Gene Therapy for Heart Failure with Preserved Ejection Fraction

This study is testing an experimental gene therapy called AAV1/SERCA2a for people with a type of heart failure called heart failure with preserved ejection fraction (HFpEF), also known as diastolic heart failure. This condition means your heart can't relax properly to fill with enough blood. The study wants to see if AAV1/SERCA2a is safe and if it helps your heart's main pumping chamber (left ventricle) relax better during filling. You could be eligible if you are 50 or older, have NYHA class II or III heart failure, and your heart's pumping ability (ejection fraction) is 50% or higher. The main way they will measure success is by looking at changes in your pulmonary capillary wedge pressure (PCWP) at 24 and 52 weeks. The study is currently unclear on its recruitment status and plans to enroll 10 participants.

Study design
This is an interventional study, meaning participants will receive a treatment. It is a single-arm study, with a planned enrollment of 10 participants.
What's involved
You would receive a one-time infusion of the gene therapy. You would have multiple in-person visits during the first year, including assessments at weeks 2, 4, 12, 24, and 52, which involve tests like echocardiograms and heart catheterization. After the first year, you would have phone calls twice a year for 4 years.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for 52 weeks as part of the main trial, with primary endpoints measured at Week 24 and Week 52. After this, participants will continue to be followed for 4 years with bi-annual phone calls or in-person questionnaires.

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NCT06061549

Modulation of SERCA2a of Intra-myocytic Calcium Trafficking in Heart Failure With Preserved Ejection Fraction

Recruiting
PHASE1Ages 50+InterventionalTreatment
Sardocor Corp.
~10 participants
Updated 2023-09-29 on ClinicalTrials.gov
What's tested:AAV1/SERCA2a

At a glance

Recruiting sites
1 of 2 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change in pulmonary capillary wedge pressure (PCWP)
Measured over Week 24 and Week 52
Heart Failure, Diastolic
Heart Failure With Preserved Ejection Fraction
2 sites across 2 states
North Carolina1
Texas1

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Eligibility criteria

Inclusion

Willing and able to provide informed consent
Negative for anti-AAV1 neutralizing antibodies
NYHA class II or III
Left ventricular ejection fraction ≥ 50%
Evidence of resting or exercise-induced left ventricle filling pressure
On oral diuretic therapy
Adequate birth control

Exclusion

NYHA class IV
Heart failure requiring hospitalization in the past 3 months
Manifested or provocable ischemic heart disease
Atrial fibrillation
History of congenital heart disease, restrictive or infiltrative cardiomyopathy, hypertrophic cardiomyopathy, acute myocarditis, pericardial disease, uncorrected thyroid disease or discrete left ventricular (LV) aneurysm
History of amyloidosis
Untreated left-sided valvular disease
Severe COPD
BMI \> 50 kg/m\^2
Severe liver, kidney or hematologic dysfunction
Cancer within the past 5 years
Unstable concurrent conditions
  • Change in pulmonary capillary wedge pressure (PCWP)Week 24 and Week 52

    PCWP assessed by right heart catheterization; change in mmHg from baseline