CClinicalTrials.gg
RecruitingNCT07023614FORTITUDE-HCMUpdated May 18, 2026

A Trial to Evaluate the Efficacy and Safety of Ninerafaxstat in Patients With Symptomatic Non-obstructive Hypertrophic Cardiomyopathy

A Phase 2 interventional study of Ninerafaxstat 200mg MR and Placebo in Non-obstructive Hypertrophic Cardiomyopathy, sponsored by Imbria Pharmaceuticals, Inc.. Recruiting at 67 sites in 11 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-18.

Sponsored by Imbria Pharmaceuticals, Inc. · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2025; still recruiting 1 year later.
Phase
Phase 2
Study type
Interventional
Enrollment
165
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

FORTITUDE-HCM is a global, multicenter, double-blind, parallel-group, placebo-controlled Phase 2b study that will assess the efficacy and safety of ninerafaxstat compared to placebo on top of Standard of Care in patients with symptomatic nHCM

02

Conditions studied

  • Non-obstructive Hypertrophic Cardiomyopathy

Keywords

  • nHCM
  • non-obstructive HCM
  • non-obstructive hypertrophic cardiomyopathy
  • HCM
  • hypertrophic cardiomyopathy
03

In context

Cardiomyopathy, Hypertrophic

347 studies on the registry are indexed under Cardiomyopathy, Hypertrophic; 110 are open to participants now.

This study's planned enrollment of 165 is above the median of 59 across 171 interventional studies indexed under Cardiomyopathy, Hypertrophic.

Browse Cardiomyopathy, Hypertrophic studies →

Lead sponsor

Imbria Pharmaceuticals, Inc. is the lead sponsor of 5 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Select Inclusion Criteria:

  • Has a clinical diagnosis of HCM consistent with current American College of Cardiology/American Heart Association and European Society of Cardiology Guideline definitions
  • Has had confirmation of nHCM by the echocardiography core laboratory based on screening rest and exercise stress echocardiography
  • New York Heart Association (NYHA) functional Class II or III at screening
  • Functional limitation as defined by a screening CPET

Select Exclusion Criteria:

  • Has a known or suspected infiltrative, genetic, or storage disorder causing cardiac hypertrophy that mimics nHCM
  • Has any other condition judged by the investigator to be the primary cause of dyspnea, exercise intolerance, and/or angina
  • Has an inability to exercise on a treadmill or bicycle (eg, orthopedic limitations)
  • Has any medical condition that precludes upright exercise stress testing

Other protocol-defined inclusion and exclusion criteria apply.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
165 participants (estimated)

Study arms

  • Experimental
    Ninerafaxstat

    Drug: Ninerafaxstat 200mg MR

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • DrugNinerafaxstat 200mg MR

    Ninerafaxstat 200mg Modified Release tablet administered BID

  • DrugPlacebo

    Matching placebo tablet administered BID

06

What researchers measure

Primary outcomes

  1. Change in Kansas City Cardiomyopathy Questionnaire Clinical Summary Score (KCCQ-CSS)

    The Clinical Summary Score is a merging of symptom frequency and symptom burden domains into a total symptom score combined with the physical limitation domain. Scoring ranges from 0 to 100, with higher scores indicating better health status.

    Time frame: Baseline to Week 12

Secondary outcomes

  1. Change in ventilatory efficiency (VE/VCO2 slope) during cardiopulmonary exercise testing (CPET)

    Time frame: Baseline to Week 12

  2. Change in the Kansas City Cardiomyopathy Questionnaire Total Symptom Score (KCCQ-TSS)

    The Total Symptom Score is a merging of symptom frequency and symptom burden domains. Scoring ranges from 0 to 100, with higher scores indicating better health status.

    Time frame: Baseline to Week 12

  3. Change in the Kansas City Cardiomyopathy Questionnaire Physical Limitations Score (KCCQ-PLS)

    The Physical Limitations Score is a single-domain score. Scoring ranges from 0 to 100, with higher scores indicating better health status.

    Time frame: Baseline to Week 12

  4. Change in the Kansas City Cardiomyopathy Questionnaire Overall Summary Score (KCCQ-OSS)

    The Overall Summary Score is a merging of symptom, physical limitations, social limitations, and quality of life domains. Scoring ranges from 0 to 100, with higher scores indicating better health status.

