Chronic Heart FailurePhase 2POWER-HFNCT06017609
Evaluate Efficacy, Safety and Tolerability of JTT-861 in Subjects With Heart Failure With Reduced Ejection Fraction
A Phase 2 study testing JTT-861 Capsules in people with Chronic Heart Failure, run by Shionogi Inc. at 75 sites in 6 countries.
Trial summary
This study will evaluate the efficacy, safety, tolerability and pharmacokinetics of JTT-861 administered once daily for 12 weeks in subjects with heart failure with reduced ejection fraction (HFrEF) who are on a stable, guideline-directed medical therapy for heart failure. Read more about this study
- Who is it for?
- Ages 30 to 85 years
- Conditions the study is for
- Chronic Heart Failure
- What is being tested?
- JTT-861 Capsules
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 314 participants
- Where
- 75 sitesin 6 countries
- Study dates
- 20 Dec 2023to 18 May 2026
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 30 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Has a clinical diagnosis of symptomatic heart failure (HF) ≥90 days prior to the Screening Visit;
- Is in New York Heart Association (NYHA) functional class II or III at the Screening Visit;
- Is on stable, guideline-directed therapy for HF, consistent with American Heart Association (AHA), American College of Cardiology (ACC), Heart Failure Society of America (HFSA) or European Society of Cardiology (ESC) guidelines for ≥4 weeks prior to the Screening Visit (with at least half of maximal labeled dose of renin-angiotensin-aldosterone system (RAAS) inhibitors and β-blockers, if tolerated);
- Has left ventricular ejection fraction (LVEF) ≤35% at the Screening Visit;
- Has a serum N-terminal pro b-type natriuretic peptide (NT-pro-BNP) level ≥600 pg/mL (or ≥900 pg/mL if the subject has atrial fibrillation or atrial flutter) at the Screening Visit.
Who cannot join
- Has a confirmed acute myocardial infarction (MI) (i.e., Type 1) or unstable angina within 90 days prior to the Screening Visit;
- Has a history of coronary revascularization (percutaneous coronary intervention [PCI] and/or coronary artery bypass graft [CABG]) or other cardiovascular surgery within 90 days prior to the Screening Visit or planned cardiovascular surgery during the study through the Follow-up Visit);
- Has started cardiac resynchronization therapy (CRT) within 90 days prior to the Screening Visit or has planned CRT during the study through the Follow-up Visit;
- Has clinically significant congenital heart disease, active myocarditis or constrictive pericarditis;
- Has current acute decompensated HF requiring additional treatment with diuretics, vasodilators and/or inotropic medications at the Screening Visit;
- Has clinically significant chronic renal insufficiency (i.e., estimated glomerular filtration rate [eGFR] <30 mL/min/1.73 m2 calculated by the Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI] creatinine equation) at the Screening Visit.
Trial locations and contacts
75 sites in 6 countries.
75 sites in 6 countries
United States20 sites
NextStage Clinical Research-Beaumont- (01)
Beaumont, Texas, 77702
Capital Area Research, LLC
Camp Hill, Pennsylvania, 17011
Nature Coast Clinical Research
Crystal River, Florida, 34429
Cypress Heart and Vascular Center
Cypress, Texas, 77429
Henry Ford Hospital
Detroit, Michigan, 48202
Profound Research LLC
Farmington Hills, Michigan, 48334
ASHA Clinical Research-Munster, LLC
Hammond, Indiana, 46324
Indago Research & Health Center, Inc.
Hialeah, Florida, 33012
NextStage Clinical Research - (Kansas City [01])
Kansas City, Missouri, 64114
Med Research of Florida
Miami, Florida, 33186
Pharma Medical Innovation, Inc.
Miami Lakes, Florida, 33014
Floridian Clinical Research
Miami Lakes, Florida, 33016
Affinity Health
Park Ridge, Illinois, 60068
Arensia Exploratory Medicine Inc.
Phoenix, Arizona, 85015
NextStage Clinical Research-Port Arthur-(02)
Port Arthur, Texas, 77642
Onsite Clinical Solutions, LLC
Rock Hill, South Carolina, 29732
Laurelton Heart Specialist P.C.
