Biomarker & Intervention Discovery

Heart Failure

Pharmacologically actionable gene targets, therapeutic agents ranked by evidence tier, and active clinical trials.

US DALYs820.8KWHO GHE 2021 · all ages
Global DALYs13.25MWHO GHE 2021 · worldwide
US mortality29.6K deaths/yrWHO GHE 2021
Global mortality424.7K deaths/yrWHO GHE 2021 · worldwide
NIH funding$1.78BFY2025 · RCDC estimate
Funding levelWell-Funded
Spontaneous remissionAnnual mortality ~22% on standard care; only 5-11% of HFrEF patients achieve normalisation of ejection fraction…
Best-intervention remissionGDMT (ARNI + beta-blocker + MRA + SGLT2i) reduces CV mortality by 38% and hospitalization by 25% vs historical…
Gap sizeLarge — quadruple GDMT dramatically underused; <25% of eligible HFrEF patients receive all four pillars
Primary barrierpractice/access
Full remission profile →

Remission & chronicity

Spontaneous remission
Annual mortality ~22% on standard care; only 5-11% of HFrEF patients achieve normalisation of ejection fraction (HFrecEF) with GDMT; HFpEF has no disease-modifying therapy
Best-intervention remission
GDMT (ARNI + beta-blocker + MRA + SGLT2i) reduces CV mortality by 38% and hospitalization by 25% vs historical standard; reverse cardiac remodelling (EF improvement >10%) in 40-50% of HFrEF with full quadruple therapy; cardiac resynchronisation therapy (CRT) improves EF in 70% of LBBB patients
Gap size
Large — quadruple GDMT dramatically underused; <25% of eligible HFrEF patients receive all four pillars
Primary barrier
practice/access
Full quadruple therapy guideline-endorsed since 2021 but implementation is poor; SGLT2i in HF still widely under-prescribed despite Class 1A recommendation; ARNI (sacubitril/valsartan) uptake slow due to cost
Biomarker Targets & Therapeutic Agents

Gene targets queried against DGIdb, Open Targets, ChEMBL, PubMed, and Europe PMC. Agents ranked: ● Clinical > ● Mechanistic > ● Correlative.

ACE 229ADRB1 288ADRB2 335AGTR1 249MME 184MYH7 3NPR1 104NR3C2 213SLC5A2 190
Therapeutic Agent Effect Direction Evidence Tier Potency Source
SALVIANOLIC ACID B ? unclear Mechanistic
CANDOXATRIL ? unclear Mechanistic
CILAZAPRIL inhibits Mechanistic
TP0556351 inhibits Mechanistic
PRAVASTATIN SODIUM ? unclear Mechanistic
SILDENAFIL ? unclear Mechanistic
GEMFIBROZIL ? unclear Mechanistic
RESCINNAMINE ? unclear Mechanistic
SPIRAPRIL ? unclear Mechanistic
INDOMETHACIN ? unclear Mechanistic
HYDROCHLOROTHIAZIDE ? unclear Mechanistic
ARGIPRESSIN ? unclear Mechanistic
METOPROLOL ? unclear Mechanistic
DELAPRIL inhibits Mechanistic
ACETYLCHOLINE ? unclear Mechanistic
THERAPEUTIC GLUCOCORTICOID ? unclear Mechanistic
IMIDAPRIL inhibits Mechanistic
MALATHION inhibits Mechanistic
MOEXIPRIL ? unclear Mechanistic 56.0 nM (IC50)
VORINOSTAT ? unclear Mechanistic
ILEPATRIL inhibits Mechanistic
RXP470.1 inhibits Mechanistic
CGS-27023A ? unclear Mechanistic
NITROPRUSSIDE ? unclear Mechanistic
ENALAPRILAT ANHYDROUS inhibits Mechanistic 1.2 nM (IC50)
TORSEMIDE ? unclear Mechanistic
ATORVASTATIN CALCIUM TRIHYDRATE ? unclear Mechanistic
FOSINOPRIL ? unclear Mechanistic
FUROSEMIDE ? unclear Mechanistic
TEMOCAPRIL HYDROCHLORIDE ? unclear Mechanistic
BENAZEPRIL HYDROCHLORIDE inhibits Mechanistic
CARBARIL inhibits Mechanistic
BUPROPION HYDROCHLORIDE ? unclear Mechanistic
QUINAPRIL ? unclear Mechanistic 8.3 nM (IC50)
COMPOUND 1 [PMID: 24900526] inhibits Mechanistic
COMPOUND 20 [PMID: 22153340] inhibits Mechanistic
BUMETANIDE ? unclear Mechanistic
GALLOPAMIL ? unclear Mechanistic
FLUOXETINE HYDROCHLORIDE ? unclear Mechanistic
AZD6605 inhibits Mechanistic

