About this trial

This study will test whether pharmacologic agents that increase perfusion \[Potassium Nitrate (KNO3)\], with and without additional supplements that may improve mitochondrial function \[Propionyl-L-Carnitine (PLC) and Nicotinamide Riboside (NR)\], improve submaximal exercise endurance and skeletal muscle oxidative phosphorylation capacity (SkM OxPhos) in participants with Heart Failure with Preserved Ejection Fraction (HFpEF).

Eligibility criteria

Qualifiers

NYHA Class II-III symptoms

Left ventricular ejection fraction >= 50%

Stable medical condition for at least 2 weeks, as per investigator judgment

Disqualifiers

Age <18 years old

Treatment with organic nitrates or phosphodiesterase inhibitors that cannot be interrupted

Uncontrolled atrial fibrillation, as defined by a resting heart rate > 100 beats per minute at the time of the baseline assessment

Hemoglobin < 10 g/dL

Trial design

Treatments tested in this trial

  • Potassium Nitrate
  • Potassium Nitrate + Propionyl-L-Carnitine + Nicotinamide Riboside
  • Potassium Chloride

Treatment groups

53 Participants
are divided into 3 treatment groups

Locations

1
University of Pennsylvania19104, PhiladelphiaPennsylvania, United States

Sponsors and collaborators

University of Pennsylvania

Lead sponsor