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NCT03917459: CONFIDENCE-HF

COmparing arNi and Ace For Improving Erectile Dysfunction in mEN With reduCed Ejection Fraction Heart Failure

Completed Phase 3 Results posted Last updated 29 February 2024
What this trial tests

Phase 3 trial testing LCZ696 in Heart Failure in 27 participants. Completed in 25 May 2021.

Timeline
16 April 2019
Primary endpoint
25 May 2021
25 May 2021

Quick facts

Lead sponsorNovartis Pharmaceuticals
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposetreatment
Enrollment27
Start date16 April 2019
Primary completion25 May 2021
Estimated completion25 May 2021
Sites13 locations across Germany

Drugs / interventions tested

Conditions studied

Sponsor

Novartis Pharmaceuticals — full company profile →

Who can join

Adults 18 to 75, male only, with Heart Failure or Heart Failure, Systolic. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Erectile Function Score Using Index of Erectile Function (IIEF-15) Primary · Week 12 (3 months)

The International Index of Erectile Function (IIEF-15) was used to assess erectile function in male patients with chronic heart failure. The IIEF-15 is a patient self-reported assessment of erectile dysfunction (ED) and consists of 15 questions assessing different aspects associated with ED. The domain evaluating erectile function consists of items 1, 2, 3, 4, 5 \& 15 and its total score was used here. Total score range =1-30. Items 1-5 is 6-point Likert-type scale from '0' (= No sexual activity), '1' (=Almost never or never) to '5' (= Almost always or always). Items 15 is 5-point Likert-type

GroupValue95% CI
LCZ69615.1± 2.15
Enalapril12.2± 2.00
Summary of Change From Baseline in Self-reported Frequency of Sexual Activity Per Week Secondary · Baseline, Week 4, Week 12

Assessment of early-onset effect and end of study effect, regarding improvement in sexual activity, using patient's self-reported frequency of sexual activity per week. Patient was asked to complete a diary assessing sexual activity on a weekly basis

Week 4:
GroupValue95% CI
LCZ696-1.6± 1.59
Enalapril-1.1± 1.97
Week 12:
GroupValue95% CI
LCZ696-1.4± 3.13
Enalapril-2.0± 3.07
Summary of Change From Baseline in NT-proBNP Levels Secondary · Baseline, Week 4, Week 12

Change in n-terminal prohormone of brain natriuretic peptide (NT-proBNP) levels compared to baseline assessed at Week 4 and Week 12

Week 4
GroupValue95% CI
LCZ696-369.00-521.00 – -68.00
Enalapril-43.50-123.50 – 363.00
Week 12
GroupValue95% CI
LCZ696-208.50-1469.00 – 416.50
Enalapril-189.00-394.00 – 10.00

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse Events were collected from first dose of study treatment until end of study treatment plus 30 days post treatment, up to a maximum duration of approximately 2 years, 1 month. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

LCZ696
Serious: 1/13 (8%)
Deaths: 0/13
Enalapril
Serious: 1/14 (7%)
Deaths: 0/14

Serious adverse events (2 terms)

ReactionSystemLCZ696Enalapril
Cardiac arrestCardiac disorders
Hypertensive crisisVascular disorders
Other adverse events (11 terms — click to expand)

ReactionSystemLCZ696Enalapril
Dental cariesGastrointestinal disorders
ToothacheGastrointestinal disorders
Oedema peripheralGeneral disorders
BronchitisInfections and infestations
Blood potassium decreasedInvestigations
Fluid retentionMetabolism and nutrition disorders
GoutMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
HaematomaVascular disorders
HypotensionVascular disorders

Most-reported serious reactions: Cardiac arrest, Hypertensive crisis.

Data from ClinicalTrials.gov NCT03917459 adverse events section.

Sponsor's own description

The purpose of this study was to determine the effect of sacubitril/valsartan (LCZ696) vs. Enalapril on improvement in erectile function and ability in male patients with chronic heart failure with reduced ejection fraction and erectile dysfunction.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Poor communication impairs optimal care of patients with heart failure and erectile dysfunction.
    Leist L, Hausmann L, Pohlink C. · · 2025 · cited 2× · PMID 39828426 · DOI 10.1002/ehf2.15201

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Other trials of LCZ696

Trials testing the same drug.

Other recruiting trials for Heart Failure

Currently open trials in the same condition.

Other Novartis Pharmaceuticals trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03917459.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing