None listed
Conditions
Interventions
Arm 1 (Experimental): LCZ696
single-blind active run-in period consisted of treatment with enalapril 10 mg bid, followed by LCZ696 100 mg bid, and then LCZ696 200 mg bid over a total duration of
Sponsors
NOVARTIS BIOSCIENSES PERU S.A.,
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. Patients must give written informed consent before any assessment is performed. 2. Outpatients ≥ 18 years of age, male or female. 3. Patients with a diagnosis of CHF NYHA class II-IV and reduced ejection: • LVEF ≤ 40% at visit 1 (any local measurement, made within the past 6 months using echocardiography, MUGA, CT scanning, MRI or ventricular angiography is acceptable, provided no subsequent measurement above 40%) • BNP ≥150 pg/ml (NT-proBNP ≥600 pg/ml) at Visit 1 OR BNP ≥100 pg/mL (NT-proBNP ≥ 400 pg/ml) and a hospitalization for HF within the last 12 months 4. Patients must be on an ACEI or an ARB at a stable dose of at least enalapril 10 mg/d or equivalent for at least 4 weeks before Visit 1. 5. Patients must be treated with a β-blocker, unless contraindicated or not tolerated, at a stable dose for at least 4 weeks prior to Visit 1.
Exclusion criteria
Exclusion criteria: 1. Use of other investigational drugs at the time of enrollment, or within 30 days or 5 half-lives of enrollment, whichever is longer. 2. History of hypersensitivity or allergy to any of the study drugs, drugs of similar chemical classes, ACEIs, ARBs, or NEP inhibitors as well as known or suspected contraindications to the study drugs. 3. Previous history of intolerance to recommended target doses of ACEIs or ARBs 4. Known history of angioedema. 5. Requirement of treatment with both ACEIs and ARBs. 6. Current acute decompensated HF (exacerbation of chronic HF manifested by signs and symptoms that may require intravenous therapy). 7. Symptomatic hypotension and/or a SBP 5.2 mmol/L at Visit 1 (screening) or > 5.4 mmol/L at Visit 3 or Visit 5 (randomization) Other protocol-defined exclusion criteria apply.
Contacts
Public ContactAlexandra Lopez
NOVARTIS BIOSCIENCES PERU S.A.
Outcome results
None listed