Heart failure & cardiomyopathies

Rationale and Design of ENDEAVOR: A Sequential Phase 2b–3 Randomized Clinical Trial to Evaluate the Effect of Myeloperoxidase Inhibition on Symptoms and Exercise Capacity in Heart Failure with Preserved or Mildly Reduced Ejection Fraction

Eur J Heart FailPublished Randomised controlled trial

Study context

Population
Patients with HF and EF >40% (HFpEF/HFmrEF), baseline 6MWD 30–400 m and Kansas City Cardiomyopathy Questionnaire total symptom score (KCCQ-TSS) ≤90 pointsphase 2b, planned
Participants
660 patients
Planned comparison
Mitiperstat vs placebo
Primary endpoint
Dual: change from baseline in 6MWD and KCCQ-TSS
Follow-up
Week 16
Methodological detailsrationale and design, seamless phase 2b–3, placebo-controlled, Phase 2b: randomised 1:1:1 for 48 weeks, Safety monitored with a focus on maculopapular rash, 85% power to detect placebo-adjusted improvements of 21 m in 6MWD and 6.0 points in KCCQ-TSS at overall two-sided alpha of 0.05, Phase 3: ≈820 patients to be randomised 1:1 to mitiperstat or placebo
  • Rationale and design
  • Seamless phase 2b–3
  • Placebo-controlled
  • Phase 2b: randomised 1:1:1 for 48 weeks
  • Safety monitored with a focus on maculopapular rash
  • 85% power to detect placebo-adjusted improvements of 21 m in 6MWD and 6.0 points in KCCQ-TSS at overall two-sided alpha of 0.05
  • Phase 3: ≈820 patients to be randomised 1:1 to mitiperstat or placebo

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Rationale and Design of ENDEAVOR: A Sequential Phase 2b–3 Randomized Clinical Trial to Evaluate the Effect of Myeloperoxidase Inhibition on Symptoms and Exercise Capacity in Heart Failure with Preserved or Mildly Reduced Ejection Fraction. Eur J Heart Fail. Published 22 August 2023. doi:10.1002/ejhf.2977

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