Showing top 40 of 229 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
BRETYLIUM ? unclear Mechanistic
PINDOLOL activates Mechanistic
BISOPROLOL ? unclear Mechanistic
FLECAINIDE ACETATE ? unclear Mechanistic
METIPRANOLOL ? unclear Mechanistic
METOPROLOL ? unclear Mechanistic
ATENOLOL inhibits Mechanistic
BUCINDOLOL HYDROCHLORIDE inhibits Mechanistic
METIPRANOLOL HYDROCHLORIDE inhibits Mechanistic
ALPRENOLOL ? unclear Mechanistic 4.88 nM (IC50)
PRACTOLOL inhibits Mechanistic
XAMOTEROL activates Mechanistic
PENBUTOLOL ? unclear Mechanistic
DOBUTAMINE ? unclear Mechanistic
BETHANIDINE ? unclear Mechanistic
BETAXOLOL ? unclear Mechanistic 37.1 nM (IC50)
MURAGLITAZAR ? unclear Mechanistic
ACEBUTOLOL ? unclear Mechanistic
LABETALOL HYDROCHLORIDE inhibits Mechanistic
ACEBUTOLOL HYDROCHLORIDE inhibits Mechanistic
NOREPINEPHRINE ? unclear Mechanistic
OT-730 ? unclear Mechanistic
CARVEDILOL inhibits Mechanistic
NADOLOL inhibits Mechanistic
LEVOBUNOLOL inhibits Mechanistic
LABETALOL ? unclear Mechanistic
TERTATOLOL ? unclear Mechanistic
ARBUTAMINE ? unclear Mechanistic
PROPRANOLOL HYDROCHLORIDE inhibits Mechanistic
ZIPRASIDONE ? unclear Mechanistic
BUPRANOLOL ? unclear Mechanistic
LANDIOLOL inhibits Mechanistic
OXPRENOLOL ? unclear Mechanistic
MEPINDOLOL ? unclear Mechanistic
CELIPROLOL inhibits Mechanistic
BISOPROLOL FUMARATE inhibits Mechanistic
DESIPRAMINE ? unclear Mechanistic
DOPAMINE activates Mechanistic
ISOPROTERENOL activates Mechanistic
DOBUTAMINE HYDROCHLORIDE activates Mechanistic

