[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100539731":3},{"organization":4,"outcomesModule":7,"designInfo":31,"detailedDescription":43,"studyPopulation":30,"armGroups":44,"interventions":60,"overallOfficials":30,"centralContacts":74,"locations":80,"responsibleParty":6182,"collaborators":30,"id":6184,"slug":6185,"hasResults":6186,"nctId":6187,"briefTitle":6188,"officialTitle":6189,"acronym":6190,"eligibilityCriteria":6191,"healthyVolunteers":6186,"sex":6192,"minAge":6193,"maxAge":6194,"enrollmentInfo":6195,"targetDuration":30,"studyType":6198,"phases":6199,"briefSummary":6201,"conditions":6202,"keywords":30,"overallStatus":83,"whyStopped":30,"lastUpdateSubmitDate":6204,"lastUpdatePostDateStruct":6205,"startDateStruct":6208,"completionDateStruct":6210,"leadSponsor":6212,"locationsCount":6213},{"fullName":5,"class":6},"AstraZeneca","INDUSTRY",{"primaryOutcomes":8,"secondaryOutcomes":13,"otherOutcomes":30},[9],{"measure":10,"description":11,"timeFrame":12},"Time to first occurrence of any of the components of the composite of: •CV death •HF hospitalisation •HF event without hospitalisation","To determine whether balcinrenone\u002Fdapagliflozin is superior to dapagliflozin in reducing the risk of CV death and HF events with and without hospitalisation","Approximately 38 months",[14,17,20,23,27],{"measure":15,"description":16,"timeFrame":12},"Total occurrences (first and recurrent) of the components of the composite of: •CV death •HF hospitalisation •HF event without hospitalisation","To determine whether balcinrenone\u002Fdapagliflozin is superior to dapagliflozin in reducing the rate of total occurrences of CV death, and HF events with and without hospitalisation",{"measure":18,"description":19,"timeFrame":12},"Total occurrences (first and recurrent) of HF hospitalisations","To determine whether balcinrenone\u002Fdapagliflozin is superior to dapagliflozin in reducing the rate of total HF hospitalisations",{"measure":21,"description":22,"timeFrame":12},"Time to CV death","To determine whether balcinrenone\u002Fdapagliflozin is superior to dapagliflozin in reducing the risk of CV death",{"measure":24,"description":25,"timeFrame":26},"The hierarchical composite endpoint of death from any cause, total HF events, and change from baseline in KCCQ total symptom score to 24-week post-randomisation","To determine whether balcinrenone\u002Fdapagliflozin is superior to dapagliflozin in reducing the risk of death from any cause, HF events, and improving patient reported symptoms of HF","Approximately 24 weeks",{"measure":28,"description":29,"timeFrame":12},"Time to death from any cause","To determine whether balcinrenone\u002Fdapagliflozin is superior to dapagliflozin in reducing the risk of death from any cause",null,{"allocation":32,"interventionModel":33,"interventionModelDescription":34,"primaryPurpose":35,"observationalModel":30,"timePerspective":30,"maskingInfo":36},"RANDOMIZED","PARALLEL","international, multi-centre, randomised, double-blind, parallel-group, double-dummy, active-controlled, event-driven","TREATMENT",{"masking":37,"maskingDescription":30,"whoMasked":38},"QUADRUPLE",[39,40,41,42],"PARTICIPANT","CARE_PROVIDER","INVESTIGATOR","OUTCOMES_ASSESSOR","The purpose of this study is to investigate the effect of balcinrenone\u002Fdapagliflozin compared with dapagliflozin, on the risk of CV death, HF event with and without hospitalisation, in patients with chronic HF, impaired kidney function, and who have had a recent HF event.\n\nEligible patients will randomly be assigned with a 1:1:1 ratio to receive once daily administration of one capsule and one tablet of one of the following treatments:\n\n1. Balcinrenone\u002Fdapagliflozin 15 mg\u002F10 mg capsule and matching placebo for dapagliflozin 10 mg tablet\n2. Balcinrenone\u002Fdapagliflozin 40 mg\u002F10 mg capsule and matching placebo for dapagliflozin 10 mg tablet\n3. Dapagliflozin 10 mg tablet and matching placebo for balcinrenone\u002Fdapagliflozin capsule\n\nThe study is event driven, and the average study duration for a participant is estimated to be 22 months including screening period, 20 months blinded treatment period and a one-month follow-up period on open-label dapagliflozin.