Ninerafaxstat for symptomatic non-obstructive hypertrophic cardiomyopathy
Official title: 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
Run by Imbria Pharmaceuticals, Inc. · NCT07023614 · Data updated 2026-11-12
This trial will test whether taking ninerafaxstat with usual care helps adults with symptomatic non-obstructive hypertrophic cardiomyopathy feel better and improve exercise capacity compared with a placebo.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 165 (estimated) |
| Sponsor | Imbria Pharmaceuticals, Inc. Industry-sponsored |
| Locations | 76 sites (La Jolla, California and 75 other locations) |
| Status | Recruiting |
| Started | October 6, 2025 |
| Main results expected | December 2026 |
| Study ends | December 2026 |
| Registry record updated | October 26, 2026 |
| Trial ID | NCT07023614 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults with confirmed non-obstructive HCM who have NYHA class II–III symptoms, exercise limitation on CPET, and can perform treadmill or bicycle stress testing.
✕Probably not a fit
People with obstructive HCM, infiltrative or storage disorders that mimic HCM, or those unable to perform upright exercise testing are unlikely to benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
FORTITUDE-HCM is a randomized, double-blind, placebo-controlled Phase 2b trial comparing ninerafaxstat 200 mg MR to placebo on top of standard of care in patients with symptomatic non-obstructive HCM. Participants will be confirmed by core lab echocardiography and must have NYHA class II or III symptoms and a functional limitation on cardiopulmonary exercise testing. The trial measures clinical benefit and safety outcomes to determine whether ninerafaxstat improves symptoms and exercise performance versus placebo. Patients with infiltrative or other non-HCM causes of hypertrophy or who cannot perform upright exercise testing are excluded.
Why it matters
Potential benefit: If successful, ninerafaxstat could improve symptoms and exercise tolerance for people with symptomatic non-obstructive HCM.
How similar studies have gone: Ninerafaxstat is a relatively novel agent with limited published clinical data, and while some early-phase HCM programs have shown promising signals, definitive benefits for similar approaches have not yet been established.
Who can join: the full rules
Show full inclusion / exclusion 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 exclusion criteria apply.
Where it's running
-
Imbria Investigational Site
La Jolla, California, United States Recruiting -
Imbria Investigational Site
Los Angeles, California, United States Recruiting -
Imbria Investigational Site
San Francisco, California, United States Recruiting -
Imbria Investigational Site
Washington D.C., District of Columbia, United States Recruiting -
Imbria Investigational Site
Miami, Florida, United States Recruiting -
Imbria Investigational Site
Chicago, Illinois, United States Recruiting
Show 44 more locations
-
Imbria Investigational Site
Baltimore, Maryland, United States Recruiting -
Imbria Investigational Site
Boston, Massachusetts, United States Recruiting -
Imbria Investigational Site
Burlington, Massachusetts, United States Recruiting -
Imbria Investigational Site
Grand Rapids, Michigan, United States Recruiting -
Imbria Investigational Site
Rochester, Minnesota, United States Recruiting -
Imbria Investigational Site
St Louis, Missouri, United States Recruiting -
Imbria Investigational Site
New York, New York, United States Recruiting -
Imbria Investigational Site
Charlotte, North Carolina, United States Recruiting -
Imbria Investigational Site
Portland, Oregon, United States Recruiting -
Imbria Investigational Site
Philadelphia, Pennsylvania, United States Recruiting -
Imbria Investigational Site
Philadelphia, Pennsylvania, United States Recruiting -
Imbria Investigational Site
Houston, Texas, United States Recruiting -
Imbria Investigational Site
Plano, Texas, United States Recruiting -
Imbria Investigational Site
Charlottesville, Virginia, United States Recruiting -
Imbria Investigational Site
Richmond, Virginia, United States Recruiting -
Imbria Investigational Site
Graz, Austria Recruiting -
Imbria Investigational Site
Edegem, Belgium Recruiting -
Imbria Investigational Site
Montpellier, France Recruiting -
Imbria Investigational Site
Paris, France Recruiting -
Imbria Investigational Site
Saint-Herblain, France Recruiting -
Imbria Investigational Site
Bad Oeynhausen, Germany Recruiting -
Imbria Investigational Site
Göttingen, Germany Recruiting -
Imbria Investigational Site
Heidelberg, Germany Recruiting -
Imbria Investigational Site
Florence, Italy Recruiting -
Imbria Investigational Site
Massa, Italy Recruiting -
Imbria Investigational Site
Milan, Italy Recruiting -
Imbria Investigational Site
Milan, Italy Recruiting -
Imbria Investigational Site
Milan, Italy Recruiting -
Imbria Investigational Site
Naples, Italy Recruiting -
Imbria Investigational Site
Amsterdam-Zuidoost, Netherlands Recruiting -
Imbria Investigational Site
Rotterdam, Netherlands Recruiting -
Imbria Investigational Site
Katowice, Poland Recruiting -
Imbria Investigational Site
Warsaw, Poland Recruiting -
Imbria Investigational Site
Wroclaw, Poland Recruiting -
Imbria Investigational Site
Guimarães, Portugal Recruiting -
Imbria Investigational Site
Lisbon, Portugal Recruiting -
Imbria Investigational Site
Lisbon, Portugal Recruiting -
Imbria Investigational Site
Barcelona, Barcelona, Spain Recruiting -
Imbria Investigational Site
A Coruña, Galicia, Spain Recruiting -
Imbria Investigational Site
Madrid, Madrid, Spain Recruiting -
Imbria Investigational Site
Vigo, Pontevedra, Spain Recruiting -
Imbria Investigational Site
Seville, Sevilla, Spain Recruiting -
Imbria Investigational Site
Seville, Sevilla, Spain Recruiting -
Imbria Investigational Site
Barcelona, Spain Recruiting
+26 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Medical Monitor
- Email: info@imbria.com
- Phone: (617) 675-4060
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Comparing Bisoprolol and Verapamil for treating symptoms in patients with non-obstructive hypertrophic cardiomyopathy
This study tests whether Bisoprolol or Verapamil can help people with non-obstructive hypertrophic cardiomyopathy feel better by reducing symptoms like shortness of breath and chest pain.
-
Assessing health changes in patients with obstructive hypertrophic cardiomyopathy treated with mavacamten
This study is testing how well the medication mavacamten helps adults with obstructive hypertrophic cardiomyopathy feel and do better in their everyday lives.
-
Assessing the safety of mavacamten in Korean patients with obstructive hypertrophic cardiomyopathy
This study is testing how safe the medication mavacamten is for adults in Korea who have symptoms of obstructive hypertrophic cardiomyopathy.
-
Effect of mavacamten on heart blood flow in obstructive hypertrophic cardiomyopathy
This study is testing if the medication mavacamten can improve blood flow in the hearts of people with obstructive hypertrophic cardiomyopathy after a year of treatment.
-
Registry to assess patient characteristics and outcomes in obstructive hypertrophic cardiomyopathy
This study is trying to learn more about how people with obstructive hypertrophic cardiomyopathy are treated and what their experiences are, especially for those using the medication mavacamten.
-
Mavacamten outcomes and real-world patient and physician experiences for obstructive HCM in the US
See how mavacamten works and what patients and doctors experience for adults with obstructive hypertrophic cardiomyopathy treated in US community practice.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.