Showing top 40 of 288 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
CARVEDILOL inhibits Mechanistic
CHEMBL:CHEMBL1257092 ? unclear Mechanistic
SODIUM CHLORIDE ? unclear Mechanistic
PENBUTOLOL SULFATE inhibits Mechanistic
DESIPRAMINE ? unclear Mechanistic
METIPRANOLOL ? unclear Mechanistic
CHEMBL:CHEMBL531322 ? unclear Mechanistic
NADOLOL inhibits Mechanistic
PIRBUTEROL ? unclear Mechanistic
FENOTEROL activates Mechanistic
TIMOLOL inhibits Mechanistic
ABEDITEROL activates Mechanistic
PINDOLOL activates Mechanistic
BRONCHODILATOR ? unclear Mechanistic
TULOBUTEROL activates Mechanistic
PHENYLEPHRINE HYDROCHLORIDE ? unclear Mechanistic
GSK159802 activates Mechanistic
PRILOCAINE HYDROCHLORIDE ? unclear Mechanistic
CLENBUTEROL activates Mechanistic
PROPRANOLOL HYDROCHLORIDE inhibits Mechanistic
INDACATEROL MALEATE activates Mechanistic
VILANTEROL ? unclear Mechanistic
TERTATOLOL ? unclear Mechanistic
ARFORMOTEROL activates Mechanistic
INDACATEROL ? unclear Mechanistic
FORMOTEROL FUMARATE activates Mechanistic
CHEMBL:CHEMBL111201 ? unclear Mechanistic
RITODRINE ? unclear Mechanistic
RISPERIDONE ? unclear Mechanistic
CHEMBL:CHEMBL599896 ? unclear Mechanistic
VILANTEROL TRIFENATATE activates Mechanistic
RITODRINE HYDROCHLORIDE activates Mechanistic
DISULFIRAM ? unclear Mechanistic
BUCINDOLOL HYDROCHLORIDE inhibits Mechanistic
LEVALBUTEROL TARTRATE activates Mechanistic
LAS190792 activates Mechanistic
ALPRENOLOL ? unclear Mechanistic
CELIPROLOL activates Mechanistic
ALBUTEROL SULFATE activates Mechanistic
CARTEOLOL ? unclear Mechanistic

Showing top 40 of 335 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
CANDESARTAN CILEXETIL inhibits Mechanistic
CHEMBL:CHEMBL586135 ? unclear Mechanistic
VALSARTAN inhibits Mechanistic 4700.0 nM (Ki)
EPROSARTAN MESYLATE inhibits Mechanistic
FIMASARTAN inhibits Mechanistic
ASCORBIC ACID ? unclear Mechanistic
OLMESARTAN MEDOXOMIL inhibits Mechanistic
AZILSARTAN MEDOXOMIL inhibits Mechanistic
THERAPEUTIC ANDROSTANOLONE ? unclear Mechanistic
CHEMBL:CHEMBL347610 ? unclear Mechanistic
CHEMBL:CHEMBL421088 ? unclear Mechanistic
LOSARTAN POTASSIUM inhibits Mechanistic 5.5 nM (IC50)
CHEMBL:CHEMBL1492017 ? unclear Mechanistic
SPARSENTAN inhibits Mechanistic
SODIUM CHLORIDE ? unclear Mechanistic
CHEMBL:CHEMBL261693 ? unclear Mechanistic
CHEMBL:CHEMBL1972216 ? unclear Mechanistic
EPROSARTAN ? unclear Mechanistic 7.3 nM (IC50)
C-FOS ANTISENSE ? unclear Mechanistic
SARALASIN ACETATE inhibits Mechanistic
IRBESARTAN inhibits Mechanistic 1.1 nM (Ki)
DISULFIRAM ? unclear Mechanistic
SAPRISARTAN ? unclear Mechanistic
H2O2 ? unclear Mechanistic
CHEMBL:CHEMBL591834 ? unclear Mechanistic
CAPTOPRIL ? unclear Mechanistic
ANGIOTENSIN II ? unclear Mechanistic
CHEMBL:CHEMBL400912 ? unclear Mechanistic
ATORVASTATIN CALCIUM TRIHYDRATE ? unclear Mechanistic
IDOXIFENE ? unclear Mechanistic
CHEMBL:CHEMBL528694 ? unclear Mechanistic
IL-6 ? unclear Mechanistic
ANGIOTENSIN II ACETATE activates Mechanistic
LEVODOPA ? unclear Mechanistic
GAMMA-INTERFERON ? unclear Mechanistic
AZILSARTAN KAMEDOXOMIL inhibits Mechanistic
HYDROCHLOROTHIAZIDE ? unclear Mechanistic
CHEMBL:CHEMBL1445650 ? unclear Mechanistic
MUSCLE RELAXANT ? unclear Mechanistic
CL-329167 ? unclear Mechanistic

