Clinical trial Recruiting at 63 sites Phase 2 Interventional Ages 18 and up

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.

More Obstructive Hypertrophic Cardiomyopathy trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment165 (estimated)
SponsorImbria Pharmaceuticals, Inc.
Industry-sponsored
Locations76 sites (La Jolla, California and 75 other locations)
StatusRecruiting
StartedOctober 6, 2025
Main results expectedDecember 2026
Study endsDecember 2026
Registry record updatedOctober 26, 2026
Trial IDNCT07023614 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

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.