    Time frame: Baseline to Week 12

07

Study locations

63 of 67 sites recruiting
  • Imbria Investigational Site
    La Jolla, California 92037, United States
    • Study Coordinator · Contact · 858-246-5640
    Recruiting
  • Imbria Investigational Site
    Los Angeles, California 90048, United States
    • Study Coordinator · Contact · 6264094913
    Recruiting
  • Imbria Investigational Site
    San Francisco, California 94143, United States
    Recruiting
  • Imbria Investigational Site
    Washington D.C., District of Columbia 20010, United States
    • Study Coordinator · Contact · 202-877-6334
    Recruiting
  • Imbria Investigational Site
    Miami, Florida 33136, United States
    • Study Coordinator · Contact · 7865785926
    Recruiting
  • Imbria Investigational Site
    Chicago, Illinois 60611, United States
    • Study Coordinator · Contact · 312-695-4067
    • Study Coordinator · Contact · 312-926-8629
    Recruiting
  • Imbria Investigational Site
    Oak Lawn, Illinois 60453, United States
    • Study Coordinator · Contact · 708.684.5137
    Not yet recruiting
  • Imbria Investigational Site
    Baltimore, Maryland 21218, United States
    • Study Coordinator · Contact
    • · Contact · 44327891702
    Recruiting
  • Imbria Investigational Site
    Boston, Massachusetts 02114, United States
    • Study Coordinator · Contact · 203-450-8273
    Recruiting
  • Imbria Investigational Site
    Burlington, Massachusetts 01805, United States
    • Study Coordinator · Contact · 781-825-8658
    Recruiting
  • Imbria Investigational Site
    Grand Rapids, Michigan 49503, United States
    • Study Coordinator · Contact · 6163910284
    Recruiting
  • Imbria Investigational Site
    Rochester, Minnesota 55905, United States
    • Study Coordinator · Contact · 5072844253
    Recruiting
  • Imbria Investigational Site
    St Louis, Missouri 63110, United States
    • Study Coordinator · Contact · 314-362-1962
    Recruiting
  • Imbria Investigational Site
    New York, New York 10016, United States
    • Study Coordinator · Contact · 6465010568
    Recruiting
  • Imbria Investigational Site
    Charlotte, North Carolina 28204, United States
    • Study Coordinator · Contact · 7043554796
    Recruiting
  • Imbria Investigational Site
    Portland, Oregon 97239, United States
    • Study Coordinator · Contact · 5034948799
    Recruiting
  • Imbria Investigational Site
    Philadelphia, Pennsylvania 19104, United States
    • Study Coordinator · Contact · 2156623768
    Recruiting
  • Imbria Investigational Site
    Philadelphia, Pennsylvania 19107, United States
    • Study Coordinator · Contact · (215) 503-4913
    Recruiting
  • Imbria Investigational Site
    Houston, Texas 77030, United States
    • Study Coordinator · Contact · 7134414960
    Recruiting
  • Imbria Investigational Site
    Plano, Texas 75093, United States
    • Study Coordinator · Contact · 4698144853
    Recruiting
  • Imbria Investigational Site
    Charlottesville, Virginia 22903, United States
    • Study Coordinator · Contact · 434-982-1058
    Recruiting
  • Imbria Investigational Site
    Richmond, Virginia 23298, United States
    • Study Coordinator · Contact · 8048281601
    Recruiting
  • Imbria Investigational Site
    Graz, 8036, Austria
    • Study Coordinator · Contact · 4331638580264
    Recruiting
  • Imbria Investigational Site
    Edegem, 2650, Belgium
    • Study Coordinator · Contact · 3238213000
    Recruiting
  • Imbria Investigational Site
    Montpellier, 34295, France
    • Study Coordinator · Contact · +33 467 336 431
    Recruiting
  • Imbria Investigational Site
    Paris, 75015, France
    • Study Coordinator · Contact · 33 1 56 09 27 27
    Recruiting
  • Imbria Investigational Site
    Saint-Herblain, 44800, France
    • Study Coordinator · Contact · +33 240 165 710
    Recruiting
  • Imbria Investigational Site
    Bad Oeynhausen, 32545, Germany
    • Study Coordinator · Contact · 495731973399
    Recruiting
  • Imbria Investigational Site
    Göttingen, 37075, Germany
    • Study Coordinator · Contact · 4905513962720
    Recruiting
  • Imbria Investigational Site
    Heidelberg, 69120, Germany
    • Study Coordinator · Contact · 4962215638336
    Recruiting
  • Imbria Investigational Site
    Jena, 07747, Germany
    • Study Coordinator · Contact · 4915232184941
    Not yet recruiting
  • Imbria Investigational Site
    Florence, 50139, Italy
    • Study Coordinator · Contact · 390557945138
    Recruiting
  • Imbria Investigational Site
    Massa, 54100, Italy
    • Study Coordinator · Contact · 393277861790
    Recruiting
  • Imbria Investigational Site
    Milan, 20131, Italy
    • Study Coordinator · Contact · 390264447940
