Heart Failure Clinical Trials

927 recruitingLast updated: June 17, 2026

There are 927 actively recruiting heart failure clinical trials across 80 countries. Studies span Not Applicable, Phase 2, Phase 4, Phase 3, Phase 1, Early Phase 1. Top locations include Dallas, Texas, United States, New York, New York, United States, Boston, Massachusetts, United States. Updated daily from ClinicalTrials.gov.


Heart Failure Trials at a Glance

927 actively recruiting trials for heart failure are listed on ClinicalTrialsFinder across 6 cities in 80 countries. The largest study group is Not Applicable with 384 trials, with the heaviest enrollment activity in Dallas, New York, and Boston. Lead sponsors running heart failure studies include Yale University, Mayo Clinic, and University of Texas Southwestern Medical Center.

Browse heart failure trials by phase

Treatments under study

Understanding Heart Failure Clinical Trials

Sacubitril/valsartan (Entresto), approved in 2015 after the PARADIGM-HF trial showed it reduced cardiovascular death and heart failure hospitalization by 20% compared to the previous gold standard enalapril, transformed the treatment of heart failure with reduced ejection fraction. Shortly after, the SGLT2 inhibitors dapagliflozin and empagliflozin — originally developed for diabetes — proved in landmark trials (DAPA-HF and EMPEROR-Reduced) to benefit heart failure patients regardless of whether they had diabetes, and subsequently showed benefit in heart failure with preserved ejection fraction as well. These trial-driven advances have expanded the toolkit for heart failure management dramatically in the past decade, and ongoing trials continue to pursue better outcomes for this condition affecting over 60 million people globally.

Why Consider a Clinical Trial?

Heart failure is a complex syndrome where the heart cannot pump blood efficiently enough to meet the body's needs. Despite major advances in treatment, heart failure remains a leading cause of hospitalization and carries a five-year mortality rate of approximately 50%. The condition encompasses distinct subtypes — heart failure with reduced ejection fraction (HFrEF), heart failure with preserved ejection fraction (HFpEF), and heart failure with mildly reduced ejection fraction (HFmrEF) — each with different treatment evidence and unmet needs. While HFrEF now has multiple proven drug classes, HFpEF has historically had far fewer options, and clinical trials are urgently needed for both subtypes. Beyond medications, clinical trials are testing cardiac devices (next-generation left ventricular assist devices, cardiac contractility modulation), gene and cell therapies aimed at repairing damaged heart muscle, and digital health interventions using remote monitoring to prevent decompensation and reduce hospitalizations. For patients with advanced heart failure who may be considering a heart transplant or mechanical support device, trials testing novel approaches could offer additional options. Even for patients whose heart failure is reasonably well managed, trials studying new drug combinations or optimized dosing strategies may improve quality of life and long-term outcomes.

Frequently Asked Questions

Common questions about Heart Failure clinical trials

Yes. Atrial fibrillation is extremely common in heart failure patients, and most trials allow participants with this co-existing condition. Some trials even focus specifically on patients who have both heart failure and atrial fibrillation. You will need to be on appropriate anticoagulation therapy as determined by your cardiologist.

Yes, and this is a rapidly growing area. After years with few effective treatments for HFpEF, trials have recently demonstrated benefits of SGLT2 inhibitors in this population. New trials are testing additional agents and combination strategies. If you have HFpEF, there are more trial opportunities now than at any previous time.

Most trials require that you be on stable guideline-directed medical therapy (typically including a beta-blocker, an ACE inhibitor or ARB or ARNI, and often an SGLT2 inhibitor) before enrollment. The study drug is usually added to your existing regimen, not substituted for it. Some trials may adjust specific medications as part of the protocol.

Visit frequency varies but is typically every two to four weeks during the first few months and then monthly or bimonthly during the maintenance phase. Visits usually include blood work, vital signs, and symptom assessments. Some trials incorporate remote monitoring that can reduce the number of in-person visits needed.

Heart failure hospitalization is actually a key outcome that most trials track, so the study team is prepared for this scenario. You will continue to receive appropriate inpatient care, and the hospitalization will be documented as a study event. Depending on the circumstances, you may continue in the trial after discharge or be withdrawn per protocol guidelines.

