Evidence mapPaperPMID 35880474Full record

SynthesisESC heart failure2022

Vericiguat and NT-proBNP in patients with heart failure with reduced ejection fraction: analyses from the VICTORIA trial.

Michele Senni, Jose Lopez-Sendon, Alain Cohen-Solal, Piotr Ponikowski, Richard Nkulikiyinka, Cecilia Freitas, Vanja Miodrag Vlajnic, Lothar Roessig, Burkert Pieske

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in ESC heart failure, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
7.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Observational
  6. Use of vericiguat in the VICTOR trial: a study that is difficult to interpret.European heart journal supplements : journal of the European Society of Cardiology · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Cost-Utility Analysis of Vericiguat in Heart Failure with Reduced Ejection Fraction After Worsening Heart Failure Events in China.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2024
    Article
  17. Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 6 countries.

Michele SenniCardiology Division, Cardiovascular Department, Ospedale Papa Giovanni XXIII, Bergamo, University of Milan-Bicocca, Milan, Italy.
Jose Lopez-SendonIdiPaz Research Institute, Hospital La Paz, Universidad Autonoma Madrid, Madrid, Spain.
Alain Cohen-SolalUMR-S942 (MASCOT), Université Paris Cite, Lariboisiere Hospital, AP-HP, Paris, France.
Piotr PonikowskiCardiology Department, Wroclaw Medical University, Wroclaw, Poland.
Richard NkulikiyinkaClinical Development, Bayer AG, Wuppertal, Germany.
Cecilia FreitasBayer AG, Berlin, Germany.
Vanja Miodrag VlajnicData Sciences & Analytics (DS&A), Bayer US LLC, Whippany, NJ, USA.
Lothar RoessigClinical Development, Bayer AG, Wuppertal, Germany.
Burkert PieskeDepartment of Internal Medicine and Cardiology, Charité University Medicine, and German Heart Center, Berlin, Germany.
Bayer (Germany) · DEBayer (United States) · USDeutsches Herzzentrum der Charité · DEHospital La Paz Institute for Health Research · ESOspedale Papa Giovanni XXIII · ITUniversité Paris Cité · FRWroclaw Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTreatment response to vericiguat, based on baseline N-terminal pro-brain natriuretic peptide (NT-proBNP) subgroups specified in the protocol, was evaluated in the heart failure (HF) VICTORIA trial population by post hoc analysis of combined lower three quartiles [Q1-Q3] vs. the upper quartile [Q4]. METHODS AND

resultsVICTORIA participants with available baseline NT-proBNP levels (n = 4805; 95.1% of total) were included. Compared with patients in Q1-Q3 (NT-proBNP: Q1, ≤1556 pg/mL; Q2, >1556-2816 pg/mL; and Q3, >2816-5314 pg/mL), patients in Q4 (NT-proBNP: >5314 pg/mL) were older (69.2 ± 12.0 vs. 66.6 ± 12.1 years), had lower mean ejection fraction (27.2 ± 8.3% vs. 29.5 ± 8.2%; P < 0.0001), and were more likely to be in New York Heart Association (NYHA) Class III (51.8 vs. 35.6%) or IV (2.4 vs. 1.0%). Compared with Q1-Q3, patients in Q4 had higher mean Meta-Analysis Global Group in Chronic Heart Failure risk score (27.3 ± 6.6 vs. 23.5 ± 6.4; P < 0.0001), had lower mean estimated glomerular filtration rate (eGFR; 51.5 ± 25.5 vs. 65.0 ± 26.8 mL/min/1.73 m

conclusionsPlasma NT-proBNP may help identify patients with worsening HF with reduced ejection fraction, in whom the beneficial effects of vericiguat may be highest. Patients with highest NT-proBNP values are probably too far advanced, suffering more co-morbidities, or still clinically unstable after decompensation to derive benefit from vericiguat.

Indexed as

Heart FailureHeterocyclic Compounds, 2-RingHumansNatriuretic Peptide, BrainPeptide FragmentsPyrimidinesStroke VolumeHeterocyclic Compounds, 2-RingNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)PyrimidinesvericiguatHeart failureHeart failure with reduced ejection fractionNT-proBNP

Identifiers

PMID35880474
PMCPMC9773767
OpenAlexW4287958213

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.