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Study on the Effects of Ponsegromab on Quality of Life and Safety in Adults with Heart Failure

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What is this trial about?

A plain-language summary of the goals, design and what participants do

This clinical trial is focused on studying the effects of a new treatment for heart failure, a condition where the heart is unable to pump blood effectively. The treatment being tested is called Ponsegromab (PF-06946860), which is a type of protein designed to target specific factors in the body that may affect heart function. The study will compare the effects of Ponsegromab with a placebo to understand its impact on symptoms, daily functioning, and overall quality of life for people with heart failure.

The purpose of the study is to evaluate how Ponsegromab affects the health status of participants with heart failure. Participants will receive repeated doses of the treatment through injections under the skin over a period of time. The study will monitor changes in participants' health and any side effects that may occur. The trial aims to provide insights into how this new treatment could potentially improve the lives of those living with heart failure.

Throughout the study, participants will be assessed on various aspects of their health, including their ability to perform daily activities and their experience of symptoms like fatigue. The study will last for several months, and participants will have regular check-ups to track their progress and ensure their safety. This research is an important step in finding new ways to manage and treat heart failure, potentially offering new hope for patients in the future.

The research process

The trial runs in 5 steps – from screening to follow-up. Each step says what happens and what the team monitors.

  1. Step 1

    Joining the study

    Upon joining the study, participants are randomly assigned to one of four groups. This process is double-blind, meaning neither the participants nor the researchers know who is receiving the actual medication or the placebo.

    Participants must meet specific criteria, including being 18 years or older and having clinical evidence of heart failure.

  2. Step 2

    Treatment administration

    Participants receive either ponsegromab or a placebo. The medication is administered as a solution for injection under the skin (subcutaneous use).

    The treatment is given repeatedly over the course of the study. The exact schedule and dosage are determined by the study protocol.

  3. Step 3

    Monitoring and assessments

    Throughout the study, participants undergo regular assessments to monitor their health status and the effects of the treatment.

    These assessments include changes in heart failure symptoms, physical limitations, and overall health-related quality of life.

  4. Step 4

    End of treatment evaluation

    At the end of the treatment period, participants' health status is evaluated to determine any changes from the beginning of the study.

    The primary focus is on the change in heart failure-specific health status at Week 22.

  5. Step 5

    Follow-up

    Participants may be required to attend follow-up visits to ensure their well-being and to gather additional data on the long-term effects of the treatment.

Who can join the trial?

10 criteria

  • Participants must be **18 years or older**. Women must not be pregnant or breastfeeding.
  • Must have **clinical evidence of heart failure (HF)**, which includes:
    • **LVEF (Left Ventricular Ejection Fraction)** less than 50% on the most recent measurement within the last 12 months. LVEF is a measure of how well the heart pumps blood.
    • **NYHA class II-IV** at screening. This is a classification of the severity of heart failure symptoms, with class II being mild and class IV being severe.
    • For the main group: **NT-proBNP** level of 400 pg/mL or higher at screening. NT-proBNP is a blood test that helps diagnose heart failure.
    • **Serum GDF-15 concentration** of 2000 pg/mL or higher at screening. This is a blood test that measures a specific protein level.
    • For the main group: **KCCQ-23 CSS** score less than 75 at screening. This is a questionnaire that measures the impact of heart failure on a person's life.
    • For the main group: Must show signs of **cachexia** (weight loss and muscle wasting), **fatigue**, or **functional impairment**, demonstrated by at least one of the following:
      • Unintentional weight loss of 5% or more in the last 6 months or a **BMI (Body Mass Index)** less than 20 kg/m², along with feelings of tiredness or loss of appetite.
      • Feeling tired at least 3 times a week and finding it at least moderately bothersome in the past 2 weeks, based on the KCCQ-23 questionnaire.
      • A score of less than 60 on the Physical Limitations section of the KCCQ-23 questionnaire.
      • Participants must be willing and able to follow all study requirements, including attending scheduled visits, following the treatment plan, undergoing laboratory tests, and receiving study injections.

Who cannot join the trial?

3 criteria

  • Participants with a history of **heart failure** cannot join the study. Heart failure is a condition where the heart doesn't pump blood as well as it should.
  • Individuals who are not within the specified age range for the study are excluded. The age range is not specified here, but it means that only people of certain ages can participate.
  • Participants who belong to certain vulnerable groups may not be eligible. Vulnerable groups can include people who might need extra care or protection.
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Investigated drugs

Ponsegromab is a medication being studied for its potential benefits in treating heart failure. In this clinical trial, it is administered through injections under the skin. The goal is to see if it can improve symptoms, daily functioning, and overall quality of life for people with heart failure. Researchers are also monitoring its safety to ensure it is a suitable treatment option.

What is already known about the treatment

Ponsegromab – This medication is administered through subcutaneous injection and is currently being studied in clinical trials for its effects on heart failure. It is in the investigational stage, with ongoing research to determine its efficacy and safety. The main therapeutic indication for ponsegromab is the treatment of heart failure, aiming to improve symptoms and quality of life for patients. At the molecular level, ponsegromab works by targeting specific pathways involved in heart function, although the exact mechanism is still under investigation. It is classified pharmacologically as a monoclonal antibody, designed to interact with specific proteins in the body to exert its effects.

Investigated diseases

Heart Failure – Heart failure is a condition where the heart is unable to pump blood effectively to meet the body's needs. It can result from various underlying issues, such as coronary artery disease or high blood pressure, which weaken or stiffen the heart muscle. As the condition progresses, individuals may experience symptoms like shortness of breath, fatigue, and swelling in the legs and ankles. Over time, the heart's reduced ability to pump blood can lead to fluid buildup in the lungs and other parts of the body. This can cause persistent coughing or wheezing and increased difficulty in performing physical activities. Heart failure is a chronic condition that typically worsens over time, requiring ongoing management.
Trial detailsLast updated 2 Oct 2026
Age18+ yearsPhasePhase IITrial ID2023-509747-27-00Protocol codeC3651011Estimated enrolment477 patientsSponsorPfizer Inc.

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On this site, “treatment” means an investigational medicine being studied in a clinical trial. Its safety and efficacy for the use being studied have not yet been confirmed, some participants may receive a placebo or a comparator medicine, and taking part does not guarantee any health benefit. The decision to take part is made by the doctor at the research site. This site is for information only and does not replace medical advice.

This service is not affiliated with the European Commission, the EMA, or the official CTIS system. Most information comes from publicly available international clinical-trial registries, supplemented by data from academic sites, national regulators and commercial sponsors. On this site, “treatment” and “therapy” mean a medicine being tested in a clinical trial. Its safety and effectiveness in the use being studied are not yet confirmed, some participants may receive a placebo or a comparator, and taking part does not guarantee a health benefit. The doctor at the research site decides who can take part. This site provides information, not medical advice. Certain content and visual elements on this website have been generated or enhanced using artificial intelligence (AI).