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Vericiguat in Decompensated Cardiac Failure Clinical Insights on Addition to Guidelines Derived Medical Therapy-VERCIG Trial
Led by Khawaja Danish Ali · Updated on 2026-03-02
130
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating the effects of Vericiguat compared to a placebo in patients with decompensated heart failure. This Phase 1 randomized study aims to understand how adding Vericiguat to standard medical therapy affects hospitalization rates, cardiovascular death, and side effects. Seventy patients meeting specific heart failure criteria will be enrolled from the emergency department after informed consent is obtained. Participants will be randomly assigned into two groups. One group will receive Vericiguat starting at 2.5 mg daily, with doses gradually increased to 10 mg as tolerated, alongside standard treatment with sacubitril-valsartan. The other group will receive only the standard treatment of sacubitril-valsartan. All patients will be followed in outpatient clinics for three months, during which doses will be adjusted based on blood pressure, symptoms, and clinical evaluations. Throughout the study, researchers will collect detailed patient histories and monitor outcomes including hospital admissions for heart failure, cardiovascular-related deaths, and any side effects experienced. Data will be carefully recorded during the three-month follow-up period to assess the safety and impact of combining Vericiguat with standard therapy in decompensated heart failure patients.
CONDITIONS
Brief Title
Vericiguat in Decompensated Cardiac Failure: Clinical Insights on Addition to Guidelines Derived Medical Therapy-VERCIG Trial
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Patients diagnosed with decompensated heart failure with left ventricular ejection fraction 45% or less
- Patients presenting with NYHA functional class III-IV symptoms or worsening class II symptoms
- Elevated natriuretic peptide levels: NT-proBNP >1000 pg/mL in sinus rhythm or >1600 pg/mL in atrial fibrillation
- Age between 25 and 65 years
You will not qualify if you...
- Blood pressure less than 100 mmHg
- Current or expected use of long-acting nitrates, soluble guanylate cyclase stimulators, or phosphodiesterase type 5 inhibitors
- Use of intravenous inotropes or presence of implantable left ventricular assist devices
Research Team
D
Dr Khawaja Danish Ali, MBBS
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