{"id":147,"date":"2022-12-01T17:36:40","date_gmt":"2022-12-01T17:36:40","guid":{"rendered":"https:\/\/www.merckconnect.com\/verquvo\/?page_id=147"},"modified":"2025-12-17T15:41:14","modified_gmt":"2025-12-17T15:41:14","slug":"victoria-study","status":"publish","type":"page","link":"https:\/\/www.merckconnect.com\/verquvo\/victoria-study\/","title":{"rendered":"Victoria Study"},"content":{"rendered":"<link rel='stylesheet' id='vivid360-row-module-css-css' href='https:\/\/www.merckconnect.com\/verquvo\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/row\/css\/style.min.css?ver=6.8.5' media='all' \/>\n\n<div style=\"border-width:0px;border-style:;border-radius:0;background-color: !important\" class=\"wp-block-vivid360-row vivid360-row hcp-wide-bg-width regular-bg-width\"><div class=\"cropped\" id=\"row90251184-6b27-4fa9-b78e-d40ebf41434f\"><div style=\"padding-top:0px;padding-bottom:0px;padding-right:0px;padding-left:0px\" class=\"row-content regular-width hcp-wide-width\"><link rel='stylesheet' id='vivid360-spacer-css-css' href='https:\/\/www.merckconnect.com\/verquvo\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/spacer\/css\/style.min.css?ver=1770880337' media='all' \/>\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-heading-css-css' href='https:\/\/www.merckconnect.com\/verquvo\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/heading\/css\/style.min.css?ver=1770880337' media='all' \/>\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"aca743bdf-626a-4b59-acad-3b3fcd769dcb\"><h1 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h1FontSizeDesktop);--tabletFontSize:var(--h1FontSizeDesktop);--mobileFontSize:var(--h1FontSizeMobile);--desktopLineHeightSize:var(--h1LineHeightDesktop);--tabletLineHeightSize:var(--h1LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>VICTORIA is the first positive outcome study focusing specifically on over 5,000 high-risk HFrEF patients following a HF hospitalization or outpatient IV diuretic use<\/strong><\/h1><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8 spacer-undefined\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a1ce64bae-704a-4c54-bbb7-e65dc97822c8\"><h3 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h3FontSizeDesktop);--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:var(--h3FontSizeMobile);--desktopLineHeightSize:var(--h3LineHeightDesktop);--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong>VICTORIA: key characteristics<\/strong><\/h3><\/div>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8 spacer-undefined\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-card-css-css' href='https:\/\/www.merckconnect.com\/verquvo\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/card\/css\/style.min.css?ver=1776931356' media='all' \/>\n\n<div id=\"\" class=\"wp-block-vivid360-card ad79fc6a8-bf11-4ab4-9e1b-b820126a5903 vivid360-block-card has-text-align-left card-horizontal full-page-width\" style=\"border-width:0px;border-style:;border-radius:0;color:#111 !important\"><div class=\"card-media \"><i role=\"img\" aria-label=\"\" class=\"icon-clipboard has-white-color has-primary-background-color\"><\/i><\/div><div class=\"card-content\"><div class=\"card-content-wrap\"><h4 class=\"card-header fontWeightRegular\"><strong>Phase 3, randomized, parallel-group, placebo-controlled, double-blind, event-driven, multicenter trial<sup>1<\/sup><\/strong><\/h4><\/div><\/div><\/div>\n\n\n<link rel='stylesheet' id='vivid360-separator-css-css' href='https:\/\/www.merckconnect.com\/verquvo\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/separator\/css\/style.min.css?ver=1770880337' media='all' \/>\n\n<hr