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

RecruitingPhase 2

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

Who can join

Ages 18 and older · All sexes

Full eligibility 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.

About the study

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

What is being tested

Sponsor: Imbria Pharmaceuticals, Inc. · Participants: 165 · Started: Oct 6, 2025

Contact the study team

Official record on ClinicalTrials.gov — NCT07023614

Locations in the U.S.

CaliforniaImbria Investigational Site, La Jolla
Imbria Investigational Site, Los Angeles
Imbria Investigational Site, San Francisco
District of ColumbiaImbria Investigational Site, Washington D.C.
FloridaImbria Investigational Site, Miami
IllinoisImbria Investigational Site, Chicago
Imbria Investigational Site, Oak Lawn (Not yet recruiting)
MarylandImbria Investigational Site, Baltimore
MassachusettsImbria Investigational Site, Boston
Imbria Investigational Site, Burlington
MichiganImbria Investigational Site, Grand Rapids
MinnesotaImbria Investigational Site, Rochester
MissouriImbria Investigational Site, St Louis
New YorkImbria Investigational Site, New York
North CarolinaImbria Investigational Site, Charlotte
OregonImbria Investigational Site, Portland
PennsylvaniaImbria Investigational Site, Philadelphia
Imbria Investigational Site, Philadelphia
TexasImbria Investigational Site, Houston
Imbria Investigational Site, Plano
VirginiaImbria Investigational Site, Charlottesville
Imbria Investigational Site, Richmond

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.