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ArticleCardiology and therapy2026

VERINA: A Phase IV Prospective Multicenter Study of Vericiguat in Indian Patients with Worsening Heart Failure and Reduced Ejection Fraction.

Sandeep Seth, Atul Abhyankar, Jabir Abdullakutty, Suvro Banerjee, Kamal Sharma, Vinod Vijan, Nirav Chandulal Bhalani, Vijay Kumar Chopra, Rakesh Kumar Aggarwal, Abraham Oomman and 6 more

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Article in Cardiology and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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16 authors.

Sandeep SethDepartment of Cardiology, All India Institute of Medical Sciences (AIIMS) Hospital, 7Th Floor, Ansari Nagar, New Delhi, 110029, India. drsandeepseth@hotmail.com.
Atul AbhyankarShri B D Mehta Mahavir Heart Institute, Surat, Gujarat, 395001, India.
Jabir AbdullakuttyDepartment of Cardiology, Lisie Hospital, Kochi, Kerala, 682018, India.
Suvro BanerjeeDepartment of Cardiology, Apollo Multispeciality Hospital, Kolkata, West Bengal, 700054, India.
Kamal SharmaDepartment of Cardiology, Sanjivani Super Speciality Hospital Pvt Ltd, Ahmedabad, Gujarat, 380015, India.
Vinod VijanDepartment of Cardiology, Vijan Hospital and Research Centre, Nashik, Maharashtra, India, 422005.
Nirav Chandulal BhalaniDepartment of Cardiology, Rhythm Heart Institute, Vadodara, Gujarat, 390022, India.
Vijay Kumar ChopraCardiac Sciences, Heart Failure and Research, Max Super Speciality Hospital Saket, New Delhi, 110017, India.
Rakesh Kumar AggarwalDepartment of Cardiology, Deep Hospital, Ludhiana, Punjab, 141002, India.
Abraham OommanDepartment of Cardiology, Apollo Hospitals, Chennai, Tamil Nadu, 600006, India.
Sandeep BansalVMMC and Safdarjung Hospital, New Delhi, 110029, India.
Rajendra Kumar JainDepartment of Cardiology, Krishna Institute of Medical Sciences, Hyderabad, Telangana, 500003, India.
Pravin KahaleDepartment of Cardiology, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, Maharashtra, 400053, India.
Priyanka SodhiDepartment of Medical Affairs, Bayer Pharmaceuticals Pvt Ltd, Mumbai, Maharashtra, India.
Disha GuptaDepartment of Medical Affairs, Bayer Pharmaceuticals Pvt Ltd, Mumbai, Maharashtra, India.
Ashish GawdeDepartment of Medical Affairs, Bayer Pharmaceuticals Pvt Ltd, Mumbai, Maharashtra, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients with heart failure (HF) with reduced ejection fraction (HFrEF) remain at high risk of cardiovascular (CV) death and hospitalization following a worsening heart-failure event. Data on vericiguat, a prescription oral medication used to treat symptomatic chronic HF, in adult Indian patients are limited.

methodsAdults with chronic HFrEF and a worsening heart-failure event were enrolled in a prospective, multicenter, open-label, single-arm phase IV study design. Participants received vericiguat in addition to foundational medical therapy (FMT) and were followed for approximately 48 weeks. The primary endpoint was CV death or first hospitalization for HF. Secondary endpoints included CV death, first hospitalization for HF, all-cause death or first hospitalization for HF, all-cause death and safety outcomes.

resultsOf 231 patients who underwent screening, 205 received vericiguat and comprised the safety analysis set; of these, 203 patients constituted the full analysis set. The mean age of participants was 58 years. Baseline use of angiotensin receptor-neprilysin inhibitors and sodium-glucose cotransporter-2 inhibitors was 52.7% and 75.6%, respectively. At week 48, Kaplan-Meier (KM) estimates were 10.1% for the primary endpoint, 3.3% for CV death, 9.1% for first hospitalization for HF, 11.5% for all-cause death or first hospitalization for HF, and 5.9% for all-cause death. Attainment of the target dose was 91.6%, with 69.5% of participants reaching and maintaining 10 mg by week 4. Study drug-related adverse events (AEs) were reported in 3.4% of participants, and treatment-emergent AEs requiring discontinuation in 2.0% of participants.

conclusionIn Indian patients with worsening HFrEF, high target-dose attainment and no new safety signals were observed during 48 weeks of vericiguat treatment.

trial registrationClinical Trials Registry-India: CTRI/2022/11/047636.

Indexed as

CV event outcomesDose titrationFMTHF hospitalizationHFrEFIndiaPhase IVSafetyVericiguatWorsening heart failure

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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.