24 Participants Needed

YAP101 Gene Therapy for Heart Failure

(SALVADOR-HF Trial)

TH
Do
Overseen ByDirector of Operations
Age: 18+
Sex: Any
Trial Phase: Phase 1
Sponsor: YAP Therapeutics, Inc.
Must be taking: Guideline directed therapy
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores a new gene therapy called YAP101 to assist individuals with heart failure resulting from a past heart attack. The goal is to determine if this treatment can safely enhance heart function by aiding in heart repair, reducing scarring, and improving pumping ability. Participants will receive a one-time treatment directly into the heart and will be monitored for a year to assess changes in heart health and daily life. The trial seeks adults with stable heart failure, experiencing symptoms like shortness of breath and fatigue for at least a year, who are unable to undergo certain heart surgeries. As a Phase 1 trial, this research aims to understand how YAP101 functions in people, offering participants the unique opportunity to be among the first to receive this innovative treatment.

Will I have to stop taking my current medications?

The trial requires participants to be on stable, maximally tolerated guideline-directed medical therapy for heart failure for at least 6 weeks before joining. This suggests you should continue your current heart failure medications unless advised otherwise by the study team.

Is there any evidence suggesting that YAP101 gene therapy is likely to be safe for humans?

Research shows that YAP101, a gene therapy for heart failure, has promising safety results in early studies. Patients generally tolerated the therapy well in these studies. Researchers have not observed any serious side effects related to the treatment. This is encouraging, especially since YAP101 remains in the early testing stages. Ongoing monitoring continues to ensure its safety.12345

Why do researchers think this study treatment might be promising?

Researchers are excited about YAP101 for heart failure because it offers a novel approach through gene therapy. Unlike existing treatments like ACE inhibitors or beta-blockers, which manage symptoms by modifying heart function or blood pressure, YAP101 targets the underlying cellular processes. This gene therapy aims to enhance heart repair and regeneration by delivering the YAP101 gene directly to heart cells, potentially leading to more effective and lasting improvements in heart function. This innovative mechanism provides hope for tackling heart failure at its root, rather than just alleviating its symptoms.

What evidence suggests that YAP101 might be an effective treatment for heart failure?

Research has shown that YAP101 might help treat ischemic heart failure with reduced ejection fraction (HFrEF). It aids heart cell survival and reduces harmful changes in the heart. YAP101 employs gene therapy to target specific pathways that repair the heart, aiming to regrow heart muscle and enhance its function. Early results suggest this approach can repair damaged tissue, reduce scarring, and improve the heart's pumping ability. Although the data remains new, YAP101 offers hope for improving heart function in patients with limited treatment options. Participants in this trial will receive varying dosages of YAP101 to evaluate its effectiveness and safety.14567

Who Is on the Research Team?

AP

Alexander Postalian, MD

Principal Investigator

Texas Heart Institute

Are You a Good Fit for This Trial?

Adults aged 18-80 with stable heart failure due to a past heart attack, showing specific symptoms for at least a year, and having certain levels of heart pumping function can join. They must be on steady heart failure medication for 6 weeks and not eligible for other heart procedures. Candidates should have adequate heart wall thickness, be able to undergo catheterization, agree to use contraception, and provide consent.

Inclusion Criteria

My heart's left ventricle wall is thick enough for an injection.
I agree to follow the study's rules for birth control.
I have signed a consent form.
See 5 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive a one-time transendocardial injection of YAP101 at one of three dose levels using an investigational cardiac injection catheter

1 day
1 visit (in-person)

Monitoring

Participants are monitored for safety and functional outcomes through a series of outpatient visits

12 months
Multiple visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

Long-term follow-up (optional)

Participants have the option to enroll in a long-term follow-up study for up to 5 years

Up to 5 years

What Are the Treatments Tested in This Trial?

Interventions

  • YAP101
Trial Overview The trial is testing YAP101 gene therapy in adults with ischemic heart failure. It's delivered once through a cardiac injection aiming to regenerate the damaged part of the heart muscle. The study will track safety and improvements in how well the participants' hearts work, their ability to exercise, and overall life quality over one year.
How Is the Trial Designed?
4Treatment groups
Experimental Treatment
Group I: Cohort 4 (Dose Level Expansion): Dose level TBDExperimental Treatment1 Intervention
Group II: Cohort 3: 5e13 vg YAP101Experimental Treatment1 Intervention
Group III: Cohort 2: 1e13 vg YAP101Experimental Treatment1 Intervention
Group IV: Cohort 1: 5e12 vg YAP101Experimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

YAP Therapeutics, Inc.

Lead Sponsor

Trials
1
Recruited
20+

Citations

Study Assessing Left Ventricular Administration of a ...Overview. This clinical trial investigates the safety and preliminary effectiveness of YAP101, a gene therapy designed to improve heart ...
YAP101 Gene Therapy for Heart FailureThis suggests that YAP101, which likely involves YAP, could be effective in treating heart failure by promoting heart cell survival and reducing harmful changes ...
Study Assessing Left Ventricular Administration of a Genetic ...This clinical trial investigates the safety and preliminary effectiveness of YAP101, a gene therapy designed to improve heart function in adults ...
Gene Therapy for Heart FailureThe 5-year survival rate for patients with Stage D heart failure, the most advanced form of the disease, is only 20%. Gene Therapy for Heart Failure. The dismal ...
Gene Therapy for Heart Failure Demonstrates Safety and ...Phase 1 data for a new gene therapy heart failure treatment demonstrates the drug's safety in treating congestive heart failure with reduced ...
Study Assessing Left Ventricular Administration of a ...This clinical trial investigates the safety and preliminary effectiveness of YAP101, a gene therapy designed to improve heart function in ...
Study Assessing Left Ventricular Administration of a ...This clinical trial investigates the safety and preliminary effectiveness of YAP101, a gene therapy designed to improve heart function in ...
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