Showing 120 of 927 trials

Recruiting

Palliative Care for People With HF

Congestive Heart FailureCongestive Heart Failure(CHF)Congestive Heart Failure Chronic
Indiana University20 enrolled1 locationNCT07356843
Recruiting

Wearable Technology in Heart Failure Patients

Heart Failure
The Cleveland Clinic500 enrolled1 locationNCT07650669
Recruiting
Not Applicable

RCT of Implantable Defibrillators in Patients With Non Ischemic Cardiomyopathy, Scar and Severe Systolic Heart Failure

Heart Failure
University Hospital Southampton NHS Foundation Trust2,504 enrolled47 locationsNCT05568069
Recruiting

An Observational Study to Learn More About the Use of Vericiguat in Korean People With Chronic Heart Failure With Reduced Ejection Fraction (HFrEF) in Real-world Setting

Chronic Heart Failure With Reduced Ejection Fraction
Bayer1,350 enrolled1 locationNCT06148935
Recruiting
Not Applicable

Effectiveness of Video Monitoring and Care Transition for Heart Failure Patients (EVIT-HF): Randomized Clinical Trial

Heart Failure With Reduced Ejection Fraction (HFrEF)
Federal University of Uberlandia140 enrolled1 locationNCT06731166
Recruiting
Phase 3

A Study to Learn More About How Well Finerenone Works, How Safe it is, and How it Moves Into, Through, and Out of the Body Compared to Placebo When Taken With Standard Treatment in Children With Heart Failure and Left Ventricular Systolic Dysfunction

Left Ventricular Systolic DysfunctionHeart Failure (Pediatric)
Bayer111 enrolled133 locationsNCT07188805
Recruiting

A Study to Learn More About the Safety of the Drug Vericiguat in Japanese People With Chronic Heart Failure Who Will be Receiving Vericiguat Under Real-world Conditions

Chronic Heart Failure
Bayer1,400 enrolled1 locationNCT05666518
Recruiting
Phase 3

A Study to Test Whether Vicadrostat in Combination With Empagliflozin Helps People With Heart Failure

Heart Failure
Boehringer Ingelheim6,000 enrolled652 locationsNCT06424288
Recruiting

Dietary Tracking in Heart Failure

Heart FailureNYHA Class III Heart FailureNYHA Class II Heart Failure
The Cleveland Clinic60 enrolled1 locationNCT07649148
Recruiting
Not Applicable

Quantifying New Heart Muscle Cells

Heart FailureTetralogy of Fallot With Pulmonary Stenosis
Weill Medical College of Cornell University30 enrolled4 locationsNCT06587165
Recruiting
Not Applicable

Mobile-Based Telemedicine and Health-Related Quality of Life Among Patients With Chronic Heart Failure (MOBILE-HF)

Chronic Heart FailureHea
Select College70 enrolled1 locationNCT07650474
Recruiting
Phase 3

A Study to Test Whether Vicadrostat (BI 690517) in Combination With Empagliflozin Helps People With Heart Failure and a Weak Pumping Function of the Left Side of the Heart

Heart Failure
Boehringer Ingelheim4,200 enrolled635 locationsNCT06935370
Recruiting

AI ECG Algorithm for Detecting LV Systolic Dysfunction

HF - Heart Failure
Ajou University School of Medicine15,000 enrolled1 locationNCT07636759
Recruiting
Not Applicable

Trial to Evaluate Safety And Effectiveness of Mechanical Circulatory Support in Patients With Advancing Heart Failure

Heart FailureCardiovascular DiseasesPulmonary Hypertension+1 more
Abbott Medical Devices850 enrolled68 locationsNCT06526195
Recruiting
Not Applicable

NORM-HF Pivotal Study

Heart FailureNYHA Class III Heart FailureNYHA Class II Heart Failure
Foundry Innovation & Research 1, Limited (FIRE1)800 enrolled2 locationsNCT07574593
Recruiting

BEAT-SHOCK Registry

Cardiogenic ShockMyocardial Infarction (MI)Acute Decompensated Heart Failure+4 more
University Hospital, Basel, Switzerland8,000 enrolled1 locationNCT07643610
Recruiting
Not Applicable

Hypnosis on Breathlessness Mastery in Patients With Persistent Dyspnea

Chronic Heart Failure (CHF)DyspneaCancer (With or Without Metastasis)+2 more
University Hospital, Geneva82 enrolled1 locationNCT07173348
Recruiting

The AFteR Registry - Follow-up Study to Monitor the Efficacy and Safety of the Occlutech AFR in Heart Failure Patients

Heart Failure
Occlutech International AB150 enrolled36 locationsNCT04405583
Recruiting
Not Applicable

Diuretics Alone vs. Aortix Endovascular Device for Acute Heart Failure

Heart FailureHeart Failure, DiastolicCardiorenal Syndrome+5 more
Procyrion320 enrolled48 locationsNCT05677100
Recruiting
Phase 3

A Study to Learn More About How Safe Finerenone is, When it is Taken for a Longer Time With Standard Treatment, in Children and Young Adults With Heart Failure and Left Ventricular Systolic Dysfunction

Left Ventricular Systolic DysfunctionHeart Failure (Pediatric)
Bayer117 enrolled132 locationsNCT07192952