Showing top 40 of 249 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
SLV-334 ? unclear Mechanistic
RACECADOTRIL inhibits Mechanistic
PL37 ? unclear Mechanistic
SACUBITRIL/VALSARTAN ? unclear Mechanistic
CANDOXATRIL ? unclear Mechanistic
PEPINEMAB ? unclear Mechanistic
ILEPATRIL inhibits Mechanistic
GALLOPAMIL ? unclear Mechanistic
DAGLUTRIL inhibits Mechanistic
SACUBITRIL inhibits Mechanistic
SAMPATRILAT ? unclear Mechanistic
CGS-314447 inhibits Mechanistic 6.9 nM (IC50)
(R)-THIORPHAN inhibits Mechanistic 1.7 nM (Ki)
CHEMBL418704 inhibits Mechanistic 17.0 nM (IC50)
CHEMBL10251 inhibits Mechanistic 4.8 nM (IC50)
CHEMBL9963 inhibits Mechanistic 8.8 nM (IC50)
CHEMBL276690 inhibits Mechanistic 0.7 nM (IC50)
CHEMBL273489 inhibits Mechanistic 2.5 nM (IC50)
CHEMBL268473 inhibits Mechanistic 0.6 nM (IC50)
THIORPHAN inhibits Mechanistic 4.7 nM (Ki)
CHEMBL81232 inhibits Mechanistic 4.9 nM (Ki)
CHEMBL312460 inhibits Mechanistic 408.0 nM (Ki)
CHEMBL268761 inhibits Mechanistic 1.46 nM (IC50)
CHEMBL81710 inhibits Mechanistic 162.0 nM (Ki)
(S)-THIORPHAN inhibits Mechanistic 2.2 nM (Ki)
PHOSPHORAMIDON inhibits Mechanistic 30.0 nM (IC50)
CHEMBL290698 inhibits Mechanistic 0.9 nM (IC50)
CHEMBL276872 inhibits Mechanistic 0.74 nM (IC50)
CHEMBL39812 inhibits Mechanistic 26000.0 nM (IC50)
CHEMBL37052 inhibits Mechanistic 250.0 nM (IC50)
CHEMBL273748 inhibits Mechanistic 1.3 nM (IC50)
CHEMBL273898 inhibits Mechanistic 3.5 nM (IC50)
CHEMBL290256 inhibits Mechanistic 8600.0 nM (IC50)
CHEMBL289150 inhibits Mechanistic 6700.0 nM (IC50)
CHEMBL147847 inhibits Mechanistic 5800.0 nM (IC50)
CHEMBL448098 inhibits Mechanistic 11000.0 nM (IC50)
CHEMBL37861 inhibits Mechanistic 55000.0 nM (IC50)
CHEMBL290332 inhibits Mechanistic 640.0 nM (IC50)
CHEMBL290868 inhibits Mechanistic 6200.0 nM (IC50)
CHEMBL276008 inhibits Mechanistic 3.5 nM (IC50)