class=\"wp-block-vivid360-separator has-text-color has-background has-medium-gray-background-color has-medium-gray-color content-width\" style=\"height:0\"\/>\n\n\n\n<div id=\"\" class=\"wp-block-vivid360-card a9847746a-de88-4075-8bfe-5f6f4693662c vivid360-block-card has-text-align-left card-horizontal full-page-width\" style=\"border-width:0px;border-style:;border-radius:0;color:#111 !important\"><div class=\"card-media\"><figure class=\"ratio-1-1\"><picture><source media=\"(max-width: 767px)\" data-srcset=\"https:\/\/www.merckconnect.com\/verquvo\/wp-content\/uploads\/sites\/67\/2023\/02\/Icon-health-improvement-mobile-2.svg?w=767\"\/><source media=\"(min-width: 768px) and (max-width: 1440px)\" data-srcset=\"https:\/\/www.merckconnect.com\/verquvo\/wp-content\/uploads\/sites\/67\/2024\/02\/Group-3.svg?w=1440\"\/><img decoding=\"async\" data-src=\"https:\/\/www.merckconnect.com\/verquvo\/wp-content\/uploads\/sites\/67\/2024\/02\/Group-3.svg\" src=\"https:\/\/www.merckconnect.com\/verquvo\/wp-content\/uploads\/sites\/67\/2024\/02\/Group-3.svg\" alt=\"\"\/><\/picture><\/figure><\/div><div class=\"card-content\"><div class=\"card-content-wrap\"><h4 class=\"card-header fontWeightRegular\"><strong>Compared VERQUVO to placebo, both added on to standard of care HF therapies<\/strong><\/h4><div class=\"card-desc has-regular-font-size\">\n<link rel='stylesheet' id='vivid360-list-css-css' href='https:\/\/www.merckconnect.com\/verquvo\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/list\/css\/style.min.css?ver=1770880337' media='all' \/>\n\n<div class=\"vivid-block-list content-width  default-list block-fa603493-6679-4a2e-880a-127f65012163\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-fa603493-6679-4a2e-880a-127f65012163\"><ul class=\"first-level\"><li> Primary endpoint was a composite of time to CV death or HF hospitalization<\/li><li> Patients were treated up to the target maintenance dose of VERQUVO 10 mg once daily or matching placebo<\/li><\/ul><\/div>\n\n<\/div><\/div><\/div><\/div>\n\n\n\n<hr class=\"wp-block-vivid360-separator has-text-color has-background has-medium-gray-background-color has-medium-gray-color content-width\" style=\"height:0\"\/>\n\n\n\n<div id=\"\" class=\"wp-block-vivid360-card ac5916fb4-b900-442c-8ca3-cc9240e6c403 vivid360-block-card has-text-align-left card-horizontal full-page-width\" style=\"border-width:0px;border-style:;border-radius:0;color:#111 !important\"><div class=\"card-media \"><i role=\"img\" aria-label=\"\" class=\"icon-calendar has-white-color has-primary-background-color\"><\/i><\/div><div class=\"card-content\"><div class=\"card-content-wrap\"><h4 class=\"card-header fontWeightRegular\"><strong>Median follow-up was <span class=\"no-wrap-text\">11 months<\/span><\/strong><\/h4><\/div><\/div><\/div>\n\n\n\n<hr class=\"wp-block-vivid360-separator has-text-color has-background has-medium-gray-background-color has-medium-gray-color content-width\" style=\"height:0\"\/>\n\n\n\n<div id=\"\" class=\"wp-block-vivid360-card a302325f6-bf86-45bd-986d-cf70f27a2f21 vivid360-block-card has-text-align-left card-horizontal full-page-width\" style=\"border-width:0px;border-style:;border-radius:0;color:#111 !important\"><div class=\"card-media \"><i role=\"img\" aria-label=\"\" aria-hidden=\"true\" class=\"icon-users has-white-color has-primary-background-color\"><\/i><\/div><div class=\"card-content\"><div class=\"card-content-wrap\"><h4 class=\"card-header fontWeightRegular\"><strong>Included 5,050 adult patients with HFrEF:<\/strong><\/h4><div class=\"card-desc has-regular-font-size\">\n<div class=\"vivid-block-list content-width  