\n\nThe study will be conducted at approximately 700 sites in approximately 40 countries globally.",[45,51,55],{"label":46,"type":47,"description":48,"interventionNames":49},"balcinrenone\u002Fdapagliflozin 15 mg\u002F10 mg","EXPERIMENTAL","Patients will be randomized 1:1:1 to either combination of balcinrenone\u002Fdapagliflozin and matching placebo for dapagliflozin or dapagliflozin and matching placebo for balcinrenone\u002Fdapagliflozin",[50],"Drug: balcinrenone\u002Fdapagliflozin 15 mg\u002F10 mg and matching placebo for dapagliflozin 10 mg",{"label":52,"type":47,"description":48,"interventionNames":53},"balcinrenone\u002Fdapagliflozin 40 mg\u002F10 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Function","A Phase III, Randomised, Double-blind Study to Evaluate the Effect of Balcinrenone\u002FDapagliflozin, Compared With Dapagliflozin, on the Risk of Heart Failure Events and Cardiovascular Death in Patients With Heart Failure and Impaired Kidney Function","BalanceD-HF","Inclusion Criteria:\n\n* Age ≥ 18 years\n* Documented diagnosis of symptomatic HF (NYHA functional class II-IV)\n* Having had a recent HF event within 6 months (hospitalization or urgent visit)\n* Have a LVEF value from an assessment within the last 12 months\n* Managed with SoC therapy for HF and renal impairment according to local guidelines\n* NT-proBNP must be \\>300 pg\u002FmL (\\>600 pg\u002FmL if concomitant atrial fibrillation or atrial flutter)\n* Not taking an MRA\n* An eGFR ≥ 20 to \\\u003C 60 mL\u002Fmin\u002F1.73 m2\n* Serum\u002Fplasma potassium ≤ 5.0 mmol\u002FL\n\nExclusion Criteria:\n\n* Acute coronary syndrome (unstable angina or myocardial infarction), stroke or transient ischaemic attack within the previous 3 months prior to enrolment or during the screening period\n* Major cardiac surgery, coronary revascularisation or valvular repair or replacement, or implantation of a Cardiac resynchronisation therapy device within 3 months prior to enrolment or during the screening period, or planned to undergo any of these operations\n* History of hypertrophic obstructive cardiomyopathy\n* Complex congenital heart disease or severe uncorrected primary valvular disease\n* Symptomatic bradycardia or second- or third-degree heart block without a pacemaker\n* Systolic BP \\\u003C 90 mmHg, or symptomatic hypotension within the past 24 hours\n* Primary pulmonary hypertension, chronic pulmonary embolism, severe pulmonary disease including COPD or exacerbation of COPD requiring invasive mechanical ventilation assistance within 12 months prior to enrolment\n* Type 1 diabetes mellitus\n* Kidney replacement therapy in the past 4 weeks, currently requiring kidney replacement or imminent plan to start kidney replacement therapy\n* Acute or chronic liver disease with severe impairment of liver function, eg, ascites, oesophageal varices, coagulopathy, and encephalopathy\n* Suspected or confirmed COVID-19 infection within the last 4 weeks or hospitalisation for COVID-19 within the last 12 weeks\n* Treatment with strong or moderate CYP3A4 inhibitor or inducer","ALL","18 Years","130 Years",{"count":6196,"type":6197},4800,"ESTIMATED","INTERVENTIONAL",[6200],"PHASE3","This is a Phase III, international, multi-centre, randomised, double-blind, parallel-group, double-dummy, active-controlled, event-driven study in patients with chronic HF and impaired kidney function who had a recent HF event. The aim is to evaluate the effect of balcinrenone\u002Fdapagliflozin vs dapagliflozin, given once daily on top of other classes of SoC, on CV death and HF events.",[6203],"Heart Failure and Impaired Kidney Function","2026-06-25",{"date":6206,"type":6207},"2026-06-26","ACTUAL",{"date":6209,"type":6207},"2024-04-12",{"date":6211,"type":6197},"2027-06-11",{"name":5,"class":6},852]