular Diseases
  • 周星賢 Division of Cardiovascular Diseases
  • 董穎璋 Division of Cardiovascular Diseases
  • 謝明哲 Division of Cardiovascular Diseases
  • 吳家棟 Division of Cardiovascular Diseases
  • 洪國竣 Division of Cardiovascular Diseases
  • 徐子哲 Division of Cardiovascular Diseases
  • 沃宏達 Division of Cardiovascular Diseases
  • 張伯丞 Division of Cardiovascular Diseases
  • 盧政諱 Division of Cardiovascular Diseases
  • 鄭郁雯 Division of Cardiovascular Diseases

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Kuan-Cheng Chang Division of Cardiovascular Diseases

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Principal Investigator Chun-Yao Huang

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Recruiting

Condition/Disease

heart failure

Objectives

The goal of the study is to provide substantial evidence of the efficacy and safety of the combination of vicadrostat 10 mg and empagliflozin 10 mg compared with placebo and empagliflozin 10 mg on top of standard of care in participants with HF and LVEF ≥40%

Test Drug

cpasule

Active Ingredient

BI 690517
Empagliflozin

Dosage Form

116
116

Dosage

10 mg

Endpoints

The composite primary endpoint is the time to first event of CV death, HHF or urgent HF
visit. CV death includes death of undetermined cause.
Death, HHF, and urgent HF visit will be categorised by the investigator according to pre-
specified criteria as defined in Appendix 10.2. Central adjudication of outcome events is not
planned.

Inclution Criteria

Eligible participants will have a diagnosis of HF with LVEF ≥40% and meet eligibility
criteria below.
1. At least 18 years old and at least of the legal age of consent in countries where it is
greater than 18 years
2. Signed and dated written informed consent in accordance with ICH-GCP and local
legislation prior to admission to the trial
3. Male or female participants. Women of childbearing potential (WOCBP; see
Section 4.2.2.3)1 must be ready and able to use highly effective methods of birth
control per International Conference on Harmonisation (ICH) M3 (R2) that result in a
low failure rate of less than 1% per year when used consistently and correctly. A list
of contraception methods meeting these criteria and instructions on the duration of
their use is provided in the participant information in Section 4.2.2.3
4. Chronic HF diagnosed at least 3 months before Visit 1, and in NYHA class II-IV at
Visit 1, with LVEF ≥40% per local reading (obtained by echocardiography,
radionuclide ventriculography, invasive angiography, MRI, or CT). A historical
LVEF may be used if it was measured within 12 months prior to Visit 1, or the LVEF
may be measured after study consent has been obtained and before randomisation at
Visit 2 (if several values are available, the most recent one should be considered)
5. Presence of structural heart abnormality (confirmed by any imaging modality, i.e.
echocardiography at Visit 1, as defined by left ventricular hypertrophy or left atrial
enlargement) (see Appendix 10.3). Historical imaging may be used if performed
within 12 months prior to Visit 1, or imaging may be completed after study consent
has been obtained and before Visit 2. If several values are available, the most recent
one should be considered
6. Elevated NT-proBNP2,3 at Visit 1, analysed at the central laboratory at Visit 1 (see
SoA):
a. in participants with BMI <27 kg/m2: ≥300 pg/mL for participants without Afib
or Aflutter (at Visit 1 ECG) and ≥900 pg/mL for participants with Afib or
Aflutter (at Visit 1 ECG)
b. in participants with BMI ≥27 kg/m2 to <35 kg/m2: ≥220 pg/mL for participants
without Afib or Aflutter (at Visit 1 ECG) and ≥660 pg/mL for participants
with Afib or Aflutter (at Visit 1 ECG)
c. in participants with BMI ≥35 kg/m2: ≥125 pg/mL for participants without Afib
or Aflutter (at Visit 1 ECG) and ≥375 pg/mL for participants with Afib or
Aflutter (at Visit 1 ECG)

Exclusion Criteria

1. Treatment with an MRA (e.g. spironolactone, eplerenone, finerenone) within 14 days
prior to Visit 1 or requiring such treatment before randomisation or planned during
the trial based on the judgment of the investigator. Treatment with MRA should not
be interrupted with the intention of enrolment into the study
2. Treatment with amiloride, or other potassium-sparing diuretic within 14 days prior to
Visit 1 or requiring such treatment before randomisation or planned during the trial
based on the judgment of the investigator
3. Receiving the following treatments:
a. A direct renin inhibitor (e.g. aliskiren) at Visit 2
b. More than one ACEI, ARB or ARNI used simultaneously at Visit 2
c. In case of acute decompensated HF:
i. i.v. inotrope, i.v. vasodilating drug (e.g. nitrate, nitroprusside), or i.v.
natriuretic peptide (e.g. nesiritide, carperitide), or mechanical support
(e.g. intra-aortic balloon pump, endotracheal intubation, mechanical
ventilation, any ventricular assist device) within 24 hours prior to
randomisation (Visit 2)
ii. i.v. diuretic with a dose that has been increased/intensified within
6 hours prior to randomisation (a stable dose of an i.v. diuretic is not
exclusionary)
d. Systemic mineralocorticoid replacement therapy (e.g. fludrocortisone) at
Visit 2
e. Other aldosterone synthase inhibitors, e.g. baxdrostat at Visit 2 or planned
during the trial
4. MI, TIA, stroke, coronary artery bypass graft surgery (CABG), heart valve
surgery/intervention or any other major surgery (major according to the investigator’s
assessment) within 90 days prior to Visit 2, or scheduled for major elective surgery
(e.g. hip replacement, CABG)
5. Percutaneous coronary intervention (PCI, scheduled or unscheduled) or any
angiography using iodinated contrast agents in the 7 days prior to Visit 2
6. Heart transplant recipient, awaiting heart transplant, or currently implanted LVAD
7. Known cardiomyopathy based on infiltrative diseases (e.g. amyloidosis),
accumulation diseases (e.g. haemochromatosis, Fabry disease), muscular dystrophies,
hypertrophic obstructive cardiomyopathy or genetic hypertrophic cardiomyopathy,
known pericardial constriction, or cardiomyopathy with potentially reversible cause
such as stress or peripartum cardiomyopathy or cardiomyopathy induced by
chemotherapy within the 12 months prior to Visit 1 and until Visit 2
8. Acute inflammatory heart disease, such as acute myocarditis, within the 90 days
preceding prior to Visit 1and until Visit 2
9. Known severe valvular heart disease (obstructive or regurgitant), as per investigator’s
judgment, or valvular heart disease scheduled for surgical or invasive procedures at
Visit 1, or anticipated invasive treatment during the study
10. Atrial fibrillation or Atrial flutter with a resting heart rate >110 bpm documented by
ECG at Visit 2

The Estimated Number of Participants

  • Taiwan

    150 participants

  • Global

    6000 participants