default-list block-757c2661-f0c4-4bfc-9838-9dfde97ee32a\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-757c2661-f0c4-4bfc-9838-9dfde97ee32a\"><ul class=\"first-level\"><li> 84% had a HF hospitalization within 6 months of enrollment<\/li><li> 16% had been treated with a IV diuretics within 3 months of enrollment<\/li><li> High NT-proBNP levels: Median NT-proBNP=<span class=\"no-wrap-text\">2,800 pg\/mL<sup>2<\/sup><\/span><\/li><li> Low mean eGFR: <span class=\"no-wrap-text\">62 mL\/min\/1.73 m<sup>2 2<\/sup><\/span><ul class=\"second-level\"><li> 12% of patients had an eGFR between 15 and <span class=\"no-wrap-text\">30 mL\/min\/1.73 m<sup>2<\/sup><\/span><\/li><\/ul><\/li><li> VERQUVO was not studied in patients with eGFR <span class=\"no-wrap-text\">&lt;15 mL\/min\/1.73 m<sup>2<\/sup> <\/span>at treatment initiation or who were on dialysis<\/li><li> Patients were well treated: 91% of patients were treated with 2 or more HF medications <\/li><li>LVEF &lt;45%<\/li><\/ul><\/div>\n<\/div><\/div><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a47eb640e-66f7-4675-8aa5-e6663071cfae\"><h2 class=\"content-width fontWeightRegular mt-0 mb-0\" style=\"--desktopFontSize:16px;--tabletFontSize:16px;--mobileFontSize:16px;--desktopLineHeightSize:24px;--tabletLineHeightSize:24px;--mobileLineHeightSize:\" id=\"\"><strong>Definitions:<\/strong><\/h2><\/div>\n\n\n\n<p>CV = cardiovascular; eGFR = estimated glomerular filtration rate; HF = heart failure; HFH = heart failure hospitalization; HFrEF = heart failure with reduced ejection fraction; IV = intravenous; LVEF = left ventricular ejection fraction; NT-proBNP = N-terminal prohormone B-type natriuretic peptide; VICTORIA = Vericiguat in Patients with Heart Failure and Reduced Ejection Fraction. <\/p>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a6ba13fb5-b956-450f-9834-b756151a43bc\"><h2 class=\"content-width fontWeightRegular mt-0 mb-0\" style=\"--desktopFontSize:16px;--tabletFontSize:16px;--mobileFontSize:16px;--desktopLineHeightSize:24px;--tabletLineHeightSize:24px;--mobileLineHeightSize:\" id=\"\"><strong>References:<\/strong><\/h2><\/div>\n\n\n\n<div class=\"vivid-block-list content-width  block-d14da6b6-1e79-462e-86c2-7d7108c31186 bullets-bold\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-d14da6b6-1e79-462e-86c2-7d7108c31186\"><ol class=\"first-level default-order\"><li>Armstrong PW, Pieske B, Anstrom KJ, et al. Vericiguat in patients with heart failure and reduced ejection fraction.<em> N Engl J Med.<\/em> 2020;382(20):1883-1893. <\/li><li>Pieske B, Patel MJ, Westerhout CM, et al; on behalf of the VICTORIA Study Group. Baseline features of the VICTORIA (Vericiguat Global Study in Subjects with Heart Failure with Reduced Ejection Fraction) trial. <em>Eur J Heart Fail.<\/em> 2019;21(12):1596-1604.<\/li><\/ol><\/div>\n<\/div><\/div><\/div>\n\n\n<link rel='stylesheet' id='vivid360-modal-css-css' href='https:\/\/www.merckconnect.com\/verquvo\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/modal\/css\/style.min.css?ver=1770880337' media='all' \/>\n\n<div class=\"wp-block-vivid360-modal\"><div><div class=\"vivid360-modal-block-container is-style-passive-modal\"><div class=\"vivid360-modal-trigger-container\"><span data-design-module=\"modal\" data-design-category=\"modal-page-load\" class=\"vivid360-modal-trigger-pageload\" data-page-load-parameter=\"safety_overlay\"><\/span><\/div><div class=\"vivid360-modal-container vivid360-modal-blurredBgBlack\"><div class=\"vivid360-modal larger_modal\"><div class=\"vivid360-modal-content-area\"><a class=\"vivid360-modal-close-modal-span\"><i class=\"icon-close\" tabindex=\"0\"><\/i><\/a><div