Evidence map›Paper›PMID 40887551›Full record

Trial reportNature medicine2025

Effects of volenrelaxin in worsening heart failure with preserved ejection fraction: a phase 2 randomized trial.

Barry A Borlaug, Jeffrey M Testani, Mark C Petrie, Zhenzhong Wang, Jonathan Cunningham, Kirkwood F Adams, Offer Amir, Jan Bělohlávek, Edimar Bocchi, Aguinaldo Freitas and 9 more

Abstract readRandomized Controlled TrialClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Nature medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

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

5 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. 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

19 authors.

Barry A Borlaug *Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, USA. borlaug.barry@mayo.edu.ORCID http://orcid.org/0000-0001-9375-0596
Jeffrey M Testani *Department of Internal Medicine, Section of Cardiovascular Medicine, Yale University School of Medicine, New Haven, CT, USA.
Mark C PetrieSchool of Cardiovascular and Medical Sciences, British Heart Foundation Glasgow Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.ORCID http://orcid.org/0000-0002-6333-9496
Zhenzhong WangEli Lilly and Company, Indianapolis, IN, USA.
Jonathan CunninghamBrigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0003-4481-7867
Kirkwood F AdamsDepartments of Medicine and Radiology, University of North Carolina, Chapel Hill, NC, USA.
Offer AmirHeart Institute, Hadassah Medical Center, Jerusalem, Israel.
Jan Bělohlávek2nd Department of Internal Medicine, Cardiovascular Medicine, General University Hospital and 1st Faculty of Medicine, Charles University in Prague, Prague, Czechia.
Edimar BocchiHeart Failure Clinics, Instituto do Coração do Hospitasl das Clínicas da Faculdade de Medicina da USP, São Paulo, Brazil.
Aguinaldo FreitasUniversidade de São Paulo, São Paulo, Brazil.ORCID http://orcid.org/0000-0003-3778-7153
Miguel HominalCentro de Investigaciones Clínicas del Litoral, Santa Fe, Argentina.
Toshiaki KadokamiFutsukaichi Hospital of Saiseikai Imperial Gift Foundation, Fukuoka, Japan.ORCID http://orcid.org/0000-0001-9017-700X
Bela MerkelyHeart and Vascular Center, Semmelweis University, Budapest, Hungary.
Christopher A MillerDivision of Cardiovascular Sciences, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.ORCID http://orcid.org/0000-0002-5957-7088
Julio NuñezDepartment of Cardiology, Hospital Clínico Universitario de Valencia, Valencia, Spain.ORCID http://orcid.org/0000-0003-1672-7119
Subodh VermaDivision of Cardiac Surgery, St. Michael's Hospital Unity Health Toronto, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0002-4018-8533
Mehmet Birhan YilmazDepartment of Cardiology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.
Ena OruEli Lilly and Company, Indianapolis, IN, USA.
Flora SamEli Lilly and Company, Indianapolis, IN, USA.ORCID http://orcid.org/0000-0001-8442-9362

Funding

Pulmonary Hypertension in Left Heart DiseaseR01HL162828 · NHLBI · MAYO CLINIC ROCHESTER · PI Barry A. Borlaug, Margaret M Redfield · 2023 to 2026
$3.1M
HL-Inorganic Nitrite to Enhance Benefits from Exercise Training in Heart Failure with preserved Ejection FractionR01HL128526 · NHLBI · MAYO CLINIC ROCHESTER · PI BORLAUG, BARRY A. · 2016 to 2019
$2.4M
Mayo Clinic HeartShare Clinical CenterU01HL160226 · NHLBI · MAYO CLINIC ROCHESTER · PI Barry A. Borlaug, Margaret M Redfield · 2021 to 2026
$1.8M
Effect of Neprilysin Inhibition on Myocardial Interstitial FibrosisK23HL168163 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI Jonathan Woo Cunningham · 2024 to 2026
$586k
American Heart Association-American Stroke Association 23CDA1052151NHLBI NIH HHS K23 HL168163NHLBI NIH HHS R01 HL128526NHLBI NIH HHS R01 HL162828NHLBI NIH HHS U01 HL160226United States Department of Defense | United States Army | Army Medical Command | Congressionally Directed Medical Research Programs (CDMRP) W81XWH2210245U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) HL128526U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) HL160226U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) HL162828
6 · The paper itself

Abstract

Relaxin is a peptide hormone that may decrease circulatory congestion and improve kidney function. In this study, we conducted a double-blind, international, multicenter trial to test whether volenrelaxin, a long-acting form of human relaxin, can improve left atrial (LA) function, reduce congestion and improve kidney function in patients with heart failure and preserved ejection fraction (HFpEF). We randomly assigned patients with New York Heart Association (NYHA) class II-IV HFpEF and recent heart failure (HF) decompensation to 25-mg, 50-mg or 100-mg volenrelaxin or placebo administered subcutaneously once weekly. The primary outcome was the change in LA reservoir strain at 26 weeks, with key secondary endpoints including changes in N-terminal pro-B-type natriuretic peptide (NT-proBNP), estimated glomerular filtration rate (eGFR) and safety. The trial was stopped early by the sponsor because of evidence for worsening congestion after 332 participants had been enrolled (mean age 74 years, 49% women, mean body mass index 30.6 kg m

Indexed as

Heart FailureRelaxinStroke VolumeAgedAged, 80 and overDouble-Blind MethodFemaleGlomerular Filtration RateHeart AtriaHumansMaleMiddle AgedNatriuretic Peptide, BrainPeptide FragmentsTreatment OutcomeNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)Relaxin

Identifiers

PMID40887551
PMCPMC12618225

What OpenQuestion holds

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Registered trials

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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 OpenQuestion graph.