Income Statement Presentation 2023
Roche
STRONG-HF1 trial stopped early due to superior efficacy²
Significant reduction of hospitalizations or mortality in heart failure
Evaluate the efficacy and safety of rapid up-titration of oral HF therapy, supported by
Disease burden
> 64m patients diagnosed with heart
failure annually5
NT-proBNP monitoring2,3,4
>50% mortality after 5 years of patients under
current site of care treatment regimen
STRONG-HF
CONTEMPORARY POST-DISCHARGE MANAGEMENT IN HEART FAILURE
Study set up
FQ
American
Heart
Association.
6 tests per patient of NT-proBNP are
needed for safety monitoring (on label)
Serial measurements of NT-proBNP during
uptitration of 4 evidence based HF drugs?
N=1078 Pts8, 10EP: composite all-cause
death + HF hospitalization at day 180
Outcome: 34% decrease in hospitalization and deaths, p<0.05 (NNT=12)2,9
1 Safety, Tolerability and Efficacy of Rapid Optimization, Helped by NT-proBNP testing, of Heart Failure Therapies; 2 Mebazza-A et al. Lancet 2022. 400:1938-1952; 3 Kimmoun-A et al. Eur J Heart Fail 2019. 21: 1459-1467; 4 Gotter-G et
44
al. Eur J Heart Fail 2021. 23:1981-1982; 5 Groenewegen-A et al. Eur J Heart Fail 2020. 22:1342-1356; 'multicenter, randomized, parallel group strategy-based trial; 7 Source: https://clinicaltrials.gov/ct2/show/NCT03412201, Drugs:
beta-blockers; angiotensin converting enzyme inhibitors (ACEI), angiotensin receptor blocker (ARB) or angiotensin receptor neprolysin inhibitor (ARNI); and mineralocorticoid receptor antagonist (MRAs); 8 Initially planned study
setup of n=1,800 which wasn't reached due to termination for superior efficacy; 9 NNT = Number Needed to TreatView entire presentation