Rosedale, New York, 11422
Sherman Clinical Research
Sherman, Texas, 75092
Waco Cardiology Associates - NextStage Clinical Research
Waco, Texas, 76712
Monroe Research, LLC
West Monroe, Louisiana, 71291
Romania12 sites
Thera Card S.R.L
Brasov, 500102
Spitalul Clinic Judetean De Urgenta Brasov
Brasov, 500326
Spitalul Clinic De Urgență Sf. Pantelimon București
Bucharest, 021659
Spitalul Universitar de Urgență București
Bucharest, 050098
Mat Cord Biomedica SRL
Buzău, 120133
Angiocare S.R.L.
Cluj-Napoca, 400015
Cardio Med SRL
Craiova, 200513
Spitalul Clinic Județean de Urgență Craiova
Craiova, 200642
Cardio Med SRL
Târgu Mureş, 540124
CMI Dr. Podoleanu Cristian
Târgu Mureş, 540143
Spitalul Clinic Municipal de Urgenţă Timişoara
Timișoara, 300024
Spitalul Clinic Municipal de Urgenţă Timişoara
Timișoara, 300079
Spain12 sites
Hospital Clínico Universitario de Santiago
A Coruña, 15706
Hospital del Mar - Parc de Salut Mar
Barcelona, 08003
Area Sanitaria De Ferrol - Hospital Arquitecto Marcide
Ferrol, 15405
Hospital General Universitario Gregorio Marañón
Madrid, 28007
Hospital Universitario Ramón y Cajal
Madrid, 28034
Hospital Universitario Fundación Jiménez Díaz
Madrid, 28040
Hospital Universitario La Paz
Madrid, 28046
Hospital Universitario Puerta de Hierro - Majadahonda
Madrid, 28222
Hospital Clínico Universitario Virgen de la Arrixaca
Murcia, 30120
Hospital Universitario Virgen Macarena
Seville, 41009
Hospital Clínico Universitario de Valencia
Valencia, 46010
Hospital Universitari i Politècnic La Fe
Valencia, 46026
Bulgaria11 sites
Ambulatory for Specialized Outpatient Medical Care in Cardiology Individual Practice- Dr. Elena Dotcheva EOOD
Burgas, 8000
Multiprofile Hospital for Active Treatment "Ivan Skenderov"
Gotse Delchev, 2900
Multiprofile Hospital For Active Treatment Ivan Skenderov EOOD
Gotse Delchev, 2900
University Multiprofile Hospital for Active Treatment Georgi Stranski, EAD
Pleven, 5803
Multiprofile Hospital For Active Treatment Heart and Brain EAD
Pleven, 5804
University Multiprofile Hospital For Active Treatment Saint Georgi EAD
Plovdiv, 4002
Acibadem City Clinic University Multiprofile Hospital For Active Treatment EOOD
Sofia, 1415
Medical Center Hera EOOD
Sofia, 1510
Multiprofile Hospital for Active Treatment Tsaritsa Yoanna - ISUL EAD
Sofia, 1527
Diagnostic Consultative Center Convex EOOD
Sofia, 1680
University Multiprofile Hospital for Active Treatment. Sv Anna - Sofia AD
Sofia, 1750
Poland11 sites
Uniwersytecki Szpital Kliniczny w Bialymstoku
Bialystok, 15-276
American Heart of Poland S.A.
Chrzanów, 32-500
American Heart of Poland S.A.
Dąbrowa Górnicza, 41-300
Kardio Brynów Sp. z o.o.
Katowice, 40-555
Centrum Rehabilitacji I Kardiologii Solutaris Prokopczuk Sp.j.
Kędzierzyn-Koźle, 47-200
Wojewodzki Specjalistyczny Szpital Im Dr Wl Bieganskiego
Lodz, 91-347
Uniwersytecki Szpital Kliniczny Nr 4 w Lublinie
Lublin, 20-090
Trialmed CRS Piotrków Trybunalski
Piotrkow Trybunalski, 97-300
NZOZ "Pro Cordis" Sopockie Centrum Badań Kardiologicznych Paweł Miękus
Sopot, 81-717
American Heart of Poland S.A.
Tychy, 43-100
4 Wojskowy Szpital Kliniczny z Polikliniką Samodzielny Publiczny Zakład Opieki Zdrowotnej we Wrocławiu
Wroclaw, 53-114
Czechia9 sites
MUDr. Libor Nechvatal s.r.o.
Brno, 602 00
Centrum pro zdraví, s.r.o.
Brno, 603 00
Vojenská nemocnice Brno
Brno, 615 00
Fakultní nemocnice Brno
Brno, 625 00
Edumed s.r.o.