class=\"modal-flex-container\"><div class=\"vivid360-modal-label-container  title-left\" style=\"--titleColor:undefined\"><h2><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">Indication<\/mark><\/strong><\/h2><\/div><div class=\"vivid360-modal-content-container has-regular-font-size\">\n\n<p>VERQUVO\u00ae (vericiguat) tablets 2.5 mg, 5 mg, 10 mg is indicated to reduce the risk of cardiovascular death and heart failure (HF) hospitalization following a hospitalization for HF or need for outpatient IV diuretics, in adults with symptomatic chronic HF and ejection fraction less than 45%.<\/p>\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n<div class=\"vivid360-heading default-hcp-fontsize default-hcp-tablet-fontsize default-hcp-mobile-fontsize\" id=\"a158425a8-b4d6-4b23-aa47-e3de089a2413\"><h2 class=\"content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h2FontSizeDesktop);--tabletFontSize:var(--h2FontSizeDesktop);--mobileFontSize:var(--h2FontSizeMobile);--desktopLineHeightSize:var(--h2LineHeightDesktop);--tabletLineHeightSize:var(--h2LineHeightDesktop);--mobileLineHeightSize:\" id=\"\"><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">Selected Safety Information<\/mark><\/strong><\/h2><\/div>\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n<div style=\"border-width:2px;border-style:solid;border-radius:0;background-color: !important\" class=\"wp-block-vivid360-row vivid360-row hcp-wide-bg-width wide-bg-width\"><div class=\"cropped\" id=\"row44a755eb-69e7-44c5-994f-7d0cf2e1e5d3\">  <div style=\"padding-top:0px;padding-bottom:0px;padding-right:0px;padding-left:4px\" class=\"row-content wide-width hcp-wide-width\">\n\n<div class=\"vivid360-heading\" id=\"a4af36d85-3f72-4656-baa7-08a1e58e6634\"><h4 class=\"has-text-align-center content-width fontWeightRegular\" style=\"--desktopFontSize:var(--h4FontSizeDesktop);--tabletFontSize:var(--h4FontSizeDesktop);--mobileFontSize:var(--h4FontSizeMobile);--desktopLineHeightSize:var(--h4LineHeightDesktop);--tabletLineHeightSize:var(--h4LineHeightDesktop);--mobileLineHeightSize:;--tabletAlign:center;--mobileAlign:center\" id=\"\"><strong>WARNING: EMBRYO-FETAL TOXICITY<\/strong><\/h4><\/div>\n\n\n<p><strong>Females of reproductive potential: Exclude pregnancy before the start of treatment. To prevent pregnancy, females of reproductive potential must use effective forms of contraception during treatment and for one month after stopping treatment. Do not administer VERQUVO to a pregnant female because it may cause fetal harm.<\/strong><\/p>\n\n<\/div><\/div><\/div>\n\n\n<div class=\"vivid-block-list content-width  default-list block-d779e1d7-f973-4620-802b-af36e60cb0c4 hyperlink-blue\" data-image=\"\" data-image-mobile=\"\" data-image-all=\"\" data-image-all-mobile=\"\" data-icon-color=\"#333\" data-text-color=\"#333\" data-client-id=\"block-d779e1d7-f973-4620-802b-af36e60cb0c4\"><ul class=\"first-level\"><li>VERQUVO is contraindicated in patients with concomitant use of other soluble guanylate cyclase (sGC) stimulators.<\/li><li>VERQUVO is contraindicated in pregnancy.<\/li><li><strong>Embryo-Fetal Toxicity:<\/strong>&nbsp;Based on data from animal reproduction studies, VERQUVO may cause fetal harm when administered to a pregnant woman. Advise females of reproductive potential of the potential risk to a fetus. Obtain a pregnancy test before the start of treatment. Advise females of reproductive potential to use effective contraception during treatment with VERQUVO and for at least one month after the final dose.