With details of the PARAGON-HF trial of Entresto (sacubitril/valsartan) in heart failure with preserved ejection fraction (HFpEF) unveiled at the European Society of Cardiology Congress in Paris, Novartis AG is optimistic that it will still be able to extend its reach at least some way into this large and untapped space. Despite missing the endpoint of the pivotal trial, the company believes it has good enough data to pursue approval for subsets of patients, and the presentation by the trial’s executive committee co-chair Scott Solomon of the Brigham and Women’s Hospital and Harvard medical School in Paris elucidated those subgroups for the first time.
PARAGON-HF: Novartis Hangs Onto Hope For Entresto In HFpEF
Despite Phase III miss, Novartis is hopeful that the totality of the evidence will secure it at least a limited label expansion to a sizable but harder to treat portion of the heart failure market than Entresto already serves.

More from Cardiovascular
The German firm’s chairman, Hubertus von Baumbach, is adopting a ‘wait-and-see’ approach to the threat of pharma tariffs.
With new Phase II data, Edgewise asserted that EDG-7500, a sarcomere modulator, could offer better efficacy and safety than cardiac myosin inhibitors in hypertrophic cardiomyopathy.
Strong sales growth for the German group’s SGLT2 inhibitor in 2024
The firm has lofty ambitions for the aldosterone synthase inhibitor to treat hypertension and kidney disease.
More from Therapy Areas
Investing heavily in antibody-drug conjugates, AbbVie is pioneering a dual STEAP1xPSMA-targeting approach in prostate cancer, as other candidates advance.
Strong sales growth for the German group’s SGLT2 inhibitor in 2024
The study’s failure in the overall MDD population was not a surprise, but solriamfetol’s efficacy in MDD with EDS provided a rationale for testing it in that subpopulation.