Showing top 40 of 184 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
MAVACAMTEN inhibits Mechanistic
OMECAMTIV MECARBIL activates Mechanistic
DANICAMTIV activates Mechanistic
Therapeutic Agent Effect Direction Evidence Tier Potency Source
CARPERITIDE activates Mechanistic 0.1 nM (EC50)
NITROPRUSSIDE ? unclear Mechanistic
NESIRITIDE activates Mechanistic
ERYTHRITYL TETRANITRATE ? unclear Mechanistic
ATRIAL NATRIURETIC PEPTIDE ? unclear Mechanistic
PL-3994 activates Mechanistic
NITRIC OXIDE ? unclear Mechanistic
CENDERITIDE ? unclear Mechanistic
ISOSORBIDE DINITRATE ? unclear Mechanistic
ATACIGUAT ? unclear Mechanistic
NITROGLYCERIN ? unclear Mechanistic
ULARITIDE ? unclear Mechanistic
ISOSORBIDE MONONITRATE ? unclear Mechanistic
CHEMBL402664 activates Mechanistic 215.24 nM (EC50)
CHEMBL405572 activates Mechanistic 4.94 nM (EC50)
MiniANP activates Mechanistic 0.68 nM (EC50)
CHEMBL384862 activates Mechanistic 8.28 nM (EC50)
CHEMBL409400 activates Mechanistic 46.74 nM (EC50)
CHEMBL439465 activates Mechanistic 30.11 nM (EC50)
CHEMBL414517 activates Mechanistic 65.85 nM (EC50)
CHEMBL385216 activates Mechanistic 176.99 nM (EC50)
CHEMBL413653 activates Mechanistic 107.95 nM (EC50)
CHEMBL408343 activates Mechanistic 198.41 nM (EC50)
CHEMBL294263 inhibits Mechanistic 0.3 nM (Ki)
CHEMBL405854 inhibits Mechanistic 0.65 nM (Ki)
CHEMBL415133 inhibits Mechanistic 87.0 nM (Ki)
CHEMBL412793 inhibits Mechanistic 360.0 nM (Ki)
CHEMBL294262 inhibits Mechanistic 680.0 nM (Ki)
CHEMBL434023 inhibits Mechanistic 2600.0 nM (Ki)
CHEMBL61413 inhibits Mechanistic 2900.0 nM (Ki)
CHEMBL59028 inhibits Mechanistic 62.0 nM (Ki)
CHEMBL304191 inhibits Mechanistic 65.0 nM (Ki)
CHEMBL264744 inhibits Mechanistic 0.49 nM (Ki)
CHEMBL435181 inhibits Mechanistic 539.0 nM (Ki)
CHEMBL61383 inhibits Mechanistic 0.4 nM (Ki)
CHEMBL411542 inhibits Mechanistic 0.1 nM (Ki)
CHEMBL507122 inhibits Mechanistic 36.0 nM (IC50)
CHEMBL1643388 inhibits Mechanistic 6.0 nM (IC50)
CHEMBL1643389 inhibits Mechanistic 60.0 nM (IC50)
CHEMBL1643390 inhibits Mechanistic 240.0 nM (IC50)

Showing top 40 of 104 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
SPIRONOLACTONE inhibits Mechanistic 2.323 nM (Ki)
EPLERENONE inhibits Mechanistic
CORTICOSTERONE activates Mechanistic
DROSPIRENONE inhibits Mechanistic
BENZODROCORTISONE activates Mechanistic
NIMODIPINE inhibits Mechanistic
FLUDROCORTISONE ACETATE activates Mechanistic
VAMOROLONE inhibits Mechanistic
BUDESONIDE activates Mechanistic
DESOXYCORTICOSTERONE activates Mechanistic
DESOXYCORTICOSTERONE ACETATE activates Mechanistic
LY-2623091 ? unclear Mechanistic
ESAXERENONE inhibits Mechanistic
APARARENONE inhibits Mechanistic
AZD-9977 inhibits Mechanistic
FLUDROCORTISONE activates Mechanistic
CANRENONE inhibits Mechanistic
HYDROCORTISONE BUTYRATE activates Mechanistic
CANRENOATE POTASSIUM inhibits Mechanistic
FELODIPINE inhibits Mechanistic
AZD9567 activates Mechanistic
BALCINRENONE ~ modulates Mechanistic
DEXAMETHASONE activates Mechanistic 33.0 nM (IC50)
RU28318 inhibits Mechanistic
XL550 inhibits Mechanistic
ONAPRISTONE inhibits Mechanistic 470.0 nM (IC50)
FLUTICASONE activates Mechanistic
ZK112993 inhibits Mechanistic
PROGESTERONE inhibits Mechanistic 14.0 nM (IC50)
ALDOSTERONE activates Mechanistic
PF-03882845 inhibits Mechanistic
DESOXYCORTICOSTERONE PIVALATE activates Mechanistic
FINERENONE inhibits Mechanistic
LY2623091 inhibits Mechanistic
PREDNISOLONE activates Mechanistic 37.0 nM (Ki)
OCEDURENONE inhibits Mechanistic
MT-3995 ? unclear Mechanistic
CHEMBL134277 inhibits Mechanistic 1900.0 nM (IC50)
CHEMBL415524 inhibits Mechanistic 334.0 nM (IC50)
MEDROXYPROGESTERONE ACETATE inhibits Mechanistic 1197.0 nM (IC50)