Broumov, 550 01
Edumed s.r.o.
Hradec Králové, 500 02
Edumed s.r.o.
Jaroměř, 551 01
Edumed s.r.o.
Náchod, 547 01
Fakultní nemocnice Ostrava
Ostrava-Poruba, 708 52
About this study
Official title: A Phase 2a, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group Study to Evaluate the Efficacy, Safety and Tolerability of JTT-861 Administered for 12 Weeks in Subjects With Heart Failure With Reduced Ejection Fraction
This study will evaluate the efficacy, safety, tolerability and pharmacokinetics of JTT-861 administered once daily for 12 weeks in subjects with heart failure with reduced ejection fraction (HFrEF) who are on a stable, guideline-directed medical therapy for heart failure.
- Conditions
- Chronic Heart Failure
- Being tested
- JTT-861 Capsules, Placebo Capsules
- Keywords
- JTT-861, Efficacy, Safety, Tolerability, Chronic Heart Failure, HFrEF, Heart Failure
- Medical subject headings
- Heart Failure
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
JTT-861 CapsulesDrug
Active drug capsules containing JTT-861
Placebo CapsulesDrug
Placebo capsules matching in appearance to the active drug capsules
| Study group | Role | What they receive |
|---|---|---|
| JTT-861 Dose 1 | Experimental | JTT-861 Capsules Dose 1 orally once daily for 12 weeks Receives: Drug: JTT-861 Capsules |
| JTT-861 Dose 2 | Experimental | JTT-861 Capsules Dose 2 orally once daily for 12 weeks Receives: Drug: JTT-861 Capsules |
| Placebo | Experimental | Placebo Capsules orally once daily for 12 weeks Receives: Drug: Placebo Capsules |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from baseline to end of treatment (EOT) in left ventricular ejection fraction (LVEF) as assessed by two-dimensional echocardiography (2D-echo)
Measured: 12 Weeks
Change from baseline to EOT in left ventricular end-systolic volume (LVESV) index as assessed by 2D-echo
Measured: 12 Weeks
Change from baseline to EOT in left ventricular end-diastolic volume (LVEDV) index as assessed by 2D-echo
Measured: 12 Weeks
Change from baseline to EOT in left atrial volume (LAV) as assessed by 2D-echo
Measured: 12 Weeks
Change from baseline to EOT in N-terminal pro b-type natriuretic peptide (NT-pro-BNP) values
Measured: 12 Weeks
Change in Kansas City Cardiomyopathy Questionnaire (KCCQ) scores from baseline
General Scoring Guideline: 0 to 24: very poor to poor; 25 to 49: poor to fair; 50 to 74: fair to good; and 75 to 100: good to excellent
Measured: 16 Weeks
Number of subjects with treatment-emergent adverse events
Measured: Up to 16 Weeks
Trough plasma concentrations of JTT-861
Measured: Weeks 4, 8 and 12
Post-dose plasma concentrations of JTT-861
Measured: Weeks 2, 4 and 8
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Aug 2023
- Study start20 Dec 2023
- Primary completion18 May 2026
- Study completion18 May 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic Heart FailureStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 314 participants (actual)
Sponsor and investigators
- Lead sponsor
- Shionogi Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- ICON Clinical Research
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06017609
- Sponsor's protocol ID
- AT861-G-22-002
- Acronym
- POWER-HF
- Status last verified
- Sep 2026
- First submitted
- 24 Aug 2023
- Last updated
- 24 Sep 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 24 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2a, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group Study to Evaluate the Efficacy, Safety and Tolerability of JTT-861 Administered for 12 Weeks in Subjects With Heart Failure With Reduced Ejection Fraction
- ClinicalTrials.gov ID
- NCT06017609
- Acronym / sponsor ID
- POWER-HF / AT861-G-22-002
- Conditions
- Chronic Heart Failure
- Keywords
- JTT-861, Efficacy, Safety, Tolerability, Chronic Heart Failure, HFrEF, Heart Failure
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 314 participants (actual)
- Lead sponsor
- Shionogi Inc.Industry (pharma, biotech, devices)
- Collaborators
- ICON Clinical Research
- Study start
- 20 Dec 2023 (actual)
- Primary completion
- 18 May 2026 (actual)
- Study completion
- 18 May 2026 (actual)
- First posted
