June 24, 2026 · Lancet (London, England) · DOI: 10.1016/S0140-6736(26)00904-9

Safety, pharmacokinetics, and exploratory efficacy of the oral ghrelin receptor agonist AC01 in heart failure with reduced ejection fraction (GOAL-HF1): a randomised, double-blind, placebo-controlled, phase 1b/2a study

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This study aimed to evaluate the safety, tolerability, and preliminary efficacy of AC01, an oral ghrelin receptor agonist, in patients with heart failure with reduced ejection fraction (HFrEF). The results indicated that AC01 was generally safe and well tolerated over 28 days, with no major adverse events reported, suggesting potential for further investigation in larger trials.

Lars H Lund, Arantxa Barandiarán Aizpurua, Entela Bollano, Oscar Braun, Jan Leendert P Brouwer, Jan W Buikema, Antonio Cannata, Roy S Gardner, M Louis Handoko, Chim C Lang, Marco Metra, Gianfranco Sinagra, Tonje Thorvaldsen, Robert M A van der Boon, Bart J van Essen, Sanjiv J Shah, Adriaan A Voors, Carolyn S P Lam, Bertram Pitt, Scott D Solomon, Camilla Hage, Marcus Stahlberg, Alberto Bernareggi, Allan Gordon, Marianna Del Sole, Elin Rosendahl, Patrik Stromberg, Goran Westerberg, Robert Edfors, Mark C Petrie

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