Evidence map›Paper›PMID 40908498›Full record

Trial reportESC heart failure2025

Re-PERFUSE: Phase 1b study of AZD3427, a novel relaxin receptor agonist, on renal perfusion in HFrEF patients.

Marcin Ufnal, Macarena P Quintana-Hayashi, Kathleen Connolly, Daniel Pettersen, Zsolt Cselényi, Aurelija Jucaite, Magnus Schou, Andrea Varrone, Melanie Chan, Lars H Lund

2 registry-linked trialsAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in ESC heart failure, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT04630067 phase1completednot on this map

A Phase Ia/b Randomized, Single-blinded, Placebo-controlled Study to Evaluate the Safety, Tolerability, Immunogenicity, and Pharmacokinetics of Single Ascending Doses of AZD3427 in Healthy Volunteers and Multiple Ascending Doses of AZD3427 in Patients With Heart Failure (HFrEF and HF With EF ≥ 41%)

TypeinterventionalSponsorAstraZenecaRan2020 to 2022Enrolled105ConditionsHeart FailureArmsAZD3427, Placebo
NCT06611423 phase1terminatednot on this map

A Phase Ib, Double-blind, Placebo-controlled, Randomised Trial Investigating the Effect of AZD3427 on Renal Perfusion in HFrEF Patients With Renal Impairment Using Positron Emission Tomography (PET)

TypeinterventionalSponsorAstraZenecaRan2024 to 2025Enrolled10ConditionsHeart Failure With Reduced Ejection Fraction (HFrEF), Renal ImpairmentArmsAZD3427, AZD3427 Placebo, Dopamine, Radiolabelled ligand, Saline
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

10 authors.

Marcin UfnalEarly Clinical Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Stockholm, Sweden.
Macarena P Quintana-HayashiEarly Clinical Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Stockholm, Sweden.
Kathleen ConnollyEarly Clinical Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Stockholm, Sweden.
Daniel PettersenEarly Clinical Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Stockholm, Sweden.
Zsolt CselényiPET Science Centre at Karolinska Institutet, PMB, R&D Oncology, AstraZeneca, Stockholm, Sweden.
Aurelija JucaitePET Science Centre at Karolinska Institutet, PMB, R&D Oncology, AstraZeneca, Stockholm, Sweden.
Magnus SchouPET Science Centre at Karolinska Institutet, PMB, R&D Oncology, AstraZeneca, Stockholm, Sweden.
Andrea VarroneDepartment of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet and Stockholm Healthcare Services, Stockholm, Sweden.
Melanie ChanBiometrics, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Mississauga, Ontario, Canada.
Lars H LundDivision of Cardiology, Department of Medicine, Karolinska Institutet, and Department of Cardiology, Karolinska University Hospital, Stockholm, Sweden.

Funding

AstraZeneca
6 · The paper itself

Abstract

aimsRenal impairment frequently coexists with heart failure (HF) and is associated with increased risk of poor clinical outcomes. This highlights the urgent need for therapies targeting both cardiac and renal dysfunction. AZD3427, a long-acting recombinant fusion protein and relaxin analogue that selectively activates the relaxin family peptide receptor 1 (RXFP1), showed trends of increased stroke volume and estimated glomerular filtration rate (eGFR) in HF patients (NCT04630067). The hypothesis is that AZD3427 may enhance GFR by expanding the functional renal cortex volume and improving renal perfusion. METHODS AND

resultsThe Re-PERFUSE study (NCT06611423) is a Phase 1b, randomised, double-blind, placebo-controlled trial aimed at evaluating the effects of AZD3427 on renal perfusion in patients with HF and reduced ejection fraction (HFrEF) with reduced eGFR. Patients with HF, EF ≤ 40% and an eGFR of 30 to 90 mL/min/1.73 m

conclusionsThis study, alongside other ongoing AZD3427 studies, aims to evaluate the dual effects of AZD3427 in improving both cardiac and renal function. These insights could guide the development of future therapeutic strategies for managing HF and renal impairment.

Indexed as

Glomerular Filtration RateHeart FailureKidneyReceptors, G-Protein-CoupledRelaxinRenal CirculationStroke VolumeAgedDouble-Blind MethodFemaleHumansMaleMiddle AgedReceptors, PeptideReceptors, G-Protein-CoupledReceptors, PeptideRelaxinrelaxin receptorseGFRHeart failureLeft heart diseasePETRandomised trialRelaxinRenal blood flow

Identifiers

PMID40908498
PMCPMC12719792

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.