- 30 Aug 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will evaluate the efficacy, safety, tolerability and pharmacokinetics of JTT-861 administered once daily for 12 weeks in subjects with heart failure with reduced ejection fraction (HFrEF) who are on a stable, guideline-directed medical therapy for heart failure.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| JTT-861 Dose 1 | Experimental | Drug: JTT-861 CapsulesJTT-861 Capsules Dose 1 orally once daily for 12 weeks |
| JTT-861 Dose 2 | Experimental | Drug: JTT-861 CapsulesJTT-861 Capsules Dose 2 orally once daily for 12 weeks |
| Placebo | Experimental | Drug: Placebo CapsulesPlacebo Capsules orally once daily for 12 weeks |
Who may qualify
- Ages
- 30 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Has a clinical diagnosis of symptomatic heart failure (HF) ≥90 days prior to the Screening Visit;
- Is in New York Heart Association (NYHA) functional class II or III at the Screening Visit;
- Is on stable, guideline-directed therapy for HF, consistent with American Heart Association (AHA), American College of Cardiology (ACC), Heart Failure Society of America (HFSA) or European Society of Cardiology (ESC) guidelines for ≥4 weeks prior to the Screening Visit (with at least half of maximal labeled dose of renin-angiotensin-aldosterone system (RAAS) inhibitors and β-blockers, if tolerated);
- Has left ventricular ejection fraction (LVEF) ≤35% at the Screening Visit;
- Has a serum N-terminal pro b-type natriuretic peptide (NT-pro-BNP) level ≥600 pg/mL (or ≥900 pg/mL if the subject has atrial fibrillation or atrial flutter) at the Screening Visit.
Key exclusion criteria (6 listed)
- Has a confirmed acute myocardial infarction (MI) (i.e., Type 1) or unstable angina within 90 days prior to the Screening Visit;
- Has a history of coronary revascularization (percutaneous coronary intervention [PCI] and/or coronary artery bypass graft [CABG]) or other cardiovascular surgery within 90 days prior to the Screening Visit or planned cardiovascular surgery during the study through the Follow-up Visit);
- Has started cardiac resynchronization therapy (CRT) within 90 days prior to the Screening Visit or has planned CRT during the study through the Follow-up Visit;
- Has clinically significant congenital heart disease, active myocarditis or constrictive pericarditis;
- Has current acute decompensated HF requiring additional treatment with diuretics, vasodilators and/or inotropic medications at the Screening Visit;
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| JTT-861 CapsulesActive drug capsules containing JTT-861 | Drug | JTT-861 Dose 1, JTT-861 Dose 2 |
| Placebo CapsulesPlacebo capsules matching in appearance to the active drug capsules | Drug | Placebo |
Primary outcome
Change from baseline to end of treatment (EOT) in left ventricular ejection fraction (LVEF) as assessed by two-dimensional echocardiography (2D-echo)
Time frame: 12 Weeks
Change from baseline to EOT in left ventricular end-systolic volume (LVESV) index as assessed by 2D-echo
Time frame: 12 Weeks
Change from baseline to EOT in left ventricular end-diastolic volume (LVEDV) index as assessed by 2D-echo
Time frame: 12 Weeks
Change from baseline to EOT in left atrial volume (LAV) as assessed by 2D-echo
Time frame: 12 Weeks
Change from baseline to EOT in N-terminal pro b-type natriuretic peptide (NT-pro-BNP) values
Time frame: 12 Weeks
Change in Kansas City Cardiomyopathy Questionnaire (KCCQ) scores from baseline
Time frame: 16 Weeks
General Scoring Guideline: 0 to 24: very poor to poor; 25 to 49: poor to fair; 50 to 74: fair to good; and 75 to 100: good to excellent
Number of subjects with treatment-emergent adverse events
Time frame: Up to 16 Weeks
Trough plasma concentrations of JTT-861
Time frame: Weeks 4, 8 and 12
Post-dose plasma concentrations of JTT-861
Time frame: Weeks 2, 4 and 8
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Sep 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
75 sites in 6 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing JTT-861 Capsules in people with Chronic Heart Failure, run by Shionogi Inc. at 75 sites in 6 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 24 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 75 sites in United States, Romania, Spain, Bulgaria, Poland and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change from baseline to end of treatment (EOT) in left ventricular ejection fraction (LVEF) as assessed by two-dimensional echocardiography (2D-echo) (time frame: 12 Weeks). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Sep 2026.