RecruitingPhase 1NCT07444398

Vericiguat in Decompensated Cardiac Failure: Clinical Insights on Addition to Guidelines Derived Medical Therapy-VERCIG Trial


Sponsor

Khawaja Danish Ali

Enrollment

130 participants

Start Date

Jan 1, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

This study will compare the outcomes of Vericuguat and placebo in patient with decompensated heart failure . This study will carry out after approval from IERB. Seventy patients fulfilling the inclusion criteria will be enrolled from emergency department. Informed consent will be taken from attendants. A detailed history including name, age, gender, duration of heart failure, history of alcoholism, smoking, diabetes, hypertension, EF at baseline and NYHA class will be noted. Patients will be randomly divided in two groups by using lottery method. Outcomes will be assessed at in terms of hospitalization for heart failure, death from cardiovascular event and side effects.


Eligibility

Min Age: 25 YearsMax Age: 65 Years

Plain Language Summary

Simplified for easier understanding

This trial is studying a medication called vericiguat in people who are hospitalized with a serious worsening of heart failure — a condition where the heart cannot pump blood well enough to meet the body's needs. Researchers want to learn if adding vericiguat to standard heart failure medications improves outcomes. **You may be eligible if:** - You have been diagnosed with decompensated heart failure (meaning your heart failure has recently gotten worse) - Your heart's pumping function (ejection fraction) is 45% or less - You have moderate to severe symptoms (NYHA class III–IV or worsening class II) - Your blood levels of a heart stress marker (NT-proBNP) are elevated **You may NOT be eligible if:** - Your blood pressure is below 100 mmHg - You are currently taking or plan to take long-acting nitrates, certain blood pressure drugs (PDE5 inhibitors like sildenafil), or other drugs that relax blood vessels in a similar way - You require IV medications to support your heart or have a mechanical heart pump implanted Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGVericiguat tablet

Group A, patients will be prescribed 2.5 mg of vericiguat. Dose will be increased to 5 mg and ultimately to the target dose of 10 mg once daily, as guided by evaluation of blood pressure and clinical symptoms along with standard treatment (sacubitril-valsartan)

DRUGSacubitril / Valsartan

Group A Patients it will be prescribed along with vericiguat but group B patients will have (sacubitril-valsartan) as standard treatment


Locations(1)

Armed Forces Institute of Cardiology. Pakistan

Rawalpindi, Punjab Province, Pakistan

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NCT07444398


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