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> Record changed: 2026-11-04

# A Study to Investigate CV Outcomes With Elecoglipron Compared With Placebo in Adult Participants With HFpEF or HFmrEF

NCT07761117

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

Phase

Phase 3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

Recruitment status

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

Participants

6,950

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

Lead sponsor

AstraZeneca

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

Start date

2026-08-24

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

Number of sites

679

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

## Title and summary

**Summary**

This is a Phase III, randomized, double-blind, parallel-group, placebo-controlled, multicenter study to investigate CV outcomes with elecoglipron compared with placebo, in adults with heart failure with preserved ejection fraction (HFpEF)/heart failure with mildly reduced ejection fraction (HFmrEF), irrespective of T2DM status, and who are on background dapagliflozin in addition to other background standard of care.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

**Acronym**

Elevate-HF

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

**Short title**

A Study to Investigate CV Outcomes With Elecoglipron Compared With Placebo in Adult Participants With HFpEF or HFmrEF

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

**Official title**

A Phase III, Randomized, Double-blind, Parallel-group, Placebo-controlled, Multicenter Study to Evaluate the Effect of Elecoglipron in Reducing Cardiovascular Outcomes in Participants With HFpEF and HFmrEF (Elevate-HF)

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

## Status and phase

**Control arm**

Active comparator

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

**Registry reports results**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

**Recruitment status**

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

**Phase**

Phase 3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

## Dates

**Completion date**

2029-09-03

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

**First posted**

2026-08-12

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

**Registry last updated**

2026-09-28

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

**Primary completion date**

2029-09-03

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

**Start date**

2026-08-24

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

## Size and sites

**Participants**

6,950

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

**Participant count basis**

Estimated

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

**Planned participants**

6,950

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

**Protocol amendments**

2

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

**Number of sites**

679

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

## Sponsor and oversight

**Data monitoring committee**

Yes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

**Lead sponsor**

AstraZeneca

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

## Identifiers

**Registry ID**

NCT07761117

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

**ClinicalTrials.gov ID**

NCT07761117

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

## Study design

**Allocation**

Randomised

**Model**

Parallel groups

**Purpose**

Treatment

**Masking**

Quadruple masking

**Masking description**

Placebo controlled

**Masked roles**

Participants, Care providers, Investigators, Outcome assessors

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

## Outcomes

### Primary outcomes

1. To evaluate the effect of elecoglipron compared with placebo in reducing the risk of CV death or HHF/urgent HF visit  
Timeframe: Up to 42 months  
Time to first event of the composite of: \* CV death \* HHF \* Urgent HF visit

### Secondary outcomes

1. To evaluate the effect of elecoglipron compared with placebo in reducing the rate of HF events (HHF or urgent HF visit)  
Timeframe: Up to 42 months  
Total occurrences (first and recurrent) of HF events \* HHF \* Urgent HF visit
2. To evaluate the effect of elecoglipron compared to placebo on improving patient-reported outcomes using a questionnaire.  
Timeframe: Baseline and 52 weeks  
Change from baseline to Week 52
3. To evaluate the effect of elecoglipron compared with placebo in reducing the risk of the 4-point composite of all-cause death, HHF, MI, or stroke  
Timeframe: Up to 42 months  
Time to first event of the composite of: \* All-cause death \* HHF \* MI \* Stroke

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

## Eligibility

**Sex**

All

**Age groups**

Adults, Older adults

**Minimum age**

18 Years

**Healthy volunteers**

No

### Inclusion criteria

- Left ventricular ejection fraction (LVEF) of > 40% within 12 months prior to screening.
- Structural heart disease evidence.
- HF diagnosed with New York Heart Association (NYHA) Class II-IV at the time of screening.

### Exclusion criteria

- BMI <25 kg/m² at screening.
- Diabetes exclusions:
- History of type 1 diabetes.
- HbA1c ≥10% at screening.
- Currently receiving or anticipated to receive therapeutic intervention for diabetic retinopathy and/or macular edema.
- more than 1 episode of severe hypoglycemic event within 180 days prior to screening, or hypoglycemia unawareness/poor recognition.
- Renal exclusions:
- On a prespecified renal replacement therapy, or eGFR below a prespecified threshold at screening
- Cardiovascular exclusions:
- Major cardiac surgery, coronary revascularization, valvular repair/replacement, AF/AFL ablation, CRT implantation, or ICD without CRT within 90 days prior to screening, or planned after randomization.
- Heart failure due to infiltrative cardiomyopathy, active myocarditis, constrictive pericarditis, cardiac tamponade, genetic hypertrophic cardiomyopathy (including obstructive), or arrhythmogenic right ventricular cardiomyopathy/dysplasia.
- GI exclusions:
- Clinically significant upper GI condition affecting gastric emptying, drug absorption, or safety/tolerability interpretation; chronic use of drugs directly affecting GI motility; severe disease or prior surgery.
- History of acute or chronic pancreatitis.
- Endocrine exclusions:
- History/ family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia type 2, or basal calcitonin ≥35 ng/L at screening.

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

## Sites

- Research SiteFairhope, United StatesRecruiting
- Research SiteAnchorage, United StatesNot yet recruiting
- Research SiteGilbert, United StatesNot yet recruiting
- Research SiteSun City, United StatesNot yet recruiting
- Research SiteBeverly Hills, United StatesNot yet recruiting
- Research SiteHuntington Beach, United StatesNot yet recruiting
- Research SiteHuntington Park, United StatesNot yet recruiting
- Research SiteLoma Linda, United StatesNot yet recruiting
- Research SiteLomita, United StatesRecruiting
- Research SiteMather, United StatesNot yet recruiting
- Research SiteNorthridge, United StatesNot yet recruiting
- Research SitePalo Alto, United StatesNot yet recruiting
- Research SiteRedding, United StatesNot yet recruiting
- Research SiteSan Diego, United StatesNot yet recruiting
- Research SiteTarzana, United StatesWithdrawn
- Research SiteColorado Springs, United StatesNot yet recruiting
- Research SiteNew Haven, United StatesNot yet recruiting
- Research SiteBradenton, United StatesWithdrawn
- Research SiteHallandale, United StatesNot yet recruiting
- Research SiteJacksonville, United StatesNot yet recruiting
- Research SiteLakeland, United StatesNot yet recruiting
- Research SiteMiami, United StatesNot yet recruiting
- Research SiteMiami, United StatesNot yet recruiting
- Research SiteMiami, United StatesNot yet recruiting
- Research SiteMiami Lakes, United StatesWithdrawn

And 654 more, listed on the interactive page.

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

## References

### Other registry identifiers

- 2026-526304-79-00

Sources for references

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07761117)

## Related records

### Drugs (1)

- [Elecoglipron](https://trialight.com/data/asset/elecoglipron-8e9246dc-f27c-5602-b7aa-f57855d22924.md)

### Lead sponsors (1)

- [AstraZeneca](https://trialight.com/data/company/astrazeneca-347ee8c0-c709-4614-b67b-0061b353dff7.md)

### Conditions (1)

- [Heart failure](https://trialight.com/data/condition/heart-failure-e230b1c3-ce91-5f80-b80f-81fc353ce5cc.md) Primary condition

---

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