Heart failure & cardiomyopathies

Ziltivekimab in heart failure with preserved and mildly reduced ejection fraction: rationale and design of the ATHENA and HERMES trials

Eur J Heart FailPublished Design paper of two randomised controlled trials

Study context

Population
Adults with HFpEF/HFmrEF (LVEF >40%), elevated NT-proBNP and cardiovascular inflammation (high-sensitivity C-reactive protein ≥2 mg/l)ATHENA n = 673
Planned comparison
Ziltivekimab vs Placebo
Primary endpoint
ATHENA: change in KCCQ-Clinical Summary Score; HERMES: time to first composite of CV death, hospitalization for heart failure (HF) or urgent HF visit
Follow-up
ATHENA 12 months; HERMES event driven, minimum exposure 6 months
Methodological detailsATHENA and HERMES, international, multicentre, double-blind, placebo-controlled, HERMES event driven (∼845 adjudicated primary events)
  • ATHENA and HERMES
  • International
  • Multicentre
  • Double-blind
  • Placebo-controlled
  • HERMES event driven (∼845 adjudicated primary events)

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

Original publication

Ziltivekimab in heart failure with preserved and mildly reduced ejection fraction: rationale and design of the ATHENA and HERMES trials. Eur J Heart Fail. Published 10 May 2026. doi:10.1093/ejhf/xuag153

Summarised from the published abstract; every number is checked against it

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