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A Trial to Evaluate the Efficacy and Safety of Ninerafaxstat in Patients With Symptomatic Non-obstructive Hypertrophic Cardiomyopathy

A Global Phase 2b, Randomized, Double-Blinded, Placebo-Controlled Trial to Evaluate the Efficacy and Safety of Ninerafaxstat in Patients With Symptomatic Non-Obstructive Hypertrophic Cardiomyopathy - FORTITUDE-HCM

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07023614
Acronym
FORTITUDE-HCM
Enrollment
165
Registered
2025-06-17
Start date
2025-10-06
Completion date
2026-12-01
Last updated
2026-05-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Non-obstructive Hypertrophic Cardiomyopathy

Keywords

nHCM, non-obstructive HCM, non-obstructive hypertrophic cardiomyopathy, HCM, hypertrophic cardiomyopathy

Brief summary

FORTITUDE-HCM is a global, multicenter, double-blind, parallel-group, placebo-controlled Phase 2b study that will assess the efficacy and safety of ninerafaxstat compared to placebo on top of Standard of Care in patients with symptomatic nHCM

Interventions

DRUGNinerafaxstat 200mg MR

Ninerafaxstat 200mg Modified Release tablet administered BID

DRUGPlacebo

Matching placebo tablet administered BID

Sponsors

Imbria Pharmaceuticals, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Select Inclusion Criteria: * Has a clinical diagnosis of HCM consistent with current American College of Cardiology/American Heart Association and European Society of Cardiology Guideline definitions * Has had confirmation of nHCM by the echocardiography core laboratory based on screening rest and exercise stress echocardiography * New York Heart Association (NYHA) functional Class II or III at screening * Functional limitation as defined by a screening CPET Select

Exclusion criteria

* Has a known or suspected infiltrative, genetic, or storage disorder causing cardiac hypertrophy that mimics nHCM * Has any other condition judged by the investigator to be the primary cause of dyspnea, exercise intolerance, and/or angina * Has an inability to exercise on a treadmill or bicycle (eg, orthopedic limitations) * Has any medical condition that precludes upright exercise stress testing Other protocol-defined inclusion and

Design outcomes

Primary

MeasureTime frameDescription
Change in Kansas City Cardiomyopathy Questionnaire Clinical Summary Score (KCCQ-CSS)Baseline to Week 12The Clinical Summary Score is a merging of symptom frequency and symptom burden domains into a total symptom score combined with the physical limitation domain. Scoring ranges from 0 to 100, with higher scores indicating better health status.

Secondary

MeasureTime frameDescription
Change in ventilatory efficiency (VE/VCO2 slope) during cardiopulmonary exercise testing (CPET)Baseline to Week 12
Change in the Kansas City Cardiomyopathy Questionnaire Total Symptom Score (KCCQ-TSS)Baseline to Week 12The Total Symptom Score is a merging of symptom frequency and symptom burden domains. Scoring ranges from 0 to 100, with higher scores indicating better health status.
Change in the Kansas City Cardiomyopathy Questionnaire Physical Limitations Score (KCCQ-PLS)Baseline to Week 12The Physical Limitations Score is a single-domain score. Scoring ranges from 0 to 100, with higher scores indicating better health status.
Change in the Kansas City Cardiomyopathy Questionnaire Overall Summary Score (KCCQ-OSS)Baseline to Week 12The Overall Summary Score is a merging of symptom, physical limitations, social limitations, and quality of life domains. Scoring ranges from 0 to 100, with higher scores indicating better health status.

Countries

Austria, Belgium, France, Germany, Italy, Netherlands, Poland, Portugal, Spain, United Kingdom, United States

Contacts

CONTACTMedical Monitor
info@imbria.com(617) 675-4060

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: May 19, 2026