Showing top 40 of 213 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
TOFOGLIFLOZIN inhibits Mechanistic
SERGLIFLOZIN ETABONATE inhibits Mechanistic
IPRAGLIFLOZIN inhibits Mechanistic
LICOGLIFLOZIN inhibits Mechanistic
HENAGLIFLOZIN inhibits Mechanistic
YM-543 inhibits Mechanistic
GLUFOSFAMIDE ? unclear Mechanistic
DAPAGLIFLOZIN PROPANEDIOL inhibits Mechanistic
IPRAGLIFLOZIN L-PROLINE inhibits Mechanistic
REMOGLIFLOZIN ETABONATE inhibits Mechanistic
ERTUGLIFLOZIN PIDOLATE inhibits Mechanistic
EMPAGLIFLOZIN inhibits Mechanistic
ERTUGLIFLOZIN inhibits Mechanistic
SOTAGLIFLOZIN inhibits Mechanistic
CANAGLIFLOZIN inhibits Mechanistic
BEXAGLIFLOZIN inhibits Mechanistic
TOFOGLIFLOZIN ANHYDROUS ? unclear Mechanistic
DAPAGLIFLOZIN ? unclear Mechanistic 1.1 nM (EC50)
CHEMBL183937 inhibits Mechanistic 4.0 nM (Ki)
CHEMBL187805 inhibits Mechanistic 10.0 nM (Ki)
CHEMBL187163 inhibits Mechanistic 9.0 nM (Ki)
CHEMBL187749 inhibits Mechanistic 10.0 nM (Ki)
CHEMBL184530 inhibits Mechanistic 230.0 nM (Ki)
CHEMBL184027 inhibits Mechanistic 70.0 nM (Ki)
CHEMBL188013 inhibits Mechanistic 40.0 nM (Ki)
CHEMBL361672 inhibits Mechanistic 520.0 nM (Ki)
CHEMBL187056 inhibits Mechanistic 290.0 nM (Ki)
CHEMBL360824 inhibits Mechanistic 1280.0 nM (Ki)
CHEMBL184364 inhibits Mechanistic 10.0 nM (Ki)
CHEMBL359962 inhibits Mechanistic 10.0 nM (Ki)
CHEMBL184183 inhibits Mechanistic 30.0 nM (Ki)
CHEMBL183790 inhibits Mechanistic 150.0 nM (Ki)
CHEMBL365222 inhibits Mechanistic 20.0 nM (Ki)
CHEMBL187686 inhibits Mechanistic 110.0 nM (Ki)
CHEMBL186823 inhibits Mechanistic 30.0 nM (Ki)
CHEMBL187060 inhibits Mechanistic 20.0 nM (Ki)
CHEMBL362365 inhibits Mechanistic 80.0 nM (Ki)
CHEMBL183689 inhibits Mechanistic 70.0 nM (Ki)
CHEMBL371448 inhibits Mechanistic 491.0 nM (IC50)
CHEMBL382302 inhibits Mechanistic 458.0 nM (IC50)

Showing top 40 of 190 agents ranked by evidence tier.


Clinical Trials

Recruiting and recently completed trials from ClinicalTrials.gov. Data retrieved 2026-07-06.

No recent clinical trials found on ClinicalTrials.gov for this condition.


Agents Found By Disease-Level Search

Searched directly from “Heart Failure” via ClinicalTrials.gov interventions and Open Targets' disease→drug data — independent of the 9-gene target panel above. This surfaces agents whose mechanism doesn't route through a curated gene (combination therapies, standard-of-care drugs, targets outside the panel).

Not yet run. python -m biomarker_pipeline.run_disease_agent_discovery --disease "..."

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