    Recruiting
  • Imbria Investigational Site
    Milan, 20146, Italy
    • Study Coordinator · Contact · +39 02619112895
    Recruiting
  • Imbria Investigational Site
    Milan, 20162, Italy
    • Study Coordinator · Contact · +39 0264446715
    Recruiting
  • Imbria Investigational Site
    Naples, 80131, Italy
    • Study Coordinator · Contact · +39 3357621204
    Recruiting
  • Imbria Investigational Site
    Amsterdam-Zuidoost, 1105 AZ, Netherlands
    • Study Coordinator · Contact · 310204444912
    Recruiting
  • Imbria Investigational Site
    Leiden, 2333ZC, Netherlands
    • Study Coordinator · Contact · 31715263009
    Not yet recruiting
  • Imbria Investigational Site
    Nijmegen, 6525 GA, Netherlands
    • Study Coordinator · Contact · 31243616785
    Not yet recruiting
  • Imbria Investigational Site
    Rotterdam, 3015 AA, Netherlands
    • Study Coordinator · Contact · +31 10 704 0 704
    Recruiting
  • Imbria Investigational Site
    Katowice, 40-555, Poland
    • Study Coordinator · Contact · +48 604 122 669
    Recruiting
  • Imbria Investigational Site
    Warsaw, 02-507, Poland
    • Study Coordinator · Contact · 48227221113
    Recruiting
  • Imbria Investigational Site
    Wroclaw, 53-114, Poland
    • Study Coordinator · Contact · 48 517 311 583
    Recruiting
  • Imbria Investigational Site
    Guimarães, 4835-044, Portugal
    • Study Coordinator · Contact
    Recruiting
  • Imbria Investigational Site
    Lisbon, 1169-024, Portugal
    • Study Coordinator · Contact
    Recruiting
  • Imbria Investigational Site
    Lisbon, 1500-650, Portugal
    • Study Coordinator · Contact · 351969870409
    Recruiting
  • Imbria Investigational Site
    Barcelona, Barcelona 08035, Spain
    • Study Coordinator · Contact · +34 677 381 128
    Recruiting
  • Imbria Investigational Site
    A Coruña, Galicia 15006, Spain
    • Study Coordinator · Contact · +34 981 176 540
    Recruiting
  • Imbria Investigational Site
    Madrid, Madrid 28034, Spain
    • Study Coordinator · Contact · 34 913 368 954
    Recruiting
  • Imbria Investigational Site
    Vigo, Pontevedra 36312, Spain
    • Study Coordinator · Contact
    Recruiting
  • Imbria Investigational Site
    Seville, Sevilla 41009, Spain
    • Study Coordinator · Contact · 34 600 162 398
    Recruiting
  • Imbria Investigational Site
    Seville, Sevilla 41013, Spain
    • Study Coordinator · Contact · +34 955 013 105
    Recruiting
  • Imbria Investigational Site
    Barcelona, 8036, Spain
    • Study Coordinator · Contact · 3463329611
    Recruiting
  • Imbria Investigational Site
    Barcelona, 8041, Spain
    • Study Coordinator · Contact · 3493291900
    Recruiting
  • Imbria Investigational Site
    Barcelona, 8907, Spain
    • Study Coordinator · Contact · 9326073202108
    Recruiting
  • Imbria Investigational Site
    El Palmar, 30120, Spain
    • Study Coordinator · Contact · 34689931292
    Recruiting
  • Imbria Investigational Site
    Madrid, 28222, Spain
    • Study Coordinator · Contact · 34911917297
    Recruiting
  • Imbria Investigational Site
    Palma de Mallorca, 07198, Spain
    • Study Coordinator · Contact · 34871202102
    Recruiting
  • Imbria Investigational Site
    Salamanca, 37007, Spain
    • Study Coordinator · Contact · 34658403315
    Recruiting
  • Imbria Investigational Site
    Valencia, 03010, Spain
    • Study Coordinator · Contact · 34965913678
    Recruiting
  • Imbria Investigational Site
    Valencia, 46026, Spain
    • Study Coordinator · Contact · 34965913921
    Recruiting
  • Imbria Investigational Site
    London, England W12 0HS, United Kingdom
    • Study Coordinator · Contact · 44 020 3313 7156
    Recruiting
  • Imbria Investigational Site
    Glasgow, Scotland G51 4TF, United Kingdom
    • Study Coordinator · Contact · 44-141 232 7600
    Recruiting
  • Imbria Investigational Site
    London, EC1A 7BE, United Kingdom
    • Study Coordinator · Contact · 442037658635
    Recruiting
  • Imbria Investigational Site
    London, SW3 6HP, United Kingdom
    • Study Coordinator · Contact · 4403301288121
    Recruiting
  • Imbria Investigational Site
    Oxford, OX3 9DU, United Kingdom
    • Study Coordinator · Contact · 441865234554
    Recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07023614
Lead sponsor
Imbria Pharmaceuticals, Inc.
Responsible party
Sponsor
First posted
Jun 17, 2025
Start date
Oct 6, 2025
Primary completion
Dec 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
May 18, 2026

Study contacts

Medical Monitor
Contact
info@imbria.com
(617) 675-4060

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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