<\/li><li>There is a Pregnancy Surveillance Program that monitors pregnancy outcomes in women exposed to VERQUVO during pregnancy. Health care providers should report any prenatal exposure by calling&nbsp;1-877-888-4231&nbsp;or at&nbsp;<a href=\"https:\/\/pregnancyreporting.verquvo-us.com\/\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"interstitial-external-link\">https:\/\/pregnancyreporting.verquvo-us.com<\/span><\/a>.<\/li><li>In a clinical trial, the most commonly observed adverse events with VERQUVO vs placebo, occurring at a frequency \u22655%, were hypotension (16% vs 15%) and anemia (10% vs 7%).<\/li><li>Concomitant use of VERQUVO with PDE-5 inhibitors is not recommended due to the potential for hypotension.<\/li><li>There are no data on the presence of vericiguat in human milk, the effects on the breastfed infant, or effects on milk production. Because of the potential for serious adverse reactions in breastfed infants from VERQUVO, advise women not to breastfeed during treatment with VERQUVO.<\/li><\/ul><\/div>\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n<p><strong>Before prescribing VERQUVO, please read the accompanying <a href=\"https:\/\/www.merck.com\/product\/usa\/pi_circulars\/v\/verquvo\/verquvo_pi.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Prescribing information<\/a> including the Boxed Warning about embryo-fetal toxicity. The <a href=\"https:\/\/www.merck.com\/product\/usa\/pi_circulars\/v\/verquvo\/verquvo_mg.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Medication guide<\/a> also is available.<\/strong><\/p>\n\n<\/div><div class=\"vivid360-modal-button-container desktop-container\"><div class=\"vivid360-button-block\"><a class=\"btn primary primary-regular btn-confirm  vivid360-modal-dismiss-button\" style=\"font-size:14px\" href=\"#!\" title=\"Button 1\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Button 1\" data-design-module=\"modal\" tabindex=\"0\">Button 1<\/a><\/div><div class=\"vivid360-button-block\"><a class=\"btn primary primary-regular btn-dismissive  vivid360-modal-dismiss-button\" style=\"font-size:14px\" href=\"#!\" title=\"Button 2\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Button 2\" data-design-module=\"modal\" tabindex=\"0\">Button 2<\/a><\/div><\/div><\/div><\/div><div class=\"vivid360-modal-button-container mobile-container \"><div class=\"vivid360-button-block\"><a class=\"btn primary primary-regular btn-confirm  vivid360-modal-dismiss-button\" style=\"font-size:14px\" href=\"#!\" title=\"Button 1\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Button 1\" data-design-module=\"modal\" tabindex=\"0\">Button 1<\/a><\/div><div class=\"vivid360-button-block\"><a class=\"btn primary primary-regular btn-dismissive  vivid360-modal-dismiss-button\" style=\"font-size:14px\" href=\"#!\" title=\"Button 2\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Button 2\" data-design-module=\"modal\" tabindex=\"0\">Button 2<\/a><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":708,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_trash_the_other_posts":false,"editor_notices":[],"footnotes":""},"ga4_page_audience":[],"ga4_page_birn_id":[],"ga4_page_branding":[272],"ga4_page_businessunit":[],"ga4_page_campaign":[],"ga4_page_content_purpose":[288],"ga4_page_customer_journey_stage":[],"ga4_page_customer_specialty":[335],"ga4_page_experience":[],"ga4_page_indication":[],"ga4_page_material_intent":[484],"ga4_page_product":[626],"ga4_page_region":[711],"ga4_page_therapeuticarea":[],"user_role":[],"mhh-area-of-interest":[],"access":[],"user_status":[],"class_list":["post-147","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ 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