Recruiting
Phase 1

HJB647

Sponsor:

Novartis Pharmaceuticals

Code:

NCT07465653

Conditions

Heart Failure With Reduced Ejection Fraction

Eligibility Criteria

Sex: All

Age: 18 - 70+

Healthy Volunteers: Not accepted

Interventions

HJB647 low dose

HJB647 high dose

Placebo

Study Details

Brief summary:

The purpose of this study is to evaluate the safety, tolerability, and pharmacokinetics of HJB647 at two different doses in participants with chronic stable heart failure with reduced or mildly reduced ejection fraction (HFrEF/HFmrEF).

Conditions

Heart Failure With Reduced Ejection Fraction

Study ID

NCT07465653

Start date

Mar 18, 2026

Status verified date

Jun, 2026

Completion date

Sep 24, 2026

Anticipated

Primary completion date

Sep 24, 2026

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18 - 70+

Healthy Volunteers: Not accepted

Inclusion Criteria:

Participants eligible for inclusion in this study must meet all of the following criteria:

  • Men and women aged 18 years or older
  • Stable NYHA functional class II-III
  • LVEF <50%
  • NT-proBNP ≥600 pg/ml if in sinus rhythm or ≥900 pg/ml if in atrial fibrillation at screening
  • On stable standard of care therapy with sacubitril/valsartan with a dose of at least 49/51 mg BID for at least 4 weeks before screening.

Exclusion Criteria:

Participants will be deemed ineligible for inclusion if they meet any of the following exclusion criteria:

  • Acute decompensated heart failure within 3 months prior to screening
  • SBP <105 mmHg at screening or baseline.
  • Acute coronary syndrome, stroke, transient ischemic attack, cardiac, carotid or other major cardiovascular surgery, PCI, or carotid angioplasty within the 6 months prior to screening
  • Hemodynamically significant mitral and/or aortic valve disease, or any prior valve replacement, except mitral regurgitation secondary to LV dilation at screening
  • eGFR <30 ml/min/1.73m2 at screening, as measured by the CKD-EPI formula
  • BMI >40 kg/m2
  • Strong CYP3A4 inhibitors or inducers, sGC activators (vericiguat), PDE5 inhibitors, and nitroglycerin products
  • Women of childbearing potential

Further eligibility criteria might apply in alignment with the trial protocol.

Study Design

Enrollment

12 participants

Anticipated

Allocation

Randomized

Intervention Model

Crossover

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

placebo comparator: Placebo

Taken by mouth as capsules

experimental: HJB647 low dose

Taken by mouth as capsule

experimental: HJB647 high dose

Taken by mouth as capsule

Interventions

HJB647 low dose

Study drug low dose in capsule form

HJB647 high dose

Study drug high dose in capsule form

Placebo

Placebo control in capsule form

Primary outcome measure

  • Number of participants with Adverse Events (AEs) [ Time Frame: Up to 33 days ]
  • Number of participants with clinically significant changes in vital signs [ Time Frame: Up to 33 days ]

Central Contacts and Locations

Central contacts

Novartis Pharmaceuticals

+41613241111

Locations

Synergy Healthcare

Recruiting

Bradenton, Florida, United States, 34208

Contacts

Principal Investigator:

Patrick Weston

Nature Coast Clinical Research LLC

Recruiting

Inverness, Florida, United States, 34452

Contacts

Principal Investigator:

Rafik Abadier

Jacksonville Center for Clinical

Recruiting

Jacksonville, Florida, United States, 32216

Contacts

Principal Investigator:

Michael J Koren

Novartis Investigative Site

Recruiting

Montreal, Quebec, Canada, H1T 1C8

More Information

Sponsor

Novartis Pharmaceuticals

Last update posted

Jul 8, 2026

Last verified

Jun, 2026

Keywords

  • Sacubitril
  • Valsartan
  • Heart failure
  • Cardiac Failure
  • Myocardial Failure
  • Heart failure with reduced ejection fraction

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Novartis Pharmaceuticals on 2026-07-08.