Safety, pharmacokinetics, and exploratory efficacy of the oral ghrelin receptor agonist AC01 in heart failure with reduced ejection fraction (GOAL-HF1): a randomised …
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LH Lund, AB Aizpurua, E Bollano, O Braun…
The Lancet, 2026
thelancet.com
Background The central problem in heart failure with reduced ejection fraction (HFrEF) is reduced contractility. Existing inotropes are associated with adverse effects. In this exploratory study, we aimed to assess the safety and tolerability of AC01, a novel oral calcium-sensitising inotrope and ghrelin receptor agonist, in patients with HFrEF. Methods In this phase 1b/2a, randomised, double-blind, placebo-controlled study, adults aged 18–80 years with heart failure for at least 6 months and an ejection fraction of 40% or lower were …

