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REGN5381

Phase 2

Heart Failure | Small molecule | Cardiovascular |Regeneron Pharmaceuticals, Inc.|Trials Updated: Sep 29, 2026

REGN5381 development status

Highest phase Phase 2
Registered trials 5 across 1 sponsor since Aug 2020

REGN5381 target and mechanism

Molecular targetNPR1
Target classProtein
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials1
Total Enrollment59

FDA Designations

No designations recorded

REGN5381 clinical trials

REGN5381 · 1 trial · 1 indication

Phase 2 1
NCT05353166REGN5381 in Heart Failure Adult Participants With Elevated Pulmonary Capillary Wedge PressureHeart Failure
COMPLETED59 Analytics
PHASE2COMPLETED
REGN5381 in Heart Failure Adult Participants With Elevated Pulmonary Capillary Wedge Pressure
Heart FailureUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Treatment-emergent Adverse Events (TEAEs)
From first dose (Day 1) up to end of study (Day 126)

An adverse event (AE) was defined as any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. TEAEs were defined as those adverse events with either initial onset after study drug dose or that represented an exacerbation of a pre-existing condition after the study drug dose.

Secondary Endpoints

Change From Baseline in Pulmonary Capillary Wedge Pressure (PCWP)
Baseline, Day 1 (2 hours, 4 hours, and 6 hours post end of infusion)
Change From Baseline in Central Venous Pressure (CVP)
Baseline, Day 1 (0-1 hour, 1-2 hours, 2-3 hours, 3-4 hours, 4-5 hours, 5-6 hours, and 6-7 hours post start of infusion)
Change From Baseline in Invasive Cardiac Output (CO)
Baseline, Day 1 (0-1 hour, 1-2 hours, 2-3 hours, 3-4 hours, 4-5 hours, 5-6 hours, and 6-7 hours post start of infusion)
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Group AEXPERIMENTALRandomized 1:1; limited to participants with heart failure with reduced ejection fraction (HFrEF) not taking sacubitril/valsartan
Group BEXPERIMENTALRandomized 1:1; limited to participants with HFrEF taking sacubitril/valsartan
Group CEXPERIMENTALRandomized 1:1; limited to participants with heart failure with preserved ejection fraction (HFpEF) not taking sacubitril/valsartan

Interventions

NameTypeDescription
REGN5381DRUGSingle dose administered via IV infusion
Matching PlaceboDRUGSingle dose administered via IV infusion
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites1

Key Inclusion Criteria: 1. Body mass index (BMI) between 18 and 35 kg/m\^2, inclusive, rounded to the nearest whole number 2. Ambulatory participants with New York Heart Association (NYHA) class II/III heart failure and at least 1 sign and/or symptom of congestion (eg, dyspnea on exertion, worsenin...

Countries:Moldova
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Frequently asked questions about REGN5381

What is REGN5381 used for?

REGN5381 is being developed for the treatment of heart failure. It is an investigational small molecule studied in adult participants with heart failure and elevated pulmonary capillary wedge pressure. Regeneron Pharmaceuticals is evaluating it in a Phase 2 clinical program, so it is not yet an approved therapy for any indication.

What does REGN5381 target?

REGN5381 targets NPR1, also known as the natriuretic peptide receptor 1. NPR1 is a protein target, and REGN5381 is a small molecule designed to act on it. This receptor is part of the natriuretic peptide signaling pathway relevant to cardiovascular function and fluid and pressure regulation in heart failure.

Who is developing REGN5381?

Regeneron Pharmaceuticals, Inc. is developing REGN5381. The company trades on the Nasdaq under the ticker REGN. Regeneron is the sponsor behind the clinical program evaluating this small molecule in heart failure, including the Phase 2 study conducted in adult participants with elevated pulmonary capillary wedge pressure.

What phase is REGN5381 in?

REGN5381 is in Phase 2 clinical development. It is an investigational drug and has not been approved by the FDA. The Phase 2 trial in heart failure has been completed, and no active trials of REGN5381 are currently listed in the development program.

What clinical trials is REGN5381 in?

REGN5381 has been studied in the Phase 2 trial NCT05353166, titled REGN5381 in Heart Failure Adult Participants With Elevated Pulmonary Capillary Wedge Pressure. The trial enrolled 59 participants, was randomized, double blind, and controlled, and included adults aged 18 years and older of all sexes. It was conducted in Moldova and is completed.