Sacubitril-Valsartan for Congenital Heart Disease

This study is looking at how a medication called Entresto (sacubitril-valsartan) affects the heart in adults with congenital heart disease (a heart problem present from birth). You would either take Entresto pills, starting with a lower dose and increasing over time, or a placebo (an inactive pill). Researchers want to see if Entresto can improve your heart's structure and how well it pumps blood. They will measure your heart's function and structure, and a heart-related marker called Hs-Troponin, at the beginning and after 52 weeks. To join, you need to be at least 18 years old and have congenital heart disease. The study aims to enroll 45 participants, but its current recruitment status is unclear.

Study design
This is an interventional study where participants are randomly assigned to receive either Entresto or a placebo. It plans to enroll 45 adults.
What's involved
You would take pills twice daily for 52 weeks. Your heart's function and structure, and a blood marker, will be measured at the start and after 52 weeks.
Compensation
Not stated in the trial record.
Follow-up
Your heart's function and structure, and a blood marker, will be measured at the start and after 52 weeks.

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NCT06693674

Effect of Sacubitril-Valsartan on Cardiac Structure and Function

Recruiting
PHASE3Ages 18+InterventionalTreatment
Mayo Clinic
~45 participants
Updated 2025-10-07 on ClinicalTrials.gov
What's tested:Entresto PillPlacebo

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Ventricular function
Measured over Baseline, Week 52
+6 more outcomes measured
Congenital Heart Disease

NCT06693674

Where you'd take part

This study runs at 1 site. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.

  • Mayo Clinic in Rochester

    Rochester, Minnesotastudy coordinator listed

    Recruiting

Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.

  • Alexander Egbe · PRINCIPAL_INVESTIGATOR · Mayo Clinic

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Eligibility criteria

Inclusion

Congenital Heart Disease Diagnosis
Age 18 or Older

Exclusion

Stage IV chronic kidney disease defined as creatinine clearance \<30 ml/min
Hyperkalemia defined as serum potassium \>5.2 mmol/l,
Hypotension defined as systolic blood pressure \<100 mmHg,
History of angioedema related to previous ACE or ARB therapy
Patients diagnosed with diabetes using Aliskiren,
Pregnancy.
Drug Therapies
Amifostine
Droperidol
Dantrolene
CYP3A4 Inhibitors
Obinutuzumab
Aliskiren
Lithium
Sparsentan
ACE inhibitor
ARB
ARNI
  • Ventricular functionBaseline, Week 52

    Ventricular Function will be determined by indices of Right Ventricle (RV) and Left Ventricle (LV) systolic and diastolic function indices acquired from CMRI and transthoracic echocardiographic imaging.

  • Ventricular structureBaseline, Week 52

    Ventricular structure will be determined by Right Ventricle (RV) and Left Ventricle (LV) size and wall thickness acquired from CMRI and transthoracic echocardiographic imaging.

  • Change from baseline in Hs-TroponinBaseline, Week 52

    Hs-Troponin will be determined by blood specimen and will be measured in ng/L. A higher value indicates damage to the heart.

  • Change from baseline in Galectin 3Baseline, Week 52

    Galectin 3 will be determined by blood specimen and will be measure in ng/mL. A higher value indicates a higher severity of heart disease.

  • Change from baseline in Cystatin CBaseline, Week 52

    Cystatin C will be determined by blood specimen and measured in mg/L. A lower value reflects better kidney function.

  • Change in baseline in Soluble ST-2 (sST-2)Baseline, Week 52

    Soluble ST-2 (sST-2) will be determined by blood specimen and measured in ng/mL. A higher value indicates a higher severity of heart failure.

  • Patient reported outcomesBaseline, Week 52

    Patient reported outcomes will be determined by a quality-of-life questionnaire. A self-assessment survey to assess the extent to which heart failure (HF) affects the patient's activities of daily living and quality of life. The questionnaire is 12 questions and a lower score reflects more severe the limitations on daily life.